Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
TRUMAN MEDICAL CENTER INCORPORATED
 
 
Doing business as
UNIVERSITY HEALTH
 
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 province, country, and ZIP or foreign postal code
KANSAS CITY, MO64108
D Employer identification number

44-0661018
E Telephone number

G Gross receipts $ 895,445,323
F Name and address of principal officer:
CHARLES W SHIELDS
2301 HOLMES STREET
KANSAS CITY,MO64108
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.UNIVERSITYHEALTHKC.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
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: UNIVERSITY HEALTH IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 33
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 33
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 5,829
6 Total number of volunteers (estimate if necessary) ............. 6 254
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 25,255,480 61,515,243
9 Program service revenue (Part VIII, line 2g) ......... 749,923,070 812,317,878
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,178,412 1,050,840
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 59,591,329 17,163,150
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 835,948,291 892,047,111
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 402,500 75,000
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 459,418,370 473,942,813
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 366,688,193 396,969,946
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 826,509,063 870,987,759
19 Revenue less expenses. Subtract line 18 from line 12....... 9,439,228 21,059,352
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 517,024,975 533,639,682
21 Total liabilities (Part X, line 26)............. 308,162,972 291,726,417
22 Net assets or fund balances. Subtract line 21 from line 20..... 208,862,003 241,913,265
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
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: UNIVERSITY HEALTH 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 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 $ 442,782,339 including grants of $ 75,000 ) (Revenue $ 473,369,955 )
OUTPATIENT DEPARTMENT- SEE SCHEDULE O
4b (Code:   ) (Expenses $ 233,978,101 including grants of $ 0 ) (Revenue $ 258,989,871 )
INPATIENT CARE- SEE SCHEDULE O
4c (Code:   ) (Expenses $ 87,741,788 including grants of $ 0 ) (Revenue $ 97,121,202 )
EMERGENCY DEPARTMENT- SEE SCHEDULE O
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses764,502,228
Form 990 (2024)
Form 990 (2024)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
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 I.........................
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 II....
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..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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 IV..............
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
List of Attached Documents:
// Content
......
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, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
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.......
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.......
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
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
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
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 and XII is optional Click to see attachment
List of Attached Documents:
// Content
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, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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. See instructions. ....
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 hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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
List of Attached Documents:
// Content
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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
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.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
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............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
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 ...
35b
 
No
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.............
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 VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
280
b
Enter the number of Forms W-2G included on 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
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
5,829
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
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” to line 3b, 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, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions? ...
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. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring 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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
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 or note to any line 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
1a
33
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
33
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
 
No
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
 
No
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 on Schedule O the process, if any, used by the organization to review this 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 on 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 on 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
Yes
 
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
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
MO
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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, address, and telephone number of the person who possesses the organization's books and records:
LAURA SHOCKLEY2301 HOLMES STREET   KANSAS CITY,MO64108 (816) 404-3525
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JON OTTO......................................................................
VICE CHAIR/DIRECTOR
 1.0
.................
0.0 		X   X       0 0 0
(2) KIMBERLY BEATTY EDD......................................................................
VICE CHAIR/DIRECTOR
 1.0
.................
0.0 		X   X       0 0 0
(3) MICHAEL COLLINS......................................................................
VICE CHAIR/DIRECTOR
 1.0
.................
0.0 		X   X       0 0 0
(4) STEVE HAWN......................................................................
VICE CHAIR/DIRECTOR
 1.0
.................
0.0 		X   X       0 0 0
(5) TRACEY LEWIS......................................................................
CHAIR/DIRECTOR
 1.0
.................
0.0 		X   X       0 0 0
(6) A J HERRMANN......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(7) AKIN CIL MD......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(8) ALEXANDER NORBASH MD......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(9) BEN JONES......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(10) Beth ROSEMERGEY DO......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(11) BONNAYE MIMS......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(12) CARLOS GOMEZ......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(13) CLYDE MCQUEEN......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(14) DUKE DUJAKOVICH......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(15) EILEEN WEIR......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(16) JAMES TERRANCE JR......................................................................
DIRECTOR
 1.0
.................
0.0 		X           0 0 0
(17) Jay Howard......................................................................
Director
 1.0
.................
0.0 		X           0 0 0
Form 990 (2024)
Form 990 (2024)
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 (list any hours for related organizations below dotted line) 		(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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JIGNESH SHAH MD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(19) JILL MOORMEIER MD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(20) Kamani Lankachandra MD........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(21) LAUREN ARTHUR........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(22) MADELEINE MCDONOUGH........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(23) MARGARET GIBSON MD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(24) MAULI AGRAWAL........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(25) Megan Marshall........................................................................
Director
 1.0
.......................0.0 		X           0 0 0
(26) MELISSA ROBINSON........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(27) MICHAEL SHORT........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(28) PAT CONTRERAS........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(29) SEN KIKI CURLS........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(30) TROY NASH EDD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(31) VALERIE CHOW MD........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(32) WILL BLOCK........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(33) ZANE M BURKE........................................................................
DIRECTOR
 1.0
.......................0.0 		X           0 0 0
(34) CHARLES W SHIELDS........................................................................
PRESIDENT/CEO/DIRECTOR
 40.0
.......................0.0 		    X       1,459,871 0 76,097
(35) JOHN WILSON........................................................................
TREASURER
 40.0
.......................0.0 		    X       665,686 0 67,255
(36) JOLIE L JUSTUS........................................................................
SECRETARY
 40.0
.......................2.0 		    X       464,414 0 107,621
(37) MARK T STEELE MD........................................................................
CHIEF MEDICAL OFFICER
 24.0
.......................26.0 		    X       542,261 0 0
(38) GERARD GRIMALDI........................................................................
CHIEF HEALTH POLICY/GOVT RELAT
 40.0
.......................0.0 		        X   469,236 0 49,660
(39) JOHN GIANINO........................................................................
NEUROSURGEON
 40.0
.......................1.0 		        X   640,909 0 134,708
(40) MITZI CARDENAS........................................................................
EXECUTIVE CHIEF ADMIN OFFICER
 40.0
.......................0.0 		        X   755,805 0 59,119
(41) RUTH PULLINS........................................................................
CHIEF HR OFFICER
 40.0
.......................0.0 		        X   527,638 0 65,146
(42) Savanna Hughes........................................................................
CRNA
 40.0
.......................0.0 		        X   409,079 0 24,229
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 5,934,899 0 583,835
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 809
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
Yes
 
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
ORACLE AMERICA

2800 RockCreek PKY
KANSAS CITY,MO64177 		IT Services 19,777,831
UNIVERSITY OF MISSOURI-KANSAS CITY

PO BOX 805111
KANSAS CITY,MO64180 		MEDICAL SERVICES 18,439,627
UNION HILL ANESTHESIA PC

5512 ABERDEEN RD
FAIRWAY,KS66205 		MEDICAL SERVICES 9,061,356
MEDICAL IMAGING PA

127 W 10TH STREET
SUITE 202
KANSAS CITY,MO64105 		MEDICAL SERVICES 6,561,138
CHILDRENS MERCY HOSPITALS

PO BOX 843749
KANSAS CITY,MO64184 		MEDICAL SERVICES 5,639,388
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 40
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 53,882,502
f All other contributions, gifts, grants, and similar amounts not included above1f 7,632,741
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 61,515,243
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 621110 612,930,257 612,930,257    
b MEDICAID ENHANCEMENTS 621110 100,472,284 100,472,284    
c AFFILIATION REIMBURSEMENT 900099 61,408,000 61,408,000    
d 340B REVENUE 621110 37,507,337 37,507,337    
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ..... 812,317,878
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 999,052     999,052
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c 0 0
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a   3,450,000
b Less: cost or other basis and sales expenses 7b   3,398,212
c Gain or (loss) 7c 0 51,788
d Net gain or (loss)......... 51,788     51,788
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a LAB 621511 5,337,527 5,337,527    
b EXPENSES REIMBURSEMENTS 900099 2,285,029 2,285,029    
c ACADEMIC SUPPORT 900099 2,002,852 2,002,852    
d All other revenue .... 7,537,742 7,537,742 0 0
e Total. Add lines 11a–11d ...... 17,163,150
12 Total revenue. See instructions..... 892,047,111 829,481,028 0 1,050,840
Form 990 (2024)
Form 990 (2024)
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).Check if Schedule O contains a response or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21 .... 75,000 75,000
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 3,086,891   3,086,891  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 381,477,764 336,438,487 45,039,277  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,589,662 8,234,537 355,125  
9 Other employee benefits ....... 55,168,274 49,432,651 5,735,623  
10 Payroll taxes ........... 25,620,222 23,498,414 2,121,808  
11 Fees for services (non-employees):        
a Management ...... 7,483,383   7,483,383  
b Legal ......... 3,874,457   3,874,457  
c Accounting ........... 226,941   226,941  
d Lobbying ........... 143,545   143,545  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 10,560,820 10,560,820 0 0
12 Advertising and promotion .... 1,470,598 1,102,949 367,649  
13 Office expenses ....... 106,201,487 81,080,258 25,121,229  
14 Information technology ...... 23,586,102 17,689,577 5,896,525  
15 Royalties ..        
16 Occupancy ........... 14,218,290 13,841,319 376,971  
17 Travel ............ 739,914 582,583 157,331  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 136,179 99,684 36,495  
20 Interest ........... 4,067,951 3,620,476 447,475  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 26,463,694 24,396,253 2,067,441  
23 Insurance ... 8,333,737 7,863,741 469,996  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PHARMACEUTICALS 99,738,423 99,738,423    
b MEDICAL SUPPLIES 62,216,705 62,216,705    
c FRA EXPENSES 20,986,526 20,986,526    
d
e All other expenses 6,521,194 3,043,825 3,477,369 0
25 Total functional expenses. Add lines 1 through 24e 870,987,759 764,502,228 106,485,531 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 if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 26,395,722 1 34,286,433
2 Savings and temporary cash investments ......... 6,045,901 2 12,998,074
3 Pledges and grants receivable, net ...... 3,340,197 3 5,259,348
4 Accounts receivable, net ............. 120,676,076 4 120,578,910
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 7,349,775 8 7,954,739
9 Prepaid expenses and deferred charges ...... 10,671,398 9 10,218,579
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 775,891,435
b Less: accumulated depreciation 10b 512,845,417 272,137,570 10c 263,046,018
11 Investments—publicly traded securities . 6,045,525 11 12,997,142
12 Investments—other securities. See Part IV, line 11 ..... 1,116,010 12 1,274,405
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 63,246,801 15 65,026,034
16 Total assets. Add lines 1 through 15 (must equal line 33)... 517,024,975 16 533,639,682
Liabilities 17 Accounts payable and accrued expenses ..... 166,448,608 17 165,025,294
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 74,252,160 20 68,324,875
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 20,206,554 23 19,173,923
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 47,255,650 25 39,202,325
26 Total liabilities. Add lines 17 through 25.. 308,162,972 26 291,726,417
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 193,766,044 27 225,619,149
28 Net assets with donor restrictions ........... 15,095,959 28 16,294,116
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 0 31 0
32 Total net assets or fund balances ........... 208,862,003 32 241,913,265
33 Total liabilities and net assets/fund balances ........ 517,024,975 33 533,639,682
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
892,047,111
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
870,987,759
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
21,059,352
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
208,862,003
5
Net unrealized gains (losses) on investments ...............
5
531,766
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
11,460,144
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
241,913,265
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
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 (2024)
Form 990 (2024)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
TRUMAN MEDICAL CENTER INCORPORATED
 
Employer identification number

44-0661018
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
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
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
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


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
TRUMAN MEDICAL CENTER INCORPORATED
  		Employer identification number

44-0661018
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $  
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) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE C
(Form 990)

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

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
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 ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

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

$  
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
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 right arrowexpenses, and share of excess lobbying expenditures).Click to see attachment
List of Attached Documents:
// Content

B Check right arrow
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) ...................... 0 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 143,545 143,545
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 143,545 143,545
d Other exempt purpose expenditures ............................................................................... 870,844,214 870,844,214
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 870,987,759 870,987,759
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-. ................................................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0 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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable 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 130,179 143,349 149,375 143,545 566,448
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 0 0 0 0 0
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
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 on 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
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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 July 25, 2006, 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 right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
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, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB 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)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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" on 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 XIII 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, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on 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 .... 4,386,155 3,926,025 3,562,640 4,576,540 3,555,670
b Contributions ... 5,500   109,617    
c Net investment earnings, gains, and losses 468,200 464,984 362,281 -507,830 1,026,262
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		512,280 4,854 108,513 506,070 5,392
f Administrative expenses ....          
g End of year balance ...... 4,347,575 4,386,155 3,926,025 3,562,640 4,576,540
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow0 %
b
Permanent endowment right arrow71.1 %
c
Term endowment right arrow28.9 %
The percentages on 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" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 .....   5,384,359 5,384,359
b Buildings ....   520,887,138 310,598,534 210,288,604
c Leasehold improvements   0 0 0
d Equipment ....   235,913,341 202,246,883 33,666,458
e Other .....   13,706,597 0 13,706,597
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 263,046,018
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)ASSETS FOR CAPITAL ACQUISITION 7,320,127
(2)ASSETS EXTERNALLY RESTRICTED 717,442
(3)INTEREST IN ASSETS OF UH Foundation 15,576,674
(4)OTHER RECEIVABLES 8,286,953
(5)OPERATING LEASE ROU ASSETS 24,586,638
(6)ACCRUED PENSION ASSET 8,538,200
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 65,026,034
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Federal Income Taxes  
457F PLAN LIABILITY 7,320,127
UNAMORTIZED PREMIUM 895,240
OTHER LIABILITIES 5,209,780
OPERATING LEASE LIABILITY 25,777,178




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 39,202,325
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 999,902,111
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 531,766
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d 107,497,160
e Add lines 2a through 2d ..................... 2e 108,028,926
3 Subtract line 2e from line 1.................. 3 891,873,185
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 XIII.) ........... 4b 173,926
c Add lines 4a and 4b.................... 4c 173,926
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 892,047,111
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 977,813,718
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 XIII.) ........... 2d 106,881,524
e Add lines 2a through 2d.................... 2e 106,881,524
3 Subtract line 2e from line 1................... 3 870,932,194
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 XIII.) ........... 4b 55,565
c Add lines 4a and 4b..................... 4c 55,565
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 870,987,759
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part V, Line 4 Intended uses of endowment funds THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT UNIVERSITY HEALTH FOUNDATION. THE FOUNDATION'S ENDOWMENT CONSISTS OF SIX INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THESE INTENTIONS INCLUDE: SUPPORTING INFECTIOUS DISEASE EDUCATION AT UNIVERSITY HEALTH. SUPPORTING THE WOMEN'S HEALTH DEPARTMENT AT UNIVERSITY HEALTH. SUPPORTING THE TRAUMA DEPARTMENT AT UNIVERSITY HEALTH. PROVIDING PROGRAM SUPPORT TO BEHAVIORAL HEALTH AT UNIVERSITY HEALTH. SUPPORTING THE UNRESTRICTED NEEDS OF UNIVERSITY HEALTH. SUPPORTING ALZHEIMER UNIT AT UNIVERSITY HEALTH. THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT. UNDER THE FOUNDATION'S POLICIES, ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRESERVE AND PROTECT ASSETS BY EARNING A TOTAL RETURN FOR EACH ENDOWMENT APPROPRIATE TO EACH FUND'S TIME HORIZON, LIQUIDITY NEEDS AND RISK TOLERANCE. THE FOUNDATION HAS A POLICY (THE SPENDING POLICY) OF APPROPRIATING FOR EXPENDITURE EACH YEAR THE LESSER OF 5% OF ITS ENDOWMENT FUND'S FAIR VALUE OR THE FUND'S NET INCOME THROUGH THE YEAR END PRECEDING THE YEAR IN WHICH EXPENDITURE IS PLANNED.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 RELATED ORGANIZATION REVENUE - XXX-XX-XXXX ELIMINATIONS - -XXX-XX-XXXX
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements MEDICAL STAFF REVENUE - 173926
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RELATED ORGANIZATION EXPENSES - XXX-XX-XXXX ELIMINATIONS - -XXX-XX-XXXX
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements MEDICAL STAFF EXPENSES - 55565
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
TRUMAN MEDICAL CENTER INCORPORATED
 
Employer identification number

44-0661018
Part I
Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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, as a factor in determining 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

 

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

5a

 

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
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
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
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) . . . 		    65,281,097 49,028,574 16,252,523 1.866 %
b Medicaid (from Worksheet 3, column a) . . . . .     297,408,391 339,752,221 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 362,689,488 388,780,795 16,252,523 1.866 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,047,037   1,047,037 0.120 %
f Health professions education (from Worksheet 5) . . .     48,618,506 38,884,896 9,733,610 1.118 %
g Subsidized health services (from Worksheet 6) . . . .     2,397,125   2,397,125 0.275 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     5,266   5,266 0.001 %
j Total. Other Benefits . . 0 0 52,067,934 38,884,896 13,183,038 1.514 %
k Total. Add lines 7d and 7j . 0 0 414,757,422 427,665,691 29,435,561 3.380 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
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         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
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 Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
44,642,596
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
33,481,947
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
56,778,427
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
44,730,126
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
12,048,301
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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UNIVERSITY HEALTH TRUMAN MED CTR
2301 HOLMES
KANSAS CITY,MO64108
WWW.UNIVERSITYHEALTHKC.ORG/
285-46 		X X   X   X X     A
2 UNIVERSITY HEALTH LAKEWOOD MED CTR
7900 LEES SUMMIT ROAD
KANSAS CITY,MO64139
WWW.UNIVERSITYHEALTHKC.ORG/
195-61 		X X   X   X X     A
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 25
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 25
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.universityhealthkc.org/about-us/publications/community-health-needs-assessment/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.0%
and FPG family income limit for eligibility for discounted care of 400.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - BOTH FACILITIES. UNIVERSITY HEALTH DEVELOPED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED ELECTRONICALLY AND VIA PAPER SURVEYS AND SUMMARIZED. TWENTY-THREE PARTNER ORGANIZATIONS PARTICIPATED IN THE SURVEY. THIS SURVEY ESTABLISHED THE SET OF ISSUES OF MOST INTEREST TO THE COMMUNITY. RESPONDENTS WERE ASKED TO SELECT ISSUES, AND ALSO TO CONSIDER SERVICES THEY BELIEVED COULD BE STRENGTHENED IN TERMS OF ACCESS, AVAILABILITY AND/OR QUALITY. RESPONSES WERE SUMMARIZED TO PROVIDE A CONSENSUS REPORT. 1,792 COMPLETED SURVEYS WERE COLLECTED AND THE RESULTS AGGREGATED AND ANALYZED TO IDENTIFY THE MOST IMPORTANT ISSUES THE COMMUNITY BELIEVES UH NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH UH FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - BOTH FACILITIES. UH COMPLETED CHNA REPORTS FOR TWO FACILITIES, UNIVERSITY HEALTH - TRUMAN MEDICAL CENTER AND UNIVERSITY HEALTH - LAKEWOOD MEDICAL CENTER, AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - BOTH FACILITIES. ASSESSING THE NEEDS OF THE COMMUNITY IS AN INTEGRAL PART OF UH'S DAY-TO-DAY OPERATIONS. AS A SAFETY NET PROVIDER WITH A SIGNIFICANT POPULATION OF UNINSURED PATIENTS, IT IS CRITICAL TO UH'S SURVIVAL TO ASSURE PROVISION OF CARE THAT MEETS COMMUNITY NEED AND KEEPS THE COSTS OF CARE AS REASONABLE AS POSSIBLE. A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS INITIATED IN THE FALL OF 2012, IN THE FALL OF 2015, IN THE FALL OF 2019, AND AGAIN IN 2022. THIS PROCESS INCLUDED THE FOLLOWING STEPS: DEFINE COMMUNITY. AS PART OF THIS PHASE, UH EXAMINED THE CURRENT PATIENT DATA FILE AND OTHER DOCUMENTATION OF DEFINED GEOGRAPHIC SERVICE AREA FOR HOSPITAL HILL AND LAKEWOOD FACILITIES. THIS INCLUDED: - DEFINE GEOGRAPHIC SERVICE AREA - DEFINE SPECIFIC TARGET POPULATIONS WITH BROADER REACH THAN THE GEOGRAPHIC SERVICE AREA IDENTIFY PARTNERS. UH HAS MANY PARTNERS. AS PART OF ITS ONGOING WORK IN MEETING COMMUNITY NEED, UH ENGAGES THESE ORGANIZATIONS IN STRATEGIC PLANNING AND IN HELPING IDENTIFY ORGANIZATIONAL PRIORITIES. DURING THIS PHASE, UH COMPLETED THE FOLLOWING: - ESTABLISHED AN INVENTORY OF UH INVOLVEMENT IN COMMUNITY-BASED PARTNERSHIPS - IDENTIFIED CONSUMERS AND ENGAGED THEM THROUGH FOCUS GROUPS AND SURVEYS SECONDARY DATA: UH ASSEMBLED A BROAD SET OF DATA TO MEASURE AND EVALUATE HEALTH STATUS, HEALTH STATISTICS AND THE INCIDENCE RATES OF DISEASE, ILLNESS AND ACCIDENTS USING SECONDARY DATA SOURCES. THIS PHASE OF THE ASSESSMENT FOCUSED ON NOT ONLY ON HEALTH OUTCOMES, BUT ALSO ON FACTORS THAT INFLUENCE FUTURE HEALTH, SUCH AS HEALTH AND WELLNESS HABITS, EXPERIENCES ACCESSING CARE AND ATTITUDES THAT INFLUENCE HEALTHY BEHAVIOR. PRIMARY DATA: THIS EFFORT TO MEASURE AND EVALUATE HEALTH STATUS, HEALTH STATISTICS AND THE INCIDENCE RATES OF DISEASE, ILLNESS AND ACCIDENTS USES UNIVERSITY HEALTH'S DATA. THE PRIMARY DATA COLLECTION EFFORT FOCUSED ON HEALTH OUTCOMES AND FACTORS THAT INFLUENCE HEALTH, SUCH AS HOMELESSNESS, INSURANCE COVERAGE AND HEALTH CARE SYSTEM UTILIZATION FOR SPECIFIC CONDITIONS; SPECIFIC TO THE UH PATIENT EXPERIENCE. AGGREGATED DATA: UH ASSIMILATED SECONDARY AND PRIMARY DATA SETS INTO A COMBINED COMPREHENSIVE REPORT AND OVERVIEW OF THE UH SERVICE AREAS AND PATIENTS. THE AGGREGATED DATA REPORT IS REFLECTED THROUGHOUT THIS REPORT. IDENTIFY & PRIORITIZE ISSUES. THIS PHASE ENGAGED THE BOARD, ORGANIZATIONAL LEADERSHIP, KEY CONSTITUENTS AND COMMUNITY PARTNERS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH ISSUES; USING THE RESULTS OF THE DATA ANALYSIS. MULTIPLE SURVEYS WERE UTILIZED DURING THIS PROCESS, WITH DELINEATION OF RESPONSES BETWEEN UH STAFF/LEADERSHIP AND THE COMMUNITY OVERALL. AFTER ANALYSIS OF RESPONSES, AND CONSIDERING THE UNIQUE FOCUS OF UH AS AN ACADEMIC MEDICAL CENTER AND SAFETY NET HEALTH SYSTEM, THE FOLLOWING ISSUES EMERGED: SOCIAL DETERMINANTS OF HEALTH (POVERTY AND HOMELESSNESS); MENTAL HEALTH, BEHAVIORAL HEALTH, SUBSTANCE ABUSE AND SUICIDE; RACISM AND DISCRIMINITORY CARE; MATERNAL & CHILD HEALTH. SOCIAL DETERMINANTS OF HEALTH PARTICIPANTS OF THE FOCUS GROUP IDENTIFIED THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH (SDOH) AS A PRIORITY OF THEIR COMMUNITY. THE IMPACT OF POVERTY AND HOMELESSNESS CONTINUES TO BE THE GREATEST BARRIER TO INVIDUALS' HEALTH IN JACKSON COUNTY. ACCORDING TO THE HEALTH EQUITY DASHBOARDS AT MISSOURI HOSPITAL ASSOCIATIONS, THERE IS A HIGHER DISPARITY FACTOR FOR HOUSING AMONG BLACK/AFRICAN AMERICANS COMPARED TO THEIR WHITE COUNTERPARTS. ATTENDEES OF THE COMMUNITY UNANIMOUSLY AGREED THAT POVERTY IS ONE OF THE MOST IMPORTANT ISSUES THAT, WHEN ADDRESSED, CAN HELP ALLEVIATE THE OTHER UNDERLYING SDOHS. ACCORDING TO THE 2022 COUNTY HEALTH RANKINGS AND ROADMAP, JACKSON COUNTY HAS CONSISTENTLY RECORDED A HIGHER PERCENTAGE OF CHILDREN IN POVERTY COMPARED TO THE STATE AND NATIONAL TRENDS. THERE IS A STRONG AND GROWING EVIDENCE BASE LINKING STABLE AND AFFORDABLE HOUSING TO HEALTH. THROUGH A VARIETY OF MECHANISMS, UH WILL CONTINUE ITS EFFORTS TO PARTNER WITH COMMUNITY SERVICES AND PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH FOR ALL COMMUNITY MEMBERS. USING A HEALTH EQUITY APPROACH, WHICH RECOGNIZES THE IMPACT OF SOCIO-ECOLOGICAL FACTORS ON A PERSONS' OVERALL HEALTH, UH CONTINUES TO IDENTIFY LOCATIONS FOR DIRECT OUTREACH, INCLUDING COMMUNITY-BASED CLINICS AND COMMUNITY-BASED HEALTH EDUCATION. THIS APPROACH IS AN UNDERLYING THEME TO EVERYTHING UH UNDERTAKES; WITH STAFF MEMBERS EDUCATED IN CULTURAL COMPETENCE AND TRAUMA-INFORMED CARE. THIS APPROACH WAS DESIGNED TO CREATE AN ATMOSPHERE OF WELCOME FOR ALL WHO INTERACT WITH UH. BECAUSE OF THIS FOCUS, UH WILL CONTINUE ITS GOAL OF BEING THE PROVIDER OF CHOICE FOR ALL CONDITIONS THAT DISPROPORTIONATELY IMPACT MINORITY POPULATIONS IN THE GREATER KANSAS CITY REGION. MENTAL HEALTH, BEHAVIORAL HEALTH, SUBSTANCE USE AND SUICIDE OF THE 1,792 RESPONDENTS TO THE 2022 SURVEY, 1,009 REPORTED BEHAVIORAL HEALTH AS AN ONGOING PROBLEM IN THE COMMUNITY WHILE 669 CITED SUBSTANCE ABUSE. A REVIEW OF THE 2022 COUNTY HEALTH RANKINGS AND ROADMAPS REVEALS THAT JACKSON COUNTY HAD A HIGHER SUICIDE RATE COMPARED TO THE STATE. SUICIDE IS SIGNIFICANTLY HIGHER AMONG WHITES, FOLLOWED BY BLACK/AFRICAN AMERICANS AND HISPANICS RESPECTIVELY. ACCORDING TO THE 2021 STATUS REPORT ON MISSOURI'S SUBSTANCE USE AND MENTAL HEALTH, JACKSON COUNTY EXPERIENCED AN INCREASE IN THE NUMBER OF INDIVIDUALS WHO RECEIVED PSYCHIATRIC SERVICES FOR ANXIETY AND FEAR DISORDERS, DEPRESSIVE MOOD DISORDER, DEVELOPMENT AND AGE-RELATED DISORDERS, IMPULSE CONTROL AND CONDUCT DISORDER, PERSONALITY DISORDERS, SCHIZOPHRENIA AND PSYCHOTIC DISORDERS, TRAUMA AND STRESS RELATED DISORDERS. THE OPIOID CRISIS CONTINUES TO BE PREDOMINANT IN THE COMMUNITY. UH WILL CONTINUE TO MODEL INTEGRATED PRIMARY CARE AND INTENSIVE MENTAL HEALTH/SUBSTANCE ABUSE SERVICES, INCLUDING OUR CLINIC DESIGNED SPECIFICALLY TO ASSIST PATIENTS WITH MEDICATION-ASSISTED THERAPY TO ADDRESS THEIR ADDICTION. RACISM AND DISCRIMINITORY CARE A REVIEW OF RACIAL DIVERSITY TO MEASURE THE SPECIAL DISTRIBUTION OR EVENESS OF POPULATION DEMOGRAPHIC GROUPS REVEALED THAT JACKSON COUNTY HAS HIGH SEGREGATION. A REVIEW OF KEY HEALTH OUTCOME INDICATORS REVEALED THAT MINORITY POPULATIONS HAVE SIGNIFICANT HEALTH DISPARITIES IN KEY AREAS. IT IS IMPORTANT TO NOTE THAT WHILE THERE MAY BE OTHER CONFOUNDING FACTORS CONTRIBUTING TO THESE DISPARITIES, RACISM AND DISCRIMINITORY CARE IS A MAJOR ISSUE PER THE INFORMATION GATHERED DURING THE COMMUNITY FORUM. LIFE EXPECTANCY BY CENSUS TRACT SEPARATED BY THREE MILES IN JACKSON COUNTY RESULTS IN A DIFFERENCE OF 21.6 YEARS. AFTER A DROP IN LIFE EXPECTANCY IN RECENT YEARS, SIGNS INDICATE THE OVERALL TREND MAY BE LEVELING OFF. NOT ALL GROUPS OF PEOPLE, EVERYWHERE, HAVE EXPERIENCED THE SAME LENGTH OF LIFE TRENDS. RACIAL OPPORTUNITY GAP PERSISTS. MODEST GAINS IN UNEMPLOYMENTS RATES HAVE NOT TRANSLATED INTO HOUSEHOLD INCOMES WITH LOWER INCOMES TO MAKE ENDS MEET AND BE HEALTHY. ADDRESSING THIS ISSUE IN JACKSON COUNTY BY ENGAGING THE RIGHT PARTNERS WILL BE KEY IN STRATEGIZING ON WAYS TO ENSURE THAT EVERYONE HAS A FAIR CHANCE OF LIVING A HEALTHY LIFESTYLE. MATERNAL & INFANT HEALTH ADDRESSING THE COMPLEX HEALTH CONSIDERATIONS RELATING TO MATERNAL AND CHILD HEALTH IS IMPORTANT BECAUSE IT PROVIDES AN OPPORTUNITY TO END PREVENTABLE DEATHS AMONG ALL WOMEN, INFANTS, CHILDREN AND ADOLSCENTS, WHILE GREATLY IMPROVING THEIR HEALTH AND WELL-BEING. INFANT MORTALITY REPRESENTS THE HEALTH OF A VULNERABLE AGE GROUP AND CAN PROVIDE CONTEXT TO SUPPORT INTERPRETATION OF THE YEARS OF POTENTIAL LIFE LOST IN A COUNTY. IT IS ALSO COMMONLY USED TO EXAMINE GLOBAL HEALTH DIFFERENCES AS WELL AS TO UNDERSTAND HISTORIC RACIAL INEQUALITIES IN THE UNITED STATES. ADDRESSING THIS PRIORITY ISSUE IN JACKSON COUNTY WILL REQUIRE PARTNERSHIPS AND COLLABORATIONS BETWEEN HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS TO HELP ADDRESS THE UNDERLYING ISSUES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. 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 UNIVERSITY HEALTH BEHAVIORAL HEALTH
300 WEST 19TH TERRACE
KANSAS CITY,MO64108 		MENTAL HEALTH FACILITY
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE CARE.
Schedule H, Part I, Line 7g Subsidized Health Services NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT EXPENSES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2 .
Schedule H, Part III, Line 3 Bad Debt Expense Methodology UH HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance UH DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA.
Schedule H, Part V, Section B, Line 16a FAP website A - UNIVERSITY HEALTH TRUMAN MED CTR: Line 16a URL: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - UNIVERSITY HEALTH TRUMAN MED CTR: Line 16b URL: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - UNIVERSITY HEALTH TRUMAN MED CTR: Line 16c URL: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment UH DEVELOPED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED ELECTRONICALLY AND VIA PAPER SURVEYS AND SUMMARIZED. TWENTY-THREE PARTNER ORGANIZATIONS PARTICIPATED IN THE SURVEY. THIS ELECTRONIC SURVEY ESTABLISHED THE SET OF ISSUES OF MOST INTEREST TO THE COMMUNITY. RESPONDENTS WERE ASKED TO SELECT ISSUES, AND ALSO TO CONSIDER SERVICES THEY BELIEVED COULD BE STRENGTHENED IN TERMS OF ACCESS, AVAILABILITY AND/OR QUALITY. RESPONSES WERE SUMMARIZED TO PROVIDE A CONSENSUS REPORT. 1792 COMPLETED SURVEYS WERE COLLECTED AND THE RESULTS AGGREGATED AND ANALYZED TO IDENTIFY THE MOST IMPORTANT ISSUES THE COMMUNITY BELIEVES UH NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH UH FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance IF A PATIENT IS UNINSURED, UH'S FINANCIAL COUNSELING STAFF WORKS TO BECOME A PATIENT ADVOCATE. THEY ASSIST THE PATIENT IN APPLYING FOR MEDICARE, MEDICAID OR UH'S CHARITY CARE PROGRAM. UH POSTS ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES THROUGHOUT THE HOSPITAL.
Schedule H, Part VI, Line 4 Community information THE RACIAL COMPOSITION OF UH'S HEALTH SCIENCES DISTRICT SERVICE AREA INCLUDES TWO PRIMARY CATEGORIES: WHITE AND AFRICAN AMERICAN. THESE TWO CATEGORIES COMPRISE 90.06% OF THE CUSTOMERS WITHIN THE HEALTH SCIENCES DISTRICT AREA. RACIALLY, THE UH HEALTH SCIENCES DISTRICT SERVICE AREA REFLECTS THE GREATER JACKSON COUNTY, MISSOURI RACIAL MIX, WITH 67.31% WHITE, 22.75% AFRICAN AMERICAN, 2.06 % ASIAN, 0.46% NATIVE AMERICAN/ALASKAN NATIVE, 0.29% NATIVE HAWAIIAN/PACIFIC ISLANDER, 4.0% REPORTING SOME OTHER RACE, AND 3.13% REPORTING MULTIPLE RACES. THE RACIAL COMPOSITION OF UHS LAKEWOOD SERVICE AREA INCLUDES TWO PRIMARY CATEGORIES: WHITE AND AFRICAN AMERICAN. THESE TWO CATEGORIES COMPRISE 90.17% OF THE CUSTOMERS WITHIN THE LAKEWOOD AREA. RACIALLY, THE UH LAKEWOOD SERVICE AREA REFLECTS THE GREATER JACKSON COUNTY, MISSOURI RACIAL MIX, WITH 68.57% WHITE, 21.6% AFRICAN AMERICAN, 2.04% ASIAN, 0.45% NATIVE AMERICAN/ALASKAN NATIVE, 0.29% NATIVE HAWAIIAN/PACIFIC ISLANDER, 3.91% REPORTING SOME OTHER RACE, AND 3.13% REPORTING MULTIPLE RACES.
Schedule H, Part VI, Line 5 Promotion of community health N/A
Schedule H, Part VI, Line 7 State filing of community benefit report MO
Schedule H (Form 990) 2024
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Schedule I
(Form 990)
(Rev. January 2025)
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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC 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
noncash assistance		 (h) Purpose of grant
or assistance
(1) Blueford Healthcare Leadership Institute
7900 Lees Summit Road
Lees Summit,MO64139 		46-3328194 501 (c)(3) 75,000       Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE GRANT PROVIDED WAS MADE TO A TAX EXEMPT ORGANIZATION WHO HAS A CLOSE WORKING RELATIONSHIP WITH TRUMAN MEDICAL CENTER. THIS ORGANIZATION STRIVES TO FURTHER SUPPORT THE HOSPITAL OPERATIONS OF TRUMAN MEDICAL CENTER, INC. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIP WITH THIS ORGANIZATION.
Schedule I (Form 990) Rev. 1-2025



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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 on 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
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 on 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 (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1CHARLES W SHIELDS
PRESIDENT/CEO/DIRECTOR 		(i)

(ii)		 1,087,990
-------------
0 		138,498
-------------
0 		233,383
-------------
0 		36,800
-------------
0 		39,297
-------------
0 		1,535,968
-------------
0 		19,370
-------------
0
2JOHN WILSON
TREASURER 		(i)

(ii)		 495,348
-------------
0 		78,470
-------------
0 		91,868
-------------
0 		36,800
-------------
0 		30,455
-------------
0 		732,941
-------------
0 		0
-------------
0
3JOLIE L JUSTUS
SECRETARY 		(i)

(ii)		 393,164
-------------
0 		61,945
-------------
0 		9,305
-------------
0 		82,061
-------------
0 		25,560
-------------
0 		572,035
-------------
0 		0
-------------
0
4MARK T STEELE MD
CHIEF MEDICAL OFFICER 		(i)

(ii)		 542,261
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		542,261
-------------
0 		0
-------------
0
5JOHN GIANINO
NEUROSURGEON 		(i)

(ii)		 631,944
-------------
0 		1,065
-------------
0 		7,900
-------------
0 		91,376
-------------
0 		43,332
-------------
0 		775,617
-------------
0 		0
-------------
0
6MITZI CARDENAS
EXECUTIVE CHIEF ADMIN OFFICER 		(i)

(ii)		 562,190
-------------
0 		90,517
-------------
0 		103,098
-------------
0 		36,800
-------------
0 		22,319
-------------
0 		814,924
-------------
0 		0
-------------
0
7RUTH PULLINS
CHIEF HR OFFICER 		(i)

(ii)		 388,125
-------------
0 		62,841
-------------
0 		76,672
-------------
0 		36,800
-------------
0 		28,346
-------------
0 		592,784
-------------
0 		0
-------------
0
8GERARD GRIMALDI
CHIEF HEALTH POLICY/GOVT RELAT 		(i)

(ii)		 340,749
-------------
0 		55,981
-------------
0 		72,506
-------------
0 		13,829
-------------
0 		35,831
-------------
0 		518,896
-------------
0 		0
-------------
0
9Savanna Hughes
CRNA 		(i)

(ii)		 407,836
-------------
0 		1,065
-------------
0 		178
-------------
0 		12,130
-------------
0 		12,099
-------------
0 		433,308
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan JOLIE JUSTUS - ACCRUAL 68,261 DISTRIBUTION - 0 JOHN GIANINO - 54,576 DISTRIBUTION -0 CHARLES W. SHIELDS-ACCRUAL 0 DISTRIBUTION 19,370
Schedule J, Part II LINE 9 AND PART VII, LINE 9 UNIVERSITY HEALTH REIMBURSED UNIVERSITY HEALTH PHYSICIANS $494,734 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING UNIVERSITY HEALTH AS THE MEDICAL DIRECTOR.
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - MARK T. STEELE, MD, COMPENSATION FROM UNRELATED ORGANIZATION - 542261, NAME OF UNRELATED ORGANIZATION - UNIVERSITY HEALTH PHYSICIANS, TYPE OF COMPENSATION - PHYSICIAN SERVICES
Schedule J (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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
  		44-6000524 467578GJ3 09-04-2012 41,180,485 REFUNDING BOND   X   X   X
B JACKSON COUNTY MISSOURI
  		44-6000524 467578LA6 12-02-2021 11,208,910 REFUNDING BOND   X   X   X
C MO HEALTH & EDUCATION FACILITIES AUTHORITY
  		43-1178966   12-22-2017 70,000,000 BUILDING EQUIPMENT & REFUNDING   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 28,439,950 4,525,000 14,100,000  
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 37,597,509 11,208,810 70,000,000  
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 451,929 184,586 485,984  
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............     64,554,538  
11 Other spent proceeds ............. 37,142,580 11,024,324 4,754,505  
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2012 2021 2020
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X      
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X    
16 Has the final allocation of proceeds been made? .......... X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
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   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X    
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X     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   X    
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   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?   X   X   X    
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 .... 0 % 0 % 0 %  
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 ......... 0 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0 % 0 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 % 0 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X    
9 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   X      
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X    
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X    
b Exception to rebate? ........   X X     X    
c No rebate due? ......... X     X X      
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X    
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge ......... 0 % 0 % 0 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X    
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC ......... 0 % 0 % 0 %  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X   X   X    
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X      
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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? X   X   X      
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part IV, Line 2c COLUMN A Issuer name: JACKSON COUNTY, MISSOURI The calculation for computing no rebate due was performed on 09/24/2017
Schedule K, Part IV, Line 2c COLUMN C Issuer name: MO HEALTH & EDUCATION FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 07/18/2022
Schedule K (Form 990) (Rev. 1-2025)

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
TRUMAN MEDICAL CENTER INCORPORATED
 
Employer identification number

44-0661018
Return Reference Explanation
Form 990, Part III, Line 4a Program Service Accomplishments - outpatient care ONE OF THE GREATEST STRENGTHS OF UNIVERSITY HEALTH IS ITS ABILITY TO PROVIDE COMPREHENSIVE, QUALITY CARE TO ALL ITS PATIENTS, REGARDLESS OF PATIENTS' ABILITY TO PAY. AS AN ACADEMIC MEDICAL CENTER, UNIVERSITY HEALTH (UH) IS THE PRIMARY TEACHING HOSPITAL FOR THE UNIVERSITY OF MISSOURI- KANSAS CITY SCHOOLS OF MEDICINE, PHARMACY, NURSING, AND DENTISTRY. UH CLINICIANS USE A TEAM APPROACH TO CARE FOR PATIENTS WHILE TRAINING THE DOCTORS AND NURSES OF TOMORROW. UH OFFERS MORE THAN 50 PRIMARY, SPECIALTY AND MENTAL HEALTH CARE CLINICS AT ITS CAMPUS IN DOWNTOWN KANSAS CITY, MISSOURI (REFERRED TO AS UNIVERSITY HEALTH TRUMAN MEDICAL CENTER, OR UHTMC) AND AT A LOCATION IN EASTERN JACKSON COUNTY, MISSOURI KNOWN AS UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER (UHLMC). UH ALSO HAS A NUMBER OF COMMUNITY-BASED PRIMARY AND BEHAVIORAL HEALTH CLINICS. UH IS NATIONALLY RECOGNIZED FOR PROGRAMS IN ASTHMA, DIABETES, SICKLE CELL DISEASE, ORTHOPEDICS, WOMEN'S HEALTH, AND EMERGENCY/TRAUMA SERVICES. IN ADDITION, UH OFFERS SERVICES THAT INCLUDE OPHTHALMOLOGY, CARDIOLOGY, GASTROENTEROLOGY, AND ORAL SURGERY. IN FISCAL YEAR 2025 (FY25), UNIVERSITY HEALTH PROVIDED MORE THAN 620,000 OUTPATIENT CARE APPOINTMENTS, WITH ABOUT 176,000 OF THOSE BEING OUTPATIENT BEHAVIORAL HEALTH CARE VISITS. THE AMBULATORY CARE CLINICS AT THE UHTMC (IN DOWNTOWN KANSAS CITY, MISSOURI) AND UHLMC (IN EASTERN JACKSON COUNTY, MISSOURI) PROVIDE HIGH-QUALITY OUTPATIENT PRIMARY CARE, WHETHER A PATIENT'S NEEDS INCLUDE A GENERAL PHYSICAL EXAM OR TREATMENT FOR AN ACUTE MEDICAL CONDITION. MORE THAN 95,000 UNIVERSITY HEALTH PATIENTS ARE LIVING WITH AT LEAST ONE CHRONIC DISEASE. INTERNAL MEDICINE PHYSICIANS ARE EXPERTS IN CHRONIC DISEASE MANAGEMENT, SPECIFICALLY: HIGH CHOLESTEROL, OSTEOPOROSIS, DIABETES, HIGH BLOOD PRESSURE, OBESITY, AND SICKLE CELL DISEASE. CHRONIC DISEASE MANAGEMENT ASTHMA AT UNIVERSITY HEALTH, IT IS THE PROVIDERS' GOAL TO OFFER SUPERIOR AND CONSISTENT CARE FOR THE PATIENT WITH ASTHMA, WHETHER IT IS IN THE EMERGENCY DEPARTMENT, INPATIENT UNIT, OR CLINIC SETTING. UH HAS A COMPREHENSIVE ASTHMA PROGRAM THAT PROVIDES ASTHMA EDUCATION TO BOTH 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 AN OUTPATIENT PULMONARY CLINIC TO HELP BREAK THE CYCLE OF EMERGENT CARE. THIS PROGRAM HAS RESULTED IN A SUBSTANTIAL REDUCTION IN ADMISSIONS FOR ASTHMA SUFFERERS. IN FY25, THE UH ASTHMA PROGRAM TREATED ADULT PATIENTS AT 10,184 VISITS AND PEDIATRIC PATIENTS WITH ASTHMA AT 771 APPOINTMENTS. DIABETES UNIVERSITY HEALTH PROVIDERS KNOW THAT A DIABETES DIAGNOSIS CAN BE DEVASTATING. ABOUT 17,000 UH PATIENTS HAVE A PRIMARY OR SECONDARY DIAGNOSIS OF DIABETES. IN FY25, THERE WERE ABOUT 14,447 VISITS TO THE DIABETES CENTER- AT BOTH THE DOWNTOWN AND EASTERN JACKSON COUNTY CAMPUSES- WHERE SPECIALIZED PROVIDERS ARE WELL EQUIPPED TO HANDLE ALL ASPECTS OF THE DISEASE. UNIVERSITY HEALTH BELIEVES IN HELPING PATIENTS MANAGE THEIR DIABETES ON A PLANNED, RATHER THAN EPISODIC, BASIS. THE COMPREHENSIVE TEAM-APPROACH CONNECTS PATIENTS WITH SPECIALLY TRAINED PHYSICIANS AND NURSING STAFF. THE TEAM COORDINATES CARE WITH OTHER SPECIALTY SERVICE PROVIDERS, SUCH AS OPHTHALMOLOGY, CARDIOLOGY, PODIATRY, AND OTHER REFERRALS AS NEEDED. THE DIABETES CENTER INCLUDES: A PATIENT RESOURCE CENTER WITH COMPUTER ACCESS, A DIABETES EDUCATION CLASSROOM, LARGE CONSULTATION ROOMS FOR GROUP OR INDIVIDUAL INSTRUCTION RELATED TO DISEASE AND NUTRITION, AND EXPANDED EXAM ROOMS WITH ADVANCED TECHNOLOGY WITH ACCESS TO ELECTRONIC HEALTH RECORDS. SICKLE CELL UNIVERSITY HEALTH PROVIDERS STRIVE TO EMPOWER PATIENTS WITH SICKLE CELL DISEASE TO LIVE LIFE TO THE FULLEST. PROVIDERS OFFER A HEALING ENVIRONMENT, INDIVIDUAL ATTENTION AND A STRONG SUPPORT SYSTEM FOR OUR PATIENTS, WITH A QUALITY OF CARE BASED ON CURRENT TREATMENT GUIDELINES AND BENCHMARKS OF CARE. IN FY25, SICKLE CELL CENTER PROVIDERS CARED FOR PATIENTS AT 1,090 VISITS. DURING A CRISIS STATE, THE UH SICKLE CELL CENTER IS ABLE TO TREAT PATIENTS' PAIN MORE EFFICIENTLY THAN AN EMERGENCY DEPARTMENT, IN A QUIET, SOOTHING ENVIRONMENT. PROVIDERS' GOAL IS INITIATING PAIN TREATMENT WITHIN 30 MINUTES OF PATIENT'S ARRIVAL. PROVIDERS, AWARE OF INDIVIDUALS' MEDICAL HISTORY, CREATE A CUSTOM TREATMENT PLAN FOR EACH PATIENT, INCLUDING A HOLISTIC APPROACH TO ENCOMPASS LONG-TERM GOALS. THE SICKLE CELL CENTER TEAM SEES THE IMPORTANCE OF PROVIDING CHRONIC DISEASE MANAGEMENT AND STRATEGIES TO MODIFY THE INDIVIDUAL'S DISEASE WITH THE GOAL OF DECREASING ACUTE PAIN EPISODES AND SUPPORTING HEALTHIER OUTCOMES. THE CENTER ALSO PROVIDES PRIMARY CARE FOR ROUTINE HEALTH NEEDS SUCH AS SORE THROAT, HYPERTENSION, OR DIABETES MANAGEMENT TO THE PERSON WITH SICKLE CELL AND ALSO THEIR ADULT FAMILY MEMBERS. THE UH SICKLE CELL CENTER IS A DESIGNATED HEMOGLOBINOPATHY RESOURCE CENTER BY THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES; IT SERVES AS A HRSA SICKLE CELL DISEASE TREATMENT DEMONSTRATION PROGRAM AS A PARTNER WITH THE HEARTLAND / SOUTHWEST SICKLE CELL DISEASE NETWORK, A STUDY SITE FOR GRNDAD NETWORK, A MULTI-SITE STUDY COLLECTING DATA FOR A NATIONWIDE SICKLE CELL REGISTRY ON SICKLE CELL DISEASE, AND A STUDY SITE FOR A PFIZER SICKLE CELL MEDICATION. WOMEN'S HEALTH SERVICES OBSTETRICS & GYNECOLOGY UNIVERSITY HEALTH PROVIDERS OFFER A WIDE VARIETY OF SERVICES AND SPECIALIZED CARE FOR WOMEN, THROUGH ALL STAGES OF THEIR LIVES. SERVICES INCLUDE FAMILY PLANNING, MID-LIFE SERVICES, BREAST HEALTH, THE SPECIALIZED TREATMENT OF VULVAR AND PELVIC PAIN DISEASES, OBSTETRICS, HYSTEROSCOPIC SURGERY, ALTERNATIVES TO HYSTERECTOMY, ADOLESCENT GYNECOLOGY, AND WELL-WOMAN EXAMS. PATIENTS CAN RECEIVE OB/GYN SERVICES AND PRIMARY CARE ALL IN ONE LOCATION. HIGH RISK PREGNANCY AS A REGIONAL REFERRAL CENTER FOR HIGH-RISK PREGNANCIES, AND AN ACADEMIC MEDICAL CENTER, THE UHTMC CAMPUS OFFERS SPECIALIZED CARE TO PREGNANT WOMEN. MATERNAL-FETAL MEDICINE (OR PERINATOLOGY) IS A UNIQUE SPECIALTY OF OBSTETRICS THAT INVOLVES THE DIAGNOSIS, EVALUATION, AND MANAGEMENT OF PROBLEMS THAT MAY AFFECT A PREGNANT PATIENT OR UNBORN CHILD. FAMILIES FACING A FETAL ABNORMALITY CAN COME TO UH WITH CONFIDENCE KNOWING THE MEDICAL CENTER WILL PROVIDE EXPERT CARE FOR THEIR EVERY NEED - MATERNAL EXPERTISE FOR CARE OF THE PREGNANT PATIENT, FETAL EXPERTISE FOR CARE OF THE UNBORN BABY, AND PEDIATRIC EXPERTISE FOR CARE OF THEIR NEWBORN. PATIENTS HAVE ACCESS TO THE UH LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) STAFFED BY PEDIATRICIANS FROM CHILDREN'S MERCY. IN ADDITION, NEWBORNS HAVE IMMEDIATE ACCESS TO AN ADJACENT LEVEL IV NICU AT CHILDREN'S MERCY KANSAS CITY - THE HIGHEST LEVEL OF CARE AVAILABLE FOR PREMATURE AND CRITICALLY-ILL NEWBORNS, INCLUDING ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) LIFE SUPPORT TECHNOLOGY. THE BIRTHPLACE AT THE UH BIRTHPLACE, THE FOCUS IS ON PROVIDING A SAFE, COMFORTABLE, AND POSITIVE BIRTH EXPERIENCE FOR FAMILIES. UH IS PROUD TO HAVE DELIVERED 3,753 BABIES IN FY25, MAKING IT THE MEDICAL CENTER WHERE NEARLY HALF OF ALL BABIES IN KANSAS CITY, MISSOURI ARE BORN. IN FY22, THE UH BIRTHPLACE AT THE DOWNTOWN KANSAS CITY CAMPUS WAS EXPANDED AND RENOVATED, ALLOWING FOR INDIVIDUAL HIGH-END BIRTHING SUITES. A NEONATAL INTENSIVE CARE UNIT (NICU) NURSE ATTENDS ALL DELIVERIES, AND IF NEEDED, NICU IS JUST STEPS AWAY. UH STAFF ALSO PROVIDES CARE TO PATIENTS WHO DELIVER AT CHILDREN'S MERCY FOR EMERGENCY AND CRITICAL CARE MATERNAL FETAL MEDICINE ISSUES. A BRIDGE, APTLY NAMED 'THE BRIDGE OF HOPE,' PHYSICALLY CONNECTS THE TWO FACILITIES FOR EASY ACCESS BETWEEN THE HOSPITALS. DURING FY23, UH BUILT A NEW, STATE-OF-THE-ART LEVEL III NICU, WITH INDIVIDUAL ROOMS FOR NEWBORNS, ALLOWING FAMILIES MORE SPACE TO BE WITH THEIR INFANTS. WOMEN'S CARE BREAST CENTER UNIVERSITY HEALTH PROVIDES DIAGNOSTIC BREAST HEALTH SERVICES TO WOMEN IN THE GREATER KANSAS CITY AREA. THE WOMEN'S CARE BREAST CENTER STREAMLINES SERVICES BY MAKING VIRTUALLY ALL OF THE COMPONENTS OF A BREAST EVALUATION AVAILABLE IN ONE CAMPUS LOCATION. PROVIDERS OFFER CLINICAL BREAST EXAMS, MAMMOGRAMS, BREAST ULTRASOUNDS, FINE-NEEDLE ASPIRATION, AND AN IMAGING-ASSISTED BREAST BIOPSY TECHNIQUE THAT IS LESS INVASIVE THAN A TYPICAL SURGICAL BREAST BIOPSY. PATIENTS HAVE ACCESS TO A DEDICATED BREAST HEALTH NURSE NAVIGATOR WHO WILL GUIDE THEM THROUGH THEIR JOURNEY. THE DIVERSE AND HIGHLY QUALIFIED DEDICATED BREAST TEAM INCLUDES AN ADVANCE PRACTICE REGISTERED NURSE (APRN) CERTIFIED BY THE AMERICAN SOCIETY OF BREAST SURGEONS AND A FELLOWSHIP-TRAINED BREAST SURGEON AND RECONSTRUCTIVE SURGEON. EVERY PATIENT WHO MIGHT BE AT RISK WILL ALSO RECEIVE COMPREHENSIVE LYMPHEDEMA EDUCATION AND PREOPERATIVE ASSESSMENT BY OUR CERTIFIED LYMPHEDEMA SPECIALIST, REFERRAL TO OUR HIGH-RISK PREVENTION CLINIC, OR GENETIC COUNSELLING AS NECESSARY.
Form 990, Part III, Line 4a Program Service Accomplishments - outpatient care - Cont'd WIC UNIVERSITY HEALTH IS ALSO ONE OF THE LARGEST PROVIDERS OF WOMEN, INFANTS AND CHILDREN (WIC) SERVICES IN THE STATE OF MISSOURI WITH 110,719 VISITS IN FY25. WIC PROVIDES HEALTHY FOODS, NUTRITION EDUCATION, AND REFERRALS FOR WOMEN, INFANTS, AND CHILDREN UP TO THE AGE OF FIVE, WHO ARE AT NUTRITIONAL RISK, AND MEET PROGRAM GUIDELINES. CARDIOLOGY SERVICES THE UH CARDIOLOGY CENTER OFFERS PATIENTS A COMPLETE RANGE OF CARDIAC SERVICES FOR PREVENTION, EARLY DIAGNOSIS, TREATMENT, AND RECOVERY IN A PATIENT-CENTERED ENVIRONMENT. UH'S CARDIOLOGY CENTER SPECIALIZES IN INTERVENTIONAL CARDIOLOGY, WHICH REFERS TO NON-SURGICAL TREATMENTS FOR HEART CONDITIONS. PROVIDERS RELY ON CARDIAC INTERVENTIONS TO DIAGNOSE AND TREAT CORONARY ARTERY DISEASE, VALVULAR HEART DISEASE, HEART FAILURE, AND CONGENITAL HEART DISEASE. THE CARDIOLOGY CENTER FEATURES A SOPHISTICATED CARDIAC CATHETERIZATION LABORATORY, NINE ADDITIONAL CLINIC ROOMS, INCREASED ECHOCARDIOGRAPHY TESTING CAPABILITIES, NUCLEAR STRESS TESTING, CT ANGIOGRAPHY, CARDIAC MRI, AND A CARDIAC REHABILITATION SERVICE TO HELP PREVENT REPEAT HEART PROBLEMS. IN FY25, THE CARDIOLOGY CENTER PROVIDED 11,590 OUTPATIENT CLINIC APPOINTMENTS, PERFORMED 51,552 OUTPATIENT DIAGNOSTIC PROCEDURES/ELECTROCARDIOGRAMS AND 1,066 CATH LAB PROCEDURES- OF WHICH 485 WERE DIAGNOSTIC CATHETERIZATION PROCEDURES- AND PLACED 216 PATIENT REQUIRED CARDIOVASCULAR STENTS. GASTROENTEROLOGY SERVICES UNIVERSITY HEALTH GASTROENTEROLOGY (GI) CENTER PROVIDES CARE FOR PATIENTS WITH ALL GASTROINTESTINAL DISEASES INCLUDING BUT NOT LIMITED TO ABDOMINAL PAIN, CONSTIPATION, REFLUX, IRRITABLE BOWEL SYNDROME, CROHN'S DISEASE AND LIVER DISEASES. IT OFFERS PROCEDURES SUCH AS: COLON CANCER SCREENING, UPPER ENDOSCOPY, ENDOSCOPIC ULTRASOUND, ERCP- WHICH IS USED TO DIAGNOSIS DISEASES OF THE BILE DUCTS AND PANCREAS, MOTILITY STUDIES, AND PARACENTESIS. THE GI CENTER AT UH LAKEWOOD MEDICAL CENTER WAS MORE RECENTLY RENOVATED AND FEATURES THREE PROCEDURE ROOMS, A DEDICATED PREP AND RECOVERY AREA, AND PATIENT MONITORING EQUIPMENT, INCLUDING ADDITIONAL CARDIAC MONITORING CAPABILITIES WITH A CENTRAL MONITOR AT THE NURSING STATION. THE CLINIC HAS SIX EXAM ROOMS, A DEDICATED TRIAGE ROOM, A LARGE EDUCATION CLASSROOM, AND A SPACIOUS WAITING ROOM. THE CENTER PROVIDES ONE-STOP SHOPPING FOR PATIENTS, WITH REGISTRATION/CHECK-IN AND FINANCIAL COUNSELING ALL IN SAME AREA. IN FY25, THE TMC GI CENTERS PROVIDED MORE THAN 8,900 OUTPATIENT VISITS AND PERFORMED MORE THAN 9,100 PROCEDURES. OPHTHALMOLOGY THE OPHTHALMOLOGY CLINICS AT UH ARE FULL-SERVICE FACILITIES FOR THE MEDICAL AND SURGICAL TREATMENT OF EYE DISEASES. SERVICES RANGE FROM PRESCRIBING GLASSES AND FITTING CONTACT LENSES, TO THE TREATMENT OF COMPLEX OCULAR DISORDERS. PROVIDERS PERFORM OUTPATIENT SURGERY AND LASER TREATMENT, INCLUDING REFRACTIVE LASER SURGERY. IN FY25, THE OPHTHALMOLOGY DEPARTMENT PROVIDED CARE TO NEARLY PATIENTS AT APPROXIMATELY 20,000 VISITS. DENTISTRY AND ORAL SURGERY SERVICES ORAL & MAXILLOFACIAL SURGEONS PRACTICE A WIDE SCOPE OF CARE WITH EXPERTISE RANGING FROM CORRECTIVE JAW SURGERY TO WISDOM TOOTH REMOVAL. PROVIDERS ALSO DIAGNOSE AND TREAT FACIAL INJURIES AND PERFORM A FULL RANGE OF DENTAL IMPLANT PROCEDURES. THE FACIAL PAIN/TEMPOROMANDIBULAR JOINT SYNDROME (TMJ) CLINIC OFFERS DIAGNOSIS AND TREATMENT OF FACIAL PAIN AND TMJ. UH PATIENTS RECEIVED ORAL SURGICAL SERVICES AT 8,500 VISITS IN FY25, AND PROVIDERS AT THE UH LAKEWOOD MEDICAL CENTER DENTAL CLINIC TREATED PATIENTS AT 12, 926 APPOINTMENTS. OUTPATIENT BEHAVIORAL HEALTH SERVICES IN FY25, UNIVERSITY HEALTH BEHAVIORAL HEALTH PROVIDED 176,315 OUTPATIENT VISITS WHILE CARING FOR 11,865 UNIQUE PATIENTS. THESE SERVICES ARE AIMED AT ASSISTING CLIENTS IN MANAGING THE SYMPTOMS OF THEIR ILLNESS, AND IMPROVING THEIR DAY-TO-DAY LIVES. THEY 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 PUBLIC HEALTH UNIVERSITY HEALTH CONTRACTS WITH THE JACKSON COUNTY, MISSOURI GOVERNMENT TO MANAGE JACKSON COUNTY PUBLIC HEALTH. IN FY25, THE JCPH PROVIDED MORE THAN 130,000 COMMUNITY-BASED ENCOUNTERS INCLUDING VACCINATIONS, COMMUNITY HEALTH EDUCATION, AND ADULT TRAUMATIC BRAIN INJURY CASE MANAGEMENT. JCPH IS DEDICATED TO THE PREVENTION OF DISEASE AND THE MAINTENANCE OF A HIGH LEVEL OF HEALTH IN THE FAMILY AND COMMUNITY THROUGH EDUCATION, IMMUNIZATION, INSPECTION, AND SUPPORTIVE CARE.
Form 990, Part III, Line 4c Program Service Accomplishments - Emergency care UH EMERGENCY DEPARTMENTS PROVIDED CARE TO PATIENTS IN 91,741 VISITS IN FY25, WITH MORE THAN 63,000 OF THOSE VISITS AT THE UHTMC CAMPUS, MAKING IT ONE OF THE BUSIEST ADULT EMERGENCY DEPARTMENTS IN THE KANSAS CITY, MISSOURI METRO AREA. UHTMC IS AN AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL 1 TRAUMA CENTER. THE ED/ TRAUMA STAFF CONSISTS OF A TEAM OF NEARLY 46 PHYSICIANS (36 BOARD CERTIFIED EMERGENCY PHYSICIANS AND 10 BOARD CERTIFIED TRAUMA SURGEONS) AND MORE THAN 125 NURSES SPECIALLY TRAINED IN TREATING TRAUMA AND CRITICAL CARE INJURIES. TRAUMA SURGEONS AND OTHER MEMBERS OF THE TRAUMA AND CRITICAL CARE TEAM ARE IN THE HOSPITAL 24-HOURS A DAY, SEVEN-DAYS A WEEK. THE UHLMC EMERGENCY DEPARTMENT HAS A STAFF OF 10 BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND 44 NURSES PROVIDING IMMEDIATE, COMPASSIONATE QUALITY CARE TO RESIDENTS OF EASTERN JACKSON COUNTY, MISSOURI EACH YEAR. AIM4PEACE AS AN ACADEMIC SAFETY-NET HOSPITAL IN KANSAS CITY, MISSOURI, UH RECEIVES A SIGNIFICANT NUMBER OF PATIENTS SUFFERING FROM INTENTIONAL TRAUMA. AIM4PEACE, AN ORGANIZATION THAT WORKS TO MITIGATE VIOLENCE, IS FOCUSED ON THE REDUCTION OF INTENTIONAL GUNSHOT INCIDENTS AND RETALIATORY RESPONSES TO VIOLENCE. AS THE PRIMARY HOSPITAL IN ASSOCIATION WITH AIM4PEACE SINCE 2008, UH HELPS AFFECT A CULTURE SHIFT IN WHAT IS ACCEPTED AS THE NORM AMONG THE PERPETRATORS OF VIOLENT CRIME, WHILE REDUCING RECIDIVISM IN THE EMERGENCY DEPARTMENT. UH IS LISTED IN THE NATIONAL DIRECTORY OF HOSPITAL-BASED VIOLENCE INTERVENTION AND PREVENTION PROGRAMS. SEXUAL ABUSE NURSE EXAMINER (SANE) THE UH HEALTH SCIENCES DISTRICT EMERGENCY DEPARTMENT (ED) HAS A SEXUAL ASSAULT NURSE EXAMINER (SANE) ON SITE TO PROVIDE A THOROUGH FORENSIC EXAMINATION OF PERSONS WHO REPORT SURVIVING A SEXUAL ASSAULT. WHEN A PERSON ENTERS THE EMERGENCY DEPARTMENT REPORTING A SEXUAL ASSAULT, THEY RECEIVE A MEDICAL SCREENING EXAMINE AND THEN THEY ARE PROVIDED A PATIENT-CENTERED TRAUMA-INFORMED EXAMINATION BY A TRAINED SANE. THE UH SANE PROGRAM HAS MADE A PROFOUND DIFFERENCE IN THE QUALITY OF CARE PROVIDED TO SEXUAL ASSAULT SURVIVORS. SANES OFFER SURVIVORS PROMPT, COMPASSIONATE CARE, AND COMPREHENSIVE FORENSIC EVIDENCE COLLECTION, WHICH MAKES FOR MORE EFFECTIVE INVESTIGATIONS AND BETTER PROSECUTIONS. UH'S SANE PROGRAM HAS ALSO HELPED TO PROVIDE LEADERSHIP IN THE COMMUNITY BY EDUCATING AND TRAINING OTHER POTENTIAL SANES. EACH YEAR, THE UH SANE CARES FOR AND EXAMINES ABOUT 200 PEOPLE IN THE HEALTH SCIENCES DISTRICT EMERGENCY DEPARTMENT. TRAUMA RESEARCH THE TRAUMA RESEARCH TEAM IS CURRENTLY CONDUCTING SEVERAL EXCITING RESEARCH PROJECTS INCLUDING GRANT-FUNDED RESEARCH AND ORIGINAL PROJECTS. ALL PROJECTS ARE DESIGNED WITH THE OBJECTIVE OF OPTIMIZING CARE OF THE TRAUMATICALLY INJURED PATIENT. RESEARCH PROJECTS IN PROGRESS DURING FISCAL YEAR 2025 INCLUDE: INDUSTRY/MULTICENTER/ COLLABORATIVE RESEARCH 1. VBI-S FOR THE TREATMENT OF HYPOTENSION IN HYPOVOLEMIC SEPTIC SHOCK PATIENTS. PHASE 3 RCT; PI: MONCURE; SPONSOR VIVACELLE BIO. 9 SUBJECTS ENROLLED. 2. IDENTIFYING FACTORS CONTRIBUTING TO POSTOPERATIVE INFECTIONS IN TRAUMATICALLY INJURED PATIENTS WITH COLON INVOLVEMENT AT AN URBAN LEVEL 1 TRAUMA CENTER. (QI) KLEPACZ, HEATHER 3. IMPLEMENTING FIREARM-RELATED INJURY RISK ASSESSMENT TO STUDENT-RUN FREE CLINICS: AN EPIDEMIOLOGICAL STUDY ON GUN VIOLENCE RISK IN THE YOUNG ADULT HOMELESS IN KANSAS CITY. MONCURE, MICHAEL 4. MEASURING THE EFFICACY AND COMPLIANCE OF CURRENT SURGICAL SITE INFECTION (SSI) PREVENTION BUNDLE USED IN EMERGENCY COLORECTAL SURGERIES AT UH AND LW. (QI) MONCURE, MICHAEL 5. THE LONG-TERM ECONOMIC COSTS OF DIPLEGIA AND PARAPLEGIA SECONDARY TO FIREARM INJURY. A SINGLE INSTITUTION RETROSPECTIVE ANALYSIS. MONCURE, MICHAEL 6. IMPLEMENTING FIREARM-RELATED INJURY RISK ASSESSMENT TO SAFETY-NET PRIMARY CARE OUT-PATIENT CLINICS: AN EPIDEMIOLOGICAL STUDY ON GUN VIOLENCE RISK FOR PRIMARY CARE PATIENTS AT A SINGLE INSTITUTION. MONCURE, MICHAEL 7. USING A DELPHI CONSENSUS FOR DECISION MAKING IN THE TREATMENT OF CORONOID FRACTURES. CIL, AKIN 8. DOES PARAPLEGIA FOLLOWING GUNSHOT INJURIES BEAR MORE LONG-TERM COMPLICATIONS THAN OTHER TRAUMATIC CAUSES OF PARAPLEGIA? A CASE-CONTROL STUDY. BOULOUSSA, HOUSSAM 9. RETROSPECTIVE ANALYSIS OF RESUSCITATIVE THORACOTOMY IN A LEVEL 1 TRAUMA CENTER: CLINICAL OUTCOMES AND TRENDS. MONCURE, MICHAEL 10. THE INCIDENCE OF CHRONIC OPIOID DEPENDENCE SECONDARY TO FIREARM-RELATED INJURY. A RETROSPECTIVE REVIEW OF A SINGLE INSTITUTION. MONCURE, MICHAEL 11. HEALTHCARE PROVIDER VIEWS ON HOMELESS PATIENT POPULATION. REVISION TO PREVIOUSLY APPROVED STUDY LOOKING AT SAME TOPIC. MONCURE, MICHAEL 12. EFFECT OF AIM4PEACE COMMUNITY-BASED VIOLENCE PREVENTION PROGRAM ON RECIDIVISM RATES IN TRAUMA PATIENTS IN KANSAS CITY MISSOURI. MONCURE, MICHAEL 13. DOES THE RISE PROGRAM IMPROVE SCREENING AND FOLLOW-UP OF TRAUMATICALLY INJURED PATIENTS WITH PTSD? MONCURE, MICHAEL; WILLIAMS, JOAH LANDON PERFORMANCE IMPROVEMENT PATIENT SAFETY PROGRAM (PIPS) THE PERFORMANCE IMPROVEMENT PATIENT SAFETY (PIPS) COORDINATOR IS AN IMPORTANT PART OF UNIVERSITY HEALTH TRUMAN MEDICAL CENTER (UHTMC) TRAUMA SERVICES. THE PIPS COORDINATOR WORKS TOWARD IMPLEMENTING A SYSTEM OF PATIENT CARE DELIVERY THAT FOCUSES ON THE IDENTIFICATION OF CRITICAL ISSUES AND 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, SURGICAL MANAGEMENT, CRITICAL CARE INPATIENT STAY AND REHABILITATION. THE PRIMARY FOCUS IS ON THE PROMPTNESS, DOCUMENTATION AND APPROPRIATENESS OF CARE ALONG WITH PATIENT OUTCOMES. ADVANCED TRAUMA CARE FOR NURSES (ATCN) CONTINUING MEDICAL EDUCATION (CME) IS NOT JUST A REQUIREMENT, IT IS A NECESSITY TO ENHANCE THE KNOWLEDGE AND ABILITIES OF THE MEDICAL PROFESSIONAL. UNIVERSITY HEALTH WAS THE FIRST HOSPITAL TO BRING ADVANCED TRAUMA CARE FOR NURSES (ATCN) TO THE KANSAS CITY METROPOLITAN AREA. THE COURSE IS GEARED TOWARD NURSING STAFF IN THE EMERGENCY DEPARTMENT AND INTENSIVE CARE UNITS. WHEN NURSES COMPLETE THE ATCN CLASS AND WORK ALONGSIDE TRAUMA PHYSICIANS CERTIFIED IN ADVANCED TRAUMA LIFE SUPPORT (ATLS), THEY FIND THAT THEIR THOUGHT PROCESSES AND ACTIONS ARE MORE ALIGNED WITH THE 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.
Form 990, Part III, Line 4b Program Service Accomplishments - inpatient care UNIVERSITY HEALTH (UH) IS AN ACADEMIC MEDICAL CENTER THAT INCLUDES THE CAMPUSES OF UH TRUMAN MEDICAL CENTER (UHTMC), UH LAKEWOOD MEDICAL CENTER (UHLMC), AND UNIVERSITY HEALTH BEHAVIORAL HEALTH (UHBH.) UH IS THE CORE EDUCATIONAL PARTNER FOR THE UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOLS OF MEDICINE, NURSING, DENTISTRY, AND PHARMACY. THE NEWEST ADDITION TO THE MEDICAL CENTER IS UNIVERSITY HEALTH 2 (UH2), WHICH OPENED IN DECEMBER 2020. UH 2 IS DEDICATED TO WOMEN'S CARE AND PRIMARY CARE. IT'S LOCATED JUST SOUTH OF UNIVERSITY HEALTH 1 (UH 1), WHICH OPENED IN 2015. UH 1 IS KANSAS CITY'S ONLY DOWNTOWN SURGICAL CENTER AND AN OUTPATIENT CLINIC POWERED BY UH. CLINICS AT UH 1 INCLUDE: AUDIOLOGY, THE BREAST CENTER, DERMATOLOGY, EAR, NOSE, AND THROAT, OPHTHALMOLOGY, ORAL AND MAXILLOFACIAL SURGERY, PAIN MANAGEMENT, ORTHOPEDICS, AND PLASTIC SURGERY. UH PROVIDERS CARED FOR 85,948 INDIVIDUAL PATIENTS AT ITS DOWNTOWN KC LOCATION, AND 63,996 INDIVIDUAL PATIENTS AT ITS EASTERN JACKSON COUNTY CAMPUS IN FISCAL YEAR 2025 (FY25.) REGARDLESS OF PATIENTS' FINANCIAL SITUATION OR ABILITY TO PAY, UH CLINICIANS OFFER QUALITY, STATE-OF-THE-ART INPATIENT, OUTPATIENT, AND EMERGENCY CARE THAT ENCOMPASS BOTH PHYSICAL AND MENTAL HEALTH CARE. UH IS LICENSED FOR 381 INPATIENT ACUTE CARE (INCLUDING 29 NICU) AND 188 LONG-TERM CARE BEDS. IN FY25, (JULY 1, 2024- JUNE 30, 2025), UH HAD 22,074 INPATIENT ADMISSIONS, AND PROVIDED 93,872 DAYS OF INPATIENT CARE AND ABOUT 50,000 DAYS OF LONG-TERM PATIENT CARE. AS THE PRIMARY SAFETY-NET HOSPITAL IN THE KANSAS CITY, MISSOURI METROPOLITAN AREA, UH TREATS A VULNERABLE PATIENT POPULATION WITH A HIGH DEGREE OF HEALTH CARE DISPARITY. THESE DISPARITIES CUT ACROSS ECONOMIC, RACIAL, AND ETHNIC BOUNDARIES. MANY OF UH'S PATIENTS AND CLIENTS HAVE MULTIPLE CHRONIC DISEASES SUCH AS DIABETES, ASTHMA, HEART FAILURE, AND HYPERTENSION. IN FY25, MORE THAN 95,000 OF UH PATIENTS LIVE WITH AT LEAST ONE OR MORE OF THESE CHRONIC DISEASES. DUE TO SOME SOCIAL DISPARITIES, SUCH AS LACK OF TRANSPORTATION OR A LANGUAGE BARRIER, PATIENTS' ABILITY TO MANAGE THEIR CONDITION WITH PROPER MEDICATION AND FOLLOW-UP CARE IS DIFFICULT, AND MANY TIMES PROVIDERS END UP ADMITTING PATIENTS FOR THEIR CONDITION. UH WORKS DILIGENTLY TO OVERCOME THESE ETHNIC, SOCIAL, AND RACIAL BARRIERS WHEN PATIENTS RECEIVE THEIR CARE. UH HAS MULTILINGUAL LANGUAGE INTERPRETERS AND CULTURAL HEALTHCARE NAVIGATORS ON STAFF AT BOTH UHTMC AND UHLMC TO HELP ENSURE THAT PATIENTS WITH LIMITED ENGLISH PROFICIENCY OR PATIENTS WHO ARE DEAF RECEIVE HIGH QUALITY, INDIVIDUALIZED CARE WITH COMMUNICATION AND HEALTH NAVIGATION ASSISTANCE. UH IS ONE OF THE FEW HOSPITALS TO HAVE ON STAFF INTERPRETERS AND CULTURAL HEALTH NAVIGATORS AVAILABLE AROUND THE CLOCK TO ASSIST PATIENTS WITH WRAP AROUND SERVICES AND COMMUNICATING WITH MEDICAL PROFESSIONALS. UH INTERPRETER SERVICES HAS APPROXIMATELY 35 LANGUAGE INTERPRETERS ON STAFF THAT PROVIDE FACE-TO-FACE INTERPRETING IN TWO MAJOR LANGUAGES: SPANISH AND ARABIC. ADDITIONALLY, OVER-THE-PHONE AND VIDEO REMOTE INTERPRETERS IN MORE THAN 300 LANGUAGES ARE AVAILABLE. IN FY25, LANGUAGE ACCESS PROVIDED MORE THAN 420,000 INTERPRETING ENCOUNTERS FOR PATIENTS. BEHAVIORAL HEALTH BEHAVIORAL HEALTH IS ESSENTIAL TO WELL-BEING AND CAN AFFECT SELF-IMAGE, RELATIONSHIPS, SLEEP, EATING, AND EVEN PHYSICAL HEALTH. MANY TIMES PATIENTS WITH CHRONIC DISEASES ALSO SUFFER FROM MENTAL ILLNESS AND A SUBSTANCE USE DISORDER. GAINING ACCESS TO QUALITY, BEHAVIORAL HEALTH CARE SERVICES IS OFTEN DIFFICULT AND EXPENSIVE. IN MANY COMMUNITIES, INPATIENT MENTAL HEALTH FACILITIES DO NOT EXIST OR ARE AT CAPACITY NEARLY 100 PERCENT OF THE TIME. UH IS ONE OF ONLY A FEW HEALTH SYSTEMS THAT PROVIDES BOTH INPATIENT MEDICAL AND MENTAL HEALTH CARE BEDS. UNIVERSITY HEALTH BEHAVIORAL HEALTH (UHBH) OFFERS A COMPREHENSIVE ARRAY OF MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICES AT BOTH THE UHTMC AND UHBH LAKEWOOD COUNSELING. ALL MENTAL HEALTH SERVICES ARE AIMED AT ASSISTING CLIENTS IN MANAGING THE SYMPTOMS OF THEIR ILLNESSES AND IN IMPROVING THEIR DAY-TO-DAY LIVES. UHBH HAS 66 INPATIENT MENTAL HEALTH BEDS. IN FY25, UHBH PROVIDED 176,315 APPOINTMENTS, WITH 1,288 ADMISSIONS FOR INPATIENT MENTAL HEALTH CARE AT A UHBH FACILITY. WOMEN'S HEALTH UH OFFERS FULL WOMEN'S HEALTH SERVICES AND IS THE BIRTHPLACE TO NEARLY HALF OF ALL BABIES BORN IN KANSAS CITY, MISSOURI. UH'S HEALTH SCIENCES DISTRICT CAMPUS OFFERS A REGIONAL REFERRAL CENTER, STAFFED BY MATERNAL-FETAL MEDICINE SPECIALISTS WHO SPECIALIZE IN HIGH-RISK PREGNANCIES AND BIRTHS. IN FY22, THE UH BIRTHPLACE WAS EXPANDED AND RENOVATED, ALLOWING FOR INDIVIDUAL HIGH-END BIRTHING SUITES. DURING FY23, UH BUILT A NEW, STATE-OF-THE-ART NEONATAL INTENSIVE CARE UNIT (NICU), WITH INDIVIDUAL ROOMS FOR NEWBORNS, ALLOWING FAMILIES MORE SPACE TO BE WITH THEIR INFANTS.
Form 990, Part VI, Line 15a and 15b - PROCESS TO ESTABLISH COMPENSATION THE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS AND APPROVES THE COMPENSATION FOR ALL SENIOR EXECUTIVES ANNUALLY. THE ECC REVIEWS THE EMPLOYMENT AGREEMENT FOR THE CEO AND INSURES THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. 2025 WAS THE MOST RECENT REVIEW.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ALL DIRECTORS ARE ELECTED BY THE SITTING UH 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 FROM THE UH MEDICAL STAFF AND FIVE FROM UNIVERSITY HEALTH PHYSICIANS, AND TWO EMPLOYEES OF UH 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 UNIVERSITY HEALTH FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION.
Form 990, Part VI, Line 11b Review of form 990 by governing body INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE CONTROLLER AND REVIEWED BY THE ACFO AND CFO BEFORE SUBMITTING TO AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN PREPARED AND REVIEWED BY THE INDEPENDENT ACCOUNTING FIRM USING THE INFORMATION GATHERED. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S ACCOUNTING PERSONNEL, CFO AND CEO AND ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S ACCOUNTING PERSONNEL, CFO AND CEO HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. DUE TO THE SIZE OF THE UNIVERSITY HEALTH BOARD, FINAL COPIES OF THE FORM 990 ARE NOT PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
Form 990, Part VI, Line 12c Conflict of interest policy THE UNIVERSITY HEALTH (UH) POLICY IS NO UH EXECUTIVE WILL DISADVANTAGE UH'S INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO UH BOARD MEMBERS, UH EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT AND TO UH-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY EXECUTIVES). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF UH, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A UH 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 UH 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 UH MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER UH 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 UH HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVES, AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL UH EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 7537742, Related or Exempt Function Revenue: 7537742, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS OF UNIVERSITY HEALTH FOUNDATION - 1446099; CHANGE IN DEFINED BENEFIT PENSION PLAN - 7572550; TRANSFER FROM AFFILIATE - 2473928; OTHER CHANGES IN NET ASSETS - -32433; Total - 11460144;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
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 (if applicable) 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 entity?
Yes No
(1)TMC PROF AND GEN LIABILITY SELF INS TRUS
2301 HOLMES

KANSAS CITY,MO64108
43-1946384 		LIABILITY INS MO 501(c)(3) Type II NA
 
 
No
(2)TMC FINANCE SUPPORT CORPORATION
2301 HOLMES

KANSAS CITY,MO64108
27-1994129 		SUPPORT MO 501(c)(3) Type I UH
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1






TY 2024 AffiliatedGroupSchedule
Name:
TRUMAN MEDICAL CENTER INCORPORATED
EIN:
44-0661018
Software ID:
24020961
Software Version:
2024v5.1
Affiliated Group Business Name:
TRUMAN MEDICAL CENTER INCORPORATED
Address. Either US or Foreign Type:
2301 HOLMES STREET
KANSAS CITY, MO64108    
EIN:
44-0661018
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
143,545
Total Lobbying Expenditures:
143,545
Other Exempt Purpose Expenditures:
870,844,214
Total Exempt Purpose Expenditures:
870,987,759
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 CORPORATION
Address. Either US or Foreign Type:
2301 HOLMES 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
Affiliated Group Business Name:
TRUMAN MEDICAL CENTER INCORPORATED
Address. Either US or Foreign Type:
2301 HOLMES STREET
KANSAS CITY, MO64108    
EIN:
44-0661018
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
143,545
Total Lobbying Expenditures:
143,545
Other Exempt Purpose Expenditures:
870,844,214
Total Exempt Purpose Expenditures:
870,987,759
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