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TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-04-26
IRS object ID
201841169349300544
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-04-26T13:22:48-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440661018EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLIE SHIELDSPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8164043528PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKevin R Ensminger CPAPreparerPersonNm
PTINP01310558PTIN
Phone8162216300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43372220181165000010FederalOriginalSubmissionId
Federal Original Submission Id2018-04-26FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0E8B4C86F072A9A632091745DD5834F0D71FA01EAtSubmissionCreationDeviceId
At Submission Filing Device IdB937BF114137470649B10DCCC1497B1F1517C7A8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALLEN JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 HOLMESAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$556,725,200GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TMCMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body31VotingMembersGoverningBodyCnt
Voting Members Independent27VotingMembersIndependentCnt
Total Employee4718TotalEmployeeCnt
Total Volunteers965TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,333,494PYContributionsGrantsAmt
CY Contributions Grants$11,404,906CYContributionsGrantsAmt
PY Program Service Revenue$492,095,736PYProgramServiceRevenueAmt
CY Program Service Revenue$509,392,873CYProgramServiceRevenueAmt
PY Investment Income$3,901,535PYInvestmentIncomeAmt
CY Investment Income$1,521,607CYInvestmentIncomeAmt
PY Other Revenue$33,319,928PYOtherRevenueAmt
CY Other Revenue$34,405,814CYOtherRevenueAmt
PY Total Revenue$540,650,693PYTotalRevenueAmt
CY Total Revenue$556,725,200CYTotalRevenueAmt
PY Grants And Similar Paid$1,209,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$385,562CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$253,902,890PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$275,704,657CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$261,354,636PYOtherExpensesAmt
CY Other Expenses$271,398,445CYOtherExpensesAmt
PY Total Expenses$516,466,776PYTotalExpensesAmt
CY Total Expenses$547,488,664CYTotalExpensesAmt
PY Revenues Less Expenses$24,183,917PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,236,536CYRevenuesLessExpensesAmt
Total Assets BOY$275,850,513TotalAssetsBOYAmt
Total Assets EOY$297,682,605TotalAssetsEOYAmt
Total Liabilities BOY$256,798,256TotalLiabilitiesBOYAmt
Total Liabilities EOY$231,609,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,052,257NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,073,316NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$238,353,834ExpenseAmt
Grant$385,562GrantAmt
Revenue$266,461,356RevenueAmt
DescOUTPATIENT DEPARTMENT- SEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$194,574,558ExpenseAmt
Grant$0GrantAmt
Revenue$217,519,475RevenueAmt
DescINPATIENT CARE- SEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$53,508,004ExpenseAmt
Grant$0GrantAmt
Revenue$59,817,856RevenueAmt
DescEMERGENCY DEPARTMENT- SEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$486,436,396TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document308IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4718EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members31GoverningBodyVotingMembersCnt
Independent Voting Member27IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALLEN JOHNSONPersonNm
Phone8164043528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12310 HOLMESAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64108ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR40.00.0Yes (X)Yes (X)$759,241$0$101,393
PEGGY J DUNN
CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
PAUL M BLACK
PAST CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DAVE BARBER
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
PHILIP J SANDERS
TREASURER/VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DRED D SCOTT PHD
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
TIMOTHY A WURST
SECRETARY/VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
KAREN ZECY
VICE CHAIR/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
FORESTINE BEASLEY
DIRECTOR1.00.0Yes (X)$0$0$0
ZANE M BURKE
DIRECTOR1.00.0Yes (X)$0$0$0
ANN H CARY PHD
DIRECTOR1.00.0Yes (X)$0$0$0
SARAH R CHAVEZ
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES CORWIN
DIRECTOR1.00.0Yes (X)$0$0$0
SEN KIKI CURLS
DIRECTOR1.00.0Yes (X)$0$0$0
MARC DE ROME
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID EMBRY
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL P HOLEWINSKI
DIRECTOR1.00.0Yes (X)$0$0$0
STEPHEN JARVIS MD
DIRECTOR40.00.0Yes (X)$705,864$0$57,193
JOLIE L JUSTUS
DIRECTOR1.00.0Yes (X)$0$0$0
STEVEN L KANTER
DIRECTOR1.00.0Yes (X)$0$0$0
STELLA M LEDOUX
DIRECTOR/TMC EMPLOYEE40.00.0Yes (X)$76,993$0$10,323
PETER S LEVI
DIRECTOR1.00.0Yes (X)$0$0$0
TRACEY LEWIS
DIRECTOR1.00.0Yes (X)$0$0$0
MARVIN LYMAN
DIRECTOR1.00.0Yes (X)$0$0$0
LEO E MORTON
DIRECTOR1.00.0Yes (X)$0$0$0
JON OTTO
DIRECTOR1.00.0Yes (X)$0$0$0
JUAN M RANGEL JR
DIRECTOR1.00.0Yes (X)$0$0$0
ESMAT SADEDDIN MD
DIRECTOR1.00.0Yes (X)$0$0$0
MAHNAZ SHABBIR
DIRECTOR1.00.0Yes (X)$0$0$0
MARK T STEELE MD
DIRECTOR20.01.0Yes (X)$296,075$0$0
REV ERIC D WILLIAMS
DIRECTOR1.00.0Yes (X)$0$0$0
WILLIAM H COLBY
ASSISTANT SECRETARY40.02.0Yes (X)$637,474$0$66,150
ALLEN M JOHNSON
ASSISTANT TREASURER40.00.0Yes (X)$515,029$0$86,650
JOHN GIANINO
NEUROSURGEON40.01.0$852,865$0$93,829Yes (X)
MITZI CARDENAS
SR VP CHIEF STRATEGY INFO OFF.40.00.0$577,648$0$37,749Yes (X)
PADMA KRISHNAMURTHI
PSYCHIATRIST40.00.0$448,300$0$51,070Yes (X)
JEFFERY A METZNER
MEDICAL DIRECTOR-PSYCHIATRY40.00.0$426,549$0$36,709Yes (X)
RANDALL CRAMER
PHYSICIAN40.00.0$414,417$0$37,703Yes (X)
JOHN W BLUFORD
PRESIDENT/CEO RETIRED 07/20140.00.0$234,868$0$0Yes (X)
MARK S MCPHEE
EVP CLINIC COOR/RETIRED 05/150.00.0$320,880$0$6,319Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,266,203TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$585,088TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K231IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY PHYSICIAN ASSOCIATES
2310 HOLMES SUITE 800KANSAS CITYMO64108PHYSICIAN SERVICES$18,344,125
CERNER CORPORATION
PO BOX 412702KANSAS CITYMO64141IT SERVICES$17,577,393
UNIVERSITY OF MISSOURI-KANSAS CITY
PO BOX 805111KANSAS CITYMO64180MEDICAL SERVICES$13,785,155
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368FOOD SERVICE$5,340,420
MEDICAL IMAGING INC
2001 NE PARVIN ROAD STE 200KANSAS CITYMO64116MEDICAL SERVICES$5,249,481
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Government Grants$6,283,005GovernmentGrantsAmt
All Other Contributions$5,121,901AllOtherContributionsAmt
Total Contributions$11,404,906TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$346,311,394$346,311,394
EXPENSE REIMBURSEMENT621110$2,542,374$2,542,374
MEDICAID ENHANCEMENTS621110$124,254,222$124,254,222
LOCAL GOVERNMENT SUBSIDY900099$36,284,883$36,284,883
FieldValueIRS element (for citing)
Total Program Service Revenue$509,392,873TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,214TotalRevenueColumnAmt
Exclusion$220,214ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,301,393OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,301,393OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,301,393TotalRevenueColumnAmt
Exclusion$1,301,393ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE900099$26,176,360$26,176,360
EHR MEANINGFUL USE900099$1,292,040$1,292,040
LAB900099$1,416,004$1,416,004

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,521,410TotalRevenueColumnAmt
Related Or Exempt Func Income$5,521,410RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$34,405,814OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$556,725,200TotalRevenueColumnAmt
Related Or Exempt Func Income$543,798,687RelatedOrExemptFuncIncomeAmt
Exclusion$1,521,607ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$385,562TotalAmt
Program Services$385,562ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,385,929TotalAmt
Program Services$384,162ProgramServicesAmt
Management And General$3,001,767ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$222,546,359TotalAmt
Program Services$197,282,927ProgramServicesAmt
Management And General$25,263,432ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,029,456TotalAmt
Program Services$4,691,991ProgramServicesAmt
Management And General$337,465ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,961,533TotalAmt
Program Services$26,326,740ProgramServicesAmt
Management And General$3,634,793ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,781,380TotalAmt
Program Services$12,955,119ProgramServicesAmt
Management And General$1,826,261ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$610,994TotalAmt
Management And General$610,994ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$174,894TotalAmt
Management And General$174,894ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$115,773TotalAmt
Management And General$115,773ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$134,089,664TotalAmt
Program Services$112,175,400ProgramServicesAmt
Management And General$21,914,264ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,453,252TotalAmt
Program Services$11,879,222ProgramServicesAmt
Management And General$1,574,030ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$196,038TotalAmt
Program Services$173,102ProgramServicesAmt
Management And General$22,936ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$762,329TotalAmt
Program Services$673,137ProgramServicesAmt
Management And General$89,192ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,752,087TotalAmt
Program Services$2,476,878ProgramServicesAmt
Management And General$275,209ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,369,058TotalAmt
Program Services$18,332,152ProgramServicesAmt
Management And General$2,036,906ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,743,524TotalAmt
Program Services$1,569,172ProgramServicesAmt
Management And General$174,352ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$27,603,329$27,603,329
MEDICAL STAFF EXPENSES$140,695$140,695
MEDICAL SUPPLIES$35,308,132$35,308,132
PHARMACEUTICALS$34,078,676$34,078,676

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$547,488,664TotalAmt
Program Services$486,436,396ProgramServicesAmt
Management And General$61,052,268ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,601,031BOYAmt
EOY$25,072,328EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,270BOYAmt
EOY$56,369EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$660,406BOYAmt
EOY$600,541EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,146,382BOYAmt
EOY$58,280,412EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,009,355BOYAmt
EOY$7,245,018EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,335,691BOYAmt
EOY$4,766,348EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$511,244,476LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$347,883,403LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$161,044,429BOYAmt
EOY$163,361,073EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,085,321EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,022,949BOYAmt
EOY$28,215,195EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$275,850,513BOYAmt
EOY$297,682,605EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$174,401,231BOYAmt
EOY$165,129,228EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,396,463BOYAmt
EOY$47,891,865EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$18,886,208BOYAmt
EOY$6,333,916EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,114,354BOYAmt
EOY$12,254,280EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$256,798,256BOYAmt
EOY$231,609,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,398,775BOYAmt
EOY$53,135,655EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,460,384BOYAmt
EOY$9,744,563EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,193,098BOYAmt
EOY$3,193,098EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,052,257BOYAmt
EOY$66,073,316EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$275,850,513BOYAmt
EOY$297,682,605EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,236,536ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$32,152NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$37,752,371OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

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

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$47,766FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$68,007FilingOrganizationsTotalAmt
Affiliated Group Total$65,507AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$115,773FilingOrganizationsTotalAmt
Affiliated Group Total$65,507AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$547,372,891FilingOrganizationsTotalAmt
Affiliated Group Total$547,423,157AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$547,488,664FilingOrganizationsTotalAmt
Affiliated Group Total$547,488,664AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$75,808CurrentYearMinus3Amt
Current Year Minus2$115,716CurrentYearMinus2Amt
Current Year Minus1$105,072CurrentYearMinus1Amt
Current Year$115,773CurrentYearAmt
Total$412,369TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$30,138CurrentYearMinus3Amt
Current Year Minus2$59,402CurrentYearMinus2Amt
Current Year Minus1$57,854CurrentYearMinus1Amt
Current Year$47,766CurrentYearAmt
Total$195,160TotalAmt
FieldValueIRS element (for citing)
Direct Contact Legislators$65,507DirectContactLegislatorsAmt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,077,353BeginningYearBalanceAmt
Contributions$200ContributionsAmt
Investment Earnings Or Losses$189,940InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$93,656OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$3,173,837EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.92130PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.07870TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,459,661OtherCostOrOtherBasisAmt
Book Value$4,459,661BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$317,998,951OtherCostOrOtherBasisAmt
Depreciation$198,937,604DepreciationAmt
Book Value$119,061,347BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,938,765OtherCostOrOtherBasisAmt
Depreciation$148,945,799DepreciationAmt
Book Value$35,992,966BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,847,099OtherCostOrOtherBasisAmt
Book Value$3,847,099BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,361,073TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS FOR CAPITAL ACQUISITION$3,226,023
ASSETS EXTERNALLY RESTRICTED$581,570
INTEREST IN ASSETS OF TMCCF$12,356,091
OTHER RECEIVABLES$9,464,403
OTHER ASSETS$2,587,108
FieldValueIRS element (for citing)
Total Book Value Other Assets$28,215,195TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
457F PLAN LIABILITY$3,226,023
UNAMORTIZED PREMIUM$1,462,940
OTHER LIABILITIES$7,565,317
FieldValueIRS element (for citing)
Total Liability$12,254,280TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$530,736,095TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$32,152NetUnrealizedGainsInvstAmt
Other Revenue$5,044,980OtherRevenueAmt
Revenue Not Reported$5,077,132RevenueNotReportedAmt
Revenue Subtotal$525,658,963RevenueSubtotalAmt
Other Revenues Not Included$31,066,237OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$31,066,237RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$556,725,200TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$520,300,179TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,716,405OtherExpensesIncludedAmt
Expenses Not Reported$1,716,405ExpensesNotReportedAmt
Expenses Subtotal$518,583,774ExpensesSubtotalAmt
Other Expenses Not Included$28,904,890OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,904,890ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$547,488,664TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION; THE INCOME IS PRIMARILY RESTRICTED FOR THE PURPOSE OF FUNDING DEPARTMENT CHAIRMAN POSITIONS AT THE UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF MEDICINE. (THE MEDICAL CENTER IS THE TEACHING FACILITY FOR THE UMKC SCHOOL OF MEDICINE.)
SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 410,277 RELATED ORGANIZATION REVENUE 4,634,703 ----------- TOTAL $ 5,044,980
SCHEDULE D, PART XI, LINE 4BMEDICAL STAFF REVENUE 219,098 TEMPORARILY RESTRICTED CONTRIBUTIONS 454,703 CONTRIBUTION USED FOR ASSET ACQUISITION 1,628,241 ELIMINATIONS 1,160,866 BAD DEBT EXPENSE 27,603,329 ----------- TOTAL $ 31,066,237
SCHEDULE D, PART XII, LINE 2DRELATED ORGANIZATION EXPENSES $ 1,716,405
SCHEDULE D, PART XII, LINE 4BELIMINATIONS 1,160,866 MEDICAL STAFF EXPENSES 140,695 BAD DEBT EXPENSE 27,603,329 ------------ TOTAL $ 28,904,890

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,531,437TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,092,845DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,438,592NetCommunityBenefitExpnsAmt
Total Expense0.07150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$177,522,352TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,550,581DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$276,053,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$259,643,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,438,592NetCommunityBenefitExpnsAmt
Total Expense0.07150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$452,060TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,754DirectOffsettingRevenueAmt
Net Community Benefit Expns$416,306NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,677,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,083,973DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,595,444NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,722,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,546,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,176,498NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$971,919TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$971,919NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,824,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,666,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,160,167NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$318,878,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$293,309,626DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,598,759NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$27,603,329BadDebtExpenseAmt
Bad Debt Expense Attributable$20,702,497BadDebtExpenseAttributableAmt
Reimbursed By Medicare$82,407,757ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$105,948,466CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,540,709MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndCommunity Health NeedsCommunityHealthNeedsIndOther Actions TakenOtherActionsTakenInd
TRUMAN MEDICAL CENTER - HOSPITAL HILL
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)15Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
TRUMAN MEDICAL CENTER - LAKEWOOD
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (true)15Yes (true)SEE PART V, SECTION CfalseYes (true)Yes (X)200.0.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5 - BOTH FACILITIESTMC CONDUCTED 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 6ATMC COMPLETED CHNA REPORTS FOR TWO FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD. AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 7ATHE COMPLETE CHNA FOR TMC-HOSPITAL HILL CAN BE FOUND AT: HTTP://WWW.TRUMED.ORG/FILES/CHNA/HH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2016 .PDF THE COMPLETE CHNA FOR TMC-LAKEWOOD CAN BE FOUND AT: HTTP://WWW.TRUMED.ORG/FILES/CHNA/LW-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2016 .PDF
PART V, SECTION B, LINE 10A - BOTH FACILITIESTHE IMPLEMENTATION STRATEGY FOR TMC-HOSPITAL HILL CAN BE FOUND AT: http://www.trumed.org/files/chna/HH-Community-Health-Needs-Assessment-2016 .pdf THE IMPLEMENTATION STRATEGY FOR TMC-LAKEWOOD CAN BE FOUND AT: http://www.trumed.org/files/chna/LW-Community-Health-Needs-Assessment-2016 .pdf
PART V, SECTION B, LINE 11 - BOTH FACILITIESTMC'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 FACILITIESTHE FAP CAN BE FOUND AT: http://www.trumed.org/files/financial-counseling/financial-assistance-poli cy.pdf
PART V, SECTION B, LINE 16B - BOTH FACILITIESTHE FAP APPLICATION CAN BE FOUND AT: http://www.trumed.org/files/financial-counseling/discount-application-elig ibility-statement.pdf
PART V, SECTION B, LINE 16C - BOTH FACILITIESTHE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://www.trumed.org/patients-visitors/financial-services/financial-coun seling
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TMC BEHAVIOR HEALTHBusinessNameLine1Txt

US Address USAddress

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE CARE.
PART I, LINE 7THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
PART I, LINE 7, COLUMN FTHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $27,603,329.
PART I, LINE 7GTHE ORGANIZATION DEDUCTION INCLUDES $2,344,295 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART III, SECTION A, LINE 2THE 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 3TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID.
PART III, SECTION A, LINE 4THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, SECTION B, LINE 8TMC 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 9BTMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA.
PART VI, LINE 2 - NEEDS ASSESSMENTA 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: http://www.trumed.org/files/chna/HH-Community-Health-Needs-Assessment-2016 .pdf http://www.trumed.org/files/chna/LW-Community-Health-Needs-Assessment-2016 .pdf
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEIF 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 INFORMATIONTMC 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 REPORTTMC 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

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF MISSOURI-KANSAS CITY
5100 ROCKHILL ROADKANSAS CITYMO64110436003859501(C)(3)$200,000OPERATIONS
CITY OF KANSAS CITY MISSOURI
414 E 12TH STKANSAS CITYMO64106CITY OF KCMO$185,562OPERATIONS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR$547,191$0$90,000$0$122,050$0$75,757$0$25,636$0$860,634$0$0$0
STEPHEN JARVIS MD
DIRECTOR$223,014$0$4,689$0$478,161$0$43,326$0$13,867$0$763,057$0$0$0
MARK T STEELE MD
DIRECTOR$296,075$0$0$0$0$0$0$0$0$0$296,075$0$0$0
WILLIAM H COLBY
ASSISTANT SECRETARY$402,848$0$48,542$0$186,084$0$42,195$0$23,955$0$703,624$0$0$0
ALLEN M JOHNSON
ASSISTANT TREASURER$366,021$0$9,436$0$139,572$0$61,888$0$24,762$0$601,679$0$0$0
JOHN GIANINO
NEUROSURGEON$468,395$0$375$0$384,095$0$65,430$0$28,399$0$946,694$0$0$0
MITZI CARDENAS
SR VP CHIEF STRATEGY INFO OFF.$270,621$0$147,081$0$159,946$0$29,833$0$7,916$0$615,397$0$0$0
PADMA KRISHNAMURTHI
PSYCHIATRIST$207,768$0$25,793$0$214,739$0$33,811$0$17,259$0$499,370$0$0$0
JEFFERY A METZNER
MEDICAL DIRECTOR-PSYCHIATRY$198,625$0$3,902$0$224,022$0$18,545$0$18,164$0$463,258$0$0$0
RANDALL CRAMER
PHYSICIAN$228,142$0$130,455$0$55,820$0$22,197$0$15,506$0$452,120$0$0$0
JOHN W BLUFORD
PRESIDENT/CEO RETIRED 07/2014$0$0$0$0$234,868$0$0$0$0$0$234,868$0$0$0
MARK S MCPHEE
EVP CLINIC COOR/RETIRED 05/15$0$0$0$0$320,880$0$0$0$6,319$0$327,199$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4AMARK S. MCPHEE $ 316,425
SCHEDULE J, PART I, LINE 4B & PART II2016 2016 2016 ACCRUAL DISTRIBUTION TOTAL JOHN GIANINO $ 42,168 122,832 $ 165,000 CHARLES SHIELDS $ 52,027 -0- $ 52,027 WILLIAM COLBY $ 37,670 23,738 $ 61,408 ALLEN JOHNSON $ 38,356 -0- $ 38,356 STEPHEN JARVIS $ 21,325 110,186 $ 131,511 MITZI CARDENAS $ 24,535 19,266 $ 43,801 PADMA KRISHNAMURTHI $ 14,096 76,147 $ 90,243 JEFFERY METZNER $ 15,382 75,222 $ 90,605 RANDALL CRAMER $ 20,906 -0- $ 20,906 JOHN BLUFORD -0- 234,868 $ 234,868 MARSHA MORGAN $ 18,270 36,795 $ 55,065
PART VII, LINE 5 AND SCH J, PART IITRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY PHYSICIANS ASSOCIATES $296,075 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR.
SCHEDULE J, PART I, LINE 6ACERTAIN 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
JACKSON COUNTY MISSOURI
A44600052446757BFS42011-05-17$24,674,279CONSTRUCTION AND EQUIPMENTfalsefalsefalse
HEALTH AND EDUCATION FACILITIES AUTH OF MO
B4311789662013-07-03$12,000,000CONSTRUCTION AND EQUIPMENTfalsefalsefalse
HEALTH AND EDUCATION FACILITIES AUTH OF MO
C4311789662006-11-09$12,000,000CONSTRUCTION AND EQUIPMENTfalsefalsefalse
JACKSON COUNTY MISSOURI
D446000524467578GJ32012-09-04$41,180,185REFUNDING BONDfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$6,115,000$0$24,674,279$0$0$0$289,279$0$0$24,385,000$0$02011falsefalseYes (true)Yes (true)
B$6,387,543$0$11,800,050$0$0$0$199,950$0$0$11,800,050$0$02014falsefalseYes (true)Yes (true)
C$11,102,757$0$11,959,500$0$0$0$40,500$0$0$11,959,500$0$02008falseYes (true)Yes (true)Yes (true)
D$12,617,660$0$37,597,509$0$0$0$451,929$0$0$0$37,145,579$02012Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
CfalsefalseYes (true)false0falsefalsefalseYes (true)Yes (true)
DfalsefalseYes (true)false0falsefalsefalseYes (true)Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
DfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2C, COLUMN A - TAX-EXEMPT BONDS #1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN B - TAX-EXEMPT BONDS #1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN C - TAX-EXEMPT BONDS #1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.
PART IV, LINE 2C, COLUMN D - TAX-EXEMPT BONDS #1THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 2-19-16.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4AOne of Truman Medical Centers (TMC) strengths is the ability to provide high quality, state-of-the-art healthcare to all our patients regardless of their ability to pay, offering 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 mental health clinics, TMCs person-first approach puts the health needs of the patient above profit. We are nationally recognized for our programs in asthma, diabetes, sickle cell, orthopaedics, womens health and emergency/trauma services. However, we offer many more services, including ophthalmology, cardiology, gastroenterology, oral surgery and community based mental health services. In 2017, TMC provided 487,122 outpatient care visits, with 172,100 of those being outpatient mental 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 At TMC, treatment of asthma is broad and includes striving for excellence in all areas where patients with asthma are encountered. Our goal is to provide superior and consistent care for the patient with asthma whether it is in the emergency department, inpatient unit, clinic setting, research or the community. Several years ago, TMC instituted 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 12,000 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 our patients. The new space includes a patient resource center with computer access, diabetes education classroom and consultation rooms, a comfortable, attractive waiting area; and expanded exam rooms with advanced technology to support the electronic health record progression. The TMC Diabetes Center provides quality care for our 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 2017, TMC had 16,377 patients treated for diabetes. Sickle Cell TMC Health Sciences District is also 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 their pain is treated quickly, many times bypassing the emergency department, in a soothing setting offering calming colors and soft lighting. In 2017, 403 patients considered TMC as 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, and empower the caregiver to make healthy decisions for themselves and others. 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 126,302 visits in 2017. WIC provides healthy foods, nutrition education and referrals for women, infants, and children up to the age of 5, 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. Cardiac interventions are used 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 2017, the Cardiology Center provided 6,937 outpatient clinic visits, performed 469 diagnostic catheterization procedures, placed 179 patient required cardiovascular stents and completed 562 total catheterization laboratory procedures. Gastroenterology Services Truman Medical Centers Gastroenterology (GI) Center at the Health Sciences District has a full service procedural area offering 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 also 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 - all with a computer in each room, a dedicated triage room, a large education classroom, and a spacious waiting room area. The center provides "one-stop shopping" for patients, with registration/check-in and financial counseling all in same area. The clinic 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. In FY 2017, the TMC GI Center provided more than 8,300 outpatient visits and performed more than 8,100 procedures.
OphthalmologyOphthalmology services the Ophthalmology Clinics at TMC are full-service facilities for the medical and surgical treatment of eye diseases. Services range from prescribing of glasses and fitting of contact lenses to the treatment of complex ocular disorders. Outpatient surgery and laser treatment, including refractive laser surgery, are also performed. In 2017, the Ophthalmology Department provided care in more than 18,870 outpatient visits. Dentistry and Oral Surgery Services Oral & Maxillofacial surgeons manage a wide variety of problems relating to the mouth, teeth and facial regions, practicing a wide scope of care with expertise ranging from corrective jaw surgery to wisdom tooth removal. They also diagnose and treat facial injuries and temporomandibular joint syndrome (TMJ) disorders, and perform a full range of dental implant procedures. TMC provides diagnosis and treatment of oral and facial emergencies, broken facial bones, and placement of dental implants. The facial pain/TMJ clinic also offers diagnosis and treatment of facial pain and TMJ. More than 9,100 patients received oral surgical services at TMC in 2017 and treated more than 23,000 dental patients at the TMC Lakewood Dental Clinic. Outpatient Mental Health Services In addition to outpatient physical medical care services, TMC provides comprehensive outpatient mental health services. In 2017, TMC Behavioral Health provided 172,100 outpatient visits to 9,126 patients. These services are aimed at assisting clients in managing the symptoms of their illness and in improving functioning in their day-to-day lives and 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 2017, the JACOHD provided nearly 121,832 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 4BThe Truman Medical Centers (TMC) includes TMC Health Sciences District, TMC Lakewood and TMC Behavioral Health and 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 its doors 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, orthopeadics, pain management and plastic surgery. TMC cares for more than 108,000 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 2017 (July 1, 2016- June 30, 2017), TMC had 22,903 inpatient admissions and provided 92,198 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 clientele have multiple poorly managed chronic diseases such as diabetes, asthma, heart failure and hypertension. In FY 2017, more than 67,500 patients suffering from at least one chronic disease were treated at TMC. They are frequently admitted to a TMC hospital because of these chronic illnesses and due to some social disparities, such as lack of transportation, or a language barrier, their ability to manage their condition with proper medication and follow-up care is difficult and many times, they end up readmitted 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 few hospitals to have on staff interpreters available around the clock to assist patients with paperwork and communicating, in their native language, 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 2017, TMC language access provided 133,046 interpreted encounters for patients. Mental 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, mental health care services is often difficult and expensive. In many communities, inpatient mental health facilities do not exist and/or are at capacity nearly 100 percent of the time. TMC is one of only a few health systems that provide 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 persons 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, and a mental health emergency department at TMC Hospital Hill. In FY 2017, TMC behavioral health treated 9,126 patients, with 2,470 patients admitted for inpatient mental health care at a TMC facility. Womens Health TMC offers full Womens Health Services and is the birthplace to more than half of all babies born in Jackson County, Missouri. TMC Health Sciences District specializes in high-risk pregnancies and births and is home to a 19-bed, level iii neonatal intensive care unit (NICU), one of the largest in the area, that provides compassionate care to the most ill of newborns. In fiscal year 2017, TMC delivered 3,326 babies. In 2011, TMC Lakewood opened a renovated and expanded labor and delivery unit serving the people of eastern Jackson County. This new unit also includes a level II NICU.
FORM 990, PART III, LINE 4CTruman Medical Centers Emergency Departments provided care to 85,170 patients in 2017, with more than 57,400 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 Lakewood Emergency Department has a staff of ten board certified emergency medicine physicians and 36 nurses providing immediate, compassionate, quality care to more than 30,000 residents of eastern Jackson County, Missouri each year. As a designated level 1 Trauma Center, one of three level one centers in Kansas City, MO., the TMC Health Sciences District Emergency Department (ED) 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. Aim4Peace As an academic safety net hospital in Kansas City, Missouri, TMC receives a significant amount of penetrating trauma. Aim4Peace, as the violence and injury prevention program, is focused on the reduction of intentional gunshot incidents and establishes a mechanism to facilitate collaborative efforts between the two in engaging and assisting the citizens of Kansas City to manage problems in a more constructive manner. As the only hospital in association with Aim4Peace, TMC has the unique opportunity to intervene, in concert with the intervention specialist, to 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 Hospital Hill Emergency Department has a Sexual Abuse Nurse Examiner (SANE) on site to provide a thorough forensic examination of women who have been the victims of rape. 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. Particularly in non-stranger sexual assault cases, thorough documentation of evidence corroborating a victim's account of an assault by establishing lack of consent leads to more prosecutions that are successful. TMCs SANE has also helped to provide leadership in the community by educating and training other potential SANEs. Each year nearly 100 women are cared for and examined by the TMC SANE in the Health Sciences District Emergency Department. Trauma Research In addition to patient care, Level One Trauma Centers conduct research programs, healthcare provider education, community outreach programs, and is a referral resource for communities in nearby regions. The Trauma Research Team is currently conducting several exciting research projects including pharmaceutical-sponsored trials, 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 2016 include: A) "Anatomic reconstruction versus hook plate reconstruction in patients with type III and type V acromioclavicular (AC) joint separations: a comparison." Investigator initiated: Dr. Akin Cil, Principal Investigator. B) "Incidence of primary care in the injured patient." Investigator initiated: Dr. Douglas Geehan, Principal Investigator. C) "A Prospective, Randomized, Controlled Study to Evaluate the Effectiveness and Safety of CELSTAT as an Adjunct to Hemostasis for Tissue Bleeding in Cardiothoracic, General and Vascular Surgery." Pharmaceutical-sponsored trial: Baxter Healthcare Corporation. Performance Improvement Patient Safety (PIPS) The Performance Improvement Patient Safety (PIPS) is an important part of the trauma program at TMC Health Sciences District. The performance improvement and patient safety program 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, and inpatient stay, to rehabilitation. The primary focus is on the promptness, documentation, and appropriateness of care along with patient outcomes. Advanced Trauma Care for Nurses Continuing medical education is not just a requirement it is a necessity to enhance the knowledge and abilities of the medical professional. Truman Medical Center Health Sciences District was the first hospital to bring Advanced Trauma Care for Nurses (ATCN) to the Kansas City metropolitan area. The course is geared toward nursing staff in the Emergency Department and intensive care units. When nurses complete the ATCN class and work alongside trauma physicians certified in Advanced Trauma Life Support (ATLS) they find that their thought processes and actions are more aligned with the physicians approach, which simultaneously addresses the care of the trauma patient in a patient-centered and logical sequence. ATCN encourages a team approach to trauma care and is taught concurrently with ATLS, so both nurse ATCN and physician ATLS students attend the same lectures. Lectures are followed by a series of hands-on skills stations that include extensive training on initial patient assessment and management of airway, breathing, hemorrhagic shock, musculoskeletal, spinal, head and pediatric trauma.
FORM 990, PART VI, SECTION A, LINE 7AALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE 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 11BINFORMATION 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 12CTHE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY EXECUTIVES). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVES, AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK.
FORM 990, PART VI, SECTION B, LINES 15A & 15BTHE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS AND APPROVES THE COMPENSATION FOR ALL SENIOR EXECUTIVES ANNUALLY. THE ECC REVIEWS THE EMPLOYMENT AGREEMENT FOR THE CEO AND THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. 2017 WAS THE MOST RECENT REVIEW.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT.
FORM 990, PART XI, LINE 9CHANGE IN NET ASSETS OF TMC FOUNDATION $ 189,753 TRANSFER TO AFFILIATE 13,000,649 CHANGE IN DEFINED BENEFIT PENSION PLAN 24,561,969 ---------- TOTAL $ 37,752,371

Schedule R IRS990ScheduleR

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