2021-08-02T13:27:59-05:00 2020-09-30 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2019-10-01 440668347 Cameron Regional Medical Center CAME 8166322101 1600 East Evergreen Street Cameron MO 64429 Joseph Abrutz Jr Administrator 8166322101 2021-07-30 1 Heather R Eichem P01515553 7852334226 2021-07-30 2019 2022-09-23 18:48:47Z Joseph Abrutz Jr 1600 East Evergreen Street Cameron MO 64429 67869340 0 X http://www.cameronregional.org/ X 1963 MO To provide inpatient and outpatient medical care to area residents regardless of ability to pay. 13 11 619 67 0 0 284770 267964 57957443 53682338 1757424 1827222 174985 230430 60174622 56007954 35000 27050 0 0 31974491 34432474 0 0 4285 28914366 28380544 60923857 62840068 -749235 -6832114 88119553 101205646 32694863 50559184 55424690 50646462 X 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. 0 0 55259808 27050 53682338 Acute care hospital organized to provide inpatient and outpatient care to area residents regardless of ability to pay. 55259808 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 58 0 1 619 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 MO X Joseph Abrutz Jr 8166322101 1600 East Evergreen St Cameron MO 64429 Warren McElwain President 1.00 X X 0 0 0 Delvin Jackson Vice-President 1.00 X X 0 0 0 Jennifer White Secretary 1.00 X X 0 0 0 Michael Poland Treasurer 1.00 X X 0 0 0 Don Gitthens Director 1.00 X 0 0 0 Barbara Ballew Director 1.00 X 0 0 0 Ken Raffety Director 1.00 X 0 0 0 Steve Tinnen Director 1.00 X 0 0 0 Mike Brown Director 1.00 X 0 0 0 David Just Director 1.00 X 0 0 0 Laeeq Azmat Tahirkheli Physician & Director 40.00 X 859885 0 0 Laura Harbison Physician & Director 43.00 X 374459 0 0 Mark Baker Director 1.00 X 0 0 0 Joseph F Abrutz Jr Administrator 40.00 X 307769 0 10707 Rosa Patti Chief Financial Officer 41.00 X 162555 0 13253 Muhammad Amin Physician 40.00 X 530533 0 0 Daut Gjoni Physician 40.00 X 458973 0 0 Shahzad Shafique Physician 40.00 X 546960 0 0 Kendall Deselms Physician 38.00 X 359046 0 0 Arihant Jain Physician 59.00 X 526790 0 0 4126970 0 23960 43 0 1 0 Premier Specialty Network 1835 E Republic Rd Suite 200 Springfield MO 65804 Physician specialists 1687998 Psychiatric Solutions Inc PO Box 840839 Dallas TX 75284 Operation of BHU unit 1302956 Cameron Emergency Physicians PC 1600 E Evergreen Cameron MO 64429 Emergency physicians 947815 Docs Who Care 800 W Frontier Lane Olathe KS 66061 Emergency physicians 595928 Laboratory Corporation of America PO Box 12140 Burlington NC 27216 Reference lab services 591186 16 42629 225335 42629 267964 Patient service revenue 622110 53682338 53682338 53682338 948736 948736 28694 28694 61170 0 61170 61170 61170 12711178 11861386 849792 849792 849792 Cafeteria 722210 125380 125380 Other income 900099 43880 43880 169260 56007954 53682338 0 2057652 X 5050 5050 22000 22000 2281649 1277084 1004565 26767771 24824685 1943086 582500 523842 58658 2966476 2688951 277525 1834078 1649386 184692 284102 284102 139761 139761 8740107 8074853 665254 300570 95284 205286 1296539 1097683 198856 496651 426976 69675 251047 204760 46287 1092296 920064 172232 3097208 2663813 433395 731815 64330 667485 Medical supplies 4833858 4833858 Pharmaceuticals 4037418 4037418 Repairs and maintenance 1931890 1282230 649660 Collection fees 363196 363196 784086 567541 212260 4285 62840068 55259808 7575975 4285 684645 469572 8461431 21172820 12502163 9450136 1212933 1497332 304772 263428 72230965 50523547 20984665 21707418 39905213 42227049 4063731 4417891 88119553 101205646 5842877 6653852 26445753 25479437 406233 776741 5301306 0 12347848 32694863 50559184 X 54603337 49823634 821353 822828 55424690 50646462 88119553 101205646 X -6832114 2081254 -27368 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1490592 1490592 29666511 16177332 13489179 40024212 33734779 6289433 1049650 611436 438214 21707418 Estimated 3rd Party Payor Settlements 1167274 Advances 11180574 12347848 X Part X, Line 2: Management is not aware of any uncertainties in income tax positions. 