CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-16
- IRS object ID
- 201411069349300821
- Schema version
- 2012v2.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-16T09:59:11-07:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440546366 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPITAL REGION MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAPI | NameControl |
| Phone | 5736325103 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 South Madison | AddressLine1 |
| City | Jefferson City | City |
| State | MO | State |
| ZIP Code | 65101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Tom Luebbering | Name |
| Title | Vice President of Finance | Title |
| Phone | 5736325103 | Phone |
| Date Signed | 2014-04-16 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Ed Farnsworth | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 Madison Street | AddressLine1 |
| City | Jefferson City | City |
| State | MO | State |
| ZIP Code | 65101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 154477763 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | crmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | Capital Region Medical Center embraces its mission: To improve the health and promote wellness of the people and communities we serve to reflect commitment to a charitable purpose. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1565 | TotalNbrEmployees |
| Total Nbr Volunteers | 186 | TotalNbrVolunteers |
| Total Gross UBI | 22667 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 22667 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 360878 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 293636 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 167278790 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 153592408 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 431808 | InvestmentIncomePriorYear |
| Investment Income Current Year | 455520 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1314 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2074 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 168072790 | TotalRevenuePriorYear |
| Total Revenue Current Year | 154339490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 85277771 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 83121627 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 75334524 | OtherExpensePriorYear |
| Other Expenses Current Year | 64686961 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 160612295 | TotalExpensesPriorYear |
| Total Expenses Current Year | 147808588 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7460495 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6530902 | RevenuesLessExpensesCY |
| Total Assets BOY | 171320321 | TotalAssetsBOY |
| Total Assets EOY | 172140454 | TotalAssetsEOY |
| Total Liabilities BOY | 58681834 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 54495492 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 112638487 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 117644962 | NetAssetsOrFundBalancesEOY |
| Mission Description | Capital Region Medical Center embraces its mission: To improve the health and promote wellness of the people and communities we serve to reflect commitment to a charitable purpose, in the form of a resident clinic as well as general inpatient and outpatient charity care. The medical center provides many services to the community at little or no financial gain. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2720772 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Inpatient and Outpatient Charity Care: Capital Region Medical Center serves the community by providing medical care to all patients regardless of their ability to pay. In FY2013, the medical center provided $2720772 in charitable care. Patients who qualify for charity care will be identified as soon as possible, either before the services are provided or after an individual has received services to stabilize their medical condition. If difficult to determine a patient's eligibility for charity care prior to providing the service, the determination should be made as soon as possible after the provision of the service. Upon registration patients without Medicare/Medicaid, adequate health insurance or other local health care financial assistance will receive either a packet of information that addresses the financial assistance policy and procedures or immediate financial counseling assistance from staff within established business hours. The packet of information will clearly indicate the CRMC provides care without regard to ability to pay, to individuals with limited financial resources and explain how patients appy for financial assistance. CRMC provides a variety of services ranging from emergency services to inpatient and outpatient elective surgery, diagnostic testing and education programs. Charity care policies and procedures are in place to address any instances in which patients may access services. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1844224 | Expense |
| Grants | 0 | Grants |
| Revenue | 828334 | Revenue |
