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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 qualify 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 it is 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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      <Form990PartVIISectionAGrp>
        <PersonNm>Phillip Burger</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <EOYAmt>5994490</EOYAmt>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5-Capital Region Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>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 health needs. This unigue healthcare and social service provider partnership was financially funded by Capital Region Medical Center.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a-Capital Region Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Capital Region Medical Center</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b-Capital Region Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Department of Cole, Callaway, Miller, Moniteau and Osage counties, Community Health Center of Central Missouri, Central Missouri United Way, Compass Health Network, and the Missouri Coalition for Community Behavioral healthcare.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7d-Capital Region Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Capital Region Medical Center made the CHNA available online at crmc.org. Additionally, paper copies were made available through the public relations department. A review of the CHNA was provided to medical center managers. Board of Directors, the CRMC Foundation, and at the Community Outreach meeting held in communities of several of the outlying clinics we serve.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11-Capital Region Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>The Marketing and Public Relations department works with hospital leaders and community partners to address such needs. An internal team also reviews the CHNA and determines the strategic plan for implementing strategies to address such needs. The top five needs determined in the August 2021 CHNA are as follows: 1. Mental health 2. Substance abuse 3. Diabetes, disability, and chronic pain 4.Heart disease and stroke 5.Nutrition, physical activity, and weight. Strategies have included support groups and lifestyle programs. Continued tracking and education of depression and body mass index screenings at all primary care visits. We have embedded behavioral health specialists in several clinics. CRMC has been actively engaging the medical team in policies to decrease the usage of controlled substances, emphasizing reducing the risk of opiod abuse. CRMC has worked with multiple city governments on bike/pedestrian plans, complete street policies as well as trails, including the Rock Island Trail. With the pandemic, we implemented virtual support groups and call chairs to stay connected and continue providing services when unable to meet in person.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>17</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Capital Region Physicians</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1125 Madison Street</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65101</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Center Expansion - Physician clinics and outpatient services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Capital Region Southwest</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1432 Southwest Blvd</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65109</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient and Wellness Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Capital Region Central Missouri Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3501 West Truman Blvd</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65109</ZIPCd>
          </USAddress>
          <FacilityTxt>Cardiology Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1014 Madison Street</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65101</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care - Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC Healthplex West</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3308 West Edgewood</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65109</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care and Outpatient Therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC-SW Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 Southwest Blvd</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65109</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC- Versailles</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>901 Kidwell Drive</AddressLine1Txt>
            <CityNm>Versailles</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65084</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC - Eldon</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>103 Business Hwy 54 North</AddressLine1Txt>
            <CityNm>Eldon</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65026</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC Surgicare</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1705 Christy Drive</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65101</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgeon</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC-Owensville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3536 Kuhne Road</AddressLine1Txt>
            <CityNm>Owensville</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65066</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Eastland Urgent Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>915 A Eastland Drive</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65101</ZIPCd>
          </USAddress>
          <FacilityTxt>Urgent Care Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC-Linn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>916 East Main Street</AddressLine1Txt>
            <CityNm>Linn</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65051</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC-California</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>704 Buchanan</AddressLine1Txt>
            <CityNm>California</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65018</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC-Holts Summit</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>180 North Star</AddressLine1Txt>
            <CityNm>Holts Summit</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65043</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Capital Region Family Medical Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>420 East High Street</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65101</ZIPCd>
          </USAddress>
          <FacilityTxt>Family Practice Clinic - closed 4/30/22</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Elizabeth Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>631 S Walnut Street</AddressLine1Txt>
            <CityNm>St Elizabeth</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65075</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CRMC Quick Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3721 W Truman Blvd</AddressLine1Txt>
            <CityNm>Jefferson City</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65109</ZIPCd>
          </USAddress>
          <FacilityTxt>Quick Care Clinic</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Average Medicare and Commercial/Managed Care Adjustments were used to calculate 65%auto self pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost to Charge ratios from Worksheet 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>CRMC paid Clear Triage to provide triage services for Pediatrics, which allows caregivers to call and receive free advice. Also CRMC staffed a physician referral line.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>CRMC participates with many community partners throughout the year to carry out our mission to improve health and promote wellness in the communities we serve. Strategically, our implementation strategy focuses our community health activities and resources based on the community health needs assessment findings. In order to be impactful on the health and wellness of our community partnerships, collaborations, and working with coalitions are a must. The expenses noted in the section reflect our participation in such community-building activities. Specific details are included on each particular line.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Footnote #3 of audit report</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 2 is determined using the cost to charge ration form Worksheet 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>All Self Pay patients automatically receive a 65% Self Pay discount. For collections practices, we run presumptive charity using Experian Presumption Charity software to identify all patients equal to 200%FPL. They must complete the financial application to prove need of charity assistance. In addition, patients are screened for Medicaid eligibility using a company called Human Arc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CRMC 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 five central counties. This is the third 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 greater concern, identity, unmet health needs, and project a source of reliable information that will support the development of solutions. The needs assessment was conducted using three methods: secondary data analysis, discussions with community groups, and providing 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 various credible local, state, and federal sources to provide a context for analysis and interpretation. In addition to the data collection for 2021, a survey was included to assess the perception of health care and health status across the five-county region. In the analysis, these survey were 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. Mental health 2. Substance abuse 3. Diabetes, disability, and chronic pain 4. Heart disease and stroke 5. Nutrition, physical activity, and weight.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>At every location, registration staff have financial assistance packets available to hand out. All self pay patients are referred to one of the three financial counselors in the area. Patient financial counselors visit all self pay in-house patients. Also Human Arc help patients apply for Medicaid. Signs are posted in rooms and at registration 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 the policy, so is the medical staff. It is posted on our website and on our online bill pay.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The five-county regions consisting of Callaway, Cole, Miller, Moniteau, and Osage, included urban and rural areas. The local area economy is heavily dependent on the state government. The total population for the region, based on the 2010 census was 176,474. Between the 2000 and 2010 censuses, the population of the total service area increased by 12,829 or 7.9% Cole County, which has the largest population in the region had the highest percentage increase in the population at 9.3% It is important to understand the population's age distributions, as different age groups have unique health needs that should be considered separately from other along the age spectrum. In the total service area 22.8% of the population are children aged 0-17, 61% are aged 18-24, and 18.4% are aged 65 and older.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The President, Vice President, Directors, and Managers participate in the Management Incentive Compensation Program. They receive additional bonus compensation if certain stated goals are met. Most Physicians receive a base salary but also have the ability to earn an additional amount based on production.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The hospital legal counsel attends 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 payment and identifies any potential conflicts.</ExplanationTxt>
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        <ExplanationTxt>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 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 and the region. The compensation committee members do not have a conflict of interest with respect to the compensation agreements. The committee documents their review and decision and meets at least annually. The CEO sets the recommended salaries for key employees using comparable data from three salary surveys. The Vice President of Human Resources participates in determining the appropriate salary.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 location and contact information are all disclosed on the website. 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 monthly managers' meeting and then communicated to all staff at department meetings.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased services for physicians, nurses, and other healthcare providers. Also consultants, biomedical, maintenance and other companies providing services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Increase in Foundation Net Assets $53,533 + Paid Foundation Expenses -154735 + Transfer from UMC Medical Alliance $275,000</ExplanationTxt>
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          <AddressLine1Txt>PO Box 1128</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>651021128</ZIPCd>
        </USAddress>
        <EIN>431720296</EIN>
        <PrimaryActivitiesTxt>Support Capital Region Medical Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Support Org Typ III</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Capital Region Medical Center Partners</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1125 Madison Street</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
        </USAddress>
        <EIN>446014361</EIN>
        <PrimaryActivitiesTxt>Support Capital Region Medical Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Support Org Typ I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CRMC Healthcare Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1125 Madison Street</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
        </USAddress>
        <EIN>461699021</EIN>
        <PrimaryActivitiesTxt>Support Capital Region Medical Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II Support Org</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University of Missouri - Columbia Medical Alliance</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 West Nifong</AddressLine1Txt>
          <AddressLine2Txt>Building 7 Suite 300</AddressLine2Txt>
          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65211</ZIPCd>
        </USAddress>
        <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>
      <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>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital Region Medical Center Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>295476</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Partners volunteered for 24,623 hours valued at minimum wage of $12.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital Region Medical Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>606561</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash value of donations from the Foundation</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital Region Medical Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>154735</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CRMC paid the operating expenses for the Foundation, including the salary and benefits of the Director</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Capital Region Medical Center Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>39610</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>The manager of the Partners gift shop is employed by Capital Region Medical Center. The Partners reimburse CRMC for her salary and employment taxes.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000012" softwareId="22015720" softwareVersionNum="v1.00">
      <ExplanationTxt>Extension was approved until May 15, 2024</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>
