CAMERON REGIONAL MEDICAL CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CAMERON REGIONAL MEDICAL CENTER INC (EIN 44-0668347)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-07
- IRS object ID
- 201742199349300439
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-07T11:27:18-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 | 2015-10-01 | 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 | 2017-07-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Eric L Otting | PreparerPersonNm |
| PTIN | P00298454 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2017-07-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $60,607,795 | 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 acute 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 | 79 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $230,665 | PYContributionsGrantsAmt |
| CY Contributions Grants | $197,677 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $56,581,501 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,642,250 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,023,064 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,538,264 | CYInvestmentIncomeAmt |
| PY Other Revenue | $351,906 | PYOtherRevenueAmt |
| CY Other Revenue | $222,271 | CYOtherRevenueAmt |
| PY Total Revenue | $59,187,136 | PYTotalRevenueAmt |
| CY Total Revenue | $60,600,462 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $34,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,137,976 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,666,399 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,861 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,947,400 | PYOtherExpensesAmt |
| CY Other Expenses | $26,504,772 | CYOtherExpensesAmt |
| PY Total Expenses | $54,119,376 | PYTotalExpensesAmt |
| CY Total Expenses | $57,202,171 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,067,760 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,398,291 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,226,290 | TotalAssetsBOYAmt |
| Total Assets EOY | $84,509,768 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,372,288 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,951,095 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,854,002 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $59,558,673 | 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 | $51,054,376 | ExpenseAmt |
| Grant | $31,000 | GrantAmt |
| Revenue | $59,417,638 | 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 | $51,054,376 | 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 | Yes (1) | 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 | Yes (1) | 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 | 48 | 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 | 0 | 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 (20 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 | ||
| Rick Hatten | |||||||
| Director | 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 | 11.00 | Yes (X) | $40,014 | $0 | $0 | ||
| Stephanie Davis | |||||||
| Physician & Director | 1.00 | Yes (X) | $41,675 | $0 | $0 | ||
| Joseph F Abrutz Jr | |||||||
| Administrator | 40.00 | Yes (X) | $326,608 | $0 | $9,766 | ||
| Rosa Patti | |||||||
| Chief Financial Officer | 40.00 | Yes (X) | $161,850 | $0 | $13,229 | ||
| Muhammad Amin | |||||||
| Physician | 40.00 | $352,454 | $0 | $0 | Yes (X) | ||
| Doak Doolittle | |||||||
| Physician | 41.00 | $530,370 | $0 | $0 | Yes (X) | ||
| Shahzad Shafique | |||||||
| Physician | 40.00 | $411,587 | $0 | $0 | Yes (X) | ||
| Laeeq Tahirkheli | |||||||
| Physician | 41.00 | $692,588 | $0 | $0 | Yes (X) | ||
| Daut Gjoni | |||||||
| Physician | 40.00 | $459,652 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,016,798 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $22,995 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | 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 |
|---|---|---|---|---|---|
| Premier Specialty Network | |||||
| 1835 E Republic Rd Suite 200 | Springfield | MO | 65804 | Physician specialists | $1,571,865 |
| Cameron Emergency Physicians PC | |||||
| 1600 E Evergreen | Cameron | MO | 64429 | Emergency physicians | $1,123,348 |
| Psychiatric Solutions Inc | |||||
| PO Box 840839 | Dallas | TX | 75284 | Operation of BHU unit | $968,955 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 36685 | Computer support services | $388,450 |
| Orthopedic Surgeons Inc | |||||
| 2790 Clay Edwards Dr Suite 650 | North Kansas City | MO | 64116 | Surgeons | $264,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $197,677 | AllOtherContributionsAmt |
| Total Contributions | $197,677 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient service revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $58,642,250 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,642,250 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,642,250 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $758,330 | TotalRevenueColumnAmt |
| Exclusion | $758,330 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,546 | TotalRevenueColumnAmt |
| Exclusion | $4,546 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $68,880 | 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 | $68,880 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,880 | TotalRevenueColumnAmt |
| Exclusion | $68,880 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $765,388 | SecuritiesAmt |
| Other | $17,333 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $7,333 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $765,388 | SecuritiesAmt |
| Other | $10,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $775,388 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $775,388 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria | 722210 | $105,366 | $105,366 |
| Clinic management services | 900099 | $42,829 | $42,829 |
| Other income | 900099 | $5,196 | $5,196 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $153,391 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,600,462 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,417,638 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $985,147 | 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 | $31,000 | TotalAmt |
| Program Services | $31,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,357 | TotalAmt |
| Program Services | $160,834 | ProgramServicesAmt |
| Management And General | $576,523 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,800,977 | TotalAmt |
| Program Services | $22,974,729 | ProgramServicesAmt |
| Management And General | $1,826,248 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,370 | TotalAmt |
| Program Services | $343,413 | ProgramServicesAmt |
| Management And General | $34,957 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072,902 | TotalAmt |
| Program Services | $2,808,360 | ProgramServicesAmt |
| Management And General | $264,542 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,676,793 | TotalAmt |
| Program Services | $1,521,877 | ProgramServicesAmt |
| Management And General | $154,916 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,519 | TotalAmt |
| Management And General | $184,519 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,732,283 | TotalAmt |
| Program Services | $7,194,997 | ProgramServicesAmt |
| Management And General | $537,286 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,535 | TotalAmt |
| Program Services | $102,615 | ProgramServicesAmt |
| Management And General | $170,920 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,164,871 | TotalAmt |
| Program Services | $784,414 | ProgramServicesAmt |
| Management And General | $380,457 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,987 | TotalAmt |
| Program Services | $454,245 | ProgramServicesAmt |
| Management And General | $46,742 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,495 | TotalAmt |
| Program Services | $435,957 | ProgramServicesAmt |
| Management And General | $58,538 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,083 | TotalAmt |
| Program Services | $262,338 | ProgramServicesAmt |
| Management And General | $41,745 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,108 | TotalAmt |
| Program Services | $839,108 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,375,060 | TotalAmt |
| Program Services | $2,974,440 | ProgramServicesAmt |
| Management And General | $400,620 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,140 | TotalAmt |
| Program Services | $52,607 | ProgramServicesAmt |
| Management And General | $625,533 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $4,643,005 | $4,643,005 | |
| Pharmaceuticals | $3,735,063 | $3,735,063 | |
| Repairs and maintenance | $1,079,843 | $919,863 | $159,980 |
| Collection fees | $264,568 | $264,568 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,235,212 | TotalAmt |
| Program Services | $815,511 | ProgramServicesAmt |
| Management And General | $414,840 | ManagementAndGeneralAmt |
| Fundraising | $4,861 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,202,171 | TotalAmt |
| Program Services | $51,054,376 | ProgramServicesAmt |
| Management And General | $6,142,934 | ManagementAndGeneralAmt |
| Fundraising | $4,861 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,088 | BOYAmt |
| EOY | $112,666 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,789,282 | BOYAmt |
| EOY | $7,782,616 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,132,479 | BOYAmt |
| EOY | $20,312,687 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $874,661 | BOYAmt |
| EOY | $1,080,890 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,876 | BOYAmt |
| EOY | $280,345 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,815,692 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,851,625 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,157,202 | BOYAmt |
| EOY | $19,964,067 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,728,434 | BOYAmt |
| EOY | $30,657,658 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,606,268 | BOYAmt |
| EOY | $4,318,839 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,226,290 | BOYAmt |
| EOY | $84,509,768 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,749,844 | BOYAmt |
| EOY | $4,892,563 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,909,781 | BOYAmt |
| EOY | $19,374,336 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,103 | BOYAmt |
| EOY | $665,016 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,560 | BOYAmt |
| EOY | $19,180 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,372,288 | BOYAmt |
| EOY | $24,951,095 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,107,958 | BOYAmt |
| EOY | $58,789,815 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,044 | BOYAmt |
| EOY | $768,858 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,854,002 | BOYAmt |
| EOY | $59,558,673 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,226,290 | BOYAmt |
| EOY | $84,509,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,398,291 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,298,477 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,903 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,311,382 | OtherCostOrOtherBasisAmt |
| Book Value | $1,311,382 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,371,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,176,665 | DepreciationAmt |
| Book Value | $11,195,138 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,301,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,320,661 | DepreciationAmt |
| Book Value | $6,980,908 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $830,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $354,299 | DepreciationAmt |
| Book Value | $476,639 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,964,067 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred debt issuance costs | $383,933 |
| Third party payor settlements | $3,141,505 |
| Beneficial interest in net assets of CRMC Foundation | $544,551 |
| Other receivables | $173,793 |
| Accrued interest and dividends | $27,741 |
| Cash value of life insurance | $47,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,318,839 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Capital lease obligations | Desc |
| Amt | $19,180 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,180 | TotalLiabilityAmt |
| 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 | $864,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $837,217 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,334,155 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,033,530 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $300,625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,198,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,870,747 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $327,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $275,793 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,281 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $273,512 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,686,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,747,929 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,938,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06880 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,043,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,750,210 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,292,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,241,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,620,957 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,620,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,504,079 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $450,408 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,229,256 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,473,289 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,244,033 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.cameronregional.org/business-office/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.cameronregional.org/business-office/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.cameronregional.org/business-office/ | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 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:1) Lack of adequate health insurance coverage - CRMC continues to provide free public education seminars on Medicare, Medicaid, Medicare Advantage, managed care, commercial insurance, Part D, the PPACA, and other third-party payors two to three times per year. The Medical Center also provides free counseling and enrollment assistance for both Medicaid and Medicare and free counseling for commercial insurance, managed care, and other payors. Customized notices are included on each bill/statement to keep patients apprised of account status. As has long been the case, CRMC's collection policies remain lenient. Small payments are accepted when necessary; and, as long as a consistent, good-faith effort is made to pay the bill, the account will remain with CRMC and the patient will not be sent to a collection agency. Patients receive seven statements over seven months before inactivity/unresponsiveness triggers any "hard" collection effort. 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.2) Expand Mental Health services (increase providers) - Due to a shortage of mental health providers in rural northwest Missouri and the growing need for this service, CRMC continues to focus on increasing the number of Psychiatrists on the Medical Staff. Five 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 are now available at CRMC on a regular outpatient basis for both children and adults (one day per week and three days per week, respectively). All mental health providers see all payors (Medicaid, self-pay, TriCare, etc.). CRMC's mental health services are promoted via flyers, newspaper ads, and the Medical Center's monthly Outpatient Clinic Calendar. As a high percentage of these patients have no transportation, CRMC continues to run four to five full-time Patient Courtesy Vans into 8 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 transport. CRMC's 10-bed GeroPsychiatric Unit is experiencing patients from a larger geographical area, and administrative discussion has begun on the possibility of a facility expansion if the trend continues. TelePyschiatric services are utilized in the GeroPsychiatric Unit one day per week to enhance the Psychiatrist's coverage.3) Expand education to address drug, alcohol, and tobacco abuse - CRMC pays for 50% of its employees' efforts to discontinue tobacco usage, i.e., smoking-cessation products. As a public safety and public health issue, the Medical Center, through the Cameron Police Department, participates in the DEA's National Take-Back Initiative whereby a safe, convenient, and responsible means of disposing