2025-05-15T14:22:40+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 440546366 Capital Region Medical Center CAPI 5736325000 1125 MADISON STREET JEFFERSON CITY MO 65101 JOHN HAMILTON COO 5736325000 2025-05-15 true true Brian Todd P00422601 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z JOHN HAMILTON 1125 MADISON STREET JEFFERSON CITY MO 65101 125716505 false X WWW.CRMC.ORG X 1945 MO PRIOR TO THE REORGANIZATION AGREEMENT, CAPITAL REGION MEDICAL CENTER EMBRACED ITS MISSION TO IMPROVE THE HEALTH AND PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE. X 4 4 1777 107 1718064 0 605561 4185 240280009 125712320 1967778 -13251 0 0 242853348 125703254 0 0 0 0 120341595 61521700 0 0 77368 143046565 73654487 263388160 135176187 -20534812 -9472933 179272562 10365158 82435908 4336549 96836654 6028609 X PRIOR TO THE REORGANIZATION AGREEMENT, CAPITAL REGION MEDICAL CENTER EMBRACED ITS MISSION TO IMPROVE THE HEALTH AND PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE. false true 123607086 0 123994256 THESE SERVICES DESCRIBED BELOW WERE CAPITAL REGION MEDICAL CENTER PRACTICES WHEN THE ORGANIZATION STILL HAD CLINICAL OPERATIONS. AS A PART OF THE REORGANIZATIONAL AGREEMENT, ALL OPERATIONS WERE TRANSFERRED IN 2023. CAPITAL REGION MEDICAL CENTER WAS AN ACUTE CARE MEDICAL CENTER LOCATED IN JEFFERSON CITY, MISSOURI. THE MEDICAL CENTER OPERATED AS A TWO-CAMPUS MEDICAL CENTER SYSTEM, WHICH CONSISTED OF THE SOUTHWEST CAMPUS AND MADISON CAMPUS COMPLEMENTED BY COMMUNITY MEDICAL CLINICS. THE MEDICAL CENTER PRIMARILY EARNED REVENUES BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN THE JEFFERSON CITY, MISSOURI, AREA. IT ALSO OPERATED MEDICAL CLINICS IN THE SURROUNDING COMMUNITIES. CAPITAL REGION MEDICAL CENTER SERVED THE COMMUNITY BY PROVIDING MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHO QUALIFY FOR CHARITY CARE WERE IDENTIFIED AS SOON AS POSSIBLE, EITHER BEFORE THE SERVICES WERE PROVIDED OR AFTER AN INDIVIDUAL HAD 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 WAS 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 WOULD 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 PROVIDED A VARIETY OF SERVICES RANGING FROM EMERGENCY SERVICES TO INPATIENT AND OUTPATIENT ELECTIVE SURGERY, DIAGNOSTIC TESTING AND EDUCATION PROGRAMS. CHARITY CARE POLICIES AND PROCEDURES WERE IN PLACE TO ADDRESS ANY INSTANCES IN WHICH PATIENTS MAY ACCESS SERVICES. SUPPORT OF MEDICAL EDUCATION IN 1952 CRMC ENTERED INTO THE TEACHING AND TRAINING OF PHYSICIANS WITH PROGRAMS TO TEACH MEDICAL STUDENTS AND INTERNS. TODAY CRMC SERVED AS THE PRIMARY CLINICAL TRAINING SITE FOR ONE OF THE TWO FAMILY MEDICINE RESIDENCY PROGRAMS SPONSORED BY THE UNIVERSITY OF MISSOURI COLUMBIA SCHOOL OF MEDICINE. CRMC ALSO SERVED AS A CLINICAL TRAINING SITE FOR OTHER SPECIALTY RESIDENCY PROGRAMS SPONSORED BY THE UNIVERSITY OF MISSOURI COLUMBIA SCHOOL OF MEDICINE. IN ADDITION MEDICAL STUDENTS FROM THE KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE AND UNIVERSITY OF HEALTH SCIENCES LOCATED IN KANSAS CITY SCHOOLS OF MEDICINE COMPLETED CLINICAL ROTATIONS AT CRMC. CAPITAL REGION MEDICAL CENTER SUPPORTED LINCOLN UNIVERSITY SCHOOL OF NURSING PROGRAM, COLUMBIA COLLEGE NURSING PROGRAM, MISSOURI STATE UNIVERSITY AND DRURY UNIVERSITY RN, BSN AND MSN FROM CENTRAL MISSOURI STATE, CENTRAL METHODIST, LPN AND RN AT STATE TECH SOCIAL WORK AND CASE MANAGEMENT STUDENTS FROM MU, MISSOURI STATE UNIVERSITY, AND LINCOLN MSN STUDENTS FROM ST. LOUIS UNIVERSITY, UMKC, MARYVILLE, CHAMBERLAIN COLLEGE, FRONTIER NURSING GRACELAND, HERZING, VANDERBILT, UNIVERSITY OF SOUTHERN ALABAMA, NEW YORK INTERNATIONAL UNIVERSITY. AND WALDEN UNIVERSITY IN FAMILY NURSE PRACTITIONER CLINICALS FOR WHICH WE PROVIDE THE PRECEPTORS/CLINICAL SUPERVISORS AS WELL AS THE FACILITIES. CRMC ASSISTED STEPHENS COLLEGE, BELLBROWN COLLEGE, AND STATE FAIR COLLEGE WITH REGISTERED MEDICAL ASSISTANTS STEPHENS COLLEGE AND THE UNIVERSITY OF NORTH DAKOTA PHYSICIAN'S ASSISTANT PROGRAMS AND LOCAL SCHOOLS FOR PARAMEDIC AND EMT TRAINING. CRMC ALSO ASSISTED STATE TECH FOR RADIOLOGY. DIETARY STUDENTS FROM HERZING UNIVERSITY, KEISER UNIVERSITY, UMC AND UMSL, AS WELL AS ASSISTANCE TO THE UNIVERSITY OF MISSOURI DIETETICS PROGRAM. IN ADDITION TO THE DIRECT FINANCIAL SUPPORT THAT CAPITAL REGION PROVIDED, WE ALSO PROVIDED SUPPORT TO COLUMBIA COLLEGE MSN STUDENTS AND LINCOLN UNIVERSITY SCHOOL OF NURSING BSN PROGRAM IN LEADERSHIP TRAINING. WE ASSISTED STUDENTS FROM EAST CENTRAL COLLEGE IN THE SURGICAL TECH PROGRAM. CRMC PROVIDED TRAINING TO PHLEBOTOMIST/TECH STUDENTS FROM MOBERLY COMMUNITY COLLEGE TO ASSIST THEM WITH FULFILLING THEIR CLINICAL REQUIREMENTS. CRMC PROVIDED OVERSIGHT AND MENTORING TO THE ST. LOUIS COLLEGE OF PHARMACY, UNIVERSITY OF MISSOURI COLUMBIA AND KANSAS CITY PHARMACY PROGRAMS. WE PROVIDED SUPPORT TO ST. LOUIS UNIVERSITY AND UNIVERSITY OF MISSOURI COLUMBIA PT AND KANSAS CITY OZARK TECHNICAL COLLEGE AND STATE TECH PTA, OTA AND SPEECH THERAPY PROGRAMS. OUR SUPPORT FOR THESE PROGRAMS IN NOT ONLY THROUGH THE PROVISION OF TRAINING FACILITIES BUT ALSO ADJUNCT FACULTY AND RESOURCES. COMMUNITY HEALTH RESIDENT CLINIC: CRMC PROVIDED RESIDENTS AND PHYSICIAN SUPERVISORS TO STAFF THE COMMUNITY HEALTH CENTER CLINIC. IN ADDITION TO PROVIDING A VALUABLE TRAINING TOOL FOR THE MEDICAL STUDENTS, THE RESIDENT CLINIC SERVED A UNIQUE COMMUNITY BENEFIT BY PROVIDING SERVICE TO PATIENTS FROM THE EIGHT COUNTY SERVICE AREA. THE CHARGE FOR SERVICE WAS BASED ON THE INDIVIDUAL'S ABILITY TO PAY, WHICH IN MANY CASES IS FREE. 123607086 true false false true false false false false false false false false true true false false false false false false false false false false false true true false false true false false false false false false true false false false false true false true true true false false true 191 0 true 1777 true true true false false false false false false false false false false false X 4 4 false false true false true true true true true false false true true true true true true true true true true X MICHELE KUNTZ 5736325747 1125 MADISON STREET JEFFERSON CITY MO 65101 CARLOS GRAHAM BOARD CHAIR END 07/23 0.0 X X 0 0 0 DAVID MINTON TREASURER END 07/23 0.0 X X 0 0 0 KRISTINA NAUGHT SECRETARY END 07/23 0.0 X X 0 0 0 PHILIP BURGER VICE CHAIR END 07/23 0.0 X X 0 0 0 DIANE LIGHT BOARD MEMBER END 07/23 0.0 X 0 0 0 FRANK BURKHEAD BOARD MEMBER END 07/23 0.0 X 0 0 0 HOLLY SCHROER BOARD MEMBER END 07/23 0.0 X 0 0 0 JEFFREY SANDERS BOARD MEMBER END 07/23 0.0 X 0 0 0 katrina lambrecht board member end 12/23 1.0 X 0 0 0 keri simon board member beg 01/24 1.0 X 0 0 0 MARC ELLINGER BOARD MEMBER END 07/23 0.0 X 0 0 0 nimalan chinniah board member 1.0 X 0 0 0 RIC RANSOM BOARD MEMBER BEG 07/23 1.0 X 0 0 0 steven whitt board member 1.0 X 0 0 0 Gaspare Calvaruso President 40.0 X 441583 0 63007 Janet Pestle Vice President 40.0 X 228291 0 45565 JOHN HAMILTON CHIEF OPERATING OFFICER 40.0 X 197993 0 42690 Michelle Barg Vice President/Physician 40.0 X 349901 0 31283 Randall Haight Vice President/Physician 40.0 X 397940 0 68124 Sarah Morrow Vice President 40.0 X 236187 0 40431 Tom Luebbering Vice President 40.0 X 308150 0 43174 Brian Kenkel Physician 40.0 X 848923 0 59753 Mitchell Godbee Physician 40.0 X 1905856 0 83891 Scott Anderson Physician 40.0 X 820256 0 60919 Sharmilla Suri-Mohanram Physician 40.0 X 1114791 0 37254 Victor Phillips Physician 40.0 X 898834 0 57057 7748705 0 633148 161 false true false cerner corporation 2800 Rockcreek Parkway kansas city MO 641172551 Computer Management and Support 9207593 University of Missouri One Hospital Drive COLUMBIA MO 65201 PROFESSIONAL SERVICES 5305130 AYA HEALTHCARE PO Box 123519 Dept 3519 dallas TX 753123519 Contract Nursing Services 4345989 KAUFMAN HALL & ASSOCIATES LLC 5202 Old Orchard Road Skokie IL 60077 healthcare management consulting 3253210 Inpatient Consultants of MO Inc PO Box 844929 los angeles CA 900844929 Physician Service 2275081 123 4185 4185 NET PATIENT SERVICE REVENUE 622000 125712320 123994256 1718064 0 0 0 0 125712320 0 0 13251 0 -13251 -13251 -13251 0 0 0 0 0 125703254 123994256 1718064 -13251 X 2494319 847248 1647071 643287 595590 47697 50057614 46627473 3397733 32408 5169238 4712284 451708 5246 3157242 2757297 396957 2988 87506 54189 33317 180496 111775 68721 16040392 12046543 3988774 5075 6632 4107 2525 114580 88137 6732 19711 2696436 2505097 191339 298225 277063 21162 190141 176649 13492 805668 730846 73485 1337 6565354 5971934 582817 10603 1983823 1843051 140772 MEDICAL SUPPLIES 35551694 35469116 82578 FRA TAXES 4273691 4273691 REPAIRS AND MAINTANENCE 1970584 1830752 139832 UTILITIES/PHONE 1734760 1611662 123098 1154505 1072582 81923 0 135176187 123607086 11491733 77368 11682444 6106670 31215436 900225 0 0 5994490 2842737 0 0 79733940 0 21968622 175199 0 0 25834893 3183064 179272562 10365158 26582675 4252120 42493891 0 13359342 84429 82435908 4336549 X 92057262 6028609 4779392 96836654 6028609 179272562 10365158 X -9472933 -81335112 X false false false X false false false false false false false false true 8840 8840 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CRMC IS A MEMBER OF MISSOURI HOSPITAL ASSOCIATION. JUST ONE OF THE BENEFITS OF MEMBERSHIP IS THAT MHA COMMUNICATES WITH GOVERNMENT ON ISSUES THAT ARE IMPORTANT TO MISSOURI HOSPITALS. A PORTION OF THE ANNUAL DUES ARE RELATED TO LOBBYING. OTHER RECEIVABLES 3183064 3183064 DUE TO THIRD PARTY 84429 84429 true true X true X true X true true true false false 2388175 2388175 0.0177 15244680 9635697 5608983 0.0415 0 0.0 0 0 17632855 9635697 7997158 0.0592 0 0.0 854129 523479 330650 0.0024 0 0.0 0 0.0 26063 26063 0.0002 0 0 880192 523479 356713 0.0026 0 0 18513047 10159176 8353871 0.0618 0 0.0 0 0.0 75791 75791 0.0006 0 0.0 0 0.0 0 0.0 0 0.0 3528762 2641183 887579 0.0066 0 0.0 0 0 3604553 2641183 963370 0.0071 false 4945591 19810007 19213211 596796 X true true 1 1 CAPITAL REGION MEDICAL CENTER 1125 MADISON STREET JEFFERSON CITY MO 65101 WWW.CRMC.ORG 419-19 X X X X CAPITAL REGION MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false false true X https://www.crmc.org/aboutus/ communityinvolvement/ communityhealthneedsassessment/ X SEE STATEMENT X true 22 false true false true X 200.0 200.0 X X X true true X X X true X https://www.crmc.org/patientsandvisitors/ billinginsurance/ financialassistance/ X https://www.crmc.org//media/1268/2404007. pdf X https://www.crmc.org/patientsandvisitors/ billinginsurance/ financialassistance/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The Areas of Opportunity were determined after consideration of various criteria, including: standing in comparison with benchmark data (particularly national data); the preponderance of significant findings within topic areas; the magnitude of the issue in terms of the number of persons affected; and the potential health impact of a given issue. These also take into account those issues of greatest concern to the community stakeholders (key informants) giving input to this process. ACCESS TO HEALTH CARE SERVICES * Barriers to Access * Appointment Avail * Primary Care Physician Ratio * Eye Exams * Ratings of Local Health Care Cancer * Leading Cause of Death * Lung Cancer Deaths Diabetes * Diabetes deaths Heart Disease and Stroke * Leading Cause of Death * High Blood Pressure Prevalence * Overall Cardiovascular Risk Injury and Violence * Motor Vehicle Crash Deaths * Firearm-Related Deaths Kidney Disease * Kidney disease deaths * Hypertensive Renal Disease Death Mental Health * Suicide Deaths * Key informants: Mental health ranked as a top concern Nutrition, physical activity, and weight * Fruit and vegetable consumption * Overweight and Obesity (adults) Potentially disabling conditions * High-impact chronic pain Respiratory disease * Lung disease deaths Substance Abuse * Use of prescription opioids * Sought help for alcohol/drug issues * Key informants: substance abuse ranked as a top concern. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CAPITAL REGIONA MEDICAL CENTER. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Capital Region Medical Center; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 26 community stakeholders took part in the Online Key Informant Survey. Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed. Results of their ratings, as well as their verbatim comments, are included throughout this report as they relate to the various other data presented. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CAPITAL REGION MEDICAL CENTER. Capital Region Medical Center used the information from this Community Health Needs Assessment to develop an Implementation Strategy to address the significant health needs in the community. While the hospital will likely not implement strategies for all of the health issues listed, the results of this prioritization exercise will be used to inform the development of the hospital's action plan to guide community health improvement efforts in the coming years. 14 Capital Region Physicians 1125 Madison Street Jefferson City MO 65101 Medical Center Expansion Physician clinics and outpatient services Capital Region Southwest 1432 Southwest Blvd Jefferson City MO 65109 Outpatient and Wellness Services Capital Region Central Missouri Cardiology 3501 West Truman Blvd Jefferson City MO 65109 Cardiology Physician Office Primary Care 1014 Madison Street Jefferson City MO 65101 Primary Care Family Practice Clinic CRMC Healthplex West 3308 West Edgewood Jefferson City MO 65109 Urgent Care and Outpatient Therapy crmc - sw clinic 1500 Southwest Blvd Jefferson City MO 65109 Family Practice Clinic crmc - versailles 901 Kidwell Drive Versailles MO 65084 Family Practice Clinic crmc - eldon 103 Business Hwy 54 North Eldon MO 65026 Family Practice Clinic CRMC Surgicare 1705 Christy Drive Jefferson City MO 65101 Surgeon crmc - owensville 3536 Kuhne Road Owensville MO 65066 Family Practice Clinic Eastland Urgent Care 915 A Eastland Drive Jefferson City MO 65101 Urgent Care Clinic crmc - linn 916 East Main Street Linn MO 65051 Family Practice crmc - california 704 Buchanan California MO 65018 Family Practice Clinic crmc quick care 3721 W Truman Blvd Jefferson City MO 65109 Quick Care Clinic Schedule H, Part V, Section B, Line 7 OTHER WEBSITE FOR CHNA https://res.cloudinary.com/dpmykpsih/image/upload/crmc-v8-site-264/media/c5f31879eb784c01a8b5e2a119e9a4de/2021-prc-chna-report-capital-region-medical-center.pdf Schedule H, Part V, Section B, Line 16a FAP WEBSITE chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.muhealth.org/sites/default/files/PDFs/Financial-Assistance-Application_v1.pdf Schedule H, Part I, Line 3c Average Medicare and Commercial/Managed Care Adjustments were used to calculate 65% auto self pay. Schedule H, Part I THE FOLLOWING NARRATIVES WERE APPLICABLE TO THE HOSPITAL OPERATIONS OF CAPITAL REGION MEDICAL CENTER PRIOR TO THE REORGANIZATION AGREEMENT. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. IRS WORKSHEETS 3 AND 6 USED INTERNAL COST ACCOUNTING METHODOLOGY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014 09. UNDER ASU 2014 09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED APRIL 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part V, Section B, Line 16a FAP website - CAPITAL REGION MEDICAL CENTER: Line 16a URL: https://www.crmc.org/patientsandvisitors/ billinginsurance/ financialassistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CAPITAL REGION MEDICAL CENTER: Line 16b URL: https://www.crmc.org//media/1268/2404007. pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CAPITAL REGION MEDICAL CENTER: Line 16c URL: https://www.crmc.org/patientsandvisitors/ billinginsurance/ financialassistance/; Schedule H, Part VI, Line 2 Needs assessment 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 inhouse 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. Schedule H, Part VI, Line 4 Community information 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 latest 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 22.6% of the population are children aged 0-17, 61% are aged 18-24, and 16.4% are aged 65 and older. Schedule H, Part VI, Line 5 Promotion of community health Capital Region Medical Center conducted its last CHNA in 2021 and reviewed the health priorities identified through that assessment. Taking into account the top-identified needs, as well as hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - it was determined at that time that CRMC would focus on developing and/or supporting strategies and initiatives to improve: - Access to Health Care and Support Services - Mental Health Disorders and Substance Abuse - Chronic Disease & Health Risks Prevention - Improved Health Literacy - Address Social Determinants of Health X true true X X X false false false true false true false true false Gaspare Calvaruso President 419327 0 11978 0 10278 0 12200 0 50807 0 504590 0 0 0 Tom Luebbering Vice President 296991 0 8202 0 2957 0 12031 0 31143 0 351324 0 0 0 Sarah Morrow Vice President 228835 0 6530 0 822 0 9365 0 31066 0 276618 0 0 0 Janet Pestle Vice President 224832 0 1252 0 2207 0 9304 0 36261 0 273856 0 0 0 Randall Haight Vice President/Physician 358485 0 36022 0 3433 0 12068 0 56056 0 466064 0 0 0 Michelle Barg Vice President/Physician 334340 0 14277 0 1284 0 11162 0 20121 0 381184 0 0 0 JOHN HAMILTON CHIEF OPERATING OFFICER 192345 0 3771 0 1877 0 8035 0 34655 0 240683 0 0 0 Mitchell Godbee Physician 880680 0 1023191 0 1985 0 12200 0 71691 0 1989747 0 0 0 Sharmilla Suri-Mohanram Physician 757755 0 355261 0 1775 0 6374 0 30880 0 1152045 0 0 0 Victor Phillips Physician 716961 0 179277 0 2596 0 2935 0 54122 0 955891 0 0 0 Brian Kenkel Physician 686453 0 161369 0 1101 0 0 0 59753 0 908676 0 0 0 Scott Anderson Physician 798832 0 13825 0 7599 0 13200 0 47719 0 881175 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees Capital Region pays for the President's membership with the Jefferson City Country Club. This is used for many business reasons. Any personal expenses incurred are reimbursed by the President to the Medical Center. Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization For all employees, an annual bonus is partially based on the achievement of certain organizational goals. These goals pertain to quality, service, and financial indicators. Schedule J, Part I, Line 7 Non-fixed payments 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. NATHAN LEUBBERING SON OF TOM LUEBBERING 47697 EMPLOYEE WAGES false JESSICA LUEBBERING DAUGHTER-IN-LAW OF TOM LUEBBERING 119116 EMPLOYEE WAGES false ZACHARY LUEBBERING SON OF TOM LUEBBERING 476474 EMPLOYEE WAGES false Accounts Receivable 2023-12-31 24617177 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) inventory 2023-12-31 6453785 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) prepaid 2023-12-31 2870748 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) fixed assets 2023-12-31 74803638 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) publicly traded securities 2023-12-31 22951839 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) other assets 2023-12-31 20657445 FMV 311574931 UNIVERSITY OF MISSOURI - COLUMBIA 1000 WEST NIFONG BUILDING 7 SUITE 3 00 COLUMBIA MO 65211 501(C)(3) false false false false Schedule N, Part II AS PART OF THE MERGER, UNIVERSITY OF MISSOURI - COLUMBIA, ALSO ASSUMBED CERTAIN LIABILITIES. Form 990, Part III, Line 3 Significant changes in program services THE MEDICAL CENTER ENTERED INTO A TWO-STEP REORGANIZATION AGREEMENT DATED JUNE 30, 2023 WITH THE CURATORS OF THE UNIVERSITY OF MISSOURI. THE FIRST STEP WAS FOR THE PARTIES TO REORGANIZE THE RELATIONSHIP BETWEEN THE UNIVERSITY, THE MEDICAL ALLIANCE, AND THE MEDICAL CENTER. THE FIRST STEP OF THE REORGANIZATION AGREEMENT WAS PUT INTO EFFECT JULY 1, 2023, WITH THE AMENDMENT AND RESTATEMENT THE ARTICLES OF INCORPORATION AND BYLAWS OF THE MEDICAL CENTER TO PROVIDE THAT MEDICAL ALLIANCE IS NOW THE SOLE MEMBER OF THE MEDICAL CENTER. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THE TAX RETURN ARE FOR FY23. CAPITAL REGION MEDICAL CENTER DID NOT RECEIVE AN AUDIT FOR FY24 BECAUSE OF THE AFFILIATION WITH UNIVERSITY OF MISSOURI - COLUMBIC MEDICAL ALLIANCE. Form 990, Part VI, Line 15 Processto establish compensation 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. Form 990, Part VI, Line 4 Significant changes to organizational documents THE MEDICAL CENTER ENTERED INTO A TWO-STEP REORGANIZATION AGREEMENT DATED JUNE 30, 2023 WITH THE CURATORS OF THE UNIVERSITY OF MISSOURI. THE FIRST STEP WAS FOR THE PARTIES TO REORGANIZE THE RELATIONSHIP BETWEEN THE UNIVERSITY, THE MEDICAL ALLIANCE, AND THE MEDICAL CENTER. THE FIRST STEP OF THE REORGANIZATION AGREEMENT WAS PUT INTO EFFECT JULY 1, 2023, WITH THE AMENDMENT AND RESTATEMENT THE ARTICLES OF INCORPORATION AND BYLAWS OF THE MEDICAL CENTER TO PROVIDE THAT MEDICAL ALLIANCE IS NOW THE SOLE MEMBER OF THE MEDICAL CENTER. Form 990, Part VI, Line 6 Classes of members or stockholders University of Missouri-Columbia Medical Alliance, a Missouri nonprofit corporation ("Medical Alliance"), shall be the sole member of the CAPITAL REGIONAL MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body All elections for appointment to the Governing Body are subject to approval of the member, the University of Missouri Medical Alliance. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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 a major service). Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPEDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. The 990 is reviewed by the Finance Director and the Chief Operating Officer. It is presented electronically to the Board of Directors. Members are asked to review the return and raise any concerns they may have. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 19 Required documents available to the public THE REQUIRED DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 10258664, Program Service Expense: 6349673, Management and General Expenses: 3903916, Fundraising Expenses: 5075; PROFESSIONAL FEES - Total Expense: 5558849, Program Service Expense: 5558849, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - OTHER - Total Expense: 222879, Program Service Expense: 138021, Management and General Expenses: 84858, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO RELATED PARTIES - -81335112; CAPITAL REGION MEDICAL FOUNDATION PO BOX 1128 JEFFERSON CITY MO 651021128 431506900 FUNDRAISING MO 501(c)(3) Type I CRMC true Still Osteopathic Medical Foundation PO BOX 1128 JEFFERSON CITY MO 651021128 431720296 SUPPORTING ORG MO 501(c)(3) Type III-FI NA false Capital Region Medical Center Partners 1125 MADISON STREET JEFFERSON CITY MO 65101 446014361 SUPPORTING ORG MO 501(c)(3) Type I CRMC true CRMC Healthcare Inc 1125 MADISON STREET JEFFERSON CITY MO 65101 461699021 SUPPORTING ORG MO 501(c)(3) Type II NA false University of Missouri Columbia Medical Alliance 1000 WEST NIFONG COLUMBIA MO 65211 311574931 MEDICAL EDUCATION SUPPORT MO 501(c)(3) Type I MU false THE CURATORS OF THE UNIVERSITY OF MISSOURI 118 UNIVERSITY HALL COLUMBIA MO 65211 436003859 ACADEMIC MO 501(c)(1) NA false THE CURATORS OF THE UNIVERSITY OF MISSOURI SPECIAL TRUST 118 UNIVERSITY HALL COLUMBIA MO 65211 266440629 FUNDRAISING MO 501(c)(3) 7 THE CURATORS OF THE UNIVERSITY OF MISSOURI false COLUMBIA FAMILY MEDICAL SERVICES INC 227 UNIVERSITY HALL COLUMBIA MO 65211 812764624 HEALTH CARE MO NA C Corporation false MISSOURI RENEWABLE ENERGY CORPORATION 118 UNIVERSITY HALL COLUMBIA MO 65211 454102282 POWER GENERATION MO NA C Corporation false COLUMBIA SURGICAL SERVICES INC 227 UNIVERSITY HALL COLUMBIA MO 65211 472113829 HEALTH CARE MO NA C Corporation false false false false false false false false false false false false false true true true false true true false CAPITAL REGION MEDICAL FOUNDATION O 85090 FMV