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        <BusinessNameLine1>CAPITAL REGION MEDICAL CENTER</BusinessNameLine1>
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        <AddressLine1>1125 Madison Street</AddressLine1>
        <City>Jefferson City</City>
        <State>MO</State>
        <ZIPCode>65101</ZIPCode>
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      <PersonNm>Tom Luebbering</PersonNm>
      <PersonTitleTxt>Vice President of Finance</PersonTitleTxt>
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      <MissionDesc>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>
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      <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>
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        <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>
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        <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 approximately 2400 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>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45797</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bob Mazur</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34611</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tanya Sandifer</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50117</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Cecil</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>135600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45154</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Randall Haight</PersonNm>
        <TitleTxt>Vice President/Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>273211</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59110</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Niekamp</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mitchell Godbee</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>834296</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>81822</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Hrastich</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>705671</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76309</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis Luetkemeyer</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>617061</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67411</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eston Schwartz</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>505947</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Howard Huddleston</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>452278</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57753</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>5239669</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>826369</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>94</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Aramark Healthcare Support Services</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>25271 Network Place</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Management Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Boyce and Bynum Laboratory</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 7406</AddressLine1>
            <City>Columbia</City>
            <State>MO</State>
            <ZIPCode>65205</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lab Services</ServicesDesc>
        <CompensationAmt>1324127</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>General Electric</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>8200 W Tower</AddressLine1>
            <City>Milwaukee</City>
            <State>WI</State>
            <ZIPCode>53223</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Service Agreements- Equipment</ServicesDesc>
        <CompensationAmt>767156</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>University of Missouri</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>One Hospital Drive</AddressLine1>
            <City>Columbia</City>
            <State>MO</State>
            <ZIPCode>65212</ZIPCode>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Software One</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>15700 W Cleveland Ave</AddressLine1>
            <City>Waukesha</City>
            <State>WI</State>
            <ZIPCode>531864093</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>software licenses</ServicesDesc>
        <CompensationAmt>531412</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>50</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>405085</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>0</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>405085</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Revenue (less allow)</Desc>
        <BusinessCd>622000</BusinessCd>
        <TotalRevenueColumnAmt>153407347</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>153407347</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4113202</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4113202</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalProgramServiceRevenueAmt>157520549</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>414454</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <RelatedOrExemptFuncIncomeAmt>22073</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>0</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>31242</OtherAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-31242</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-31242</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <OtherRevenueMiscGrp>
        <Desc>Share of K-1 Income</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>521</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>521</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>2547572</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3921007</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>14398050</ManagementAndGeneralAmt>
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        <EOYAmt>5264549</EOYAmt>
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        <EOYAmt>1980401</EOYAmt>
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        <EOYAmt>17288801</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2305645</EOYAmt>
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        <EOYAmt>59655698</EOYAmt>
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        <EOYAmt>76601338</EOYAmt>
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        <BOYAmt>7474063</BOYAmt>
        <EOYAmt>8505892</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>175204296</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>20348993</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>29380000</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>3781082</BOYAmt>
        <EOYAmt>4727913</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>54495492</BOYAmt>
        <EOYAmt>54456906</EOYAmt>
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      <UnrestrictedNetAssetsGrp>
        <BOYAmt>114413210</BOYAmt>
        <EOYAmt>117379757</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>3297287</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>70346</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>117644962</BOYAmt>
        <EOYAmt>120747390</EOYAmt>
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            <AddressLine1>1505 Southwest Blvd</AddressLine1>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65109</ZIPCode>
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          <FacilityTxt>Family Practice, Internal Medicine, Low Income Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1>Mid Mo Med Assoc and General Surgery</BusinessNameLine1>
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            <AddressLine1>1125 Madison</AddressLine1>
            <AddressLine2>Monroe Building</AddressLine2>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65101</ZIPCode>
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          <FacilityTxt>Outpatient Clinics</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1>CRMC-SW Clinic</BusinessNameLine1>
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            <AddressLine1>1500 Southwest Blvd</AddressLine1>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65109</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CRMC Healthplex West</BusinessNameLine1>
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            <AddressLine1>3308 West Edgewood</AddressLine1>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65109</ZIPCode>
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          <FacilityTxt>Urgent Care and Outpatient Therapy</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>CRMC - Eldon</BusinessNameLine1>
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          <USAddress>
            <AddressLine1>103 Business Hwy 54 North</AddressLine1>
            <City>Eldon</City>
            <State>MO</State>
            <ZIPCode>65026</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <BusinessNameLine1>CRMC-Owensville</BusinessNameLine1>
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            <AddressLine1>3536 Kuhne Road</AddressLine1>
            <City>Owensville</City>
            <State>MO</State>
            <ZIPCode>65066</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <BusinessNameLine1>CRMC- Versailles</BusinessNameLine1>
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            <AddressLine1>901 Kidwell Drive</AddressLine1>
            <City>Versailles</City>
            <State>MO</State>
            <ZIPCode>65084</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <BusinessNameLine1>CRMC-California</BusinessNameLine1>
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            <AddressLine1>704 Buchanan</AddressLine1>
            <City>California</City>
            <State>MO</State>
            <ZIPCode>65018</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <BusinessNameLine1>Capital Region Family Medical Center</BusinessNameLine1>
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            <AddressLine1>420 East High Street</AddressLine1>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65101</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <AddressLine2>Suite 203</AddressLine2>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65109</ZIPCode>
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            <City>Holts Summit</City>
            <State>MO</State>
            <ZIPCode>65043</ZIPCode>
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          <FacilityTxt>Family Practice Clinic</FacilityTxt>
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            <AddressLine2>Suite 203</AddressLine2>
            <City>Jefferson City</City>
            <State>MO</State>
            <ZIPCode>65109</ZIPCode>
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            <AddressLine1>916 East Main Street</AddressLine1>
            <City>Linn</City>
            <State>MO</State>
            <ZIPCode>65051</ZIPCode>
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          <FacilityTxt>Family Practice</FacilityTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Cost to charge ratio</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, Column f</FormAndLineReferenceDesc>
        <ExplanationTxt>None</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>None</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Building Activities included those for which our staff participated in Emergency Management training at local and state levels. (Line 7) Coalition Building expenses were those associated with conducting community outreach meetings in the communities we serve. Administrative representatives from CRMC meet with community members. They share information about the medical center and welcome questions and suggestions from the community. Community Health Improvement Advocacy includes the cost of one of our staff members, Tom Niekamp, who sits on a board at the Community Health Center.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Medical Center maintains an allowance for doubtful accounts for estimated losses inherent in its accounts receivable portfolio. In establishing the required allowance, management considers historical bad debt write offs and current receivable aging. The amount in Line 2 was determined using Cost to Charge ratios from worksheet 2. We have no means of determining the amount to report on Line 3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>no shortfall</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>CRMC will use Presumptive Charity software to score potential accounts meeting the charity guideline. CRMC will us 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The CMCHAP conducted a comprehensive community health assessment using both secondary data analysis and discussions and interviews with community groups and provider clients, which allowed measurement of preception, health risks, health factors, health outcomes and characteristics specific to the communities in the four-county region of Central Missouri. This is the first comprehensive regional health assessment completed in the collaborative fashion by the CMCHAP. The objectives of this first assessment 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. 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 were organized by the Steering Team and facilitated by Michael Felix, a community health development specialist. More than 150 people participated in 12 discussion groups. This valuable input from community members added depth and quality to the data. Another tool used by the CMCHAP team was the Community Health Improvement Resources interactiave planning system. 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. Access to Care 2. Heart Disease/Obesity Prevention 3. Cancer Screenings/Treatment 4. Diabetes Prevention/Management 5. Miller County Focus.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient Financial Services counsels patients/persons regarding financial assistance via telephone and in person as needed. This information is presented to the patient in the patient handbook, at the time of registration. Information also appears on our website at crmc.org.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2010 census was 130223. The region is expecting an increase of 1.8% from 2010 to 2015. Cole County which has the largest population of the four counties presented expects a 2.2% increase in population by 2015. The age distribution continues to shift toward a larger population of older adults as the baby boomers age. The 65+ age cohort is expected to see the largest growth from 2010-2015 with a 13.4% increase. The median age for this region is 38.4.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Capital Region is a 100-bed facility offering a continuum of care in-house from prenatal and maternity services to home health services. It also offers one of the few accredited rehabilitation centers in the state, and advanced cardiac and oncology services. In addition to being a full service hospital, Capital Region Medical Center operates an extensive clinic system from urgent care centers to specialty physician practices in an 8 county service area. Throughout the history of Capital Region Medical Center, the mission has stayed the same - To improve the health and promote wellness of the people and communities we serve.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Missouri. CHNA is also provided via public website, having multi-state transparency.</ExplanationTxt>
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        <PersonNm>Diane Light</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Mitchell Godbee</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Hrastich</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dennis Luetkemeyer</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eston Schwartz</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Howard Huddleston</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Thomas Niekamp</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4202</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>4202</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Ed Farnsworth - CRMC pays monthly dues for the Jefferson City Country Club. This is used for many business reasons. If Ed incurs any personal expenses, he reimburses 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 gives most of its employees a gift card for the holidays. This is taxable income to the employee. The hospital pays the employee's portion of the taxes on this and the employee's taxable gross is increased accordingly.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 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 arrangements. The committee documents their review and decisions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Contributed to a 457(B) Deferred Comp Plan: Mattrew Hrastich - $17,160 Eston Schwartz - $11,700 Howard Huddleston - $16,500.12 Ed Farnsworth - $16,500 (CRMC Contributed) Janet Weckenborg - $2,440</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals may be tied to Revenues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>For all employees, annual merit increases are partially based on the achievement of goals (personal and organizational). Some of these organizational goals may be tied to net earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <BusinessNameLine1>Health Facilities Revenue Bonds Series 2011</BusinessNameLine1>
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        <BondIssuerEIN>431178966</BondIssuerEIN>
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        <BondIssuedDt>2011-11-22</BondIssuedDt>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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        <TransactionDesc>Salary and benefits</TransactionDesc>
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            <BusinessNameLine1>DBSW Docs LLC</BusinessNameLine1>
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        <RelationshipDescriptionTxt>Lisa Kolb board member, partner of DBSW</RelationshipDescriptionTxt>
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        <TransactionDesc>CRMC rents office from DBSW</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has 2 members; The University of Missouri Medical Alliance and CRMC Healthcare Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>All elections for appointment to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital's legal counsel attends all board meetings. He is continually monitoring if any transaction would be a conflict of interest. The Director of Accounting reviews payments and identifies any potential conflicts.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members complete an evaluation of the CEO and individually present the results to the board chair who presents the 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 a conflict of interest with respect to the compensation arrangement. The committee documents their review and decisions. the committee 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 Resourses participates in determining the appropriate salaries for key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Capital Region includes financial statments in the annual report provided to the Board of Governors (approximately 500 people). Financial information is reveiwed 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>-521 Share of K1 Gain -853820 Transfers to UMC-MA -122887 Paid Foundation Expenses +135881 Increase in Fuondation Net Assets SFAS#136</ExplanationTxt>
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          <State>MO</State>
          <ZIPCode>651021128</ZIPCode>
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        <PrimaryActivitiesTxt>Raise Money and manage funds to be used by Capital Region Medical Center</PrimaryActivitiesTxt>
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          <AddressLine2>Building 7 Suite 300</AddressLine2>
          <City>Columbia</City>
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        <EIN>311574931</EIN>
        <PrimaryActivitiesTxt>Support and encourage health care delivery and medical education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I Support Org</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Still Opti LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>800 West Jefferson Street</AddressLine1>
          <City>Kirksville</City>
          <State>MO</State>
          <ZIPCode>63501</ZIPCode>
        </USAddress>
        <EIN>431831943</EIN>
        <PrimaryActivitiesTxt>To promote the highest quality of osteopathic education.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>521</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>26532</ShareOfEOYAssetsAmt>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.0741</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Capital Region Medical Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>122887</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Salary, benefits and other expenses of Foundation Director.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Capital Region Medical Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>405085</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash value of donations</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Still Osteopathic Medical Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>505</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>The Foundation reimburses CRMC for the cost associated with the Physicians Health Program</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Capital Region Medical Center Partners</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>314143</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>In 2013, The Partners donated 43330 hours of service, valued at 314143.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Capital Region Medical Center Partners</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>22663</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash value of CRMC expenses reimbursed by the Partners</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>University of Missouri - Medical Alliance</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>853820</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CRMC must make an annual contribution equal to 1% of the Medical Center's annual net patient service revenues.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000012" softwareId="13000241" softwareVersion="v1.00">
      <ExplanationTxt>Capital Region applied for, and was approved an extension until May 15, 2015.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>