CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-23
- IRS object ID
- 201230839349300008
- Schema version
- 2010v3.4
- 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 | 2012-03-23T09:44:54-07:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | 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 | Jim McMillan | Name |
| Title | VP Finance | Title |
| Phone | 5736325103 | Phone |
| Date Signed | 2012-03-22 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 165159739 | 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 | 1588 | TotalNbrEmployees |
| Total Nbr Volunteers | 649 | TotalNbrVolunteers |
| Total Gross UBI | 45931 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 21043 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 718793 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 163713086 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 163748193 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 460170 | InvestmentIncomePriorYear |
| Investment Income Current Year | 538051 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3894 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1580 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 164198193 | TotalRevenuePriorYear |
| Total Revenue Current Year | 165006617 | 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 | 79162741 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 82675796 | 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 | 75049316 | OtherExpensePriorYear |
| Other Expenses Current Year | 76169596 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 154212057 | TotalExpensesPriorYear |
| Total Expenses Current Year | 158845392 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9986136 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6161225 | RevenuesLessExpensesCY |
| Total Assets BOY | 159806812 | TotalAssetsBOY |
| Total Assets EOY | 164024291 | TotalAssetsEOY |
| Total Liabilities BOY | 57811733 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 57917537 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 101995079 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 106106754 | 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 | 3175476 | 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 FY 2011, the medical center provided $3,175,476.21 in charitable care (excluding Resident Clinic). 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 tha addresses the financila assistance policy and procedures or immediate financila counseling assistance from staff within established business hours. The packet of information will clearly indicate that CRMC provides care without regard to ability to pay, to individuals with limited financial resources and explain how patients apply for financil assistnace. CRMC provides a variety of services ranging from emergency services to inpatient and out patient elective surgery, diagnostic testing and educational 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 | 399045 | Expense |
| Grants | 0 | Grants |
| Revenue | 101325 | Revenue |
| Description | Resident Clinic: In 1988 Capital Region accepted its first Family Practice resident. Since then the program has offered one-on-one guidance and the opportunity to become fully integrated into culture at Capital Region. The Family Practice residency and resident clinic is unopposed, giving residents a great deal of hands on experience, no need to wait in line to perform procedures. The mission of our program is to train capable, compassionate family physicians in an environment of mutual respect based in real-world experiences. We reinforce values of ethical practice, community orientation, personal/professional balance, and lifelong learning. The resident clinic serves approximately 2,267 patients from the eight county service area which bases the charge on the individual's ability to pay, which in many cases is free. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 75456 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Support of Medical Education - Capital Region Medical Center supports Lincoln University School of Nursing Program and Nichols Career Center Radiology Tech Program. In addition to the direct financial support that Capital Region provides, we also provide support to Columbia College MSN students in leadership training. We assist students from Rolla Technical College and Columbia Technical College in the surgical tech programs. CRMC provides training to phlebotomist/tech students from Moberly Community College and Metro Business College to assist them with fulfilling their clinical requirements. Our support for these programs is not only through the provision of training facilities but also adjunct faculty and resources. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 141658749 | Expense |
| Grants | 0 | Grants |
| Revenue | 163606973 | Revenue |
| Description | All Other Inpatient and Outpatient Services provided to patients. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 141658749 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 163606973 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 145308726 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 85 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1588 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jim McMillan | 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 (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Dr Peter A Boyer | |||||||
