CAMERON REGIONAL MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CAMERON REGIONAL MEDICAL CENTER INC (EIN 44-0668347)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-06
- IRS object ID
- 201912189349300526
- Schema version
- 2017v2.3
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-06T10:52:16-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1Txt |
| City | Topeka | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 666033491 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440668347 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAME | BusinessNameControlTxt |
| Phone | 8166322101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Abrutz Jr | PersonNm |
| Person Title | Administrator | PersonTitleTxt |
| Phone | 8166322101 | PhoneNum |
| Signature | 2019-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2019-08-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 98.172.114.81 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-01 | IPDt |
| IP Tm | 14:44:02 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3054E114B9EEB38A00C1BBBFB4DAEB21D0C275B3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6ED4C352ECD741C4C8B74F128BACFE2DF478024A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph Abrutz Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,568,190 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.cameronregional.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | To provide inpatient and outpatient medical care to area residents regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 582 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $274,001 | PYContributionsGrantsAmt |
| CY Contributions Grants | $239,932 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,321,365 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,150,592 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,639,155 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,627,065 | CYInvestmentIncomeAmt |
| PY Other Revenue | $190,513 | PYOtherRevenueAmt |
| CY Other Revenue | $209,176 | CYOtherRevenueAmt |
| PY Total Revenue | $59,425,034 | PYTotalRevenueAmt |
| CY Total Revenue | $60,226,765 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $33,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $32,600 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,534,924 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,306,928 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,576 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,327,242 | PYOtherExpensesAmt |
| CY Other Expenses | $27,585,813 | CYOtherExpensesAmt |
| PY Total Expenses | $58,895,666 | PYTotalExpensesAmt |
| CY Total Expenses | $59,925,341 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $529,368 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $301,424 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,203,943 | TotalAssetsBOYAmt |
| Total Assets EOY | $87,134,498 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,347,920 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,464,494 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,856,023 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,670,004 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission at Cameron Regional Medical Center (CRMC) is caring for all patients. To this end, we organize people, equipment, and facilities in a manner that best responds to their needs and to the needs of our service area. Our priorities are patients and families, physicians, and employees. Our goal is to be a regionally-recognized leader in patient satisfaction by exceeding customer expectations and continuing to achieve excellence in quality and cost-effective health care services. CRMC will provide services in an atmosphere that involves compliance with governmental mandates. Throughout our organization, our employees strive to provide sensitive, quality health care at all times by living our values. Lastly, CRMC recognizes the importance of viable and profitable operations to guarantee the continued existence and growth of the facility. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $54,077,148 | ExpenseAmt |
| Grant | $32,600 | GrantAmt |
| Revenue | $58,922,242 | RevenueAmt |
| Desc | Acute care hospital organized to provide inpatient and outpatient care to area residents regardless of ability to pay. | Desc |
| Total Program Service Expenses | $54,077,148 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 582 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Abrutz Jr | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8166322101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen St | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Warren McElwain | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Steve Huitt | |||||||
| Vice-President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jennifer White | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Poland | |||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Don Gitthens | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Delvin Jackson | |||||||
| Director (beginning in April 2018) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Barbara Ballew | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ken Raffety | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Tinnen | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mike Brown | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Just | |||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Frederick Kiehl | |||||||
| Physician & Director through Jan 2018 | 25.00 | Yes (X) | $174,429 | $0 | $0 | ||
| Stephanie Davis | |||||||
| Physician & Director through Jan 2018 | 1.00 | Yes (X) | $10,350 | $0 | $0 | ||
| Laeeq Azmat Tahirkheli | |||||||
| Physician & Director (beg. Feb 2018) | 40.00 | Yes (X) | $821,526 | $0 | $0 | ||
| Laura Harbison | |||||||
| Physician & Director (beg. Feb 2018) | 40.00 | Yes (X) | $336,268 | $0 | $0 | ||
| Rick Hatten | |||||||
| Director through April 2018 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph F Abrutz Jr | |||||||
| Administrator | 40.00 | Yes (X) | $370,110 | $0 | $7,168 | ||
| Rosa Patti | |||||||
| Chief Financial Officer | 40.00 | Yes (X) | $176,049 | $0 | $11,025 | ||
| Muhammad Amin | |||||||
| Physician | 40.00 | $477,312 | $0 | $0 | Yes (X) | ||
| Doak Doolittle | |||||||
| Physician | 40.00 | $536,439 | $0 | $0 | Yes (X) | ||
| Shahzad Shafique | |||||||
| Physician | 40.00 | $477,895 | $0 | $0 | Yes (X) | ||
| Daut Gjoni | |||||||
| Physician | 40.00 | $471,387 | $0 | $0 | Yes (X) | ||
| Arihant Jain | |||||||
| Physician | 40.00 | $442,790 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,294,555 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $18,193 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | 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 |
|---|---|---|---|---|---|
| Cameron Emergency Physicians PC | |||||
| 1600 E Evergreen | Cameron | MO | 64429 | Emergency physicians | $1,536,618 |
| Premier Specialty Network | |||||
| 1835 E Republic Rd Suite 200 | Springfield | MO | 65804 | Physician specialists | $1,507,945 |
| Psychiatric Solutions Inc | |||||
| PO Box 840839 | Dallas | TX | 75284 | Operation of BHU unit | $1,355,416 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 36685 | Computer support services | $401,481 |
| Comp Health | |||||
| PO BOX 972651 | Dallas | TX | 75397 | OB-GYN & Surgery coverage | $324,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $21,797 | RelatedOrganizationsAmt |
| All Other Contributions | $218,135 | AllOtherContributionsAmt |
| Total Contributions | $239,932 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient service revenue | 622110 | $56,893,486 | $56,893,486 |
| EHR incentive payments | 900099 | $1,257,106 | $1,257,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,150,592 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $824,320 | TotalRevenueColumnAmt |
| Exclusion | $824,320 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,095 | TotalRevenueColumnAmt |
| Exclusion | $31,095 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,800 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,800 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,800 | TotalRevenueColumnAmt |
| Exclusion | $59,800 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,105,515 | SecuritiesAmt |
| Other | $7,560 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,334,656 | SecuritiesAmt |
| Other | $6,769 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $770,859 | SecuritiesAmt |
| Other | $791 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $771,650 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $771,650 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria | 722210 | $112,545 | $112,545 |
| Other income | 900099 | $36,831 | $36,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $149,376 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,226,765 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,922,242 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,064,591 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,600 | TotalAmt |
| Program Services | $32,600 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,833,544 | TotalAmt |
| Program Services | $1,370,446 | ProgramServicesAmt |
| Management And General | $463,098 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,464,648 | TotalAmt |
| Program Services | $22,653,681 | ProgramServicesAmt |
| Management And General | $1,810,967 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,000 | TotalAmt |
| Program Services | $270,574 | ProgramServicesAmt |
| Management And General | $25,426 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,010,533 | TotalAmt |
| Program Services | $3,680,991 | ProgramServicesAmt |
| Management And General | $329,542 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,203 | TotalAmt |
| Program Services | $1,555,984 | ProgramServicesAmt |
| Management And General | $146,219 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,900 | TotalAmt |
| Management And General | $267,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,784,666 | TotalAmt |
| Program Services | $8,173,589 | ProgramServicesAmt |
| Management And General | $611,077 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,353 | TotalAmt |
| Program Services | $88,911 | ProgramServicesAmt |
