Financial Strength •We continued to see positive financial performance for the year, even with the challenges of COVID-19. For 2021, our organization incurred more than $5 million in unplanned expenses due to COVID-19, some of which ($1.6 million) was covered under the Coronavirus Aid, Relief and Economic Security (CARES) Act. •We made an additional principal payment this year on the debt that was incurred to build the new hospital. This took another year off the time period needed to retire this debt. If payments continue, we will retire the debt in 2028 versus the current schedule of 2035. •We ended the year with 444 days of cash on hand. This makes Cass Regional Medical Center one of the most financially strong critical access hospitals in the state and nation. •We invested nearly $3 million in facilities and in new and replacement equipment. •We donated more than $25,000 to worthy causes throughout the communities we serve. •We provided more than $780,000 in charity care and helped qualified patients enroll in the expanded Medicaid program. •We returned $1.2 million that we received under the CARES Act to the government. Key operating statistics for 2021 Growth •We added a third day of oncology coverage and a fourth day of rheumatology coverage per week. •We signed agreements to expand gastroenterology and pain management coverage in 2022. •We signed an agreement to begin nephrology coverage via telemedicine in 2022. •Jessica Testa, DO, joined Pleasant Hill Medical Clinic in July 2021, expanding the number of providers in that location from three to four. •Tyson Travis, DO, joined Cass Regional Orthopedics in October 2021. He provides general orthopedic care as well as fellowship-trained spine care. •We requested bids for two construction projects in late 2021— an expansion of the oncology, rheumatology and infusion clinics at the medical center and an expansion at Pleasant Hill Medical Clinic to accommodate additional imaging capabilities. Work on both projects is scheduled to begin in March 2022, with completion in 2023. •We expanded our 340B drug program, generating nearly $1 million, which will be used to fund community benefit projects identified in 2022 and beyond. These projects could include support for chronic disease management, an insulin support program, telepsychiatry coverage for our family medicine clinics, funding for Real World Learning programs within area school districts and additional oncology support programs. Nearly $3 million in facilities and equipment Added more days to oncology and rheumatology coverage $783,623 in charity care Wellness Matters | Spring 2022 7
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