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TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-14
IRS object ID
202031969349303413
Schema version
2018v3.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-14T13:23:38-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440661018EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRUMAN MEDICAL CENTER INCORPORATEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARGA HOELSCHERInCareOfNm
Business Name ControlTRUMBusinessNameControlTxt
Phone8164041000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 HOLMES STREETAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLIE SHIELDSPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8164043528PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2020-05-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43372220201965000136FederalOriginalSubmissionId
Federal Original Submission Id2020-07-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7126603A62AC6A2A14C3BDE8438D16F665284B75AtSubmissionCreationDeviceId
At Submission Filing Device Id3FC9EFFABEED0D212CAE4C9B84B4434B88FC6471AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARGA HOELSCHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 HOLMESAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$609,216,733GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TMCMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTRUMAN 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 Body35VotingMembersGoverningBodyCnt
Voting Members Independent33VotingMembersIndependentCnt
Total Employee4962TotalEmployeeCnt
Total Volunteers883TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,097,006PYContributionsGrantsAmt
CY Contributions Grants$11,873,856CYContributionsGrantsAmt
PY Program Service Revenue$541,734,321PYProgramServiceRevenueAmt
CY Program Service Revenue$554,283,627CYProgramServiceRevenueAmt
PY Investment Income$371,505PYInvestmentIncomeAmt
CY Investment Income$407,366CYInvestmentIncomeAmt
PY Other Revenue$37,946,468PYOtherRevenueAmt
CY Other Revenue$42,307,682CYOtherRevenueAmt
PY Total Revenue$591,149,300PYTotalRevenueAmt
CY Total Revenue$608,872,531CYTotalRevenueAmt
PY Grants And Similar Paid$546,552PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$789,194CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$289,059,432PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$301,045,794CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$292,721,271PYOtherExpensesAmt
CY Other Expenses$300,795,702CYOtherExpensesAmt
PY Total Expenses$582,327,255PYTotalExpensesAmt
CY Total Expenses$602,630,690CYTotalExpensesAmt
PY Revenues Less Expenses$8,822,045PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,241,841CYRevenuesLessExpensesAmt
Total Assets BOY$356,565,389TotalAssetsBOYAmt
Total Assets EOY$392,721,691TotalAssetsEOYAmt
Total Liabilities BOY$267,326,358TotalLiabilitiesBOYAmt
Total Liabilities EOY$300,778,194TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,239,031NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$91,943,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTRUMAN 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$249,685,409ExpenseAmt
Grant$528,715GrantAmt
Revenue$274,432,002RevenueAmt
DescOUTPATIENT DEPARTMENT- SEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$222,545,691ExpenseAmt
Grant$0GrantAmt
Revenue$244,602,437RevenueAmt
DescINPATIENT CARE- SEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$70,563,268ExpenseAmt
Grant$0GrantAmt
Revenue$77,556,870RevenueAmt
DescEMERGENCY DEPARTMENT- SEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$542,794,368TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document325IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4962EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members35GoverningBodyVotingMembersCnt
Independent Voting Member33IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARGA HOELSCHERPersonNm
Phone8164043540PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 HOLMESAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR40.00.0Yes (X)Yes (X)$1,000,380$0$415,085
PEGGY J DUNN
PAST CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DAVE BARBER
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
PHILIP J SANDERS
CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DRED D SCOTT PHD
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
TIMOTHY A WURST
SECRETARY/VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
KAREN ZECY
TREASURER/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
FORESTINE BEASLEY
DIRECTOR1.00.0Yes (X)$0$0$0
ZANE M BURKE
DIRECTOR1.00.0Yes (X)$0$0$0
ANN H CARY PHD
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES CORWIN
DIRECTOR1.00.0Yes (X)$0$0$0
SEN KIKI CURLS
DIRECTOR1.00.0Yes (X)$0$0$0
JOLIE L JUSTUS
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
TRACEY LEWIS
DIRECTOR1.00.0Yes (X)$0$0$0
MARVIN LYMAN
DIRECTOR1.00.0Yes (X)$0$0$0
JON OTTO
DIRECTOR1.00.0Yes (X)$0$0$0
MAHNAZ SHABBIR
DIRECTOR1.00.0Yes (X)$0$0$0
MARK T STEELE MD
DIRECTOR20.01.0Yes (X)$263,606$0$18,252
ADAM ALGREN MD
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL COLLINS
DIRECTOR1.00.0Yes (X)$0$0$0
CARLOS GOMEZ
DIRECTOR1.00.0Yes (X)$0$0$0
JIM HEETER
DIRECTOR1.00.0Yes (X)$0$0$0
ALISE MARTINY
DIRECTOR1.00.0Yes (X)$0$0$0
MELISSA ROBINSON
DIRECTOR1.00.0Yes (X)$0$0$0
MAULI AGRAWAL
DIRECTOR1.00.0Yes (X)$0$0$0
MARK BERNHARDT MD
DIRECTOR1.00.0Yes (X)$0$0$0
PAT CONTRERAS
DIRECTOR1.00.0Yes (X)$0$0$0
SEAN GRATTON MD
DIRECTOR1.00.0Yes (X)$0$0$0
STEVE HAWN
DIRECTOR1.00.0Yes (X)$0$0$0
MARY ANNE JACKSON MD
DIRECTOR1.00.0Yes (X)$0$0$0
LARRY RICCI DO
DIRECTOR1.00.0Yes (X)$0$0$0
GLEN TALBOY MD
DIRECTOR1.00.0Yes (X)$0$0$0
MUDASSAR ZIA MD
DIRECTOR1.00.0Yes (X)$0$0$0
LATOSHA ELIGON
DIRECTOR1.00.0Yes (X)$0$0$0
EILEEN WEIR
DIRECTOR1.00.0Yes (X)$0$0$0
WILLIAM H COLBY
ASSISTANT SECRETARY40.02.0Yes (X)$701,151$0$107,682
ALLEN M JOHNSON
ASSISTANT TREASURER40.00.0Yes (X)$546,719$0$120,733
JOHN GIANINO MD
NEUROSURGEON40.00.0$638,201$0$103,211Yes (X)
MITZI CARDENAS
EXECUTIVE CHIEF ADMIN OFFICER40.00.0$348,133$0$65,863Yes (X)
GERARD GRIMALDI
VP HEALTH POLICY & GOVT RELATI40.00.0$327,255$0$81,654Yes (X)
DOUGLAS BRANDT
ASSOCIATE CFO40.00.0$512,370$0$90,726Yes (X)
LYNETTE WHEELER
COO40.00.0$318,250$0$78,994Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,656,065TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,082,200TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K257IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141IT SERVICES$17,585,000
UNIVERSITY OF MISSOURI-KANSAS CITY
PO BOX 805111KANSAS CITYMO64180MEDICAL SERVICES$16,877,032
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368FOOD SERVICE$5,297,070
UNIVERSITY HEALTH PHYSICIANS
2310 HOLMES SUITE 800KANSAS CITYMO64108PHYSICIAN SERVICES$14,090,914
MEDICAL IMAGING PA
127 W 10TH STREET SUITE 202KANSAS CITYMO64105MEDICAL SERVICES$5,381,498
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Government Grants$7,388,910GovernmentGrantsAmt
All Other Contributions$4,484,946AllOtherContributionsAmt
Total Contributions$11,873,856TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$337,192,174$337,192,174
EXPENSE REIMBURSEMENT621110$1,581,865$1,581,865
MEDICAID ENHANCEMENTS621110$179,224,704$179,224,704
LOCAL GOVERNMENT SUBSIDY900099$36,284,884$36,284,884
FieldValueIRS element (for citing)
Total Program Service Revenue$554,283,627TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,721TotalRevenueColumnAmt
Exclusion$220,721ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$233,557SecuritiesAmt
Other$297,290OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$344,202OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$233,557SecuritiesAmt
Other-$46,912OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,645TotalRevenueColumnAmt
Exclusion$186,645ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE900099$37,975,750$37,975,750
EHR MEANINGFUL USE900099$576,579$576,579
LAB900099$2,472,595$2,472,595

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,282,758TotalRevenueColumnAmt
Related Or Exempt Func Income$1,282,758RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$42,307,682OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$608,872,531TotalRevenueColumnAmt
Related Or Exempt Func Income$596,591,309RelatedOrExemptFuncIncomeAmt
Exclusion$407,366ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$789,194TotalAmt
Program Services$789,194ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,957,866TotalAmt
Management And General$2,957,866ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$242,369,322TotalAmt
Program Services$220,450,826ProgramServicesAmt
Management And General$21,918,496ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,590,362TotalAmt
Program Services$4,263,850ProgramServicesAmt
Management And General$326,512ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,264,356TotalAmt
Program Services$30,891,420ProgramServicesAmt
Management And General$3,372,936ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,863,888TotalAmt
Program Services$15,335,711ProgramServicesAmt
Management And General$1,528,177ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$599,224TotalAmt
Management And General$599,224ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$203,566TotalAmt
Management And General$203,566ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$110,791TotalAmt
Management And General$110,791ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,564,457TotalAmt
Program Services$149,098,648ProgramServicesAmt
Management And General$24,465,809ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,599,301TotalAmt
Program Services$11,125,183ProgramServicesAmt
Management And General$1,474,118ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$220,365TotalAmt
Program Services$194,582ProgramServicesAmt
Management And General$25,783ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,079,277TotalAmt
Program Services$953,001ProgramServicesAmt
Management And General$126,276ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,314,405TotalAmt
Program Services$2,059,820ProgramServicesAmt
Management And General$254,585ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,981,120TotalAmt
Program Services$18,673,197ProgramServicesAmt
Management And General$2,307,923ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,493,271TotalAmt
Program Services$1,329,011ProgramServicesAmt
Management And General$164,260ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACEUTICALS$46,089,165$46,089,165
MEDICAL STAFF EXPENSES$167,067$167,067
MEDICAL SUPPLIES$41,373,693$41,373,693

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$602,630,690TotalAmt
Program Services$542,794,368ProgramServicesAmt
Management And General$59,836,322ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,956,760BOYAmt
EOY$10,837,850EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$38,419BOYAmt
EOY$163,025EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$910,279BOYAmt
EOY$719,123EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,033,709BOYAmt
EOY$74,519,059EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,958,449BOYAmt
EOY$7,741,455EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,734,147BOYAmt
EOY$3,673,043EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$563,026,478LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$383,584,710LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$162,947,165BOYAmt
EOY$179,441,768EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,181,403BOYAmt
EOY$7,350,834EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$94,805,058BOYAmt
EOY$108,275,534EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$356,565,389BOYAmt
EOY$392,721,691EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$142,840,710BOYAmt
EOY$156,391,616EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,963,784BOYAmt
EOY$102,692,985EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,680,503BOYAmt
EOY$29,460,438EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,841,361BOYAmt
EOY$12,233,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$267,326,358BOYAmt
EOY$300,778,194EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$75,217,594BOYAmt
EOY$68,409,124EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,930,252BOYAmt
EOY$20,443,188EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,091,185BOYAmt
EOY$3,091,185EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,239,031BOYAmt
EOY$91,943,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$356,565,389BOYAmt
EOY$392,721,691EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,241,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$507,075NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,044,450OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$44,175FilingOrganizationsTotalAmt
Affiliated Group Total$44,175AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$66,616FilingOrganizationsTotalAmt
Affiliated Group Total$66,616AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$110,791FilingOrganizationsTotalAmt
Affiliated Group Total$110,791AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$602,519,899FilingOrganizationsTotalAmt
Affiliated Group Total$602,519,899AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$602,630,690FilingOrganizationsTotalAmt
Affiliated Group Total$602,630,690AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$105,072CurrentYearMinus3Amt
Current Year Minus2$115,773CurrentYearMinus2Amt
Current Year Minus1$104,992CurrentYearMinus1Amt
Current Year$110,791CurrentYearAmt
Total$436,628TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$57,854CurrentYearMinus3Amt
Current Year Minus2$47,766CurrentYearMinus2Amt
Current Year Minus1$42,789CurrentYearMinus1Amt
Current Year$44,175CurrentYearAmt
Total$192,584TotalAmt
FieldValueIRS element (for citing)
Direct Contact Legislators$65,516DirectContactLegislatorsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,173,107BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$82,203InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$102,557OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,988,347EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,244,340BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$42,279InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$113,512OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$3,173,107EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.81320PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.18680TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,909,661OtherCostOrOtherBasisAmt
Book Value$4,909,661BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$335,176,538OtherCostOrOtherBasisAmt
Depreciation$221,005,432DepreciationAmt
Book Value$114,171,106BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$203,587,918OtherCostOrOtherBasisAmt
Depreciation$162,579,278DepreciationAmt
Book Value$41,008,640BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$19,352,361OtherCostOrOtherBasisAmt
Book Value$19,352,361BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$179,441,768TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ASSETS FOR CAPITAL ACQUISITION$3,690,012
ASSETS EXTERNALLY RESTRICTED$988,221
INTEREST IN ASSETS OF TMCCF$22,546,151
ASSETS HELD BY BOND TRUSTEE$70,483,698
OTHER RECEIVABLES$9,837,455
OTHER ASSETS$729,997
FieldValueIRS element (for citing)
Total Book Value Other Assets$108,275,534TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
457F PLAN LIABILITY$3,690,012
UNAMORTIZED PREMIUM$1,182,056
OTHER LIABILITIES$7,361,087
FieldValueIRS element (for citing)
Total Liability$12,233,155TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$679,658,734TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$507,075NetUnrealizedGainsInvstAmt
Other Revenue$136,784,754OtherRevenueAmt
Revenue Not Reported$137,291,829RevenueNotReportedAmt
Revenue Subtotal$542,366,905RevenueSubtotalAmt
Other Revenues Not Included$66,505,626OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$66,505,626RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$608,872,531TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$661,443,080TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$123,917,973OtherExpensesIncludedAmt
Expenses Not Reported$123,917,973ExpensesNotReportedAmt
Expenses Subtotal$537,525,107ExpensesSubtotalAmt
Other Expenses Not Included$65,105,583OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$65,105,583ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$602,630,690TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION; THE INCOME IS PRIMARILY RESTRICTED FOR THE PURPOSE OF FUNDING DEPARTMENT CHAIRMAN POSITIONS AT THE UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF MEDICINE. (THE MEDICAL CENTER IS THE TEACHING FACILITY FOR THE UMKC SCHOOL OF MEDICINE.)
SCHEDULE D, PART X, LINE 2MANAGEMENT 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 2DNET ASSETS RELEASED FROM RESTRICTIONS 379,241 RELATED ORGANIZATION REVENUE 136,405,513 ------------- TOTAL $ 136,784,754
SCHEDULE D, PART XI, LINE 4BMEDICAL STAFF REVENUE 185,116 TEMPORARILY RESTRICTED CONTRIBUTIONS 648,759 CONTRIBUTION USED FOR ASSET ACQUISITION 733,235 ELIMINATIONS 64,938,516 ------------ TOTAL $ 66,505,626
SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATION EXPENSES $123,917,973
SCHEDULE D, PART XII, LINE 4BELIMINATIONS 64,938,516 MEDICAL STAFF EXPENSES 167,067 ------------ TOTAL $ 65,105,583

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$137,042,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,045,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,997,279NetCommunityBenefitExpnsAmt
Total Expense0.04150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,260,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$170,384,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,875,876NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$312,303,221TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$282,430,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,873,155NetCommunityBenefitExpnsAmt
Total Expense0.04960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,095,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$138,951DirectOffsettingRevenueAmt
Net Community Benefit Expns$956,056NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,856,504TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,847,187DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,009,317NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,089,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,033,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,056,166NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$982,433TotalCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,023,792TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,019,820DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,021,539NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$358,327,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$317,449,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,894,694NetCommunityBenefitExpnsAmt
Total Expense0.06630TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$30,295,100BadDebtExpenseAmt
Bad Debt Expense Attributable$22,721,325BadDebtExpenseAttributableAmt
Reimbursed By Medicare$69,691,443ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$63,037,552CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,653,891MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityInd
TRUMAN MEDICAL CENTER - HOSPITAL HILL
12301 HOLMESKANSAS CITYMO64108WWW.TRUMED.ORG285-39Yes (X)Yes (X)Yes (X)Yes (X)
TRUMAN MEDICAL CENTER - LAKEWOOD
27900 LEES SUMMIT ROADKANSAS CITYMO64139WWW.TRUMED.ORG195-54Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndCommunity Health NeedsCommunityHealthNeedsIndOther Actions TakenOtherActionsTakenInd
TRUMAN MEDICAL CENTER - HOSPITAL HILL
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)18Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
TRUMAN MEDICAL CENTER - LAKEWOOD
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)18Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 - BOTH FACILITIESTMC 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 6ATMC 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 7ATHE COMPLETE CHNA FOR TMC-HOSPITAL HILL CAN BE FOUND AT: https://www.trumed.org/files/publications/TMC-Hospital-Hill-2019.pdf THE COMPLETE CHNA FOR TMC-LAKEWOOD CAN BE FOUND AT: https://www.trumed.org/files/publications/TMC-Lakewood-2019.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A - BOTH FACILITIESTHE IMPLEMENTATION STRATEGY FOR TMC-HOSPITAL HILL CAN BE FOUND AT: https://www.trumed.org/files/publications/TMC-Hospital-Hill-2019.pdf THE IMPLEMENTATION STRATEGY FOR TMC-LAKEWOOD CAN BE FOUND AT: https://www.trumed.org/files/publications/TMC-Lakewood-2019.pdf
SCHEDULE H, PART V, SECTION B, LINE 11 - BOTH FACILITIESAssessing the needs of the community is an integral part of TMCs day-to-day operations. As a safety net provider with a significant population of uninsured patients, it is critical to TMCs 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 TMCs 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 TMCs 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 TMCs 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 FACILITIESTHE FAP CAN BE FOUND AT: https://www.trumed.org/files/financial-counseling/financial-assistance-pol icy-fap.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B - BOTH FACILITIESTHE FAP APPLICATION CAN BE FOUND AT: http://www.trumed.org/files/financial-counseling/discount-application-elig ibility-statement.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C - BOTH FACILITIESTHE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.trumed.org/patients-visitors/financial-services/financial-coun seling
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TMC BEHAVIORAL HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WEST 19TH TERRACEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd
FieldValueIRS element (for citing)
FacilityMENTAL HEALTH FACILITYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CASSET 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 7THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
SCHEDULE H, PART III, SECTION A, LINE 2THE 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, 2019. 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 B, LINE 3TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID.
SCHEDULE H, PART III, SECTION A, LINE 4THE 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 C, LINE 9BTMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA.
SCHEDULE H, PART VI, LINE 2 - NEEDS ASSESSMENTTMC 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 3Patient Education of Eligibility for Assistance 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 - COMMUNITY INFORMATIONThe 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 7 - STATE FILING OF COMMUNITY BENEFIT REPORTTMC has filed an annual community benefit report with the state of Missouri since 2005.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF MISSOURI-KANSAS CITY
5100 Rockhill RoadKANSAS CITYMO64110436003859501(c)(3)$500,000Friends of Psychiatry
CITY OF KANSAS CITY MISSOURI
414 E 12TH STKansas CityMO64106CITY OF KCMO$260,479ATC FUNDING CRISIS
TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION
2310 HOLMES STREET STE 735KANSAS CITYMO64108431194064501(C)(3)$10,000GOLF BABY GOLF FUNDRAISER
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE GRANTS PROVIDED WERE MADE TO OTHER PUBLIC ORGANIZATIONS WHO HAVE A CLOSE WORKING RELATIONSHIP WITH TRUMAN MEDICAL CENTER. THESE ORGANIZATIONS STRIVE TO FURTHER SUPPORT THE HOSPITAL OPERATIONS OF TRUMAN MEDICAL CENTER, INC. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIPS WITH THESE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR$678,043$0$284,554$0$37,783$0$389,657$0$25,428$0$1,415,465$0$28,715$0
MARK T STEELE MD
DIRECTOR$238,201$0$23,227$0$2,178$0$5,500$0$12,752$0$281,858$0$0$0
WILLIAM H COLBY
ASSISTANT SECRETARY$460,383$0$190,983$0$49,785$0$80,717$0$26,965$0$808,833$0$29,085$0
ALLEN M JOHNSON
ASSISTANT TREASURER$427,381$0$27,745$0$91,593$0$95,299$0$25,434$0$667,452$0$81,772$0
JOHN GIANINO MD
NEUROSURGEON$497,859$0$309$0$140,033$0$74,099$0$29,112$0$741,412$0$132,363$0
MITZI CARDENAS
EXECUTIVE CHIEF ADMIN OFFICER$320,781$0$19,500$0$7,852$0$58,334$0$7,529$0$413,996$0$0$0
GERARD GRIMALDI
VP HEALTH POLICY & GOVT RELATI$252,027$0$16,266$0$58,962$0$56,894$0$24,760$0$408,909$0$35,398$0
DOUGLAS BRANDT
ASSOCIATE CFO$297,635$0$210,326$0$4,409$0$72,739$0$17,987$0$603,096$0$0$0
LYNETTE WHEELER
COO$268,351$0$17,063$0$32,836$0$51,363$0$27,631$0$397,244$0$24,785$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B2018 2018 2018 ACCRUAL DISTRIBUTION TOTAL CHARLES SHIELDS $ 112,907 28,715 $ 141,622 WILLIAM COLBY $ 72,467 29,085 $ 101,552 ALLEN JOHNSON $ 68,584 81,772 $ 150,356 JOHN GIANINO $ 47,388 132,363 $ 179,751 MITZI CARDENAS $ 50,084 -0- $ 50,084 LYNETTE WHEELER $ 43,113 24,785 $ 67,898 GERARD GRIMALDI $ 40,503 35,398 $ 75,901 DOUG BRANDT $ 45,989 -0- $ 45,989
SCHEDULE J, PART I, LINE 6ACERTAIN EMPLOYEES ARE ELIGIBLE FOR A SMALL ANNUAL BONUS RELATED TO MEETING OR EXCEEDING BUDGET.
PART VII, LINE 5 AND SCH J, PART IITRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY HEALTH PHYSICIANS $263,606 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
JACKSON COUNTY MISSOURI
A446000524467578FS42011-05-17$24,674,279CONSTRUCTION AND EQUIPMENTfalsefalsefalse
JACKSON COUNTY MISSOURI
B446000524467578GJ32012-09-04$41,180,185REFUNDING BONDfalsefalsefalse
JACKSON COUNTY MISSOURI
C4460005242017-12-22$70,000,000BUILDING,EQUIPMENT &REFUNDING BONDfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$8,910,000$0$24,674,279$0$0$0$289,279$0$0$24,385,000$0$02011falsefalseYes (true)Yes (true)
B$16,141,840$0$37,597,509$0$0$0$451,929$0$0$0$37,145,579$02012Yes (true)falseYes (true)Yes (true)
C$2,370,000$0$70,000,000$0$1,224,917$0$485,984$0$0$9,686,527$4,754,505$55,072,984Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
BfalsefalseYes (true)false0falsefalsefalseYes (true)Yes (true)
Cfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
AfalseYes (true)falsefalsefalse0Yes (true)Yes (true)
0
BfalseYes (true)falsefalsefalse0falseYes (true)
0
Cfalsefalsefalsefalse0falseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2C, COLUMN ATHE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 5-17-16.
PART IV, LINE 2C, COLUMN BTHE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 12-6-17.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4AOne of Truman Medical Centers (TMC) greatest strengths is the ability to provide high quality, state-of-the-art healthcare to all our patients, regardless of their ability to pay. TMC offers more than 50 primary, specialty and mental health care clinics at its Health Sciences District and Lakewood campuses. TMC also has a number of community-based primary and behavioral health clinics. TMCs person-first approach puts the health needs of the patient above profit. The medical center is nationally recognized for programs in asthma, diabetes, sickle cell, orthopaedics, womens health and emergency/trauma services. In addition, TMC offers services that include ophthalmology, cardiology, gastroenterology, oral surgery and community-based behavioral health services. In fiscal year 2019, TMC provided more than a half a million (511,259 to be exact) outpatient care appointments, with more than 176,000 of those being outpatient behavioral health care visits. TMCs Medical Pavilions at Health Sciences District and Lakewood provide high-quality outpatient primary care, whether a patients needs include a general physical exam or help with a specific complaint. More than 70,000 TMC 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. Chronic Disease Management Asthma At TMC, our goal is to provide superior and consistent care for the patient with asthma whether it is in the Emergency Department, inpatient unit, or clinic setting. TMC has a comprehensive asthma program that provides asthma education to 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 our outpatient pulmonary clinic to help break the cycle of emergent care. This program has resulted in a substantial reduction in admissions for asthma sufferers. Last year, its providers treated nearly 9,000 patients for the treatment and care of asthma. Diabetes At TMC, we know how devastating the effects of diabetes can be. With more than 16,000 patients visiting in our Diabetes Center in fiscal year 2019, we are well equipped to handle all aspects of the disease. The Diabetes Center offers a state-of-the-art facility to better serve the needs of our patients. We believe in helping our 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) A patient resource center with computer access B) A diabetes education classroom C) Large consultation rooms for group or individual instruction related to disease and nutrition D) A patient waiting area designed for comfort E) Expanded exam rooms with advanced technology with access to electronic health records Sickle Cell At TMC, providers strive to empower patients with Sickle Cell Disease to live life to the fullest. We 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 fiscal year 2019, providers treated 507 patients living with Sickle Cell Disease. During a crisis state, unlike an emergency department, the TMC 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 individuals 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. Womens Health Services Obstetrics & Gynecology At Truman Medical Centers, we provide 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 Health Sciences District 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 mother or her unborn child. Families facing a fetal abnormality can come here with confidence knowing we provide expert care for their every need maternal expertise for care of the pregnant woman, fetal expertise for care of their 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 Childrens Mercy Hospital. In addition, they have immediate access (via a bridge, just steps away) to adjacent level IV NICU at Childrens 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 Birthplace, the focus is on providing a safe, comfortable and positive birth experience for families. TMC is proud to have delivered 3,380 babies in fiscal year 2019, 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, our 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 Childrens Mercy Hospital for emergency and critical care maternal fetal medicine issues. A bridge connects the two facilities for easy access between the hospitals. Womens Care Breast Center TMC 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 you 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 is also the largest provider of Women, Infants and Children (WIC) Services in the state of Missouri with 114,728 visits in fiscal year 2019. 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 ServicesThe TMC Cardiology Center offers patients a complete range of cardiac services for prevention, early diagnosis, treatment and recovery in a patient-centered environment. TMCs 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 fiscal year 2019, the Cardiology Center provided more than 9,000 outpatient clinic appointments, performed 645 diagnostic catheterization procedures, completed nearly 800 total catheterization laboratory procedures and placed 229 patient required cardiovascular stents. Gastroenterology Services Truman Medical Centers Gastroenterology (GI) Center at the Health Sciences District provides care for patients with all gastrointestinal diseases including but not limited to abdominal pain, constipation, reflux, Irritable Bowel Syndrome, Crohns 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 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 fiscal year 2019, the TMC GI Center provided more than 9,300 outpatient visits and performed more than 7,900 procedures. Ophthalmology The Ophthalmology Clinics at TMC 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 fiscal year 2019, the Ophthalmology Department provided care in 21,621 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. They also diagnose and treat facial injuries and perform a full range of dental implant procedures. The facial pain-temporomandibular joint syndrome (TMJ) clinic also offers diagnosis and treatment of facial pain and TMJ. More than 9,100 patients received oral surgical services at TMC in fiscal year 2019 and treated 22,516 dental patients at the TMC Lakewood Dental Clinic. Outpatient Behavioral Health Services In fiscal year 2019, TMC Behavioral Health provided 176,403 outpatient visits to 9,757 patients. These services are aimed at assisting clients in managing the symptoms of their illness, and improving their day-to-day lives. The services 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 TMC contracts with the Jackson County, Missouri government to manage the Jackson County Health Department (JACOHD). In fiscal year 2019, the JACOHD provided nearly 130,926 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 4BTruman Medical Centers (TMC), an academic medical center, includes the campuses of TMC Health Sciences District, TMC Lakewood and TMC Behavioral Health. TMC is the core educational partner for the University of Missouri-Kansas City Schools of Medicine, Nursing, Dentistry and Pharmacy. The newest addition to TMC is University Health, which opened in October 2015. University Health is Kansas Citys only downtown surgical center and an outpatient clinic powered by Truman Medical Centers. Clinics at University Health include: audiology, the breast center, dermatology, ear, nose, throat, ophthalmology, OB/GYN, oral and maxillofacial surgery, pain management, orthopedics and plastic surgery. TMC providers cared for more than 118,000 individual patients in fiscal year 2019. 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 is licensed for 359 inpatient acute care (including 19 NICU) and 188 long-term care beds. In fiscal year 2019, TMC had 22,856 inpatient admissions and provided 90,902 days of inpatient care and more than 62,000 days of long-term patient care. As the primary safety net hospital in the Kansas City, Missouri metropolitan area, TMC treats a vulnerable patient population with a high degree of health care disparity. These disparities cut across economic, racial and ethnic boundaries. Many of TMCs patients and clients have multiple chronic diseases such as diabetes, asthma, heart failure and hypertension. In fiscal year 2019, more than 70,000 of TMC 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 works diligently to overcome these ethnic, social and racial barriers when patients receive their care. TMC 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 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 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 2019, TMC language access provided 163,037 interpreted encounters for patients. 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 is one of only a few health systems that provides both inpatient medical and mental health care beds. TMC Behavioral Health offers a comprehensive array of mental health and substance abuse treatment services at both the TMC Health Sciences District and TMC 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 services also provide the support many people with mental illness need to regain a sense of meaning and purpose in life. TMC Behavioral Health has 66 inpatient mental health beds including a specialized geriatric inpatient unit at TMC Lakewood. In fiscal year 2019, TMC Behavioral Health treated 9,757 patients, with about 2,000 patients admitted for inpatient mental health care at a TMC facility. Womens Health TMC offers full Womens Health Services and is the birthplace to nearly half of all babies born in Jackson County, Missouri. TMC 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 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 2019, TMC proudly delivered 3,380 babies, which is nearly half of the number of all babies born in Kansas City, Missouri.
FORM 990, PART III, LINE 4CTruman Medical Centers Emergency Departments provided care to 88,291 patients in fiscal year 2019, with more than 61,000 of those visits at TMC Health Sciences District, making it one of the busiest adult emergency departments in the Kansas City metro area. The TMC 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 Lakewood Emergency Department has a staff of ten board certified emergency medicine physicians and 36 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 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 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 is listed in the national directory of hospital-based violence intervention and prevention programs. Sexual Abuse Nurse Examiner (SANE) The TMC Health Sciences District Emergency Department (ED) has a Sexual Abuse Nurse Examiner (SANE) on site to provide a thorough forensic examination of women who report being a victim of sexual assault. When a woman enters the Emergency Department reporting a sexual assault or rape, she is sent to a SANE and taken to a private room for examination. The Kansas City SANE program has made a profound difference in the quality of care provided to sexual assault victims. SANEs offer victims prompt, compassionate care and comprehensive forensic evidence collection. In addition to helping preserve the victim's dignity and reduce psychological trauma, SANEs enhance evidence collection for more effective investigations and better prosecutions. TMCs SANE program has also helped to provide leadership in the community by educating and training other potential SANEs. Each year, the TMC SANE cares for and examines nearly 100 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 2019 include: A) Investigator Initiated: Thorn in My Side Chest Tube Management; Dr. Geehan, PI B) Investigator Initiated: Fundamentals of Critical Care Support (Attitudinal Survey); Dr. Moncure, PI C) Investigator Initiated: Amendment to continue enrollment using additional indicators: Incidence of Primary Care in the Injured Patient; Dr. Geehan, PI. D) Measuring Immediate Responders Knowledge Gained Through "Stop the Bleed" Education and Training - Amendment approved to continue study in the lay public as a comparison; Teresa Lienhop, PI E) Millennium Pharmaceutical: TAKEDA: Enteral Feeding in Critical Care; Dr. Moncure, PI Performance Improvement Patient Safety Program (PIPS) The Performance Improvement Patient Safety (PIPS) is an important part of the trauma program at TMC Health Sciences District. PIPS works toward implementing a system of patient care delivery that focuses on the 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, 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. Truman Medical Center Health Sciences District 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 physicians 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.
FORM 990, PART VI, SECTION A, LINE 7AALL 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 11BINFORMATION 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 12CTHE 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 & 15BTHE 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. 2019 WAS THE MOST RECENT REVIEW.
FORM 990, PART VI, SECTION C, LINE 19THE 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 9CHANGE IN NET ASSETS OF TMC FOUNDATION $ 9,243,418 CHANGE IN DEFINED BENEFIT PENSION PLAN (15,312,869) TRANSFER TO AFFILIATE 2,000,000 CHANGE IN OTHER RECONCILING ITEMS 25,001 ---------- TOTAL $ 4,044,450

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