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CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-04-22
IRS object ID
201121189349300107
Schema version
2009v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-04-22T10:02:56-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440546366EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAPITAL REGION MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCAPINameControl
Phone5736325103Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11125 South MadisonAddressLine1
CityJefferson CityCity
StateMOState
ZIP Code65101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim McMillanName
TitleVP FinanceTitle
Phone5736325103Phone
Date Signed2011-04-22DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEd FarnsworthNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11125 Madison StreetAddressLine1
CityJefferson CityCity
StateMOState
ZIP Code65101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts164428607GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitecrmc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionCapital 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1603TotalNbrEmployees
Total Nbr Volunteers262TotalNbrVolunteers
Total Gross UBI50464TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year76031ContributionsGrantsPriorYear
Contributions Grants Current Year21043ContributionsGrantsCurrentYear
Program Service Revenue Prior Year157625490ProgramServiceRevenuePriorYear
Program Service Revenue CY163713086ProgramServiceRevenueCY
Investment Income Prior Year762500InvestmentIncomePriorYear
Investment Income Current Year460170InvestmentIncomeCurrentYear
Other Revenue Prior Year3233OtherRevenuePriorYear
Other Revenue Current Year3894OtherRevenueCurrentYear
Total Revenue Prior Year158467254TotalRevenuePriorYear
Total Revenue Current Year164198193TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year78338680SalariesEtcPriorYear
Salaries Etc Current Year79162741SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73955150OtherExpensePriorYear
Other Expenses Current Year75049316OtherExpensesCurrentYear
Total Expenses Prior Year152293830TotalExpensesPriorYear
Total Expenses Current Year154212057TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6173424RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9986136RevenuesLessExpensesCY
Total Assets BOY151729257TotalAssetsBOY
Total Assets EOY159806812TotalAssetsEOY
Total Liabilities BOY59512215TotalLiabilitiesBOY
Total Liabilities EOY57811733TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY92217042NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY101995079NetAssetsOrFundBalancesEOY
Mission DescriptionCapital 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 Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense4369645Expense
Grants0Grants
Revenue2278672Revenue
DescriptionInpatient 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 2010, the medical center provided $2,090,973 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 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 that CRMC provides care, without regard to ability to pay, to individuals with limited financial resources and explain how patients apply for financial assistance. 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

FieldValueIRS element (for citing)
Expense442156Expense
Grants0Grants
Revenue88177Revenue
DescriptionIn 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 2,000 patients annually 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

FieldValueIRS element (for citing)
Expense71780Expense
Grants0Grants
Revenue0Revenue
DescriptionCapital Region Medical Center supports Lincoln University's School of Nursing Education Program and Nichols Career Center's Radiology Tech Program. In addition to the direct financial support that Capital Region provides, we also provide support to Columbia College BSN students and MSN students in leadership training. We assist students from Rolla Technical College and Columbia Technical College in the surgical tech programs. Our support for these programs is not only through the provision of training facilities but also adjunct faculty and resources.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense134335100Expense
Revenue161083040Revenue
DescriptionAll Other Inpatient and Outpatient Services provided to patients.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp134335100TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev161083040TotalOfOtherProgramServiceRev
Total Program Service Expense139218681TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109697NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1603NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJim McMillanNamePerson
Telephone Number5736325100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11432 Southwest BlvdAddressLine1
CityJefferson CityCity
StateMOState
ZIP Code65109ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Dr Peter A Boyer
Board Member2X262483024960
Samuel Bushman
Board Member2.5X000
Charlie Dudenhoeffer
Board Vice Chair2.5X000
Kristi Gafford
Board Member2X000
Dr Neal G Lapointe
Board Member2X185337021522
Kenneth Littlefield
Board Treasurer2.5X000
Anne Lock
Board Chair2.5X000
Naught Sharon
Secretary2.5X000
John Pletz
Board Member2X000
Richard L Samson
Chairman2X000
James Ross
board member2X000
Dennis Stambaugh
Board Member2X000
James Wisch
Board Member2X000
Joseph Tomblinson
Chief of Staff3X160000
Ed Farnsworth
President40253938031816X
Jim McMillan
Vice President40160462025352X
Janet Weckenborg
Vice President40160212021495X
Robert Mazur
Vice President40119746022538X
Tawny Sandifer
Vice President40141683024141X
Thomas Niekamp
Vice President409997200X
Randall Haight
Chief Medical Officer20254075023836X
Mitchell Godbee
Physician40802082039974X
William P Sweezer Jr
physician40549417033104X
Patricia Owensby-Macfarlane
Physician40677104033262X
Raleigh Johnson
physician40715219031125X
Howard Huddleston
physician40487059021318X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4870389TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation354443TotalOtherCompensation
Number Individuals GT100 K81NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
Septagon Construction
601 MonroeJeffeson CityMO65101Construction1587972
Aramark
PO box 651009CharlotteNC282651009Management Services1367091Healthcare Support Services
Boyce and Bynum Laboratory
PO Box 7406ColumbiaMO65205lab services842412
Healthlink Inc
PO Box 66971 NSt LouisMO63166Managed Care609048
SE Emergancy Physicians
PO Box 634850CincinnatiOH452634850Emergency Room Physicians558804
FieldValueIRS element (for citing)
Number Of Contractors GT100 K46NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations20018RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions1025AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions21043TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Patient Service Revenue62200016217965916212919550464$0
Other900099153342715334270$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue163713086TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column676797TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$676,797ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other13787Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other230414Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-216627Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-216627TotalRevenueColumn
Related Or Exempt Function Income-216627RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionShare of K-1 IncomeDescription
Business Code611710BusinessCode
Total Revenue Column3894TotalRevenueColumn
Related Or Exempt Function Income3894RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3894TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column164198193TotalRevenueColumn
Related Or Exempt Function Income163449889RelatedOrExemptFunctionIncome
Unrelated Business Revenue50464UnrelatedBusinessRevenue
Exclusion$676,797ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1735196Total
Program Services0ProgramServices
Management And General1735196ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total62508461Total
Program Services55632530ProgramServices
Management And General6875931ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1003490Total
Program Services898446ProgramServices
Management And General105044ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9866739Total
Program Services8781398ProgramServices
Management And General1085341ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4048855Total
Program Services3603481ProgramServices
Management And General445374ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total123949Total
Program Services109928ProgramServices
Management And General14021ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total120938Total
Program Services107258ProgramServices
Management And General13680ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8968809Total
Program Services8260970ProgramServices
Management And General707839ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total319880Total
Program Services283697ProgramServices
Management And General36183ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total664741Total
Program Services589549ProgramServices
Management And General75192ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total379571Total
Program Services336636ProgramServices
Management And General42935ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1950243Total
Program Services1950243ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11098543Total
Program Services8466141ProgramServices
Management And General2632402ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1477863Total
Program Services1310694ProgramServices
Management And General167169ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Total Supplies30384596300327943518020
Repairs and Maintenance290542325767753286480
Utilities/Phone221577519651372506380
FRA Taxes6810534681053400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7628451Total
Program Services7502470ProgramServices
Management And General125981ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total154212057Total
Program Services139218681ProgramServices
Management And General14993376ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6622178BOY
EOY5944333EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1338732BOY
EOY1373559EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16674155BOY
EOY16777895EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2538039BOY
EOY3057668EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1549218BOY
EOY1540763EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis192823048LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec119138598LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77478528BOY
EOY73684450EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY40084455BOY
EOY52066947EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5443952BOY
EOY5361197EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY151729257BOY
EOY159806812EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18913980BOY
EOY19118098EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY36090000BOY
EOY35080001EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4508235BOY
EOY3613634EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59512215BOY
EOY57811733EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY87808391BOY
EOY98432377EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4343330BOY
EOY3492356EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY65321BOY
EOY70346EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92217042BOY
EOY101995079EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY151729257BOY
EOY159806812EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6481758OtherCostOrOtherBasis
Book Value6481758BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis112739687OtherCostOrOtherBasis
Depreciation66953496Depreciation
Book Value45786191BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3444059OtherCostOrOtherBasis
Depreciation1721243Depreciation
Book Value1722816BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis69455090OtherCostOrOtherBasis
Depreciation50463859Depreciation
Book Value18991231BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis702454OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value702454BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73684450TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Money Market Account21982448F
Mortgage Backed Securities14499630F
US Treasury Obgligations73678F
Repurchase Agreements3070584F
Corporate Bonds3173352F
Certificates of Deposit10640814F
Less: Current Amounts-1373559F
FieldValueIRS element (for citing)
Total Of Book Value Securities52066947TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Interest in Net Assets of Capital Region Medical Foundation3562702
Deferred Financing Costs675547
Long Term Receivable and Other Non Current1122948
FieldValueIRS element (for citing)
Total Book Value Other Assets5361197TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Other LT Liabilities$179,247
Capital Lease Obligation$286,239
457 B Liability$780,076
2008 Note Payable$2,368,072
FieldValueIRS element (for citing)
Total Of Amounts3613634TotalOfAmounts
Total Revenue164198193TotalRevenue
Total Expenses154212057TotalExpenses
Excess Or Deficit For Year9986136ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS9986136ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt164194299TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal164194299RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included3894OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3894RevenueNotRptdOnFinStmt
Total Revenue Per Form990164198193TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt153811693TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included355015OtherExpensesIncluded
Expenses Not Rptd F990355015ExpensesNotRptdF990
Expenses Subtotal153456678ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included755379OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt755379ExpensesNotRptdOnFinStmt
Total Expenses Per Form990154212057TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P10_S00_L00Schedule D, Part XThe audit report for Capital Region Medical Center does not contain any footnotes for FIN48.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bShare of K-1 income.
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dCash Transfers 124,601 Basis on sale of assets (line 7B) 230,414
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bDecrease in Allowance for Uncollectible Accounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4369645TotalCommunityBenefitExpense
Direct Offsetting Revenue2278672DirectOffsettingRevenue
Net Community Benefit Expense2090973NetCommunityBenefitExpense
Percent Of Total Expense0.014PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense4369645TotalCommunityBenefitExpense
Direct Offsetting Revenue2278672DirectOffsettingRevenue
Net Community Benefit Expense2090973NetCommunityBenefitExpense
Percent Of Total Expense0.014PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2702NumberOfActivitiesOrPrograms
Persons Served35794PersonsServed
Total Community Benefit Expense308874TotalCommunityBenefitExpense
Direct Offsetting Revenue148286DirectOffsettingRevenue
Net Community Benefit Expense160588NetCommunityBenefitExpense
Percent Of Total Expense0.001PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense665938TotalCommunityBenefitExpense
Direct Offsetting Revenue569787DirectOffsettingRevenue
Net Community Benefit Expense96151NetCommunityBenefitExpense
Percent Of Total Expense0.0006PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2437597TotalCommunityBenefitExpense
Direct Offsetting Revenue1983476DirectOffsettingRevenue
Net Community Benefit Expense454121NetCommunityBenefitExpense
Percent Of Total Expense0.0029PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense86589TotalCommunityBenefitExpense
Direct Offsetting Revenue1200DirectOffsettingRevenue
Net Community Benefit Expense85389NetCommunityBenefitExpense
Percent Of Total Expense0.0006PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense228429TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense228429NetCommunityBenefitExpense
Percent Of Total Expense0.0015PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2702NumberOfActivitiesOrPrograms
Persons Served35794PersonsServed
Total Community Benefit Expense3727427TotalCommunityBenefitExpense
Direct Offsetting Revenue2702749DirectOffsettingRevenue
Net Community Benefit Expense1024678NetCommunityBenefitExpense
Percent Of Total Expense0.0066PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2702NumberOfActivitiesOrPrograms
Persons Served35794PersonsServed
Total Community Benefit Expense8097072TotalCommunityBenefitExpense
Direct Offsetting Revenue4981421DirectOffsettingRevenue
Net Community Benefit Expense3115651NetCommunityBenefitExpense
Percent Of Total Expense0.0206PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense9667TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense9667NetCommunityBuildingExpense
Percent Of Total Expense0.00006PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense2753TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2753NetCommunityBuildingExpense
Percent Of Total Expense0.00002PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense12420TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense12420NetCommunityBuildingExpense
Percent Of Total Expense0.00008PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,563,860BadDebtExpenseAmount
Amount Attributable To148567AmountAttributableTo
Amount Reimbursed By Medicare48860941AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46481360CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2379581MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (17 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOtherAddress Line2Address/AddressLine2
Capital Region Medical Center
1125 Madison StreetJefferson CityMO65101XXXX
Capital Region Southwest Facility
1432 Southwest BlvdJefferson CityMO65109Outpatient Services
CRMC - Womens and Childrens Building
1014 Madison StreetJefferson CityMO65101Physician Clinic
CRMC - Health Branch West
3308 W EdgewoodJefferson CityMO65109Urgent Care Clinic
CRMC - California Clinic
704 BuchananCaliforniaMO65018Physician ClinicHwy 50 West
CRMC - Eldon Clinic
103 Business Highway 54 NorthEldonMO65026Physician Clinic
CMRC - Holts Summit Clinic
180 North StarHolts SummitMO65043Physician Clinic
CRMC - Owensville Clinic
3536 Kuhne RoadOwensvilleMO65066Physician Clinic
CRMC - Stover Clinic
PO Box 489StoverMO65078Physician Clinic2nd and Oak
CRMC - Southwest Clinic
1500 Southwest BlvdJefferson CityMO65109Physician Clinic
CRMC - Versailles Clinic
901 Kidwell DriveVersaillesMO65084Physician Clinic
CRMC - Linn Clinic
916 East Main StreetLinnMO65051Physician Clinic
Resident Clinic
1111 Madison StreetJefferson CityMO65101Physician Clinic
CRMC Healthplex West
3308 West Edgewood DriveJefferson CityMO65109Outpatient Therapy Services
CRMC - Family Medical Center
402 E High StreetJefferson CityMO65101Physician Clinic
CRMC - CCMA
1505 Southwest BlvdJefferson CityMO65109Physician Clinic
CRMC - Integrative Medicine
1002 Diamond RidgeJefferson CityMO65109Physician ClinicSuite 200

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaEligibility care will be determined based on CSA Poverty guidelines in conjunction with other available resources. Once approved, applications will be reviewed every six (6) months. CRMC bases income and family size (for purposes of qualifying charity care) on the Federal poverty guidelines as published and updated annually in February by the U.S. Department of Health and Human Services. The department of Health and Human Services publishes updates to the Federal poverty guidelines on its website: a. (http//aspe.os.dhhs.gov/poverty/XX computations.htm-XX meaning the specific year; i.e. 08 for 2008). A patient's income and family size must be at or below 200% of the Federal poverty guidelines to receive 100% charity care. A sliding scale up to 400% 350% of the Federal Poverty Level is us used to determine partial charity allowance as presented below: Some persons may exceed the poverty guidelines but may still be eligible for charity when additional criteria are considered such as catastrophic medical costs, etc. Other obligations should be evaluated to determine if they are basic needs or luxury items. CRMC reserves the right to adjust monthly living expenses to reasonableness.IncomeBasedCriteria
Costing Method UsedCost to charge ratios.CostingMethodUsed
Subsidized Health Services Expln197,800 costs associated with a clinic staffed by medical interns and residents in included in Schedule H, Part 1, line 7 (g).SubsidizedHealthServicesExpln
Percent Of Total Expense Expln$4,583,542PercentOfTotalExpenseExpln
Bad Debt FootnoteCost to Charge ratio method.BadDebtFootnote
Shortfall As Community BenefitN/A - no shortfallShortfallAsCommunityBenefit
Debt Collection PolicyCRMC 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..DebtCollectionPolicy
Needs AssessmentCRMC assesses health care needs of the 8 communities we serve by conducting consumer perception studies, developing an annual environmental analysis, conducting focus groups, etc.NeedsAssessment
Patient Education AssistancePatient Financial Services consels patients /persons regarding financial assistance via telephone and in person as needed. Information also appears on our website, www.crmc.org.PatientEducationAssistance
Community InformationCRMC service area includes 8 counties; Callaway, Cole Gasconade, Maries, Miller, Morgan, Moniteau and Osage. 46% of inpatient discharges include patients residing in Cole County.CommunityInformation
Community Building ActivitiesCorporate/Community Health department conducts numerous community health fairs, lunch and learns, participation in local community awareness events, health specific screenings/education sessions for corporate partners, etc.CommunityBuildingActivities
Other InformationCRMC works closely with nearly 500 Board of Governor members who reside in the 8 county service area. Annual Outreach Meetings and focus groups provide county specific feedback regarding health needs, allowing an assessment of the health of our communities.OtherInformation
Affiliated Health Care SystemCRMC 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 area(s) and are able to co-promote health care capabilities.AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr Peter A Boyer
2181770226550216510689801806202874430
Dr Neal G Lapointe
13754701860476040526901625302068590
Ed Farnsworth
21630301563402200001387801793802857530
Jim McMillan
1281980102630220000877001658201858130
Janet Weckenborg
1159560104260338300491601657901817070
Robert Mazur
10750707686045540654601599201422850
Tawny Sandifer
12684409391054480783101631001658240
Randall Haight
1876210499550165000589601794002779120
Mitchell Godbee
785396018601650001408802588608420560
Raleigh Johnson
7150330186000649902462607463440
Patricia Owensby-Macfarlane
6769180186000918802407407103660
William P Sweezer Jr
510730018603850001088202222205825200
Howard Huddleston
4363730121860385000002131805083770
Joseph Tomblinson
160000000000016000
Thomas Niekamp
9997200000000099972000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aThe hospital gives most employees a gift card annually. 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 appropriately to account for this.
SchJ_P01_S00_L03Schedule J, Part I, Line 3All 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_L05Schedule J, Part I, Line 5For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals are tied to revenues.
SchJ_P01_S00_L06Schedule J, Part I, Line 6For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals are tied to earnings.
SchJ_P02_S00_L00Schedule J, Part IIThomas 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 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

FieldValueIRS element (for citing)
Business Name Line1Health Facilities Revenue Bonds Series 2004BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN431178966IssuerEIN
CUSIP Number60635RQ91CUSIPNumber
Date Issued2004-06-01DateIssued
Issue Price17500000IssuePrice
Description Of PurposeConstructionDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds17500000TotalProceeds
Amount In Reserve Fund1655611AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds517500IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures15322544CapitalExpenditures
Year Of Subst Completion2004YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Ken Littlefield
Ken Littlefield (board member) is also President of Central Bank, a bank that CMRC does business.18124397Banking transactions performed at arms length. Banking services are competitively bid.0
Dr Peter Boyer
Dr. Boyer is a partner with CCMA. CRMC rents office space from CCMA.205824Rent income for clinic0
Dayna Lapoint
Employee and wife of Dr. Neal Lapoint, board member34779Salary0
Charlie Dudenhoeffer
Board Vice Chair - Also on board at Hawthorn Bank311749Bank deposits and banking fees. All banking services are competitively bid.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L03Form 990, Part III, Line 3Citizens of Cole County approved a tax increase to support the Ambulance service. In July of 2009, Cole County assumed the responsibility for operation of the Ambulance service.
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6The organiztion has one member, The University of Missouri Medical Alliance.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aAll elections for appointment to the Governing Body are subject to approval of the sole member, the University of Missouri-Medical Alliance.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bThe 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, discontinuance of major service lines are examples.
F990_P06_S0B_L11Form 990, Part VI, Section B, Line 11The 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_L12cForm 990, Part VI, Section B, Line 12cThe 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_L15Form 990, Part VI, Section B, Line 15All 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. The committee meets annually and the last meeting was November 2009. The prior meeting was October 2008. 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_L19Form 990, Part VI, Section C, Line 19Capital 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", leader profiles, site locations, and contact information are all disclosed on the website.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Capital Region Medical Foundation
PO Box 1128Jefferson CityMO651021128431506900Raise money and manage funds to be used in the furtherance of the exempt purpose of the medical ctrMO501(c)(3)Support Org Typ IN/A
Still Osteopathic Medical Foundation
PO Box 1128Jefferson CityMO651021128431720296Support Osteopathic EducationMO501(c)(3)Support Org Typ IIIN/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Osteopathic Postdoctural TrainingBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 W JeffersonAddressLine1
CityKirksvilleCity
StateMOState
ZIP Code63501ZIPCode
FieldValueIRS element (for citing)
EIN431831943EIN
Primary ActivityTo promote the highest quality of osteopathic postdoctoral education training.PrimaryActivity
Legal Domicile StateMOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income3894ShareOfTotalIncome
Share Of EOY Assets14278ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg