CAPITAL REGION MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL REGION MEDICAL CENTER (EIN 44-0546366)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-03-18
- IRS object ID
- 201600789349300910
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-03-18T12:18:41-07:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440546366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPITAL REGION MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAPI | BusinessNameControlTxt |
| Phone | 5736325000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 Madison Street | AddressLine1Txt |
| City | Jefferson City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tom Luebbering | PersonNm |
| Person Title | Vice President of Finance | PersonTitleTxt |
| Phone | 5736325101 | PhoneNum |
| Signature | 2016-03-18 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Tom Luebbering | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1432 Southwest Blvd | AddressLine1Txt |
| City | Jefferson City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $166,762,920 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | crmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | Capital Region Medical Center embraces its mission: To improve the health and promote the wellness of the people and communities we serve to reflect commitment to a charitable purpose. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1572 | TotalEmployeeCnt |
| Total Volunteers | 327 | TotalVolunteersCnt |
| Total Gross UBI | -$42,000 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $405,085 | PYContributionsGrantsAmt |
| CY Contributions Grants | $58,340 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $157,520,549 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $166,315,903 | CYProgramServiceRevenueAmt |
| PY Investment Income | $405,285 | PYInvestmentIncomeAmt |
| CY Investment Income | $403,111 | CYInvestmentIncomeAmt |
| PY Other Revenue | $521 | PYOtherRevenueAmt |
| CY Other Revenue | -$42,000 | CYOtherRevenueAmt |
| PY Total Revenue | $158,331,440 | PYTotalRevenueAmt |
| CY Total Revenue | $166,735,354 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $86,493,346 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $93,489,493 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $67,894,319 | PYOtherExpensesAmt |
| CY Other Expenses | $70,449,123 | CYOtherExpensesAmt |
| PY Total Expenses | $154,387,665 | PYTotalExpensesAmt |
| CY Total Expenses | $163,938,616 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,943,775 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,796,738 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $175,204,296 | TotalAssetsBOYAmt |
| Total Assets EOY | $181,791,207 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,456,906 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,062,024 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $120,747,390 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $123,729,183 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Capital Region Medical Center embraces its mission; To imporove the health and promote wellness of the people and communities we serve to reflect commitment to a charitable purpose, in the form of a resident clinic as well as general inpatient and outpatient charity care. The medical Center provides many services to the community at little or no financial gain. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,841,326 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Inpatient and Outpatient Charity Care: Capital Region Medical Center serves the community by providing medical care to all patients regardless of their ability to pay. Patients who quality for charity care will be identified as soon as possible, either before the services are provided or after an individual has received services to stabilize their medical condition. If difficult to determine a patient's eligibility for charity care prior to providing the service, the determination should be made as soon as possible after the provision of the service. Upon registration, patients without Medicare/Medicaid, adequate health insurance or other local health care financial assistance will receive either a packet of information that addresses the financial assistance policy and procedures or immediate financial counseling assistance from staff within established business hours. The packet of information will clearly indicate that CRMC provides care without regard to ability to pay, to individuals with limited financial resources and explain how patients apply for financial assistance. CRMC provides a variety of services ranging from emergency services to inpatient and outpatient elective surgery, diagnostic testing and education programs. Charity care policies and procedures are in place to address any instances in which patients may access services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,012,835 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $784,542 | RevenueAmt |
| Desc | Support of Medical Education - In 1988, Capital Region accepted its first Family Practice resident. Since then, the program has offered one-on-one guidance. We reinforce values of ethical practice, community orientation, personal/professional balance, and lifelong learning. Capital Region Medical Center supports Lincoln University School of Nursing program. Columbia College Nursing Progarm, and the Linn State Physical Therapy Assistant Program. In addition to the direct financial support that Capital Region provides, we also provide support to Columbia College MSN students and Lincoln University School of Nursing BSN program in leadership training. We assist students from Rolla Technical College and Columbia Technical College in the surgical tech program. CRMC provides training to phlebotomist/tech students from Moberly Community College and Metro Business College to assist them with fulfilling their clinical requirements. CMRC provides oversight and mentoring to the St. Louis College of Pharmacy, University of Missouri-Columbia and Kansas City Pharmacy Programs. We provide support to St. Louis University and University of Missouri-Columbia and Kansas City PTA and PT programs. As well as assistance to the Univerith of Missouri dietetics program. Our support for these programs in not only through the provision of training facilities but also adjunct faculty and resources. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $83,964 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $106,393 | RevenueAmt |
| Desc | Resident Clinic: The Resident Clinc is unopposed, giving residents a great deal of hands on experience. The mission of our program is to train capable, compassionate family physicians in an environment of mutual respect based in real-world experiences. In addition to providing a valuable training tool, the resident clinic serves a unique community benefit by providing over 2000 patient visits from the eight county service area. The charge for service is based on the individual's ability to pay, which in many cases is free. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $143,574,069 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $165,828,079 | RevenueAmt |
| Desc | All other inpatient and outpatient services provided to patients. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $143,574,069 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $165,828,079 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $148,512,194 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 116 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1572 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tom Luebbering | PersonNm |
| Phone | 5736325101 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1432 Southwest Blvd | AddressLine1Txt |
| City | Jefferson City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Samuel Bushman | ||||||||
| Secretary | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Charles Dudenhoeffer | ||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Kolb Waggoner | ||||||||
| Board Member/Physician | 40 | 0 | Yes (X) | $210,126 | $0 | $56,297 | ||
| Diane Light | ||||||||
| Board Member/Physician | 40 | 0 | Yes (X) | $363,677 | $0 | $51,288 | ||
| Ken Littlefield | ||||||||
| Vice Chair | 2.5 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Deborah Pasch | ||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jack Pletz | ||||||||
| Board member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Lorilei Schwartz | ||||||||
| Treasurer | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Amy Freeman | ||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Mitch Wasden | ||||||||
| Board member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Stevan Whitt | ||||||||
| Board member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jim Wisch | ||||||||
| Board Chair | 2.5 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Ed Farnsworth | ||||||||
| President (partial year) | 40 | 0 | $340,977 | $0 | $54,700 | Yes (X) | ||
| Gaspare Calvaruso | ||||||||
| President (partial year) | 40 | 0 | $144,732 | $0 | $27,753 | Yes (X) | ||
| Tom Luebbering | ||||||||
| Vice President | 40 | 0 | $201,445 | $0 | $52,156 | Yes (X) | ||
| Janet Weckenborg | ||||||||
| Vice President | 40 | 0 | $198,548 | $0 | $48,459 | Yes (X) | ||
| Bob Mazur | ||||||||
| Vice President | 40 | 0 | $144,916 | $0 | $43,401 | Yes (X) | ||
| Tanya Sandifer | ||||||||
| Vice President | 40 | 0 | $180,542 | $0 | $51,660 | Yes (X) | ||
| Jason Cecil | ||||||||
| Vice President | 40 | 0 | $145,913 | $0 | $48,925 | Yes (X) | ||
| Randall Haight | ||||||||
| Vice President/Physician | 40 | 0 | $278,703 | $0 | $61,927 | Yes (X) | ||
| Thomas Niekamp | ||||||||
| Vice President | 40 | 0 | $3,290 | $0 | $0 | Yes (X) | ||
| Mitchell Godbee | ||||||||
| Physician | 40 | 0 | $920,308 | $0 | $85,165 | Yes (X) | ||
| Matthew Hrastich | ||||||||
| Physician | 40 | 0 | $734,407 | $0 | $77,879 | Yes (X) | ||
| Dennis Luetkemeyer | ||||||||
| Physician | 40 | 0 | $681,727 | $0 | $70,989 | Yes (X) | ||
| Eston Schwartz | ||||||||
| Physician | 40 | 0 | $596,620 | $0 | $72,697 | Yes (X) | ||
| Adam Patterson | ||||||||
| Physician | 40 | 0 | $595,768 | $0 | $67,465 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,741,699 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $870,761 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 111 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sircal Contracting | |||||
| 1341 North Rock Hill Road | St Louis | MO | 63124 | construction | $5,488,411 |
| Aramark Healthcare Support Services | |||||
| 25271 Network Place | Chicago | IL | 606731252 | Management Services | $1,744,666 |
| Boyce and Bynum Laboratory | |||||
| PO Box 7406 | Columbia | MO | 65205 | Lab Services | $1,576,817 |
| Simon Oswald Associates | |||||
| 700 Cherry Street Suite A | Columbia | MO | 65202 | Architect | $1,054,998 |
| Watkins Roofing | |||||
| 4401 I70 Drive SE | Columbia | MO | 65201 | Roof Replacement | $648,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 73 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $49,574 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $8,766 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $58,340 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Service Revenue Less Allowance | 622000 | $160,884,355 | $160,884,355 | $0 | $0 |
| Other | 900099 | $5,431,548 | $5,431,548 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $166,315,903 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $390,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $390,412 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,516 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $9,749 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $27,566 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$17,817 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,817 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$17,817 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Share of K1 Loss | 611710 | -$2,220 | $0 | -$2,220 | $0 |
| Share of K-1 Loss | 561000 | -$39,780 | $0 | -$39,780 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$42,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,735,354 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $166,719,014 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$42,000 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,706,143 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,706,143 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,502,420 | TotalAmt |
| Program Services | $65,948,532 | ProgramServicesAmt |
| Management And General | $6,553,888 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,560,309 | TotalAmt |
| Program Services | $2,255,376 | ProgramServicesAmt |
| Management And General | $304,933 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,163,265 | TotalAmt |
| Program Services | $9,823,673 | ProgramServicesAmt |
| Management And General | $1,339,592 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,557,356 | TotalAmt |
| Program Services | $4,014,575 | ProgramServicesAmt |
| Management And General | $542,781 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,667 | TotalAmt |
| Program Services | $194,379 | ProgramServicesAmt |
| Management And General | $26,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,773 | TotalAmt |
| Program Services | $125,764 | ProgramServicesAmt |
| Management And General | $17,009 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,952,484 | TotalAmt |
| Program Services | $8,071,691 | ProgramServicesAmt |
| Management And General | $880,793 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,537 | TotalAmt |
| Program Services | $252,402 | ProgramServicesAmt |
| Management And General | $34,135 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,092 | TotalAmt |
| Program Services | $714,466 | ProgramServicesAmt |
| Management And General | $96,626 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,322 | TotalAmt |
| Program Services | $360,559 | ProgramServicesAmt |
| Management And General | $48,763 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,667 | TotalAmt |
| Program Services | $608,667 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,894,718 | TotalAmt |
| Program Services | $8,716,257 | ProgramServicesAmt |
| Management And General | $1,178,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,695,769 | TotalAmt |
| Program Services | $1,493,751 | ProgramServicesAmt |
| Management And General | $202,018 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $33,496,174 | $33,060,057 | $436,117 | $0 |
| Repairs and Maintenance | $3,833,913 | $3,377,176 | $456,737 | $0 |
| Utilities and Phone | $2,566,701 | $2,260,928 | $305,773 | $0 |
| FRA Tax | $5,042,579 | $5,042,579 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,487,727 | TotalAmt |
| Program Services | $2,191,362 | ProgramServicesAmt |
| Management And General | $296,365 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,938,616 | TotalAmt |
| Program Services | $148,512,194 | ProgramServicesAmt |
| Management And General | $15,426,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,264,549 | BOYAmt |
| EOY | $4,739,638 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,980,401 | BOYAmt |
| EOY | $2,016,426 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,288,801 | BOYAmt |
| EOY | $17,038,090 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,601,972 | BOYAmt |
| EOY | $3,786,088 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,305,645 | BOYAmt |
| EOY | $2,771,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $236,319,236 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $153,360,954 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,655,698 | BOYAmt |
| EOY | $82,958,282 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,601,338 | BOYAmt |
| EOY | $59,923,221 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,505,892 | BOYAmt |
| EOY | $8,558,372 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,204,296 | BOYAmt |
| EOY | $181,791,207 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,348,993 | BOYAmt |
| EOY | $23,471,018 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,380,000 | BOYAmt |
| EOY | $27,585,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,727,913 | BOYAmt |
| EOY | $7,006,006 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,456,906 | BOYAmt |
| EOY | $58,062,024 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,379,757 | BOYAmt |
| EOY | $119,432,428 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,297,287 | BOYAmt |
| EOY | $4,226,409 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,346 | BOYAmt |
| EOY | $70,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,747,390 | BOYAmt |
| EOY | $123,729,183 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,204,296 | BOYAmt |
| EOY | $181,791,207 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,796,738 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $185,055 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,813 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,813 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | CRMC joined the Medicare Dependent Hospital Coalition $9750. This group lobbied in an attempt to protect the Medicare Dependent Hospital Status for hospitals. CRMC is also a member of the Missouri Hospital Association. Just one of the many benefits of the membership is that MHA communicates with government on issues that are important to Missouri hospitals. A portion of the annual dues is attributable to lobbying ($23063). | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,868,288 | OtherCostOrOtherBasisAmt |
| Book Value | $2,868,288 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $151,072,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,698,820 | DepreciationAmt |
| Book Value | $62,373,800 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,961,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,113,790 | DepreciationAmt |
| Book Value | $847,705 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $79,416,833 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,548,344 | DepreciationAmt |
| Book Value | $16,868,489 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $82,958,282 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (8 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Mortgage Backed Securities | $10,006,172 | F |
| Money market accounts | $22,518,238 | F |
| Corporate Bonds | $3,414,734 | F |
| U.S Treasury Obligations | $73,678 | F |
| Certificates of Deposit | $21,604,351 | F |
| Bonds - Mortgage Backed Securities | $2,901,326 | F |
| Bonds - Money Market Account | $1,421,148 | F |
| Bonds - Less Current Amounts | -$2,016,426 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $59,923,221 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Malpractice Insurance Payable | $3,106,463 |
| 457(b) Liability | $1,665,779 |
| Insurance Payable | $2,062,415 |
| Other Long Term Liabilities | $171,349 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,006,006 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $166,727,780 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $42,000 | OtherRevenueAmt |
| Revenue Not Reported | $42,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $166,685,780 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $49,574 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $49,574 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $166,735,354 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $164,059,906 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $121,290 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $121,290 | ExpensesNotReportedAmt |
| Expenses Subtotal | $163,938,616 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $163,938,616 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part XI, Line 2d | Share of K-1 loss |
| Schedule D, Part XI, Line 4b | Contribution from Foundation |
| Schedule D, Part XII, Line 2d | Foundation Expenses Paid by CRMC |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,841,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,841,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0173 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,261,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,965,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,296,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0155 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,102,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,965,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,137,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0328 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 215 | ActivitiesOrProgramsCnt |
| Persons Served | 14664 | PersonsServedCnt |
| Total Community Benefit Expns | $576,735 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $272,061 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $304,674 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0018 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,012,835 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $784,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,228,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0075 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,263,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,857,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $406,358 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0025 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,988 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,997 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $128,997 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 215 | ActivitiesOrProgramsCnt |
| Persons Served | 14664 | PersonsServedCnt |
| Total Community Benefit Expns | $4,987,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,913,781 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,073,280 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0126 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 215 | ActivitiesOrProgramsCnt |
| Persons Served | 14664 | PersonsServedCnt |
| Total Community Benefit Expns | $23,089,658 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,879,019 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,210,609 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0454 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,837,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,845,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,991,929 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.012 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $5,874,267 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,845,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,028,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.012 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,856,330 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $41,728,389 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,753,546 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,157 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Region Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 Madison Street | AddressLine1Txt |
| City | Jefferson City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | crmc.org | WebsiteAddressTxt |
| State License | 419-19 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Region Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | crmc.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | 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 | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.crmc.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.crmc.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.crmc.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| 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 |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 1-Capital Region Medical Center | Capital Region Medical Center (CRMC) is developing an individual strategic implementation plan as part of the organization's strategic planning process. |
| Schedule H, Part V, Section B, Line 3-Capital Region Medical Center | The Central Missouri Community Health Assessment Partnership (CMCHAP) was created and embarked on a mission to improve the health of residents of the four counties of Cole, Miller, Moniteau and Osage. The partnership worked collaboratively to collect and analyze health data and gather input from community members to aid in assessing and prioritizing needs. This unique partnership of health care and social services providers was financially funded by the two local hospitals - Capital Region Medical Center and St. Mary's Health Center and included six additional partners: the Community Health Center of Central Missouri, Cole County Health Department, Jefferson City Medical Group, Missouri Primary Care Association, Samaritan Center of Jefferson City and Central Missouri United Way. |
| Schedule H, Part V, Section B, Line 4-Capital Region Medical Center | The CHNA was done in cooperation with SSM St. Mary's |
| Schedule H, Part V, Section B, Line 5-Capital Region Medical Center | CMCHAP held community discussion groups, much like town hall meetings. Meetings were facilitated by a community health development specialist. More than 150 individuals participated in 12 discussion groups and consumer interview sessions. This valuable input from community members added depth and quality to the data. |
| Schedule H, Part V, Section B, Line 6a-Capital Region Medical Center | Capital Region collaborated with SSM-St. Mary's, another local unaffiliated hospital to complete the CHNA in 2012. A partnership was created with these two hospitals and several other health care and social service providers and was named the Central Missouri Community Health Assessment Partnership (CMCHAP). The mission of which was to work collaboratively to collect and analyze health data and gather input from community members to aid in assessing and prioritizing needs. This unique partnership was financially funded by the two hospitals. |
| Schedule H, Part V, Section B, Line 6b-Capital Region Medical Center | CMCHAP included members of the health departments of Cole, Miller, Moniteau and Osage Counties, the Samaritan Center, the United Way, Jefferson City Medical Group, Missouri Primary Care Association, and the Community Health Center. |
| Schedule H, Part V, Section B, Line 7d-Capital Region Medical Center | CRMC made the CHNA available online at www.crmc.org. Additionally, paper copies were made available through our Public Relations department. A review of the CHNA was provided to Medical Center managers, Board of Directors, the CRMC Foundation, and also at the Community Outreach Meeting held in several of the outlying counties we serve. |
| Schedule H, Part V, Section B, Line 11-Capital Region Medical Center | Line 11: Capital Region Medical Center included in the Implementation Strategy several actions for each of the top 5 identified needs; Access to Care, Heart Disease/Obesity Prevention, Cancer Screenings/Treatment, Diabetes Prevention/Management, and Miller County Focus. In addition, the Medical Center chose two additional needs Bacterial Pneumonia and Congestive Heart Failure. Actions for these needs include the following, although this is not a complete list of all activities completed to date. Access to Care: Recruitment of Family Practice Physicians and Nurse Practioners to meet need Delivery of quarterly healthy publication Continuation of Resident Clinic Health Screenings at minimal price in all outlying communities Heart Disease/Obesity Prevention: Include Lipid, CMP, A1c and waist circumference with clinic screenings Educate and encourage employees and community members to increase exercise levels, Created fitbit program for all staff Add biometrics and health risk assessments to all employees Education community on heart disease and obesity prevention with two educational sessions per year Cancer Screening/Treatment Educational programs regarding cancer screenings and treatment twice per year Smoking policy change at Capital Region Offer free skin cancer screen annually Offer smoking cessation option several times per year Lung cancer screening program Diabetes Prevention/Management Bi-monthly community A1c Educational programs regarding diabetes twice per year Cooking classes Diabetes support group Miller County Focus Partnering with Miller County Health Dept and started annual community health fair Provide, twice per year, inexpensive health screenings at clinic Applied for grant with MFH for childhood obesity and now working with school on a 5 year grant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Capital Region Southwest | |||||
| 1432 Southwest Blvd | Jefferson City | MO | 65109 | Outpatient and Wellness Services | |
| Women & Children Building | |||||
| 1014 Madison Street | Jefferson City | MO | 65101 | OB/GYN and Pediatrics | |
| CRMC-Capital City Medical Associates | |||||
| 1505 Southwest Blvd | Jefferson City | MO | 65109 | Family Practice, Internal Medicine, Low Income Clinic | |
| Mid Mo Med Assoc and General Surgery | |||||
| 1125 Madison | Jefferson City | MO | 65101 | Outpatient Clinics | Monroe Building |
| CRMC-SW Clinic | |||||
| 1500 Southwest Blvd | Jefferson City | MO | 65109 | Family Practice Clinic | |
| CRMC Healthplex West | |||||
| 3308 West Edgewood | Jefferson City | MO | 65109 | Urgent Care and Outpatient Therapy | |
| CRMC - Eldon | |||||
| 103 Business Hwy 54 North | Eldon | MO | 65026 | Family Practice Clinic | |
| CRMC-Owensville | |||||
| 3536 Kuhne Road | Owensville | MO | 65066 | Family Practice Clinic | |
| CRMC- Versailles | |||||
| 901 Kidwell Drive | Versailles | MO | 65084 | Family Practice Clinic | |
| CRMC-California | |||||
| 704 Buchanan | California | MO | 65018 | Family Practice Clinic | |
| Capital Region Family Medical Center | |||||
| 420 East High Street | Jefferson City | MO | 65101 | Family Practice Clinic | |
| Capital Region Family Medicine | |||||
| 1616 Southridge | Jefferson City | MO | 65109 | Family Practice Clinic | Suite 203 |
| CRMC-Holts Summit | |||||
| 180 North Star | Holts Summit | MO | 65043 | Family Practice Clinic | |
| Integrative Medicine | |||||
| 1002 Diamond Ridge | Jefferson City | MO | 65109 | Family Practice/Alternative Medicine | Suite 203 |
| CRMC-Linn | |||||
| 916 East Main Street | Linn | MO | 65051 | Family Practice | |
| CRMC Surgicare and Miller Clinic | |||||
| 1705 Christy Drive | Jefferson City | MO | 65101 | Surgeon and Family Practice | |
| Downtown Urgent Care | |||||
| 220 Madison Street | Jefferson City | MO | 65101 | Urgent Care | |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | Cost to charge ratio |
| Schedule H, Part I, Line 7, Column f | none |
| Schedule H, Part II | Line 3: CRMC was involved in a state and community wide training for ebola virus. In addition, CRMC participates in voluntary emergency management training through the Missouri Hospital Association and has partnered with several other local agencies to improve communication and planning. Line 6: CRMC partners with the Community Health Center to provide leadership and resources. One of our VP's served as an interim CEO for the Community Health Center for a period of 4 months. He continues to serve on the board of directors and attends regular meetings. Line 8: CRMC recruited and retained physicians to provide medical care in rural and underserved areas. Line 9: CRMC partnered with the City of Jefferson and provided a $10,000 donation for Way Finding signs for hospitals and other emergency signage. |
| Schedule H, Part III, Section A, Line 4 | Page 13 in the notes to the financial statement |
| Schedule H, Part III, Section B, Line 8 | Line 2 is determined using the cost to charge from Worksheet 2. |
| Schedule H, Part III, Section C, Line 9b | CRMC will use Presumptive Charity software to score potential accounts meeting the charity guideline. CRMC will use the Federal Poverty Level, estimated household income and family size identified by the Presumptive software product in lieu of a completed application. Each patient account will proceed through the normal collection process up to and including a Final Notice Letter. Prior to referral to the collection agency. CRMC will batch each account and process through the software to identify potential accounts meeting the established guidelines for charity. These accounts will then be processed for adjustment to 100% of the charity discount and not forwarded to the collection agency. If a patient/guarantor, after receiving the charity care discount, are financially responsible for a portion of the charges and do not meet the obligation of the account we will then follow the credit policies of the hospital. These policies may include collection activity up to and including placement to a collection agency, reporting to the credit bureau and filing lawsuits. |
| Schedule H, Part VI, Line 2 | The CMCHAP conducted a comprehensive community health assessment using both secondary and primary analysis, which allowed us to measure perception, health risks, health factors, health outcomes and characteristics specific to the communities in these four central counties. This is the second comprehensive regional health assessment completed in this collaborative fashion by the CMCHAP. The objectives were to identify factors influencing health status, determine and prioritize issues of greatest concern, identify unmet health needs and produce a source of reliable information that will support the development of solutions. This needs assessment was conducted using three methods: secondary data analysis, discussions with community groups and provider clients and surveys completed by community members, community leaders and local physicians. Existing data previously collected for other purposes, called secondary data, was compiled from a variety of credible local, state and federal sources to provide a context for analysis and interpretation. Community discussion groups, much like town hall meetings, were organized by the Steering Team and facilitated by Michael Felix, a community health development specialist. Throughout this process, more than 150 individuals participated in nine discussion groups and consumer interview sessions. An addition to the data collection for 2015 was the inclusion of a survey to assess the perception of health care and health status across the four-county region in the analysis. These surveys were made available in physician offices, online and in community health departments. Upon reviewing the findings from all the sources of information, the Steering Team identified the most serious health issues and then ranked them using a priority matrix. The results were 1. Heart Disease/Obesity prevention 2. Mental Health, 3. Health Literacy, 4. Substance Abuse and 5. Dental Care. |
| Schedule H, Part VI, Line 3 | At every location, registration staff have FAP available to hand out. All self pays are referred to one of the 3 financial counselors in the area. Patient financial counselors visit all self pay in house patients. Also, Human Arc helps patients apply for Medicaid, and also an Accountable care rep on site one day a week. Signs are posted in rooms and at registrations sites. For every statement sent, there is a number printed to call for assistance. All first letters indicate who to call for assistance. All clinics are aware of our policy - so is medical staff. It is posted on our website and one our online bill pay. |
| Schedule H, Part VI, Line 4 | The four county region includes both urban and rural areas. The local area economy is heavily dependent on state government. The total population for the region based on the 2010 census was 130,223. The region is expecting an increase of 5.51% from 2010 - 2020. Cole County, which has the largest population in our region, shows a projected growth in population of 6.11%, which is a slight increase over the actual growth experienced of 6.04% growth between the 2000-2010 censuses. The age distribution continues to shift toward a larger population of older adults. Understanding that older populations generally have more chronic disease and face more barriers in accessing care, it was noted that the concentration of the aging population in the rural counties where there are fewer services is of growing concern. |
| Schedule H, Part VI, Line 5 | As a community based hospital, Capital Region Medical Center lives its mission to improve health and promote wellness to the communities it serves every day. A full service hospital offering a complete continuum of Care, CRMC provides access to exceptional health care services throughout its service area. CRMC operates a large clinic network and comprehensive cancer facility, employs over 120 providers, houses an inpatient rehabilitation facility and includes a medically based fitness facility. |
| Schedule H, Part VI, Line 6 | CRMC is an affiliate of MU Health. Through this partnership our community benefits from the access of a community based hospital and a higher level of care when needed. |
| Schedule H, Part VI, Line 7 | NA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Diane Light | ||||||||||||||
| Board Member/Physician | $312,795 | $0 | $50,882 | $0 | $0 | $0 | $13,000 | $0 | $38,285 | $0 | $414,962 | $0 | $0 | $0 |
| Lisa Kolb Waggoner | ||||||||||||||
| Board Member/Physician | $201,725 | $0 | $8,401 | $0 | $0 | $0 | $10,098 | $0 | $46,199 | $0 | $266,423 | $0 | $0 | $0 |
| Ed Farnsworth | ||||||||||||||
| President (partial year) | $246,490 | $0 | $77,987 | $0 | $16,500 | $0 | $12,266 | $0 | $0 | $0 | $353,243 | $0 | $0 | $0 |
| Gaspare Calvaruso | ||||||||||||||
| President (partial year) | $114,669 | $0 | $30,063 | $0 | $0 | $0 | $0 | $0 | $27,753 | $0 | $172,485 | $0 | $0 | $0 |
| Tom Luebbering | ||||||||||||||
| Vice President | $177,132 | $0 | $22,563 | $0 | $1,750 | $0 | $9,147 | $0 | $43,008 | $0 | $253,600 | $0 | $0 | $0 |