1 1 1 X 1 X 1 0 1 1 147902 607075 0 0.00000 6578799 5522492 1056307 0.01680 6726701 6129567 1056307 0.01680 215975 3740 212235 0.00340 22000 22000 0.00040 13285983 7518002 5767981 0.09180 5000 5000 0.00010 13528958 7521742 6007216 0.09570 20255659 13651309 7063523 0.11250 1 5476695 547670 17691003 19293490 -1602487 X 1 1 1 1 Cameron Regional Medical Center 1600 East Evergreen Street Cameron MO 64429 X X X Cameron Regional Medical Center Inc 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X http://www.cameronregional.org X 1 18 0 1 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X https://cameronregional.org/ X https://cameronregional.org/ X https://cameronregional.org/ X X X X X 1 X 0 X X 1 X 0 0 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." 19 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 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. 1 College scholarships 31 22000 Part I, Line 2: Scholarships are paid directly to the college of the recipient. X X X 0 1 0 0 0 1 0 1 0 Laeeq Azmat Tahirkheli Physician & Director 617610 0 242275 0 0 0 0 0 0 0 859885 0 0 0 Laura Harbison Physician & Director 368384 0 6075 0 0 0 0 0 0 0 374459 0 0 0 Joseph F Abrutz Jr Administrator 277847 0 29922 0 0 0 0 0 10707 0 318476 0 0 0 Rosa Patti Chief Financial Officer 97492 0 65063 0 0 0 0 0 13253 0 175808 0 0 0 Muhammad Amin Physician 392170 0 138363 0 0 0 0 0 0 0 530533 0 0 0 Daut Gjoni Physician 329723 0 129250 0 0 0 0 0 0 0 458973 0 0 0 Shahzad Shafique Physician 440380 0 106580 0 0 0 0 0 0 0 546960 0 0 0 Kendall Deselms Physician 359046 0 0 0 0 0 0 0 0 0 359046 0 0 0 Arihant Jain Physician 490011 0 36779 0 0 0 0 0 0 0 526790 0 0 0 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. A The Industrial Development Authority of Clinton County Missouri 431619770 18746NAM2 2017-09-06 10000000 Refund Series 2007B bonds issued on 05/17/2007 0 0 0 B The Industrial Development Authority of Clinton County Missouri 431619770 18746NAQ3 2017-09-06 3990000 Financing of capital project and equipment 0 0 0 C The Industrial Development Authority of the City of Cameron Missouri 431679396 133451BS2 2017-12-21 6105000 Refund Series 2011 bond and financing of capital project 0 0 0 D The Industrial Development Authority of the City of Cameron Missouri 431679396 NoneAvail 2019-08-22 2730000 Financing of capital projects 0 0 0 A 150000 10000000 480895 170257 9348788 2017 1 0 1 1 B 3990000 399010 68386 3504535 21250 2018 0 0 1 1 C 810000 6105000 240006 121226 2827033 2939863 2019 1 0 1 1 D 2730000 175005 54600 2513835 2020 0 0 1 1 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 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 X Furniture 1 42629 Cash paid 0 0 1 Part I, Line 32b: Cameron Regional Medical Center Foundation supports the operation of Cameron Regional Medical Center through fundraising efforts, including the solicitation and processing of contributions received. 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. Cameron Regional Medical Center Provider Management Service Organization LL 1600 East Evergreen Street Cameron MO 64429 472649803 To provide support and administrative services to physician groups MO Cameron Regional Medical Center Cameron Regional Medical Center Foundation 1600 East Evergreen Street Cameron MO 64429 742933060 To support the operation of the Cameron Regional Medical Center, Inc. MO 501(c)(3) Line 7 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0