of prescription drugs is provided. Education is also provided to the general public about the potential for abuse of medications if left unsecured in the home (diversion and misuse, as well as accidental poisonings and overdoses). CRMC's Pharmacy, physicians, and area drug stores have established a communication network to monitor for prescription drug abuse on a continuous basis. Within the CRMC clinic network, e-prescribing is utilized for a high percentage of prescriptions, and this number will continue to grow. CRMC, its Medical Staff, and its Foundation are all large donors to the Cameron YMCA, which sponsors many youth activities in the area in an attempt to increase the children's community interest/involvement and keep lines of communication open.4) Explore Urgent Care services; Expand After-Hours Care Program - As Cameron and the surrounding area's population is currently not at a level sufficient to sustain an Urgent Care Center, CRMC's After-Hours Care at Walnut Medical Clinic in Cameron continues to fill a definite void in the availability of evening health care services. After-hour providers are available Monday thru Thursday nights, 5:00-8:00 p.m., and are filled to capacity approximately 90% - 95% of the time. Additionally, early morning hours have been implemented five days per week at Westside Medical Offices in Cameron, and evening hours are available at this clinic three nights per month. After-Hours Care is being considered for another CRMC satellite clinic in an outlying town.5) Fight obesity through nutrition and fitness - In terms of addressing obesity, CRMC continues to provide a regimented physician-assested weight loss program at highly-discounted rates via one of its satellite clinics. Free training/education classes in diabetes, nutrition, and healthy eating are being held six times per year, with excellent participation rates. From fitness/wellness and obesity standpoints, CRMC, its Medical Staff, and the CRMC Foundation made sizeable donations to the recent relocation and expansion of the Cameron YMCA via five-year pledges. The CRMC Foundation made sizeable donations/pledges to two area walking/fitness trails (Cameron and Plattsburg) via three-year pledges. CRMC and the CRMC Foundation continue to sponsor their annual 4-Mile Run, 2-Mile Walk, and Children's Fun Run on the Fourth of July. Approximately 250 runners, walkers, and children participate each year in this fitness/wellness event. CRMC's 14th Annual Health Fair offered extensive blood work (anemia, blood sugar, thyroid, cholesterol, iron, GFR, & BUN/Creatinine), kidney function screenings, vein assessments, spirometries, weight management calculations, sleep study education, glucose testing, blood pressures, and diabetes education (just to name a few) to the public free of charge. Almost 400 participants from 18 counties attended the comprehensive event. Fitness challenges are offered to CRMC employees on a regular basis. Cash incentives are offered for weight loss, certain amounts of physical activity, etc. CRMC reimburses its employees for 70% of fitness center membership dues and for 50% of immediate family members' dues for a minimum participation of three times per week. An inventory of area fitness centers is maintained by the Medical Center. CRMC will also pay for 50% of Weight Watchers and TOPS' fees for its employees. A community vegetable garden was created on the CRMC campus and is maintained by employees. Excess produce is given to the local Food Pantry and Women's Shelter.6) Recruit additional physicians/providers to CRMC service area as needed - A female OB/GYN, Rebecca Poole, M.D., was recruited and began providing both inpatient and outpatient Obstetrics/Gynecology services at CRMC in March 2016. Mental health providers (physicians and counselors) have been expanded for both children and adults. An additional Neurologist has been added to CRMC's Consulting Medical Staff. The number of mid-levels employed by CRMC has grown to 14. These mid-levels serve as "physician extenders" in CRMC's satellite clinics. A mid-level specializing in Sports Medicine, Occupational Medicine, and Workers' Compensation Medicine was hired. Through its strategic planning process involving the Board, Medical Staff, and outside professional planner, existing physician manpower and potential provider needs are constantly being evaluated in relationship to area population.7) Increase Prenatal Care services - A female OB/GYN was recruited and began providing Obstetrics/Gynecology, including prenatal services, at CRMC in March 2016. Free prenatal and childbirth classes are being held at CRMC at least twice a year. Daut Gjoni, M.D., now provides Obstetrics/Gynecology services (including prenatal services) in Lathrop, in addition to Cameron. Rebecca Poole, M.D., now provides Obstetrics/Gynecology services (including prenatal services) in Bethany, in addition to Cameron. CRMC's prenatal services and the availability of tours of its Obstetrics Unit are widely publicized.Description of the actions not taken during the most recent fiscal year:As economic development is not a fundamental part of Cameron Regional Medical Center's mission or critical operations, CRMC plays a SUPPORTING/PARTNERING ROLE ONLY in addressing this need. The Medical Center does cooperate in economic development efforts on an area-wide basis whenever possible in terms of financial support and manpower. CRMC is a major sponsor and displayer at the annual Great Northwest Day in Jefferson City (state capital of Missouri), which serves to promote and showcase the economic development of the Medical Center's service area. |
| 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 - Walnut Medical Clinic | ||||
| 221 E 7th Street | Cameron | MO | 64429 | Medical Clinic |
| 4 - Westside Medical Offices | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 5 - Cameron Specialists - Internal Medicine | ||||
| 1608 E Evergreen | Cameron | MO | 64429 | Medical Clinic |
| 6 - Cameron Obstetrics & Gynecology | ||||
| 1600 E Evergreen Suite A | Cameron | MO | 64429 | Medical Clinic |
| 7 - Gallatin Family Medicine | ||||
| 502 S Main | Gallatin | MO | 64640 | Rural Health Clinic |
| 8 - Maysville Family Health | ||||
| 1007 S Polk | Maysville | MO | 64469 | Rural Health Clinic |
| 9 - Hamilton Family Health Center | ||||
| 212 N Davis | Hamilton | MO | 64644 | Rural Health Clinic |
| 10 - Lathrop Medical Clinic | ||||
| 705 Oak Street | Lathrop | MO | 64465 | Medical Clinic |
| 11 - Polo Family Health Center | ||||
| 101 E Meadowbrook | Polo | MO | 64671 | Rural Health Clinic |
| 12 - Stewartsville Medical Clinic | ||||
| 106 E 4th | Stewartsville | MO | 64490 | Rural Health Clinic |
| 13 - Pattonsburg Medical Clinic | ||||
| 110 N Central Ave | Pattonsburg | MO | 64670 | Rural Health Clinic |
| 14 - Plattsburg Family Medicine | ||||
| 214 N Main | Plattsburg | MO | 64477 | Rural Health Clinic |
| 15 - Jamesport Outreach Clinic | ||||
| 409 W Auberry Grove | Jamesport | MO | 64648 | Rural Health Clinic |
| 16 - Gilman City Medical Clinic | ||||
| 427 Main Street | Gilman City | MO | 64642 | Rural Health Clinic |
| 17 - Cameron Nephrology Clinic | ||||
| 1600 E Evergreen Suite B | Cameron | MO | 64429 | Medical Clinic |
| 18 - Eagleville Medical Clinic | ||||
| 12050 12th Street | Eagleville | MO | 64442 | 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 $7,811,188. |
| 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 $345,732 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 50,494 individuals that reside in the primary service area. Of these residents approximately 12.7% of them have an annual income below the federal poverty level. The median annual income per household for the four counties is approximately $45,378. Approximately 41% of the total services provided are for Medicare patients and 15% 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 | 38 | RecipientCnt |
| Cash Grant | $31,000 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph F Abrutz Jr | ||||||||||||||
| Administrator | $276,175 | $0 | $50,433 | $0 | $0 | $0 | $0 | $0 | $9,766 | $0 | $336,374 | $0 | $0 | $0 |
| Rosa Patti | ||||||||||||||
| Chief Financial Officer | $85,478 | $0 | $76,372 | $0 | $0 | $0 | $0 | $0 | $13,229 | $0 | $175,079 | $0 | $0 | $0 |
| Muhammad Amin | ||||||||||||||
| Physician | $296,457 | $0 | $55,997 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $352,454 | $0 | $0 | $0 |
| Doak Doolittle | ||||||||||||||
| Physician | $456,370 | $0 | $74,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $530,370 | $0 | $0 | $0 |
| Shahzad Shafique | ||||||||||||||
| Physician | $393,194 | $0 | $18,393 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $411,587 | $0 | $0 | $0 |
| Laeeq Tahirkheli | ||||||||||||||
| Physician | $544,357 | $0 | $148,231 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $692,588 | $0 | $0 | $0 |
| Daut Gjoni | ||||||||||||||
| Physician | $325,319 | $0 | $134,333 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $459,652 | $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 2016. The Medical Center is mandated to meet all Meaningful Use Regulations to participate in the electronic health record program mandated by the federal government, with this in mind instead of hiring a special consultant on a contract basis, the CFO took it upon herself to meet the regulations needed to meaningful use, and therefore was approved a bonus based on the complexity of the meaningful use regulations. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Industrial Development Authority of Clinton County Missouri | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521734480 | BondIssuerEIN |
| CUSIP | 133451AB6 | CUSIPNum |
| Bond Issued | 2007-05-17 | BondIssuedDt |
| Issue Price | $9,994,879 | IssuePriceAmt |
| Purpose | Refund Series 2000 bonds issued on 12/13/2000 and purchase equipment | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $9,994,879 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $197,054 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $913,437 | CapitalExpendituresAmt |
| Other Spent Proceeds | $8,884,388 | OtherSpentProceedsAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Karley Patti | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family member of Rosa Patti, CFO | RelationshipDescriptionTxt |
| Transaction | $23,613 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | 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 C, line 19 | Organization makes its governing documents available upon request. |
| Form 990, Part IX, line 11g | Professional fees: Program service expenses 4,267,128. Management and general expenses 48,534. Fundraising expenses 0. Total expenses 4,315,662. Purchased services: Program service expenses 2,407,650. Management and general expenses 488,752. Fundraising expenses 0. Total expenses 2,896,402. Reference lab fees: Program service expenses 520,219. Management and general expenses 0. Fundraising expenses 0. Total expenses 520,219. |
| Form 990, Part XI, line 9: | Change in beneficial interest in net assets of CRMC Foundation 7,903. |
| 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 | 0 | 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 | 0 | 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 |