CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-13
IRS object ID: 202441349349303439
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-13T09:37:46-07:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440546366	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL REGION MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CAPI	BusinessNameControlTxt
Phone	5736325000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Hamilton	PersonNm
Person Title	Chief Operating Officer	PersonTitleTxt
Phone	5736325101	PhoneNum
Signature	2024-05-13	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	John	PersonFirstNm
Person Last	Hamilton	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	1	TrustedCustomerCd
OOB Security Verification	11	OOBSecurityVerificationCd
Last Submission Rqr OOB	0	LastSubmissionRqrOOBCd
Authentication Assurance Level	AAL2	AuthenticationAssuranceLevelCd
Profile Password Change	Yes (X)	ProfilePasswordChangeInd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John D Hamilton	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$242,853,348	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	crmc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	Capital Region Medical Center embraces its mission: To improve health and promote wellness in the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1852	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$721,000	PYContributionsGrantsAmt
CY Contributions Grants	$605,561	CYContributionsGrantsAmt
PY Program Service Revenue	$219,835,484	PYProgramServiceRevenueAmt
CY Program Service Revenue	$240,280,009	CYProgramServiceRevenueAmt
PY Investment Income	$385,366	PYInvestmentIncomeAmt
CY Investment Income	$1,967,778	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$220,941,850	PYTotalRevenueAmt
CY Total Revenue	$242,853,348	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,596,729	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$120,341,595	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$154,735	CYTotalFundraisingExpenseAmt
PY Other Expenses	$139,331,154	PYOtherExpensesAmt
CY Other Expenses	$143,046,565	CYOtherExpensesAmt
PY Total Expenses	$255,927,883	PYTotalExpensesAmt
CY Total Expenses	$263,388,160	CYTotalExpensesAmt
PY Revenues Less Expenses	-$34,986,033	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$20,534,812	CYRevenuesLessExpensesAmt
Total Assets BOY	$210,267,346	TotalAssetsBOYAmt
Total Assets EOY	$179,272,562	TotalAssetsEOYAmt
Total Liabilities BOY	$93,209,259	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$82,435,908	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$117,058,087	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$96,836,654	NetAssetsOrFundBalancesEOYAmt
Mission	Capital Region Medical Center embraces its mission; To imporove the health and promote wellness in the communities we serve.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$14,112,902	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	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. 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 it is 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 outpatient elective surgery, diagnostic testing and education programs. Charity care policies and procedures are in place to address any instances in which patients may access services.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,522,008	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,070,297	RevenueAmt
Desc	Support of Medical Education - In 1952 CRMC entered into the teaching and training of physicians with programs to teach medical students and interns. Today CRMC serves as the primary clinical training site for one of the two Family Medicine Residency Programs sponsored by the University of Missouri-Columbia School of Medicine. CRMC also serves as a clinical training site for other specialty Residency Programs sponsored by the University of Missouri-Columbia School of Medicine. In addition medical students from the Kirksville College of Osteopathic Medicine and University of Health Sciences located in Kansas City schools of Medicine complete clinical rotations at CRMC. Capital Region Medical Center supports Lincoln University School of Nursing program, Columbia College Nursing Program, Missouri State University and Drury University; RN, BSN and MSN from Central Missouri State, Central Methodist, LPN and RN at State Tech; Social Work and Case Management students from MU, Missouri State University, and Lincoln; MSN students from St. Louis University, UMKC, Maryville, Chamberlain College, Frontier Nursing; Graceland, Herzing, Vanderbilt, University of Southern Alabama, New York International University. and Walden University in Family Nurse Practitioner clinicals for which we provide the preceptors/clinical supervisors as well as the facilities. CRMC assists Stephens College, Bell-Brown College, and State Fair College with Registered Medical Assistants; Stephens College and the University of North Dakota Physician's Assistant programs and local schools for Paramedic and EMT training. CRMC also assists State Tech for Radiology. Dietary students from Herzing University, Keiser University, UMC and UMSL, as well as assistance to the University of Missouri dietetics program. In addition to the direct financial support that Capital Region provides, we also provide support to Columbia College MSN students and Lincoln University School of Nursing BSN program in leadership training. We assist students from East Central College in the surgical tech program. CRMC provides training to phlebotomist/tech students from Moberly Community College to assist them with fulfilling their clinical requirements. CRMC provides oversight and mentoring to the St. Louis College of Pharmacy, University of Missouri-Columbia and Kansas City Pharmacy Programs. We provide support to St. Louis University and University of Missouri-Columbia PT and Kansas City Ozark Technical College and State Tech PTA, OTA and Speech Therapy programs. Our support for these programs in not only through the provision of training facilities but also adjunct faculty and resources.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$280,365	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$54,320	RevenueAmt
Desc	Community Health Resident Clinic: CRMC provides Residents and Physician Supervisors to staff the Community Health Center clinic. In addition to providing a valuable training tool for the medical students, the resident clinic serves a unique community benefit by providing service to over 1167 patients from the eight county service area. The charge for service is based on the individual's ability to pay, which in many cases is free.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$224,609,927	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	All other inpatient and outpatient services provided to patients.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$224,609,927	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$241,525,202	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	191	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1852	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michele Kuntz	PersonNm
Phone	5736325747	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Mitchell Godbee
Physician	40	0	Yes (X)	$1,516,648	$0	$84,147
Sharmilla Suri-Mohanram
Physician	40	0	Yes (X)	$946,118	$0	$33,568
Jeffrey Sanders
Board member/Physician	40	0	Yes (X)	$894,497	$0	$64,604	Yes (X)
Scott Anderson
Physician	40	0	Yes (X)	$879,673	$0	$69,718
Walter Coats
Physician	40	0	Yes (X)	$879,673	$0	$69,718
Gaspare Calvaruso
President	40	0		$479,966	$0	$67,377		Yes (X)
Randall Haight
Vice President/Physician	40	0		$389,032	$0	$57,166		Yes (X)
Diane Light
Board Member/Physician	40	0		$372,488	$0	$54,854	Yes (X)
Michelle Barg
Vice President/Physician	40	0		$347,573	$0	$29,228		Yes (X)
Thomas Luebbering
Vice President	40	0		$319,171	$0	$48,002		Yes (X)
Sarah Morrow
Vice President	40	0		$239,453	$0	$41,009		Yes (X)
Janet Pestle
Vice President	40	0		$230,271	$0	$49,395		Yes (X)
Marc Ellinger
Board member	1	0		$0	$0	$0	Yes (X)
David Minton
Treasurer	1	0		$0	$0	$0	Yes (X)
Kristina Naught
Secretary	1	0		$0	$0	$0	Yes (X)
Frank Burkhead
Board member	1	0		$0	$0	$0	Yes (X)
Nimalan Chinniah
Board member	1	0		$0	$0	$0	Yes (X)
Katrina Lambrecht
Board member	1	0		$0	$0	$0	Yes (X)
Holly Schroer
Board member	1	0		$0	$0	$0	Yes (X)
Steven Whitt MD
Board member	1	0		$0	$0	$0	Yes (X)
Carlos Graham
Board Chair	1	0		$0	$0	$0	Yes (X)
Phillip Burger
Vice Chair	1	0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,494,563	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$668,786	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	155	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
McCarthy Building Companies Inc
12851 Manchester Road	St Louis	MO	63131	Construction Management	$8,625,689
University of Missouri
One Hospital Drive	Columbia	MO	65201	Physician and Professional Services	$7,160,817
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	641172551	Computer Management and Support	$7,160,097
Aya Healthcare
PO Box 123519	Dallas	TX	753123519	Contract Nursing Services	$5,841,457	Dept 3519
Inpatient Consultants of MO Inc
PO Box 844929	Los Angeles	CA	900844929	Physician Service	$2,285,743

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$605,561	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$605,561	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Service Revenue	622000	$224,915,255	$224,915,255	$0	$0
Other Revenue	900000	$15,364,754	$15,364,754	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$240,280,009	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,961,477	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,961,477	RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$192	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$6,109	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$6,109	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,109	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,109	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,853,348	TotalRevenueColumnAmt
Related Or Exempt Func Income	$242,247,595	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$192	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,687,612	TotalAmt
Program Services	$3,318,850	ProgramServicesAmt
Management And General	$368,762	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$99,162,307	TotalAmt
Program Services	$89,722,868	ProgramServicesAmt
Management And General	$9,374,623	ManagementAndGeneralAmt
Fundraising	$64,816	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,597,927	TotalAmt
Program Services	$2,338,134	ProgramServicesAmt
Management And General	$259,793	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,488,939	TotalAmt
Program Services	$8,525,225	ProgramServicesAmt
Management And General	$947,247	ManagementAndGeneralAmt
Fundraising	$16,467	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,404,810	TotalAmt
Program Services	$4,864,329	ProgramServicesAmt
Management And General	$540,481	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$182,973	TotalAmt
Program Services	$123,622	ProgramServicesAmt
Management And General	$59,351	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$219,437	TotalAmt
Program Services	$141,401	ProgramServicesAmt
Management And General	$67,887	ManagementAndGeneralAmt
Fundraising	$10,149	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,121,638	TotalAmt
Program Services	$27,297,310	ProgramServicesAmt
Management And General	$6,824,328	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$60,100	TotalAmt
Program Services	$40,605	ProgramServicesAmt
Management And General	$19,495	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$195,375	TotalAmt
Program Services	$180,235	ProgramServicesAmt
Management And General	$15,140	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,353,430	TotalAmt
Program Services	$7,748,414	ProgramServicesAmt
Management And General	$1,605,016	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$640,382	TotalAmt
Program Services	$590,757	ProgramServicesAmt
Management And General	$49,625	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$294,148	TotalAmt
Program Services	$271,354	ProgramServicesAmt
Management And General	$22,794	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,188,070	TotalAmt
Program Services	$1,038,426	ProgramServicesAmt
Management And General	$146,970	ManagementAndGeneralAmt
Fundraising	$2,674	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,055,790	TotalAmt
Program Services	$10,918,051	ProgramServicesAmt
Management And General	$116,533	ManagementAndGeneralAmt
Fundraising	$21,206	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,095,375	TotalAmt
Program Services	$2,855,505	ProgramServicesAmt
Management And General	$239,870	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Supplies	$63,040,504	$62,817,713	$183,368	$39,423
Repairs/Maintenance/Utilites	$7,079,048	$6,530,471	$548,577	$0
FRA Taxes	$8,745,271	$8,745,271	$0	$0
Rent Expense and All Other	$2,627,624	$2,424,001	$203,623	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,147,400	TotalAmt
Program Services	$1,032,660	ProgramServicesAmt
Management And General	$114,740	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$263,388,160	TotalAmt
Program Services	$241,525,202	ProgramServicesAmt
Management And General	$21,708,223	ManagementAndGeneralAmt
Fundraising	$154,735	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,431,617	BOYAmt
EOY	$11,682,444	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,444,109	BOYAmt
EOY	$31,215,436	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,425,614	BOYAmt
EOY	$5,994,490	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,255,679	BOYAmt
EOY	$2,842,737	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$299,455,749	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$219,721,809	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$81,652,184	BOYAmt
EOY	$79,733,940	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,782,946	BOYAmt
EOY	$21,968,622	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,275,197	BOYAmt
EOY	$25,834,893	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$210,267,346	BOYAmt
EOY	$179,272,562	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,151,267	BOYAmt
EOY	$26,582,675	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,088,733	BOYAmt
EOY	$42,493,891	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,969,259	BOYAmt
EOY	$13,359,342	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,209,259	BOYAmt
EOY	$82,435,908	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$112,332,228	BOYAmt
EOY	$92,057,262	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,725,859	BOYAmt
EOY	$4,779,392	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$117,058,087	BOYAmt
EOY	$96,836,654	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$210,267,346	BOYAmt
EOY	$179,272,562	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$20,534,812	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$139,581	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$173,798	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$17,680	OtherActivitiesAmt
Total Lobbying Expenditures	$17,680	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	CRMC is a member of Missouri Hospital Association. Just one of the benefits of membership is that MHA communicates with government on issues that are important to Missouri hospitals. A portion of the annual dues (36% of $49110.59)	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$12,574,441	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$12,574,441	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$175,258,767	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$133,610,742	DepreciationAmt
Book Value	$41,648,025	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$109,072,752	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$86,111,067	DepreciationAmt
Book Value	$22,961,685	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,549,789	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$2,549,789	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$79,733,940	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets of Capital Region Foundation	$4,779,392
Long-term receivables and other noncurrent assets	$11,704,739
Intangible assets, net	$9,350,762

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$25,834,893	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Capital Leases	$815,624
Other Long Term	$163,089
457(b)	$5,011,879
Insurance Payable	$4,836,082
Malpractice	$2,532,668

Field	Value	IRS element (for citing)
Total Liability	$13,359,342	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$242,247,787	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$242,247,787	RevenueSubtotalAmt
Investment Expenses Not Incld	$605,561	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$605,561	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$242,853,348	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$263,536,786	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$154,735	OtherExpensesIncludedAmt
Expenses Not Reported	$154,735	ExpensesNotReportedAmt
Expenses Subtotal	$263,382,051	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$6,109	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$6,109	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$263,388,160	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2	Because CRMC did not have any tax liabilities, the wording is silent. Footnote 1 would have disclosed this if it was applicable. Income taxes: The Medical Center has been recognized as exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However the Medical Center is subject to federal income tax on any unrelated business taxable income.
Schedule D, Part XII, Line 2d	Foundation Expenses
Schedule D, Part XII, Line 4b	Gain on sale

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,463,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,463,224	NetCommunityBenefitExpnsAmt
Total Expense	0.0169	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,049,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,350,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,699,329	NetCommunityBenefitExpnsAmt
Total Expense	0.052	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$36,512,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,350,124	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,162,553	NetCommunityBenefitExpnsAmt
Total Expense	0.0689	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$363,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,301	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,522,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,070,297	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$603,372	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,758	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,901	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,999,215	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,137,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,013,332	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$39,511,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,487,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,175,885	NetCommunityBenefitExpnsAmt
Total Expense	0.0727	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,584	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,057,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,282,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,193,307	NetCommunityBenefitExpnsAmt
Total Expense	0.0045	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,131,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,282,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,266,891	NetCommunityBenefitExpnsAmt
Total Expense	0.0048	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$6,592,931	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$39,261,245	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,030,958	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$769,713	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Region Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1125 Madison Street	AddressLine1Txt
City	Jefferson City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	crmc.org	WebsiteAddressTxt
State License	419-19	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Region Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.crmc.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.crmc.org/about-us/community-involvement/community-health-needs-assessment/	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.crmc.org/patients-and-visitors/billing-insurance/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.crmc.org//media/1268/2404-007.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.crmc.org/patients-and-visitors/billing-insurance/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Capital Region Medical Center	The Central Missouri Community Health Assessment Partnership (CMCHAP) was created and embarked on a mission to improve the health of residents of the four counties of Cole, Miller, Moniteau, and Osage. The partnership worked collaboratively to collect and analyze health data and gather input from community members to aid in assessing and prioritizing health needs. This unigue healthcare and social service provider partnership was financially funded by Capital Region Medical Center.
Schedule H, Part V, Section B, Line 6a-Capital Region Medical Center	Capital Region Medical Center
Schedule H, Part V, Section B, Line 6b-Capital Region Medical Center	The Health Department of Cole, Callaway, Miller, Moniteau and Osage counties, Community Health Center of Central Missouri, Central Missouri United Way, Compass Health Network, and the Missouri Coalition for Community Behavioral healthcare.
Schedule H, Part V, Section B, Line 7d-Capital Region Medical Center	Capital Region Medical Center made the CHNA available online at crmc.org. Additionally, paper copies were made available through the public relations department. A review of the CHNA was provided to medical center managers. Board of Directors, the CRMC Foundation, and at the Community Outreach meeting held in communities of several of the outlying clinics we serve.
Schedule H, Part V, Section B, Line 11-Capital Region Medical Center	The Marketing and Public Relations department works with hospital leaders and community partners to address such needs. An internal team also reviews the CHNA and determines the strategic plan for implementing strategies to address such needs. The top five needs determined in the August 2021 CHNA are as follows: 1. Mental health 2. Substance abuse 3. Diabetes, disability, and chronic pain 4.Heart disease and stroke 5.Nutrition, physical activity, and weight. Strategies have included support groups and lifestyle programs. Continued tracking and education of depression and body mass index screenings at all primary care visits. We have embedded behavioral health specialists in several clinics. CRMC has been actively engaging the medical team in policies to decrease the usage of controlled substances, emphasizing reducing the risk of opiod abuse. CRMC has worked with multiple city governments on bike/pedestrian plans, complete street policies as well as trails, including the Rock Island Trail. With the pandemic, we implemented virtual support groups and call chairs to stay connected and continue providing services when unable to meet in person.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Capital Region Physicians
1125 Madison Street	Jefferson City	MO	65101	Medical Center Expansion - Physician clinics and outpatient services
Capital Region Southwest
1432 Southwest Blvd	Jefferson City	MO	65109	Outpatient and Wellness Services
Capital Region Central Missouri Cardiology
3501 West Truman Blvd	Jefferson City	MO	65109	Cardiology Physician Office
Primary Care
1014 Madison Street	Jefferson City	MO	65101	Primary Care - Family Practice Clinic
CRMC Healthplex West
3308 West Edgewood	Jefferson City	MO	65109	Urgent Care and Outpatient Therapy
CRMC-SW Clinic
1500 Southwest Blvd	Jefferson City	MO	65109	Family Practice Clinic
CRMC- Versailles
901 Kidwell Drive	Versailles	MO	65084	Family Practice Clinic
CRMC - Eldon
103 Business Hwy 54 North	Eldon	MO	65026	Family Practice Clinic
CRMC Surgicare
1705 Christy Drive	Jefferson City	MO	65101	Surgeon
CRMC-Owensville
3536 Kuhne Road	Owensville	MO	65066	Family Practice Clinic
Eastland Urgent Care
915 A Eastland Drive	Jefferson City	MO	65101	Urgent Care Clinic
CRMC-Linn
916 East Main Street	Linn	MO	65051	Family Practice
CRMC-California
704 Buchanan	California	MO	65018	Family Practice Clinic
CRMC-Holts Summit
180 North Star	Holts Summit	MO	65043	Family Practice Clinic
Capital Region Family Medical Center
420 East High Street	Jefferson City	MO	65101	Family Practice Clinic - closed 4/30/22
St Elizabeth Clinic
631 S Walnut Street	St Elizabeth	MO	65075	Physician Clinic
CRMC Quick Care
3721 W Truman Blvd	Jefferson City	MO	65109	Quick Care Clinic

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	Average Medicare and Commercial/Managed Care Adjustments were used to calculate 65%auto self pay.
Schedule H, Part I, Line 7	Cost to Charge ratios from Worksheet 2
Schedule H, Part I, Line 7g	CRMC paid Clear Triage to provide triage services for Pediatrics, which allows caregivers to call and receive free advice. Also CRMC staffed a physician referral line.
Schedule H, Part II	CRMC participates with many community partners throughout the year to carry out our mission to improve health and promote wellness in the communities we serve. Strategically, our implementation strategy focuses our community health activities and resources based on the community health needs assessment findings. In order to be impactful on the health and wellness of our community partnerships, collaborations, and working with coalitions are a must. The expenses noted in the section reflect our participation in such community-building activities. Specific details are included on each particular line.
Schedule H, Part III, Section A, Line 4	Footnote #3 of audit report
Schedule H, Part III, Section B, Line 8	Line 2 is determined using the cost to charge ration form Worksheet 2.
Schedule H, Part III, Section C, Line 9b	All Self Pay patients automatically receive a 65% Self Pay discount. For collections practices, we run presumptive charity using Experian Presumption Charity software to identify all patients equal to 200%FPL. They must complete the financial application to prove need of charity assistance. In addition, patients are screened for Medicaid eligibility using a company called Human Arc.
Schedule H, Part VI, Line 2	CRMC conducted a comprehensive community health assessment using both secondary and primary analysis, which allowed us to measure perception, health risks, health factors, health outcomes, and characteristics specific to the communities in these five central counties. This is the third comprehensive regional health assessment completed in this collaborative fashion by the CMCHAP. The objectives were to identify factors influencing health status, determine and prioritize issues of greater concern, identity, unmet health needs, and project a source of reliable information that will support the development of solutions. The needs assessment was conducted using three methods: secondary data analysis, discussions with community groups, and providing clients and surveys completed by community members, community leaders, and local physicians. Existing data previously collected for other purposes, called secondary data was compiled from various credible local, state, and federal sources to provide a context for analysis and interpretation. In addition to the data collection for 2021, a survey was included to assess the perception of health care and health status across the five-county region. In the analysis, these survey were available in physician offices, online, and in community health departments. Upon reviewing the findings from all the sources of information, the steering team identified the most serious health issues and then ranked them using a priority matrix. The results were: 1. Mental health 2. Substance abuse 3. Diabetes, disability, and chronic pain 4. Heart disease and stroke 5. Nutrition, physical activity, and weight.
Schedule H, Part VI, Line 3	At every location, registration staff have financial assistance packets available to hand out. All self pay patients are referred to one of the three financial counselors in the area. Patient financial counselors visit all self pay in-house patients. Also Human Arc help patients apply for Medicaid. Signs are posted in rooms and at registration sites. For every statement sent, there is a number printed to call for assistance. All first letters indicate who to call for assistance. All clinics are aware of the policy, so is the medical staff. It is posted on our website and on our online bill pay.
Schedule H, Part VI, Line 4	The five-county regions consisting of Callaway, Cole, Miller, Moniteau, and Osage, included urban and rural areas. The local area economy is heavily dependent on the state government. The total population for the region, based on the 2010 census was 176,474. Between the 2000 and 2010 censuses, the population of the total service area increased by 12,829 or 7.9% Cole County, which has the largest population in the region had the highest percentage increase in the population at 9.3% It is important to understand the population's age distributions, as different age groups have unique health needs that should be considered separately from other along the age spectrum. In the total service area 22.8% of the population are children aged 0-17, 61% are aged 18-24, and 18.4% are aged 65 and older.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	Yes (1)	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gaspare Calvaruso
President	$414,742	$0	$48,881	$0	$16,343	$0	$12,097	$0	$55,280	$0	$547,343	$0	$0	$0
Thomas Luebbering
Vice President	$287,965	$0	$28,423	$0	$2,783	$0	$10,811	$0	$37,191	$0	$367,173	$0	$0	$0
Sarah Morrow
Vice President	$221,674	$0	$16,970	$0	$809	$0	$9,131	$0	$31,879	$0	$280,463	$0	$0	$0
Janet Pestle
Vice President	$219,002	$0	$9,146	$0	$2,123	$0	$2,132	$0	$47,263	$0	$279,666	$0	$0	$0
Randall Haight
Vice President/Physician	$336,108	$0	$44,267	$0	$8,657	$0	$7,387	$0	$49,779	$0	$446,198	$0	$0	$0
Michelle Barg
Vice President/Physician	$302,172	$0	$44,772	$0	$630	$0	$10,120	$0	$19,108	$0	$376,802	$0	$0	$0
Jeffrey Sanders
Board member/Physician	$628,656	$0	$247,362	$0	$18,478	$0	$12,128	$0	$52,475	$0	$959,099	$0	$0	$0
Diane Light
Board Member/Physician	$300,160	$0	$25,924	$0	$46,403	$0	$12,185	$0	$42,669	$0	$427,341	$0	$0	$0
Mitchell Godbee
Physician	$901,940	$0	$612,898	$0	$1,810	$0	$12,163	$0	$71,984	$0	$1,600,795	$0	$0	$0
Sharmilla Suri-Mohanram
Physician	$616,215	$0	$313,987	$0	$15,915	$0	$5,985	$0	$27,583	$0	$979,685	$0	$0	$0
Scott Anderson
Physician	$816,149	$0	$10,000	$0	$53,524	$0	$12,150	$0	$57,567	$0	$949,390	$0	$0	$0
Walter Coats
Physician	$585,478	$0	$213,837	$0	$6,040	$0	$11,974	$0	$49,715	$0	$867,044	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	Capital Region pays for the President's membership with the Jefferson City Country Club. This is used for many business reasons. Any personal expenses incurred are reimbursed by the President to the Medical Center.
Schedule J, Part I, Line 3	Annually all board members complete an evaluation of the President and individually present the results to the board chair who presents them to the compensation committee, consisting of 3 board members, including the Chair and the Vice Chair. The compensation committee reviews the evaluation results with the President and determines the President's salary based on salary surveys from three different organizations. The comparable data are based on Missouri and the region The compensation committee members do not have a conflict of interest with respect to the compensation arrangements. The committee documents their review and decisions.
Schedule J, Part I, Line 4	Officers and Directors and some of the highly compensated participated in the 457(b) plan.
Schedule J, Part I, Line 5	For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators.
Schedule J, Part I, Line 6	For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators.
Schedule J, Part I, Line 7	The President, Vice President, Directors, and Managers participate in the Management Incentive Compensation Program. They receive additional bonus compensation if certain stated goals are met. Most Physicians receive a base salary but also have the ability to earn an additional amount based on production.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Health & Educational Facilities State of MO
A	431178966	000000000	2017-03-09	$20,000,000	Acquire, construct, and equipment for health facilities	0	0	0
Health & Educational Facilities of State of MO
B	431178966	60637ASU7	2020-11-10	$33,254,282	Refund Series 2011 bonds (issued 11/22/2011)	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,222,672	$0	$20,000,000	$0	$0	$0	$0	$0	$0	$0	$20,000,000	$0	2016	0	0	Yes (1)	Yes (1)
B	$960,000	$0	$33,255,398	$0	$0	$0	$0	$0	$0	$20,015,860	$12,809,637	$0	2023	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	0
B	0	Yes (1)	0	0	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Nathan Luebbering
son of Tom Luebbering	$22,907	employee of Capital Region	0
Jessica Luebbering
daughter in law of Tom Luebbering	$265,777	Employed physician of Capital Region	0
Zachary Luebbering
son of Tom Luebbering	$215,658	Employed physician of Capital Region	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2	Frank Burkhead board member is a brother in law to Tom Luebbering Vice President.
Form 990, Part VI, Section A, Line 6	The organization has 2 members - The University of Missouri - Columbia Medical Alliance and CRMC Healthcare
Form 990, Part VI, Section A, Line 7a	All elections for appointment to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance.
Form 990, Part VI, Section A, Line 7b	The bylaws provide a number of instances requiring approval by the University of Missouri Medical Alliance (e.g. amendment of the bylaws, dissolution of the organization, sale of substantial assets, and discontinuance of a major service)
Form 990, Part VI, Section B, Line 11b	The 990 is reviewed by the Finance Director and the Chief Operating Officer. It is presented electronically to the Board of Directors. Members are asked to review the return and raise any concerns they may have.
Form 990, Part VI, Section B, Line 12c	The hospital legal counsel attends board meetings. He is continually monitoring if any transaction would be a conflict of interest. The Vice President of Finance reviews all payments to physicians and identifies any potential conflicts. The Director of Accounting reviews payment and identifies any potential conflicts.
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 to the compensation committee, consisting of three board members, including 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 and the region. The compensation committee members do not have a conflict of interest with respect to the compensation agreements. The committee documents their review and decision and meets at least annually. The CEO sets the recommended salaries for key employees using comparable data from three salary surveys. The Vice President of Human Resources participates in determining the appropriate salary.
Form 990, Part VI, Section C, Line 19	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 location and contact information are all disclosed on the website. Capital Region includes financial statements in the annual report provided to the Board of Governors (approximately 500 members). Financial information is reviewed at the Medical Executive and Medical Staff meetings monthly. The information is then shared at the monthly managers' meeting and then communicated to all staff at department meetings.
Form 990, Part IX, Line 11g	Purchased services for physicians, nurses, and other healthcare providers. Also consultants, biomedical, maintenance and other companies providing services.
Form 990, Part XI, Line 9	Increase in Foundation Net Assets $53,533 + Paid Foundation Expenses -154735 + Transfer from UMC Medical Alliance $275,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Address Line2USAddress/AddressLine2Txt
Capital Region Medical Foundation
PO Box 1128	Jefferson City	MO	651021128	431506900	Raise Money and manage funds to be used by Capital Region Medical Center	MO	501(c)(3)	Supporting Org Typ I	N/A
Still Osteopathic Medical Foundation
PO Box 1128	Jefferson City	MO	651021128	431720296	Support Capital Region Medical Center	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	MO	501(c)(3)	Support Org Typ I	N/A
CRMC Healthcare Inc
1125 Madison Street	Jefferson City	MO	65101	461699021	Support Capital Region Medical Center	MO	501 (c)(3)	Type II Support Org	N/A
University of Missouri - Columbia Medical Alliance
1000 West Nifong	Columbia	MO	65211	311574931	Support and encourage health care delivery and medical education	MO	501 (c)(3)	Type I Support Org	N/A	Building 7 Suite 300

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Medical Center Partners
m	$295,476	Partners volunteered for 24,623 hours valued at minimum wage of $12.
Capital Region Medical Foundation
c	$606,561	Cash value of donations from the Foundation
Capital Region Medical Foundation
o	$154,735	CRMC paid the operating expenses for the Foundation, including the salary and benefits of the Director
Capital Region Medical Center Partners
o	$39,610	The manager of the Partners gift shop is employed by Capital Region Medical Center. The Partners reimburse CRMC for her salary and employment taxes.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Extension was approved until May 15, 2024	ExplanationTxt