STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

TRUMAN MEDICAL CENTER INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TRUMAN MEDICAL CENTER INCORPORATED (EIN 44-0661018)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349306130
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T15:16:53-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440661018EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Truman Medical Center IncorporatedBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRUMNameControl
Phone8165563150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 HOLMES STREETAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN W BLUFORDName
TitleCEOTitle
Phone8165563150Phone
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAL JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12310 HOLMESAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts452286449GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TMCMED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees5005TotalNbrEmployees
Total Nbr Volunteers319TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18224809ContributionsGrantsPriorYear
Contributions Grants Current Year11887154ContributionsGrantsCurrentYear
Program Service Revenue Prior Year417462646ProgramServiceRevenuePriorYear
Program Service Revenue CY421345770ProgramServiceRevenueCY
Investment Income Prior Year148394InvestmentIncomePriorYear
Investment Income Current Year408568InvestmentIncomeCurrentYear
Other Revenue Prior Year3348843OtherRevenuePriorYear
Other Revenue Current Year18644957OtherRevenueCurrentYear
Total Revenue Prior Year439184692TotalRevenuePriorYear
Total Revenue Current Year452286449TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year201352GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY77363GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year232667124SalariesEtcPriorYear
Salaries Etc Current Year242504740SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year201169691OtherExpensePriorYear
Other Expenses Current Year216919468OtherExpensesCurrentYear
Total Expenses Prior Year434038167TotalExpensesPriorYear
Total Expenses Current Year459501571TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5146525RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7215122RevenuesLessExpensesCY
Total Assets BOY287384699TotalAssetsBOY
Total Assets EOY321815144TotalAssetsEOY
Total Liabilities BOY177163973TotalLiabilitiesBOY
Total Liabilities EOY213811168TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY110220726NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY108003976NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense39420323Expense
Grants0Grants
Revenue46815013Revenue
DescriptionEMERGENCY DEPARTMENT- SEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense185275520Expense
Grants0Grants
Revenue193595920Revenue
DescriptionINPATIENT CARE- SEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense169507391Expense
Grants77363Grants
Revenue199579794Revenue
DescriptionOUTPATIENT CARE- SEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Program Service Expense394203234TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096189NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5005NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAL JOHNSONNamePerson
Telephone Number8164043528TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12310 HOLMESAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64108ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN W BLUFORD
PRESIDENT/CEO/DIRECTOR40.0XX6391540178733
JOHN GIANINO
DIRECTOR/NEUROSURGEON40.0X3978660117311
PAUL M BLACK
CHAIRPERSON/DIRECTOR1.0XX000
ROBERT A BROOKS III
PAST CHAIRPERSON/DIRECTOR1.0XX000
JON R GRAY
DIRECTOR1.0X000
SARAH INGRAM-EISER
DIRECTOR1.0X000
CHARLES W PEFFER
TREASURER/DIRECTOR1.0XX000
JUAN M RANGEL JR
SECRETARY/DIRECTOR1.0XX000
NEIL T DOUTHAT
DIRECTOR1.0X000
BETTY M DREES MD
DIRECTOR1.0X000
PEGGY DUNN
VICE CHAIR/DIRECTOR1.0XX000
MATTHEW C GRATTON MD
DIRECTOR1.0X000
PAUL P HOLEWINSKI
DIRECTOR1.0X000
PETER S LEVI
DIRECTOR1.0X000
LEO MORTON
DIRECTOR1.0X000
DENNIS S O'LEARY MD
DIRECTOR1.0X000
PHILIP B RICHTER
DIRECTOR1.0X000
MARK T STEELE MD
DIRECTOR1.0X10610000
JEROME S TILZER CPA
DIRECTOR1.0X000
JOY WHEELER
DIRECTOR1.0X000
REVEREND ERIC D WILLIAMS
DIRECTOR1.0X000
EDWARD DULLENTY
DIRECTOR/TMC EMPLOYEE40.0X10098702769
MICHAEL OFOKANSI
DIRECTOR/TMC EMPLOYEE40.0X8416105613
SARAH RUIZ CHAVEZ
DIRECTOR1.0X000
MICHELLE CHOLLET
DIRECTOR1.0X000
CINDY CIRCO
DIRECTOR1.0X000
RITA CORTES
DIRECTOR1.0X000
MARK DONOVAN
DIRECTOR1.0X000
MIKE ENOS
DIRECTOR1.0X000
MARVIN LYMAN
DIRECTOR1.0X000
DRED SCOTT
DIRECTOR1.0X000
CATHERINE DISCH
EXECUTIVE VP/COO40.0X4186980109754
AL JOHNSON
CFO40.0X361169093940
STEPHEN JARVIS
CLINICAL CHAIR PSHYCHIATRY40.0241471059639X
HAROLD SIGLAR
COO-LAKEWOOD40.0313069056137X
WILLIAM COLBY
LEGAL COUNSEL40.0231336082351X
MITZI CARDENAS
VP/CHIEF INFORMATION OFFICER40.0224168055639X
MARY FAHRMEIER
MEDICAL DIR.-PSYCH PHYSICIANS40.0215984036107X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3334163TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation797993TotalOtherCompensation
Number Individuals GT100 K151NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY OF MISSOURI- KANSAS CITY
MEDICAL SERVICES12509294
UNIVERSITY PHYSICIAN ASSOCIATES -
MEDICAL SERVICES8876248
CERNER CORPORATION
MEDICAL SERVICES7986883
MORRISON MANAGEMENT SPECIALISTS
FOOD SERVICE MGMT4726953
LYTLE CONSTRUCTION INC
CONSTRUCTION3750451
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Related Organizations3425434RelatedOrganizations
Government Grants5621978GovernmentGrants
All Other Contributions2839742AllOtherContributions
Total Contributions11887154TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621110248402092248402092
EXPENSE REIMBURSEMENT62111020239592023959
MEDICAID ENHANCEMENTS621110135161884135161884
LOCAL GOVERNMENT SUBSIDY9000993575783535757835
FieldValueIRS element (for citing)
Total Program Service Revenue421345770TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column408568TotalRevenueColumn
Exclusion$408,568ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL STAFF REVENUE9000998340383403
FICA REFUND90009957236125723612
EMR IMPLEMENTATION90009968955126895512

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5942430TotalRevenueColumn
Related Or Exempt Function Income5942430RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue18644957TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column452286449TotalRevenueColumn
Related Or Exempt Function Income439990727RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$408,568ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total77363Total
Program Services77363ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2329794Total
Program Services687289ProgramServices
Management And General1642505ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total193759105Total
Program Services170196430ProgramServices
Management And General23562675ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6569917Total
Program Services5876384ProgramServices
Management And General693534ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25823213Total
Program Services22597351ProgramServices
Management And General3225862ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14022711Total
Program Services12271093ProgramServices
Management And General1751617ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total444109Total
Management And General444109ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total166085Total
Management And General166085ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total88789Total
Program Services78134ProgramServices
Management And General10655ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total129911645Total
Program Services102384479ProgramServices
Management And General27527166ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8396985Total
Program Services6286820ProgramServices
Management And General2110165ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total141178Total
Program Services115766ProgramServices
Management And General25412ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total554928Total
Program Services262592ProgramServices
Management And General292336ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4599252Total
Program Services4047342ProgramServices
Management And General551910ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24209649Total
Program Services21304491ProgramServices
Management And General2905158ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3242900Total
Program Services2853752ProgramServices
Management And General389148ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT EXPENSE1828129718281297
MEDICAL STAFF EXPENSES8533585335
MEDICAL SUPPLIES2679731626797316
_

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total459501571Total
Program Services394203234ProgramServices
Management And General65298337ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY136613BOY
EOY15105EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY705808BOY
EOY237919EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY852371BOY
EOY764206EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64809529BOY
EOY74988278EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2750763BOY
EOY3219159EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3482608BOY
EOY4878991EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis443372632LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec250994741LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY187473865BOY
EOY192377891EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27173142BOY
EOY45333595EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY287384699BOY
EOY321815144EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY86974989BOY
EOY90469606EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY63800862BOY
EOY78096352EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY23478559BOY
EOY38752489EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2909563BOY
EOY6492721EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY177163973BOY
EOY213811168EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY91889510BOY
EOY90014207EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15268518BOY
EOY14921871EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3062698BOY
EOY3067898EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110220726BOY
EOY108003976EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY287384699BOY
EOY321815144EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7215122ReconcilationRevenueExpenses
Reconcilation Other Changes4998372ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals35205FilingOrganizationsTotals
Affiliated Group Totals35205AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals53584FilingOrganizationsTotals
Affiliated Group Totals53584AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals88789FilingOrganizationsTotals
Affiliated Group Totals88789AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals459412782FilingOrganizationsTotals
Affiliated Group Totals459412807AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals459501571FilingOrganizationsTotals
Affiliated Group Totals459501596AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000005AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250001AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus383842CurrentYearMinus3
Current Year Minus2104571CurrentYearMinus2
Current Year Minus183125CurrentYearMinus1
Current Year88789CurrentYear
Total360327Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus342753CurrentYearMinus3
Current Year Minus251987CurrentYearMinus2
Current Year Minus142315CurrentYearMinus1
Current Year35205CurrentYear
Total172260Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2781031BeginningOfYearBalance
Contributions5200Contributions
Investment Earnings Or Losses291700InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures96797OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2981134EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2747603BeginningOfYearBalance
Contributions1100Contributions
Investment Earnings Or Losses140396InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures108068OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2781031EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3179234BeginningOfYearBalance
Contributions250Contributions
Investment Earnings Or Losses-340581InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures91300OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2747603EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1410446OtherCostOrOtherBasis
Book Value1410446BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis274577806OtherCostOrOtherBasis
Depreciation153572563Depreciation
Book Value121005243BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis151259667OtherCostOrOtherBasis
Depreciation97422178Depreciation
Book Value53837489BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16124713OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value16124713BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings192377891TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS FOR CAPITAL ACQUISITION2047241
ASSETS EXTERNALLY RESTRICTED554711
INTEREST IN ASSETS OF TMCCF16010597
DEFERRED FINANCING COST772449
OTHER RECEIVABLES15423654
HELD BY BOND TRUSTEE10524943
FieldValueIRS element (for citing)
Total Book Value Other Assets45333595TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
457F PLAN LIABILITY$2,047,241
UNAMORTIZED PREMIUM$881,434
OTHER LIABILITIES$3,564,046
FieldValueIRS element (for citing)
Total Of Amounts6492721TotalOfAmounts
Total Revenue452286449TotalRevenue
Total Expenses459501571TotalExpenses
Excess Or Deficit For Year-7215122ExcessOrDeficitForYear
Other$4,998,372OtherAmount
Total Adjustments4998372TotalAdjustments
Excess Or Deficit Per FS-2216750ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt455395631TotRevenueEtcAuditedFinclStmt
Other Revenues7736381OtherRevenues
Revenue Not Rptd F9907736381RevenueNotRptdF990
Revenue Subtotal447659250RevenueSubtotal
Other Revenues Not Included4627199OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4627199RevenueNotRptdOnFinStmt
Total Revenue Per Form990452286449TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt459525142TotExpensesEtcAuditedFinclStmt
Other Expenses Included2355344OtherExpensesIncluded
Expenses Not Rptd F9902355344ExpensesNotRptdF990
Expenses Subtotal457169798ExpensesSubtotal
Other Expenses Not Included2331773OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2331773ExpensesNotRptdOnFinStmt
Total Expenses Per Form990459501571TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4The investments are to be held in perpetuity at Truman Medical Center Charitable Foundation; the income is primarily restricted for the purpose of funding department chairman positions at The University of Missouri-Kansas City School of Medicine. (The Medical Center is the teaching facility for the UMKC School of Medicine.)
UNCERTAIN TAX POSITIONS DISCLOSURESCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
RECONCILIATION OF NET ASSETSSCHEDULE D, PART XI, LINE 8CHANGE IN NET ASSETS OF TMC FOUNDATION (108,741) TRANSFER TO AFFILIATE 110,226 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN 4,991,687 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 5,200 --------- TOTAL $4,998,372
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 322,477 RELATED ORGANIZATION REVENUE 7,413,904 ------------ TOTAL $7,736,381
RECONCILIATION OF REVENUESCHEDULE D, PART XII, LINE 4BMEDICAL STAFF REVENUE 82,403 TEMPORARY RESTRICTED CONTRIBUTIONS 289,298 CONTRIBUTION USED FOR ASSET ACQUISITION 2,008,060 ELIMINATIONS 2,246,438 ---------- TOTAL 4,627,199
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 2DRELATED ORGANIZATION EXPENSES $2,355,344
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 4BELIMINATIONS 2,246,438 MEDICAL STAFF EXPENSES 85,335 ---------- TOTAL $2,331,773

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense101136802TotalCommunityBenefitExpense
Direct Offsetting Revenue42441815DirectOffsettingRevenue
Net Community Benefit Expense58694987NetCommunityBenefitExpense
Percent Of Total Expense0.13430PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense185850636TotalCommunityBenefitExpense
Direct Offsetting Revenue163627520DirectOffsettingRevenue
Net Community Benefit Expense22223116NetCommunityBenefitExpense
Percent Of Total Expense0.05080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense286987438TotalCommunityBenefitExpense
Direct Offsetting Revenue206069335DirectOffsettingRevenue
Net Community Benefit Expense80918103NetCommunityBenefitExpense
Percent Of Total Expense0.18510PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6330237TotalCommunityBenefitExpense
Direct Offsetting Revenue1533986DirectOffsettingRevenue
Net Community Benefit Expense4796251NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense34701625TotalCommunityBenefitExpense
Direct Offsetting Revenue29409892DirectOffsettingRevenue
Net Community Benefit Expense5291733NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14102543TotalCommunityBenefitExpense
Direct Offsetting Revenue3013235DirectOffsettingRevenue
Net Community Benefit Expense11089767NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense584260TotalCommunityBenefitExpense
Net Community Benefit Expense584260NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense55718665TotalCommunityBenefitExpense
Direct Offsetting Revenue33957113DirectOffsettingRevenue
Net Community Benefit Expense21762011NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense342706103TotalCommunityBenefitExpense
Direct Offsetting Revenue240026448DirectOffsettingRevenue
Net Community Benefit Expense102680114NetCommunityBenefitExpense
Percent Of Total Expense0.23490PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense680000TotalCommunityBuildingExpense
Net Community Building Expense680000NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense680000TotalCommunityBuildingExpense
Net Community Building Expense680000NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,323,422BadDebtExpenseAmount
Amount Attributable To9242566AmountAttributableTo
Amount Reimbursed By Medicare56951790AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79181801CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22230011MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24Hours
TRUMAN MEDICAL CENTER - HOSPITAL HILL
12301 HOLMESKANSAS CITYMO64108XXXX
TRUMAN MEDICAL CENTER - LAKEWOOD
27900 LEES SUMMIT ROADKANSAS CITYMO64139XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
TRUMAN MEDICAL CENTER - HOSPITAL HILL
1
TRUMAN MEDICAL CENTER - LAKEWOOD
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
TMC BEHAVIOR HEALTH
300 WEST 19TH TERRACEKANSAS CITYMO64108MENTAL HEALTH SERVICES
JACKSON COUNTY HEALTH DEPARTMENT
313 SOUTH LIBERTYINDEPENDENCEMO64050COUNTY HEALTH DEPARTMENT
INDEPENDENCE CLINIC
10010 EAST TRUMAN ROADINDEPENDENCEMO64052OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7, COLUMN FTHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $18,281,297.
PART I, LINE 7GTHE ORGANIZATION DEDUCTION INCLUDES $2,500,000 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIESTMC provides many community building activities such as: health education wellness screening, community and school based services to individuals, group services which focus on education, prevention and promotion for healthier lifestyles. In addition, TMC provides health screenings to identify such factors that cause or contribute to illness or chronic diseases. Based on these screenings, programs and participation are initiated by the need of the community. Exposure of TMC to the community is obtainted through many community and civic events.PART II
BAD DEBT EXPENSETHE 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, LINE 4
MEDICARETMC BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. APPROXIMATELY 80% OF THE TMC MEDICARE SHORTFALL OR APPROXIMATELY $17.5 MILLION IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT (MEDICARE/MEDICAID ELIGIBLE) POPULATION.PART III, LINE 8
PART III, LINE 9BTMC DOES NOT PURSUE COLLECTION FROM PATIENTS WHO APPLY FOR MEDICAL ASSISTANCE. TMC WILL PURSUE COLLECTION FOR UNPAID DISCOUNTED CARE AMOUNTS FOR INDIVIDUALS OUTSIDE THE CATCHMENT AREA.
METHOD OF APPLYING FINANCIAL ASSISTANCETMC 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 12
PART V. SECTION B, LINE 17EOTHER 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 ASVISOR.
NEEDS ASSESSMENTA TMC Community partner, the Mid-America Regional Council launched a bi-state (MO-KS) health care initiative to improve access to health care for the uninsured and under served in greater Kansas City. The initiative included a survey and creation of several subgroups to address healthcare and mental health needs of the uninsured and under insured in the Kansas City area and systems needed to provide that care. TMC is an active member of the safety net collaborative sub-group.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEIf a patient is uninsured, TMC's Financial Counseling Staff works to become a patient advocate. They assist the patient in applying for Medicare Medicaid or TMC's Charity Care program. TMC posts its Charity Care and Financial Assistance policies throughout the hospital.
COMMUNITY INFORMATIONTMC serves the population of Jackson County and Kansas City, Missouri. Jackson County encompasses approximately 618 square miles and serves a population of 675,000. The demographics are 70% Caucasian and 23% African American. TMC Hospital Hill demographics are 48% African American and 39% Caucasian. TMC-Lakewood demographics are 17% African American and 73% Caucasian. More than 70% of TMC patients have commercial or government insurance coverage.
STATE FILING OF COMMUNITY BENEFIT REPORTTMC HAS FILED AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSOURI SINCE 2005. FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFIT ACTIVITIES, PLEASE SEE TMC'S 2011-2012 COMMUNITY BENEFIT REPORT ATTACHED.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION
2310 HOLMES SUITE 735KANSAS CITYMO64108431194064501(c)(3)45277SUPPORT
AUXILIARY TO TRUMAN MEDICAL CENTER
2301 HOLMESKANSAS CITYMO64108436099279501(C)(3)32086SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S.Identifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN W BLUFORD
6068920252000706201322870464460817887000
CATHERINE DISCH
320871095221026060821450276090528452000
AL JOHNSON
283201020007776807027402366604551090755210
JOHN GIANINO
3964740200011920860460312650515177000
STEPHEN JARVIS
240657020006140238950357440301110000
HAROLD SIGLAR
1234830200018938603138802474903692060657020
MARK T STEELE MD
106100000000000106100000
WILLIAM COLBY
2295270200016090400880422630313687000
MITZI CARDENAS
2184160520005520175060381330279807000
MARY FAHRMEIER
215508020002760111450249620252091000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION BENEFITSSCHEDULE J, PART I, LINE 1ATRUMAN 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.
SEVERENCE PAYSCHEDULE J, PART I, LINE 4B & PART IIHAROLD SIGLAR $121,627
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B & PART II2010 2010 2010 ACCRUAL DISTRIBUTION TOTAL JOHN W. BLUFORD $103,883 -0- $103,883 CATHERINE DISCH $53,741 -0- $53,741 AL JOHNSON $44,873 $75,521 $120,394 JOHN GIANINO $60,651 -0- $60,651 STEPHEN JARVIS $14,025 -0- $14,025 HAROLD SIGLAR $7,932 $65,702 $73,634 WILLIAM COLBY $35,373 -0- $35,373 MITZI CARDENAS $11,159 -0- $11,159
COMPENSATION FROM UNRELATED ORGANIZATIONPART VII, LINE 5 AND SCH J, PART IITRUMAN 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.
COMPENSATION REPORTED IN PRIOR YEAR FORM 990SCHEDULE J, PART II, COLUMN FCOMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT HAVE BEEN PREVIOUSLY REPORTED IN PRIOR YEARS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
JACKSON COUNTY MISSOURI PUBLIC BUILDING CORP
43177234846737ECH32006-05-1820236825CONSTRUCTIONfalsefalsefalse
HEALTH AND EDUCATIONAL FACILITIES AUTHORTY OF MO
43117896660635RW372005-09-088400000CONSTRUCTION & EQUIPMENTfalsefalsefalse
JACKSON COUNTY MISSOURI
431772348467578FS42011-05-1724385000CONSTRUCTION & EQUIPMENTfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
20236825245099198527262006falsefalsetruetrue
840000013680082638002006falsefalsetruetrue
243850002892762011falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true
falsefalsetruefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Emergency/Trauma ServicesFORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTSTRUMAN MEDICAL CENTERS EMERGENCY DEPARTMENTS PROVIDED CARE TO MORE THAN 98,000 PATIENTS IN 2011, WITH MORE THAN 69,000 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 NEARLY 30,000 RESIDENTS OF EASTERN JACKSON COUNTY, MISSOURI EACH YEAR. AS A DESIGNATED LEVEL 1 TRAUMA CENTER, ONE OF ONLY FOUR IN THE REGION, THE TMC HOSPITAL HILL EMERGENCY DEPARTMENT (ED) CONSISTS OF A TEAM OF NEARLY 50 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 THE PROGRAM (THROUGH DECEMBER 2010), GUN-RELATED VIOLENCE HAS DECREASED BY 15% IN THE FOUR TARGETED "GROUND ZERO ZONES." AGGRAVATED ASSAULT IN THE EAST PATROL DIVISION DROPPED 8.9% AND HOMICIDES EXPERIENCED A 25% REDUCTION THROUGH 2009. IN 2008, THE AIM 4 PEACE PUBLIC HEALTH MODEL CREATED SAVINGS TO KANSAS CITY OF $7.6 MILLION DOLLARS THROUGH GANG RELATED MEDIATION. THE HEALTH CARE SAVINGS WERE $964,000 AND LAW ENFORCEMENT SAVINGS AMOUNTED TO $1.5 MILLION DOLLARS. NO ADDITIONAL UPDATES ON SAVINGS HAVE BEEN PROVIDED BY THE CITY OF KANSAS CITY. 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 2010 INCLUDE: A) THE TRAUMA SERVICES DEPARTMENT IS ENROLLING PATIENTS IN A PHARMACUETICAL TRIAL LOOKING AT THE EFFECT AND SAFETY OF OCTAPLEX AND FFP IN PATIENTS UNDER VITAMIN K ANTAGONIST THERAPY WITH THE NEED FOR URGENT SURGERY OR INVASIVE PROCEDURES. 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. 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, 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.
Inpatient CareFORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTSTHE 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 IS THE MEDICAL HOME TO MORE THAN 96,000 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 380 INPATIENT ACUTE CARE (INCLUDING 19 NICU) AND 212 LONG-TERM CARE BEDS. IN FISCAL YEAR 2011 (JULY 1, 2010-JUNE 30, 2011), TMC HAD 20,093 INPATIENT ADMISSIONS AND PROVIDED 92,637 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 2011, TMC HOSPITAL HILL INTERPRETIVE SERVICES PROVIDED MORE THAN 81,000 INTERPRETED ENCOUNTERS FOR PATIENTS IN 79 LANGUAGES. 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 CAMPUSES. 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 78 INPATIENT MENTAL HEALTH BEDS BETWEEN THE TWO CAMPUSES AND AN EMERGENCY DEPARTMENT. IN FY 2011, TMC BEHAVIORAL HEALTH TREATED NEARLY 16,000 PATIENTS, WITH 3,085 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 2011, TMC DELIVERED 3,039 BABIES WITH 525 NICU ADMISSIONS.
Outpatient CareFORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTSONE 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 35 PRIMARY, SPECIALTY AND MENTAL HEALTH CARE CLINICS AT TMC HOSPITAL HILL AND TMC LAKEWOOD, AS WELL AS, A NUMBER OF COMMUNITY-BASED PRIMARY AND MENTAL HEALTH CLINICS, TMC'S PERSON-FIRST APPROACH PUTS THE HEALTH NEEDS OF THE PATIENT ABOVE PROFIT. WE ARE NATIONALLY RECOGNIZED FOR OUR PROGRAMS IN ASTHMA, DIABETES, SICKLE CELL, WOMEN'S HEALTH AND EMERGENCY/TRAUMA SERVICES. HOWEVER, WE OFFER MANY MORE SERVICES, INCLUDING OPHTHALMOLOGY, CARDIOLOGY, GASTROENTEROLOGY, ORAL SURGERY AND COMMUNITY BASED MENTAL HEALTH SERVICES. IN 2011, TMC PROVIDED OUTPATIENT CARE FOR 522,851 PATIENTS, WITH 220,402 OF THOSE BEING OUTPATIENT MENTAL HEALTH CARE SERVICES. TMC'S MEDICAL PAVILIONS AT HOSPITAL HILL AND LAKEWOOD PROVIDE HIGH-QUALITY OUTPATIENT PRIMARY CARE, WHETHER A PATIENT'S NEEDS INCLUDE A GENERAL PHYSICAL EXAM OR HELP WITH A SPECIFIC COMPLAINT. TMC'S INTERNAL MEDICINE PHYSICIANS TREAT HIGH CHOLESTEROL, OSTEOPOROSIS, DIABETES, HIGH BLOOD PRESSURE, WOMEN'S HEALTH SERVICES AND SKIN DISORDERS, AMONG OTHERS. IN 2011, THE HIGHLY SKILLED PAVILION MEDICAL STAFF TREATED MORE THAN 23,000 PATIENTS. 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 AREA'S 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. THE PULMONARY CLINIC SEES NEARLY 1,000 PATIENTS EACH YEAR FOR THE TREATMENT AND CARE OF ASTHMA. DIABETES IN 2009, 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 2011, TMC TREATED MORE THAN 9,000 PATIENTS IN THE DIABETES OUTPATIENT AND EDUCATION CLINIC. SICKLE CELL TMC HOSPITAL HILL IS ALSO ONE OF THE TOP PROVIDERS OF SICKLE CELL CARE IN THE REGION, WITH KANSAS CITY'S 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 2011, 481 PATIENTS CONSIDER TMC AS THEIR MEDICAL HOME FOR SICKLE CELL CARE. WOMEN'S HEALTH SERVICES AS A NATIONAL CENTER OF EXCELLENCE IN WOMEN'S 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 173,904 VISITS IN 2011. 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.
Outpatient Care - ContinuedFORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTSCARDIOLOGY 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. TMC'S 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 2011, THE CARDIOLOGY CENTER PROVIDED MORE THAN 7,300 OUTPATIENT CLINIC VISITS, PERFORMED 708 CATHETERIZATION PROCEDURES, WHICH INCLUDED 615 HEART CATHETERIZATIONS (188 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 2011, THE TMC GI CENTER TREATED MORE THAN 4,000 PATIENTS AND PERFORMED MORE THAN 5,200 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 2011, THE OPHTHALMOLOGY DEPARTMENT TREATED MORE THAN 16,000 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. NEARLY 7,000 PATIENTS RECEIVED ORAL SURGICAL SERVICES AT TMC IN 2011 AND TREATED MORE THAN 17,000 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 2011, TMC BEHAVIORAL HEALTH PROVIDED 220,402 OUTPATIENT VISITS TO NEARLY 16,000 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, MEDICATION MANAGEMENT, REHABILITATION, SUBSTANCE ABUSE TREATMENT AND THERAPY AND COUNSELING FOR CHILDREN, ADOLESCENTS, ADULTS AND FAMILIES. JACKSON COUNTY HEALTH DEPARTMENT TMC CONTRACTS WITH THE JACKSON COUNTY, MISSOURI GOVERNMENT TO MANAGE THE JACKSON COUNTY HEALTH DEPARTMENT (JACOHD). IN 2011, THE JACOHD PROVIDED 159,304 COMMUNITY BASED ENCOUNTERS INCLUDING VACCINATIONS, COMMUNITY HEALTH EDUCATION AND ADULT TRAUMATIC BRAIN INJURY CASE MANAGEMENT. THE JCHD IS DEDICATED TO THE PREVENTION OF DISEASE AND THE MAINTENANCE OF A HIGH LEVEL OF HEALTH IN THE FAMILY AND COMMUNITY THROUGH EDUCATION, IMMUNIZATION, INSPECTION, AND SUPPORTIVE CARE.
ELECTION OF BOARDForm 990, Part VI, Section A, Line 7AALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE EACH FROM THE TMC MEDICAL STAFF AND UNIVERSITY PHYSICIAN ASSOCIATES, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BINFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE 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 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY "EXECUTIVES"). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE AND ANALYZE THE DISCLOSURES. WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVE 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.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE 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.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN NET ASSETS OF TMC FOUNDATION (108,741) TRANSFER TO AFFILIATE 110,226 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN 4,991,687 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 5,200 ---------- TOTAL $4,998,372
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL M. BLACK TITLE:CHAIRPERSON/DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT A. BROOKS III TITLE:PAST CHAIRPERSON/DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JON R. GRAY TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP B. RICHTER TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK T. STEELE, MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEROME S. TILZER, CPA TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM COLBY TITLE:LEGAL COUNSEL HOURS:2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AUXILIARY TO TRUMAN MEDICAL CENTER
2301 HOLMESKANSAS CITYMO64108436099279SUPPORTMO501(c)(3)11CNA
TMC PROF & GENERAL LIABILITY SELF-INS
2301 HOLMESKANSAS CITYMO64108431946384LIABILITY INSMO501(c)(3)11BNA
TMC FINANCE SUPPORT CORPORATION
2301 HOLMESKANSAS CITYMO64108271994129SUPPORTMO501(c)(3)11ATMC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TMC FINANCE SUPPORT CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved110226AmountInvolved

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
TRUMAN MEDICAL CENTER INCOR
2301 HOLMES STREETKANSAS CITYMO64108440661018X352055358488789459412782459501571$1,000,000$250,000000
TMC FINANCE SUPPORT CORPORAT
2301 HOMES STREETKANSAS CITYMO641082719941290002525$5$1000