| Janet Weckenborg | ||||||||||||||
| Vice President | $170,340 | $0 | $23,392 | $0 | $4,816 | $0 | $8,879 | $0 | $39,580 | $0 | $247,007 | $0 | $0 | $0 |
| Bob Mazur | ||||||||||||||
| Vice President | $131,137 | $0 | $12,059 | $0 | $1,720 | $0 | $6,812 | $0 | $36,589 | $0 | $188,317 | $0 | $0 | $0 |
| Tanya Sandifer | ||||||||||||||
| Vice President | $157,496 | $0 | $20,938 | $0 | $2,108 | $0 | $8,264 | $0 | $43,397 | $0 | $232,203 | $0 | $0 | $0 |
| Jason Cecil | ||||||||||||||
| Vice President | $132,601 | $0 | $11,986 | $0 | $1,326 | $0 | $6,966 | $0 | $41,960 | $0 | $194,839 | $0 | $0 | $0 |
| Randall Haight | ||||||||||||||
| Vice President/Physician | $250,501 | $0 | $26,550 | $0 | $1,652 | $0 | $12,118 | $0 | $49,809 | $0 | $340,630 | $0 | $0 | $0 |
| Mitchell Godbee | ||||||||||||||
| Physician | $816,917 | $0 | $103,392 | $0 | $0 | $0 | $13,000 | $0 | $72,165 | $0 | $1,005,474 | $0 | $0 | $0 |
| Matthew Hrastich | ||||||||||||||
| Physician | $634,099 | $0 | $82,809 | $0 | $17,500 | $0 | $12,688 | $0 | $65,191 | $0 | $812,287 | $0 | $0 | $0 |
| Dennis Luetkemeyer | ||||||||||||||
| Physician | $603,397 | $0 | $78,330 | $0 | $0 | $0 | $7,800 | $0 | $63,189 | $0 | $752,716 | $0 | $0 | $0 |
| Eston Schwartz | ||||||||||||||
| Physician | $578,836 | $0 | $285 | $0 | $17,500 | $0 | $13,000 | $0 | $59,697 | $0 | $669,318 | $0 | $0 | $0 |
| Adam Patterson | ||||||||||||||
| Physician | $503,305 | $0 | $74,963 | $0 | $17,500 | $0 | $7,800 | $0 | $59,665 | $0 | $663,233 | $0 | $0 | $0 |
| Thomas Niekamp | ||||||||||||||
| Vice President | $0 | $0 | $3,290 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,290 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | CRMC pays monthly dues for the President to be a member of the Jefferson City Country Club. This is used for many business reasons. Any personal expenses incurred are reimbursed by the President to the Medical Center. Bob Mazur - CRMC pays for his YMCA membership. Bob is a member of the YMCA board, and it is expected that he be a member. Gross up Payment of Taxes - The medical center gave most employees a gift card to a grocery store in November of 2014. This is taxable income to the employees. The hospital pays the employees's portion of the taxes on this and the employees taxable gross is increased accordingly. In addition, a retirement gift valued at $11662 was given to Ed Farnsworth and CRMC paid the taxes. Earnings were grossed up to account for this, for a total of $17496. Residence for personal use - CRMC paid for temporary housing of $4875 for Gaspare Calvaruso when he began employment. This was reported as taxable income. Travel for Companions: Historically CRMC has not paid travel expenses for companions. However, this year exceptions were made when it was determined that there were business benefits for the spouse to attend with the employee. |
| Schedule J, Part I, Line 3 | All board members complete an evaluation of the CEO and individually present the results to the board chair who presents them to the compensation committee, consisting of 3 board members, including the Chair and Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on salary surverys from three different organizations. The comparable data are based on Missouri or the region. The compensation committee members do not have a conflict of interest with respect to the compensation arrangements. The committee documents their review and decisions. |
| Schedule J, Part I, Line 4 | Tanya Sandifer received severance payments in 2015. Since all compensation amounts are reported on a calendar (W2) year basis, these amounts will be detailed in next years return. Contributed to a 457(b) Deferred Comp Plan: Ed Farnsworth - $16,500, Tom Luebbering - $1750, Janet Weckenborg - $4816, Bob Mazur - $1720, Tanya Sandifer - $2108, Jason Cecil - $1326, Randall Haight - $1652, Matthew Hrastich - $17,500, Eston Schwartz - $17,500, Adam Patterson $17,500. |
| Schedule J, Part I, Line 5 | For all employees annual merit increases are partially based on the achievement of goals (personal and organizational). Some of the organizational goals may be tied to Revenues. |
| Schedule J, Part I, Line 6 | For all employees annual merit increases are partially based on the achievement of goals (personal and organizational). Some of the organizational goals may be tied to net earnings. |
| Schedule J, Part I, Line 7 | Some Directors and Vice Presidents participate in the Management Incentive Compensation Program (MICP). They receive additional bonus compensation if certain stated goals are met. Most physicians receive a base salary, but also are paid an additional amount based on production. |
| Schedule J, Part II | Thomas Niekamp is an employee of the University of Missouri. Capital Region Medical Center makes payments to the University for the services he provides to CRMC as Vice President. |
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 | Health Facilities Revenue Bonds Series 2011 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 431178966 | BondIssuerEIN |
| CUSIP | 60637ACF7 | CUSIPNum |
| Bond Issued | 2011-11-22 | BondIssuedDt |
| Issue Price | $32,690,247 | IssuePriceAmt |
| Purpose | Refund Series 1998 and 2004 Bonds (issued 12/29/98 and 6/29/2004) | 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 |
| Retired | $1,715,000 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $32,690,247 | TotalProceedsAmt |
| In Reserve Fund | $2,908,325 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $460,920 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $29,320,002 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2004 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Total Private Business Use | 0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
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 | 0 | 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 | Lisa Kolb | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CRMC board member | RelationshipDescriptionTxt |
| Transaction | $205,824 | TransactionAmt |
| Transaction | CRMC rents office from DBSW Docs LLC, Kolb is partner | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | Jim Wisch reported that he has a business relationship with Central Bank (Ken Littlefield). He also has a business relationship with Lorelei Schwartz. Ken Littlefield (Central Bank) has a business relationship with Capital Region Medical Center |
| Form 990, Part VI, Section A, Line 6 | The organization has 2 members; The University of Missouri- Columbia Medical Alliance and CRMC Healthcare |
| Form 990, Part VI, Section A, Line 7a | All elections for appointment to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance |
| Form 990, Part VI, Section A, Line 7b | The bylaws provide a number of instances requiring approval by the University of Missouri Medical Alliance, e.g. amendment of the bylaws, dissolution of the organization, sale of substantial assets, and discontinuance of the major service lines. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 is reviewed by the Director of Accounting, legal counsel, the Vice President of Finance, and the President. The President presents it to the board chair and the Executive Committee of the Board. The Executive Committee makes a presentation to the Board and copies are available to each member. |
| Form 990, Part VI, Section B, Line 12c | The hospital's legal counsel attends all board meetings. He is continually monitoring if any transaction would be a conflict of interest. The Vice President of Finance reviews all payments to physicians and identifies any potential conflicts. The Director of Accounting reviews payments and identifies any potential conflicts. |
| Form 990, Part VI, Section B, Line 15 | All board members complete an evaluation of the CEO and individually present the results to the board chair who presents to the compensation committee, consisting of three board members, including the Chair and Vice Chair. The compensation committee reviews the evaluation results with the CEO and determines the CEO's salary based on the salary surveys from three different organizations. The comparable data are based on Missouri or the region. The compensation committee members do not have a conflict of interest with respect to the compensation agreement. The committee documents their review and decisions and meets at least once annually. The CEO sets the recommended salaries for key employees using comparable data from the three salary surveys. The Vice President of Human Resources participates in determining the appropriate salaries for key employees. |
| Form 990, Part VI, Section C, Line 19 | Capital Region includes financial statements in the annual report provided to the Board of Governors (approximately 500 members). Financial information is reviewed at the Medical Executive and Medical Staff meetings monthly. The information is then shared at the managers' meeting and communicated to all staff at department meetings. The Capital Region website (crmc.org) provides important information about the medical center to the community. The "Fraud and Wrongdoing" policy, "Privacy" policy, "Affiliation and Accreditations" policy, leader profiles, site locations, and contact information are all disclosed on the website. |
| Form 990, Part XI, Line 9 | Share of K1 Loss +39780, Share of K1 Loss +2220, Transfers to UMC -664777, Paid Foundation Expenses -121290, Increase of Found Net Assets SFAS136 +929122 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Medical Foundation | ||||||||||
| PO Box 1128 | Jefferson City | MO | 651021128 | 431506900 | Raise Money and manage funds to be used by Capital Region Medical Center | MO | 501(c)(3) | Supporting Org Typ I | N/A | |
| Still Osteopathic Medical Foundation | ||||||||||
| PO Box 1128 | Jefferson City | MO | 651021128 | 431720296 | Support Osteopathic Education | MO | 501(c)(3) | Support Org Typ III | N/A | |
| Capital Region Medical Center Partners | ||||||||||
| 1125 Madison Street | Jefferson City | MO | 65101 | 446014361 | Support Capital Region Medical Center | MO | 501(c)(3) | Support Org Typ I | ||
| CRMC Healthcare Inc | ||||||||||
| 1125 Madison Street | Jefferson City | MO | 65101 | 461699021 | Support Capital Region Medical Center | MO | 501 (c)(3) | Type II Support Org | N/A | |
| University of Missouri - Medical Alliance | ||||||||||
| 1000 West Nifong | Columbia | MO | 65211 | 311574931 | Support and encourage health care delivery and medical education | MO | 501 (c)(3) | Type I Support Org | N/A | Building 7 Suite 300 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Still Opti LLC | ||||||||||||||
| 800 West Jefferson Street | Kirksville | MO | 63501 | 431831943 | To promote the highest quality of osteopathic education. | MO | N/A | Related | -$2,220 | $24,285 | Yes (1) | 0.0797 | ||
| Health Network of Missouri LLC | ||||||||||||||
| 227 University Hall | Columbia | MO | 65211 | 471248962 | To improve quality of care and establish clinical integration among participants | MO | Unrelated | -$39,780 | $1,553 | 0 | 0.16667 | 0 | $39,780 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Still Osteopathic Medical Foundation | ||
| q | $100 | The Still Foundation reimburses CRMC for any expenses incurred with the Physician Health Program |
| Capital Region Medical Foundation | ||
| o | $121,290 | Salary, benefits, and other expenses of Foundation Director |
| University of Missouri - Medical Alliance | ||
| r | $664,777 | CRMC must make an annual contribution equal to the lessor of 1% of the Medical Center's annual net patient service revenues or 25% of excess of revenues over expenses excluding contributions. |
| Capital Region Medical Foundation | ||
| c | $49,574 | Cash value of donations |
| Capital Region Medical Center Partners | ||
| m | $340,218 | In Fiscal year ending June 30, 2015, the Partners donated 44,473 hours of service - Valued at $340,218. |
| Capital Region Medical Center Partners | ||
| q | $25,317 | Partners purchases specific items for Capital Region Medical Center, or if CRMC purchased the item from their supplier, Partners may offer to reimburse the medical center for these. (fleece swaddles, folders, magazines for patients, lifeline assistance, infant caskets, wheel chair alarms, and peds equipment) |
| Health Network of Missouri LLC | ||
| b | $41,333 | Capital contributed from K1 |
| Capital Region Medical Center Partners | ||
| q | $25,528 | Partners reimburses CRMC for the salary (23660) and FICA (1867.74) of the gift shop manager |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Capital Region was granted an extension request. The 2014 Form 990 is due May 15, 2016 | ExplanationTxt |