| Management And General | $156,442 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,162,152 | TotalAmt |
| Program Services | $905,170 | ProgramServicesAmt |
| Management And General | $256,982 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,934 | TotalAmt |
| Program Services | $548,905 | ProgramServicesAmt |
| Management And General | $48,029 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,933 | TotalAmt |
| Program Services | $464,012 | ProgramServicesAmt |
| Management And General | $64,921 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,958 | TotalAmt |
| Program Services | $204,380 | ProgramServicesAmt |
| Management And General | $48,578 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $887,880 | TotalAmt |
| Program Services | $887,880 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,683,759 | TotalAmt |
| Program Services | $2,355,267 | ProgramServicesAmt |
| Management And General | $328,492 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,085 | TotalAmt |
| Program Services | $55,820 | ProgramServicesAmt |
| Management And General | $470,265 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $4,768,893 | $4,768,893 | |
| Pharmaceuticals | $4,380,359 | $4,380,359 | |
| Repairs and maintenance | $1,131,367 | $987,482 | $143,885 |
| Collection fees | $379,137 | $379,137 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,437 | TotalAmt |
| Program Services | $692,204 | ProgramServicesAmt |
| Management And General | $289,657 | ManagementAndGeneralAmt |
| Fundraising | $7,576 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,925,341 | TotalAmt |
| Program Services | $54,077,148 | ProgramServicesAmt |
| Management And General | $5,840,617 | ManagementAndGeneralAmt |
| Fundraising | $7,576 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,471 | BOYAmt |
| EOY | $195,849 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,288,559 | BOYAmt |
| EOY | $9,392,549 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,229,866 | BOYAmt |
| EOY | $11,995,449 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,049,261 | BOYAmt |
| EOY | $1,078,770 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,773 | BOYAmt |
| EOY | $290,520 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $65,756,086 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,472,549 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,430,716 | BOYAmt |
| EOY | $21,283,537 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,217,879 | BOYAmt |
| EOY | $37,814,562 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,525,418 | BOYAmt |
| EOY | $5,083,262 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,203,943 | BOYAmt |
| EOY | $87,134,498 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,364,408 | BOYAmt |
| EOY | $6,235,053 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,406,183 | BOYAmt |
| EOY | $24,735,003 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,329 | BOYAmt |
| EOY | $494,438 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,347,920 | BOYAmt |
| EOY | $31,464,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,061,316 | BOYAmt |
| EOY | $54,831,389 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,707 | BOYAmt |
| EOY | $838,615 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,856,023 | BOYAmt |
| EOY | $55,670,004 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,203,943 | BOYAmt |
| EOY | $87,134,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $301,424 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,499,402 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $13,155 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,331,535 | OtherCostOrOtherBasisAmt |
| Book Value | $1,331,535 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,246,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,136,488 | DepreciationAmt |
| Book Value | $12,110,440 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,416,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,873,222 | DepreciationAmt |
| Book Value | $6,543,367 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,761,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $462,839 | DepreciationAmt |
| Book Value | $1,298,195 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,283,537 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred debt issuance costs | $422,192 |
| Third party payor settlements | $3,904,119 |
| Beneficial interest in net assets of CRMC Foundation | $581,559 |
| Other receivables | $88,192 |
| Accrued interest and dividends | $39,884 |
| Cash value of life insurance | $47,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,083,262 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management is not aware of any uncertainties in income tax positions. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $945,279 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $867,210 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,737,673 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,759,875 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,977,798 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,682,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,627,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,055,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $278,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,760 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $273,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,619,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,036,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,583,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,955,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,040,881 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,915,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,638,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,667,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,970,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,087,724 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $408,772 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,135,541 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,013,819 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,878,278 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | Cameron Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Inc | 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 | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.cameronregional.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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://cameronregional.org/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://cameronregional.org/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://cameronregional.org/ | 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 |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 5: The Medical Center conducted a town hall meeting and invited local hospital, public health community, mental health community, free clinics, community-based clinics, service providers, local residents, community leaders, opinion leaders, school leaders, business leaders, local government, faith-based organizations and persons (or organizations serving them), people with chronic conditions, uninsured community members, low income residents, and minority groups. |
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 11: The following is the description of the actions taken during the most recent fiscal year to address the significant needs identified through the CHNA:General Notes Addressing Multiple Priorities/Objectivesa) CRMC's 16th Annual Health Fair (held in 2018) was expanded from previous years and included the following offerings: Extensive blood work (anemia, blood sugar, thyroid, cholesterol panel, iron, GFR, and BUN/Creatinine),medication counseling, prescription disposal education, kidney function screenings, podiatry screenings, shingles education, hearing screenings, education on mental health and associated resources, vision screenings, fall risk assessments, sleep disorders education, oral cancer screenings, glucose testing, blood pressures, parent training under the Missouri Parents Act (MPACT), diabetes/nutrition education, depression and anxiety screenings, stroke education, and pulse oximetry. All of the above were provided to the public free of charge. Flu vaccinations were offered for a nominal charge. Over 300 participants from 17 counties and two states attended the comprehensive event; andb) A Regional Resource Directory for CRMC's primary service area was developed several years ago and is updated/maintained on a regular basis. It is distributed to area residents upon request and disseminated at certain public meetings and events as sponsored by the Medical Center. Covering CRMC's four-county service area (Clinton, Caldwell, Daviess and DeKalb), the directory includes mental health services, alcohol and drug treatment programs, wellness/fitness centers, medical services, and several other categories affecting the health of area residents.Priority/Object No. 1 - Mental HealthDue to a continuing shortage of mental health providers in rural northwest Missouri and the continuing increase in demand for this service, Cameron Regional Medical Center ("CRMC") remains committed to expanding its offerings in this specialty. Seven Psychiatrists, including a Child Psychiatrist and a Geriatric Psychiatrist, provide inpatient and outpatient services at CRMC on a regularly-scheduled basis. In addition, mental health counselors for both adults and children are available on an outpatient basis. Mental health services are marketed throughout CRMC's service area, and free transportation is provided to those members of the public in need of same. CRMC's 18 satellite clinics serve as both referral and education centers for the Medical Center's mental health services. A calendar denoting mental health offerings is placed in 15 area publications on a monthly basis. It is estimated CRMC underwrites/subsidizes well over $115,000 annually in order to provide the above-referenced mental health services and to assure our mental health providers see all patients/payors. CRMC continues to maintain its 10-bed GeroPsychiatric Unit (BHU). A major remodel of the BHU was completed in 2018 to bring it current with anti-ligature regulations. TelePsych services are utilized one day per week in this Unit to enhance physician coverage. A financial feasibility study was performed in mid-2018 concerning the potential for implementing a ten-bed (inpatient) Adult Mental Health Unit at CRMC; however, a high Medicaid and self-pay payor mix may preclude construction of such a unit unless a corporate partner can be identified. Adult Mental Health First Aid Training sessions are held annually in the Cameron area by Preferred Family Healthcare, a division of the Behavioral Health Funded Prevention Resource Center in Kirksville, Missouri. CRMC staff members from the E.R., Home Health, Hospice, and Behavioral Health Unit have attended these sessions.Priority/Objective No. 2 Substance Abuse (Alcohol/Drugs/Prescriptions/Tobacco)Detailed information on smoking cessation is included in all CRMC admission packets, and in discharge packets for those patients who smoke. The Medical Center assists its employees financially with smoking cessation products. CRMC, through its network of primary care clinics, physicians, hospital Pharmacy, and mid-level providers, continues to facilitate and promote concerted efforts against prescription drug/medication abuse. The Medical Center's e-prescribing software and a straightforward communication system with area pharmacies both aid in monitoring and tracking "doctor shopping" efforts by patients suspected of same. The Medical Center assists the Cameron Police Department with marketing its annual "Prescription Drug Take-Back Day" held in conjunction with the DEA. On a related note, the CRMC Medical Staff donates a substantial sum on an annual basis to the Missouri Association of Osteopathic Physicians and Surgeons' (MAOPS') Physicians Health Program (PHP). PHP provides addiction treatment resources and coordinates the care of the health care professional throughout his/her treatment program, with the goal of facilitating and expediting his/her return to good health and normal personal and professional functioning.Priority/Objective No. 3 Obesity/Nutrition/FitnessCRMC continues to provide a regimented physician-assisted weight loss program at highly-discounted rates via one of its satellite clinics. Free bi-monthly training/education classes on diabetes, nutrition, food labels, and healthy eating are held, with excellent participation rates. From fitness/wellness, youth activities, and anti-obesity standpoints, CRMC and its Medical Staff have both been making sizeable annual donations toward the recent relocation and expansion of the Cameron YMCA under terms of five-year pledges. The CRMC Foundation has made sizeable annual donations to two area walking/fitness trails via three-year pledges (Cameron and Plattsburg). CRMC and the CRMC Foundation continue to sponsor their 4-Mile Run, 2-Mile Walk, and Children's Fun Run on the Fourth of July each year. Approximately 250 runners, walkers, and children participate each year in this fitness/wellness event. The 30th Annual Run/Walk was held in 2018. Fitness challenges are sponsored for CRMC employees at least twice a year. CRMC continues to assist its employees financially with their membership fees at area fitness centers. In the early fall of 2018, CRMC became a remote site for the University of Kansas's "Midwest Diet and Exercise Trial." This weight management program for area residents was made possible via a grant the University received. The CRMC Foundation continues to operate a one-mile Wellness/Fitness Trail on the CRMC campus. This facility is available free-of-charge to the public 365 days per year during daylight hours. Annual maintenance expenses for the Trail run approximately $13,000. CRMC's Wellness Nurse continues to expand the offerings made to area businesses/employers. These include: Blood pressure and pulse checks, pulse oximetry, blood glucose and cholesterol, weight and height with BMI calculations, free educational presentations, mini health fairs, lab work, and flu shots. In response to the closing of the Cameron Nutrition Site (Stella Grinstead Center) due to a lack of State funding, CRMC assumed operation of the Meals on Wheels Program to benefit homebound Cameron residents living in Clinton County beginning in June 2018. Additionally, all seniors residing in the area have a standing invitation to eat breakfast and/or lunch in the CRMC Dining Room at greatly-reduced rates five days per week. These two affordable approaches are nutritionally, physically, and mentally benefitting area seniors via hot, healthy meals and the comradery, fellowship, and socialization afforded those choosing to partake. Financial assistance forms are available for those participants experiencing monetary difficulties. |
| Cameron Regional Medical Center, Inc. | Part V, Section B, Line 11: Priority/Objective No. 4 Parenting and Social SupportWhile CRMC does not delve into the particulars of parenting, the Medical Center recognizes the financial stresses placed on area families by medical costs and today's society. From a social support aspect, CRMC's collection policies remain extremely lenient. The Medical Center and its satellite clinics offer a prompt pay discount on all self-pay balances. Charity care is available if the patient makes a good-faith effort, meets U.S. Federal Poverty Guidelines, and completes the applicable paperwork. CRMC's temperate collection policies are widely publicized in area media. Monthly audits are conducted to determine the public's satisfaction with CRMC's billing formats and practices. CRMC's high school scholarship program for 2018 represented its 29th annual offering. A total of $9,000 was awarded to 18 high school seniors entering a health care field of study. These awards are available to students residing throughout five counties and are renewable for an additional three years to address undergraduate studies. Renewals each year average a total of approximately $12,000 - $15,000. CRMC also makes available a total of $10,000 to second-year health care students at North Central Missouri College in Trenton, Missouri on an annual basis. As a third prong, the CRMC Medical Staff awards a $5,000 scholarship each year to a promising first-year medical student. CRMC continues to sponsor free prenatal, childbirth, and breastfeeding classes periodically.Immunization education is provided to young families via CRMC's physicians, mid-levels, satellite (primary care) clinics, and Obstetrics Unit. The CRMC Foundation purchased and donated six Infant CPR Kits to the Cameron Parents as Teachers program for their family safety endeavors. The CRMC Foundation purchased and donated early childhood vision screening equipment to be used by eight school districts in the Medical Center's service area. From a safety standpoint, CRMC provides free Athletic Trainer services during area high schools' sporting events. CRMC maintains a close working relationship with area Ministerial Alliances, particularly in terms of families in need. The Medical Center is a strong supporter of the Cameron Women's Domestic Abuse Shelter. As previously mentioned under Priority/Objective No. 1, and as a means of social support, CRMC is currently operating five full-time Patient Courtesy Vans throughout eight counties in rural northwest Missouri. Free transportation is provided Monday through Saturday to patients in need of medical services, but who have no other viable means of transportation. Patients are transported to and from the Medical Center, physicians' offices,CRMC's satellite clinics, and/or CRMC's outpatient specialty clinics. Based on need, transportation to tertiary centers is also made available under certain circumstances. Also for social support purposes, CRMC continues to provide free public education seminars on Medicare,Medicaid, Medicare Advantage, managed care, Part D, the PPACA, commercial insurance, and other third-party payors two to three times per year. In addition, the Medical Center provides individuals with free enrollment assistance for both Medicaid and Medicare. Over $9,500 was donated in FYE 2018 to area schools, sports teams, community events, and civic organizations for projects benefitting youth. As a result, CRMC was the recent recipient of the Cameron Optimist Club's "Friend of Youth" award.Priority/Objective No. 6 Urgent Care ServicesAs feasibility studies show the area's population is not sufficient to support an Urgent Care Center in Cameron, CRMC's After-Hours Care Program at Walnut Medical Clinic continues to provide evening health care services as an alternative. In addition to normal daytime clinic hours, After-Hours providers are available Monday thru Thursday nights, 5:00 8:00 p.m., and are utilized to capacity approximately 85% - 90% of the time. Further expansion of the After-Hours Care Program is being strongly considered for the near future. Additionally, early morning hours have been implemented five days per week at Westside Medical Offices in Cameron. Other CRMC satellite clinics are considering implementing Saturday hours. In order to promote easy access to care, CRMC provides primary care services via 18 satellite clinics located throughout five counties. A new Rural Health Clinic is being planned for DeKalb County. CRMC's 24-hour Emergency Room sees all patients, regardless of ability to pay and circumstances.Needs NOT Addressed for FYE 9-30-18Priority/Objective No. 5 Child CareAs child care is not a central component of CRMC's mission or operations, the Medical Center plays a SUPPORTING ROLE ONLY in addressing this need. The Medical Center cooperates in economic development efforts toward promoting new businesses whenever feasible in the hope of realizing additional pre-schools and child care centers. CRMC will soon be looking into the Cameron YMCA's needs for additional child-care facilities. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Cameron Medical Clinic | ||||
| 1600 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 2 - Bethany Health Services | ||||
| 903 North 25th Street | Bethany | MO | 64424 | Medical Clinic |
| 3 - Westside Medical Offices | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 4 - Walnut Medical Clinic | ||||
| 221 E 7th Street | Cameron | MO | 64429 | Medical Clinic |
| 5 - Cameron Specialists - Internal Medicine | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 6 - Hamilton Family Health Center | ||||
| 103 N Davis | Hamilton | MO | 64644 | Rural Health Clinic |
| 7 - Maysville Family Health | ||||
| 1007 S Polk | Maysville | MO | 64469 | Rural Health Clinic |
| 8 - Cameron Obstetrics & Gynecology | ||||
| 1600 E Evergreen Suite A | Cameron | MO | 64429 | Medical Clinic |
| 9 - Gallatin Family Medicine | ||||
| 502 S Main | Gallatin | MO | 64640 | Rural Health Clinic |
| 10 - Lathrop Medical Clinic | ||||
| 106 North Street | Lathrop | MO | 64465 | Medical Clinic |
| 11 - Pattonsburg Medical Clinic | ||||
| 110 N Central Ave | Pattonsburg | MO | 64670 | Rural Health Clinic |
| 12 - Polo Family Health Center | ||||
| 198 Main Street | Polo | MO | 64671 | Rural Health Clinic |
| 13 - Jamesport Outreach Clinic | ||||
| 409 W Auberry Grove | Jamesport | MO | 64648 | Rural Health Clinic |
| 14 - Cameron Nephrology Clinic | ||||
| 1600 E Evergreen Suite B | Cameron | MO | 64429 | Medical Clinic |
| 15 - Stewartsville Medical Clinic | ||||
| 106 E 4th | Stewartsville | MO | 64490 | Rural Health Clinic |
| 16 - Plattsburg Family Medicine | ||||
| 214 N Main | Plattsburg | MO | 64477 | Rural Health Clinic |
| 17 - Eagleville Medical Clinic | ||||
| 12050 12th Street | Eagleville | MO | 64442 | Rural Health Clinic |
| 18 - Gilman City Medical Clinic | ||||
| 427 Main Street | Gilman City | MO | 64642 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost-to-charge ratio derived from Worksheet 2 was used to calculate the amounts reported on line 7. |
| Part I, Line 7g: | The costs of subsidized health services include costs attributable to multiple physician clinics in the amount of $9,138,011. |
| Part III, Line 4: | See note A3 (page 8) of the audited financial statements regarding the allowance for uncollectible accounts.Part III Line 2:This amount was determined by multiplying a cost-to-charge ratio derived from Worksheet 2 by the Medical Center's bad debt expense for the tax year.Part III, Line 3:This amount was determined based on the overall income level of patients that submit all required documentation under the Medical Center's financial assistance policy. After the portion of bad debt cost attributed to subsidized health services, The Medical Center considers $306,856 of bad debt cost as community benefit. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualfies bad debts as a community benefit. |
| Part III, Line 8: | Medicare costs were obtained from the Medical Center's as-filed Medicare cost report for the tax year.The shortfall is a benefit to the Medical Center's community since it represents health care provided at less than cost to elderly and needy residents of the Medical Center's service area. |
| Part III, Line 9b: | At the time of admission and before discharge, each patient will receive a notice that the Medical Center has a Financial Assistance Policy (with a brief description of such policy) and directions for obtaining additional information about such policy. All itemized statements sent to the patient include a notice that the Medical Center has a Financial Assistance Policy and directions for obtaining additional information about such policy. If a patient submits a Financial Assistance Policy application, all payment notifications and collection actions are suspended until it is determined whether the patient is eligible for the Financial Assitance Policy (and if so, notifications and collection actions will cease). |
| Part VI, Line 2: | The Medical Center relies on the feedback and requests taken from patients of the Medical Center and its numerous clinics, as well as residents from its primary service area. |
| Part VI, Line 3: | The Medical Center employs a social worker that informs all patients of all available payment options. |
| Part VI, Line 4: | Cameron Regional Medical Center and its ten rural health clinics are located in Northwest Missouri. The primary service area is comprised of four rural counties consisting of Daviess, Caldwell, DeKalb, and Clinton. There are approximately 50,521 individuals that reside in the primary service area. Of these residents approximately 12.2% of them have an annual income below the federal poverty level. The median annual income per household for the four counties is approximately $48,698. Approximately 42% of the total services provided are for Medicare patients and 13% are for Medicaid patients. The nearest surrounding hospitals are located in Smithville, Excelsior Springs, and Richmond. The distance between these facilities and Cameron Regional Medical Center is approximately 28, 28, and 31 miles respectively. |
| Part VI, Line 5: | Cameron Regional Medical Center's governing body is comprised of residents from its primary service area. The Medical Center extends medical privileges to all local physicians who meet the requirements of the medical staff bylaws. All surplus funds are used to maintain and improve the medical facility and medical equipment in order to provide the best medical treatment possible to every patient. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | College scholarships | GrantTypeTxt |
| Recipient | 48 | RecipientCnt |
| Cash Grant | $32,600 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Scholarships are paid directly to the college of the recipient. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frederick Kiehl | ||||||||||||||
| Physician & Director through Jan 201 | $174,429 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $174,429 | $0 | $0 | $0 |
| Laeeq Azmat Tahirkheli | ||||||||||||||
| Physician & Director (beg. Feb 2018) | $589,252 | $0 | $232,274 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $821,526 | $0 | $0 | $0 |
| Laura Harbison | ||||||||||||||
| Physician & Director (beg. Feb 2018) | $332,768 | $0 | $3,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $336,268 | $0 | $0 | $0 |
| Joseph F Abrutz Jr | ||||||||||||||
| Administrator | $276,984 | $0 | $93,126 | $0 | $0 | $0 | $0 | $0 | $7,168 | $0 | $377,278 | $0 | $0 | $0 |
| Rosa Patti | ||||||||||||||
| Chief Financial Officer | $97,539 | $0 | $78,510 | $0 | $0 | $0 | $0 | $0 | $11,025 | $0 | $187,074 | $0 | $0 | $0 |
| Muhammad Amin | ||||||||||||||
| Physician | $348,643 | $0 | $128,669 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $477,312 | $0 | $0 | $0 |
| Doak Doolittle | ||||||||||||||
| Physician | $462,439 | $0 | $74,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $536,439 | $0 | $0 | $0 |
| Shahzad Shafique | ||||||||||||||
| Physician | $391,147 | $0 | $86,748 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $477,895 | $0 | $0 | $0 |
| Daut Gjoni | ||||||||||||||
| Physician | $318,637 | $0 | $152,750 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $471,387 | $0 | $0 | $0 |
| Arihant Jain | ||||||||||||||
| Physician | $431,526 | $0 | $11,264 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $442,790 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6 | The Administrator is eligible for an annual bonus that is partially contingent on meeting a specific operating margin percentage. |
| Part I, Line 7 | The Administrator is eligible for an annual bonus that is partially contingent on meeting quality measures goals and strategic planning goals. The Chief Financial Officer also received a bonus during the fiscal year ending in 2018 for completing a variety of special projects for the Medical Center. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| The Industrial Development Authority of Clinton County Missouri | ||||||||
| A | 431619770 | 18746NAM2 | 2017-09-06 | $10,000,000 | Refund Series 2007B bonds issued on 05/17/2007 | 0 | 0 | 0 |
| The Industrial Development Authority of Clinton County Missouri | ||||||||
| B | 431619770 | 18746NAQ3 | 2017-09-06 | $3,990,000 | Financing of capital project and equipment | 0 | 0 | 0 |
| The Industrial Development Authority of the City of Cameron Missouri | ||||||||
| C | 431679396 | 133451BS2 | 2017-12-21 | $6,105,000 | Refund Series 2011 bond and financing of capital project | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $150,000 | $10,000,000 | $482,538 | $170,257 | $9,348,788 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $3,990,000 | $400,313 | $68,386 | $21,250 | 2018 | 0 | 0 | Yes (1) | Yes (1) | $3,441,731 | $61,916 | |
| C | $6,105,000 | $240,790 | $121,226 | $2,939,863 | Yes (1) | 0 | 0 | Yes (1) | $1,477,231 | $1,341,335 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | A copy of form 990 is made available to the governing body prior to filing. |
| Form 990, Part VI, Section B, line 12c | Employees and Directors are required to complete an annual disclosure information form. |
| Form 990, Part VI, Section B, line 15a | The Board of Trustees is responsible for deteriming the job performance standards for the Administrator/CEO and determining compensation according to the organizations policies. |
| Form 990, Part VI, Section C, line 19 | Organization makes its governing documents available upon request. |
| Form 990, Part IX, line 11g | Professional fees: Program service expenses 5,170,022. Management and general expenses 35,853. Fundraising expenses 0. Total expenses 5,205,875. Purchased services: Program service expenses 2,415,195. Management and general expenses 575,224. Fundraising expenses 0. Total expenses 2,990,419. Reference lab fees: Program service expenses 588,372. Management and general expenses 0. Fundraising expenses 0. Total expenses 588,372. |
| Form 990, Part XI, line 9: | Change in beneficial interest in net assets of Foundation net of transfers 13,155. |
| Form 990, Part XII, Line 2C: | The audit committee assumes the responsibility for the oversight of the audited financial statements, review of the Form 990, and selection of the independent accounting firm. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Provider Management Service Organization LL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472649803 | EIN |
| Primary Activities | To provide support and administrative services to physician groups | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cameron Regional Medical Center Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 East Evergreen Street | AddressLine1Txt |
| City | Cameron | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64429 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742933060 | EIN |
| Primary Activities | To support the operation of the Cameron Regional Medical Center, Inc.. | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | 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 | Yes (1) | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |