Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2011 and ending 06-30-2012
BCheck if applicable:
CName of organization
Truman Medical Center Incorporated
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2301 HOLMES STREET
 
Room/suite
City or town, state or country, and ZIP + 4
KANSAS CITY, MO64108
D Employer identification number

44-0661018
E Telephone number

G Gross receipts $ 481,377,935
F Name and address of principal officer:
AL JOHNSON
2310 HOLMES
KANSAS CITY,MO64108
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TMCMED.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1976
M State of legal domicile: MO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 24
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 5,026
6 Total number of volunteers (estimate if necessary) .... 6 478
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,887,154 12,120,724
9 Program service revenue (Part VIII, line 2g) ......... 421,345,770 449,653,645
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 408,568 181,694
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 18,644,957 19,421,872
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 452,286,449 481,377,935
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 77,363 81,176
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 242,504,740 243,204,656
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 216,919,468 240,024,945
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 459,501,571 483,310,777
19 Revenue less expenses. Subtract line 18 from line 12....... -7,215,122 -1,932,842
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 321,815,144 300,298,357
21 Total liabilities (Part X, line 26)............. 213,811,168 221,322,120
22 Net assets or fund balances. Subtract line 21 from line 20..... 108,003,976 78,976,237
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 50,021,883 including grants of $ 0 ) (Revenue $ 56,289,062 )
EMERGENCY DEPARTMENT- SEE SCHEDULE O
4b (Code:   ) (Expenses $ 170,908,101 including grants of $ 0 ) (Revenue $ 192,320,962 )
INPATIENT CARE- SEE SCHEDULE O
4c (Code:   ) (Expenses $ 195,919,043 including grants of $ 81,176 ) (Revenue $ 220,465,493 )
OUTPATIENT CARE- SEE SCHEDULE O
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 416,849,027
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see attachment
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
188
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,026
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
31
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
24
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MO
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
AL JOHNSON
2310 HOLMES
KANSAS CITY,MO64108
(816) 404-3528
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOHN W BLUFORD
PRESIDENT/CEO/DIRECTOR
 40.0 X   X       1,028,915 0 198,670
(2) JOHN GIANINO
DIRECTOR/NEUROSURGEON
 40.0 X           428,119 0 135,966
(3) PAUL M BLACK
CHAIRPERSON/DIRECTOR
 1.0 X   X       0 0 0
(4) ROBERT A BROOKS III
PAST CHAIRPERSON/DIRECTOR
 1.0 X   X       0 0 0
(5) JON R GRAY
DIRECTOR
 1.0 X           0 0 0
(6) SARAH INGRAM-EISLER
DIRECTOR
 1.0 X           0 0 0
(7) CHARLES W PEFFER
TREASURER/DIRECTOR
 1.0 X   X       0 0 0
(8) JUAN M RANGEL JR
SECRETARY/DIRECTOR
 1.0 X   X       0 0 0
(9) NEIL T DOUTHAT
DIRECTOR
 1.0 X           0 0 0
(10) BETTY M DREES MD
DIRECTOR
 1.0 X           0 0 0
(11) PEGGY DUNN
VICE CHAIR/DIRECTOR
 1.0 X   X       0 0 0
(12) MATTHEW C GRATTON MD
DIRECTOR
 1.0 X           0 0 0
(13) PAUL P HOLEWINSKI
DIRECTOR
 1.0 X           0 0 0
(14) PETER S LEVI
DIRECTOR
 1.0 X           0 0 0
(15) LEO MORTON
DIRECTOR
 1.0 X           0 0 0
(16) DENNIS S O'LEARY MD
DIRECTOR
 1.0 X           0 0 0
(17) PHILIP B RICHTER
DIRECTOR
 1.0 X           0 0 0
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MARK T STEELE MD
DIRECTOR
 1.0 X           106,100 0 0
(19) JEROME S TILZER CPA
DIRECTOR
 1.0 X           0 0 0
(20) JOY WHEELER
DIRECTOR
 1.0 X           0 0 0
(21) REVEREND ERIC D WILLIAMS
DIRECTOR
 1.0 X           0 0 0
(22) EDWARD DULLENTY
DIRECTOR/TMC EMPLOYEE
 40.0 X           76,217 0 6,222
(23) MICHAEL OFOKANSI
DIRECTOR/TMC EMPLOYEE
 40.0 X           93,255 0 13,461
(24) SARAH RUIZ CHAVEZ
DIRECTOR
 1.0 X           0 0 0
(25) MICHELLE CHOLLET
DIRECTOR
 1.0 X           0 0 0
(26) CINDY CIRCO
DIRECTOR
 1.0 X           0 0 0
(27) RITA CORTES
DIRECTOR
 1.0 X           0 0 0
(28) MARK DONOVAN
DIRECTOR
 1.0 X           0 0 0
(29) MIKE ENOS
DIRECTOR
 1.0 X           0 0 0
(30) MARVIN LYMAN
DIRECTOR
 1.0 X           0 0 0
(31) DRED SCOTT
DIRECTOR
 1.0 X           0 0 0
(32) RYAN L WATSON
VICE CHAIR/DIRECTOR
 1.0 X   X       0 0 0
(33) CATHERINE DISCH
EXECUTIVE VP/COO
 40.0     X       468,116 0 114,879
(34) AL JOHNSON
CFO
 40.0     X       292,190 0 100,707
(35) STEPHEN JARVIS
CLINICAL CHAIR PSHYCHIATRY
 40.0         X   242,242 0 61,933
(36) CHARLES SHIELDS
COO-LAKEWOOD
 40.0         X   236,155 0 50,968
(37) WILLIAM COLBY
LEGAL COUNSEL
 40.0         X   251,269 0 69,903
(38) MITZI CARDENAS
VP/CHIEF INFORMATION OFFICER
 40.0         X   228,888 0 52,591
(39) MOHAMMAD RASHEED
PSYCHIATRIST
 40.0         X   216,598 0 37,557
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,668,064 0 842,857
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet170
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY OF MISSOURI- KANSAS CITY
 
  		MEDICAL SERVICES 14,944,128
UNIVERSITY PHYSICIAN ASSOCIATES
 
  		MEDICAL SERVICES 10,661,685
CERNER CORPORATION
 
  		MEDICAL SERVICES 8,464,325
MEDICAL IMAGING INC
 
  		MEDICAL SERVICES 4,597,135
UNION HILL ANESTHESIA
 
  		MEDICAL SERVICES 3,807,492
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet28
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,296,115
e Government grants (contributions)1e 5,515,651
f All other contributions, gifts, grants, and
similar amounts not included above1f 		5,308,958
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 12,120,724
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 621,110 259,755,273 259,755,273    
b EXPENSE REIMBURSEMENT 621,110 2,066,856 2,066,856    
c MEDICAID ENHANCEMENTS 621,110 150,286,708 150,286,708    
d LOCAL GOVERNMENT SUBSIDY 900,099 37,544,808 37,544,808    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 449,653,645
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 181,694     181,694
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet 0      
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a MEDICAL STAFF REVENUE 900,099 6,833 6,833    
b FICA REFUND 900,099 2,682,876 2,682,876    
c EMR IMPLEMENTATION 900,099 7,414,122 7,414,122    
d All other revenue .... 9,318,041 9,318,041    
e Total. Add lines 11a–11d ......MediumBullet 19,421,872
12 Total revenue. See Instructions....MediumBullet 481,377,935 469,075,517 0 181,694
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 81,176 81,176
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,705,981 798,265 1,907,716  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 200,579,115 176,939,518 23,639,597  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... -2,832,654 -2,480,993 -351,661  
9 Other employee benefits ....... 28,295,042 25,092,772 3,202,270  
10 Payroll taxes ........... 14,457,172 12,662,382 1,794,790  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 403,566   403,566  
c Accounting ........... 162,559   162,559  
d Lobbying ........... 80,305 70,668 9,637  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 0      
12 Advertising and promotion .... 0      
13 Office expenses ....... 145,791,985 116,865,206 28,926,779  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 9,773,263 7,317,239 2,456,024  
17 Travel ............ 156,464 128,300 28,164  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 459,775 217,566 242,209  
20 Interest ........... 4,618,788 4,064,533 554,255  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 27,497,227 24,197,560 3,299,667  
23 Insurance .............. 1,551,483 1,365,305 186,178  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a BAD DEBT EXPENSE 20,917,939 20,917,939    
b MEDICAL STAFF EXPENSES 50,705 50,705    
c MEDICAL SUPPLIES 28,560,886 28,560,886    
d _        
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 483,310,777 416,849,027 66,461,750 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 15,105 1 6,111,438
2 Savings and temporary cash investments ....... 237,919 2 191,237
3 Pledges and grants receivable, net ......... 764,206 3 717,085
4 Accounts receivable, net ......... 74,988,278 4 62,395,371
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 3,219,159 8 4,907,791
9 Prepaid expenses and deferred charges ............ 4,878,991 9 4,281,832
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 459,018,175
b Less: accumulated depreciation. ..... 10b 274,786,636 192,377,891 10c 184,231,539
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 45,333,595 15 37,462,064
16 Total assets. Add lines 1 through 15 (must equal line 34)... 321,815,144 16 300,298,357
Liabilities 17 Accounts payable and accrued expenses . 90,469,606 17 113,034,261
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 0 19 0
20 Tax-exempt bond liabilities .......... 78,096,352 20 72,926,166
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 38,752,489 23 27,763,024
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 6,492,721 25 7,598,669
26 Total liabilities. Add lines 17 through 25..... 213,811,168 26 221,322,120
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 90,014,207 27 61,262,932
28 Temporarily restricted net assets ..... 14,921,871 28 14,520,207
29 Permanently restricted net assets ..... 3,067,898 29 3,193,098
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 108,003,976 33 78,976,237
34 Total liabilities and net assets/fund balances ..... 321,815,144 34 300,298,357
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
481,377,935
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
483,310,777
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
-1,932,842
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
108,003,976
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-27,094,897
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
78,976,237
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Truman Medical Center Incorporated
  		Employer identification number

44-0661018
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Truman Medical Center Incorporated
  		Employer identification number

44-0661018
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
Truman Medical Center Incorporated
  		Employer identification number

44-0661018
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).Click to see attachment
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 36,360 36,360
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 43,945 43,945
c Total lobbying expenditures (add lines 1a and 1b) ................... 80,305 80,305
d Other exempt purpose expenditures ........................ 483,230,472 483,230,472
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 483,310,777 483,310,777
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 104,571 83,125 88,789 80,305 356,790
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 51,987 42,315 35,205 36,360 165,867
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 2,981,134 2,781,031 2,747,603 3,179,234
b Contributions ........ 125,200 5,200 1,100 250
c Net investment earnings, gains, and losses ... 70,859 291,700 140,396 -340,581
d Grants or scholarships ..... 0 0 0 0
e Other expenditures for facilities
and programs ........ 		99,840 96,797 108,068 91,300
f Administrative expenses .... 0 0 0 0
g End of year balance ...... 3,077,353 2,981,134 2,781,031 2,747,603
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,371,796 1,371,796
b Buildings ................   298,100,747 165,415,034 132,685,713
c Leasehold improvements ............        
d Equipment ................   155,338,838 109,371,602 45,967,236
e Other .................   4,206,794 0 4,206,794
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 184,231,539
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) ASSETS FOR CAPITAL ACQUISITION 2,113,615
(2) ASSETS EXTERNALLY RESTRICTED 499,264
(3) INTEREST IN ASSETS OF TMCCF 16,371,558
(4) DEFERRED FINANCING COST 687,918
(5) OTHER RECEIVABLES 15,644,983
(6) HELD BY BOND TRUSTEE 2,144,726



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 37,462,064
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
457F PLAN LIABILITY 2,113,615
UNAMORTIZED PREMIUM 768,619
OTHER LIABILITIES 4,716,435






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 7,598,669
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 481,377,935
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 483,310,777
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -1,932,842
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8 -27,094,897
9 Total adjustments (net). Add lines 4 through 8 ......................... 9 -27,094,897
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -29,027,739
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 459,198,136
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d 3,063,889
e Add lines 2a through 2d ..................... 2e 3,063,889
3 Subtract line 2e from line 1..................... 3 456,134,247
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b 25,243,688
c Add lines 4a and 4b....................... 4c 25,243,688
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 481,377,935
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 465,208,067
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d 3,896,427
e Add lines 2a through 2d...................... 2e 3,896,427
3 Subtract line 2e from line 1..................... 3 461,311,640
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b 21,999,137
c Add lines 4a and 4b....................... 4c 21,999,137
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 483,310,777
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS 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.)
UNCERTAIN TAX POSITIONS DISCLOSURE 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.
RECONCILIATION OF NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN NET ASSETS OF TMC FOUNDATION 235,761 TRANSFER TO AFFILIATE 115,794 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN ( 27,571,652) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 125,200 ----------- TOTAL ($ 27,094,897)
RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 274,430 RELATED ORGANIZATION REVENUE 2,789,459 ----------- TOTAL $ 3,063,889
RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 4B MEDICAL STAFF REVENUE 6,833 TEMPORARY RESTRICTED CONTRIBUTIONS 162,005 CONTRIBUTION USED FOR ASSET ACQUISITION 3,126,418 ELIMINATIONS 1,030,493 BAD DEBT EXPENSE 20,917,939 ---------- TOTAL $ 25,243,668
RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D RELATED ORGANIZATION EXPENSES $ 3,896,427
RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 4B ELIMINATIONS 1,030,493 MEDICAL STAFF EXPENSES 50,705 BAD DEBT EXPENSE 20,917,939 ----------- TOTAL $ 21,999,137
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ...............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    113,856,410 43,451,066 70,405,344 14.290 %
b Medicaid (from Worksheet 3, column a) .....     191,755,989 186,666,150 5,089,839 1.030 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .            
dTotal Financial Assistance and
Means-Tested Government Programs ..... 		    305,612,399 230,117,216 75,495,183 15.320 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    3,839,410 1,934,826 1,904,584 0.390 %
f Health professions education
(from Worksheet 5) .. 		    37,856,504 26,587,937 11,268,567 2.290 %
g Subsidized health services
(from Worksheet 6) .. 		    13,836,504 1,081,468 12,755,036 2.590 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....     438,997   438,997 0.090 %
jTotal Other Benefits ...     55,971,415 29,604,231 26,367,184 5.360 %
kTotal. Add lines 7d and 7j. ..     361,583,814 259,721,447 101,862,367 20.680 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     680,000   680,000  
9 Other            
10 Total     680,000   680,000  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
20,917,939
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
15,688,454
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
58,827,874
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
87,602,000
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-28,774,126
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?2
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 TRUMAN MEDICAL CENTER - HOSPITAL HILL
2301 HOLMES
KANSAS CITY,MO64108 		X X   X     X    
2 TRUMAN MEDICAL CENTER - LAKEWOOD
7900 LEES SUMMIT ROAD
KANSAS CITY,MO64139 		X X   X     X    
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
TRUMAN MEDICAL CENTER - HOSPITAL HILL
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
TRUMAN MEDICAL CENTER - LAKEWOOD
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14 Yes  
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 TMC BEHAVIOR HEALTH
300 WEST 19TH TERRACE
KANSAS CITY,MO64108 		MENTAL HEALTH SERVICES
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
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 $20,917,939.
PART I, LINE 7G   THE ORGANIZATION DEDUCTION INCLUDES $2,500,000 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7   THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES PART II TMC 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.
BAD DEBT EXPENSE PART III, 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.
MEDICARE PART III, LINE 8 TMC 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 $23 MILLION IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT (MEDICARE/MEDICAID ELIGIBLE) POPULATION.
PART III, LINE 9B   TMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED CARE AMOUNTS FOR INDIVIDUALS OUTSIDE THE CATCHMENT AREA.
METHOD OF APPLYING FINANCIAL ASSISTANCE PART V, SECTION B, LINE 12 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 17E   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 VI, LINE 19D   PATIENT RESPONSIBILITY FOR EMERGENCY SERVICES APPROXIMATES TMC COST FOR PROVIDING SERVICE.
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.
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 2011-2012 COMMUNITY BENEFIT REPORT ATTACHED.
Schedule H (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number
44-0661018
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION2310 HOLMES SUITE 735
KANSAS CITY,MO64108 		43-1194064 501(c)(3) 46,174       SUPPORT
(2) AUXILIARY TO TRUMAN MEDICAL CENTER2301 HOLMES
KANSAS CITY,MO64108 		43-6099279 501(C)(3) 35,002       SUPPORT




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S. SCHEDULE I, PART I, LINE 2 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.
Schedule I (Form 990) 2011


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOHN W BLUFORD (i)
(ii)		 644,617
0 		373,275
0 		11,023
0 		150,575
0 		48,095
0 		1,227,585
0 		0
0
(2) CATHERINE DISCH (i)
(ii)		 334,117
0 		131,762
0 		2,237
0 		86,758
0 		28,121
0 		582,995
0 		0
0
(3) AL JOHNSON (i)
(ii)		 290,721
0 		0
0 		1,469
0 		71,587
0 		29,120
0 		392,897
0 		0
0
(4) JOHN GIANINO (i)
(ii)		 427,445
0 		0
0 		674
0 		100,974
0 		34,992
0 		564,085
0 		0
0
(5) STEPHEN JARVIS (i)
(ii)		 241,277
0 		0
0 		965
0 		24,069
0 		37,864
0 		304,175
0 		0
0
(6) CHARLES SHIELDS (i)
(ii)		 235,652
0 		0
0 		503
0 		12,984
0 		37,984
0 		287,123
0 		0
0
(7) WILLIAM COLBY (i)
(ii)		 250,233
0 		0
0 		1,036
0 		28,851
0 		41,052
0 		321,172
0 		0
0
(8) MITZI CARDENAS (i)
(ii)		 223,406
0 		5,000
0 		482
0 		18,901
0 		33,690
0 		281,479
0 		0
0
(9) MOHAMMAD RASHEED (i)
(ii)		 216,360
0 		0
0 		238
0 		29,703
0 		7,854
0 		254,155
0 		0
0







Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION BENEFITS 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.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B & PART II 2011 2011 2011 ACCRUAL DISTRIBUTION TOTAL JOHN W. BLUFORD $121,880 -0- $121,880 CATHERINE DISCH $58,382 -0- $58,382 AL JOHNSON $44,034 -0- $44,034 JOHN GIANINO $75,497 -0- $75,497 STEPHEN JARVIS $14,281 -0- $14,281 WILLIAM COLBY $23,727 -0- $23,727 MITZI CARDENAS $12,999 -0- $12,999 MOHAMMAD RASHEED $12,687 -0- $12,687 CHARLES SHIELDS $12,335 -0- $12,335
COMPENSATION FROM UNRELATED ORGANIZATION 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.
COMPENSATION REPORTED IN PRIOR YEAR FORM 990 SCHEDULE J, PART II, COLUMN F COMPENSATION 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 J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number
44-0661018
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A JACKSON COUNTY MISSOURI PUBLIC BUILDING CORP
  		43-1772348 46737ECH3 05-18-2006 20,236,825 CONSTRUCTION   X   X   X
B JACKSON COUNTY MISSOURI
  		44-6000524 467578FS4 05-17-2011 24,674,279 CONSTRUCTION & EQUIPMENT   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 0 0    
2 Amount of bonds legally defeased . . . . . . . . . . 0 0    
3 Total proceeds of issue . . . . . . . . . . . . . 20,236,825 24,674,279    
4 Gross proceeds in reserve funds . . . . . . . . 0 0    
5 Capitalized interest from proceeds . . . . . . . . . . 0 0    
6 Proceeds in refunding escrows . . . . . . . . . . . 0 2,144,726    
7 Issuance costs from proceeds . . . . . . . . . . . 245,099 289,276    
8 Credit enhancement from proceeds . . . . . . . . . . 139,000 0    
9 Working capital expenditures from proceeds . . . . . . . 0 0    
10 Capital expenditures from proceeds . . . . . . . . . . 2,600,000 24,385,000    
11 Other spent proceeds . . . . . . . . . . . 0 0    
12 Other unspent proceeds . . . . . . . . . . . 0 0    
13 Year of substantial completion . . . . . . . . . . . 2006 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . .   X   X        
15 Were the bonds issued as part of an advance refunding issue? . . . .   X   X        
16 Has the final allocation of proceeds been made? . . . . . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . X   X          
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . X   X          
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X        
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0.00000%   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000%   %   %
6 Total of lines 4 and 5 . . .. . . . . . . . . 0.00000% 0.00000%   %   %
7 Does the bond issue meet the private security or payment test? . . . X   X          
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X        
2 Is the bond issue a variable rate issue?   X   X        
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider . . . . . . . . 0
  		0
  		 
  		 
 
c Term of hedge . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was a hedge terminated? . . . . .                
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X        
b Name of provider . . . . . . 0
  		0
  		 
  		 
 
c Term of GIC . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .                
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .   X   X        
6 Did the bond issue qualify for an exception to rebate? .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X        
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SEE PART V          
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART VI, LINES 1 & 2 LINE 1: (A) JE DUNN CONSTRUCTION (B) PEGGY DUNN IS A DIRECTOR OF TMC AND IS ALSO A DIRECTOR OF JE DUNN CONSTRUCTION. (C) $148,522 (D) CONSTRUCTION SERVICES (E) NO LINE 2: (A) LW ANESTHESIA (B) JON R. GRAY IS A DIRECTOR OF TMC AND HIS SPOUSE, VALERIE CHOW, IS AN OWNER OF LW ANESTHESIA. (C) $2,010,530 (D) ANESTHESIA SERVICES (E) NO
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Identifier Return Reference Explanation
Emergency/Trauma Services FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS TRUMAN MEDICAL CENTERS' EMERGENCY DEPARTMENTS PROVIDED CARE TO MORE THAN 104,000 PATIENTS IN 2012, 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 32,000 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 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 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. TMC'S 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 2012 INCLUDE: A) THE TRAUMA SERVICES DEPARTMENT IS ENROLLING PATIENTS IN PHARMACEUTICAL TRIALS LOOKING AT THE EFFIACY AND SAFETY OF PHARMACOKINETICS OF SUN13837 INJECTIONS IN ADULT SUBJECTS WITH ACUTE SPINAL CORD INJURIES. ANOTHER TRIAL IS LOOKING AT THE EFFICACY AND SAFETY OF PROGESTERONE IN PATIENT WITH SEVERE TRAUMATIC BRAIN INJURY. 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 PHYSICIAN'S 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 Care FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS 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 IS THE MEDICAL HOME TO MORE THAN 108,000 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 422 INPATIENT ACUTE CARE (INCLUDING 19 NICU) AND 188 LONG-TERM CARE BEDS. IN FISCAL YEAR 2012 (JULY 1, 2011-JUNE 30, 2012), TMC HAD 19,026 INPATIENT ADMISSIONS AND PROVIDED 88,244 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 TMC'S 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 2012, TMC HOSPITAL HILL INTERPRETIVE SERVICES PROVIDED NEARLY 100,000 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 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 2012, TMC BEHAVIORAL HEALTH TREATED NEARLY 16,000 PATIENTS, WITH 3,458 PATIENTS ADMITTED FOR INPATIENT MENTAL HEALTH CARE AT A TMC FACILITY. WOMEN'S HEALTH TMC OFFERS FULL WOMEN'S 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 2012, TMC DELIVERED 3,253 BABIES. ALSO IN FY 2012, TMC LAKEWOOD OPENED A NEWLY RENOVATED AND EXPANDED LABOR AND DELIVERY UNIT SERVING THE PEOPLE OF EASTERN JACKSON COUNTY. THE NEW UNIT HAD A NEARLY 35% INCREASE IN BIRTHS SINCE OPENING.
Outpatient Care FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS 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 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 2012, TMC PROVIDED OUTPATIENT CARE FOR 556,482 PATIENTS, WITH 226,613 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. 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 2012, TMC TREATED MORE THAN 14,000 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 2012, 573 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 172,571 VISITS IN 2012. 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. 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 2012, THE CARDIOLOGY CENTER PROVIDED MORE THAN 8,173 OUTPATIENT CLINIC VISITS, PERFORMED 705 CATHETERIZATION PROCEDURES, WHICH INCLUDED 503 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 2012, THE TMC GI CENTER TREATED MORE THAN 5,500 PATIENTS IN NEARLY 11,000 PATIENT VISITS AND PERFORMED MORE THAN 6,700 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 2012, THE OPHTHALMOLOGY DEPARTMENT TREATED MORE THAN 18,000 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). MORE THAN 8,200 PATIENTS RECEIVED ORAL SURGICAL SERVICES AT TMC IN 2012 AND TREATED MORE THAN 18,500 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 2012, TMC BEHAVIORAL HEALTH PROVIDED 226,613 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 2012, THE JACOHD PROVIDED 118,764 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 BOARD 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 REVIEW PROCESS 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.
CONFLICT OF INTEREST POLICY 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 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 REVIEW 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.
AVAILABILITY OF DOCUMENTS 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.
PENSION PLAN ACCRUALS AND CONTRIBUTIONS FORM 990, PART IX, LINE 8 ON 2/29/2012 TMC, INC. FROZE THEIR PENSION PLAN. THIS RESULTED IN AN IMMEDIATE RECOGNITION OF $7,290,297 OF INCOME FROM PRIOR YEAR SERVICE COSTS.
OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN NET ASSETS OF TMC FOUNDATION 235,761 TRANSFER TO AFFILIATE 115,794 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN ( 27,571,652) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 125,200 ----------- TOTAL ($ 27,094,897)
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL M. BLACK TITLE:CHAIRPERSON/DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT A. BROOKS III TITLE:PAST CHAIRPERSON/DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JON R. GRAY TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP B. RICHTER TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK T. STEELE, MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEROME S. TILZER, CPA TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM COLBY TITLE:LEGAL COUNSEL HOURS:2
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Truman Medical Center Incorporated
 
Employer identification number

44-0661018
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) AUXILIARY TO TRUMAN MEDICAL CENTER

2301 HOLMES

KANSAS CITY,MO64108
43-6099279 		SUPPORT MO 501(C)(3) 11C NA
 
 
No
(2) TMC PROF & GENERAL LIABILITY SELF-INS

2301 HOLMES

KANSAS CITY,MO64108
43-1946384 		LIABILITY INS MO 501(C)(3) 11B NA
 
 
No
(3) TMC FINANCE SUPPORT CORPORATION

2301 HOLMES

KANSAS CITY,MO64108
27-1994129 		SUPPORT MO 501(C)(3) 11A TMC
 
Yes
 








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) TMC FINANCE SUPPORT CORPORATION

 R 115,794 COST
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version:  






TY 2011 AffiliatedGroupSchedule
Name:
Truman Medical Center Incorporated
EIN: 44-0661018
Affiliated Group Business Name:
TRUMAN MEDICAL CENTER INCOR
 
Address. Either US or Foreign Type:
2301 HOLMES STREET
KANSAS CITY, MO64108    
EIN:
44-0661018
Electing Organization Checkbox:
Total Grassroots Lobbying:
36,360
Total Direct Lobbying:
43,945
Total Lobbying Expenditures:
80,305
Other Exempt Purpose Expenditures:
483,230,472
Total Exempt Purpose Expenditures:
483,310,777
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TMC FINANCE SUPPORT CORPORAT
 
Address. Either US or Foreign Type:
2301 HOMES STREET
KANSAS CITY, MO64108    
EIN:
27-1994129
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0