| Board Member | 2 | X | 267581 | 0 | 28475 | ||
| Charlie Dudenhoeffer | |||||||
| Board Vice Chair | 2.5 | X | 0 | 0 | 0 | ||
| Kristi Gafford | |||||||
| Board Member | 2 | X | 0 | 0 | 0 | ||
| Dr Neal G Lapointe | |||||||
| Board Member/Physician | 40 | X | 199911 | 0 | 22769 | ||
| Kenneth Littlefield | |||||||
| Board Treasurer | 2.50 | X | 0 | 0 | 0 | ||
| Anne Lock | |||||||
| Board Chair | 2.50 | X | 0 | 0 | 0 | ||
| Naught Sharon | |||||||
| Secretary | 2.5 | X | 0 | 0 | 0 | ||
| John Pletz | |||||||
| Board Member | 2 | X | 0 | 0 | 0 | ||
| Richard L Samson | |||||||
| Chairman | 2 | X | 0 | 0 | 0 | ||
| James Ross | |||||||
| board member | 2 | X | 0 | 0 | 0 | ||
| James Wisch | |||||||
| Board Member | 2 | X | 0 | 0 | 0 | ||
| Joseph Tomblinson | |||||||
| Chief of Staff | 3 | X | 12548 | 0 | 0 | ||
| Samuel Bushman | |||||||
| Board Member | 2.50 | X | 0 | 0 | 0 | ||
| Ed Farnsworth | |||||||
| President | 40 | 265069 | 0 | 29719 | X | ||
| Jim McMillan | |||||||
| Vice President | 40 | 165262 | 0 | 23861 | X | ||
| Jason Cecil | |||||||
| Vice President | 40 | 124432 | 0 | 18061 | X | ||
| Janet Weckenborg | |||||||
| Vice President | 40 | 165538 | 0 | 23950 | X | ||
| Robert Mazur | |||||||
| Vice President | 40 | 126031 | 0 | 21441 | X | ||
| Tawny Sandifer | |||||||
| Vice President | 40 | 143408 | 0 | 22706 | X | ||
| Thomas Niekamp | |||||||
| Vice President | 40 | 99972 | 0 | 0 | X | ||
| Randall Haight | |||||||
| Chief Medical Officer | 40 | 257752 | 0 | 18437 | X | ||
| Mitchell Godbee | |||||||
| Physician | 40 | 838635 | 0 | 38036 | X | ||
| William P Sweezer Jr | |||||||
| physician | 40 | 535089 | 0 | 33634 | X | ||
| Patricia Owensby-Macfarlane | |||||||
| Physician | 40 | 459202 | 0 | 27942 | X | ||
| Matthew Hrastich | |||||||
| physician | 40 | 680382 | 0 | 35741 | X | ||
| Thomas Hetherington | |||||||
| physician | 40 | 406015 | 0 | 31763 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4746827 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 376535 | TotalOtherCompensation |
| Number Individuals GT100 K | 89 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 |
|---|---|---|---|---|---|---|
| Septagon Construction | ||||||
| 601 Monroe | Jeffeson City | MO | 65101 | Construction | 615198 | |
| Aramark | ||||||
| PO box 651009 | Charlotte | NC | 282651009 | Management Services | 1780383 | Healthcare Support Services |
| Boyce and Bynum Laboratory | ||||||
| PO Box 7406 | Columbia | MO | 65205 | lab services | 1003448 | |
| SE Emergancy Physicians | ||||||
| PO Box 634850 | Cincinnati | OH | 452634850 | Emergency Room Physicians | 558440 | |
| Weatherby Locums Inc | ||||||
| PO Box 972633 | Dallas | TX | 753972633 | Physician coverage | 556252 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 39 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 718793 | RelatedOrganizations |
| Government Grants | 0 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 718793 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Service Revenue | 622000 | 162161759 | 162115828 | 45931 | $0 |
| Other | 900099 | 1586434 | 1586434 | 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 | 163748193 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 533595 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $533,595 | 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 | 157578 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 153122 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 4456 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4456 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4456 | 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 income | Description |
| Business Code | 611710 | BusinessCode |
| Total Revenue Column | 1580 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1580 | 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 | 1580 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165006617 | TotalRevenueColumn |
| Related Or Exempt Function Income | 163708298 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 45931 | UnrelatedBusinessRevenue |
| Exclusion | $533,595 | 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 | 1876600 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1876600 | 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 | 66353288 | Total |
| Program Services | 59054426 | ProgramServices |
| Management And General | 7298862 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2250698 | Total |
| Program Services | 2003121 | ProgramServices |
| Management And General | 247577 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7910342 | Total |
| Program Services | 7040204 | ProgramServices |
| Management And General | 870138 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4284868 | Total |
| Program Services | 3813533 | ProgramServices |
| Management And General | 471335 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181512 | Total |
| Program Services | 161126 | ProgramServices |
| Management And General | 20386 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190015 | Total |
| Program Services | 168674 | ProgramServices |
| Management And General | 21341 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
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 |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11186742 | Total |
| Program Services | 10280708 | ProgramServices |
| Management And General | 906034 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407950 | Total |
| Program Services | 362133 | ProgramServices |
| Management And General | 45817 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 688285 | Total |
| Program Services | 610983 | ProgramServices |
| Management And General | 77302 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 394151 | Total |
| Program Services | 349883 | ProgramServices |
| Management And General | 44268 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1953961 | Total |
| Program Services | 1953961 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8519654 | Total |
| Program Services | 8250441 | ProgramServices |
| Management And General | 269213 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1299248 | Total |
| Program Services | 1153328 | ProgramServices |
| Management And General | 145920 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies and Other | 31688695 | 31278742 | 409953 | 0 |
| Repairs and Maintenance | 3055625 | 2712444 | 343181 | 0 |
| Utilities and Phone | 2542410 | 2256869 | 285541 | 0 |
| FRA Taxes | 7288090 | 7288090 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6773258 | Total |
| Program Services | 6570060 | ProgramServices |
| Management And General | 203198 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158845392 | Total |
| Program Services | 145308726 | ProgramServices |
| Management And General | 13536666 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5944333 | BOY |
| EOY | 7020382 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1373559 | BOY |
| EOY | 1412656 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16777895 | BOY |
| EOY | 16477438 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3057668 | BOY |
| EOY | 3228076 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1540763 | BOY |
| EOY | 1824392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 195325100 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 126303690 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73684450 | BOY |
| EOY | 69021410 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52066947 | BOY |
| EOY | 59972272 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5361197 | BOY |
| EOY | 5067665 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159806812 | BOY |
| EOY | 164024291 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19118098 | BOY |
| EOY | 21209488 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35080001 | BOY |
| EOY | 34025000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3613634 | BOY |
| EOY | 2683049 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57811733 | BOY |
| EOY | 57917537 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98432377 | BOY |
| EOY | 102827456 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3492356 | BOY |
| EOY | 3208952 | 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 | 101995079 | BOY |
| EOY | 106106754 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159806812 | BOY |
| EOY | 164024291 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6161225 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2049550 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $15,598 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 15598 | 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 | We paid $8,750 to join the Medicare Dependent Hospital Coalition. 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 many benefits of this membership is that MHA communicates with government on issues that are important to Missouri hospitals. A portion of our annual dues ($6,848) is attributable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2050735 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 2050735 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 117581347 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 70442505 | Depreciation |
| Book Value | 47138842 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3477339 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 1967230 | Depreciation |
| Book Value | 1510109 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 72215679 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 53893955 | Depreciation |
| Book Value | 18321724 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 69021410 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (7 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Mortgage based securities | 18005820 | F |
| Federal Farm Callable Note | 4996290 | F |
| Money Market Account | 19670776 | F |
| US Treasury Obligations | 73678 | F |
| Corporate Bonds | 5025274 | F |
| Certificates of Deposit | 13613091 | F |
| Less: Current Amounts | -1412657 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 59972272 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Long Term Liabilities | $182,833 |
| Capital Lease Obligation | $185,934 |
| 457b Liability | $973,528 |
| Note Payable | $1,340,754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2683049 | TotalOfAmounts |
| Total Revenue | 165006617 | TotalRevenue |
| Total Expenses | 158845392 | TotalExpenses |
| Excess Or Deficit For Year | 6161225 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 0 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 6161225 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 164286244 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 164286244 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 720373 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 720373 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 165006617 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 159384530 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 274840 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 274840 | ExpensesNotRptdF990 |
| Expenses Subtotal | 159109690 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -264298 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -264298 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 158845392 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Share of K-! income 1580 Donations from CapReg Foundation 618793, Donations from Partners 100000 not reported as Revenue on financial statements |
| SchD_P13_S00_L02d | Schedule D, Part XIII, Line 2d | Basis of Sale of Assets (line 7B) 153,122 Cash transfer (Foundation Expenses) 121,718 |
| SchD_P13_S00_L04b | Schedule D, Part XIII, Line 4b | Increase in Allowance for Uncollectable Accounts |
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 | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3175476 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3175476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0205 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18372555 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15211170 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3161385 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0204 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | 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 | 21548031 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15211170 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6336861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0409 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3452 | NumberOfActivitiesOrPrograms |
| Persons Served | 34682 | PersonsServed |
| Total Community Benefit Expense | 273425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 124673 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 833809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 759767 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74042 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0005 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2737019 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1883200 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 853819 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0055 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 99600 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 158292 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 152570 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.001 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3452 | NumberOfActivitiesOrPrograms |
| Persons Served | 34682 | PersonsServed |
| Total Community Benefit Expense | 4102145 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2791719 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1304704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0070 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3452 | NumberOfActivitiesOrPrograms |
| Persons Served | 34682 | PersonsServed |
| Total Community Benefit Expense | 25650176 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18002889 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7641565 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0479 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1633 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1633 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00001 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5865 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5865 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00004 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 27583 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 27583 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0002 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 35081 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 35081 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00025 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,429,915 | BadDebtExpenseAmount |
| Amount Attributable To | 852092 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 48767427 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46668916 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2098511 | 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) |
|---|---|---|
| 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 | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| 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 Emergency Room | X | PostedInEmergencyRoom |
| 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 | 17 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (17 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 Assoc 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 |
| CRMC Healthplex West | ||||
| 3308 West Edgewood Drive | Jefferson City | MO | 65109 | Family Practice |
| 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 PO Box 160 | Versailles | MO | 65084 | Family Practice |
| Capital Region Family Medical Center | ||||
| 420 East High Street | Jefferson City | MO | 65101 | Family Practice |
| CRMC - Holts Summit | ||||
| 180 North Star | Holts Summit | MO | 65043 | Family Practice |
| Resident Clinic-Doctors Park Bldg | ||||
| 1111 Madison Street | Jefferson City | MO | 65109 | Low Income Health Clinic |
| CRMC - California | ||||
| 704 Buchanan Hwy 50 West | California | MO | 65018 | Family Practice |
| CRMC - Linn Clinic | ||||
| 916 East Main Street | Linn | MO | 65051 | Family Practice |
| Integrative Medicine | ||||
| 1002 Diamond Ridge Suite 200 | Jefferson City | MO | 65109 | Family Practice |
| Capital Region Family Medicine | ||||
| 1616 Southridge Suite 203 | Jefferson City | MO | 65109 | Family Practice |
| CRMC - Stover | ||||
| 2nd Street and Oak PO Box 489 | Stover | MO | 65078 | Family Practice |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 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 activities. 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 opportunities, etc. Senior leaders meet with leaders at St. Mary's, and area cardioligists to collaborate on cardiac care. The purpose is to provide the best quality care for patients while considering the most efficient use of resources. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | a. 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. b. The amount in Line 2 was determined using Cost to Charge ratios from worksheet 2. We have no method 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 patients account will proceed thru 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 thru 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 and are financially responsible for a portion of the charges do not meet their obligation the account will then follow the credit polices of the hospital. These policies may include collection activity up to and including placement to a collection agency, reporting on the credit bureau and filing of lawsuits.. |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | The policy is explained on the back of the charity application. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | Currently, CRMC assesses the health care needs of people and communities in our 8 county service area by developing an annual environmental analysis, conducting Hospital Choice Behavioral and Attitudinal Studies and focus groups - both personal and virtual. CRMC is actively developing a Population Based Health Assessment in association with other community entities (St. Mary's Health Center, Cole County Health Department and the Community Health Center). The primary focus is to determine utilization of existing data, conduct community focus groups, create a purpose statement and eventually develop our collaborative strategy. Timeline for completion of research portion of the strategy is June 2012 with complete Community Needs Health Assessment completed by December 2012. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | Patient Financial Services counsels patients/persons regarding financial assistance via telephone and in person as needed. This information is presented to the patient in the Patient Handbook, at time of registration. Information also appears on our website at www.crmc.org. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | CRMC's service area includes 8 counties: Callaway, Cole, Gasconade, Maries, Miller, Morgan, Moniteau and Osage. The Primary Service Area (PSA) includes Cole, Miller, Moniteau and Osage counties with a secondary focus on Callaway, Gasconade, Maries and Morgan. The organization's PSA makes up 44% of inpatient discharges while the SSA is 23%. Population trends for the entire service area indicates a 3.1% increase from 2011-2016 regarding total population with a 6.5% increase reflective of those age 65 and older. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | CRMC promotes community health by conducting numerous community health fairs, lunch and learns, participation on local community awareness events/activities, health specific screenings/education sessions for corporate partners, etc. CRMC also actively sponsors community events/activities that mirror the organization's strategic direction - most specifically programs that support the hospital's mission in promoting health and wellness. These activities are promoted and supported (via time and finances) by medical staff, administration and front-line staff. Physicians provide presentations to numerous civic groups/associations and also participate in hospital sponsored/supported community philanthropic events. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | CRMC is affiliated with University of Missouri Health Care. This relationship combines the strengths of an academic health care system with that of a community hospital. Both parties share similar service areas) and are able to co-promote similar/shared health care capabilities and the continuum of care available via this partnership. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| 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 (15 entries)
| 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Peter A Boyer | |||||||||||||
| 242687 | 0 | 24894 | 0 | 0 | 0 | 10970 | 0 | 17505 | 0 | 296056 | 0 | ||
| Dr Neal G Lapointe | |||||||||||||
| 137753 | 0 | 14356 | 0 | 47802 | 0 | 6938 | 0 | 15831 | 0 | 222680 | 0 | ||
| Ed Farnsworth | |||||||||||||
| 247561 | 0 | 17507 | 0 | 0 | 0 | 12250 | 0 | 17469 | 0 | 294787 | 0 | ||
| Jim McMillan | |||||||||||||
| 154227 | 0 | 11035 | 0 | 0 | 0 | 7839 | 0 | 16022 | 0 | 189123 | 0 | ||
| Janet Weckenborg | |||||||||||||
| 154394 | 0 | 11144 | 0 | 0 | 0 | 7924 | 0 | 16026 | 0 | 189488 | 0 | ||
| Robert Mazur | |||||||||||||
| 117547 | 0 | 8484 | 0 | 0 | 0 | 5988 | 0 | 15453 | 0 | 147472 | 0 | ||
| Tawny Sandifer | |||||||||||||
| 133349 | 0 | 10059 | 0 | 0 | 0 | 7001 | 0 | 15705 | 0 | 166114 | 0 | ||
| Jason Cecil | |||||||||||||
| 115773 | 0 | 8659 | 0 | 0 | 0 | 2631 | 0 | 15430 | 0 | 142493 | 0 | ||
| Randall Haight | |||||||||||||
| 216355 | 0 | 41397 | 0 | 0 | 0 | 1074 | 0 | 17363 | 0 | 276189 | 0 | ||
| Mitchell Godbee | |||||||||||||
| 772988 | 0 | 65646 | 0 | 0 | 0 | 12250 | 0 | 25786 | 0 | 876670 | 0 | ||
| Matthew Hrastich | |||||||||||||
| 670268 | 0 | 10114 | 0 | 0 | 0 | 12250 | 0 | 23491 | 0 | 716123 | 0 | ||
| William P Sweezer Jr | |||||||||||||
| 524841 | 0 | 10248 | 0 | 0 | 0 | 12250 | 0 | 21384 | 0 | 568723 | 0 | ||
| Patricia Owensby-Macfarlane | |||||||||||||
| 458954 | 0 | 248 | 0 | 0 | 0 | 7658 | 0 | 20284 | 0 | 487144 | 0 | ||
| Thomas Hetherington | |||||||||||||
| 405767 | 0 | 248 | 0 | 0 | 0 | 12250 | 0 | 19513 | 0 | 437778 | 0 | ||
| Thomas Niekamp | |||||||||||||
| 99972 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 99972 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Ed Farnsworth - CRMC pays monthly dues for Jefferson City County Club. Country Club is used for many business reasons. If Ed incurs any personal expenses, he reiumburses 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 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 arrangement. 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 Managment 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. |
| SchJ_P02_S00_L00 | Schedule J, Part II | Thomas Niekamp is a Vice President at CRMC. He is a leased employee from the University of Missouri. He receives his reportable earnings from the University. The amounts reported on the CRMC Form 990, and Schedule J are those amounts paid by Capital Region to the University of Missouri for his services. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Facilities Revenue Bonds Series 2004 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 431178966 | IssuerEIN |
| CUSIP Number | 60635RQ91 | CUSIPNumber |
| Date Issued | 2004-06-01 | DateIssued |
| Issue Price | 17500000 | IssuePrice |
| Description Of Purpose | Construction | 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) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 17500000 | TotalProceeds |
| Amount In Reserve Fund | 1655611 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 517500 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 15322544 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | 0 | 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) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| 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 |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Dr Peter Boyer | |||
| board member | 205824 | Rent paid to a partnership in which Dr. Boyer is a partner | 0 |
| Charlie Dudenhoeffer | |||
| Board Vice Chair | 500955 | Bank deposits and banking fees at Hawthorn Bank, where he is a board member. | 0 |
| Dayna Lapoint | |||
| Employee and Wife, of Neal Lapoint, board member | 31208 | Salary | 0 |
| Ken Littlefield | |||
| CRMC Board treasurer and President at Central Bank | 15313683 | Bank deposits and banking fees. Bank Business is competitively bid. | 0 |
| Sharon Naught | |||
| CRMC Board Secretary | 17140 | Directors and Officers Insurance purchased from Naught Naught Insurance, owned by Naught family. | 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 one member, The University of Missouri Medical Alliance. |
| 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 sole 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 sole member, e.g. amendment of the bylaws, dissolution of the organization, sale of substantial assets, and discontinuance of the major service lines. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | 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 transactions would be a conflict of interest. The Director of Accounting reviews payments and identifies any potential conflicts. |
| 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 the comparable data from three salary surveys. The Vice President of Human Resources participates in determining the appropriate salaries for key employees. The board compensation committee reviews the salary survey data: and reviews and approves the recommended 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 of Governors (approximately 500 people). Financial information is reviewed at the Medical Executive and Medical Staff meetings monthly. This 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_L05 | Form 990, Part XI, Line 5 | SFAS#136 $283404 Cash Transfers to Related Party (Foundation Expenses) -$121718 Cash Transfers to UM Health System -$1225428 Increase in Allowance for Uncollectible Accounts -$264298 K-1 Income - not recorded on books -$1580 Basis on Sale of Assets -$153122 |
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 | 1580 | ShareOfTotalIncome |
| Share Of EOY Assets | 15858 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| 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 |
| 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 | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Capital Region Medical Foundation | ||
| c | 618793 | Cash value |
| Capital Region Medical Foundation | ||
| n | 89431 | Salary is actual amount paid. Benefits is actual paid in addition to some estimated allocations. |
| Capital Region Medical Center Partners | ||
| c | 100000 | Cash value |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Extension to May 15, 2012 was approved | Explanation |