TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202201339349303685
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T10:38:26-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440661018	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRUMAN MEDICAL CENTER INCORPORATED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOHN WILSON	InCareOfNm
Business Name Control	TRUM	BusinessNameControlTxt
Phone	8164041000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 HOLMES STREET	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHARLES W SHIELDS	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	8164043528	PhoneNum
Signature	2022-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Charles	PersonFirstNm
Person Last	Shields	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2022-05-16	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN WILSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 HOLMES	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$743,548,861	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UNIVERSITYHEALTHKC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	32	VotingMembersGoverningBodyCnt
Voting Members Independent	30	VotingMembersIndependentCnt
Total Employee	5369	TotalEmployeeCnt
Total Volunteers	115	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,391,051	PYContributionsGrantsAmt
CY Contributions Grants	$48,436,382	CYContributionsGrantsAmt
PY Program Service Revenue	$577,623,640	PYProgramServiceRevenueAmt
CY Program Service Revenue	$643,516,285	CYProgramServiceRevenueAmt
PY Investment Income	-$159,956	PYInvestmentIncomeAmt
CY Investment Income	$321,439	CYInvestmentIncomeAmt
PY Other Revenue	$45,640,429	PYOtherRevenueAmt
CY Other Revenue	$44,332,231	CYOtherRevenueAmt
PY Total Revenue	$634,495,164	PYTotalRevenueAmt
CY Total Revenue	$736,606,337	CYTotalRevenueAmt
PY Grants And Similar Paid	$19,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$18,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$324,803,169	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$351,943,099	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$302,341,194	PYOtherExpensesAmt
CY Other Expenses	$334,349,405	CYOtherExpensesAmt
PY Total Expenses	$627,163,363	PYTotalExpensesAmt
CY Total Expenses	$686,310,504	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,331,801	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,295,833	CYRevenuesLessExpensesAmt
Total Assets BOY	$444,243,623	TotalAssetsBOYAmt
Total Assets EOY	$489,587,316	TotalAssetsEOYAmt
Total Liabilities BOY	$371,542,204	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$332,857,478	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$72,701,419	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$156,729,838	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$318,420,447	ExpenseAmt
Grant	$18,000	GrantAmt
Revenue	$359,744,774	RevenueAmt
Desc	OUTPATIENT DEPARTMENT- SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$239,271,960	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$270,324,467	RevenueAmt
Desc	INPATIENT CARE- SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$51,142,098	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$57,779,275	RevenueAmt
Desc	EMERGENCY DEPARTMENT- SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$608,834,505	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	370	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5369	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	32	GoverningBodyVotingMembersCnt
Independent Voting Member	30	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN WILSON	PersonNm
Phone	8164043525	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 HOLMES	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR	40.0	0.0	Yes (X)	Yes (X)	$1,180,198	$0	$410,597
JOHN GIANINO
NEUROSURGEON	40.0	1.0			$629,574	$0	$116,138	Yes (X)
MITZI CARDENAS
EXECUTIVE CHIEF ADMIN OFFICER	40.0	0.0			$657,392	$0	$40,126	Yes (X)
RUTH PULLINS
CHIEF HR OFFICER	40.0	0.0			$565,281	$0	$58,631	Yes (X)
WILLIAM H COLBY
SECRETARY UNTIL 09/2020	40.0	0.0		Yes (X)	$568,502	$0	$37,647
GERARD GRIMALDI
CHIEF HEALTH POLICY/GOVT RELAT	40.0	0.0			$437,135	$0	$87,679	Yes (X)
MARK T STEELE MD
DIRECTOR	20.0	1.0	Yes (X)		$420,635	$0	$0
MARGA HOELSCHER
ASSISTANT TREASURER	40.0	0.0		Yes (X)	$318,897	$0	$79,541
LYNETTE WHEELER
COO - LW	40.0	0.0			$340,072	$0	$38,635	Yes (X)
JOLIE L JUSTUS
SECRETARY	40.0	2.0		Yes (X)	$162,921	$0	$20,248
PEGGY J DUNN
PAST CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PHILIP J SANDERS
CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DRED D SCOTT EDD
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY A WURST
SECRETARY/VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FORESTINE BEASLEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ZANE M BURKE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DOUGLAS M BURGESS MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SEN KIKI CURLS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TRACEY LEWIS
TREASURER/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARVIN LYMAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JON OTTO
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MAHNAZ SHABBIR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ZULEMA BASSHAM
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL COLLINS
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CARLOS GOMEZ
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
KAMANI M LANKACHANDRA MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ALISE MARTINY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MELISSA ROBINSON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MAULI AGRAWAL
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JEFFREY A METZNER MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PAT CONTRERAS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SEAN GRATTON MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
STEVE HAWN
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARY ANNE JACKSON MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES TERRANCE JR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MUDASSAR ZIA MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
LATOSHA ELIGON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
EILEEN WEIR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL T MAYER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BONNAYE MIMS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BROOK NELSON MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,280,607	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$889,242	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	316	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	IT SERVICES	$26,196,274
UNIVERSITY HEALTH PHYSICIANS
2310 HOLMES SUITE 800	KANSAS CITY	MO	64108	PHYSICIAN SERVICES	$18,736,661
UNIVERSITY OF MISSOURI-KANSAS CITY
PO BOX 805111	KANSAS CITY	MO	64180	MEDICAL SERVICES	$18,677,419
UNION HILL ANESTHESIA
5512 ABERDEEN RD	FAIRWAY	KS	66205	MEDICAL SERVICES	$8,117,249
MEDICAL IMAGING PA
127 W 10TH STREET SUITE 202	KANSAS CITY	MO	64105	MEDICAL SERVICES	$5,497,214

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Government Grants	$14,941,221	GovernmentGrantsAmt
All Other Contributions	$33,495,161	AllOtherContributionsAmt
Total Contributions	$48,436,382	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$404,774,515	$404,774,515
EXPENSE REIMBURSEMENT	621110	$1,728,791	$1,728,791
MEDICAID ENHANCEMENTS	621110	$161,750,474	$161,750,474
LOCAL GOVERNMENT SUBSIDY	900099	$36,196,624	$36,196,624
PROVIDER RELIEF FUNDS	900099	$39,065,881	$39,065,881

Field	Value	IRS element (for citing)
Total Program Service Revenue	$643,516,285	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$338,457	TotalRevenueColumnAmt
Exclusion	$338,457	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,921,636	SecuritiesAmt
Other	$3,870	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,904,121	SecuritiesAmt
Other	$38,403	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,515	SecuritiesAmt
Other	-$34,533	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$17,018	TotalRevenueColumnAmt
Exclusion	-$17,018	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE	900099	$32,966,313	$32,966,313
EHR MEANINGFUL USE	900099	$278,721	$278,721
LAB	900099	$3,831,149	$3,831,149

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,256,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,256,048	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$44,332,231	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$736,606,337	TotalRevenueColumnAmt
Related Or Exempt Func Income	$687,848,516	RelatedOrExemptFuncIncomeAmt
Exclusion	$321,439	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$18,000	TotalAmt
Program Services	$18,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,086,199	TotalAmt
Management And General	$4,086,199	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$287,619,198	TotalAmt
Program Services	$255,408,585	ProgramServicesAmt
Management And General	$32,210,613	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,547,072	TotalAmt
Program Services	$4,232,502	ProgramServicesAmt
Management And General	$314,570	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,835,055	TotalAmt
Program Services	$32,353,817	ProgramServicesAmt
Management And General	$4,481,238	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,855,575	TotalAmt
Program Services	$16,529,632	ProgramServicesAmt
Management And General	$2,325,943	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$889,353	TotalAmt
Management And General	$889,353	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$261,589	TotalAmt
Management And General	$261,589	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,363,702	TotalAmt
Program Services	$42,627,332	ProgramServicesAmt
Management And General	$4,736,370	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,208,535	TotalAmt
Program Services	$906,401	ProgramServicesAmt
Management And General	$302,134	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$112,951,518	TotalAmt
Program Services	$94,669,602	ProgramServicesAmt
Management And General	$18,281,916	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,651,699	TotalAmt
Program Services	$14,738,774	ProgramServicesAmt
Management And General	$4,912,925	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,397,777	TotalAmt
Program Services	$7,415,237	ProgramServicesAmt
Management And General	$982,540	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,044	TotalAmt
Program Services	$1,805	ProgramServicesAmt
Management And General	$239	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$36,755	TotalAmt
Program Services	$32,455	ProgramServicesAmt
Management And General	$4,300	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,190,087	TotalAmt
Program Services	$2,839,177	ProgramServicesAmt
Management And General	$350,910	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,779,384	TotalAmt
Program Services	$19,818,064	ProgramServicesAmt
Management And General	$2,961,320	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,280,247	TotalAmt
Program Services	$1,906,407	ProgramServicesAmt
Management And General	$373,840	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHARMACEUTICALS	$59,973,382	$59,973,382
MEDICAL SUPPLIES	$55,220,708	$55,220,708
MEDICAL STAFF EXPENSES	$142,625	$142,625

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$686,310,504	TotalAmt
Program Services	$608,834,505	ProgramServicesAmt
Management And General	$77,475,999	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$51,066,237	BOYAmt
EOY	$22,308,247	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,115,412	BOYAmt
EOY	$2,156,528	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$566,940	BOYAmt
EOY	$1,442,628	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$65,022,036	BOYAmt
EOY	$77,733,485	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,477,804	BOYAmt
EOY	$9,535,951	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,687,101	BOYAmt
EOY	$8,867,193	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$702,763,989	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$423,391,823	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$236,616,259	BOYAmt
EOY	$279,372,166	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,514,650	BOYAmt
EOY	$7,877,687	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$692,273	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,177,184	BOYAmt
EOY	$79,601,158	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$444,243,623	BOYAmt
EOY	$489,587,316	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$197,647,544	BOYAmt
EOY	$171,208,563	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,555,900	BOYAmt
EOY	$92,231,210	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$25,752,722	BOYAmt
EOY	$50,197,890	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,586,038	BOYAmt
EOY	$19,219,815	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$371,542,204	BOYAmt
EOY	$332,857,478	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,178,523	BOYAmt
EOY	$129,438,472	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,522,896	BOYAmt
EOY	$27,291,366	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$72,701,419	BOYAmt
EOY	$156,729,838	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$444,243,623	BOYAmt
EOY	$489,587,316	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,295,833	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$136,021	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$33,596,565	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$146,672	FilingOrganizationsTotalAmt
Affiliated Group Total	$146,672	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$146,672	FilingOrganizationsTotalAmt
Affiliated Group Total	$146,672	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,163,832	FilingOrganizationsTotalAmt
Affiliated Group Total	$686,163,832	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,310,504	FilingOrganizationsTotalAmt
Affiliated Group Total	$686,310,504	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$104,992	CurrentYearMinus3Amt
Current Year Minus2	$110,791	CurrentYearMinus2Amt
Current Year Minus1	$127,770	CurrentYearMinus1Amt
Current Year	$146,672	CurrentYearAmt
Total	$490,225	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$42,789	CurrentYearMinus3Amt
Current Year Minus2	$44,175	CurrentYearMinus2Amt
Current Year Minus1	$59,922	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$146,886	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,555,670	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$1,026,262	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,392	OtherExpendituresAmt
End Year Balance	$4,576,540	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,658,405	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$26,539	InvestmentEarningsOrLossesAmt
Other Expenditures	$129,274	OtherExpendituresAmt
End Year Balance	$3,555,670	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,511,267	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$151,452	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,314	OtherExpendituresAmt
End Year Balance	$3,658,405	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,355,388	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$286,306	InvestmentEarningsOrLossesAmt
Other Expenditures	$135,427	OtherExpendituresAmt
End Year Balance	$3,511,267	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,130,017	BeginningYearBalanceAmt
Contributions	$944	ContributionsAmt
Investment Earnings Or Losses	$366,243	InvestmentEarningsOrLossesAmt
Other Expenditures	$141,816	OtherExpendituresAmt
End Year Balance	$3,355,388	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.90880	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09120	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,384,359	OtherCostOrOtherBasisAmt
Book Value	$5,384,359	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$416,418,103	OtherCostOrOtherBasisAmt
Depreciation	$243,420,067	DepreciationAmt
Book Value	$172,998,036	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$226,337,169	OtherCostOrOtherBasisAmt
Depreciation	$179,971,756	DepreciationAmt
Book Value	$46,365,413	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,624,358	OtherCostOrOtherBasisAmt
Book Value	$54,624,358	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$279,372,166	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
ASSETS FOR CAPITAL ACQUISITION	$4,850,035
ASSETS EXTERNALLY RESTRICTED	$922,434
INTEREST IN ASSETS OF TMCCF	$26,368,932
ASSETS HELD BY BOND TRUSTEE	$747,689
OTHER RECEIVABLES	$9,681,855
OPERATING LEASE ROU ASSETS	$37,030,213

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$79,601,158	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
457F PLAN LIABILITY	$4,850,035
UNAMORTIZED PREMIUM	$901,171
OTHER LIABILITIES	$7,041,882
OPERATING LEASE LIABILITY	$6,426,727

Field	Value	IRS element (for citing)
Total Liability	$19,219,815	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$786,941,524	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$136,021	NetUnrealizedGainsInvstAmt
Other Revenue	$147,361,780	OtherRevenueAmt
Revenue Not Reported	$147,497,801	RevenueNotReportedAmt
Revenue Subtotal	$639,443,723	RevenueSubtotalAmt
Other Revenues Not Included	$97,162,614	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$97,162,614	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$736,606,337	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$761,732,974	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$142,193,632	OtherExpensesIncludedAmt
Expenses Not Reported	$142,193,632	ExpensesNotReportedAmt
Expenses Subtotal	$619,539,342	ExpensesSubtotalAmt
Other Expenses Not Included	$66,771,162	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$66,771,162	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$686,310,504	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION. THE FOUNDATION'S ENDOWMENT CONSISTS OF SIX INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THESE INTENTIONS INCLUDE: SUPPORTING INFECTIOUS DISEASE EDUCATION AT TMC, INC. SUPPORTING THE WOMEN'S HEALTH DEPARTMENT AT TMC, INC. SUPPORTING THE TRAUMA DEPARTMENT AT TMC, INC. PROVIDING PROGRAM SUPPORT TO BEHAVIORAL HEALTH AT TMC, INC. SUPPORTING THE UNRESTRICTED NEEDS OF TMC, INC. SUPPORTING ALZHEIMER UNIT AT TMC, INC. THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT. UNDER THE FOUNDATION'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE AND PROTECT ASSETS BY EARNING A TOTAL RETURN FOR EACH ENDOWMENT APPROPRIATE TO EACH FUND'S TIME HORIZON, LIQUIDITY NEEDS AND RISK TOLERANCE. THE FOUNDATION HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR THE LESSER OF 5% OF ITS ENDOWMENT FUND'S FAIR VALUE OR THE FUND'S NET INCOME THROUGH THE YEAR END PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED.
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	Net Assets Released From Restrictions $ 316,360 Related Organization Revenue 147,044,907 Temporarily Restricted Contributions 513 ----------- $ 147,361,780
SCHEDULE D, PART XI, LINE 4B	Medical Staff Revenue $ 171,906 Contribution used for Asset Acquisition 30,380,171 Eliminations 66,610,537 ----------- $ 97,162,614
SCHEDULE D, PART XII, LINE 2D	Related Organization Expenses $ 142,193,632
SCHEDULE D, PART XII, LINE 4B	Eliminations $ 66,610,537 Medical Staff Expenses 160,625 ----------- Total $ 66,771,162

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,955,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,045,701	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,909,716	NetCommunityBenefitExpnsAmt
Total Expense	0.06550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$214,208,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,647,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,561,134	NetCommunityBenefitExpnsAmt
Total Expense	0.03870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$336,163,765	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$264,692,915	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,470,850	NetCommunityBenefitExpnsAmt
Total Expense	0.10420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$903,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,474	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$545,617	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,535,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,013,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,521,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,888,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,829,341	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,059,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$499,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$499,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,825,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,200,305	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,625,473	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$392,989,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,893,220	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,096,323	NetCommunityBenefitExpnsAmt
Total Expense	0.11670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$31,610,722	BadDebtExpenseAmt
Bad Debt Expense Attributable	$23,708,042	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$76,445,273	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,484,102	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$15,961,171	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
TRUMAN MEDICAL CENTER - HOSPITAL HILL
1	2301 HOLMES	KANSAS CITY	MO	64108	WWW.UNIVERSITYHEALTHKC.ORG/	285-39	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
TRUMAN MEDICAL CENTER - LAKEWOOD
2	7900 LEES SUMMIT ROAD	KANSAS CITY	MO	64139	WWW.UNIVERSITYHEALTHKC.ORG/	195-54	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 - BOTH FACILITIES	TMC CONDUCTED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED AND SUMMARIZED. TWENTY-THREE PARTNER ORGANIZATIONS PARTICIPATED IN THE SURVEY. THIS ELECTRONIC SURVEY ESTABLISHED THE SET OF ISSUES OF MOST INTEREST TO THE COMMUNITY. RESPONDENTS WERE ASKED TO SELECT ISSUES, AND ALSO TO CONSIDER SERVICES THEY BELIEVED COULD BE STRENGTHENED IN TERMS OF ACCESS, AVAILABILITY AND/OR QUALITY. RESPONSES WERE SUMMARIZED TO PROVIDE A CONSENSUS REPORT. IN ADDITION, 395 TMC TEAM MEMBERS PARTICIPATED IN AN ELECTRONIC SURVEY IN WHICH THEY IDENTIFIED THE MOST IMPORTANT ISSUES THEY BELIEVE TMC NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH TMC FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY.
SCHEDULE H, PART V, SECTION B, LINE 6A	TMC COMPLETED CHNA REPORTS FOR TWO FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD. AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 7A - BOTH FACILITIES	THE COMPLETE CHNA FOR TMC-HOSPITAL HILL AND TMC-LAKEWOOD CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/ABOUT-US/PUBLICATIONS/
SCHEDULE H, PART V, SECTION B, LINE 10 - BOTH FACILITIES	THE IMPLEMENTATION STRATEGY FOR TMC-HOSPITAL HILL AND TMC-LAKEWOOD CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/ABOUT-US/PUBLICATIONS/
SCHEDULE H, PART V, SECTION B, LINE 11 - BOTH FACILITIES	Assessing the needs of the community is an integral part of TMC's day-to-day operations. As a safety net provider with a significant population of uninsured patients, it is critical to TMC's survival to assure provision of care that meets community need and keeps the costs of care as reasonable as possible. A formal community health needs assessment process was initiated in the fall of 2012, in the fall of 2015, and again in 2019. This process included the following steps: Define Community. As part of this phase, TMC examined the current patient data file and other documentation of defined geographic service area for Hospital Hill and Lakewood facilities. This included: - Define geographic service area - Define specific target populations with broader reach than the geographic service area Identify Partners. TMC has many partners. As part of its ongoing work in meeting community need, TMC engages these organizations in strategic planning and in helping identify organizational priorities. During this phase, TMC completed the following: - Established an inventory of TMC involvement in community-based partnerships - Identified consumers and engaged them through focus groups and surveys Secondary Data: TMC assembled a broad set of data to measure and evaluate health status, health statistics and the incidence rates of disease, illness and accidents using secondary data sources. This phase of the assessment focused on not only on health outcomes, but also on factors that influence future health, such as health and wellness habits, experiences accessing care and attitudes that influence healthy behavior. Primary Data: This effort to measure and evaluate health status, health statistics and the incidence rates of disease, illness and accidents uses Truman Medical Centers data. The primary data collection effort focused on health outcomes and factors that influence health, such as homelessness, insurance coverage and health care system utilization for specific conditions; specific to the TMC patient experience. Aggregated Data: TMC assimilated Secondary and Primary data sets into a combined comprehensive report and overview of the TMC service areas and patients. The aggregated data report is reflected throughout this report. Identify & Prioritize Issues. This phase engaged the board, organizational leadership, key constituents and community partners to identify and prioritize community health issues; using the results of the data analysis. Multiple surveys were utilized during this process, with delineation of responses between TMC staff/leadership and the community overall. After analysis of responses, and considering the unique focus of TMC as an academic medical center and safety net health system, the following issues emerged: Access to Integrated Care; Chronic Disease; Behavioral Health; Maternal & Infant Health; and Violence Prevention. Integrated Care Access is an overarching theme in TMC's CHNA. As an Essential Hospital, TMC is the safety net health system for the greater Kansas City region. In this capacity, TMC has a continual focus on assuring access; access to outpatient clinical care, access to specific target populations, and access to services needed by the community at large. With the community continuing to experience a shortage of primary care providers, TMC remains committed to working with the regions Federally Qualified Health Centers to assure access to specialty care. Through a variety of mechanisms, TMC will continue its efforts to increase access to all types of care, for all community members. Using a health equity approach, which recognizes the impact of socio-ecological factors on a persons' ability to access health care, TMC continues to identify locations for direct outreach, including community-based clinics and community-based health education. This approach is an underlying theme to everything TMC undertakes; with staff members educated in cultural competence and trauma-informed care. This approach was designed to create an atmosphere of welcome for all who interact with TMC. Because of this focus, TMC will continue its goal of being the provider of choice for key health conditions which include Sickle Cell disease, HIV and other chronic conditions that disproportionately impact minority populations in the greater Kansas City region. Chronic Care Because chronic diseases impact a significant number of TMC's patients, and their prevalence in the community is high, the focus in this area is on continuous improvement of programs and services across all initiatives. Community need, and patient demand, will continue to be monitored with services tailored to meet need. Chronic disease self-management programs will be delivered in neighborhood settings to encourage participation, and patients with significant, and co-occurring conditions will be encouraged to enroll in specialty programs for assistance with medication management, self-care and other supportive services. Behavioral Health The opioid crisis has become predominant in the community. TMC will continue to model integrated primary care and intensive mental health/substance abuse services, including development of a clinic designed specifically to assist patients with medication-assisted therapy to address their addiction. Maternal & Infant Health TMC's primary focus relative to the CHNA is to expand its community outreach and education efforts to bring more pregnant women into care earlier in their pregnancies. Furthering this approach, efforts under the Access area will place clinical points of care in neighborhoods throughout the service area offering more immediate access to providers. Violence Prevention Under this area, TMC will participate in the Aim for Peace initiative. This intervention model is designed specifically to reduce retaliatory violence. As a Level 1 Trauma Center, TMC experiences a significant volume of gang-related emergency department visits. As a result, staff are trained to identify potentially violent situations and engage the Aim for Peace model to diffuse situations.
SCHEDULE H, PART V, SECTION B, LINE 16A - BOTH FACILITIES	THE FAP CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16B - BOTH FACILITIES	THE FAP APPLICATION CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16C - BOTH FACILITIES	THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TMC BEHAVIORAL HEALTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 WEST 19TH TERRACE	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Field	Value	IRS element (for citing)
Facility	MENTAL HEALTH FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE CARE. SCHEDULE H, PART I, LINE 7 THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO SCHEDULE H, PART I, LINE 7G NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT EXPENSES.
SCHEDULE H, PART III, SECTION A, LINE 2	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 HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021. 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 III, SECTION A, LINE 4	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 3	TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID.
SCHEDULE H, PART III, SECTION C, LINE 9B	TMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA.
SCHEDULE H, PART VI, LINE 2	TMC CONDUCTED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED AND SUMMARIZED. TWENTY-THREE PARTNER ORGANIZATIONS PARTICIPATED IN THE SURVEY. THIS ELECTRONIC SURVEY ESTABLISHED THE SET OF ISSUES OF MOST INTEREST TO THE COMMUNITY. RESPONDENTS WERE ASKED TO SELECT ISSUES, AND ALSO TO CONSIDER SERVICES THEY BELIEVED COULD BE STRENGTHENED IN TERMS OF ACCESS, AVAILABILITY AND/OR QUALITY. RESPONSES WERE SUMMARIZED TO PROVIDE A CONSENSUS REPORT. IN ADDITION, 395 TMC TEAM MEMBERS PARTICIPATED IN AN ELECTRONIC SURVEY IN WHICH THEY IDENTIFIED THE MOST IMPORTANT ISSUES THEY BELIEVE TMC NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH TMC FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY.
SCHEDULE H, PART VI, LINE 3	IF A PATIENT IS UNINSURED, TMC'S FINANCIAL COUNSELING STAFF WORKS TO BECOME A PATIENT ADVOCATE. THEY ASSIST THE PATIENT IN APPLYING FOR MEDICARE, MEDICAID OR TMC'S CHARITY CARE PROGRAM. TMC POSTS ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES THROUGHOUT THE HOSPITAL.
SCHEDULE H, PART VI, LINE 4	The racial composition of TMCs Health Sciences District service area includes two primary categories: White and African American. These two categories comprise 90.06% of the customers within the Health Sciences District area. Racially, the TMC Health Sciences District service area reflects the greater Jackson County, Missouri racial mix, with 67.31% White, 22.75% African American, 2.06 % Asian, 0.46% Native American/Alaskan Native, 0.29% Native Hawaiian/Pacific Islander, 4.0% reporting some other race, and 3.13% reporting multiple races. The racial composition of TMCs Lakewood service area includes two primary categories: White and African American. These two categories comprise 90.17% of the customers within the Lakewood area. Racially, the TMC Lakewood service area reflects the greater Jackson County, Missouri racial mix, with 68.57% White, 21.6% African American, 2.04% Asian, 0.45% Native American/Alaskan Native, 0.29% Native Hawaiian/Pacific Islander, 3.91% reporting some other race, and 3.13% reporting multiple races.
SCHEDULE H, PART VI, LINE 6	N/A
SCHEDULE H, PART VI, LINE 7	MISSOURI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2310 HOLMES STREET STE 735	AddressLine1Txt
City	KANSAS CITY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	431194064	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	OPERATIONS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE GRANT PROVIDED WAS MADE TO A PUBLIC ORGANIZATION WHO HAS A CLOSE WORKING RELATIONSHIP WITH TRUMAN MEDICAL CENTER. THIS ORGANIZATION STRIVES TO FURTHER SUPPORT THE HOSPITAL OPERATIONS OF TRUMAN MEDICAL CENTER, INC. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIP WITH THIS ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR	$748,908	$0	$0	$0	$431,290	$0	$376,979	$0	$33,618	$0	$1,590,795	$0	$415,932	$0
JOLIE L JUSTUS
SECRETARY	$162,491	$0	$0	$0	$430	$0	$10,851	$0	$9,397	$0	$183,169	$0	$0	$0
MARK T STEELE MD
DIRECTOR	$420,635	$0	$0	$0	$0	$0	$0	$0	$0	$0	$420,635	$0	$0	$0
WILLIAM H COLBY
SECRETARY UNTIL 09/2020	$352,983	$0	$0	$0	$215,519	$0	$11,900	$0	$25,747	$0	$606,149	$0	$51,586	$0
MARGA HOELSCHER
ASSISTANT TREASURER	$313,033	$0	$0	$0	$5,864	$0	$69,164	$0	$10,377	$0	$398,438	$0	$0	$0
JOHN GIANINO
NEUROSURGEON	$488,305	$0	$454	$0	$140,815	$0	$77,463	$0	$38,675	$0	$745,712	$0	$131,237	$0
MITZI CARDENAS
EXECUTIVE CHIEF ADMIN OFFICER	$403,001	$0	$0	$0	$254,391	$0	$29,013	$0	$11,113	$0	$697,518	$0	$189,224	$0
GERARD GRIMALDI
CHIEF HEALTH POLICY/GOVT RELAT	$259,125	$0	$0	$0	$178,010	$0	$58,484	$0	$29,195	$0	$524,814	$0	$159,060	$0
LYNETTE WHEELER
COO - LW	$279,839	$0	$0	$0	$60,233	$0	$8,710	$0	$29,925	$0	$378,707	$0	$6,765	$0
RUTH PULLINS
CHIEF HR OFFICER	$287,744	$0	$100,000	$0	$177,537	$0	$34,160	$0	$24,471	$0	$623,912	$0	$115,126	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B	2020 2020 2020 ACCRUAL DISTRIBUTION TOTAL CHARLES SHIELDS $ 367,219 415,932 $ 783,151 WILLIAM COLBY $ -0- 51,586 $ 51,586 JOHN GIANINO $ 47,963 131,237 $ 179,200 MITZI CARDENAS $ -0- 189,224 $ 189,224 LYNETTE WHEELER $ -0- 6,765 $ 6,765 RUTH PULLINS $ -0- 115,126 $ 115,126 MARGA HOELSCHER $ 43,281 -0- $ 43,281 GERARD GRIMALDI $ 41,063 159,060 $ 200,123
SCHEDULE J, PART I, LINE 6A	CERTAIN EMPLOYEES ARE ELIGIBLE FOR A SMALL BONUS RELATED TO MEETING OR EXCEEDING BUDGET.
PART VII, LINE 5 AND SCHEDULE J, PART II	TRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY HEALTH PHYSICIANS $420,635 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MO HEALTH AND EDUCATION FACILITIES AUTH
A	431178966	2017-12-22	$70,000,000	BUILDING, EQUIPMENT AMD REFUNDING	false	false	false
JACKSON COUNTY MISSOURI
B	446000524	2012-09-04	$41,180,485	REFUNDING BOND	false	false	false	467578GJ3
JACKSON COUNTY MISSOURI
C	446000524	2011-05-17	$24,674,279	CONSTRUCTION AND EQUIPMENT	false	false	false	467578FS4

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,030,000	$0	$70,000,000	$204,973	$900,038	$0	$485,984	$0	$0	$64,554,538	$4,754,505	$0	2020	Yes (true)	false	Yes (true)	Yes (true)
B	$19,953,615	$0	$37,597,509	$0	$0	$0	$451,929	$0	$0	$0	$37,145,580	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$11,900,000	$0	$24,674,279	$0	$0	$0	$289,279	$0	$0	$24,385,000	$0	$0	2011	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	Yes (true)	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	No Rebate DueNoRebateDueInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)
0
C	false		false	false	false	0	Yes (true)	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2C, COLUMN B	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 9-24-2017
PART IV, LINE 2C, COLUMN C	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 5-7-2016

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	One of the greatest strengths of Truman Medical Center, Incorporated (TMC, Inc.) is its ability to provide comprehensive, quality care to all its patients, regardless of patients' ability to pay. As an academic medical center, TMC, Inc. is the primary teaching hospital for the University of Missouri- Kansas City Schools of Medicine, Pharmacy, Nursing, and Dentistry. TMC, Inc. providers use a team approach to care for patients while they train the doctors of tomorrow. TMC, Inc. offers more than 50 primary, specialty, and mental health care clinics at its campus in downtown Kansas City (also referred to as the Health Sciences District campus) and at its Lakewood campus in Eastern Jackson County. TMC, Inc. also has a number of community-based primary and behavioral health clinics. The medical center's person-first approach puts the health needs of the patient above profit. TMC, Inc. is nationally recognized for programs in asthma, diabetes, sickle cell, orthopaedics, women's health, and emergency/trauma services. In addition, TMC, Inc. offers services that include ophthalmology, cardiology, gastroenterology, oral surgery, and community-based behavioral health services. In fiscal year 2021, TMC, Inc. provided more than a half a million (546,164 to be exact) outpatient care appointments, with more than 191,000 of those being outpatient behavioral health care visits. The TMC, Inc. Medical Pavilions at Health Sciences District and Lakewood provide high-quality outpatient primary care, whether a patient's needs include a general physical exam or treatment for an acute medical condition. More than 72,000 TMC, Inc. patients are living with at least one chronic disease. Internal medicine physicians are experts in chronic disease management, specifically: high cholesterol, osteoporosis, diabetes, high blood pressure, obesity, and Sickle Cell Disease. COVID-19 On February 26, 2020 Emergency Management leaders at TMC, Inc. declared a Code Delta Level 1 in response to the spread of COVID-19. This response continued throughout FY21. This level of response meant the incident command team worked together virtually to prepare for, and respond to, the changes brought on by the ensuing pandemic. Initially staffing and securing adequate personal protective equipment (PPE) and sanitizing supplies were the challenges the command center team faced. As the pandemic progressed COVID-19 testing, treatment, and vaccination became key issues. Communicating evidence-based information about prevention, symptoms, and treatment of COVID-19 was a priority for both patients of TMC, Inc. and the community. The medical center's communications team worked with Interpreter Services and key community partners, such as members of the faith community, to ensure that members of Kansas City's Black and Brown communities had access to accurate COVID-19 information, vaccination, and testing. In March 2020 administrators arranged for drive-thru COVID-19 testing at both of the TMC, Inc. campuses and at mobile sites in the community. From March 2020 until the end of FY 21, providers administered approximately 135,000 COVID-19 tests that were processed by TMC, Inc. laboratories. Testing was not limited to established TMC, Inc. patients. The Kansas City region relied on TMC, Inc. for access to COVID-19 testing. The pandemic spurred the use of telemedicine at TMC, Inc. Before the spread of COVID-19, five providers offered telehealth services. By June 2020, more than 350 providers were using telehealth to see patients and behavioral health clients. The number of providers offering telehealth appointments declined as vaccination rates increased, but access through telehealth providers remains a priority for TMC, Inc. On December 14, 2020 Truman Medical Center, Incorporated was proud to be the first medical center in Kansas City to begin COVID-19 vaccinations. Throughout FY21, our providers administered more than 112,500 doses of the vaccine to eligible adults and adolescents in the region. The TMC, Inc. community outreach team worked with trusted civic partners to ensure that even those with the most barriers to care were able to receive the COVID-19 vaccine. During FY 21, TMC, Inc. established the Center for COVID Recovery, which is made up of providers from specialties such as: pulmonology, neurology, physical medicine, rehabilitation services, and cardiology, along with behavioral health experts. The Center for COVID Recovery aims to help patients suffering from lingering symptoms of COVID-19 take control of their health and wellness. Chronic Disease Management Asthma At TMC, Inc., it is the providers' goal to offer superior and consistent care for the patient with asthma, whether it is in the Emergency Department, inpatient unit, or clinic setting. TMC, Inc. has a comprehensive asthma program that provides asthma education to both outpatients and inpatients. In an effort to provide a consistent continuum of care, patients are treated in the Emergency Department using a standardized protocol based on national guidelines for the management of asthma and are referred for follow-up care to an outpatient pulmonary clinic to help break the cycle of emergent care. This program has resulted in a substantial reduction in admissions for asthma sufferers. In FY 21, its providers treated asthma patients at 7,932 appointments. Diabetes At TMC, Inc., providers know that a diabetes diagnosis can be devastating. More than 15,000 TMC, Inc. patients have a diabetes diagnosis. In FY 21, there were more than 9,600 visits to the Diabetes Center- at both the downtown and Eastern Jackson County campuses, where specialized providers are well equipped to handle all aspects of the disease. The Diabetes Center offers a state-of-the-art facility to better serve patients' needs. TMC, Inc. providers believe in helping patients manage their diabetes on a planned, rather than episodic basis. The comprehensive team-approach connects patients with specially trained physicians and nursing staff. The team coordinates care with other specialty service providers, such as ophthalmology, cardiology, podiatry, and other referrals as needed. The Diabetes Center includes: . A patient resource center with computer access . A diabetes education classroom . Large consultation rooms for group or individual instruction related to disease and nutrition . A patient waiting area designed for comfort . Expanded exam rooms with advanced technology with access to electronic health records Sickle Cell At TMC, Inc., providers strive to empower patients with Sickle Cell Disease to live life to the fullest. Providers provide a healing environment, individual attention, and a strong support system for our patients, with a quality of care based on current treatment guidelines and benchmarks of care. In FY21, Sickle Cell Center providers cared for patients during 947 visits. During a crisis state, unlike an emergency department, the TMC, Inc. Sickle Cell Center is able to treat patients' pain more efficiently in a quiet, soothing environment with the goal of initiating pain treatment within 30 minutes of arrival. Providers, aware of individuals' medical history, create a custom treatment plan for each patient, including a holistic approach to encompass long-term goals. The Sickle Cell Center team sees the importance of providing chronic disease management and strategies to modify the individual's disease with the goal of decreasing acute pain episodes and supporting healthier outcomes. The center also provides primary care for other routine health needs such as sore throat, hypertension, or diabetes management to not only the person with sickle cell but also their adult family member. Women's Health Services Obstetrics & Gynecology At Truman Medical Center, Incorporated providers offer a wide variety of services and specialized care just for women, through all stages of their lives. Services include family planning, mid-life services, breast health, the specialized treatment of vulvar and pelvic pain diseases, obstetrics, hysteroscopic surgery, and alternatives to hysterectomy, adolescent gynecology, and well-woman exams. Patients can receive OB/GYN services and primary care, all in one location.
HIGH RISK PREGNANCY	As a regional referral center for high-risk pregnancies, and an academic medical center, TMC, Inc.'s downtown Kansas City campus offers specialized care to pregnant women. Maternal-Fetal Medicine (or perinatology) is a unique specialty of obstetrics that involves the diagnosis, evaluation, and management of problems that may affect a pregnant woman or her unborn child. Families facing a fetal abnormality can come to TMC, Inc. with confidence knowing the medical center will provide expert care for their every need - maternal expertise for care of the pregnant woman, fetal expertise for care of the unborn baby, and pediatric expertise for care of their newborn. Patients have access to Level III Neonatal Intensive Care Unit (NICU) staffed by pediatricians from Children's Mercy Hospital. In addition, newborns have immediate access to an adjacent level IV NICU at Children's Mercy Hospital - the highest level of care available for premature and critically-ill newborns, including ECMO (extracorporeal membrane oxygenation) life support technology. The Birthplace At the TMC, Inc. Birthplace, the focus is on providing a safe, comfortable, and positive birth experience for families. TMC, Inc. is proud to have delivered 3,145 babies in FY21, making it the medical center where nearly half of all babies in Kansas City, Missouri are born. A Neonatal Intensive Care Unit nurse attends all deliveries, and if needed, its Level III Newborn Intensive Care Unit for infants with special needs is just steps away. Our staff also provides care to mothers who deliver at Children's Mercy Hospital for emergency and critical care maternal fetal medicine issues. A bridge connects the two facilities for easy access between the hospitals. Women's Care Breast Center Truman Medical Center, Inc. provides diagnostic breast health services to women in the greater Kansas City area. The Women's Care Breast Center streamlines services by making virtually all of the components of a breast evaluation available in one campus location-and patients can usually receive a diagnosis the same day. Providers offer clinical breast exams, mammograms, breast ultrasounds, fine-needle aspirations, and an imaging-assisted breast biopsy technique that is less invasive than a typical surgical breast biopsy. Patients have access to a dedicated breast nurse navigator who will guide them through their journey. A diverse and highly qualified dedicated breast team, including a fellowship-trained breast surgeon, plastic and reconstructive surgeon, gynecologist, and fellowship trained breast radiologist staff The Breast Center. Every patient who might be at risk will also receive comprehensive lymphedema education and preoperative assessment by our certified lymphedema specialist, referral to our high-risk prevention clinic, or genetic counselling as necessary. WIC TMC, Inc. is also one of the largest providers of Women, Infants and Children (WIC) Services in the state of Missouri with 103,259 visits in FY21. WIC provides healthy foods, nutrition education and referrals for women, infants, and children up to the age of five, who are at nutritional risk, and meet program guidelines. Cardiology Services The TMC, Inc. Cardiology Center offers patients a complete range of cardiac services for prevention, early diagnosis, treatment, and recovery in a patient-centered environment. TMC, Inc.'s Cardiology Center specializes in interventional cardiology, which refers to non-surgical treatments for heart conditions. Providers rely on cardiac interventions to diagnose and treat coronary artery disease, valvular heart disease, heart failure, and congenital heart disease. The Cardiology Center features a sophisticated cardiac catheterization laboratory, nine additional clinic rooms, increased echocardiography testing capabilities, and a cardiac rehabilitation service to help prevent repeat heart problems. In FY 21, the Cardiology Center provided 9,440 outpatient clinic appointments, performed 895 lab procedures, of which 542 were diagnostic catheterization procedures, and placed 176 patient required cardiovascular stents. Gastroenterology Services Truman Medical Center, Incorporated Gastroenterology (GI) Center provides care for patients with all gastrointestinal diseases including but not limited to abdominal pain, constipation, reflux, Irritable Bowel Syndrome, Crohn's Disease, and liver diseases. It offers procedures such as: colon cancer screening, upper endoscopy, endoscopic ultrasound, ERCP- which is used to diagnosis diseases of the bile ducts and pancreas, motility studies, and paracentesis. The GI Center features three procedure rooms, a dedicated prep and recovery area, patient monitoring equipment, including additional cardiac monitoring capabilities with a central monitor at the nursing station. The clinic has six exams rooms, a dedicated triage room, a large education classroom, and a spacious waiting room. The center provides "one-stop shopping" for patients, with registration/check-in and financial counseling all in same area. In FY 2021, the TMC GI Center provided more than 10,700 outpatient visits and performed more than 8,200 procedures. Ophthalmology The Ophthalmology Clinics at TMC, Inc. are full-service facilities for the medical and surgical treatment of eye diseases. Services range from prescribing glasses and fitting contact lenses to the treatment of complex ocular disorders. Providers perform outpatient surgery and laser treatment, including refractive laser surgery. In FY 21, the Ophthalmology Department provided care to patients during more than 17,000 visits. Dentistry and Oral Surgery Services Oral & Maxillofacial surgeons practice a wide scope of care with expertise ranging from corrective jaw surgery to wisdom tooth removal. Providers also diagnose and treat facial injuries and perform a full range of dental implant procedures. The facial pain/temporomandibular joint syndrome (TMJ) clinic offers diagnosis and treatment of facial pain and TMJ. 9,700 patients received oral surgical services at TMC, Inc. in FY21 and providers treated 18,084 dental patients at the TMC, Inc. Lakewood Dental Clinic. Outpatient Behavioral Health Services In FY 21, TMC, Inc. Behavioral Health provided 191,869 outpatient visits to 5,994 patients. These services are aimed at assisting clients in managing the symptoms of their illness, and improving their day-to-day lives. They include case management, crisis and outreach services, mental health assessments, employment services, occupational therapies, peer support groups, medication management, rehabilitation, substance abuse treatment and therapy, and counseling for children, adolescents, adults, and families. Jackson County Health Department Truman Medical Center, Incorporated contracts with the Jackson County, Missouri government to manage the Jackson County Health Department (JACOHD). In FY 21, the JACOHD provided nearly 112,840 community based encounters including vaccinations, community health education, and adult traumatic brain injury case management. The JACOHD is dedicated to the prevention of disease and the maintenance of a high level of health in the family and community through education, immunization, inspection, and supportive care.
FORM 990, PART III, LINE 4B	Truman Medical Center, Incorporated (TMC, Inc.) is an academic medical center that includes the campuses of TMC, Inc. Health Sciences District, TMC, Inc. Lakewood, and TMC, Inc. Behavioral Health. TMC, Inc. is the core educational partner for the University of Missouri-Kansas City Schools of Medicine, Nursing, Dentistry and Pharmacy. The newest addition to TMC, Inc. is University Health 2, which opened in December 2020. University Health 2 is dedicated to Women's Care and Primary Care. It's located just south of University Health 1 (UH 1), which opened in 2015. UH 1 is Kansas City's only downtown surgical center and an outpatient clinic staffed by physicians of Truman Medical Center, Incorporated. Clinics at UH 1 include: audiology, The Breast Center, dermatology, ear, nose, throat, ophthalmology, oral and maxillofacial surgery, pain management, orthopedics, and plastic surgery. TMC, Inc. providers cared for more than 107,000 individual patients in fiscal year 2021. Regardless of their financial situation or ability to pay, these patients receive quality, state-of-the-art inpatient, outpatient, and emergency care that encompass both physical and mental health care. TMC, Inc. is licensed for 366 inpatient acute care (including 19 NICU) and 188 long-term care beds. In fiscal year 2021 (July 1, 2020- June 30, 2021), TMC, Inc. had 21,510 inpatient admissions and provided 89,982 days of inpatient care and more than 55,000 days of long-term patient care. As the primary safety net hospital in the Kansas City, Missouri metropolitan area, TMC, Inc. treats a vulnerable patient population with a high degree of health care disparity. These disparities cut across economic, racial, and ethnic boundaries. Many of TMC, Inc.'s patients and clients have multiple chronic diseases such as diabetes, asthma, heart failure, and hypertension. In FY 2021, more than 72,000 of TMC, Inc. patients suffered from at least one or more of these chronic diseases. Due to some social disparities, such as lack of transportation, or a language barrier, patients' ability to manage their condition with proper medication and follow-up care is difficult and many times, providers end up admitting patients for their condition. TMC, Inc. works diligently to overcome these ethnic, social, and racial barriers when patients receive their care. TMC, Inc. has specialized language interpreters on staff at both Health Sciences District and Lakewood locations to help ensure that patients with limited English proficiency or deaf patients receive high quality, individualized care with communication assistance. TMC, Inc. is one of the few hospitals to have on staff interpreters available around the clock to assist patients with paperwork and communicating with medical professionals. TMC, Inc. interpreter services has approximately 28 language interpreters on staff that provide face-to-face interpreting in three major languages: Spanish, Somali, and Arabic. Additionally, over the phone interpreters in 150 languages are available via dual handset telephonic interpreting units. In Fiscal Year 2021, TMC, Inc. language access provided 224,153 interpreted encounters for patients. COVID-19 On February 26, 2020 Emergency Management leaders at TMC, Inc. declared a Code Delta Level 1 in response to the spread of COVID-19. This response continued throughout FY21. This level of response meant the incident command team worked together virtually to prepare for, and respond to, the changes brought on by the ensuing pandemic. Initially staffing and securing adequate personal protective equipment (PPE) and sanitizing supplies were the challenges the command center team faced. As the pandemic progressed COVID-19 testing, treatment, and vaccination became key issues. Communicating evidence-based information about prevention, symptoms, and treatment of COVID-19 was a priority for both patients of TMC, Inc. and the community. The medical center's communications team worked with Interpreter Services and key community partners, such as members of the faith community, to ensure that members of Kansas City's Black and Brown communities had access to accurate COVID-19 information, vaccination, and testing. In March 2020 administrators arranged for drive-thru COVID-19 testing at both of the TMC, Inc. campuses and at mobile sites in the community. From March 2020 until the end of FY 21, providers administered approximately 135,000 COVID-19 tests that were processed by TMC, Inc. laboratories. Testing was not limited to established TMC, Inc. patients. The Kansas City region relied on TMC, Inc. for access to COVID-19 testing. The pandemic spurred the use of telemedicine at TMC, Inc. Before the spread of COVID-19, five providers offered telehealth services. By June 2020, more than 350 providers were using telehealth to see patients and behavioral health clients. The number of providers offering telehealth appointments declined as vaccination rates increased, but access through telehealth providers remains a priority for TMC, Inc. On December 14, 2020 Truman Medical Center, Incorporated was proud to be the first medical center in Kansas City to begin COVID-19 vaccinations. Throughout FY21, our providers administered more than 112,500 doses of the vaccine to eligible adults and adolescents in the region. The TMC, Inc. community outreach team worked with trusted civic partners to ensure that even those with the most barriers to care were able to receive the COVID-19 vaccine. During FY 21, TMC, Inc. established the Center for COVID Recovery, which is made up of providers from specialties such as: pulmonology, neurology, physical medicine, rehabilitation services, and cardiology, along with behavioral health experts. The Center for COVID Recovery aims to help patients suffering from lingering symptoms of COVID-19 take control of their health and wellness. Behavioral Health Behavioral Health is essential to well-being and can affect self-image, relationships, sleep, eating, and even physical health. Many times, patients with chronic diseases also suffer from mental illness and/or substance abuse and addiction problems. Gaining access to quality, behavioral health care services is often difficult and expensive. In many communities, inpatient mental health facilities do not exist or are at capacity nearly 100 percent of the time. TMC, Inc. is one of only a few health systems that provides both inpatient medical and mental health care beds. TMC, Inc. Behavioral Health offers a comprehensive array of mental health and substance abuse treatment services at both the TMC, Inc. Health Sciences District and TMC, Inc. Lakewood Counseling. All mental health services are aimed at assisting clients in managing the symptoms of their illnesses and in improving their day-to-day lives. TMC, Inc. services also provide the support many people with mental illness need to regain a sense of meaning and purpose in life. TMC, Inc. Behavioral Health has 66 inpatient mental health beds including a specialized geriatric inpatient unit at TMC, Inc. Lakewood. In FY 21, TMC, Inc. Behavioral Health treated nearly 6,000 patients, with 1,911 patients admitted for inpatient mental health care at a TMC, Inc. facility. Women's Health TMC, Inc. offers full Women's Health Services and is the birthplace to nearly half of all babies born in Kansas City, Missouri. TMC, Inc. Health Sciences District specializes in high-risk pregnancies and births. It is home to a 19-bed, Level III neonatal intensive care unit (NICU), one of the largest in the area. In 2011, TMC, Inc. Lakewood opened a renovated and expanded labor and delivery unit serving the people of eastern Jackson County. This unit also includes a Level II NICU. In fiscal year 2021, TMC, Inc. proudly delivered 3,143 babies, which is nearly half of the number of all babies born in Kansas City, Missouri.
FORM 990, PART III, LINE 4C	Truman Medical Center, Incorporated's Emergency Departments provided care to 80,942 patients in fiscal year 2021, with more than 56,000 of those visits at TMC, Inc. Health Sciences District, making it one of the busiest adult emergency departments in the Kansas City metro area. The TMC, Inc. Health Sciences District Emergency Department (ED) is a state designated Level 1 Trauma Center. It consists of a team of nearly 25 physicians and more than 125 nurses specially trained in treating trauma and critical care injuries. Trauma surgeons and other members of the trauma team are in the hospital 24-hours a day, seven days a week. The TMC, Inc. Lakewood Emergency Department has a staff of ten board certified emergency medicine physicians and 44 nurses providing immediate, compassionate, quality care to residents of eastern Jackson County, Missouri each year. Aim4Peace As an academic safety-net hospital in Kansas City, Missouri, TMC, Inc. receives a significant amount of intentional trauma. Aim4Peace, a local organization that works to prevent violence, is focused on the reduction of intentional gunshot incidents. As the primary hospital in association with Aim4Peace, TMC, Inc. helps affect a culture shift in what is accepted as the norm among the perpetrators of violent crime while reducing recidivism in the emergency department. TMC, Inc. is listed in the national directory of hospital-based violence intervention and prevention programs. Sexual Abuse Nurse Examiner (SANE) The Health Sciences District Emergency Department (ED) has a TMC, Inc. KC SANE (Sexual Abuse Nurse Examiner) on site to provide a thorough forensic examination of men or women who report surviving a sexual assault. When a person enters the Emergency Department reporting a sexual assault or rape, they are sent to a TMC, Inc. KC SANE in a private room for examination. The TMC, Inc. KC SANE program has made a profound difference in the quality of care provided to sexual assault survivors. SANEs offer survivors prompt, compassionate care, and comprehensive forensic evidence collection. In addition to helping preserve the survivor's dignity and reduce psychological trauma, SANEs enhance evidence collection for more effective investigations and better prosecutions. TMC, Inc.'s KC SANE program has also helped to provide leadership in the community by educating and training other potential KC SANEs. Each year, the TMC, Inc. KC SANE cares for and examines more than 200 women in the Health Sciences District Emergency Department. Trauma Research The Trauma Research Team is currently conducting several exciting research projects including grant-funded research and original projects. All projects are designed with the objective of optimizing care of the traumatically injured patient. Research projects in progress during fiscal year 2021 include: Investigator Initiated . Detection and Prevention of Concussive Injuries with Smart Technology; Dr. Moncure, PI . Effect of Aim 4 Peace Community Based Violence Prevention Program on Recidivism Rates in Trauma Patients in Kansas City; Dr. Moncure, PI . Measuring Immediate Responders' Knowledge Gained Through "Stop the Bleed" Education and Training; Teresa Lienhop, PI . The Utility of a Viscoelastic Hemostatic Assay in Guiding the Administration of Antifibrinolytics and Blood Products; Dr. Moncure, PI . Does Procedural Simulation Training Improve Resident Training and Ability on the da Vinci Surgical System Compared to Basic Simulation Training? Dr. Nelson, PI . Perioperative Treatment of Patients with Positive Drug Screens After Orthopaedic Surgery Procedures, Dr. Sorenson, PI . A Comprehensive Review of the Use of Whole Blood at Level 1 Trauma Centers, Dr. Moncure, PI (Multicenter study - UH TMC is the control variable) . The Association Between an Acoustic Gunshot Detection System and Mortality Due to Urban Gun Violence: A Multicenter Study; Dr. Moncure, PI . The Role of Surgical Reality Fluid in Providing a Superior Experience in Dissections; Dr. Moncure, PI 10. Using a Delphi consensus for decision making in the treatment of radial head fractures; Dr. Cil, PI . Safety Comparison of Heparin and Enoxaparin for VTE Prophylaxis in Traumatic Brain Injury; Drs. Moncure, Neel, Gianino . Does the RISE Program Improve Screening and Follow-up of Traumatically Injured Patients with PTSD; Dr. Moncure, PI . Effect of Enoxaparin Dosing on Rate of VTE in Trauma Patients . Assessing the difference in patient safety between verbal handoffs and more visual bedside handoffs in surgical residency as residents perceive it.; Dr. Moncure, PI . Incidental Positive COVID 19 Results in Trauma Patients; Dr. Moncure, PI . Comparing Fibroscan to Biopsy Results in determining liver transplantability and function; Dr. Moncure, PI . The Follow-up of Incidental Findings in Trauma Patients; Dr. Moncure, PI . Does race or ethnicity predict complication rate after discharge from ED in unstable ankle fractures requiring surgery? Dr. Jonathan Dubin, PI . Does wound vac training improve nursing performance when using wound vacs? QI PROJECT--Dr. Moncure, PI . Effects of intensive care unit culture on patient outcomes at an academic medical center: QI PROJECT--Dr. Moncure, PI . Will implementing a protocol for post-operative care of PEG placement at Truman hospital help decrease rates of early and late PEG tube dislodgements and subsequent medical interventions at Truman hospital; QI PROJECT--Dr. Moncure, PI Performance Improvement Patient Safety Program (PIPS) The Performance Improvement Patient Safety (PIPS) is an important part of the trauma program at University Health TMC Trauma Services. PIPS works toward implementing a system of patient care delivery that focuses on the identification of critical issues and achievement of outcomes within effective time frames and with appropriate use of resources. The areas of monitoring and improving include pre-hospital care, emergency department, surgical management, critical care, inpatient stay, and rehabilitation. The primary focus is on the promptness, documentation, and appropriateness of care along with patient outcomes. Advanced Trauma Care for Nurses Continuing medical education is not just a requirement it is a necessity to enhance the knowledge and abilities of the medical professional. University Health Truman Medical Center was the first hospital to bring Advanced Trauma Care for Nurses (ATCN) to the Kansas City metropolitan area. The course is geared toward nursing staff in the Emergency Department and Intensive Care Units. When nurses complete the ATCN class and work alongside trauma physicians certified in Advanced Trauma Life Support (ATLS), they find that their thought processes and actions are more aligned with the physician's approach, which simultaneously addresses the care of the trauma patient in a patient-centered and logical sequence. ATCN encourages a team approach to trauma care and is taught concurrently with ATLS, so both nurse ATCN and physician ATLS students attend the same lectures. Lectures are followed by a series of hands-on skills stations that include extensive training on initial patient assessment and management of airway, breathing, hemorrhagic shock, musculoskeletal, spinal, head and pediatric trauma. patient assessment and management of airway, breathing, hemorrhagic shock, musculoskeletal, spinal, head and pediatric trauma.
FORM 990, PART VI, SECTION A, LINE 7A	ALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE FROM THE TMC MEDICAL STAFF AND FIVE FROM UNIVERSITY HEALTH PHYSICIANS, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE CFO BEFORE SUBMITTING TO AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN PREPARED AND REVIEWED BY THE INDEPENDENT ACCOUNTING FIRM USING THE INFORMATION GATHERED. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S ACCOUNTING PERSONNEL, CFO AND CEO AND ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S ACCOUNTING PERSONNEL, CFO AND CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. DUE TO THE SIZE OF THE TMC, INC. BOARD, FINAL COPIES OF THE FORM 990 ARE NOT PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY EXECUTIVES). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVES, AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	THE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS AND APPROVES THE COMPENSATION FOR ALL SENIOR EXECUTIVES ANNUALLY. THE ECC REVIEWS THE EMPLOYMENT AGREEMENT FOR THE CEO AND THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. 2021 WAS THE MOST RECENT REVIEW.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT.
FORM 990, PART XI, LINE 9	CHANGE IN NET ASSETS OF TMC FOUNDATION $ 2,085,343 CHANGE IN DEFINED BENEFIT PENSION PLAN 29,500,663 TRANSFER FOR AFFILIATE 2,000,000 OTHER RECONCILING ITEMS 10,559 ------------- TOTAL $ 33,596,565

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TMC PROF AND GEN LIABILITY SELF INS TRUS
2301 HOLMES	KANSAS CITY	MO	64108	431946384	LIABILITY INS	MO	501(C)(3)	12B	NA	false
TMC FINANCE SUPPORT CORPORATION
2301 HOLMES	KANSAS CITY	MO	64108	271994129	SUPPORT	MO	501(C)(3)	12A	TMC	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
TRUMAN MEDICAL CENTER INCOR
2301 HOLMES STREET	KANSAS CITY	MO	64108	440661018	Yes (X)	$0	$146,672	$146,672	$686,163,832	$686,310,504	$1,000,000	$250,000	$0	$0	$0
TMC FINANCE SUPPORT CORPORAT
2301 HOLMES STREET	KANSAS CITY	MO	64108	271994129		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0