TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201521359349304827
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T12:44:13-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 641062246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440661018 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Truman Medical Center Incorporated | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % AL JOHNSON | InCareOfNm |
| Business Name Control | TRUM | BusinessNameControlTxt |
| Phone | 8165563150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 HOLMES STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLIE SHIELDS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8164041000 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kevin Ensminger CPA | PreparerPersonNm |
| PTIN | P01310558 | PTIN |
| Phone | 8164041000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AL JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2310 HOLMES | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $418,671,288 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TMCMED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 33 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 29 | VotingMembersIndependentCnt |
| Total Employee | 4832 | TotalEmployeeCnt |
| Total Volunteers | 773 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $21,692,993 | PYContributionsGrantsAmt |
| CY Contributions Grants | $24,120,540 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $451,625,739 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $365,061,762 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,546,486 | PYInvestmentIncomeAmt |
| CY Investment Income | $182,768 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,544,843 | PYOtherRevenueAmt |
| CY Other Revenue | $29,306,218 | CYOtherRevenueAmt |
| PY Total Revenue | $493,410,061 | PYTotalRevenueAmt |
| CY Total Revenue | $418,671,288 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $34,873 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,460,660 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $253,836,072 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $252,379,769 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $244,280,761 | PYOtherExpensesAmt |
| CY Other Expenses | $240,041,518 | CYOtherExpensesAmt |
| PY Total Expenses | $498,151,706 | PYTotalExpensesAmt |
| CY Total Expenses | $496,881,947 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,741,645 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$78,210,659 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $298,845,654 | TotalAssetsBOYAmt |
| Total Assets EOY | $291,443,217 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $226,851,124 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $313,071,808 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $71,994,530 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$21,628,591 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $197,454,923 | ExpenseAmt |
| Grant | $4,460,660 | GrantAmt |
| Revenue | $177,465,591 | RevenueAmt |
| Desc | OUTPATIENT DEPARTMENT- SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $179,903,374 | ExpenseAmt |
| Revenue | $161,690,872 | RevenueAmt |
| Desc | INPATIENT CARE- SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $61,430,420 | ExpenseAmt |
| Revenue | $55,211,517 | RevenueAmt |
| Desc | EMERGENCY DEPARTMENT- SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $438,788,717 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 237 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4832 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 33 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 29 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AL JOHNSON | PersonNm |
| Phone | 8164043528 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2310 HOLMES | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN W BLUFORD | ||||||||
| PRESIDENT/CEO/DIRECTOR | 40.0 | 1.0 | Yes (X) | Yes (X) | $1,107,114 | $0 | $207,094 | |
| PAUL M BLACK | ||||||||
| PAST CHAIRPERSON/DIRECTOR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PHILIP J SANDERS | ||||||||
| TREASURER/DIRECTOR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARAH RUIZ CHAVEZ | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID W THOMPSON | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES CORWIN | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS Y CURRAN | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| JUAN M RANGEL JR | ||||||||
| SECRETARY/DIRECTOR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NEIL T DOUTHAT | ||||||||
| VICE-CHAIR/DIRECTOR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETTY M DREES MD | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PEGGY DUNN | ||||||||
| BOARD CHAIR/DIRECTOR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MATTHEW C GRATTON MD | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL P HOLEWINSKI | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PETER S LEVI | ||||||||
| VICE-CHAIR/DIRECTOR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LEO MORTON | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS S O'LEARY MD | ||||||||
| VICE-CHAIR/DIRECTOR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARIA MARTINEZ | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK T STEELE MD | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $106,100 | $0 | $0 | ||
| TIMOTHY A WURST | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JEAN ROTH JACOBS | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| REVEREND ERIC D WILLIAMS | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL OFOKANSI | ||||||||
| DIRECTOR/TMC EMPLOYEE | 40.0 | Yes (X) | $98,978 | $0 | $12,592 | |||
| MAHNAZ SHABBIR | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE CHOLLET | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| CINDY CIRCO | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RITA CORTES | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK DONOVAN | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MIKE ENOS | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARVIN LYMAN | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DRED SCOTT | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KARA L SETTLES MD | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| TRACEY LEWIS | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN ZECY | ||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD DULLENTY | ||||||||
| DIRECTOR/TMC EMPLOYEE | 40.0 | Yes (X) | $50,003 | $0 | $3,921 | |||
| AL JOHNSON | ||||||||
| ASSISTANT TREASURER | 40.0 | Yes (X) | $324,722 | $0 | $108,668 | |||
| WILLIAM COLBY | ||||||||
| ASSISTANT SECRETARY | 40.0 | 2.0 | Yes (X) | $303,696 | $0 | $77,909 | ||
| JOHN GIANINO | ||||||||
| NEUROSURGEON | 40.0 | $448,101 | $0 | $136,411 | Yes (X) | |||
| GANDHIVARMA SUBRAMANIAM | ||||||||
| NEUROSURGEON | 40.0 | $375,933 | $0 | $109,080 | Yes (X) | |||
| MARK MCPHEE | ||||||||
| EVP CLINICAL COORDINATION | 40.0 | $341,098 | $0 | $81,173 | Yes (X) | |||
| MUHAMMAD FARHAN | ||||||||
| PYSCHIATRIST | 40.0 | $270,815 | $0 | $47,016 | Yes (X) | |||
| STEPHEN JARVIS | ||||||||
| ACMO/CLINICAL CHAIR PSYCHIATRY | 40.0 | $266,249 | $0 | $59,258 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,692,809 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $843,122 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 158 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| CERNER CORPORATION | |
| SOFTWARE SYSTEMS | $15,899,176 |
| UNIVERSITY OF MISSOURI-KANSAS CITY | |
| MEDICAL SERVICES | $15,055,996 |
| UNIVERSITY PHYSICIAN ASSOCIATES | |
| MEDICAL SERVICES | $12,031,312 |
| MEDICAL IMAGING INC | |
| MEDICAL SERVICES | $5,212,186 |
| CHILDREN'S MERCY HOSPITAL | |
| MEDICAL SERVICES | $4,513,086 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $12,747,734 | RelatedOrganizationsAmt |
| Government Grants | $7,305,295 | GovernmentGrantsAmt |
| All Other Contributions | $4,067,511 | AllOtherContributionsAmt |
| Noncash Contributions | $3,300,000 | NoncashContributionsAmt |
| Total Contributions | $24,120,540 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $253,004,933 | $253,004,933 |
| EXPENSE REIMBURSEMENT | 621110 | $2,153,715 | $2,153,715 |
| MEDICAID ENHANCEMENTS | 621110 | $73,634,249 | $73,634,249 |
| LOCAL GOVERNMENT SUBSIDY | 900099 | $36,268,865 | $36,268,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $365,061,762 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,768 | TotalRevenueColumnAmt |
| Exclusion | $182,768 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL STAFF REVENUE | 900099 | $152,680 | $152,680 |
| 340B REVENUE | 900099 | $18,050,171 | $18,050,171 |
| EHR MEANINGFUL USE | 900099 | $2,656,492 | $2,656,492 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,446,875 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,446,875 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $29,306,218 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $418,671,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,367,980 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $182,768 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,460,660 | TotalAmt |
| Program Services | $4,460,660 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,790,877 | TotalAmt |
| Management And General | $2,790,877 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,341,863 | TotalAmt |
| Program Services | $179,915,945 | ProgramServicesAmt |
| Management And General | $23,425,918 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,868,891 | TotalAmt |
| Program Services | $3,615,168 | ProgramServicesAmt |
| Management And General | $253,723 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,915,105 | TotalAmt |
| Program Services | $24,535,319 | ProgramServicesAmt |
| Management And General | $3,379,786 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,463,033 | TotalAmt |
| Program Services | $12,648,424 | ProgramServicesAmt |
| Management And General | $1,814,609 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,344,058 | TotalAmt |
| Management And General | $1,344,058 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,500 | TotalAmt |
| Management And General | $169,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,808 | TotalAmt |
| Management And General | $75,808 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,669,784 | TotalAmt |
| Program Services | $99,967,274 | ProgramServicesAmt |
| Management And General | $21,702,510 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,552,503 | TotalAmt |
| Program Services | $7,151,956 | ProgramServicesAmt |
| Management And General | $2,400,547 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,917 | TotalAmt |
| Management And General | $151,917 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,977 | TotalAmt |
| Management And General | $583,977 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,238,327 | TotalAmt |
| Program Services | $3,238,327 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,216,533 | TotalAmt |
| Program Services | $25,216,533 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,734,159 | TotalAmt |
| Program Services | $1,734,159 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT EXPENSE | $22,769,172 | $22,769,172 |
| MEDICAL STAFF EXPENSES | $129,501 | $129,501 |
| MEDICAL SUPPLIES | $28,556,987 | $28,556,987 |
| PHARMACEUTICALS | $24,849,292 | $24,849,292 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,881,947 | TotalAmt |
| Program Services | $438,788,717 | ProgramServicesAmt |
| Management And General | $58,093,230 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,997 | BOYAmt |
| EOY | $2,448,222 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,913 | BOYAmt |
| EOY | $29,382 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,999 | BOYAmt |
| EOY | $1,669,572 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,065,821 | BOYAmt |
| EOY | $58,373,241 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,904,508 | BOYAmt |
| EOY | $5,671,996 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,515,824 | BOYAmt |
| EOY | $7,244,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $479,619,730 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $297,363,261 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,131,186 | BOYAmt |
| EOY | $182,256,469 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,766,406 | BOYAmt |
| EOY | $33,749,336 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,845,654 | BOYAmt |
| EOY | $291,443,217 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,978,280 | BOYAmt |
| EOY | $204,038,887 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,292,595 | BOYAmt |
| EOY | $70,955,623 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,402,075 | BOYAmt |
| EOY | $27,110,591 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,178,174 | BOYAmt |
| EOY | $10,966,707 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,851,124 | BOYAmt |
| EOY | $313,071,808 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,991,424 | BOYAmt |
| EOY | -$32,624,147 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,810,008 | BOYAmt |
| EOY | $7,802,458 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,193,098 | BOYAmt |
| EOY | $3,193,098 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,994,530 | BOYAmt |
| EOY | -$21,628,591 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,845,654 | BOYAmt |
| EOY | $291,443,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$78,210,659 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$15,412,462 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $30,138 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $30,138 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $45,670 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $45,670 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $75,808 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $75,808 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $496,806,139 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $496,806,139 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $496,881,947 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $496,881,947 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $88,789 | CurrentYearMinus3Amt |
| Current Year Minus2 | $80,305 | CurrentYearMinus2Amt |
| Current Year Minus1 | $97,731 | CurrentYearMinus1Amt |
| Current Year | $75,808 | CurrentYearAmt |
| Total | $342,633 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $35,205 | CurrentYearMinus3Amt |
| Current Year Minus2 | $36,360 | CurrentYearMinus2Amt |
| Current Year Minus1 | $38,170 | CurrentYearMinus1Amt |
| Current Year | $30,138 | CurrentYearAmt |
| Total | $139,873 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,173,837 | BeginningYearBalanceAmt |
| Contributions | $200 | ContributionsAmt |
| Investment Earnings Or Losses | $172,581 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $102,278 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,244,340 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,077,353 | BeginningYearBalanceAmt |
| Contributions | $200 | ContributionsAmt |
| Investment Earnings Or Losses | $189,940 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $93,656 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,173,837 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,981,134 | BeginningYearBalanceAmt |
| Contributions | $125,200 | ContributionsAmt |
| Investment Earnings Or Losses | $70,859 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $99,840 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,077,353 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,781,031 | BeginningYearBalanceAmt |
| Contributions | $5,200 | ContributionsAmt |
| Investment Earnings Or Losses | $291,700 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $96,797 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,981,134 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,747,603 | BeginningYearBalanceAmt |
| Contributions | $1,100 | ContributionsAmt |
| Investment Earnings Or Losses | $140,396 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $108,068 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,781,031 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,161,527 | OtherCostOrOtherBasisAmt |
| Book Value | $3,161,527 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $304,266,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,852,670 | DepreciationAmt |
| Book Value | $132,413,418 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,199,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,510,591 | DepreciationAmt |
| Book Value | $36,688,797 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,992,727 | OtherCostOrOtherBasisAmt |
| Book Value | $9,992,727 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $182,256,469 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS FOR CAPITAL ACQUISITION | $2,811,282 |
| ASSETS EXTERNALLY RESTRICTED | $305,925 |
| INTEREST IN ASSETS OF TMCCF | $10,689,633 |
| DEFERRED FINANCING COST | $826,913 |
| OTHER RECEIVABLES | $18,474,310 |
| HELD BY BOND TRUSTEE | $641,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $33,749,336 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| 457F PLAN LIABILITY | $2,811,282 |
| UNAMORTIZED PREMIUM | $1,884,268 |
| OTHER LIABILITIES | $6,271,157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,966,707 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $388,657,210 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $5,993,014 | OtherRevenueAmt |
| Revenue Not Reported | $5,993,014 | RevenueNotReportedAmt |
| Revenue Subtotal | $382,664,196 | RevenueSubtotalAmt |
| Other Revenues Not Included | $36,007,092 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $36,007,092 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $418,671,288 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $476,145,759 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,321,344 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,321,344 | ExpensesNotReportedAmt |
| Expenses Subtotal | $472,824,415 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $24,057,532 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $24,057,532 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $496,881,947 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | The investments are to be held in perpetuity at Truman Medical Center Charitable Foundation; the income is primarily restricted for the purpose of funding department chairman positions at The University of Missouri-Kansas City School of Medicine. (The Medical Center is the teaching facility for the UMKC School of Medicine.) |
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | NET ASSETS RELEASED FROM RESTRICTIONS 487,606 RELATED ORGANIZATION REVENUE 5,505,408 ----------- TOTAL $ 5,993,014 |
| SCHEDULE D, PART XI, LINE 4B | MEDICAL STAFF REVENUE 153,096 CONTRIBUTION USED FOR ASSET ACQUISITION 11,925,965 ELIMINATIONS 1,158,859 BAD DEBT EXPENSE 22,769,172 ----------- TOTAL $ 36,007,092 |
| SCHEDULE D, PART XII, LINE 2D | RELATED ORGANIZATION EXPENSES $ 3,321,344 |
| SCHEDULE D, PART XII, LINE 4B | ELIMINATIONS 1,158,859 MEDICAL STAFF EXPENSES 129,501 BAD DEBT EXPENSE 22,769,172 ------------ TOTAL $ 24,057,532 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $129,053,483 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $86,998,101 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,055,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,546,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,727,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,818,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $285,599,523 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $210,725,194 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,874,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,188,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $537,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $651,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,966,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,783,658 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,183,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02540 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,743,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,898,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,845,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,205,332 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,205,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,104,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,219,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,884,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $336,703,837 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,944,946 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $98,758,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20560 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $800,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $800,000 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $800,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $800,000 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,769,172 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $17,076,879 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $70,390,538 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $90,327,879 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$19,937,341 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd |
|---|---|---|---|---|---|---|---|---|---|
| TRUMAN MEDICAL CENTER - HOSPITAL HILL | |||||||||
| 1 | 2301 HOLMES | KANSAS CITY | MO | 64108 | WWW.TRUMED.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| TRUMAN MEDICAL CENTER - LAKEWOOD | |||||||||
| 2 | 7900 LEES SUMMIT ROAD | KANSAS CITY | MO | 64139 | WWW.TRUMED.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | ResidencyResidencyInd | Other FactorsOtherFactorsInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Attached To InvoiceAttachedToInvoiceInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRUMAN MEDICAN CENTER - HOSPITAL HILL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.TRUMED.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| TRUMAN MEDICAL CENTER - LAKEWOOD | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.TRUMED.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3 | TMC CONDUCTED THREE STAKEHOLDER MEETINGS, AS WELL AS AN ELECTRONIC SURVEY, TO ENGAGE COMMUNITY MEMBERS IN THE ASSESSMENT PROCESS. STAKEHOLDER MEETINGS INCLUDED THE TMC LAKEWOOD PATIENT ADVISORY COUNCIL, A MEETING AT THE INDEPENDENCE SCHOOL DISTRICT, AND A MEETING AT THE LUCILE BLUFORD LIBRARY THAT INCLUDED INDIVIDUALS ENGAGED IN THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. A COMMON SET OF QUESTIONS WAS POSED TO EACH GROUP, AND RESPONSES COLLECTED AND SUMMARIZED BY GROUP AND AS A COLLECTIVE. APPROXIMATELY 70 INDIVIDUALS PARTICIPATED IN THESE GROUP MEETINGS. FOLLOWING ARE THE QUESTIONS THAT WERE PRESENTED TO EACH GROUP: - WHAT DO YOU BELIEVE ARE MOST IMPORTANT CHARACTERISTICS OF A HEALTHY COMMUNITY? - WHAT DO YOU BELIEVE ARE THE MOST IMPORTANT ISSUES THAT MUST BE DEALT WITH IF WE WANT TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITY? - WHAT DO YOU THINK IS THE BIGGEST HEALTH-RELATED PROBLEM IN THE COMMUNITY? - WHAT IS THE MOST IMPORTANT SERVICE THAT TRUMAN MEDICAL CENTERS OFFERS? - ARE THERE ANY SERVICES THAT YOU THINK TRUMAN MEDICAL CENTERS SHOULD PROVIDE THAT THEY CURRENTLY DO NOT? IN ADDITION, OVER 100 COMMUNITY MEMBERS, INCLUDING BOTH INDIVIDUALS AS WELL AS REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, COMPLETED AN ELECTRONIC SURVEY THAT ESTABLISHED THE INITIAL SET OF ISSUES OF MOST INTEREST TO THE COMMUNITY. RESPONDENTS WERE ASKED TO SELECT ISSUES, AND ALSO TO CONSIDER SERVICES THEY BELIEVED COULD BE STRENGTHENED IN TERMS OF ACCESS, AVAILABILITY AND/OR QUALITY. RESPONSES WERE SUMMARIZED TO PROVIDE A CONSENSUS REPORT. |
| PART V, SECTION B, LINE 4 | TMC COMPLETED CHNA REPORTS FOR TWO FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD. AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES. |
| PART V, SECTION B, LINE 7 | TMC'S CHNA IDENTIFIED NEEDS THAT EXTEND BEYOND A 12-MONTH TIME-FRAME. EACH NEED/PRIORITY IS LISTED BELOW, WITH A BRIEF STATEMENT OF PROGRESS. EACH PRIORITY REMAINS ACTIVE, AND THE COMMUNITY NEED IN EACH AREA IS CURRENT. TMC REVIEWS PROGRESS AS PART OF ITS BUDGETING AND RESOURCE DEVELOPMENT PROCESSES TO ASSURE THAT RESOURCES ARE BEING ALLOCATED AND/OR SOUGHT TO ADDRESS EACH PRIORITY. STRENGTHEN THE QUALITY NET THE FOCUS OF THIS PRIORITY NEED IS CONTINUED DEVELOPMENT OF THE PRIMARY CARE INFRASTRUCTURE TO MEET THE NEEDS OF COMMUNITY MEMBERS, AND TO IMPLEMENT TEAM-BASED CARE ACROSS THE SYSTEM. TMC WILL CONTINUE TO ADDRESS THIS PRIORITY NEED. IN 2013, TMC EXPANDED ITS SCHOOL-BASED PROGRAM THROUGH DEPLOYMENT OF MOBILE SERVICES TO THE INDEPENDENCE SCHOOL DISTRICT. TEAM-BASED CARE STRATEGIES WERE EXPANDED TO ADDITIONAL INPATIENT SETTINGS, AND CARE TRANSITION PLANS WERE IMPLEMENTED TO IMPROVE HANDOFFS BETWEEN THE INPATIENT AND OUTPATIENT SETTING. BEHAVIORAL HEALTH THE STRATEGY FOR BEHAVIORAL HEALTH IS TO INTEGRATE IT INTO THE PRIMARY CARE SETTING. DURING THE REPORTING YEAR, TMC HAS LED THE COMMUNITY IN TRAINING FOR TRAUMA-INFORMED CARE; IMPLEMENTED REGULAR SCREENING AND TRACKING FOR AT-RISK POPULATIONS TO IDENTIFY BEHAVIORAL HEALTH PATIENTS MUCH EARLIER; IMPLEMENTED WIDESPREAD TRAINING FOR ALL SUPPORT STAFF ON CARING FOR BEHAVIORAL HEALTH PATIENTS OF VARYING SEVERITY, AND CONTINUED TO FULLY IMPLEMENT BEHAVIORAL HEALTH SUPPORT IN THE PRIMARY CARE SETTING. CHRONIC DISEASE THE PRIORITY NEED IS INCREASING ACCESS TO INTEGRATED CARE. PROGRESS IN THIS AREA IS LINKED TO THE "STRENGTHENING THE QUALITY NET" PRIORITY. IN ADDITION, TMC IS PROGRESSING IN THE ESTABLISHMENT OF AN AFFORDABLE COMMUNITY GROCERY STORE. THE ANTICIPATED COMPLETION DATE FOR THIS PROJECT IS FALL, 2015. MATERNAL & INFANT HEALTH THE PRIORITY NEED IS TO INCREASE ACCESS TO PRENATAL CARE. TMC IS PURSUING DESIGNATION 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 2013, TMC EXPANDED ITS SCHOOL-BASED PROGRAM THROUGH DEPLOYMENT OF MOBILE SERVICES TO THE INDEPENDENCE SCHOOL DISTRICT. THIS MOBILE PROGRAM SCREENED ALMOST 3,500 STUDENTS AND PERFORMED MORE THAN 7,600 PROCEDURES IN 2013. |
| PART V, SECTION B, LINE 12I | TMC FINANCIAL COUNSELING STAFF ARE RESPONSIBLE FOR DETERMINING IF A PATIENT IS A RESIDENT OF KANSAS CITY OR JACKSON COUNTY AND THEREFORE MAY BE ELIGIBLE FOR DISCOUNTED OR FREE MEDICAL SERVICES. THE GUIDELINES ARE BASED ON RESIDENCY, INCOME, AND FAMILY SIZE. THE DISCOUNT IS GRANTED FOR INCOMES UP TO 400% OF FEDERAL POVERTY GUIDELINES WITH FREE CARE UP TO 200% OF FPG. TMC USES A VERIFICATION TOOL CALLED TRANSUNION REVENUE MANAGER TO VERIFY RESIDENCY, INCOME, ASSETS AND FAMILY UNIT. |
| PART V, SECTION B, LINE 18E | OTHER NOTIFICATIONS OF FINANCIAL ASSISTANCE OPTIONS INCLUDE MAILING A LETTER INFORMING THE PATIENT OF OPTIONS IF A PATIENT IS DISCHARGED BEFORE BEING SEEN BY A FINANCIAL ADVISOR. |
| PART V, SECTION B, LINE 20D | PATIENT RESPONSIBILITY FOR EMERGENCY SERVICES APPROXIMATES TMC COST FOR PROVIDING SERVICE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TMC BEHAVIOR HEALTH | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST 19TH TERRACE | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MENTAL HEALTH FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G | THE ORGANIZATION DEDUCTION INCLUDES $2,463,288 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. |
| PART I, LINE 7, COLUMN F | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $22,769,172. |
| PART I, LINE 7 | THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO. |
| PART II | TMC PROVIDES FINANCIAL RECRUITMENT SUPPORT IN ORDER TO PROVIDE COMMUNITY PHYSICIAN SERVICES TO THOSE WITHOUT ABILITY TO PAY FOR THESE SERVICES. |
| PART III, SECTION A, LINE 3 | AS DESCRIBED IN PART III, LINE 4, TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID. |
| PART III, SECTION A, LINE 4 | THE 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 B, LINE 8 | TMC BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. APPROXIMATELY 75% OF THE TMC MEDICARE SHORTFALL IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT (MEDICARE/MEDICAID ELIGIBLE) POPULATION. |
| PART III, SECTION C, LINE 9B | TMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA. |
| NEEDS ASSESSMENT | A TMC COMMUNITY PARTNER, THE MID-AMERICA REGIONAL COUNCIL LAUNCHED A BI-STATE (MO-KS) HEALTH CARE INITIATIVE TO IMPROVE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDER SERVED IN GREATER KANSAS CITY. THE INITIATIVE INCLUDED A SURVEY AND CREATION OF SEVERAL SUBGROUPS TO ADDRESS HEALTHCARE AND MENTAL HEALTH NEEDS OF THE UNINSURED AND UNDER INSURED IN THE KANSAS CITY AREA AND SYSTEMS NEEDED TO PROVIDE THAT CARE. TMC IS AN ACTIVE MEMBER OF THE SAFETY NET COLLABORATIVE SUB-GROUP. TMC'S STRATEGIC PLAN CAN BE FOUND AT WWW.TRUMED.ORG. TMC'S HOSPITAL HILL CHNA REPORT CAN BE FOUND AT http://www.trumed.org/truweb/corporate/community_engagement/TMC_Community_ Health_Assessment_2013_HH.pdf TMC'S LAKEWOOD CHNA REPORT CAN BE FOUND AT http://www.trumed.org/truweb/corporate/community_engagement/TMC_Lakewood_R eport_REVISED.pdf |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | IF A PATIENT IS UNINSURED, TMC'S FINANCIAL COUNSELING STAFF WORKS TO BECOME A PATIENT ADVOCATE. THEY ASSIST THE PATIENT IN APPLYING FOR MEDICARE, MEDICAID OR TMC'S CHARITY CARE PROGRAM. TMC POSTS ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES THROUGHOUT THE HOSPITAL. |
| COMMUNITY INFORMATION | TMC SERVES THE POPULATION OF JACKSON COUNTY AND KANSAS CITY, MISSOURI. JACKSON COUNTY ENCOMPASSES APPROXIMATELY 618 SQUARE MILES AND SERVES A POPULATION OF 675,000. THE DEMOGRAPHICS ARE 70% CAUCASIAN AND 23% AFRICAN AMERICAN. TMC HOSPITAL HILL DEMOGRAPHICS ARE 48% AFRICAN AMERICAN AND 39% CAUCASIAN. TMC-LAKEWOOD DEMOGRAPHICS ARE 17% AFRICAN AMERICAN AND 73% CAUCASIAN. MORE THAN 70% OF TMC PATIENTS HAVE COMMERCIAL OR GOVERNMENT INSURANCE COVERAGE. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | TMC HAS FILED AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSOURI SINCE 2005. FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFIT ACTIVITIES, PLEASE SEE TMC'S 2012-2013 COMMUNITY BENEFIT REPORT AT http://www.trumed.org/truweb/corporate/about_tmc/community_benefit_report. aspx. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF MISSOURI-KANSAS CITY | ||||||||||
| 5100 Rockhill Road | KANSAS CITY | MO | 64110 | 436003859 | 501(c)(3) | $500,000 | Friends of Psychiatry | |||
| JACKSON COUNTY MISSOURI | ||||||||||
| 415 EAST 12TH STREET | KANSAS CITY | MO | 64106 | Government | DONATION OF BUILDING | $3,960,660 | FMV | BUILDING | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE GRANTS PROVIDED WERE MADE TO OTHER PUBLIC CHARITIES WHO HAVE A CLOSE WORKING RELATIONSHIP WITH TRUMAN MEDICAL CENTER. THESE ORGANIZATIONS STRIVE TO FURTHER SUPPORT THE HOSPITAL OPPERATIONS OF TRUMAN MEDICAL CENTER, INC. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIPS WITH THESE ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN W BLUFORD | ||||||||||||
| PRESIDENT/CEO/DIRECTOR | $695,902 | $0 | $405,695 | $0 | $5,517 | $0 | $155,368 | $0 | $51,726 | $0 | $1,314,208 | $0 |
| AL JOHNSON | ||||||||||||
| ASSISTANT TREASURER | $321,307 | $0 | $2,000 | $0 | $1,415 | $0 | $73,933 | $0 | $34,735 | $0 | $433,390 | $0 |
| WILLIAM COLBY | ||||||||||||
| ASSISTANT SECRETARY | $300,412 | $0 | $2,000 | $0 | $1,284 | $0 | $28,267 | $0 | $49,642 | $0 | $381,605 | $0 |
| JOHN GIANINO | ||||||||||||
| NEUROSURGEON | $447,410 | $0 | $0 | $0 | $691 | $0 | $98,317 | $0 | $38,094 | $0 | $584,512 | $0 |
| GANDHIVARMA SUBRAMANIAM | ||||||||||||
| NEUROSURGEON | $375,541 | $0 | $0 | $0 | $392 | $0 | $99,460 | $0 | $9,620 | $0 | $485,013 | $0 |
| MARK MCPHEE | ||||||||||||
| EVP CLINICAL COORDINATION | $338,768 | $0 | $0 | $0 | $2,330 | $0 | $21,515 | $0 | $59,658 | $0 | $422,271 | $0 |
| MUHAMMAD FARHAN | ||||||||||||
| PYSCHIATRIST | $270,668 | $0 | $0 | $0 | $147 | $0 | $30,364 | $0 | $16,653 | $0 | $317,832 | $0 |
| STEPHEN JARVIS | ||||||||||||
| ACMO/CLINICAL CHAIR PSYCHIATRY | $265,259 | $0 | $0 | $0 | $990 | $0 | $18,658 | $0 | $40,601 | $0 | $325,508 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | TRUMAN MEDICAL CENTER INC. PROVIDED A HEALTH CLUB MEMBERSHIP AND LEGAL SERVICES TO JOHN W. BLUFORD, PRESIDENT AND CEO. THE VALUE OF THE MEMBERSHIP AND LEGAL SERVICES WERE INCLUDED IN HIS W-2 AS TAXABLE INCOME. |
| SCHEDULE J, PART I, LINE 3 | TRUMAN MEDICAL CENTER, INC. UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN CONTRACT, FORM 990 OF COMPARABLE ORGANIZATIONS AND COMPENSATION SURVEYS TO ESTABLISH FAIR MARKET VALUE SALARIES AND BENEFITS FOR TRUMAN MEDICAL CENTER, INC. AND ITS AFFILIATES' OFFICERS AND DIRECTORS. |
| SCHEDULE J, PART I, LINE 4B & PART II | 2013 2013 2013 ACCRUAL DISTRIBUTION TOTAL JOHN BLUFORD $ 132,183 -0- $ 132,183 JOHN GIANINO $ 77,407 -0- $ 77,407 AL JOHNSON $ 51,839 -0- $ 51,839 WILLIAM COLBY $ 27,361 -0- $ 27,361 STEPHEN JARVIS $ 16,892 -0- $ 16,892 G. SUBRAMANIAM $ 79,689 -0- $ 79,689 MARK MCPHEE $ 21,109 -0- $ 21,109 G. SUBRAMANIAM $ 79,689 -0- $ 79,689 MUHAMMAD FARHAN $ 28,374 -0- $ 28,374 |
| PART VII, LINE 5 AND SCH J, PART II | TRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY PHYSICIANS ASSOCIATES $106,100 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| JACKSON COUNTY MISSOURI PUBLIC BUILDING CORP | ||||||||
| A | 431772348 | 46737ECH3 | 2006-05-18 | $20,236,825 | CONSTRUCTION | false | false | false |
| JACKSON COUNTY MISSOURI | ||||||||
| B | 446000524 | 467578FS4 | 2011-05-17 | $24,674,279 | CONSTRUCTION & EQUIPMENT | false | false | false |
| JACKSON COUNTY MISSOURI | ||||||||
| C | 446000524 | 46757BGJ3 | 2012-09-04 | $37,597,509 | SPECIAL OBLIGATION REFUNDING | false | false | false |
| HEALTH & EDUCATIONAL FACILITIES AUTH OF MO | ||||||||
| D | 431178966 | 2013-07-03 | $12,000,000 | CONSTRUCTION & EQUIPMENT | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $7,495,000 | $0 | $9,820,851 | $0 | $0 | $0 | $50,581 | $139,000 | $0 | $2,600,000 | $7,170,000 | $0 | 2006 | false | false | Yes (true) | Yes (true) |
| B | $2,325,000 | $0 | $24,674,279 | $0 | $0 | $0 | $289,279 | $0 | $0 | $24,385,000 | $0 | $0 | 2011 | false | false | Yes (true) | Yes (true) |
| C | $2,204,895 | $0 | $37,597,509 | $0 | $0 | $0 | $451,929 | $0 | $0 | $0 | $37,145,579 | $0 | 2012 | false | Yes (true) | Yes (true) | Yes (true) |
| D | $1,427,090 | $0 | $12,000,000 | $0 | $0 | $0 | $199,950 | $0 | $0 | $11,800,050 | $0 | $0 | 2013 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) | |
| C | false | false | false | false | 0 | false | false | false | Yes (true) | |
| D | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | false | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE PART V | PersonNm |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART VI, LINES 1 & 2 | FormAndLineReferenceDesc |
| Explanation | LINE 1: (A) JE DUNN CONSTRUCTION (B) PEGGY DUNN IS A DIRECTOR OF TMC AND IS ALSO A DIRECTOR OF JE DUNN CONSTRUCTION. (C) $2,519,341 (D) CONSTRUCTION SERVICES (E) NO | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp |
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,300,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MKT VALUE APPRAISAL | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | THE INFORMATION PRESENTED IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | ONE OF TRUMAN MEDICAL CENTERS (TMC) 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 HOSPITAL HILL 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 2014, TMC PROVIDED OUTPATIENT CARE FOR 524,112 PATIENTS, WITH 201,725 OF THOSE BEING OUTPATIENT MENTAL HEALTH CARE SERVICES. TMCS MEDICAL PAVILIONS AT HOSPITAL HILL 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. TMC HOSPITAL HILL IS HOME TO THE AREAS AMERICAN LUNG ASSOCIATION ASTHMA CLINICAL RESEARCH CENTER (ACRC), AN ELITE NETWORK OF 18 NOT-FOR-PROFIT CLINICAL RESEARCH CENTERS DEDICATED TO ASTHMA TREATMENT RESEARCH, ATTRACTING SOME OF THE BEST ASTHMA INVESTIGATORS WORLDWIDE. THE ACRC NETWORK CONDUCTS LARGE CLINICAL TRIALS THAT WILL HAVE A DIRECT IMPACT ON PATIENT CARE AND ASTHMA TREATMENT. 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 NEARLY 10,000 PATIENTS EACH YEAR FOR THE TREATMENT AND CARE OF ASTHMA. DIABETES FIVE YEARS AGO, TMC HOSPITAL HILL 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 2014, TMC TREATED MORE THAN 14,000 PATIENTS FOR DIABETES. SICKLE CELL TMC HOSPITAL HILL 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 2014, 629 PATIENTS CONSIDER 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 158,789 VISITS IN 2014. 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 LAB, FOUR ADDITIONAL CLINIC ROOMS, INCREASED ECHOCARDIOGRAPHY TESTING CAPABILITIES AND A CARDIAC REHABILITATION SERVICE TO HELP PREVENT REPEAT HEART PROBLEMS. IN 2014, THE CARDIOLOGY CENTER PROVIDED MORE THAN 9,300 OUTPATIENT CLINIC VISITS, PERFORMED 914 CATHETERIZATION PROCEDURES, WHICH INCLUDED 601 HEART CATHETERIZATIONS (239 OF WHICH WERE STENT PLACEMENTS). GASTROENTEROLOGY SERVICES TMC'S GASTROENTEROLOGY (GI) CENTER ON HOSPITAL HILL WAS EXPANDED TO INCLUDE ENDOSCOPIC ULTRASOUND EQUIPMENT, ONE OF ONLY A FEW SUCH UNITS IN THE KANSAS CITY AREA, PROVIDING TMC PATIENTS ANOTHER METHOD FOR EARLY DETECTION OF CANCER. THE CENTER ALSO FEATURES THREE PROCEDURE ROOMS, A DEDICATED PREP AND RECOVERY AREA, IMPROVED PATIENT MONITORING EQUIPMENT, INCLUDING ADDITIONAL CARDIAC MONITORING CAPABILITIES WITH A CENTRAL MONITOR AT THE NURSING STATION, SIX EXAMS ROOMS - ALL WITH NEW EQUIPMENT INCLUDING A COMPUTER IN EACH ROOM, A DEDICATED TRIAGE ROOM, A LARGE EDUCATION CLASSROOM, AND A SPACIOUS NEW WAITING ROOM AREA. THE CENTER PROVIDES "ONE-STOP SHOPPING" FOR PATIENTS, WITH REGISTRATION/CHECK-IN AND FINANCIAL COUNSELING ALL IN SAME AREA. IN 2014, THE TMC GI CENTER TREATED MORE THAN 6,300 PATIENTS IN MORE THAN 13,000 PATIENT VISITS AND PERFORMED MORE THAN 6,900 PROCEDURES. OPHTHALMOLOGY 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 2014, THE OPHTHALMOLOGY DEPARTMENT TREATED MORE THAN 18,389 PATIENTS. 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 9,300 PATIENTS RECEIVED ORAL SURGICAL SERVICES AT TMC IN 2014 AND TREATED NEARLY 18,000 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 2014, TMC BEHAVIORAL HEALTH PROVIDED 201,725 OUTPATIENT VISITS TO MORE THAN 18,000 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, MEDI |
| FORM 990, PART III, LINE 4B | THE TRUMAN MEDICAL CENTERS (TMC) INCLUDES TMC HOSPITAL HILL, 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. TMC CARES FOR MORE THAN 112,000 INDIVIDUAL PATIENTS EACH YEAR. THESE PATIENTS RECEIVE, REGARDLESS OF THEIR FINANCIAL SITUATION OR ABILITY TO PAY, QUALITY, STATE-OF-THE-ART INPATIENT, OUTPATIENT AND EMERGENCY CARE THAT ENCOMPASS BOTH PHYSICAL AND MENTAL HEALTH CARE. TMC IS LICENSED FOR 353 INPATIENT ACUTE CARE (INCLUDING 19 NICU) AND 188 LONG-TERM CARE BEDS. IN FISCAL YEAR 2014 (JULY 1, 2013-JUNE 30, 2014), TMC HAD 19,017 INPATIENT ADMISSIONS AND PROVIDED 87,833 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. 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 HOSPITAL HILL AND LAKEWOOD LOCATIONS TO HELP ENSURE THAT PATIENTS WITH LIMITED PROFICIENCY IN ENGLISH OR DEAFNESS 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 20 LANGUAGE INTERPRETERS ON STAFF THAT PROVIDES DIRECT TRANSLATIONS IN THREE MAJOR LANGUAGES, SPANISH, SOMALI AND ARABIC. ADDITIONALLY, 150 LANGUAGE INTERPRETATIONS ARE AVAILABLE VIA DUAL HANDSET TELEPHONIC INTERPRETING UNITS. IN FISCAL YEAR 2014, TMC LANGUAGE ACCESS PROVIDED 144,178 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 HOSPITAL HILL 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 2014, TMC BEHAVIORAL HEALTH TREATEDMORE THAN 18,023 PATIENTS, WITH 2,266 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 ONE-THIRD OF ALL BABIES BORN IN JACKSON COUNTY, MISSOURI. TMC HOSPITAL HILL 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 2014, TMC DELIVERED 3,483 BABIES. A LITTLE UNDER FOUR YEARS AGO, 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. THE LAKEWOOD FAMILY BIRTHPLACE HAS HAD A NEARLY 88 PERCENT INCREASE IN BIRTHS SINCE OPENING AT THE END OF 2011. |
| FORM 990, PART III, LINE 4C | TRUMAN MEDICAL CENTERS EMERGENCY DEPARTMENTS PROVIDED CARE TO MORE THAN 101,000 PATIENTS IN 2014, WITH MORE THAN 71,000 OF THOSE VISITS AT TMC HOSPITAL HILL, 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 ONLY FIVE IN THE REGION, THE TMC HOSPITAL HILL 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. AIM 4 PEACE AS AN ACADEMIC SAFETY NET HOSPITAL IN KANSAS CITY, MISSOURI, TMC RECEIVES A SIGNIFICANT AMOUNT OF PENETRATING TRAUMA. AIM 4 PEACE, 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 AIM 4 PEACE, 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. SINCE INCEPTION OF PROGRAM GUN-RELATED VIOLENCE HAS DECREASED IN THE FOUR TARGETED "GROUND ZERO ZONES." AGGRAVATED ASSAULT IN THE EAST PATROL DIVISION DROPPED 5% AND HOMICIDES EXPERIENCED A 20% REDUCTION FROM 2006 THROUGH 2012. THE AIM 4 PEACE PUBLIC HEALTH MODEL USES AN EVIDENCE BASED APPROACH AND HAS CREATED HEALTH CARE AND LAW ENFORCEMENT SAVINGS THROUGH GANG RELATED MEDIATION. NO QUANTITATIVE UPDATES RELATED TO COST SAVINGS HAVE BEEN RELEASED SINCE 2010. REORGANIZATION OF THE PROGRAM THROUGH THE KANSAS CITY HEALTH DEPARTMENT IS IN PROGRESS. 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 CLAIMING 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 NONSTRANGER 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 HOSPITAL HILL 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 2014 INCLUDE: A) ACUTE SPINAL CORD INJURY STUDY: THE GOAL OF THIS STUDY IS TO IDENTIFY THE SAFETY AND EFFECTIVENESS OF A STUDY DRUG, SUN 13837 INJECTION, WHEN COMPARED TO A PLACEBO IN ADULT SUBJECTS WITH ACUTE CERVICAL SPINAL CORD INJURIES. THIS STUDY IS SPONSORED BY ASUBIO PHARMACEUTICALS, INC. B) HEMORRHAGIC SHOCK STUDY: INVESTIGATING THE MECHANISMS OF CELL INJURY FOLLOWING HEMORRHAGIC SHOCK, AND SPECIFICALLY HOW THE DEVELOPMENT OF SHOCK LEADS TO THE DEPLETION OF CELLULAR ENERGY STORES AND CELL DEATH. THE GOAL OF THIS RESEARCH PROGRAM IS TO DEVELOP NEW TREATMENTS FOR HEMORRHAGIC SHOCK WHICH CAN BE ADMINISTERED BEFORE OR DURING INITIAL RESUSCITATION. C) SEPTIC SHOCK STUDY: INVESTIGATING THE CYTOKINE RESPONSE OF SEPTIC PATIENTS VERSUS THAT OF HEALTHY VOLUNTEERS. THE RESULTS OF THIS RESEARCH ARE EXPECTED TO PROVIDE NEW INFORMATION ON CELLULAR MECHANISMS OF THE SYSTEMIC INFLAMMATORY RESPONSES. D) INDIRECT CALORIMETRY STUDY: EVALUATING THE ACCURACY OF THE QUARK RMR MACHINE FOR INDIRECT CALORIMETRY IN PATIENTS ON VENTILATORS AS COMPARED TO A METHOD USING GAS COLLECTION AND ANALYSIS. E) VITAMIN D STUDY: RETROSPECTIVE CHART REVIEW LOOKING AT INCIDENCE OF VITAMIN D DEFICIENCY IN PATIENTS ADMITTED TO A MIDWEST URBAN HOSPITAL. F) ANATOMIC RECONSTRUCTION VERSUS HOOK PLATE RECONSTRUCTION IN PATIENTS WITH TYPE III AND TYPE V ACRONMIOCLAVICULAR (AC) JOINT SEPARATIONS: A COMPARION, INVESTIGATOR INITIATED. INCIDENCE OF PRIMARY CARE IN THE INJURED PATIENT. INVESTIGATOR INITIATED. PERFORMANCE IMPROVEMENT PATIENT SAFETY (PIPS) THE PERFORMANCE IMPROVEMENT PATIENT SAFETY (PIPS) IS AN IMPORTANT PART OF THE TRAUMA PROGRAM AT TMC HOSPITAL HILL. 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 HOSPITAL HILL 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 ALONG SIDE TRAUMA PHYSICIANS CERTIFIED IN ADVANCED TRAUMA LIFE SUPPORT (ATLS) THEY FIND THAT THEIR THOUGHT PROCESSES AND ACTIONS ARE MORE ALIGNED WITH THE PHYSICIANS APPROACH, WHICH SIMULTANEOUSLY ADDRESSES THE CARE OF THE TRAUMA PATIENT IN A PATIENT-CENTERED AND LOGICAL SEQUENCE. ATCN ENCOURAGES A TEAM APPROACH TO TRAUMA CARE AND IS TAUGHT CONCURRENTLY WITH ATLS, SO BOTH NURSE ATCN AND PHYSICIAN ATLS STUDENTS ATTEND THE SAME LECTURES. LECTURES ARE FOLLOWED BY A SERIES OF HANDS-ON SKILLS STATIONS THAT INCLUDE EXTENSIVE TRAINING ON INITIAL PATIENT ASSESSMENT AND MANAGEMENT OF AIRWAY, BREATHING, HEMORRHAGIC SHOCK, MUSCULOSKELETAL, SPINAL, HEAD AND PEDIATRIC TRAUMA. |
| Form 990, Part VI, Section A, Line 7A | ALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE EACH FROM THE TMC MEDICAL STAFF AND UNIVERSITY PHYSICIAN ASSOCIATES, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE SENIOR DIRECTOR OF BUDGET AND DECISION SUPPORT 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, THE AUDIT COMMITTEE (A SUB-COMMITTEE OF THE BOARD) REVIEWS THE 990 BEFORE IT IS FILED. FINAL COPIES OF THE 990 ARE AVAILABLE TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY "EXECUTIVES"). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVES, AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | THE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT. |
| FORM 990, PART XI, LINE 9 | CHANGE IN NET ASSETS OF TMC FOUNDATION $ (6,527,647) TRANSFER TO AFFILIATE 115,365 CHANGE IN DEFINED BENEFIT PENSION PLAN (9,000,450) ----------- TOTAL ($ 15,412,462) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AUXILIARY TO TRUMAN MEDICAL CENTER | ||||||||||
| 2301 HOLMES | KANSAS CITY | MO | 64108 | 436099279 | SUPPORT | MO | 501(C)(3) | 11C | NA | false |
| TMC PROF & GENERAL LIABILITY SELF-INS | ||||||||||
| 2301 HOLMES | KANSAS CITY | MO | 64108 | 431946384 | LIABILITY INS | MO | 501(C)(3) | 11B | NA | false |
| TMC FINANCE SUPPORT CORPORATION | ||||||||||
| 2301 HOLMES | KANSAS CITY | MO | 64108 | 271994129 | SUPPORT | MO | 501(C)(3) | 11A | TMC | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TMC FINANCE SUPPORT CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $115,635 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRUMAN MEDICAL CENTER INCOR | |||||||||||||||
| 2301 HOLMES STREET | KANSAS CITY | MO | 64108 | 440661018 | Yes (X) | $30,138 | $45,670 | $75,808 | $496,806,139 | $496,881,947 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| TMC FINANCE SUPPORT CORPORAT | |||||||||||||||
| 2301 HOMES STREET | KANSAS CITY | MO | 64108 | 271994129 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | |