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Independence MO | IRS ruling year: 1957 | EIN: 44-0608429
Organization Mission
TNC Community champions equity and inclusion for individuals with disabilities, inspiring lives of dignity, belonging, and joy.
Great
This charity's score is 99%, earning it a Four-Star rating. If this organization aligns with your passions and values, you can give with confidence.
This overall score is calculated from multiple beacon scores, weighted as follows: 80% Accountability & Finance, 10% Leadership & Adaptability, 10% Culture & Community. Learn more about our criteria and methodology.
We recognize that not all metrics and beacons equally predict a charity’s success. The percentage each beacon contributes to the organization’s overall rating depends on the number of beacons an organization has earned.
Use the tool below to select different beacons to see how the weighting shifts when only one, two, or three beacons are earned.
Rating histories are available for a growing number of rated organizations. Check back later to see if this organization has a rating history!
The IRS is significantly delayed in processing nonprofits' annual tax filings (Forms 990). As a result, the Accountability & Finance score for Harry S. Truman Children's Neurological Center, dba TNC Community is outdated and the overall rating may not be representative of its current operations. Please check with the charity directly for any questions you may have.
Harry S. Truman Children's Neurological Center, dba TNC Community has earned a 100% for the Accountability & Finance beacon. See the metrics below for more information.
This beacon provides an assessment of a charity's financial health (financial efficiency, sustainability, and trustworthiness) and its commitment to governance practices and policies.
This Accountability & Finance score represents IRS Form 990 data up until FY 2020, which is the most recent Form 990 currently available to us.
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Full Credit
Partial Credit
No Credit
Not ApplicableBoard Composition - 12/12 - 25/25 ptsBoard Composition - 12/12 - 25/25 pts
Charity Navigator looks for at least 3 board members, with more than 50% of those members identified as independent (not salaried).
The presence of an independent governing body is strongly recommended by many industry professionals to allow for full deliberation and diversity of thinking on governance and other organizational matters.
Source: IRS Form 990
Independent Audit or Financial Review - Audited - 20/20 ptsIndependent Audit or Financial Review - Audited - 20/20 pts
An Audit, Review, or Compilation provides important information about financial accountability and accuracy. Organizations are scored based on their Total Revenue Amount:
| Total Revenue Amount | Expectation to Receive Credit |
|---|---|
| $1 million or higher | Expected to complete an audit |
| $500,000 - $1 million | Expected to complete an audit, review, or compilation |
| Less than $500,000 | No expectation (removed from scoring methodology) |
Source: IRS Form 990
Conflict of Interest Policy - Listed - 3/3 ptsConflict of Interest Policy - Listed - 3/3 pts
Charity Navigator looks for the existence of a conflict of interest policy on the Form 990 as an accountability and transparency measure.
This policy protects the organization and by extension those it serves, when it is considering entering into a transaction that may benefit the private interest of an officer, director and/or key employee of the organization.
Source: IRS Form 990
Board Meeting Minutes - Documented - 3/3 ptsBoard Meeting Minutes - Documented - 3/3 pts
Charity Navigator looks to confirm on the Form 990 that the organization has this process in place as an accountability and transparency measure.
An official record of the events that take place during a board meeting ensures that a contemporaneous document exists for future reference.
Source: IRS Form 990
Document Retention and Destruction - Listed - 3/3 ptsDocument Retention and Destruction - Listed - 3/3 pts
Charity Navigator looks for the existence of a document retention and destruction policy per the Form 990 as an accountability and transparency measure.
This policy establishes guidelines for the handling, backing up, archiving and destruction of documents. These guidelines foster good record keeping procedures that promote data integrity.
Source: IRS Form 990
Whistleblower Policy - Listed - 3/3 ptsWhistleblower Policy - Listed - 3/3 pts
Charity Navigator looks for the existence of a whistleblower policy per the Form 990 as an accountability and transparency measure.
This policy outlines procedures for handling employee complaints, as well as a confidential way for employees to report financial or other types of mismanagement.
Source: IRS Form 990
Website - Listed - 3/3 ptsWebsite - Listed - 3/3 pts
Charity Navigator looks for a website on the Form 990 as an accountability and transparency metric.
Nonprofits act in the public trust and reporting publicly on activities is an important component.
Source: IRS Form 990
Full CreditPartial CreditNo CreditNot ApplicableLiabilities to Assets Ratio - 42.32% - 15/15 ptsLiabilities to Assets Ratio - 42.32% - 15/15 pts
The Liabilities to Assets Ratio is determined by Total Liabilities divided by Total Assets (most recent 990). This ratio is an indicator of an organization’s solvency and/or long-term sustainability.
| Liabilities to Assets Ratio | Amount of Credit Received |
|---|---|
| Less than 50% | Full Credit |
| 50% - 59.9% | Partial Credit |
| 60% or more | No Credit |
Source: IRS Form 990
Program Expense Ratio - 81.15% - 25/25 ptsProgram Expense Ratio - 81.15% - 25/25 pts
The Program Expense Ratio is determined by Program Expenses divided by Total Expense (average of most recent three 990s). This measure reflects the percent of its total expenses a charity spends on the programs and services it exists to deliver.
| Program Expense Percentage | Amount of Credit Received |
|---|---|
| 70% or higher | Full Credit |
| 60% - 69.9% | Partial Credit |
| 50% - 59.9% | Zero Points for Program Expense Score |
| Below 50% | Zero Points for Both Program Expense AND Liabilities to Assets Scores |
Source: IRS Form 990
This chart displays the trend of revenue and expenses over the past several years for this organization, as reported on their IRS Form 990.
Presented here are up to five of this organization's highest compensated employees. This compensation data includes salary, cash bonuses, and expense accounts and is displayed exactly how it is reported to the IRS. The amounts do not include nontaxable benefits, deferred compensation, or other amounts not reported on Form W-2. In some cases, these amounts may include compensation from related organizations. Read the IRS policies for compensation reporting
Source: IRS Form 990 (page 7), filing year 2020
Below are some key data points from the Exempt Organization IRS Business Master File (BMF) for this organization. Learn more about the BMF on the IRS website
Foundation Status:
Hospital or medical research organization 170(b)(1)(A)(iii) (BMF foundation code: 12)
Affiliation:
Independent - the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations). (BMF affiliation code: 3)
The Form 990 is a document that nonprofit organizations file with the IRS annually. We leverage finance and accountability data from it to form Encompass ratings. Click here to search for this organization's Forms 990 on the IRS website (if any are available). Simply enter the organization's name (Harry S. Truman Children's Neurological Center, dba TNC Community) or EIN (440608429) in the 'Search Term' field.
This organization was impacted by COVID-19 in a way that effected their financial health in 2020. This normally would have reduced their star rating. Due to the unprecedented nature of the pandemic, we give charities such as this one the opportunity to share the story of COVID's impact on them, and doing this pauses our revision of their rating. Charities may submit their own pandemic responses through their nonprofit portal.
Harry S. Truman Children's Neurological Center, dba TNC Community reported being impacted by COVID-19 in the following ways:
Program Delivery
Staffing
Balance Sheet
How COVID-19 impacted the organization's operations financially:
Within the first year and a half of the pandemic, COVID-19 expenses related to supplies, increased staff turnover, and need for contract services added up to more than 1.5 million in operational expenses that were not budgeted. Securing forgiveness of a CARES Act PPP loan, HRSA payments, and increased foundation grants kept TNC financially solvent.
How COVID-19 impacted the organization's delivery of programs:
The IDD-services industry was already in crisis due to a shortage of direct service provider staff before COVID-19 struck. We estimate that the pandemic increased staff turnover, lack of applicants, and shortages by about 20%. TNC implemented a 90-day-retention program with promising results. We have built on that success to increase retention past that timeframe with a focus on incentives to reinforce best practices. While staff shortages and turnover are a challenge for TNC, our rates remain 20% better than the national average.
How this organization adapted to changing conditions caused by COVID-19:
With 75% of our residential clients being medically fragile as well as needing support for severe intellectual and developmental disabilities, consistent individualized healthcare is essential to their well-being. At the onset of the pandemic physicians offices cancelled regular appointments and hospitals turned away in-patient care that our individuals relied on regularly. TNC responded by adding on-demand telehealth services with IDD-expert MDs. This solution led to 81% fewer ER transfers for TNC individuals and remains a value-added service. Enhanced anitation procedures; safety procedures such as masking, taking temperatures, and hand-washing; and requiring personal protective equipment were implemented immediately and continue.
Innovations the organization intends to continue permanently after the pandemic:
Because of the significant decrease in need to take individuals to hospital emergency departments and urgent care centers - eliminating anxiety and transfer trauma as well - TNC will continue to include on-demand telehealth services with IDD-expert MDs as part of our Health Services.
Not Currently Scored
Harry S. Truman Children's Neurological Center, dba TNC Community cannot currently be evaluated by our Impact & Results methodology because either (A) it is eligible, but we have not yet received data; (B) we have not yet developed an algorithm to estimate its programmatic impact; (C) its programs are not direct services; or (D) it is not heavily reliant on contributions from individual donors.
Note: The absence of a score does not indicate a positive or negative assessment, it only indicates that we have not yet evaluated the organization.
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Harry S. Truman Children's Neurological Center, dba TNC Community reported its largest program on its FY 2020 Form 990 as:
Spent in most recent FY
Percent of program expenses
PROVIDES INDIVIDUALS WITH INTELLECTUAL AND OR DEVELOPMENTAL DISABILITIES SERVICES RANGING FROM RESIDENTIAL CARE TO ASSISTANCE IN COMMUNITY INTEGRATION.
Harry S. Truman Children's Neurological Center, dba TNC Community has earned a 88% for the Culture & Community beacon. See the metrics below for more information.
This beacon provides an assessment of the organization's culture and connectedness to the community it serves.
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Full CreditPartial CreditNo CreditNot ApplicableConstituent Feedback - Data Available - 100/100 ptsConstituent Feedback - Data Available - 100/100 pts
30% of beacon score
This organization reported that it is collecting feedback from the constituents and/or communities it serves. Charity Navigator believes nonprofit organizations that engage in inclusive practices, such as collecting feedback from the people and communities they serve, may be more effective.
Who are the people you serve with your mission? Describe briefly.
Individuals with intellectual and developmental disabilities
How is your organization collecting feedback from the people you serve?
Electronic surveys (by email, tablet, etc.), Focus groups or interviews (by phone or in person), Paper surveys, Case management notes, Community meetings or town halls
How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve
With whom does your organization share the feedback you got from the people you serve?
The people we serve, Our staff, Our board, Our funders, Our community partners
How has asking for feedback from the people you serve changed your relationship with them or shifted power - over decisions, resources, rules or in other ways - to them?
At TNC Community, the individuals we serve come first. They are at the top of our official organizational chart and have representatives on our Board of Directors.
What challenges does your organization face in collecting feedback from the people you serve?
Staff find it hard to prioritize feedback collection and review due to lack of time, Other means
Briefly describe a recent change that your organization made in response to feedback from the people you serve.
Housing challenges for individuals we serve—with low incomes and severe IDD— are common. The lease was terminated for three men, ages 61 to 80, who’ve received around‐the‐clock support from TNC for more than a decade. When new custodians took over for their aging landlords in March 2021, TNC’s offers to continue leasing or purchase the property (at market value) were refused. In a hyper‐competitive real estate market, with only 60 days notice, TNC urgently sought accommodations that would cause as little disruption to these men’s lives as possible. TNC purchased a remodeled home in a nearby part of town. TNC’s ownership stabilizes the remainder of these men’s lives by ensuring they can continue to live as roommates in the community they know.
Equity Practices - Data Available - 83/100 ptsEquity Practices - Data Available - 83/100 pts
70% of beacon score
This organization's score of 83 is a passing score. The organization reported that it is implementing 4 Equity Practices. Charity Navigator believes nonprofit organizations implementing effective equity policies and practices can enhance a nonprofit's decision-making, staff motivation, innovation, and effectiveness.
Equity Practices (1/7) | |
|---|---|
We review compensation data across the organization (and by staff levels) to identify disparities by race. | |
We ask team members to identify racial disparities in their programs and/or portfolios. | |
We analyze disaggregated data and root causes of race disparities that impact the organization/'s programs, portfolios, and the populations served. | |
We disaggregate data to adjust programming goals to keep pace with changing needs of the communities we support. | |
We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders. | |
We disaggregate data by demographics, including race, in every policy and program measured | |
We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization. | |
Equity Policies and Procedures (3/7) | |
|---|---|
We use a vetting process to identify vendors and partners that share our commitment to race equity. | |
We have a promotion process that anticipates and mitigates implicit and explicit biases about people of color serving in leadership positions. | |
We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization. | |
We have community representation at the board level, either on the board itself or through a community advisory board. | |
We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability. | |
We measure and then disaggregate job satisfaction and retention data by race, function, level, and/or team. | |
We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization. | |
Harry S. Truman Children's Neurological Center, dba TNC Community has earned a 100% for the Leadership & Adaptability beacon. See the metrics below for more information.
This beacon provides an assessment of the organization's leadership capacity, strategic thinking and planning, and ability to innovate or respond to changes in constituent demand/need or other relevant social and economic conditions to achieve the organization's mission.
Learn more
Full CreditPartial CreditNo CreditNot ApplicableMission - 10/10 ptsMission - 10/10 pts
The nonprofit organization presents evidence of strategic thinking through articulating the organization's mission
Provide residential and social support for individuals with intellectual and developmental disabilities, advocating for interdependent living, education, and community inclusion through competent, caring service.
Vision - 10/10 ptsVision - 10/10 pts
The nonprofit organization presents evidence of strategic thinking through articulating the organization’s vision.
To be the region’s foremost provider of high-quality services to people with developmental disabilities by offering individuals opportunities to set and achieve goals in a safe, healthy environment.
Source: Nonprofit submitted responses
Goals - 20/20 ptsGoals - 20/20 pts
The nonprofit organization presents evidence of strategic thinking and goal setting through sharing their most important strategic goals.
Goal One: Consistently provide quality services for individuals with intellectual and developmental disabilities
Goal Type: Grow, expand, scale or increase access to the existing programs and services.
Goal Two: Attract and retain quality team of IDD care and nonprofit professionals
Goal Type: Grow, expand, scale or increase access to the existing programs and services.
Goal Three: Ensure fiscal stability and growth through diversified services to people with IDD
Goal Type: New program(s) based on observed changes in needs among our constituencies/communities served.
Leadership Development - 15/15 ptsLeadership Development - 15/15 pts
The nonprofit provides evidence of investment in leadership development
Leadership team members are supported for engaging in training and membership with community organizations. Direct care staff are supported with training and have opportunities for tuition reimbursement. Staff who wish to become Certified Nurse Assistants have opportunity for their certification program to be fully paid by TNC Community.
Mobilizing for Mission - 15/15 ptsMobilizing for Mission - 15/15 pts
The nonprofit provides evidence of leadership through focusing externally and mobilizing resources for the mission.
Strategic Partnerships
Networks of Collective Impact Efforts
Thought Leadership
Raising Awareness
Policy Advocacy
TNC Community Leadership Team members participate with community organizations (chambers of commerce, rotary, business associations, nonprofit collectives) and advocacy organizations to collaborate for the population we serve and the overall well-being of the community. Dependent on state funding, TNC's participation and leadership within MARF is key to our work with other nonprofit providers and legislators to pursue the advocacy arm of our mission.
Adaptability Story - 30/30 ptsAdaptability Story - 30/30 pts
The nonprofit has an opportunity to tell the story of how the organization adapted to tremendous external changes in the last year.
In response to ever-changing regulations and safety needs related to the COVID-19 pandemic, TNC proactively responds to implement solutions while holistically sustaining the organization and the safety of the vulnerable individuals we serve. Examples include: • Added on-demand telehealth services with IDD-expert MDs to fill gaps created by physician-office shutdowns and denials for inpatient care that hit early in the pandemic. This solution led to 81% fewer ER transfers for TNC individuals and remains a value-added service that has reduced transfer trauma and ER/urgent care visits. • Secured government and foundation funding to keep TNC financially solvent. During 2020-2021, COVID added $1.5 million+ in staffing and supply expenses not reimbursed through Medicaid. TNC secured forgiveness of a Cares Act PPP loan, HRSA payments, and employment tax credits, while welcoming 21 grant awards during 2021—71% from new funders. • Expanded to serve 45% more people in 2021—an extraordinary feat considering 77% of IDD-service providers were turning away new clients and 58% had to cutt programs and services. • At the request of a referring government agency, TNC started new programming to serve a community need for services to people living independently with IDD.
Impact & Results
Accountability & Finance
Culture & Community
Leadership & Adaptability
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