CAMERON REGIONAL MEDICAL CENTER INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CAMERON REGIONAL MEDICAL CENTER INC (EIN 44-0668347)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-02
- IRS object ID
- 202132149349301123
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-02T13:27:59-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 623 SW 10th Ave Suite 300 | AddressLine1Txt |
| City | Topeka | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440668347 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAME | BusinessNameControlTxt |
| Phone | 8166322101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Abrutz Jr | PersonNm |
| Person Title | Administrator | PersonTitleTxt |
| Phone | 8166322101 | PhoneNum |
| Signature | 2021-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2021-07-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph Abrutz Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,869,340 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.cameronregional.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | To provide inpatient and outpatient medical care to area residents regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 619 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $284,770 | PYContributionsGrantsAmt |
| CY Contributions Grants | $267,964 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,957,443 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,682,338 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,757,424 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,827,222 | CYInvestmentIncomeAmt |
| PY Other Revenue | $174,985 | PYOtherRevenueAmt |
| CY Other Revenue | $230,430 | CYOtherRevenueAmt |
| PY Total Revenue | $60,174,622 | PYTotalRevenueAmt |
| CY Total Revenue | $56,007,954 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,050 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,974,491 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,432,474 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,285 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,914,366 | PYOtherExpensesAmt |
| CY Other Expenses | $28,380,544 | CYOtherExpensesAmt |
| PY Total Expenses | $60,923,857 | PYTotalExpensesAmt |
| CY Total Expenses | $62,840,068 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$749,235 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,832,114 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,119,553 | TotalAssetsBOYAmt |
| Total Assets EOY | $101,205,646 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,694,863 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $50,559,184 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,424,690 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $50,646,462 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission at Cameron Regional Medical Center (CRMC) is caring for all patients. To this end, we organize people, equipment, and facilities in a manner that best responds to their needs and to the needs of our service area. Our priorities are patients and families, physicians, and employees. Our goal is to be a regionally-recognized leader in patient satisfaction by exceeding customer expectations and continuing to achieve excellence in quality and cost-effective health care services. Cameron Regional Medical Center (CRMC) will provide services in an atmosphere that involves compliance with governmental mandates. Throughout our organization, our employees strive to provide sensitive, quality health care at all times by living our values. Lastly, CRMC recognizes the importance of viable and profitable operations to guarantee the continued existence and growth of the facility. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $55,259,808 | ExpenseAmt |
| Grant | $27,050 | GrantAmt |
| Revenue | $53,682,338 | RevenueAmt |
| Desc | Acute care hospital organized to provide inpatient and outpatient care to area residents regardless of ability to pay. | Desc |
| Total Program Service Expenses | $55,259,808 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 619 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Abrutz Jr | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8166322101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen St | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Warren McElwain | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Delvin Jackson | |||||||
| Vice-President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jennifer White | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Poland | |||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Don Gitthens | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Barbara Ballew | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ken Raffety | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Tinnen | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mike Brown | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Just | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Laeeq Azmat Tahirkheli | |||||||
| Physician & Director | 40.00 | Yes (X) | $859,885 | $0 | $0 | ||
| Laura Harbison | |||||||
| Physician & Director | 43.00 | Yes (X) | $374,459 | $0 | $0 | ||
| Mark Baker | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph F Abrutz Jr | |||||||
| Administrator | 40.00 | Yes (X) | $307,769 | $0 | $10,707 | ||
| Rosa Patti | |||||||
| Chief Financial Officer | 41.00 | Yes (X) | $162,555 | $0 | $13,253 | ||
| Muhammad Amin | |||||||
| Physician | 40.00 | $530,533 | $0 | $0 | Yes (X) | ||
| Daut Gjoni | |||||||
| Physician | 40.00 | $458,973 | $0 | $0 | Yes (X) | ||
| Shahzad Shafique | |||||||
| Physician | 40.00 | $546,960 | $0 | $0 | Yes (X) | ||
| Kendall Deselms | |||||||
| Physician | 38.00 | $359,046 | $0 | $0 | Yes (X) | ||
| Arihant Jain | |||||||
| Physician | 59.00 | $526,790 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,126,970 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $23,960 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Premier Specialty Network | |||||
| 1835 E Republic Rd Suite 200 | Springfield | MO | 65804 | Physician specialists | $1,687,998 |
| Psychiatric Solutions Inc | |||||
| PO Box 840839 | Dallas | TX | 75284 | Operation of BHU unit | $1,302,956 |
| Cameron Emergency Physicians PC | |||||
| 1600 E Evergreen | Cameron | MO | 64429 | Emergency physicians | $947,815 |
| Docs Who Care | |||||
| 800 W Frontier Lane | Olathe | KS | 66061 | Emergency physicians | $595,928 |
| Laboratory Corporation of America | |||||
| PO Box 12140 | Burlington | NC | 27216 | Reference lab services | $591,186 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $42,629 | RelatedOrganizationsAmt |
| All Other Contributions | $225,335 | AllOtherContributionsAmt |
| Noncash Contributions | $42,629 | NoncashContributionsAmt |
| Total Contributions | $267,964 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient service revenue | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $53,682,338 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,682,338 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,682,338 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $948,736 | TotalRevenueColumnAmt |
| Exclusion | $948,736 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,694 | TotalRevenueColumnAmt |
| Exclusion | $28,694 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,170 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,170 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,170 | TotalRevenueColumnAmt |
| Exclusion | $61,170 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,711,178 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,861,386 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $849,792 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $849,792 | TotalRevenueColumnAmt |
| Exclusion | $849,792 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria | 722210 | $125,380 | $125,380 |
| Other income | 900099 | $43,880 | $43,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $169,260 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,007,954 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,682,338 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,057,652 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,050 | TotalAmt |
| Program Services | $5,050 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,000 | TotalAmt |
| Program Services | $22,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,281,649 | TotalAmt |
| Program Services | $1,277,084 | ProgramServicesAmt |
| Management And General | $1,004,565 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,767,771 | TotalAmt |
| Program Services | $24,824,685 | ProgramServicesAmt |
| Management And General | $1,943,086 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,500 | TotalAmt |
| Program Services | $523,842 | ProgramServicesAmt |
| Management And General | $58,658 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,966,476 | TotalAmt |
| Program Services | $2,688,951 | ProgramServicesAmt |
| Management And General | $277,525 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,834,078 | TotalAmt |
| Program Services | $1,649,386 | ProgramServicesAmt |
| Management And General | $184,692 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,102 | TotalAmt |
| Management And General | $284,102 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,761 | TotalAmt |
| Management And General | $139,761 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,740,107 | TotalAmt |
| Program Services | $8,074,853 | ProgramServicesAmt |
| Management And General | $665,254 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,570 | TotalAmt |
| Program Services | $95,284 | ProgramServicesAmt |
| Management And General | $205,286 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,539 | TotalAmt |
| Program Services | $1,097,683 | ProgramServicesAmt |
| Management And General | $198,856 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,651 | TotalAmt |
| Program Services | $426,976 | ProgramServicesAmt |
| Management And General | $69,675 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,047 | TotalAmt |
| Program Services | $204,760 | ProgramServicesAmt |
| Management And General | $46,287 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,092,296 | TotalAmt |
| Program Services | $920,064 | ProgramServicesAmt |
| Management And General | $172,232 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,097,208 | TotalAmt |
| Program Services | $2,663,813 | ProgramServicesAmt |
| Management And General | $433,395 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,815 | TotalAmt |
| Program Services | $64,330 | ProgramServicesAmt |
| Management And General | $667,485 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $4,833,858 | $4,833,858 | |
| Pharmaceuticals | $4,037,418 | $4,037,418 | |
| Repairs and maintenance | $1,931,890 | $1,282,230 | $649,660 |
| Collection fees | $363,196 | $363,196 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,086 | TotalAmt |
| Program Services | $567,541 | ProgramServicesAmt |
| Management And General | $212,260 | ManagementAndGeneralAmt |
| Fundraising | $4,285 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,840,068 | TotalAmt |
| Program Services | $55,259,808 | ProgramServicesAmt |
| Management And General | $7,575,975 | ManagementAndGeneralAmt |
| Fundraising | $4,285 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,645 | BOYAmt |
| EOY | $469,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,461,431 | BOYAmt |
| EOY | $21,172,820 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,502,163 | BOYAmt |
| EOY | $9,450,136 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,212,933 | BOYAmt |
| EOY | $1,497,332 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,772 | BOYAmt |
| EOY | $263,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,230,965 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,523,547 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,984,665 | BOYAmt |
| EOY | $21,707,418 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,905,213 | BOYAmt |
| EOY | $42,227,049 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,063,731 | BOYAmt |
| EOY | $4,417,891 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,119,553 | BOYAmt |
| EOY | $101,205,646 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,842,877 | BOYAmt |
| EOY | $6,653,852 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,445,753 | BOYAmt |
| EOY | $25,479,437 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,233 | BOYAmt |
| EOY | $776,741 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,301,306 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,347,848 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,694,863 | BOYAmt |
| EOY | $50,559,184 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,603,337 | BOYAmt |
| EOY | $49,823,634 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $821,353 | BOYAmt |
| EOY | $822,828 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,424,690 | BOYAmt |
| EOY | $50,646,462 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,119,553 | BOYAmt |
| EOY | $101,205,646 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$6,832,114 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,081,254 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,368 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,490,592 | OtherCostOrOtherBasisAmt |
| Book Value | $1,490,592 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,666,511 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,177,332 | DepreciationAmt |
| Book Value | $13,489,179 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,024,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,734,779 | DepreciationAmt |
| Book Value | $6,289,433 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,049,650 | OtherCostOrOtherBasisAmt |
| Depreciation | $611,436 | DepreciationAmt |
| Book Value | $438,214 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,707,418 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated 3rd Party Payor Settlements | $1,167,274 |
| Advances | $11,180,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,347,848 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management is not aware of any uncertainties in income tax positions. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $607,075 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,578,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,522,492 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,056,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,726,701 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,129,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,056,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $215,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,740 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $212,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,285,983 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,518,002 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,767,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,528,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,521,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,007,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,255,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,651,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,063,523 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,476,695 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $547,670 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,691,003 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,293,490 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,602,487 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.cameronregional.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://cameronregional.org/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://cameronregional.org/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://cameronregional.org/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 5: The Medical Center conducted a town hall meeting and invited local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations and persons (or organizations serving them), people with chronic conditions, uninsured community members, low income residents, and minority groups. |
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 11: With the onset of COVID-19 in late February 2020, Cameron Regional Medical Center (CRMC), like all hospitals, had to re-direct the majority of its efforts and resources toward combating this deadly pandemic. With quarantining, social distancing, and "no visitor" policies in place, the usual meetings of key stakeholders for discussing and updating CRMC's Community Health Needs Assessment and associated Implementation Plan had to be cancelled in the interest of public safety. Even though normal CHNA activities and collaborative efforts were halted by COVID, CRMC has been an integral part of the containment fight against the pandemic in northwest Missouri - truly the most severe and demanding of community health needs. Cameron Regional Medical Center, Inc., spent approximately $525,000 on COVID-19 expenses from the onset of the pandemic through September 30, 2020. This was, however, just the tip of the iceberg. Expenditures and containment efforts have increased dramatically into the next fiscal year.General Notes Addressing Multiple Priorities/Objectives:a) CRMC's 18th Annual Health Fair was held in early Fall 2020. Due to COVID-19, the Health Fair was held in a "distributed" format in six different locations over five counties to decrease crowd size at each facility. Offerings were downsized to reduce exposure time, but extensive blood work (anemia, blood sugar, thyroid, cholesterol panel, iron, GFR, and BUN/Creatinine), blood pressures, and pulse oximetry were still provided. Medical providers were available to counsel and educate attendees regarding medications, vaccinations, depression/anxiety, mental health resources, exercise guidelines, diabetes, and nutrition. All of the above services were provided to the public free of charge. Over 350 participants from rural northwest Missouri attended this annual health and wellness event; andb) Sponsored by the Medical Center, a Regional Resource Directory for CRMC's primary service area was developed many years ago and is updated on a regular basis. It is distributed to area residents upon request and disseminated at certain public meetings/events (such as Community Health Needs Assessment and public education meetings). Covering CRMC's four-county primary service area (Clinton, Caldwell, Daviess and DeKalb), the directory includes mental health resources/services, alcohol and drug treatment (substance abuse) programs, wellness/fitness centers, medical clinics/services, nutrition resources, weight loss programs, and several other categories affecting the health and well-being of area residents.Priority/Objective No. 1 Mental Health (Diagnosis/Treatment)Due to a continuing shortage of mental health providers in rural northwest Missouri and the ever-increasing demand for this service, Cameron Regional Medical Center ("CRMC") remains committed to maintaining its offerings in this specialty. Five part-time Psychiatrists, including a child psychiatrist and a geriatric psychiatrist, provide inpatient and outpatient services at CRMC on a regularly-scheduled basis. CRMC's mental health services are marketed throughout its service area, and free transportation is provided to those area residents in need via a patient courtesy van system. CRMC's 19 satellite clinics serve as both education and referral centers for available mental health services. A CRMC calendar denoting mental health offerings is placed in 14 area publications on a monthly basis, as well as on the Medical Center's website. CRMC greatly underwrites/subsidizes its mental health program in order to assure these services are readily available to all patients/payors (Medicare, Medicaid, self-pay, etc.) CRMC continues to maintain its 10-bed GeroPsychiatric/Behavioral Health Unit (BHU). TelePsychiatry services are utilized at least one day per week in this Unit to enhance physician coverage. This service continues to play a vital role in CRMC's medical community, providing solutions and relief for area nursing homes, families, and physicians. Through the Community Health Needs Assessment process, Preferred Family Healthcare in Kirksville, Missouri, a division of the Behavioral Health Funded Prevention Resource Center, has become a valued partner for CRMC, providing collective impact and resources/education otherwise unavailable in the area for both mental/behavioral health and substance abuse (next section). The majority of CRMC's 19 satellite clinics utilize the Patient Health Questionnaire-9 (PHQ-9) for depression screening purposes.Priority/Objective No. 2 Substance Abuse (Opioids/Meth/Marijuana/Heroin, etc.)CRMC, through its network of primary care clinics, physicians, mid-levels, and hospital Pharmacy, continues to facilitate and promote concerted efforts against prescription drug/medication abuse. The Medical Center's e-prescribing software and communication protocols with area pharmacies aid in monitoring and tracking "doctor shopping" efforts by patients suspected of abusing the system. The CRMC medical staff and Board of Directors continue to prohibit the medical use and possession of marijuana on the CRMC campus, premises, and in its outlying facilities. The Medical Center assists the Cameron Police Department with marketing its annual "Prescription Drug Take-Back Day" held in conjunction with the DEA. CRMC primary care providers provide substance abuse counseling at both the Medical Center and in its 19 satellite clinics. Customized education materials are provided per individual patient needs. In terms of health care professionals, the CRMC Medical Staff donates a substantial sum on an annual basis to the Missouri Association of Osteopathic Physicians and Surgeons' (MAOPS') Physicians Health Program (PHP). PHP provides addiction treatment resources and coordinates the care of the affected health care professional throughout his/her treatment program, with the goal of facilitating and expediting his/her return to health and a normal personal and professional life.Priority/Objective No. 3 Available Affordable Health Insurance Coverage (Not directly addressed)While CRMC is not in the business of providing health insurance products, the Medical Center recognizes the financial stresses placed on area families by medical costs and today's general environment. Consequently, it provides support and financial assistance to patients through various methods: a) The Medical Center assists individuals with both Medicare and Medicaid enrollment; b) CRMC subsidizes many of its consulting staff physicians (specialists) so they will see Medicaid patients; c) Charity Care (financial assistance) is provided to qualifying individuals based on U.S. Federal Poverty Guidelines if the patient makes a good-faith effort and completes the applicable paperwork; d) A substantial prompt pay discount program is offered to anyone with self-pay balances, whether it be on hospital or satellite clinic services; e) CRMC's temperate collection policies are widely publicized in area media; f) Monthly audits are conducted to determine the public's satisfaction with CRMC's billing and collection practices; and g) Free public education meetings are held at least twice per year, focusing on ObamaCare, Medicare, Medicaid, Part D, Advantage Plans, and other third-party payors. These question-and-answer sessions cover all facets of public health care concerns. |
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 11: Priority/Objective No. 4 Child Care Services (Not directly addressed)As child care is not a central component of CRMC's mission or operations, the Medical Center plays only a supporting role in addressing this need. The Medical Center cooperates in economic development efforts toward promoting new businesses whenever feasible in the hope of realizing additional pre-schools and child care centers in rural northwest Missouri.Priority/Objective No. 5 Smoking/VapingDetailed information on smoking cessation continues to be included in all CRMC admission packets, and in discharge packets for those patients who smoke. The Medical Center continues to assist its employees financially with smoking cessation products. CRMC primary care providers provide smoking cessation counseling at both the Medical Center and in its 19 satellite clinics. Customized education materials are provided per individual patient needs.Priority/Objective No. 6 Poverty/Employment Readiness (Not directly addressed)While CRMC does not delve into the particulars of poverty and employment preparedness, it strives to provide public support and assistance when possible. This is particularly evident with indigent patients presenting to the Emergency Room. For this reason, CRMC maintains a close working relationship with area ministerial alliances, addressing individuals and/or families in need. Other assistance efforts come in the following forms: a) CRMC donates free-of-charge the use of a small building in Stewartsville, Missouri, for Food Pantry purposes; b) Through the Caldwell County Health Department, the CRMC Foundation has made two sizeable donations to the Hideaway Lakes project at Polo, Missouri, with the funds earmarked for children, the elderly, and the installation of a fresh water supply for this impoverished community; and c) As previously mentioned under Priority/Objective No. 1 Mental Health, perhaps the single largest expenditure CRMC commits to fighting area poverty is the provision of free transportation to allow individuals to obtain needed medical services. For those who have no other viable means of travel, the Medical Center operates five Patient Courtesy Vans six days per week throughout eight counties in rural northwest Missouri. Patients are transported to and from the Medical Center, area physicians' offices, CRMC's satellite clinics, and/or CRMC's outpatient specialty clinics. Based on need, free transportation to area tertiary centers is also made available.Priority/Objective No. 7 Alcohol/Drunk Driving (Not directly addressed)Although CRMC primary care providers provide alcohol counseling and customized education materials to their patients at both the Medical Center and its 19 satellite clinics, alcohol abuse and resultant drunk driving are not a component of CRMC's day-to-day activities. CRMC financially supports many post-graduation and post-prom parties throughout five-counties to assist in providing alternative activities to drinking for area high school students.Priority/Objective No. 8 Obesity (Nutrition and Fitness)Free training/education classes focusing on diabetes, nutrition, food labels, and healthy eating are held by one of CRMC's registered dieticians at least every-other month, with excellent participation rates and feedback. CRMC continues to provide a regimented physician-assisted weight loss program at lower-than-normal rates via one of its satellite clinics. The CRMC Foundation continues to sponsor its annual 4-Mile Run, 2-Mile Walk, and Children's Fun Run. Approximately 250 runners, walkers, and children participate each year in these fitness/wellness events. CRMC's Fitness Committee sponsors fitness challenges for CRMC employees at least twice a year. CRMC continues to operate the Meals on Wheels Program to benefit homebound Cameron residents living in Clinton County.Priority/Objective No. 9 Health Care Staffing ShortagesCRMC's high school scholarship program for FYE 2020 represented its 31st annual offering. As an avenue for promoting the health care industry as a viable employment opportunity/consideration, a total of $6,500 was awarded to 11 graduating high school seniors entering a health care field of study. (Numbers were down due to COVID.) Awards are available to students residing throughout five counties and are renewable for an additional three years to cover undergraduate studies. These renewals each year average a total of approximately $13,500. CRMC also makes available a total of $10,000 to second-year Allied Health Care students at North Central Missouri College in Trenton, Missouri on an annual basis. As a third prong, the CRMC Medical Staff awards a $5,000 scholarship each year to a promising first-year medical student. CRMC serves as a clinical rotation site for the following colleges/universities/career schools: a) North Central Missouri College in Trenton, Missouri, (Nursing and Occupational Therapy); b) Rockhurst University and Allen College (Occupational Therapy); c) Kansas City School of Phlebotomy (Lab); d) Concorde Career College (Respiratory Therapy and Surgery); e) Graceland University (Nursing); f) William Jewell College (Nursing); g) University of Missouri Kansas City (Family Nurse Practitioners); h) University of Missouri Columbia (Family Nurse Practitioners); and i) Various online study programs (Family Nurse Practitioners). This allows CRMC to have first-hand exposure to the "best and the brightest." |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Cameron Medical Clinic | ||||
| 1600 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 2 - Westside Medical Offices | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 3 - Bethany Health Services | ||||
| 903 North 25th Street | Bethany | MO | 64424 | Medical Clinic |
| 4 - Walnut Medical Clinic | ||||
| 921 N Walnut | Cameron | MO | 64429 | Rural Health Clinic |
| 5 - Hamilton Family Health Center | ||||
| 103 N Davis | Hamilton | MO | 64644 | Rural Health Clinic |
| 6 - Cameron Specialists - Internal Medicine | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 7 - Cameron Obstetrics & Gynecology | ||||
| 1600 E Evergreen Suite A | Cameron | MO | 64429 | Medical Clinic |
| 8 - Maysville Family Health | ||||
| 1007 S Polk | Maysville | MO | 64469 | Rural Health Clinic |
| 9 - Gallatin Family Medicine | ||||
| 502 S Main | Gallatin | MO | 64640 | Rural Health Clinic |
| 10 - Polo Family Health Center | ||||
| 198 Main Street | Polo | MO | 64671 | Rural Health Clinic |
| 11 - Lathrop Medical Clinic | ||||
| 106 North Street | Lathrop | MO | 64465 | Medical Clinic |
| 12 - Jamesport Outreach Clinic | ||||
| 409 W Auberry Grove | Jamesport | MO | 64648 | Rural Health Clinic |
| 13 - Cameron Nephrology Clinic | ||||
| 1600 E Evergreen Suite B | Cameron | MO | 64429 | Medical Clinic |
| 14 - Plattsburg Family Medicine | ||||
| 214 N Main | Plattsburg | MO | 64477 | Rural Health Clinic |
| 15 - Pattonsburg Medical Clinic | ||||
| 110 N Central Ave | Pattonsburg | MO | 64670 | Rural Health Clinic |
| 16 - Gilman City Medical Clinic | ||||
| 427 Main Street | Gilman City | MO | 64642 | Rural Health Clinic |
| 17 - Stewartsville Medical Clinic | ||||
| 106 E 4th | Stewartsville | MO | 64490 | Rural Health Clinic |
| 18 - Eagleville Medical Clinic | ||||
| 12050 12th Street | Eagleville | MO | 64442 | Rural Health Clinic |
| 19 - NW Missouri Obstetrics & Gynecology | ||||
| 221 E 7th Street | Cameron | MO | 64429 | Medical Clinic |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost-to-charge ratio derived from Worksheet 2 was used to calculate the amounts reported on line 7. |
| Part I, Line 7g: | The costs of subsidized health services include costs attributable to multiple physician clinics in the amount of $9,872,162. |
| Part III, Line 4: | See note B (beginning on page 11) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 by the Medical Center's bad debt expense for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Medical Center's financial assistance policy. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualfies these bad debts as a community benefit. |
| Part III, Line 8: | Medicare costs were obtained from the Medical Center's as-filed Medicare cost report for the tax year.The shortfall is a benefit to the Medical Center's community since it represents health care provided at less than cost to elderly and needy residents of the Medical Center's service area.Revenue included in Medicare Cost Report $17,691,003Fee schedule revenue excluded from Medicare Cost Report 480,104Total Medicare revenue 18,171,107Expenses included in Medicare Cost Report $19,293,490Fee schedule expenses excluded from Medicare Cost Report 1,111,322Total Medicare expense 20,404,812Total net Medicare loss 2,233,705 |
| Part III, Line 9b: | At the time of admission and before discharge, each patient will receive a notice that the Medical Center has a Financial Assistance Policy (with a brief description of such policy) and directions for obtaining additional information about such policy. All itemized statements sent to the patient include a notice that the Medical Center has a Financial Assistance Policy and directions for obtaining additional information about such policy. If a patient submits a Financial Assistance Policy application, all payment notifications and collection actions are suspended until it is determined whether the patient is eligible for the Financial Assitance Policy (and if so, notifications and collection actions will cease). |
| Part VI, Line 2: | The Medical Center relies on the feedback and requests taken from patients of the Medical Center and its numerous clinics, as well as residents from its primary service area. |
| Part VI, Line 3: | The Medical Center employs a social worker that informs all patients of all available payment options. |
| Part VI, Line 4: | Cameron Regional Medical Center and its eleven rural health clinics are located in Northwest Missouri. The primary service area is comprised of four rural counties consisting of Daviess, Caldwell, DeKalb, and Clinton. There are approximately 50,232 individuals that reside in the primary service area. Of these residents approximately 13.0% of them have an annual income below the federal poverty level. The median annual income per household for the four counties is approximately $55,034. Approximately 39% of the total services provided are for Medicare patients and 10% are for Medicaid patients. The nearest surrounding hospitals are located in Smithville, Excelsior Springs, and Richmond. The distance between these facilities and Cameron Regional Medical Center is approximately 28, 28, and 31 miles respectively. |
| Part VI, Line 5: | Cameron Regional Medical Center's governing body is comprised of residents from its primary service area. The Medical Center extends medical privileges to all local physicians who meet the requirements of the medical staff bylaws. All surplus funds are used to maintain and improve the medical facility and medical equipment in order to provide the best medical treatment possible to every patient. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | College scholarships | GrantTypeTxt |
| Recipient | 31 | RecipientCnt |
| Cash Grant | $22,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Scholarships are paid directly to the college of the recipient. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Laeeq Azmat Tahirkheli | ||||||||||||||
| Physician & Director | $617,610 | $0 | $242,275 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $859,885 | $0 | $0 | $0 |
| Laura Harbison | ||||||||||||||
| Physician & Director | $368,384 | $0 | $6,075 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $374,459 | $0 | $0 | $0 |
| Joseph F Abrutz Jr | ||||||||||||||
| Administrator | $277,847 | $0 | $29,922 | $0 | $0 | $0 | $0 | $0 | $10,707 | $0 | $318,476 | $0 | $0 | $0 |
| Rosa Patti | ||||||||||||||
| Chief Financial Officer | $97,492 | $0 | $65,063 | $0 | $0 | $0 | $0 | $0 | $13,253 | $0 | $175,808 | $0 | $0 | $0 |
| Muhammad Amin | ||||||||||||||
| Physician | $392,170 | $0 | $138,363 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $530,533 | $0 | $0 | $0 |
| Daut Gjoni | ||||||||||||||
| Physician | $329,723 | $0 | $129,250 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $458,973 | $0 | $0 | $0 |
| Shahzad Shafique | ||||||||||||||
| Physician | $440,380 | $0 | $106,580 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $546,960 | $0 | $0 | $0 |
| Kendall Deselms | ||||||||||||||
| Physician | $359,046 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $359,046 | $0 | $0 | $0 |
| Arihant Jain | ||||||||||||||
| Physician | $490,011 | $0 | $36,779 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $526,790 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | The Medical Center has established a deferred compensation plan (a 457 Plan subject to Code section 457(b)). The name of the Plan as adopted by the Medical Center is Cameron Regional Medical Center, Inc. 457(b) Plan. During the fiscal year end 09/30/2020, $72,000 was contributed to the Plan on behalf of Joseph F. Abrutz, Jr., Administrator of the Medical Center. These funds have been segregated into a separate account and the fair market value of the account at September 30, 2020 was $58,487. |
| Part I, Line 6 | The Administrator is eligible for an annual bonus that is partially contingent on meeting a specific operating margin percentage. |
| Part I, Line 7 | The Administrator is eligible for an annual bonus that is partially contingent on meeting quality measures goals and strategic planning goals. The Chief Financial Officer also received a bonus during the fiscal year ending in 2020 for completing a variety of special projects for the Medical Center. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| The Industrial Development Authority of Clinton County Missouri | ||||||||
| A | 431619770 | 18746NAM2 | 2017-09-06 | $10,000,000 | Refund Series 2007B bonds issued on 05/17/2007 | 0 | 0 | 0 |
| The Industrial Development Authority of Clinton County Missouri | ||||||||
| B | 431619770 | 18746NAQ3 | 2017-09-06 | $3,990,000 | Financing of capital project and equipment | 0 | 0 | 0 |
| The Industrial Development Authority of the City of Cameron Missouri | ||||||||
| C | 431679396 | 133451BS2 | 2017-12-21 | $6,105,000 | Refund Series 2011 bond and financing of capital project | 0 | 0 | 0 |
| The Industrial Development Authority of the City of Cameron Missouri | ||||||||
| D | 431679396 | NoneAvail | 2019-08-22 | $2,730,000 | Financing of capital projects | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $150,000 | $10,000,000 | $480,895 | $170,257 | $9,348,788 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $3,990,000 | $399,010 | $68,386 | $21,250 | 2018 | 0 | 0 | Yes (1) | Yes (1) | $3,504,535 | |
| C | $810,000 | $6,105,000 | $240,006 | $121,226 | $2,939,863 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $2,827,033 |
| D | $2,730,000 | $175,005 | $54,600 | 2020 | 0 | 0 | Yes (1) | Yes (1) | $2,513,835 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Furniture | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $42,629 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cash paid | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | Cameron Regional Medical Center Foundation supports the operation of Cameron Regional Medical Center through fundraising efforts, including the solicitation and processing of contributions received. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | A copy of form 990 is made available to the governing body prior to filing. |
| Form 990, Part VI, Section B, line 12c | Employees and Directors are required to complete an annual disclosure information form. |
| Form 990, Part VI, Section B, line 15a | The Board of Trustees is responsible for deteriming the job performance standards for the Administrator/CEO and determining compensation according to the organization's policies. |
| Form 990, Part VI, Section C, line 19 | Organization makes its governing documents available upon request. |
| Form 990, Part IX, line 11g | Professional fees: Program service expenses 5,134,779. Management and general expenses 62,331. Fundraising expenses 0. Total expenses 5,197,110. Purchased services: Program service expenses 1,921,720. Management and general expenses 392,034. Fundraising expenses 0. Total expenses 2,313,754. Reference lab fees: Program service expenses 540,351. Management and general expenses 0. Fundraising expenses 0. Total expenses 540,351. Other fees for services: Program service expenses 478,003. Management and general expenses 210,889. Fundraising expenses 0. Total expenses 688,892. |
| Form 990, Part XI, line 9: | Change in beneficial interest in net assets of Foundation net of transfers -27,368. |
| Form 990, Part XII, Line 2C: | The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990, and selection of the independent accounting firm. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Provider Management Service Organization LL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472649803 | EIN |
| Primary Activities | To provide support and administrative services to physician groups | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742933060 | EIN |
| Primary Activities | To support the operation of the Cameron Regional Medical Center, Inc. | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |