2025-08-15T08:50:33-05:00 2024-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2023-10-01 440668347 CAMERON REGIONAL MEDICAL CENTER CAME 8166322101 1600 EAST EVERGREEN STREET CAMERON MO 64429 JOSEPH F ABRUTZ JR ADMINISTRATOR 8166322101 2025-08-14 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2025-08-14 2023 2025-03-06 01:10:19Z JOSEPH F ABRUTZ JR 1600 EAST EVERGREEN STREET CAMERON MO 64429 85531028 0 X WWW.CAMERONREGIONAL.ORG X 1963 MO OUR MISSION AT CAMERON REGIONAL MEDICAL CENTER (CRMC) IS CARING FOR ALL PATIENTS. TO THIS END, WE ORGANIZE PEOPLE, EQUIPMENT, AND FACILITIES IN A MANNER THAT BEST RESPONDS TO THEIR NEEDS AND TO THE NEEDS OF OUR SERVICE AREA. OUR PRIORITIES ARE PATIENTS AND FAMILIES, PHYSICIANS, AND EMPLOYEES. OUR GOAL IS TO BE A REGIONALLY RECOGNIZED LEADER IN PATIENT SATISFACTION BY EXCEEDING CUSTOMER EXPECTATIONS AND CONTINUING TO ACHIEVE EXCELLENCE IN QUALITY AND COSTEFFECTIVE HEALTH CARE SERVICES. CAMERON REGIONAL MEDICAL CENTER (CRMC) WILL PROVIDE SERVICES IN AN ATMOSPHERE THAT INVOLVES COMPLIANCE WITH GOVERNMENTAL MANDATES. THROUGHOUT OUR ORGANIZATION, OUR EMPLOYEES STRIVE TO PROVIDE SENSITIVE AND QUALITY HEALTH CARE AT ALL TIMES BY LIVING OUR VALUES. LASTLY, CRMC RECOGNIZES THE IMPORTANCE OF VIABLE AND PROFITABLE OPERATIONS TO GUARANTEE THE CONTINUED EXISTENCE AND GROWTH OF THE FACILITY. 12 10 638 49 0 0 1618704 67863 59395434 59747930 2201266 4683747 171440 686681 63386844 65186221 67500 78100 0 0 40100634 41242153 0 0 0 32573928 32746527 72742062 74066780 -9355218 -8880559 89246397 82762983 37975399 35341248 51270998 47421735 PROVIDE INPATIENT AND OUTPATIENT MEDICAL CARE TO AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. 0 0 65635716 78100 60392818 ACUTE CARE HOSPITAL ORGANIZED TO PROVIDE INPATIENT AND OUTPATIENT CARE TO AREA RESIDENTS REGARDLESS OF ABILITY TO PAY. 65635716 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 66 0 1 638 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X JOSEPH ABRUTZ JR 8166322101 1600 EAST EVERGREEN STREET CAMERON MO 64429 WARREN MCELWAIN PRESIDENT 1.00 X X 0 0 0 DELVIN JACKSON VICE PRESIDENT 1.00 X X 0 0 0 JENNIFER WHITE SECRETARY 1.00 X X 0 0 0 MICHAEL POLAND TREASURER 1.00 X X 0 0 0 BARBARA BALLEW DIRECTOR 1.00 X 0 0 0 STEVE TINNEN DIRECTOR 1.00 X 0 0 0 MIKE BROWN DIRECTOR 1.00 X 0 0 0 DAVID JUST DIRECTOR 1.00 X 0 0 0 JOELLEN PRATT DIRECTOR 1.00 X 0 0 0 MARK BAKER DIRECTOR 1.00 X 0 0 0 LAEEQ AZMAT TAHIRKHELI DIRECTOR/PHYSICIAN (END 02/24) 40.00 X 1038356 0 136284 LAURA HARBISON DIRECTOR/PHYSICIAN (END 02/24) 40.00 X 420626 0 110981 FRED KIEHL DO EX-OFFICIO/CHIEF OF STAFF (BEG 02/24) 40.00 X 227951 0 0 SAM BARTON DO EX-OFFICIO/VICE CHIEF OF STAFF (BEG 02/24) 40.00 X 331417 0 41907 JOSEPH F ABRUTZ JR ADMINISTRATOR/CEO 40.00 X 316484 0 40899 ROSA PATTI CFO 40.00 X 198881 0 16571 MUHAMMAD ADMIN PHYSICIAN 40.00 X 614495 0 109538 SHAHZAD SHAFIQUE PHYSICIAN 40.00 X 633933 0 47937 LY PHAN PHYSICIAN 40.00 X 719374 0 63524 DAMOND ERICKSON PHARMACY DIRECTOR 40.00 X 521441 0 46571 DR BARRY LITTLEJOHN PHYSICIAN 40.00 X 470714 0 53937 5493672 0 668149 59 0 1 0 PREMIER SPECIALTY NETWORK 1835 E REPUBLIC ROAD STE 200 SPRINGFIELD MO 65804 SPECIALTY PHYSICIANS 2234183 PSYCHIATRIC SOLUTIONS INC PO BOX 840839 DALLAS TX 75284 BEHAVIORAL HEALTH SERVICES 1584340 CAMERON EMERGENCY PHYSICIANS PC 1600 E EVERGREEN CAMERON MO 64429 ER PHYSICIANS 1357908 COMP HEALTH PO BOX 972651 DALLAS TX 75397 OBGYN SERVICES 951531 DOCS WHO CARE 800 W FRONTIER LANE OLATHE KS 66061 ER PHYSICIANS 370744 13 67863 67863 PATIENT SERVICE REVENUE 621999 59747930 59747930 59747930 1197903 1197903 41793 0 41793 41793 41793 23401151 429500 19924366 420441 3476785 9059 3485844 3485844 MCO REVENUE - CENTENE CORP 900099 243809 243809 CAFETERIA 722310 121993 121993 MEDICARE BONUS REVENUE 900099 90658 90658 188428 188428 644888 65186221 60392818 0 4725540 X 30100 30100 48000 48000 2094788 1927205 167583 451920 415766 36154 32934112 30182652 2751460 610449 559605 50844 2988803 2739866 248937 2162081 1982001 180080 320996 270102 50894 322072 271007 51065 10990754 9248170 1742584 267885 225412 42473 985055 828875 156180 1126269 947699 178570 253556 213355 40201 278456 234307 44149 1235920 1235920 2731623 2298524 433099 884925 744620 140305 MEDICAL SUPPLIES AND DR 10408769 8758459 1650310 REPAIRS AND MAINTENANCE 2140125 1800808 339317 FOOD 292761 246344 46417 MINOR EQUIPMENT 88177 74197 13980 419184 352722 66462 74066780 65635716 8431064 0 1072858 285837 5978389 897967 11268679 7163656 0 215215 1926640 1985086 364174 422658 82783993 59971327 24008023 22812666 39816895 46348556 4810739 2631342 89246397 82762983 8074721 8576594 27764120 26136860 313791 0 6903 0 1815864 627794 37975399 35341248 X 50475092 46543532 795906 878203 51270998 47421735 89246397 82762983 X -8880559 4996458 34838 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4874717 4874717 30912028 19930262 10981766 2109230 2109230 0 44813882 37931835 6882047 74136 74136 22812666 BONDS INDENTURE 2708243 F AWUIL INVESTMENTS 43640313 F 46348556 FINANCE LEASE LIABILITY 219940 OPERATING LEASE LIABILITY 407854 627794 X PART X, LINE 2: THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, THIS ENTITY IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THIS ENTITY IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. MSO IS EXEMPT FROM FEDERAL INCOME TAXES AS A DISREGARDED ENTITY OF THE MEDICAL CENTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 1 X 1 X 1 1 0 1 1 521474 521474 0.00700 21104835 8904553 12200282 0.16470 21626309 8904553 12721756 0.17170 289050 289050 0.00390 5379993 452678 4927315 0.06650 25680 25680 0.00030 5694723 452678 5242045 0.07070 27321032 9357231 17963801 0.24240 12500 12500 0.00020 20250 20250 0.00030 11000 11000 0.00010 36650 36650 0.00050 95110 95110 0.00130 4500 4500 0.00010 20500 20500 0.00030 200510 200510 0.00280 1 4621731 462173 11107326 13063766 -1956440 X 1 1 1 1 CAMERON REGIONAL MEDICAL CENTER 1600 EAST EVERGREEN STREET CAMERON MO 64429 CAMERONREGIONA..ORG 24-32075-01 X X X CAMERON REGIONAL MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTP://WWW.CAMERONREGIONAL.ORG X 1 21 1 HTTP://WWW.CAMERONREGIONAL.ORG 0 1 X 10000.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTP://CAMERONREGIONAL.ORG/ X HTTP://CAMERONREGIONAL.ORG/ X HTTP://CAMERONREGIONAL.ORG/ X X X X X 1 X 0 X X X X 1 X 0 0 CAMERON REGIONAL MEDICAL CENTER INC. PART V, SECTION B, LINE 5: THE MEDICAL CENTER CONDUCTED A TOWN HALL MEETING AND INVITED LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, FREE CLINICS, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS, COMMUNITY LEADERS, OPINION LEADERS, SCHOOL LEADERS, BUSINESS LEADERS, LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS (OR ORGANIZATIONS SERVING THEM), PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW INCOME RESIDENTS, AND MINORITY GROUPS. CAMERON REGIONAL MEDICAL CENTER INC. PART V, SECTION B, LINE 11: WITH COVID-19 DECLINING IN CALENDAR YEARS 2023 AND 2024, CAMERON REGIONAL MEDICAL CENTER (CRMC) WAS ABLE TO DISCONTINUE ITS FOCUSED MONITORING EFFORTS OF THIS VIRUS EFFECTIVE OCTOBER 2024. THE MEDICAL CENTER'S MASK MANDATE, SCREENING/TEMPING PROTOCOLS AT THE MAIN ENTRANCE, SECONDARY ENTRANCE CLOSURES, SOCIAL DISTANCING, AND VISITOR RESTRICTIONS HAD BEEN LIFTED EFFECTIVE APRIL 1, 2023. NEVERTHELESS, IN THE INTEREST OF PUBLIC HEALTH, CRMC CONTINUED TO MONITOR THE SITUATION FOR ANOTHER YEAR-AND-A-HALF AND MAKE MASKS AND INFECTION PREVENTION/DISINFECTING/HYGIENE PRODUCTS READILY AVAILABLE TO ALL PATIENTS, VISITORS, AND EMPLOYEES, AS IT STILL DOES TODAY. UNLIKE THE PREVIOUS FOUR YEARS, COVID-19 NO LONGER POSED A SEVERE THREAT TO THE PUBLIC BY SEPTEMBER 30, 2024, EFFECTIVELY REMOVING IT FROM CONSIDERATION AS A DISTINCT COMMUNITY HEALTH NEED AFTER THAT DATE.ALTHOUGH COVID-19 HAD WANED, THE AFTER-EFFECTS OF SEVERE STAFFING SHORTAGES AND INFLATION STILL PRESENTED SOME OF THE WORST CHALLENGES EVER EXPERIENCED IN THE HEALTH CARE SECTOR AS THE COSTS OF OPERATION CONTINUED TO DRAMATICALLY INCREASE. RURAL HOSPITALS IN PARTICULAR CONTINUED TO SUFFER MAJOR FINANCIAL STRESSORS AS A RESULT OF THESE LINGERING ISSUES AND CONCERNS.COVID-19 SUMMARY: 1) SINCE THE ONSET OF COVID-19 IN 2020, CRMC HAD TESTED APPROXIMATELY 34,775 INDIVIDUALS AS OF SEPTEMBER 30, 2024, WITH 3,478 POSITIVE RESULTS (10.0% OVERALL POSITIVITY RATE); AND 2) CRMC'S COVID-19 EXPENSE FIGURE FOR THE 12-MONTH PERIOD ENDED SEPTEMBER 30, 2024, WAS APPROXIMATELY $130,000.PRIORITY/OBJECTIVE NO. 1 MENTAL HEALTH:- WITH A SHORTAGE OF MENTAL HEALTH PROVIDERS PERSISTING THROUGHOUT NORTHWEST MISSOURI, CRMC REMAINED COMMITTED TO MAINTAINING/GROWING ITS OFFERINGS IN THIS "DESERT SERVICE." DURING FYE 2024, FOUR PART-TIME PSYCHIATRISTS (INCLUDING A CHILD PSYCHIATRIST) PROVIDED OUTPATIENT CLINICS AND SERVICES AT CRMC ON A REGULARLY-SCHEDULED BASIS, INCLUDING WEEKENDS. IN ADDITION, A FULL-TIME GERIATRIC PSYCHIATRIST CONTINUED TO PROVIDE INPATIENT SERVICES FOR CRMC'S 12-BED BEHAVIORAL HEALTH UNIT (BHU). - CRMC CONTINUED TO SUBSTANTIALLY UNDERWRITE AND SUBSIDIZE ITS MENTAL HEALTH PROGRAMS FINANCIALLY IN ORDER TO ASSURE THESE SERVICES REMAINED READILY AVAILABLE TO ALL PATIENTS/PAYORS (MEDICARE, MEDICAID, VETERANS, SELF-PAY, ETC.).- FOR OVER 30 YEARS, CRMC HAS OPERATED A FREE TRANSPORTATION SYSTEM FOR ITS PATIENTS TO OBTAIN NEEDED HEALTH CARE SERVICES. THIS ESSENTIAL ASSISTANCE PROGRAM HAS BEEN INCREASINGLY EXPANDED OVER THE YEARS, TAKING DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS OF TRAVEL TO/FROM AREA PHYSICIANS' OFFICES, CRMC, ITS SATELLITE CLINICS, ITS OUTPATIENT SPECIALTY CLINICS, AND OTHER MEDICAL FACILITIES. BASED ON NEED AND SPECIAL CIRCUMSTANCES, FREE TRANSPORTATION TO AREA TERTIARY CENTERS AND ANCILLARY SERVICES (DENTIST, OPTOMETRIST, DRUG STORE, ETC.) IS ALSO MADE AVAILABLE. TOWARD THIS PURPOSE, FIVE-PLUS COURTESY VANS AND THE NECESSARY DRIVERS WERE UTILIZED IN FYE 2024 ON A FULL-TIME BASIS (SIX DAYS PER WEEK) TO COVER TEN-PLUS COUNTIES IN RURAL NORTHWEST MISSOURI. A HIGH PERCENTAGE OF PATIENTS WHO UTILIZE THIS ASSISTANCE ARE SEEKING MENTAL HEALTH SERVICES. - FOR THE PAST MANY YEARS, CRMC'S MENTAL HEALTH SERVICES HAVE BEEN MARKETED EXTENSIVELY THROUGHOUT ITS SERVICE AREA. AN OUTPATIENT CLINIC CALENDAR DENOTING MENTAL HEALTH OFFERINGS (AND ALL SPECIALTY CLINICS) IS STILL PLACED IN APPROXIMATELY 12 AREA NEWSPAPERS EACH MONTH, AS WELL AS ON THE MEDICAL CENTER'S WEBSITE. THIS MONTHLY OUTPATIENT CLINIC CALENDAR IS ALSO DISTRIBUTED VIA CRMC'S 16 SATELLITE CLINICS AND MAILED TO APPROXIMATELY 80 PHYSICIANS, PROVIDERS, AND HEALTH DEPARTMENTS THROUGHOUT NORTHERN MISSOURI.- AS PREVIOUSLY REFERENCED, CRMC OPERATES A SYSTEM OF 16 PRIMARY CARE SATELLITE CLINICS LOCATED THROUGHOUT SIX COUNTIES IN NORTHWEST MISSOURI TO FACILITATE EASE OF ACCESS FOR ITS PATIENTS. IN FYE 2024, THESE 16 SATELLITE CLINICS CONTINUED TO SERVE AS BOTH EDUCATION AND REFERRAL CENTERS FOR THEIR PATIENTS' MENTAL HEALTH NEEDS. THE MAJORITY OF CRMC'S SATELLITE CLINICS STILL UTILIZE THE PATIENT HEALTH QUESTIONNAIRE-9 (PHQ-9) FOR DEPRESSION SCREENING PURPOSES.- CRMC'S BHU UTILIZED TELEPSYCHIATRY SERVICES AT LEAST ONE DAY PER WEEK DURING FYE 2024 IN ORDER TO MAINTAIN/ENHANCE GEROPSYCHIATRIC PHYSICIAN COVERAGE. THE BHU CONTINUED TO PLAY A VITAL ROLE IN CRMC'S MEDICAL COMMUNITY, PROVIDING SOLUTIONS AND SUPPORT FOR AREA NURSING HOMES, FAMILIES, AND PHYSICIANS. - CRMC AND AREA FAMILY GUIDANCE OFFICES CONTINUED TO WORK TOGETHER CLOSELY ON MENTAL HEALTH CASES IN FYE 2024, PARTICULARLY ON SUICIDAL PATIENTS PRESENTING TO THE EMERGENCY ROOM. UPON NOTIFICATION TO THEIR HOTLINE, FAMILY GUIDANCE WILL SEND A REPRESENTATIVE TO PERFORM THE SCREENING PROCESS AND INTAKE EVALUATION, DAY OR NIGHT, 24-7. WORKING CLOSELY WITH THE E.R. PHYSICIAN ON A TREATMENT PLAN, FAMILY GUIDANCE WILL FACILITATE TRANSFER TO AN APPROPRIATE PSYCHIATRIC FACILITY, IF DEEMED ADVISABLE.- THROUGH THE CHNA PROCESS, PREFERRED FAMILY HEALTHCARE (PFH) IN KIRKSVILLE, MISSOURI REMAINS A VALUED PARTNER FOR CRMC AFTER MANY YEARS, PROVIDING COLLECTIVE IMPACT, RESOURCES, EDUCATION, AND BROCHURES OTHERWISE UNAVAILABLE IN THE AREA FOR BOTH MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE (SEE NEXT SECTION). MANY CRMC STAFF MEMBERS HAVE PARTICIPATED IN PFH'S ANNUAL MENTAL HEALTH FIRST AID CLASSES THAT INSTRUCT ON HOW TO RECOGNIZE SIGNS OF MENTAL HEALTH AND/OR SUBSTANCE ABUSE CHALLENGES. (CONTINUED) PART V, SECTION B, LINE 11 (CONTINUED)PRIORITY/OBJECTIVE NO. 2 SUBSTANCE ABUSE:- THROUGHOUT FYE 2024, CRMC PRIMARY CARE PHYSICIANS AND MID-LEVELS CONTINUED TO DELIVER COUNSELING ON ALCOHOL TEMPERANCE, SMOKING CESSATION, PROPER USE OF DRUGS/MEDICATIONS, AND OTHER SUBSTANCE ABUSE ISSUES TO THEIR PATIENTS AT BOTH THE MEDICAL CENTER AND ITS 16 SATELLITE CLINICS IN AN EFFORT TO PREVENT ABUSE, ADDICTION, RESULTANT DRUNK DRIVING, ALTERED MENTAL STATES, AND RELAPSE. EDUCATIONAL MATERIALS ARE PROVIDED ACCORDING TO INDIVIDUAL PATIENT NEED.- CRMC CONTINUED TO INCLUDE DETAILED INFORMATION ON SMOKING CESSATION IN ALL ADMISSION PACKETS IN FYE 2024. FOR THOSE EMERGENCY ROOM PATIENTS WHOSE DIAGNOSIS WAS RELATED TO SMOKING, CESSATION INFORMATION WAS PROVIDED AT THE TIME OF DISCHARGE. - FOR OVER 25 YEARS, CRMC HAS FINANCIALLY SUPPORTED POST-GRADUATION AND POST-PROM PARTIES THROUGHOUT SEVERAL COUNTIES TO ASSIST IN PROVIDING ALTERNATIVE ACTIVITIES TO DRINKING FOR THE SAFETY OF AREA HIGH SCHOOL STUDENTS. THIS PRACTICE CONTINUED IN FYE 2024.- IN FYE 2024, THE CRMC MEDICAL STAFF AND BOARD OF DIRECTORS CONTINUED TO PROHIBIT THE USE AND/OR POSSESSION OF MARIJUANA (MEDICAL OR OTHERWISE) ON CRMC'S CAMPUS, PREMISES, AND ALL OUTLYING/SATELLITE FACILITIES. PER MEDICAL CENTER POLICY, CRMC'S ACTIVE STAFF PHYSICIANS DO NOT PROVIDE PHYSICIAN CERTIFICATION FOR QUALIFYING MEDICAL CONDITIONS FOR THE USE OF MARIJUANA.- CRMC CONTINUED TO ASSIST WITH THE MARKETING OF ANNUAL "PRESCRIPTION DRUG TAKE-BACK DAY" IN FYE 2024, WHETHER IT WAS LOCAL AUTHORITIES OR BUSINESSES THAT INITIATED THE EFFORT.- FOR REFERRAL PURPOSES, CRMC'S EMERGENCY ROOM ALWAYS MAINTAINS A LIST OF AREA SUBSTANCE ABUSE/ ADDICTION TREATMENT FACILITIES, DISSEMINATING TO PATIENTS AND FAMILY MEMBERS AS APPROPRIATE. CRMC'S REGIONAL RESOURCE DIRECTORY ALSO PROVIDES A LISTING OF AREA SUBSTANCE ABUSE PROGRAMS (SEE FURTHER DISCUSSION UNDER PRIORITY/OBJECTIVE NO. 3).- CRMC, THROUGH ITS NETWORK OF PRIMARY CARE CLINICS, PHYSICIANS, MID-LEVELS, AND THE HOSPITAL PHARMACY, CONTINUED TO FACILITATE AND PROMOTE CONCERTED EFFORTS AGAINST PRESCRIPTION DRUG/MEDICATION ABUSE IN FYE 2024. THE MEDICAL CENTER'S E-PRESCRIBING SOFTWARE AND COMMUNICATION PROTOCOLS WITH AREA PHARMACIES ASSISTED IN MONITORING/TRACKING "DOCTOR SHOPPING" EFFORTS BY PATIENTS SUSPECTED OF ABUSING THE SYSTEM. - AS THERE IS A DISTINCT CROSS-OVER IN STAFF, CRMC PHARMACISTS WHO ALSO WORK LOCALLY IN THE RETAIL SETTING CONTINUED TO TAKE THE FOLLOWING PRECAUTIONS IN FYE 2024: A) PATIENTS ARE NOT ALLOWED TO FILL CONTROLLED PRESCRIPTIONS MORE THAN FIVE DAYS EARLY; B) ANY PRESCRIPTION PRESENTED BY A PATIENT NOT RESIDING IN THE IMMEDIATE AREA OR WRITTEN BY A PRESCRIBER NOT IN THE IMMEDIATE AREA WILL BE INVESTIGATED; C) LOCAL RETAIL PHARMACY PERSONNEL AND HOSPITAL PHARMACY PERSONNEL COMMUNICATE ON A REGULAR BASIS REGARDING SUSPICIOUS CONTROLLED SUBSTANCE PRESCRIBING TRENDS; AND D) ANY CONTROLLED PRESCRIPTION WHERE THE PATIENT OFFERS TO PAY BY CASH INSTEAD OF USING INSURANCE WILL AUTOMATICALLY BE INVESTIGATED FURTHER BY THE PHARMACIST FOR ANY POTENTIAL ABUSE.- STARTING IN 2023, MISSOURI ENACTED A STATEWIDE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) WHICH ALLOWS PRESCRIBERS AND PHARMACISTS ACCESS TO CONTROLLED SUBSTANCE PRESCRIPTION FILL HISTORY. PHARMACIES ARE REQUIRED TO SUBMIT INFORMATION TO THE PDMP WHEN THEY DISPENSE ANY SCHEDULE II, III, OR IV PRESCRIPTIONS TO PATIENTS. PRESCRIBERS AND PHARMACISTS CAN ALSO USE THIS TOOL TO MAKE INFORMED DECISIONS AND REDUCE RISK FOR PATIENTS. CRMC'S EMR SOFTWARE (CPSI) HAS INTEGRATED THE MISSOURI PDMP INTO THE MEDICAL CENTER'S PRESCRIBING SOFTWARE FOR THE HOSPITAL SETTING AND FOR ALL CLINICS AS WELL.- THE MEDICAL CENTER CONTINUED TO FINANCIALLY ASSIST ITS EMPLOYEES WITH SMOKING CESSATION PRODUCTS IN FYE 2024.- SMOKING/VAPING IS STILL PROHIBITED WITHIN ALL CRMC FACILITIES.- AS PREVIOUSLY MENTIONED ABOVE, PFH IN KIRKSVILLE, MISSOURI HAS REMAINED A RESPECTED ASSOCIATE FOR CRMC OVER THE PAST MANY YEARS THROUGH THE CHNA PROCESS, PROVIDING RESOURCES, EDUCATION, AND BROCHURES OTHERWISE UNAVAILABLE IN THE AREA FOR BOTH MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. CRMC STAFF MEMBERS HAVE PARTICIPATED IN PFH'S ANNUAL MENTAL HEALTH FIRST AID CLASSES THAT INSTRUCT ON HOW TO RECOGNIZE SIGNS OF SUBSTANCE ABUSE AND/OR MENTAL HEALTH CHALLENGES.PRIORITY/OBJECTIVE NO. 3 COMPREHENSIVE FOUR-COUNTY HEALTH CARE RESOURCE GUIDE COMBINED WITHPRIORITY/OBJECTIVE NO. 8 PUBLIC AWARENESS OF HEALTH CARE SERVICES:- AS PREVIOUSLY REFERENCED, CRMC'S REGIONAL RESOURCE DIRECTORY WAS DEVELOPED SEVERAL YEARS AGO AND IS UPDATED TWO TIMES PER YEAR. COVERING CRMC'S FOUR-COUNTY PRIMARY SERVICE AREA (CLINTON, CALDWELL, DAVIESS AND DEKALB), PLUS REGIONAL RESOURCES OF IMPORTANCE, THE DIRECTORY INCLUDES MENTAL HEALTH SERVICES, ALCOHOL/DRUG TREATMENT (SUBSTANCE ABUSE) PROGRAMS, PHYSICIANS/MEDICAL CLINICS, WELLNESS/FITNESS CENTERS, NUTRITION RESOURCES, DENTISTS, APPLICABLE GOVERNMENT AGENCIES, BASIC LIVING RESOURCES, ASSISTANCE PROGRAMS, AND SEVERAL OTHER CATEGORIES ADDRESSING THE HEALTH AND WELL-BEING OF AREA RESIDENTS. IT IS DISTRIBUTED TO THE PUBLIC UPON REQUEST AND DISSEMINATED AT CERTAIN PUBLIC MEETINGS AND EDUCATIONAL EVENTS SPONSORED BY CRMC. IT IS ALSO SHARED WITH AREA ORGANIZATIONS, HEALTH DEPARTMENTS, COALITIONS, ETC. UPON REQUEST. - CRMC'S 22ND ANNUAL HEALTH FAIR WAS HELD ON SEPTEMBER 28, 2024, AND WAS WIDELY PUBLICIZED, AS IT IS EACH YEAR. THIS FAIR REPRESENTED THE FIFTH SUCH ANNUAL EVENT WHEREBY A "DISTRIBUTED" FORMAT WAS USED, WITH SIX DIFFERENT LOCATIONS THROUGHOUT FIVE COUNTIES IN RURAL NORTHWEST MISSOURI BEING UTILIZED: 1) ORTHOPEDIC & REHAB CENTER AT CRMC IN CAMERON, MO - CLINTON COUNTY; 2) BETHANY HEALTH SERVICES IN BETHANY, MO HARRISON COUNTY; 3) HAMILTON FAMILY HEALTH CENTER IN HAMILTON, MO CALDWELL COUNTY; 4) JAMESPORT OUTREACH CLINIC IN JAMESPORT, MO DAVIESS COUNTY; 5) KING CITY FAMILY HEALTH IN KING CITY, MO GENTRY COUNTY; AND 6) LATHROP MEDICAL CLINIC IN LATHROP, MO CLINTON COUNTY. COMPREHENSIVE BLOOD WORK (ANEMIA, BLOOD SUGAR, THYROID, CHOLESTEROL PANEL, IRON, HEMOGLOBIN A1C, GFR, AND BUN/CREATININE), BLOOD PRESSURES, AND PULSE OXIMETRY WERE PROVIDED FREE-OF-CHARGE AT ALL SIX LOCATIONS. SKIN CANCER SCREENINGS WERE ALSO OFFERED FREE-OF-CHARGE AT CRMC. MEDICAL PROVIDERS WERE ON SITE AT EACH LOCATION AND AVAILABLE TO ANSWER QUESTIONS AND COUNSEL/EDUCATE ATTENDEES REGARDING MEDICATIONS, VACCINATIONS, MENTAL HEALTH, EXERCISE, NUTRITION, DIABETES, CRMC AND SATELLITE CLINIC SERVICES, ETC. A RECORD TURN-OUT WAS EXPERIENCED, WITH APPROXIMATELY 510 PARTICIPANTS ATTENDING THIS ANNUAL HEALTH AND WELLNESS EVENT.- IN FYE 2024, K.U. MEDICAL CENTER, ITS UROLOGY RESIDENCY PROGRAM, MOBEN MIRZA, M.D., AND CRMC, CONTINUED TO PROVIDE FREE QUARTERLY EDUCATION SESSIONS AT CRMC ON VARIOUS MEDICAL TOPICS OF INTEREST FOR THE PUBLIC, SUCH AS URINARY INCONTINENCE, UTIS, KIDNEY STONES, HEMATURIA, AND PROSTATE CANCER. THESE SESSIONS CONTINUE TO PRESENT DAY AND ARE HELD IN AN ATTEMPT TO INFORM AREA RESIDENTS OF THE VARIETY OF UROLOGY HEALTH CARE SERVICES AVAILABLE AT CRMC.- IN FYE 2024, CRMC'S ACTIVE STAFF PHYSICIANS PROVIDED FREE PERIODIC EDUCATION SESSIONS FOR THE PUBLIC ON VARIOUS MEDICAL TOPICS OF INTEREST, INCLUDING HEMORRHOIDS, CARDIOLOGY, AND FISTULAS/FISSURES. THESE SESSIONS CONTINUE AND HELP APPRISE ATTENDEES OF THE VARIOUS HEALTH CARE SERVICES OFFERED AT CRMC.- CRMC CONTINUED TO SPONSOR FREE TRAINING/EDUCATION CLASSES FOCUSING ON DIABETES, NUTRITION, FOOD LABELS, AND HEALTHY EATING IN FYE 2024. THESE ARE PERFORMED BY CRMC'S REGISTERED DIETICIANS AT LEAST EVERY 60 DAYS, WITH EXCELLENT PARTICIPATION RATES AND FEEDBACK. BESIDES EDUCATING ON COPING WITH DIABETES, THESE CLASSES HELP INFORM THE PUBLIC OF CRMC'S AVAILABLE HEALTH & WELLNESS SERVICES.- AS PREVIOUSLY MENTIONED UNDER MENTAL HEALTH, CRMC'S MONTHLY OUTPATIENT CLINIC CALENDAR DENOTING ALL SPECIALISTS' CLINICS IS PLACED IN APPROXIMATELY 12 AREA NEWSPAPERS ON A MONTHLY BASIS, AS WELL AS ON THE MEDICAL CENTER'S WEBSITE, IN ORDER TO INCREASE PUBLIC AWARENESS OF CRMC'S AVAILABLE HEALTH CARE SERVICES. THIS OUTPATIENT CLINIC CALENDAR IS ALSO DISTRIBUTED VIA CRMC'S 16 SATELLITE CLINICS AND MAILED TO APPROXIMATELY 80 PHYSICIANS AND PROVIDERS THROUGHOUT NORTHERN MISSOURI.- IN FYE 2024, CRMC CONTINUED TO UTILIZE A BROAD CONTINUUM OF MARKETING APPROACHES TO EDUCATE THE PUBLIC ON THE HEALTH CARE SERVICES AVAILABLE AT THE MEDICAL CENTER AND ITS 16 SATELLITE CLINICS. MARKETING EFFORTS INCLUDE NEWSPAPER, RADIO, PROMOTIONAL FLYERS, WEBSITE, SOCIAL MEDIA, SEARCH ENGINE OPTIMIZATION, AND TWO LARGE ELECTRONIC MESSAGE BOARDS LOCATED ON TWO MAJOR HIGHWAYS/INTERSTATES.PRIORITY/OBJECTIVE NO. 4 AFFORDABLE AND SAFE CHILD CARE SERVICES (NOT DIRECTLY ADDRESSED - SEE BELOW) PRIORITY/OBJECTIVE NO. 5 SCHOOL HEALTH (NOT DIRECTLY ADDRESSED SEE BELOW)(CONTINUED) PART V, SECTION B, LINE 11 (CONTINUED)PRIORITY/OBJECTIVE NO. 6 LONG-TERM CARE STAFFING AND TRAINING (NOT DIRECTLY ADDRESSED - SEE BELOW)PRIORITY/OBJECTIVE NO. 7 REIMBURSEMENT FOR PROVIDERS:- AS HOSPITALS AND PHYSICIANS ARE AT THE MERCY OF THEIR THIRD-PARTY PAYORS, CRMC HAS HIRED AN OUTSIDE FIRM/CONSULTANT FOR THE PAST SEVERAL YEARS TO AUDIT/REVIEW THE MEDICAL CENTER'S INCOMING REMIT ADVICES TO MAKE SURE REIMBURSEMENT IS IN COMPLIANCE WITH THE RESPECTIVE THIRD-PARTY PAYOR CONTRACT. IN PARTICULAR, THIS EFFORT FOCUSES ON MEDICARE ADVANTAGE PLANS AND COMMERCIAL INSURANCE PLANS.- AS THIRD-PARTY RECOVERY AUDIT CONTRACTORS (RACS) OVER THE YEARS HAVE INCREASINGLY BECOME A SOURCE OF LOST REVENUE FOR HOSPITALS, CRMC CONTINUED TO CONDUCT MONTHLY RACS MEETINGS IN FYE 2024 TO INVESTIGATE EACH CLAIM BEING CHALLENGED BY RACS. THESE RACS CHALLENGES ORIGINALLY INVOLVED MEDICARE AND MEDICARE ADVANTAGE CLAIMS; HOWEVER, IN LATER YEARS, PRIVATE THIRD-PARTY PAYORS SUCH AS UNITED HEALTHCARE AND AETNA HAVE JOINED IN THE "TAKE-BACK" PROGRAM AND HIRED COMPANIES SUCH AS MED REVIEW, OPTUM, EXL, AND COTIVITI TO AUDIT CRMC'S HEALTH CARE CLAIMS ON A PERCENTAGE BASIS. THESE POST-SERVICE RACS PRACTICES CONTINUE EVEN THOUGH THE PRE-AUTHORIZATION REQUIREMENTS OF THE THIRD-PARTY PAYORS ARE ALWAYS FOLLOWED BY CRMC. FOR THESE REASONS, CRMC CONTINUED IN FYE 2024 TO APPEAL EACH RACS CHALLENGE TO THE MAXIMUM EXTENT ALLOWED BY REGULATIONS. - IN AN ATTEMPT TO ASSIST INDIVIDUALS WITH UNDERSTANDING THE COMPLEXITIES OF HEALTH CARE REIMBURSEMENT, FREE PUBLIC EDUCATION MEETINGS CONTINUE TO BE HELD TWO TO THREE TIMES PER YEAR, CENTERING ON MEDICARE, MEDICAID, THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MEDICARE ADVANTAGE, AND OTHER THIRD-PARTY PAYOR PLANS. THESE QUESTION-AND-ANSWER SESSIONS COVER ALL FACETS OF THE PUBLIC'S HEALTH-CARE CONCERNS, INCLUDING INSURANCE COVERAGE SPECIFICS, OPEN ENROLLMENT PERIODS, DEDUCTIBLES/CO-PAYS, CRMC'S BILLING/COLLECTING PRACTICES, PART D, MEDIGAP POLICIES, ETC. GOOD ATTENDANCE IS EXPERIENCED, AND MANY QUESTIONS ARE ENTERTAINED AND DISCUSSED AT LENGTH. BILLING, PHARMACY, SOCIAL SERVICES, AND ADMINISTRATIVE PERSONNEL ARE IN ATTENDANCE FROM A RESOURCE PERSPECTIVE.- IN ADDITION TO PSYCHIATRY, CRMC HAS BEEN PROVIDING SEVERAL HEALTH CARE "DESERT SERVICES" IN RURAL NORTHWEST MISSOURI FOR MANY YEARS, INCLUDING OBSTETRICS AND RENAL DIALYSIS. THESE ARE CRITICAL, LIFE-SAVING SERVICES WHERE LONG DRIVE-TIMES ARE NOT CONDUCIVE TO FAVORABLE MEDICAL OUTCOMES. ADDITIONALLY, BOTH SERVICES ARE COSTLY TO OPERATE, WITH LOW REIMBURSEMENT LEVELS. CRMC HAS CONTINUED TO UNDERWRITE THESE SERVICES BECAUSE THEY ARE ESSENTIAL TO AREA RESIDENTS AND NOT READILY AVAILABLE DUE TO AREA CLOSURES BEING INSTITUTED BY OTHER HEALTH CARE FACILITIES IN NORTHERN MISSOURI. AS THE ONLY HOSPITAL IN A FOUR-COUNTY AREA (CLINTON, CALDWELL, DAVIESS, AND DEKALB), CRMC PROVIDES VITAL MEDICAL SERVICES SUCH AS THESE TO A RURAL, LOW-INCOME POPULATION OF APPROXIMATELY 50,000 IN ITS PRIMARY SERVICE AREA. LIKEWISE, CRMC'S SECONDARY SERVICE AREA ENCOMPASSES ANOTHER SIX COUNTIES, STRETCHING TO THE IOWA BORDER AND REPRESENTING AN EVEN-MORE-SO, LOW-INCOME, UNDERSERVED POPULATION, WITH A HIGH PERCENTAGE OF ELDERLY. AS CRMC HAS CONTINUED TO PROVIDE OBSTETRIC AND RENAL DIALYSIS SERVICES ON A LONG-STANDING BASIS, AND AS THE STATE OF MISSOURI HAS BEGUN REALIZING THE SEVERITY OF THESE RURAL DESERTS, IN LATE 2024 THE MEDICAL CENTER WAS SUCCESSFUL IN WORKING WITH THE STATE ON A SPECIAL BUDGET ALLOCATION FOR CAPITAL EQUIPMENT/IMPROVEMENTS TO ASSIST IN COVERING SOME OF THE COSTS ASSOCIATED WITH THESE MUCH-NEEDED, SCARCE, AND UNDER-REIMBURSED SERVICES. PRIORITY/OBJECTIVE NO. 8 AWARENESS OF HEALTH CARE SERVICES (COMBINED WITH NO. 3 ABOVE)PRIORITY/OBJECTIVE NO. 9 TRANSITIONAL SENIOR CARE:- BESIDES GENERAL ACUTE AND SURGICAL CARE, CRMC CONTINUED IN FYE 2024 TO PROVIDE MULTIPLE SERVICES AND CARE SETTINGS TO ASSIST WITH THE VARIOUS TRANSITIONAL PHASES OF THE AGING PROCESS. FROM 16 SATELLITE OUTPATIENT (PRIMARY CARE) CLINICS PROVIDING PHYSICIAN CARE, TO SKILLED, SWINGBED, BEHAVIORAL HEALTH (GEROPSYCHIATRIC), AND INPATIENT REHABILITATION HOSPITAL CARE; FROM HOME HEALTH SERVICES TO OUTPATIENT CARDIAC REHAB AND COMFORT CARE HOSPICE CRMC MAINTAINS NUMEROUS PROGRAMS DESIGNED TO HELP PATIENTS REGAIN STRENGTH, RESTORE FUNCTION, AND IMPROVE HEALTH THROUGH PROFESSIONAL CARE AND EFFECTIVE REHABILITATION SERVICES. - IN FYE 2024, SOCIAL WORKERS THROUGHOUT THE CRMC SYSTEM CONTINUED TO PROVIDE AND GUIDE A PATH FROM HOSPITAL TO HOME, ASSISTING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS WITH THEIR PATIENTS' SMOOTH TRANSITION FROM ONE HEALTH CARE SETTING TO ANOTHER.- CRMC CONTINUES TO MAINTAIN GOOD WORKING RELATIONSHIPS WITH ALL AREA NURSING HOMES AND TERTIARY CENTERS, PROVIDING FREE TRANSPORTATION TO/FROM THESE FACILITIES FOR MEDICALLY-APPROPRIATE PATIENTS IN NEED OF SAME. - AS A LEVEL III STROKE CENTER CERTIFIED BY THE STATE OF MISSOURI, CRMC CONTINUES TO MAINTAIN A SPECIAL COLLABORATION AGREEMENT WITH ST. LUKE'S FOR THE TIMELY TRANSFER OF STROKE PATIENTS IN NEED OF FURTHER NEUROVASCULAR CARE.COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN - NEEDS NOT DIRECTLY ADDRESSED FOR FYE 9-30-24: THE FOLLOWING IDENTIFIED NEEDS WERE NOT A DIRECT PART OF THE MEDICAL CENTER'S MISSION OR NORMAL OPERATIONS IN FYE 9-30-24. RATHER, CRMC PROVIDED SUPPORT MEASURES AND PARTNERED WITH OTHER ENTITIES THROUGHOUT THE AREA ("KEY STAKEHOLDERS") AS NEEDED AND APPROPRIATE.PRIORITY/OBJECTIVE NO. 4 AFFORDABLE AND SAFE CHILD CARE SERVICES:AS CHILD CARE SERVICES ARE NOT A CORE COMPONENT OF CRMC'S MISSION OR OPERATIONS, THE MEDICAL CENTER PLAYS ONLY A SUPPORTING ROLE IN ADDRESSING THIS NEED. THE MEDICAL CENTER HAS CONTINUOUSLY COOPERATED WITH AREA ECONOMIC DEVELOPMENT EFFORTS TOWARD PROMOTING NEW BUSINESSES WHENEVER FEASIBLE IN THE HOPE OF REALIZING ADDITIONAL PRE-SCHOOLS AND CHILD DAYCARE CENTERS IN RURAL NORTHWEST MISSOURI. CRMC SUPPORTS THE CAMERON R-1 SCHOOL DISTRICT IN MULTIPLE WAYS, INDIRECTLY BENEFITTING THE DISTRICT'S SORELY-NEEDED PRE-KINDERGARTEN/PRE-SCHOOL PROGRAMS.PRIORITY/OBJECTIVE NO. 5 SCHOOL HEALTH:ALTHOUGH SCHOOL HEALTH PER SE IS NOT A MAIN FOCUS OF THE MEDICAL CENTER, CRMC HAS BECOME INCREASINGLY INVOLVED WITH SPORTS MEDICINE AND AREA HIGH SCHOOL ATHLETICS OVER THE PAST FOUR YEARS. ATHLETIC TRAINER COVERAGE IS PROVIDED YEAR-ROUND FOR NUMEROUS AREA HIGH SCHOOL SPORTING EVENTS. THIS SERVICE IS OFFERED IN TANDEM WITH A COMPREHENSIVE PROGRAM COVERING ANNUAL SPORTS PHYSICALS AND ANNUAL BASELINE CONCUSSION TESTING WITH BALANCE ASSESSMENT, AS WELL AS BASELINE EKGS FOR THOSE STUDENT ATHLETES WITH CARDIAC RISK FACTORS. APPROXIMATELY TEN AREA SCHOOL DISTRICTS TAKE ADVANTAGE OF THESE HEALTH/WELLNESS SERVICES EITHER ON A PART-TIME OR FULL-TIME BASIS. PRIORITY/OBJECTIVE NO. 6 LONG-TERM CARE STAFFING AND TRAINING:AS CRMC DOES NOT PROVIDE LONG-TERM CARE, THIS PRIORITY/OBJECTIVE DOES NOT PERTAIN DIRECTLY TO THE MEDICAL CENTER'S OPERATIONS, OTHER THAN THE COOPERATIVE AND INTERACTIVE NATURE OF ITS RELATIONSHIPS WITH AREA NURSING HOMES AND ASSISTED-LIVING FACILITIES. ON A RELATED NOTE, CRMC SPONSORS THREE SEPARATE SCHOLARSHIP PROGRAMS FOR STUDENTS ENTERING A SPECIFIC HEALTH CARE FIELD OF STUDY AFTER HIGH SCHOOL AND/OR ENTERING MEDICAL SCHOOL. RECIPIENTS CAN BE GOING INTO NURSING, MEDICINE, VARIOUS THERAPIES, LABORATORY TECHNOLOGY, RADIOLOGIC TECHNOLOGY, OR OTHER ALLIED HEALTH FIELDS. THE OLDEST OF THESE OFFERINGS HAS BEEN IN EXISTENCE FOR 35 YEARS, IS RENEWABLE, AND WILL APPLY TO FOUR YEARS OF COLLEGE STUDY. IT IS ENTIRELY POSSIBLE THAT RECIPIENTS OF THESE SCHOLARSHIPS COULD ULTIMATELY CHOOSE THE LONG-TERM CARE FIELD AS THEIR PROFESSION.CRMC ALSO DONATES DIRECTLY ON AN ANNUAL BASIS TO NORTH CENTRAL MISSOURI COLLEGE IN TRENTON, MISSOURI TO SUPPORT EXPANSION OF ITS NURSING AND ALLIED HEALTH TRAINING PROGRAMS ($30,000 IN FYE 2024). MANY OF THESE STUDENTS WHO ARE POSITIVELY AFFECTED BY THESE DONATIONS COULD FEASIBLY SELECT THE LONG-TERM CARE FIELD FOR THEIR CAREER PATH. 16 1 - CAMERON MEDICAL CLINIC 1600 E EVERGREEN CAMERON MO 64429 MEDICAL CLINIC 2 - WESTSIDE MEDICAL OFFICES 1608 E EVERGREEN CAMERON MO 64429 MEDICAL CLINIC 3 - WALNUT MEDICAL CLINIC 921 N WALNUT CAMERON MO 64429 RURAL HEALTH CLINIC 4 - BETHANY RENAL DIALYSIS 903 N 25TH STREET BETHANY MO 64424 MEDICAL CLINIC 5 - HAMILTON FAMILY HEALTH CENTER 103 N DAVIS HAMILTON MO 64644 RURAL HEALTH CLINIC 6 - CAMERON SPECIALISTS - INTERNAL MEDICINE 1608 E EVERGREEN CAMERON MO 64429 MEDICAL CLINIC 7 - NW MISSOURI OBSTETRICS AND GYNECOLOGY 221 E 7TH STREET CAMERON MO 64429 MEDICAL CLINIC 8 - MAYSVILLE FAMILY HEALTH 1007 S POLK MAYSVILLE MO 64469 RURAL HEALTH CLINIC 9 - GALLATIN FAMILY MEDICINE 502 SOUTH MAIN GALLATIN MO 64640 RURAL HEALTH CLINIC 10 - LATHROP MEDICAL CLINIC 106 NORTH STREET LATHROP MO 64465 MEDICAL CLINIC 11 - CAMERON NEPHROLOGY CLINIC 1600 E EVERGREEN STE B CAMERON MO 64429 MEDICAL CLINIC 12 - JAMESPORT OUTREACH CLINIC 409 W AUBERRY GROVE JAMESPORT MO 64648 RURAL HEALTH CLINIC 13 - PLATTSBURG FAMILY MEDICINE 214 N MAIN PLATTSBURG MO 64477 RURAL HEALTH CLINIC 14 - POLO FAMILY HEALTH CENTER 198 MAIN STREET POLO MO 64671 RURAL HEALTH CLINIC 15 - EAGLEVILLE MEDICAL CLINIC 12050 12TH STREET EAGLEVILLE MO 64442 RURAL HEALTH CLINIC 16 - KING CITY FAMILY HEALTH 200 EAST VERMONT STREET KING CITY MO 64463 RURAL HEALTH CLINIC PART III, LINE 2: THIS AMOUNT WAS DETERMINED BY MULTIPLYING A COST-TO-CHARGE RATIO DERIVED FROM THE FYE 2024 COST REPORT, WORKSHEET S-10 BY THE MEDICAL CENTER'S BAD DEBT EXPENSE FOR THE TAX YEAR. PART III, LINE 3: THIS AMOUNT WAS DETERMINED BASED ON THE OVERALL INCOME LEVEL OF PATIENTS THAT SUBMIT ALL REQUIRED DOCUMENTATION UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. AS A TAX-EXEMPT HOSPITAL, WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THAT CARE. MAKING QUALITY PATIENT CARE AVAILABLE TO ALL IN OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC MEANS, QUALIFIES THESE BAD DEBTS AS A COMMUNITY BENEFIT. PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS PAGES 10-11. PART III, LINE 8: MEDICARE COSTS WERE OBTAINED FROM THE MEDICAL CENTER'S AS-FILED MEDICARE COST REPORT FOR THE TAX YEAR. ANY SHORTFALLS ARE A BENEFIT TO THE MEDICAL CENTER'S COMMUNITY SINCE IT REPRESENTS HEALTH CARE PROVIDED AT LESS THAN COST TO ELDERLY AND NEEDY RESIDENTS OF THE MEDICAL CENTER'S SERVICE AREA. PART III, LINE 9B: AT THE TIME OF ADMISSION AND BEFORE DISCHARGE, EACH PATIENT WILL RECEIVE A NOTICE THAT THE MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY (WITH A BRIEF DESCRIPTION OF SUCH POLICY) AND DIRECTIONS FOR OBTAINING ADDITIONAL INFORMATION ABOUT SUCH POLICY. ALL ITEMIZED STATEMENTS SENT TO THE PATIENT INCLUDE A NOTICE THAT THE MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY AND DIRECTIONS FOR OBTAINING ADDITIONAL INFORMATION ABOUT SUCH POLICY. IF A PATIENT SUBMITS A FINANCIAL ASSISTANCE POLICY APPLICATION, ALL PAYMENT NOTIFICATIONS AND COLLECTION ACTIONS ARE SUSPENDED UNTIL IT IS DETERMINED WHETHER THE PATIENT IS ELIGIBLE FOR THE FINANCIAL ASSITANCE POLICY (AND IF SO, NOTIFICATIONS AND COLLECTION ACTIONS WILL CEASE). PART VI, LINE 2: THE MEDICAL CENTER RELIES ON THE FEEDBACK AND REQUESTS TAKEN FROM PATIENTS OF THE MEDICAL CENTER AND ITS NUMEROUS CLINICS, AS WELL AS RESIDENTS FROM ITS PRIMARY SERVICE AREA. PART VI, LINE 3: THE MEDICAL CENTER EMPLOYS A SOCIAL WORKER THAT INFORMS ALL PATIENTS OF ALL AVAILABLE PAYMENT OPTIONS. PART VI, LINE 4: CAMERON REGIONAL MEDICAL CENTER AND ITS ELEVEN RURAL HEALTH CLINICS ARE LOCATED IN NORTHWEST MISSOURI. THE PRIMARY SERVICE AREA IS COMPRISED OF FOUR RURAL COUNTIES CONSISTING OF DAVIESS, CALDWELL, DEKALB, AND CLINTON. THERE ARE APPROXIMATELY 48,953 INDIVIDUALS THAT RESIDE IN THE PRIMARY SERVICE AREA. OF THESE RESIDENTS, APPROXIMATELY 13.1% OF THEM HAVE AN ANNUAL INCOME BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN ANNUAL INCOME PER HOUSEHOLD FOR THE FOUR COUNTIES IS APPROXIMATELY $63,095. APPROXIMATELY 31% OF THE TOTAL SERVICES PROVIDED ARE FOR MEDICARE PATIENTS AND 14% ARE FOR MEDICAID PATIENTS. THE NEAREST SURROUNDING HOSPITALS ARE LOCATED IN SMITHVILLE, EXCELSIOR SPRINGS, AND RICHMOND. THE DISTANCE BETWEEN THESE FACILITIES AND CAMERON REGIONAL MEDICAL CENTER IS APPROXIMATELY 28, 28, AND 31 MILES RESPECTIVELY. PART VI, LINE 5: CAMERON REGIONAL MEDICAL CENTER'S GOVERNING BODY IS COMPRISED OF RESIDENTS FROM ITS PRIMARY SERVICE AREA. THE MEDICAL CENTER EXTENDS MEDICAL PRIVILEGES TO ALL LOCAL PHYSICIANS WHO MEET THE REQUIREMENTS OF THE MEDICAL STAFF BYLAWS. ALL SURPLUS FUNDS ARE USED TO MAINTAIN AND IMPROVE THE MEDICAL FACILITY AND MEDICAL EQUIPMENT IN ORDER TO PROVIDE THE BEST MEDICAL TREATMENT POSSIBLE TO EVERY PATIENT. 1 NORTH CENTRAL MISSOURI COLLEGE FOUNDATION 1301 MAIN ST TRENTON MO 64683 431423040 501(C)(3) 30100 0 TO SUPPORT THE TRANSFORMING LIVES, EMPOWERING PEOPLE CAMPAIGN 1 SCHOLARSHIPS 51 48000 PART I, LINE 2: SCHOLARSHIPS ARE PAID DIRECTLY TO THE COLLEGE OF THE RECIPIENT. WHEN MAKING GRANTS TO DOMESTIC ORGANIZATIONS, FUNDS ARE DSBURSED DIRECTLY TO EACH ORGANIZATION WITH THE BOARD OF DIRECTORS' AUTHORIZATION. X X 0 1 0 0 0 1 0 1 0 LAEEQ AZMAT TAHIRKHELI DIRECTOR/PHYSICIAN (END 02/24) 1013270 0 0 0 25086 0 19500 0 116784 0 1174640 0 0 0 LY PHAN PHYSICIAN 719374 0 0 0 0 0 0 0 63524 0 782898 0 0 0 MUHAMMAD ADMIN PHYSICIAN 614495 0 0 0 0 0 22500 0 87038 0 724033 0 0 0 SHAHZAD SHAFIQUE PHYSICIAN 633933 0 0 0 0 0 0 0 47937 0 681870 0 0 0 DAMOND ERICKSON PHARMACY DIRECTOR 509303 0 5471 0 6667 0 30000 0 16571 0 568012 0 0 0 LAURA HARBISON DIRECTOR/PHYSICIAN (END 02/24) 419426 0 0 0 1200 0 19500 0 91481 0 531607 0 0 0 DR BARRY LITTLEJOHN PHYSICIAN 470714 0 0 0 0 0 0 0 53937 0 524651 0 0 0 SAM BARTON DO EX-OFFICIO/VICE CHIEF OF STAFF (BEG 331417 0 0 0 0 0 20000 0 21907 0 373324 0 0 0 JOSEPH F ABRUTZ JR ADMINISTRATOR/CEO 281270 0 35000 0 214 0 27000 0 13899 0 357383 0 0 0 FRED KIEHL DO EX-OFFICIO/CHIEF OF STAFF (BEG 02/24 227951 0 0 0 0 0 0 0 0 0 227951 0 0 0 ROSA PATTI CFO 104531 0 86753 0 7597 0 0 0 16571 0 215452 0 0 0 PART I, LINE 6 THE ADMINISTRATOR IS ELIGIBLE FOR AN ANNUAL BONUS THAT IS PARTIALLY CONTINGENT ON MEETING A SPECIFIC OPERATING MARGIN PERCENTAGE. PART I, LINE 7 THE ADMINISTRATOR IS ELIGIBLE FOR AN ANNUAL BONUS THAT IS PARTIALLY CONTINGENT ON MEETING QUALITY MEASURE GOALS AND STRATEGIC PLANNING GOALS. THE CHIEF FINANCIAL OFFICER ALSO RECEIVED A BONUS DURING THE FISCAL YEAR ENDING IN 2023 FOR COMPLETING A VARIETY OF SPECIAL PROJECTS FOR THE MEDICAL CENTER. PART I, LINE 4B THE MEDICAL CENTER HAS ESTABLISHED A DEFERRED COMPENSATION PLAN (A 457 PLAN SUBJECT TO CODE SECTION 457(B)). THE NAME OF THE PLAN AS ADOPTED BY THE MEDICAL CENTER IS CAMERON REGIONAL MEDICAL CENTER, INC. 457(B) PLAN. DURING THE FISCAL YEAR END 09/30/2024, NOTHING WAS CONTRIBUTED TO THE PLAN ON BEHALF OF JOSEPH F. ABRUTZ, JR., ADMINISTRATOR OF THE MEDICAL CENTER. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF CLINTON COUNTY MISSOURI 431619770 18746NAM2 2017-09-06 10000000 REFUND SERIES 2007B BONDS ISSUED ON 5/17/2007 0 0 0 B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF CLINTON COUNTY MISSOURI 431619770 18746NAQ3 2017-09-06 3990000 FINANCING THE CAPITAL PROJECT AND EQUIPMENT 0 0 0 C THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF CAMERON MISSOURI 431679396 133451BS2 2017-12-21 6105000 REFUND SERIES 2011 BOND AND FINANCING OF CAPITAL PROJECT 0 0 0 D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF CAMERON MISSOURI 431679396 NONEAVAIL 2019-08-22 2730000 FINANCING OF CAPITAL PROJECTS 0 0 0 A 150000 10000000 480955 9348788 170257 2017 1 0 1 1 B 3990000 399000 21250 68386 3501364 2017 1 0 1 1 C 2490000 6105000 240000 2939863 121225 2803912 2017 1 0 1 1 D 2730000 175000 54600 2500400 2020 0 0 1 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 NONEAVAIL 2022-04-20 5615000 FINANCING OF CAPITAL PROJECTS 0 0 0 B THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF CEMARON MISSOURI 431679396 NONEAVAIL 2015-11-30 6442900 FINANCING OF CAPITAL PROJECTS 0 0 0 A 155000 5615000 500000 112000 151757 4851243 2023 0 0 1 1 B 5439578 6442900 6317705 125195 2015 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 MIRANDA SHOWALTER DAUGHTER OF CFO ROSA PATTI 75623 COMPENSATION 0 ELISA VINEYARD DAUGHTER OF BOARD MEMBER DR. FRED KIEHL 376297 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF ANY COMMITTEE OF THE BOARD HAVING A SUBSTANTIAL PERSONAL OR PRIVATE INTEREST IN A MEASURE, CONTRACT, RESOLUTION, OR OTHER TRANSACTION PRESENTED TO THE BOARD OR A COMMITTEE THEREOF FOR DELIBERATION, AUTHORIZATION, APPROVAL, OR RATIFICATION. ANY SUCH PERSON WHO REASONABLY BELIEVES SUCH AN INTEREST EXISTS PERSONALLY OR IN ANOTHER PERSON, SHALL FULLY AND TRUTHFULLY DISCLOSE OF THE INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY SHALL BE TAKEN BY THE BOARD AS THE BOARD DEEMS APPROPRIATE AND PROPER. EMPLOYEES AND DIRECTORS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE INFORMATION FORM. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR DETERMINING THE JOB PERFORMANCE STANDARDS FOR THE ADMINISTRATOR/CEO AND DETERMINING COMPENSATION ACCORDING TO THE ORGANIZATION'S POLICIES. YEARLY EVALUATIONS ARE PERFORMED AND DOCUMENTED BY THE BOARD OF DIRECTORS AND THE FINANCE COMMITTEE. LINE 15B: FOR ALL OTHER OFFICERS OF THE ORGANIZATION, YEARLY EVALUATIONS ARE PERFORMED BY ADMINISTRATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 2,598,457. MANAGEMENT AND GENERAL EXPENSES 489,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,088,071. COLLECTION FEES : PROGRAM SERVICE EXPENSES 523,892. MANAGEMENT AND GENERAL EXPENSES 98,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 622,606. PROFESSIONAL MEDICAL FEES : PROGRAM SERVICE EXPENSES 5,663,373. MANAGEMENT AND GENERAL EXPENSES 1,067,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,730,492. OTHER FEES : PROGRAM SERVICE EXPENSES 462,448. MANAGEMENT AND GENERAL EXPENSES 87,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 549,585. FORM 990, PART XI, LINE 9: CHANGE IN NPV OF BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 34,838. FORM 990 PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS, REVIEW OF THE FORM 990, AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. CAMERON REGIONAL MEDICAL CENTER PROVIDER MANAGEMENT SERVICE ORGANIZATION LL 1600 EAST EVERGREEN STREET CAMERON MO 64429 472649803 TO PROVIDE SUPPORT AND ADMINISTRATIVE SERVICES TO PHYSICIAN GROUPS MO 0 0 CAMERON REGIONAL MEDICAL CENTER CAMERON REGIONAL MEDICAL CENTER FOUNDATION 1600 EAST EVERGREEN STREET CAMERON MO 64429 742933060 TO SUPPORT THE OPERATIONS OF CAMERON REGIONAL MEDICAL CENTER INC MO 501(C)(3) LINE 7 N/A 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0