TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201931339349305003
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T13:25:26-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440661018	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHARLIE SHIELDS	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	8164043528	PhoneNum
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kevin R Ensminger CPA	PreparerPersonNm
PTIN	P01310558	PTIN
Phone	8162216300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43372220191335000017	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	67F1221570CB0498B58445783EEBE74F47EF6DD1	AtSubmissionCreationDeviceId
At Submission Filing Device Id	67F1221570CB0498B58445783EEBE74F47EF6DD1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALLEN JOHNSON	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$591,177,950	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TMCMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	30	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	4871	TotalEmployeeCnt
Total Volunteers	888	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$104,874	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,404,906	PYContributionsGrantsAmt
CY Contributions Grants	$11,097,006	CYContributionsGrantsAmt
PY Program Service Revenue	$509,392,873	PYProgramServiceRevenueAmt
CY Program Service Revenue	$541,734,321	CYProgramServiceRevenueAmt
PY Investment Income	$1,521,607	PYInvestmentIncomeAmt
CY Investment Income	$371,505	CYInvestmentIncomeAmt
PY Other Revenue	$34,405,814	PYOtherRevenueAmt
CY Other Revenue	$37,946,468	CYOtherRevenueAmt
PY Total Revenue	$556,725,200	PYTotalRevenueAmt
CY Total Revenue	$591,149,300	CYTotalRevenueAmt
PY Grants And Similar Paid	$385,562	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$546,552	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$275,704,657	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$289,059,432	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$271,398,445	PYOtherExpensesAmt
CY Other Expenses	$292,721,271	CYOtherExpensesAmt
PY Total Expenses	$547,488,664	PYTotalExpensesAmt
CY Total Expenses	$582,327,255	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,236,536	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,822,045	CYRevenuesLessExpensesAmt
Total Assets BOY	$297,682,605	TotalAssetsBOYAmt
Total Assets EOY	$356,565,389	TotalAssetsEOYAmt
Total Liabilities BOY	$231,609,289	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$267,326,358	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$66,073,316	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$89,239,031	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$227,022,065	ExpenseAmt
Grant	$546,552	GrantAmt
Revenue	$255,059,547	RevenueAmt
Desc	OUTPATIENT DEPARTMENT- SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$201,224,103	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$226,075,508	RevenueAmt
Desc	INPATIENT CARE- SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$87,713,070	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$98,545,734	RevenueAmt
Desc	EMERGENCY DEPARTMENT- SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$515,959,238	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	324	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4871	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	30	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ALLEN JOHNSON	PersonNm
Phone	8164043528	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR	40.0	0.0	Yes (X)	Yes (X)	$727,801	$0	$163,309
PEGGY J DUNN
PAST CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVE BARBER
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PHILIP J SANDERS
CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DRED D SCOTT PHD
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY A WURST
SECRETARY/VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KAREN ZECY
TREASURER/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
FORESTINE BEASLEY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ZANE M BURKE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ANN H CARY PHD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES CORWIN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SEN KIKI CURLS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DAVID EMBRY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PAUL P HOLEWINSKI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
STEPHEN JARVIS MD
DIRECTOR	40.0	0.0	Yes (X)		$268,132	$0	$48,846
JOLIE L JUSTUS
VICE CHAIR/DIRECTOR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN L KANTER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
TRACEY LEWIS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARVIN LYMAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JON OTTO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MAHNAZ SHABBIR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARK T STEELE MD
DIRECTOR	20.0	1.0	Yes (X)		$308,364	$0	$0
REV ERIC D WILLIAMS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ADAM ALGREN MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BARBARA A BICHELMEYER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL COLLINS
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CARLOS GOMEZ
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JIM HEETER
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
ALISE MARTINY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MELISSA ROBINSON
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM H COLBY
ASSISTANT SECRETARY	40.0	2.0		Yes (X)	$481,504	$0	$109,866
ALLEN M JOHNSON
ASSISTANT TREASURER	40.0	0.0		Yes (X)	$521,948	$0	$124,402
JOHN GIANINO
NEUROSURGEON	40.0	1.0			$600,137	$0	$105,688	Yes (X)
MITZI CARDENAS
SR VP CHIEF STRATEGY INFO OFF.	40.0	0.0			$350,046	$0	$75,472	Yes (X)
LYNDA DONEGAN
VP PROFESSIONAL HEALTH SERVICE	40.0	0.0			$324,449	$0	$15,814	Yes (X)
GERARD GRIMALDI
VP HEALTH POLICY & GOVT RELATI	40.0	0.0			$307,513	$0	$79,712	Yes (X)
DOUG BRANDT
ASSOCIATE CFO	40.0	1.0			$300,627	$0	$91,192	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,190,521	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$814,301	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	244	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	IT SERVICES	$18,176,833
UNIVERSITY OF MISSOURI-KANSAS CITY
PO BOX 805111	KANSAS CITY	MO	64180	MEDICAL SERVICES	$16,205,927
UNIVERSITY PHYSICIAN ASSOCIATES
2310 HOLMES SUITE 800	KANSAS CITY	MO	64108	PHYSICIAN SERVICES	$14,204,798
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	$5,703,369
MEDICAL IMAGING INC
2001 NE PARVIN ROAD STE 200	KANSAS CITY	MO	64116	MEDICAL SERVICES	$5,255,369

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Government Grants	$6,679,236	GovernmentGrantsAmt
All Other Contributions	$4,417,770	AllOtherContributionsAmt
Total Contributions	$11,097,006	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$356,856,659	$356,856,659
EXPENSE REIMBURSEMENT	621110	$2,579,688	$2,579,688
MEDICAID ENHANCEMENTS	621110	$146,013,090	$146,013,090
LOCAL GOVERNMENT SUBSIDY	900099	$36,284,884	$36,284,884

Field	Value	IRS element (for citing)
Total Program Service Revenue	$541,734,321	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$344,552	TotalRevenueColumnAmt
Exclusion	$344,552	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$55,603	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$28,650	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$26,953	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,953	TotalRevenueColumnAmt
Exclusion	$26,953	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE	900099	$31,902,680	$31,902,680
EHR MEANINGFUL USE	900099	$435,235	$435,235
LAB	900099	$2,007,099	$2,007,099

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,601,454	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,601,454	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$37,946,468	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$591,149,300	TotalRevenueColumnAmt
Related Or Exempt Func Income	$579,680,789	RelatedOrExemptFuncIncomeAmt
Exclusion	$371,505	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$546,552	TotalAmt
Program Services	$546,552	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,257,292	TotalAmt
Program Services	$355,583	ProgramServicesAmt
Management And General	$2,901,709	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$232,375,732	TotalAmt
Program Services	$205,103,623	ProgramServicesAmt
Management And General	$27,272,109	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,940,973	TotalAmt
Program Services	$3,719,920	ProgramServicesAmt
Management And General	$221,053	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,814,673	TotalAmt
Program Services	$29,597,262	ProgramServicesAmt
Management And General	$4,217,411	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,670,762	TotalAmt
Program Services	$13,686,770	ProgramServicesAmt
Management And General	$1,983,992	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$810,283	TotalAmt
Management And General	$810,283	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$168,980	TotalAmt
Management And General	$168,980	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$104,992	TotalAmt
Management And General	$104,992	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$149,112,609	TotalAmt
Program Services	$124,530,127	ProgramServicesAmt
Management And General	$24,582,482	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,548,606	TotalAmt
Program Services	$11,963,419	ProgramServicesAmt
Management And General	$1,585,187	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$221,675	TotalAmt
Program Services	$195,739	ProgramServicesAmt
Management And General	$25,936	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$600,680	TotalAmt
Program Services	$530,400	ProgramServicesAmt
Management And General	$70,280	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,081,639	TotalAmt
Program Services	$1,873,476	ProgramServicesAmt
Management And General	$208,163	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,735,336	TotalAmt
Program Services	$18,661,802	ProgramServicesAmt
Management And General	$2,073,534	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,419,060	TotalAmt
Program Services	$1,277,154	ProgramServicesAmt
Management And General	$141,906	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
BAD DEBT EXPENSE	$28,602,561	$28,602,561
MEDICAL STAFF EXPENSES	$141,580	$141,580
MEDICAL SUPPLIES	$36,945,506	$36,945,506
PHARMACEUTICALS	$38,227,764	$38,227,764

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$582,327,255	TotalAmt
Program Services	$515,959,238	ProgramServicesAmt
Management And General	$66,368,017	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,072,328	BOYAmt
EOY	$10,956,760	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$56,369	BOYAmt
EOY	$38,419	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$600,541	BOYAmt
EOY	$910,279	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,280,412	BOYAmt
EOY	$64,033,709	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,245,018	BOYAmt
EOY	$7,958,449	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,766,348	BOYAmt
EOY	$4,734,147	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$528,071,201	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$365,124,036	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$163,361,073	BOYAmt
EOY	$162,947,165	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,085,321	BOYAmt
EOY	$10,181,403	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$28,215,195	BOYAmt
EOY	$94,805,058	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,682,605	BOYAmt
EOY	$356,565,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$165,129,228	BOYAmt
EOY	$142,840,710	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,891,865	BOYAmt
EOY	$107,963,784	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,333,916	BOYAmt
EOY	$3,680,503	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,254,280	BOYAmt
EOY	$12,841,361	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$231,609,289	BOYAmt
EOY	$267,326,358	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,135,655	BOYAmt
EOY	$75,217,594	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,744,563	BOYAmt
EOY	$10,930,252	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,193,098	BOYAmt
EOY	$3,091,185	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,073,316	BOYAmt
EOY	$89,239,031	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$297,682,605	BOYAmt
EOY	$356,565,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,822,045	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$283,035	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,626,705	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

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

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$42,789	FilingOrganizationsTotalAmt
Affiliated Group Total	$42,789	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$62,203	FilingOrganizationsTotalAmt
Affiliated Group Total	$62,203	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$104,992	FilingOrganizationsTotalAmt
Affiliated Group Total	$104,992	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$582,222,263	FilingOrganizationsTotalAmt
Affiliated Group Total	$582,222,263	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$582,327,255	FilingOrganizationsTotalAmt
Affiliated Group Total	$582,327,255	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$115,716	CurrentYearMinus3Amt
Current Year Minus2	$105,072	CurrentYearMinus2Amt
Current Year Minus1	$115,773	CurrentYearMinus1Amt
Current Year	$104,992	CurrentYearAmt
Total	$441,553	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$59,402	CurrentYearMinus3Amt
Current Year Minus2	$57,854	CurrentYearMinus2Amt
Current Year Minus1	$47,766	CurrentYearMinus1Amt
Current Year	$42,789	CurrentYearAmt
Total	$207,811	TotalAmt

Field	Value	IRS element (for citing)
Direct Contact Legislators	$62,203	DirectContactLegislatorsAmt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,355,388	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$576,114	InvestmentEarningsOrLossesAmt
Other Expenditures	$135,435	OtherExpendituresAmt
End Year Balance	$3,801,067	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,244,340	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$42,279	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$113,512	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$3,173,107	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,173,837	BeginningYearBalanceAmt
Contributions	$200	ContributionsAmt
Investment Earnings Or Losses	$172,581	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$102,278	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$3,244,340	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.81320	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.18680	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,909,661	OtherCostOrOtherBasisAmt
Book Value	$4,909,661	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$327,897,735	OtherCostOrOtherBasisAmt
Depreciation	$209,751,886	DepreciationAmt
Book Value	$118,145,849	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$190,274,260	OtherCostOrOtherBasisAmt
Depreciation	$155,372,150	DepreciationAmt
Book Value	$34,902,110	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,989,545	OtherCostOrOtherBasisAmt
Book Value	$4,989,545	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$162,947,165	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
ASSETS FOR CAPITAL ACQUISITION	$3,372,917
ASSETS EXTERNALLY RESTRICTED	$718,702
INTEREST IN ASSETS OF TMCCF	$13,302,733
ASSETS HELD BY BOND TRUSTEE	$63,932,649
OTHER RECEIVABLES	$11,819,504
OTHER ASSETS	$1,658,553

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$94,805,058	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
457F PLAN LIABILITY	$3,372,917
UNAMORTIZED PREMIUM	$1,322,498
OTHER LIABILITIES	$8,145,946

Field	Value	IRS element (for citing)
Total Liability	$12,841,361	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$563,657,969	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$283,035	NetUnrealizedGainsInvstAmt
Other Revenue	$3,403,472	OtherRevenueAmt
Revenue Not Reported	$3,120,437	RevenueNotReportedAmt
Revenue Subtotal	$560,537,532	RevenueSubtotalAmt
Other Revenues Not Included	$30,611,768	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$30,611,768	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$591,149,300	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$556,371,111	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,572,003	OtherExpensesIncludedAmt
Expenses Not Reported	$3,572,003	ExpensesNotReportedAmt
Expenses Subtotal	$552,799,108	ExpensesSubtotalAmt
Other Expenses Not Included	$29,528,147	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$29,528,147	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$582,327,255	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION; THE 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 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 440,064 RELATED ORGANIZATION REVENUE 2,963,408 ----------- TOTAL $ 3,403,472
SCHEDULE D, PART XI, LINE 4B	MEDICAL STAFF REVENUE 155,319 TEMPORARILY RESTRICTED CONTRIBUTIONS 577,198 CONTRIBUTION USED FOR ASSET ACQUISITION 492,684 ELIMINATIONS 784,006 BAD DEBT EXPENSE 28,602,561 ----------- TOTAL $ 30,611,768
SCHEDULE D, PART XII, LINE 2D	RELATED ORGANIZATION EXPENSES $ 3,572,003
SCHEDULE D, PART XII, LINE 4B	ELIMINATIONS 784,006 MEDICAL STAFF EXPENSES 141,580 BAD DEBT EXPENSE 28,602,561 ------------ TOTAL $ 29,528,147

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,098,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,057,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,040,845	NetCommunityBenefitExpnsAmt
Total Expense	0.02720	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,790,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$184,634,378	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$293,889,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$285,692,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,040,845	NetCommunityBenefitExpnsAmt
Total Expense	0.02720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$954,323	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$775,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,229,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,009,697	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,219,916	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,771,765	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,616,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,155,706	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,095,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,095,575	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,051,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,804,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,247,031	NetCommunityBenefitExpnsAmt
Total Expense	0.02580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$335,940,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$313,496,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,287,876	NetCommunityBenefitExpnsAmt
Total Expense	0.05300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$28,602,561	BadDebtExpenseAmt
Bad Debt Expense Attributable	$21,451,921	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$64,052,878	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,940,796	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,887,918	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Community Health NeedsCommunityHealthNeedsInd	Other Actions TakenOtherActionsTakenInd
TRUMAN MEDICAL CENTER - HOSPITAL HILL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (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 C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
TRUMAN MEDICAL CENTER - LAKEWOOD
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (true)	15	Yes (true)	SEE PART V, SECTION C	false	Yes (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 C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 - BOTH FACILITIES	TMC CONDUCTED THREE STAKEHOLDER MEETINGS, AS WELL AS AN ELECTRONIC SURVEY, TO ENGAGE COMMUNITY MEMBERS IN THE ASSESSMENT PROCESS. STAKEHOLDER MEETINGS INCLUDED THE TMC LAKEWOOD PATIENT ADVISORY COUNCIL, A MEETING AT THE INDEPENDENCE SCHOOL DISTRICT, AND A MEETING AT THE LUCILE BLUFORD LIBRARY THAT INCLUDED INDIVIDUALS ENGAGED IN THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. A COMMON SET OF QUESTIONS WAS POSED TO EACH GROUP, AND RESPONSES COLLECTED AND SUMMARIZED BY GROUP AND AS A COLLECTIVE. APPROXIMATELY 70 INDIVIDUALS PARTICIPATED IN THESE GROUP MEETINGS. FOLLOWING ARE THE QUESTIONS THAT WERE PRESENTED TO EACH GROUP: - WHAT DO YOU BELIEVE ARE MOST IMPORTANT CHARACTERISTICS OF A HEALTHY COMMUNITY? - WHAT DO YOU BELIEVE ARE THE MOST IMPORTANT ISSUES THAT MUST BE DEALT WITH IF WE WANT TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY? - WHAT DO YOU THINK IS THE BIGGEST HEALTH-RELATED PROBLEM IN THE COMMUNITY? - WHAT IS THE MOST IMPORTANT SERVICE THAT TRUMAN MEDICAL CENTERS OFFERS? - ARE THERE ANY SERVICES THAT YOU THINK TRUMAN MEDICAL CENTERS SHOULD PROVIDE THAT THEY CURRENTLY DO NOT? IN ADDITION, OVER 100 COMMUNITY MEMBERS, INCLUDING BOTH INDIVIDUALS AS WELL AS REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, COMPLETED AN ELECTRONIC SURVEY THAT ESTABLISHED THE INITIAL 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.
SCHEDULE H, PART V, SECTION B, LINE 6A	TMC COMPLETED CHNA REPORTS FOR TWO FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD. AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMPLETE CHNA FOR TMC-HOSPITAL HILL CAN BE FOUND AT: https://www.trumed.org/files/chna/HH-Community-Health-Needs-Assessment-Sum mary-Full-2016.pdf THE COMPLETE CHNA FOR TMC-LAKEWOOD CAN BE FOUND AT: https://www.trumed.org/files/chna/LW-Community-Health-Needs-Assessment-Ful l-2016.pdf
PART V, SECTION B, LINE 10A - BOTH FACILITIES	THE IMPLEMENTATION STRATEGY FOR TMC-HOSPITAL HILL CAN BE FOUND AT: https://www.trumed.org/files/chna/HH-Community-Health-Needs-Assessment-Sum mary-Full-2016.pdf THE IMPLEMENTATION STRATEGY FOR TMC-LAKEWOOD CAN BE FOUND AT: https://www.trumed.org/files/chna/LW-Community-Health-Needs-Assessment-Ful l-2016.pdf
PART V, SECTION B, LINE 11 - BOTH FACILITIES	TMC'S CHNA IDENTIFIED NEEDS THAT EXTEND BEYOND A 12-MONTH TIME-FRAME. EACH NEED/PRIORITY IS LISTED BELOW, WITH A BRIEF STATEMENT OF PROGRESS. EACH PRIORITY REMAINS ACTIVE, AND THE COMMUNITY NEED IN EACH AREA IS CURRENT. TMC REVIEWS PROGRESS AS PART OF ITS BUDGETING AND RESOURCE DEVELOPMENT PROCESSES TO ASSURE THAT RESOURCES ARE BEING ALLOCATED AND/OR SOUGHT TO ADDRESS EACH PRIORITY. STRENGTHEN THE QUALITY NET THE FOCUS OF THIS PRIORITY NEED IS CONTINUED DEVELOPMENT OF THE PRIMARY CARE INFRASTRUCTURE TO MEET THE NEEDS OF COMMUNITY MEMBERS, AND TO IMPLEMENT TEAM-BASED CARE ACROSS THE SYSTEM. TMC WILL CONTINUE TO ADDRESS THIS PRIORITY NEED. IN 2013, TMC EXPANDED ITS SCHOOL-BASED PROGRAM THROUGH DEPLOYMENT OF MOBILE SERVICES TO THE INDEPENDENCE SCHOOL DISTRICT. TEAM-BASED CARE STRATEGIES WERE EXPANDED TO ADDITIONAL INPATIENT SETTINGS, AND CARE TRANSITION PLANS WERE IMPLEMENTED TO IMPROVE HANDOFFS BETWEEN THE INPATIENT AND OUTPATIENT SETTING. BEHAVIORAL HEALTH THE STRATEGY FOR BEHAVIORAL HEALTH IS TO INTEGRATE IT INTO THE PRIMARY CARE SETTING. DURING THE REPORTING YEAR, TMC HAS LED THE COMMUNITY IN TRAINING FOR TRAUMA-INFORMED CARE; IMPLEMENTED REGULAR SCREENING AND TRACKING FOR AT-RISK POPULATIONS TO IDENTIFY BEHAVIORAL HEALTH PATIENTS MUCH EARLIER; IMPLEMENTED WIDESPREAD TRAINING FOR ALL SUPPORT STAFF ON CARING FOR BEHAVIORAL HEALTH PATIENTS OF VARYING SEVERITY, AND CONTINUED TO FULLY IMPLEMENT BEHAVIORAL HEALTH SUPPORT IN THE PRIMARY CARE SETTING. CHRONIC DISEASE THE PRIORITY NEED IS INCREASING ACCESS TO INTEGRATED CARE. PROGRESS IN THIS AREA IS LINKED TO THE "STRENGTHENING THE QUALITY" NET PRIORITY. MATERNAL & INFANT HEALTH THE PRIORITY NEED IS TO INCREASE ACCESS TO PRENATAL CARE. TMC WAS DESIGNATED AS A BABY FRIENDLY HOSPITAL. A MULTI-DISCIPLINARY TEAM HAS BEEN FORMED TO EXECUTE THE PROGRAM WITH THE GOAL OF OBTAINING THE DESIGNATION IN FISCAL YEAR 2015. DENTAL CARE/ORAL HEALTH THE PRIORITY NEED IS TO INCREASE ACCESS TO ORAL HEALTH SERVICES. IN 2016, TMC PROVIDED 3,321 NUTRITIONAL COUNSELING VISITS AND 3,932 ORAL HYGIENE INSTRUCTION VISITS TO STUDENTS IN THE ELEMENTARY AND MIDDLE SCHOOLS DURING THE COURSE OF THIS YEAR FOR A TOTAL OF 7,253 INTERACTIONS THAT INCREASED THE KNOWLEDGE AND HOME CARE OF THE STUDENTS. TMC PROVIDED 342 DENTAL RESTORATIONS AND PLACED 766 SEALANTS AS PART OF OUR EFFORT TO IMPROVE ACTUAL DENTAL HEALTH OF THE ELEMENTARY AND MIDDLE SCHOOL STUDENTS.
PART V, SECTION B, LINE 16A - BOTH FACILITIES	THE FAP CAN BE FOUND AT: https://www.trumed.org/files/financial-counseling/financial-assistance-pol icy-fap.pdf
PART V, SECTION B, LINE 16B - BOTH FACILITIES	THE FAP APPLICATION CAN BE FOUND AT: http://www.trumed.org/files/financial-counseling/discount-application-elig ibility-statement.pdf
PART V, SECTION B, LINE 16C - BOTH FACILITIES	THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.trumed.org/patients-visitors/financial-services/financial-coun seling

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

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

US Address USAddress

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

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE CARE.
PART I, LINE 7	THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
PART I, LINE 7, COLUMN F	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $28,602,561.
PART I, LINE 7G	THE ORGANIZATION DEDUCTION INCLUDES $2,344,295 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART III, SECTION A, LINE 2	THE COST OF BAD DEBTS IS DETERMINED BY USING THE COST TO CHARGE RATIO. BAD DEBTS DO REPRESENT FREE OR UNCOMPENSATED SERVICES PROVIDED TO PATIENTS IN WHICH THERE WAS AN EXPECTATION OF PAYMENT AT TIME OF SERVICE. HOWEVER, MANY TIMES AFTER PURSUING COLLECTION IT IS DISCOVERED THE PATIENT DID NOT HAVE THE ABILITY TO PAY.
PART III, SECTION A, LINE 3	TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID.
PART III, SECTION A, LINE 4	THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, SECTION B, LINE 8	TMC BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. APPROXIMATELY 75% OF THE TMC MEDICARE SHORTFALL IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT (MEDICARE/MEDICAID ELIGIBLE) POPULATION.
PART III, SECTION C, LINE 9B	TMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA.
PART VI, LINE 2 - NEEDS ASSESSMENT	A TMC COMMUNITY PARTNER, THE MID-AMERICA REGIONAL COUNCIL LAUNCHED A BI-STATE (MO-KS) HEALTH CARE INITIATIVE TO IMPROVE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDER SERVED IN GREATER KANSAS CITY. THE INITIATIVE INCLUDED A SURVEY AND CREATION OF SEVERAL SUBGROUPS TO ADDRESS HEALTHCARE AND MENTAL HEALTH NEEDS OF THE UNINSURED AND UNDER INSURED IN THE KANSAS CITY AREA AND SYSTEMS NEEDED TO PROVIDE THAT CARE. TMC IS AN ACTIVE MEMBER OF THE SAFETY NET COLLABORATIVE SUB-GROUP. TMC'S STRATEGIC OBJECTIVES AND THE COMPLETED CHNA REPORTS FOR THE TWO TMC FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD, CAN BE FOUND AT: https://www.trumed.org/files/chna/HH-Community-Health-Needs-Assessment-Sum mary-Full-2016.pdf https://www.trumed.org/files/chna/LW-Community-Health-Needs-Assessment-Ful l-2016.pdf
PART VI, LINE 3 - PATIENT 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.
PART VI, LINE 4 - COMMUNITY INFORMATION	TMC SERVES THE POPULATION OF JACKSON COUNTY AND KANSAS CITY, MISSOURI. JACKSON COUNTY ENCOMPASSES APPROXIMATELY 618 SQUARE MILES AND SERVES A POPULATION OF 675,000. THE DEMOGRAPHICS ARE 70% CAUCASIAN AND 23% AFRICAN AMERICAN. TMC HOSPITAL HILL DEMOGRAPHICS ARE 48% AFRICAN AMERICAN AND 39% CAUCASIAN. TMC-LAKEWOOD DEMOGRAPHICS ARE 17% AFRICAN AMERICAN AND 73% CAUCASIAN. MORE THAN 70% OF TMC PATIENTS HAVE COMMERCIAL OR GOVERNMENT INSURANCE COVERAGE.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	TMC HAS FILED AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSOURI SINCE 2005. FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFIT ACTIVITIES, PLEASE SEE TMC'S 2014-2015 COMMUNITY BENEFIT REPORT AT: https://www.trumed.org/files/publications/Community_Benefit_Report_2014-15 _FINAL_for_web(1).pdf

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF MISSOURI-KANSAS CITY
5100 Rockhill Road	KANSAS CITY	MO	64110	436003859	501(c)(3)	$500,000	Friends of Psychiatry
CITY OF KANSAS CITY MISSOURI
414 E 12TH ST	KANSAS CITY	MO	64106		CITY OF KCMO	$46,552	OPERATIONS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR	$620,371	$0	$98,400	$0	$9,030	$0	$137,705	$0	$25,604	$0	$891,110	$0	$0	$0
STEPHEN JARVIS MD
DIRECTOR	$244,743	$0	$13,333	$0	$10,056	$0	$21,382	$0	$27,464	$0	$316,978	$0	$0	$0
MARK T STEELE MD
DIRECTOR	$308,364	$0	$0	$0	$0	$0	$0	$0	$0	$0	$308,364	$0	$0	$0
WILLIAM H COLBY
ASSISTANT SECRETARY	$413,232	$0	$33,620	$0	$34,652	$0	$84,683	$0	$25,183	$0	$591,370	$0	$0	$0
ALLEN M JOHNSON
ASSISTANT TREASURER	$410,965	$0	$33,396	$0	$77,587	$0	$98,749	$0	$25,653	$0	$646,350	$0	$0	$0
JOHN GIANINO
NEUROSURGEON	$474,739	$0	$413	$0	$124,985	$0	$77,496	$0	$28,192	$0	$705,825	$0	$0	$0
MITZI CARDENAS
SR VP CHIEF STRATEGY INFO OFF.	$291,614	$0	$23,482	$0	$34,950	$0	$68,340	$0	$7,132	$0	$425,518	$0	$0	$0
LYNDA DONEGAN
VP PROFESSIONAL HEALTH SERVICE	$287,182	$0	$9,139	$0	$28,128	$0	$7,240	$0	$8,574	$0	$340,263	$0	$0	$0
GERARD GRIMALDI
VP HEALTH POLICY & GOVT RELATI	$235,510	$0	$19,589	$0	$52,414	$0	$57,412	$0	$22,300	$0	$387,225	$0	$0	$0
DOUG BRANDT
ASSOCIATE CFO	$286,028	$0	$10,805	$0	$3,794	$0	$69,302	$0	$21,890	$0	$391,819	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B & PART II	2017 2017 2017 ACCRUAL DISTRIBUTION TOTAL CHARLES SHIELDS $ 107,705 -0- $ 107,705 WILLIAM COLBY $ 74,698 21,069 $ 95,767 ALLEN JOHNSON $ 69,209 71,342 $ 140,551 JOHN GIANINO $ 47,956 119,282 $ 167,238 MITZI CARDENAS $ 58,217 27,151 $ 85,368 LYNDA DONEGAN $ -0- 19,599 $ 19,599 GERARD GRIMALDI $ 40,821 32,828 $ 73,103 DOUG BRANDT $ 42,843 -0- $ 42,843
PART VII, LINE 5 AND SCH J, PART II	TRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY PHYSICIANS ASSOCIATES $308,364 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR.
SCHEDULE J, PART I, LINE 6A	CERTAIN EMPLOYEES ARE ELIGIBLE FOR A SMALL ANNUAL BONUS RELATED TO MEETING OR EXCEEDING BUDGET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
HEALTH AND EDUCATION FACILITIES AUTH OF MO
A	431178966	2006-11-09	$12,000,000	CONSTRUCTION AND EQUIPMENT	false	false	false
JACKSON COUNTY MISSOURI
B	446000524	2012-09-04	$41,180,185	REFUNDING BOND	false	false	false	467578GJ3
JACKSON COUNTY MISSOURI
C	446000524	2011-05-17	$24,674,279	CONSTRUCTION AND EQUIPMENT	false	false	false	46757BFS4
HEALTH AND EDUCATION FACILITIES AUTH OF MO
D	431178966	2017-12-22	$70,000,000	BUILDING,EQUIPMENT &REFUNDING BOND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,692,811	$0	$11,959,500	$0	$0	$0	$40,500	$0	$0	$11,959,500	$0	$0	2008	false	Yes (true)	Yes (true)	Yes (true)
B	$14,343,230	$0	$37,597,509	$0	$0	$0	$451,929	$0	$0	$0	$37,145,579	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$7,485,000	$0	$24,674,279	$0	$0	$0	$289,279	$0	$0	$24,385,000	$0	$0	2011	false	false	Yes (true)	Yes (true)
D	$830,000	$0	$64,745,495	$0	$1,172,590	$0	$500,000	$0	$0	$0	$4,754,505	$63,918,261		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2C, COLUMN A	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN B	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN C	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN D	THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 12-22-2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	One 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 TMC Health Sciences District and TMC Lakewood. 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 centers are 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 2018, TMC provided 490,864 outpatient care appointments, with more than 163,000 of those being outpatient behavioral health care service 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. TMCs internal medicine physicians treat high cholesterol, osteoporosis, diabetes, high blood pressure, womens health services, surgical consultations and skin disorders, among others. 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. TMC sees more than 9,600 patients each year for the treatment and care of asthma. Diabetes In 2009, TMC Health Sciences District opened a spacious new state-of-the-art Diabetes Center to better serve the needs of patients. The new space includes a patient resource center with computer access, diabetes education classroom and consultation rooms, a comfortable waiting area; and expanded exam rooms with advanced technology to support the electronic health record progression. The TMC Diabetes Center provides quality care for patients with diabetes, helping to manage diabetes on a planned, rather than episodic basis. The comprehensive "team approach" connects patients with specially trained physicians and nursing staff. The team also helps coordinate care with other specialty service providers, such as ophthalmology, cardiology, podiatry, and other referrals as needed. In fiscal year 2018, TMC treated 15,849 patients for diabetes. Sickle Cell TMC Health Sciences District is one of the top providers of sickle cell care in the region, with Kansas Citys only adult Sickle Cell Center. The Center provides a variety of medical inpatient and outpatient treatments, including annual exams, nutritional counseling, physical therapy, lab and x-ray evaluations and pain management counseling. Patients in sickle cell crisis find a healing environment where providers treat their pain quickly, many times bypassing the Emergency Department. In 2018, 501 patients considered TMC their medical home for sickle cell care. Womens Health Services As a national center of excellence in Womens Health, TMC seeks to connect women to the best resources available in health care services. Education and community outreach empower patients and caregivers to make healthy decisions. With these objectives as the focus, TMC offers a continuum of health care services, including 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. TMC provides diagnostic breast health services, streamlining the patient experience by making virtually all of the components of a breast evaluation available in one campus location. TMC offers 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. TMC is also one of the largest providers of Women, Infants and Children (WIC) Services in the state of Missouri with 121,310 visits in 2018. WIC provides healthy foods, nutrition education and referrals for women, infants, and children up to the age of five, who are at nutritional risk and meet program guidelines. Cardiology Services The TMC 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 2018, the Cardiology Center provided more than 7,000 outpatient clinic appointments, performed 723 diagnostic catheterization procedures, completed nearly 900 total catheterization laboratory procedures and placed 168 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 FY 2018, the TMC GI Center provided more than 8,600 outpatient visits and performed more than 7,500 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 2018, the Ophthalmology Department provided care in more than 21,000 outpatient 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. Providers cared for more than 23,000 dental patients at the TMC Lakewood Dental Clinic. Outpatient Behavioral Health Services In 2018, TMC Behavioral Health provided 163,138 outpatient visits to 9,611 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 2018, the JACOHD provided nearly 125,167 community based encounters including vaccinations, community health education and adult traumatic brain injury case management. The JACOHD is dedicated to the prevention of disease and the maintenance of a high level of health in the family and community through education, immunization, inspection, and supportive care.
FORM 990, PART III, LINE 4B	Truman Medical Centers (TMC) includes TMC Health Sciences District, TMC Lakewood and TMC Behavioral Health. It is the primary teaching hospital 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 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 maxiofacial surgery, pain management, orthopedics and plastic surgery. TMC cares for more than 117,000 individual patients each year. 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 2018 (July 1, 2017- June 30, 2018), TMC had 22,608 inpatient admissions and provided 93,063 patient days of 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 FY 2018, 60% 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 2018, TMC language access provided 145,664 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 FY 2018, TMC Behavioral Health treated 6,911 patients, with 2,288 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 2018, TMC delivered 3,428 babies.
FORM 990, PART III, LINE 4C	Truman Medical Centers Emergency Departments provided care to 86,828 patients in 2018, with more than 59,000 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 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 only 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 2018 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 7A	ALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE EACH FROM THE TMC MEDICAL STAFF AND UNIVERSITY PHYSICIAN ASSOCIATES, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION.
FORM 990, PART VI, SECTION B, LINE 11B	INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE ASSOCIATE CFO AND 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 DRAFT IS THEN SENT TO THE CFO WHO REVIEWS AND DISTRIBUTES TO THE CHAIR OF THE TMC, INC. AUDIT COMMITTEE. DUE TO THE SIZE OF THE TMC, INC. BOARD, FINAL COPIES OF THE 990 ARE NOT AVAILABLE TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C	THE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY EXECUTIVES). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVES, AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	THE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS AND APPROVES THE COMPENSATION FOR ALL SENIOR EXECUTIVES ANNUALLY. THE ECC REVIEWS THE EMPLOYMENT AGREEMENT FOR THE CEO AND THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. 2018 WAS THE MOST RECENT REVIEW.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT.
FORM 990, PART XI, LINE 9	CHANGE IN NET ASSETS OF TMC FOUNDATION $ 1,048,555 CHANGE IN DEFINED BENEFIT PENSION PLAN 13,680,063 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS (101,913) ---------- TOTAL $ 14,626,705

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
AUXILIARY TO TRUMAN MEDICAL CENTER
2301 HOLMES	KANSAS CITY	MO	64108	436099279	SUPPORT	MO	501(C)(3)	10	NA	false
TMC PROF AND GEN LIABILITY SELF INS TRUS
2301 HOLMES	KANSAS CITY	MO	64108	431946384	LIABILITY INS	MO	501(C)(3)	12B	NA	false
TMC FINANCE SUPPORT CORPORATION
2301 HOLMES	KANSAS CITY	MO	64108	271994129	SUPPORT	MO	501(C)(3)	12A	TMC	Yes (true)

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

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
TRUMAN MEDICAL CENTER INCOR
2301 HOLMES STREET	KANSAS CITY	MO	64108	440661018	Yes (X)	$42,789	$62,203	$104,992	$582,222,263	$582,327,255	$1,000,000	$250,000	$0	$0	$0
TMC FINANCE SUPPORT CORPORAT
2301 HOLMES STREET	KANSAS CITY	MO	64108	271994129		$0	$0	$0	$0	$0	$0	$0	$0	$0	$0