2019-08-06T10:52:16-05:00 2018-09-30 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2017-10-01 440668347 Cameron Regional Medical Center CAME 8166322101 1600 East Evergreen Street Cameron MO 64429 Joseph Abrutz Jr Administrator 8166322101 2019-08-01 1 Heather R Eichem P01515553 7852334226 2019-08-01 98.172.114.81 2019-08-01 14:44:02 CD P 3054E114B9EEB38A00C1BBBFB4DAEB21D0C275B3 6ED4C352ECD741C4C8B74F128BACFE2DF478024A 2017 2019-02-21 02:37:17Z Joseph Abrutz Jr 1600 East Evergreen Street Cameron MO 64429 67568190 0 X http://www.cameronregional.org/ X 1963 MO To provide inpatient and outpatient medical care to area residents regardless of ability to pay. 13 11 582 67 0 0 274001 239932 57321365 58150592 1639155 1627065 190513 209176 59425034 60226765 33500 32600 0 0 31534924 32306928 0 0 7576 27327242 27585813 58895666 59925341 529368 301424 82203943 87134498 28347920 31464494 53856023 55670004 X 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. 0 0 54077148 32600 58922242 Acute care hospital organized to provide inpatient and outpatient care to area residents regardless of ability to pay. 54077148 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 53 0 1 582 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 MO X Joseph Abrutz Jr 8166322101 1600 East Evergreen St Cameron MO 64429 Warren McElwain President 1.00 X X 0 0 0 Steve Huitt Vice-President 1.00 X X 0 0 0 Jennifer White Secretary 1.00 X X 0 0 0 Michael Poland Treasurer 1.00 X X 0 0 0 Don Gitthens Director 1.00 X 0 0 0 Delvin Jackson Director (beginning in April 2018) 1.00 X 0 0 0 Barbara Ballew Director 1.00 X 0 0 0 Ken Raffety Director 1.00 X 0 0 0 Steve Tinnen Director 1.00 X 0 0 0 Mike Brown Director 1.00 X 0 0 0 David Just Director 1.00 X 0 0 0 Frederick Kiehl Physician & Director through Jan 2018 25.00 X 174429 0 0 Stephanie Davis Physician & Director through Jan 2018 1.00 X 10350 0 0 Laeeq Azmat Tahirkheli Physician & Director (beg. Feb 2018) 40.00 X 821526 0 0 Laura Harbison Physician & Director (beg. Feb 2018) 40.00 X 336268 0 0 Rick Hatten Director through April 2018 1.00 X 0 0 0 Joseph F Abrutz Jr Administrator 40.00 X 370110 0 7168 Rosa Patti Chief Financial Officer 40.00 X 176049 0 11025 Muhammad Amin Physician 40.00 X 477312 0 0 Doak Doolittle Physician 40.00 X 536439 0 0 Shahzad Shafique Physician 40.00 X 477895 0 0 Daut Gjoni Physician 40.00 X 471387 0 0 Arihant Jain Physician 40.00 X 442790 0 0 4294555 0 18193 35 0 1 0 Cameron Emergency Physicians PC 1600 E Evergreen Cameron MO 64429 Emergency physicians 1536618 Premier Specialty Network 1835 E Republic Rd Suite 200 Springfield MO 65804 Physician specialists 1507945 Psychiatric Solutions Inc PO Box 840839 Dallas TX 75284 Operation of BHU unit 1355416 CPSI PO Box 850309 Mobile AL 36685 Computer support services 401481 Comp Health PO BOX 972651 Dallas TX 75397 OB-GYN & Surgery coverage 324280 10 21797 218135 239932 Patient service revenue 622110 56893486 56893486 EHR incentive payments 900099 1257106 1257106 58150592 824320 824320 31095 31095 59800 0 59800 59800 59800 8105515 7560 7334656 6769 770859 791 771650 771650 Cafeteria 722210 112545 112545 Other income 900099 36831 36831 149376 60226765 58922242 0 1064591 X 32600 32600 1833544 1370446 463098 24464648 22653681 1810967 296000 270574 25426 4010533 3680991 329542 1702203 1555984 146219 267900 267900 8784666 8173589 611077 245353 88911 156442 1162152 905170 256982 596934 548905 48029 528933 464012 64921 252958 204380 48578 887880 887880 2683759 2355267 328492 526085 55820 470265 Medical supplies 4768893 4768893 Pharmaceuticals 4380359 4380359 Repairs and maintenance 1131367 987482 143885 Collection fees 379137 379137 989437 692204 289657 7576 59925341 54077148 5840617 7576 232471 195849 9288559 9392549 12229866 11995449 1049261 1078770 229773 290520 65756086 44472549 20430716 21283537 34217879 37814562 4525418 5083262 82203943 87134498 5364408 6235053 22406183 24735003 577329 494438 28347920 31464494 X 53061316 54831389 794707 838615 53856023 55670004 82203943 87134498 X 301424 1499402 13155 X X 0 1 X 1 0 X 1331535 1331535 26246928 14136488 12110440 36416589 29873222 6543367 1761034 462839 1298195 21283537 Deferred debt issuance costs 422192 Third party payor settlements 3904119 Beneficial interest in net assets of CRMC Foundation 581559 Other receivables 88192 Accrued interest and dividends 39884 Cash value of life insurance 47316 5083262 X Part X, Line 2: Management is not aware of any uncertainties in income tax positions. 1 1 1 X 1 X 1 1 1 0 1 1 945279 867210 78069 0.00130 7737673 5759875 1977798 0.03300 8682952 6627085 2055867 0.03430 278383 4760 273623 0.00460 32600 32600 0.00050 12619984 7036121 5583863 0.09320 25000 25000 0.00040 12955967 7040881 5915086 0.09870 21638919 13667966 7970953 0.13300 1 4087724 408772 17135541 20013819 -2878278 X 1 1 1 1 Cameron Regional Medical Center 1600 East Evergreen Street Cameron MO 64429 X X X Cameron Regional Medical Center Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X http://www.cameronregional.org X 1 15 0 1 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X 1 X https://cameronregional.org/ X https://cameronregional.org/ X https://cameronregional.org/ X X X X X 1 X 0 X X 1 X 0 0 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. 18 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 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. 1 College scholarships 48 32600 Part I, Line 2: Scholarships are paid directly to the college of the recipient. X X X 0 0 0 0 0 1 0 1 0 Frederick Kiehl Physician & Director through Jan 201 174429 0 0 0 0 0 0 0 0 0 174429 0 0 0 Laeeq Azmat Tahirkheli Physician & Director (beg. Feb 2018) 589252 0 232274 0 0 0 0 0 0 0 821526 0 0 0 Laura Harbison Physician & Director (beg. Feb 2018) 332768 0 3500 0 0 0 0 0 0 0 336268 0 0 0 Joseph F Abrutz Jr Administrator 276984 0 93126 0 0 0 0 0 7168 0 377278 0 0 0 Rosa Patti Chief Financial Officer 97539 0 78510 0 0 0 0 0 11025 0 187074 0 0 0 Muhammad Amin Physician 348643 0 128669 0 0 0 0 0 0 0 477312 0 0 0 Doak Doolittle Physician 462439 0 74000 0 0 0 0 0 0 0 536439 0 0 0 Shahzad Shafique Physician 391147 0 86748 0 0 0 0 0 0 0 477895 0 0 0 Daut Gjoni Physician 318637 0 152750 0 0 0 0 0 0 0 471387 0 0 0 Arihant Jain Physician 431526 0 11264 0 0 0 0 0 0 0 442790 0 0 0 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. A The Industrial Development Authority of Clinton County Missouri 431619770 18746NAM2 2017-09-06 10000000 Refund Series 2007B bonds issued on 05/17/2007 0 0 0 B The Industrial Development Authority of Clinton County Missouri 431619770 18746NAQ3 2017-09-06 3990000 Financing of capital project and equipment 0 0 0 C The Industrial Development Authority of the City of Cameron Missouri 431679396 133451BS2 2017-12-21 6105000 Refund Series 2011 bond and financing of capital project 0 0 0 A 150000 10000000 482538 170257 9348788 2017 1 0 1 1 B 3990000 400313 68386 3441731 21250 61916 2018 0 0 1 1 C 6105000 240790 121226 1477231 2939863 1341335 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 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. Cameron Regional Medical Center Provider Management Service Organization LL 1600 East Evergreen Street Cameron MO 64429 472649803 To provide support and administrative services to physician groups MO Cameron Regional Medical Center Cameron Regional Medical Center Foundation 1600 East Evergreen Street Cameron MO 64429 742933060 To support the operation of the Cameron Regional Medical Center, Inc.. MO 501(c)(3) Line 7 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0