| Description | Support of Medical Education - In 1988, Capital Region accepted its first Family Practice resident. Since then the program has offered one-on-one guidance. We reinforce values of ethical practice, community orientation, personal/professional balance, and lifelong learning. Capital Region Medical Center supports Lincoln University School of Nursing program, Columbia College Nursing Program, and the Linn State Physical Therapy Assistant Program. In addition to the direct financial support the Capital Region provides, we also provide support to Columbia College MSN students and Lincoln University School of Nursing BSN program in leadership training. We assist students from Rolla Technical College and Columbia Technical College in the surgical tech program. CRMC provides training to phlebotomist/tech students from Moberly Community College and Metro Business College to assist them with fulfilling their clinical requirements. CRMC provides oversight and mentoring to the St. Louis College of Pharmacy, University of Missouri- Columbia and Kansas City Pharmacy Programs. We provide support to Saint Louis University and University of Missouri PTA and PT programs. As well as assistance to the University of Missouri dietetics program. Our support for these programs is not only through the provision of training facilities but also adjunct faculty and resources. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 244023 | Expense |
| Grants | 0 | Grants |
| Revenue | 116673 | Revenue |
| Description | Resident Clinic: The Resident clinic is unopposed, giving residents a great deal of hands on experience. The mission of our program is to train capable, compassionate family physicians in an environment of mutual respect based in real-world experiences. In addition to providing a valuable training tool, the resident clinic serves a unique community benefit by providing approximately 2600 patient visits from the eight county service area which bases the charge on the individual's ability to pay, which in many cases is free. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 126426109 | Expense |
| Grants | 0 | Grants |
| Revenue | 152150676 | Revenue |
| Description | All Other Inpatient and Outpatient Services provided to patients. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 126426109 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 152150676 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 131235128 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 95 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1565 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Tom Luebbering | NamePerson |
| Telephone Number | 5736325100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1432 Southwest Blvd | AddressLine1 |
| City | Jefferson City | City |
| State | MO | State |
| ZIP Code | 65109 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Carrie Carroll | ||||||||
| Board Member (partial year) | 2 | 0 | X | 0 | 0 | 0 | ||
| Mitchell Wasden | ||||||||
| board member (partial year) | 2 | 0 | X | 0 | 0 | 0 | ||
| Lorelei Schwartz | ||||||||
| Secretary (partial year) | 2 | 0 | X | 0 | 0 | 0 | ||
| James Ross | ||||||||
| board member(partial year) | 2 | 0 | X | 0 | 0 | 0 | ||
| Charlie Dudenhoeffer | ||||||||
| Board Chair | 2.5 | 0 | X | 0 | 0 | 0 | ||
| Dr Neal G Lapointe | ||||||||
| Board Member/Physician | 40 | X | 213215 | 0 | 32271 | |||
| Kenneth Littlefield | ||||||||
| Board Treasurer | 2.5 | 0 | X | 0 | 0 | 0 | ||
| Anne Lock | ||||||||
| board member (partial year) | 2 | 0 | X | 0 | 0 | 0 | ||
| Naught Sharon | ||||||||
| Vice Chair (partial year) | 2.5 | 0 | X | 0 | 0 | 0 | ||
| John Pletz | ||||||||
| Secretary | 2.5 | 0 | X | 0 | 0 | 0 | ||
| James Wisch | ||||||||
| Board Member | 2 | 0 | X | 0 | 0 | 0 | ||
| Dr Lisa Kolb | ||||||||
| Board Member/Physician | 40 | 0 | X | 214566 | 0 | 36349 | ||
| Dr Lorenzo McKnelly | ||||||||
| Chief of Staff | 40 | 0 | X | 292846 | 0 | 40298 | ||
| Samuel Bushman | ||||||||
| Board Member | 2 | 0 | X | 0 | 0 | 0 | ||
| Ed Farnsworth | ||||||||
| President | 40 | 0 | 364684 | 0 | 37695 | X | ||
| Jim McMillan | ||||||||
| Vice President (partial yr) | 40 | 0 | 233615 | 0 | 36249 | X | ||
| Jason Cecil | ||||||||
| Vice President | 40 | 0 | 141012 | 0 | 30602 | X | ||
| Janet Weckenborg | ||||||||
| Vice President | 40 | 0 | 188135 | 0 | 33705 | X | ||
| Robert Mazur | ||||||||
| Vice President | 40 | 0 | 139583 | 0 | 25888 | X | ||
| Tawny Sandifer | ||||||||
| Vice President | 40 | 0 | 174459 | 0 | 32759 | X | ||
| Thomas Niekamp | ||||||||
| Vice President | 40 | 0 | 99972 | 0 | 0 | X | ||
| Dr Randall Haight | ||||||||
| Chief Medical Officer | 40 | 0 | 269282 | 0 | 39307 | X | ||
| Thomas Luebbering | ||||||||
| Vice President of Finance (partial year) | 40 | 0 | 28760 | 0 | 3945 | X | ||
| Dr Mitchell Godbee | ||||||||
| Physician | 40 | 0 | 896474 | 0 | 53284 | X | ||
| Dr Matthew Hrastich | ||||||||
| physician | 40 | 0 | 740167 | 0 | 50080 | X | ||
| Dr Dennis Luetkemeyer | ||||||||
| physician | 40 | 0 | 649786 | 0 | 42967 | X | ||
| Dr Eston Schwartz | ||||||||
| physician | 40 | 0 | 499997 | 0 | 45157 | X | ||
| Pat Macfarlane | ||||||||
| physician | 40 | 0 | 501348 | 0 | 45157 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5647901 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 585713 | TotalOtherCompensation |
| Number Individuals GT100 K | 95 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 | Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| Aramark | ||||||
| Healthcare Support Services | 25271 Network Place | Chicago | IL | 606731252 | Management Services | 1812844 |
| University of Missouri | ||||||
| One Hospital Drive | Columbia | MO | 65212 | Professional and Medical Services | 1188313 | |
| Boyce and Bynum Laboratory | ||||||
| PO Box 7406 | Columbia | MO | 65205 | lab services | 1159753 | |
| General Electric | ||||||
| 8200 W Tower Ave | Milwaukee | WI | 53223 | Equipment Maintenance | 802304 | |
| Healthlink Inc | ||||||
| P O Box 6501 | Carol Stream | IL | 601976501 | Managed Care | 380427 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 293636 | RelatedOrganizations |
| Government Grants | 0 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 293636 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net Patient Service Revenue (less Allow for Uncollectibles) | 622000 | 149198025 | 149175358 | 22667 | $0 |
| Other | 900099 | 4394383 | 4394383 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 153592408 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 450717 | TotalRevenueColumn |
| Related Or Exempt Function Income | 450717 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22306 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22306 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 120770 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 138273 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -17503 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -17503 | TotalRevenueColumn |
| Related Or Exempt Function Income | -17503 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Share of K-1 loss | Description |
| Business Code | 611710 | BusinessCode |
| Total Revenue Column | -2074 | TotalRevenueColumn |
| Related Or Exempt Function Income | -2074 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -2074 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 154339490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 154023187 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 22667 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2559260 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2559260 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65020862 | Total |
| Program Services | 57387413 | ProgramServices |
| Management And General | 7633449 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2246287 | Total |
| Program Services | 1982573 | ProgramServices |
| Management And General | 263714 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9135382 | Total |
| Program Services | 8062887 | ProgramServices |
| Management And General | 1072495 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4159836 | Total |
| Program Services | 3671471 | ProgramServices |
| Management And General | 488365 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190122 | Total |
| Program Services | 167799 | ProgramServices |
| Management And General | 22323 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181850 | Total |
| Program Services | 160498 | ProgramServices |
| Management And General | 21352 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10394588 | Total |
| Program Services | 9497563 | ProgramServices |
| Management And General | 897025 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213282 | Total |
| Program Services | 188240 | ProgramServices |
| Management And General | 25042 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 658823 | Total |
| Program Services | 581469 | ProgramServices |
| Management And General | 77354 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343874 | Total |
| Program Services | 303499 | ProgramServices |
| Management And General | 40375 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1218305 | Total |
| Program Services | 1218305 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10433250 | Total |
| Program Services | 8360118 | ProgramServices |
| Management And General | 2073132 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1601231 | Total |
| Program Services | 1413226 | ProgramServices |
| Management And General | 188005 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 28407333 | 28016155 | 391178 | 0 |
| Repairs and Maintenance | 3568754 | 3149737 | 419017 | 0 |
| Utilities/Phone | 2627217 | 2318748 | 308469 | 0 |
| FRA | 4056977 | 4056977 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 791355 | Total |
| Program Services | 698450 | ProgramServices |
| Management And General | 92905 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147808588 | Total |
| Program Services | 131235128 | ProgramServices |
| Management And General | 16573460 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8379167 | BOY |
| EOY | 5018140 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1921608 | BOY |
| EOY | 1938033 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17208953 | BOY |
| EOY | 17444924 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3485763 | BOY |
| EOY | 3321878 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1788715 | BOY |
| EOY | 2169898 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 196520733 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 138210890 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63866370 | BOY |
| EOY | 58309843 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67840756 | BOY |
| EOY | 76463675 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6828989 | BOY |
| EOY | 7474063 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171320321 | BOY |
| EOY | 172140454 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22312204 | BOY |
| EOY | 19594410 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32835000 | BOY |
| EOY | 31120000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3534630 | BOY |
| EOY | 3781082 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58681834 | BOY |
| EOY | 54495492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109487984 | BOY |
| EOY | 114413210 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3080157 | BOY |
| EOY | 3161406 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70346 | BOY |
| EOY | 70346 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112638487 | BOY |
| EOY | 117644962 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171320321 | BOY |
| EOY | 172140454 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6530902 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -1524427 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $20,903 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 20903 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | CRMC joined the Medicare Dependent Hospital Coalition ($9,750). This group lobbied in an attempt to protect the Medicare Dependent Hospital Status for hospitals. We are also members of the Missouri Hospital Association. Just one of the many benefits of this membership is tha MHA communicates with governments on issues that are important to Missouri hospitals. A portion of our annual dues is attributable to lobbying. ($11,153) Senior Leaders also met with representatives and senators to encourage them to support the MDH status. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 7374188 | OtherCostOrOtherBasis |
| Book Value | 7374188 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 115031865 | OtherCostOrOtherBasis |
| Depreciation | 80642094 | Depreciation |
| Book Value | 34389771 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2889626 | OtherCostOrOtherBasis |
| Depreciation | 1841317 | Depreciation |
| Book Value | 1048309 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 70979742 | OtherCostOrOtherBasis |
| Depreciation | 55727479 | Depreciation |
| Book Value | 15252263 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 245312 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 245312 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 58309843 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (9 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Money Market Accounts | 33831134 | F |
| Mortgage Backed Securities | 12994626 | F |
| Interest Receivable | 30755 | F |
| US Treasury Obligations | 73678 | F |
| Corporate Bonds | 5453726 | F |
| Certificates of Deposit | 21478185 | F |
| Bond - Money Market Accounts | 4504659 | F |
| Bond - Interest Receivable | 34945 | F |
| Current Amounts | -1938033 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 76463675 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Insurance Payable | $2,211,002 |
| 457(b) plan | $1,393,515 |
| Other Long Term Liabilities | $176,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3781082 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 154047928 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 2074 | OtherRevenues |
| Revenue Not Rptd F990 | 2074 | RevenueNotRptdF990 |
| Revenue Subtotal | 154045854 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 293636 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 293636 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 154339490 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 147924358 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 115770 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 115770 | ExpensesNotRptdF990 |
| Expenses Subtotal | 147808588 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 147808588 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P11_S00_L02d | Schedule D, Part XI, Line 2d | Share of K-1 Loss |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | Contribution from Foundation |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | Foundation Expenses paid by Hospital Stmt10 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2720772 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 789469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1931303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0131 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15261241 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12965238 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2296003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0155 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 17982013 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13754707 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4227306 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0286 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 566 | NumberOfActivitiesOrPrograms |
| Persons Served | 15600 | PersonsServed |
| Total Community Benefit Expense | 290582 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148129 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 142453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0009 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1844224 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 828334 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1015890 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0069 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2178102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1709480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 468622 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0032 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1348 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 125083 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 125083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0008 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 566 | NumberOfActivitiesOrPrograms |
| Persons Served | 15600 | PersonsServed |
| Total Community Benefit Expense | 4439339 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2685943 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1753396 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0118 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 566 | NumberOfActivitiesOrPrograms |
| Persons Served | 15600 | PersonsServed |
| Total Community Benefit Expense | 22421352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16440650 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5980702 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0404 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4724 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 4724 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 6777 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 6777 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 52104 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 52104 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5954254 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 4351716 | DirectOffsettingRevenue |
| Net Community Building Expense | 1602538 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0108 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 6017859 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 4351716 | DirectOffsettingRevenue |
| Net Community Building Expense | 1666143 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0112 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,542,141 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 42933112 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41706705 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1226407 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Region Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 Madison Street | AddressLine1 |
| City | Jefferson City | City |
| State | MO | State |
| ZIP Code | 65101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | crmc.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Region Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 16 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (16 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Capital Region Southwest | |||||
| 1432 Southwest Blvd | Jefferson City | MO | 65109 | Outpatient Services | |
| CRMC-Women & Children Building | |||||
| 1014 Madison Street | Jefferson City | MO | 65109 | OB/GYN and Pediatrics | |
| CRMC Cap City Medical Assoc | |||||
| 1505 Southwest Blvd | Jefferson City | MO | 65109 | Family Practice and Internal Medicine | |
| Mid Mo Medical Associ and CRMC Surgical and Cardio | |||||
| 1125 Madison | Jefferson City | MO | 65101 | Specialty Outpatient Clinic | |
| CRMC-SW Clinic | |||||
| 1500 Southwest Blvd | Jefferson City | MO | 65109 | Family Practice | |
| Resident Clinic-Doctor's Park | |||||
| 1111 Madison Street | Jefferson City | MO | 65109 | Low Income Health Clinic and OB/GYN | |
| CRMC Healthplex West | |||||
| 3308 West Edgewood Drive | Jefferson City | MO | 65109 | Outpatient Services | |
| CRMC-Eldon | |||||
| 103 Business Highway 54 North | Eldon | MO | 65026 | Family Practice | |
| CRMC-Owensville | |||||
| 3536 Kuhne Road | Owensville | MO | 65066 | Family Practice | |
| CRMC-Versailles Clinic | |||||
| 901 Kidwell Drive | Versailles | MO | 65084 | Family Practice | PO Box 160 |
| CRMC-California | |||||
| 704 Buchanan Highway 50 West | California | MO | 65018 | Family Practice | |
| Capital Region Family Medical Center | |||||
| 420 East High Street | Jefferson City | MO | 65101 | Family Practice | |
| Capital Region Family Medicine | |||||
| 1616 Southridge | Jefferson City | MO | 65109 | Family Practice | Suite 203 |
| CRMC-Holts Summit | |||||
| 180 North Star | Holts Summit | MO | 65043 | Family Practice | |
| Integrative Medicine | |||||
| 1002 Diamond Ridge | Jefferson City | MO | 65109 | Family Practice | Suite 203 |
| CRMC-Linn Clinic | |||||
| 916 East Main Street | Linn | MO | 65051 | Family Practice | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Cost to charge ratio |
| SchH_P02_S00_L00 | Schedule H, Part II | Capital Region's mission is to improve the health and promote wellness of the people and communities we serve, and this mission is carried out through community building activites. Board members and leaders travel to communities in which the hospital has a clinic presence to educate and update community members about hospital activities, wellness initiatives, expansion projects, wellness screenings and educational opportinities, etc. Senior leaders meet with leaders of St. Mary's and area cardiologists to collaborate on cardiac care. The purpose is to provide the best quality care for patients while considering the most efficient use of resources. CRMC expended many resources to recruit and employ physicians to provide services in medical shortage areas. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | The Medical Center maintains an allowance for doubtful accounts for estimated losses inherent in its accounts receivable portfolio. In establishing the required allowance, management considers historical bad debt write offs and current receivable aging. The amount in Line 2 was determined using Cost to Charge ratios from worksheet 2. We have no means of determining the amount to report on Line 3. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | no shortfall |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | CRMC will use Presumptive Charity software to score potential accounts meeting the charity guideline. CRMC will use the Federal Poverty Level, estimated household income and family size identified by the Presumptive software product in lieu of a completed application. Each patient account will proceed through the normal collection process up to and including a Final Notice Letter. Prior to referral to the collection agency, CRMC will batch each account and process through the software to identify potential accounts meeting the established guidelines for charity. These accounts will then be processed for adjustment to 100% of the charity discount and not forwarded to the collection agency. If a patient/guarantor after receiving the charity care discount, are financially responsible for a portion of the charges and do not meet the obligation of the account we will then follow the credit policies of the hospital. These policies may include colleciton activity up to and including placement to a collection agency, reporting to the credit bureau and filing lawsuits. |
| SchH_P05_S0B_L01 | Schedule H, Part V, Section B, Line 1 | CRMC is developing an individual strategic implementation plan as part of the organization's strategic planning process. |
| SchH_P05_S0B_L04 | Schedule H, Part V, Section B, Line 4 | The CHNA was done in cooperation with St. Mary's Health Center |
| SchH_P05_S0B_L05 | Schedule H, Part V, Section B, Line 5 | Review of the CHNA was provided to the Medical Center managers, Board of Directors, the Foundation, and also at Community outreach meetings. |
| SchH_P05_S0B_L11 | Schedule H, Part V, Section B, Line 11 | We use the average discount of the 3 highest managed care plans |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | The policy is explained on the back of the charity application. |
| SchH_P05_S0B_L14 | Schedule H, Part V, Section B, Line 14 | The policy is explaned on the back of the charity application. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The study was conducted May through August 2012, to identify health issues of primary concern and to provide critical information to those in a position to make an impact on the health of our region - governments, social service agencies, businesses, health care providers and consumers, to name just a few. The results enable all of us to more strategically establish priorities, delvelop interventions, and commit resources to improve the health of our communities and the region. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | Patient Financial Services consels patients/persons regarding financial assistance via telephone and in person as needed. This information is presented to the patient in the patient handbook, at the time of registration. Information also appears on our website at crmc.org |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | 8 County service area in Mid-Missouri, including counties of Callaway, Cole, Gasconade, Maries, Miller, Moniteau, Morgan and Osage. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | Capital Region is a 100-bed facility offering a continuum of care in-house from prenatal and maternity services to home health services. It also offers one of the few accredited rehabilitation centers in the state, and advanced cardiac and oncology services. In addition to being a full-service hospital, Capital Region Medical Center operates an extensive clinic system from the urgent care centers to specialty physician practices. Throughout the history of Capital Region Medical Center, the mission has stayed the same - to improve the health and promote wellness of the people and communities we serve. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | On October 21, 1997, Capital Region formed an affiliation with the University of Missouri Health System. The affiliation combines the strengths of an academic medical center with the strengths of a community-based hospital. The relationship has been positive for employees, hospital families, and the people served. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | Missouri. CHNA is also provided vis public website, having multi-state transparency. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Payments For Use Of Residence | X | PaymentsForUseOfResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Neal G Lapointe | ||||||||||||
| Board Member/Physician | 146145 | 0 | 17105 | 0 | 49965 | 0 | 7480 | 0 | 24791 | 0 | 245486 | 0 |
| Ed Farnsworth | ||||||||||||
| President | 271010 | 0 | 93674 | 0 | 0 | 0 | 12500 | 0 | 25195 | 0 | 402379 | 0 |
| Jim McMillan | ||||||||||||
| Vice President (partial yr) | 188941 | 0 | 44674 | 0 | 0 | 0 | 9499 | 0 | 26750 | 0 | 269864 | 0 |
| Thomas Luebbering | ||||||||||||
| Vice President of Finance | 18760 | 0 | 10000 | 0 | 0 | 0 | 0 | 0 | 3945 | 0 | 32705 | 0 |
| Janet Weckenborg | ||||||||||||
| Vice President | 159911 | 0 | 28224 | 0 | 0 | 0 | 8250 | 0 | 25455 | 0 | 221840 | 0 |
| Robert Mazur | ||||||||||||
| Vice President | 124408 | 0 | 15174 | 0 | 0 | 0 | 6340 | 0 | 10697 | 0 | 156619 | 0 |
| Tawny Sandifer | ||||||||||||
| Vice President | 147935 | 0 | 26524 | 0 | 0 | 0 | 7750 | 0 | 25009 | 0 | 207218 | 0 |
| Jason Cecil | ||||||||||||
| Vice President | 125238 | 0 | 15774 | 0 | 0 | 0 | 6500 | 0 | 24102 | 0 | 171614 | 0 |
| Dr Randall Haight | ||||||||||||
| Chief Medical Officer | 239319 | 0 | 29963 | 0 | 0 | 0 | 11680 | 0 | 27627 | 0 | 308589 | 0 |
| Dr Lorenzo McKnelly | ||||||||||||
| Chief of Staff | 239197 | 0 | 53649 | 0 | 0 | 0 | 12163 | 0 | 28135 | 0 | 333144 | 0 |
| Dr Lisa Kolb | ||||||||||||
| Board Member/Physician | 196344 | 0 | 18222 | 0 | 0 | 0 | 9848 | 0 | 26500 | 0 | 250914 | 0 |
| Dr Mitchell Godbee | ||||||||||||
| Physician | 787833 | 0 | 108642 | 0 | 0 | 0 | 12500 | 0 | 40784 | 0 | 949759 | 0 |
| Dr Matthew Hrastich | ||||||||||||
| physician | 625952 | 0 | 114214 | 0 | 0 | 0 | 12500 | 0 | 37580 | 0 | 790246 | 0 |
| Dr Dennis Luetkemeyer | ||||||||||||
| physician | 577112 | 0 | 72673 | 0 | 0 | 0 | 7500 | 0 | 35467 | 0 | 692752 | 0 |
| Pat Macfarlane | ||||||||||||
| physician | 501348 | 0 | 0 | 0 | 0 | 0 | 12500 | 0 | 25308 | 0 | 539156 | 0 |
| Dr Eston Schwartz | ||||||||||||
| physician | 499947 | 0 | 50 | 0 | 0 | 0 | 12500 | 0 | 32657 | 0 | 545154 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Ed Farnsworth - CRMC pays monthly dues for the Jefferson City Country Club. This is used for many business reasons. If Ed incurs any personal expenses, he reimburses the medical center. Bob Mazur- CRMC pays for his YMCA membership. Bob is a member of the YMCA board, and it is expected that he be a member. Gross up Payment of Taxes - The medical center gives most employees a gift card for the holidays. This is taxable income to the employee. The hospital pays the employee's portion of the taxes on this, and the employee's taxable gross is increased accordingly. |
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | All board members complete an evaluation of the CEO and individually present the results to the board chair who presents them to the compensation committee, consisting of three board members, including the Chair and the Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on salary surveys from three different organizations. The comparable data are based on Missouri or the region. The compensation committee members do not have a conflict of interest with respect to the compensation arrangements. The committee documents their review and decisions. |
| SchJ_P01_S00_L05 | Schedule J, Part I, Line 5 | For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals may be tied to revenues. |
| SchJ_P01_S00_L06 | Schedule J, Part I, Line 6 | For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals may be tied to net earnings. |
| SchJ_P01_S00_L07 | Schedule J, Part I, Line 7 | Some Directors and Vice Presidents participate in the Management Incentive Compensation Program (MICP). They receive additional bonus compensation if certain stated goals are met. Most physicians receive a base salary, but also are paid an additional amount based on production. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Facilities Revenue Bonds Series 2011 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 431178966 | IssuerEIN |
| CUSIP Number | 60637ACF7 | CUSIPNumber |
| Date Issued | 2011-11-22 | DateIssued |
| Issue Price | 32690247 | IssuePrice |
| Description Of Purpose | Refund Series 1998 and 2004 Bonds (issued 12/29/98 and 6/29/2004) | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 1715000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 32690247 | TotalProceeds |
| Amount In Reserve Fund | 2908325 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 460920 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 29321002 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 1 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Sharon Naught | |||
| board member | 38659 | Purchased insurance through a bid from Sharon Naught's family business | 0 |
| James Wisch | |||
| board member | 12862 | Construction services from family business | 0 |
| Dayna Lapoint | |||
| Employee and wife or board member | 39573 | salary and benefits | 0 |
| Central Bank | |||
| board member is officer of bank | 151770 | Banking fees and pension administration | 0 |
| DBSW Docs LLC | |||
| Lisa Kolb, board member is part owner of DBSW | 205824 | CRMC rents office from DBSW | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | The organization has 2 members; The University of Missouri Medical Alliance and CRMC Healthcare INC. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | All elections for appointment to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | The bylaws provide a number of instances requiring approval by the University of Missouri Medical Alliance, e.g. amendment of the bylaws, dissolution of the organization, sale of substantial assets, and discontinuance of the major service lines. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The Form 990 is reviewed by the Director of Accounting, legal counsel, the Vice President of Finance, and the President. The President presents it to the board chair and the Executive Committee of the Board. The Executive Committee makes a presentation to the Board and copies are available to each member. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The hospital's legal counsel attends all board meetings. He is continually monitoring if any transaction would be a conflict of interest. The Director of Accounting reviews payments and identifies any potential conflcts. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | All board members complete an evaluation of the CEO and individually present the results to the board chair who presents them to the compensation committee, consisting of three board members, including the Chair and the Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on the salary surveys from three different organizations. The comparable data are based on Missouri or the region. The compensation committee members do not have a conflict of interest with respect to the compensation arrangement. The committee documents their review and decisions. The committee meets at least once annually. The CEO sets the recommended salaries for key employees using comparable data from from the three salary surveys. The Vice President of Human Resources participates in determining the appropriate salaries for key employees. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | Capital Region includes financial statements in the annual report provided to the Board fo Governors (approximately 500 people). Financial information is reviewed at the Medical Executive and Medical Staff meetings monthly. The information is then shared at the managers meeting, and communicated to all staff at department meetings. The Capital Region website (crmc.org) provides important information about the medical center to the community. The "Fraud and Wrongdoing" policy, "Privacy" policy, "Affiliation and Accreditations" policy, leader profiles, site locations, and contact information are all disclosed on the website. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Increases: SFAS#136 $81,249, K1 Loss $2,074 Decreases: Cash Transfers to Related Party ($115,770) Transfers to UMHS ($1,491,980) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Medical Foundation | ||||||||||
| PO Box 1128 | Jefferson City | MO | 651021128 | 431506900 | Raise money and manage funds to be used in the furtherance of the exempt purpose of the medical ctr | MO | 501(c)(3) | Support Org Typ I | N/A | |
| Still Osteopathic Medical Foundation | ||||||||||
| PO Box 1128 | Jefferson City | MO | 651021128 | 431720296 | Support Osteopathic Education | MO | 501(c)(3) | Support Org Typ III | N/A | |
| Capital Region Medical Center Partners | ||||||||||
| 1125 Madison Street | Jefferson City | MO | 65101 | 446014361 | Support Capital Region Medical Center, and the communities i | MO | 501(c)(3) | Supporting Org Typ 1 | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Osteopathic Postdoctural Training | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W Jefferson | AddressLine1 |
| City | Kirksville | City |
| State | MO | State |
| ZIP Code | 63501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431831943 | EIN |
| Primary Activity | To promote the highest quality of osteopathic postdoctoral education training. | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | -1845 | ShareOfTotalIncome |
| Share Of EOY Assets | 26202 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.087 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Capital Region Medical Foundation | ||
| o | 115770 | Salary of Foundation Director is actually salary paid in addition to estimated benefit cost. |
| Capital Region Medical Foundation | ||
| c | 293636 | Cash Value |
| Capital Region Medical Center Partners | ||
| m | 337574 | The Partners have donated 46,562 volunteer service hours in 2012. At minimum wage, this would be valued at $337,574 |
| Still Osteopathic Medical Foundation | ||
| q | 1629 | The Foundation reimburses CRMC for the costs associated with the Physician Health Program. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | July 7 2013 - Efiled Form 8868, Extension approved. Deadline extended to February 15 2014 September 24, 2013 - Mailed Form 8868. November 25, 2013 deadline extended to May 15 2014. | Explanation |