2025-04-30T14:25:06+00:00 2024-06-30 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-07-01 440661018 TRUMAN MEDICAL CENTER INCORPORATED TRUM 8164041000 2301 HOLMES STREET KANSAS CITY MO 64108 CHARLES W SHIELDS PRESIDENT/CEO 2025-04-30 true Michael Engle P00482834 8162216300 2024-05-15 2023 2025-03-06 01:10:19Z UNIVERSITY HEALTH JOHN WILSON 2301 HOLMES STREET KANSAS CITY MO 64108 835948291 false X WWW.UNIVERSITYHEALTHKC.ORG X 1976 MO UNIVERSITY HEALTH IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY. 33 33 5475 96 0 0 21088358 25255480 684489119 749923070 529793 1178412 70036353 59591329 776143623 835948291 235000 402500 0 419253873 459418370 0 0 347780567 366688193 767269440 826509063 8874183 9439228 497241678 517024975 307943505 308162972 189298173 208862003 UNIVERSITY HEALTH IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO 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ROSEMERGEY DO DIRECTOR 1.0 0.0 X 0 0 0 SEN KIKI CURLS DIRECTOR 1.0 0.0 X 0 0 0 TROY NASH EDD DIRECTOR 1.0 0.0 X 0 0 0 VALERIE CHOW MD DIRECTOR 1.0 0.0 X 0 0 0 WILL BLOCK DIRECTOR 1.0 0.0 X 0 0 0 ZANE M BURKE DIRECTOR 1.0 0.0 X 0 0 0 CHARLES W SHIELDS PRESIDENT/CEO/DIRECTOR 40.0 0.0 X 1378881 0 71782 JOHN WILSON TREASURER 40.0 0.0 X 633278 0 50982 JOLIE L JUSTUS SECRETARY 40.0 2.0 X 510350 0 82012 MARK T STEELE MD CHIEF MEDICAL OFFICER 24.0 26.0 X 494734 0 0 GERARD GRIMALDI CHIEF HEALTH POLICY/GOVT RELAT 40.0 0.0 X 469477 0 60229 JOHN GIANINO NEUROSURGEON 40.0 1.0 X 802106 0 128396 LYNETTE WHEELER COO LAKEWOOD 40.0 0.0 X 456770 0 40372 MITZI CARDENAS EXECUTIVE CHIEF ADMIN OFFICER 40.0 0.0 X 706385 0 57223 RUTH PULLINS CHIEF HR OFFICER 40.0 0.0 X 498631 0 41202 5950612 0 532198 703 false true true CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT Services 21453901 UNIVERSITY OF MISSOURI-KANSAS CITY PO BOX 805111 KANSAS CITY MO 64180 MEDICAL SERVICES 20323625 UNION HILL ANESTHESIA 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12731576 1686970 223964 197760 26204 578069 510435 67634 4333561 4319855 13706 27419205 25224282 2194923 6485706 5403064 1082642 PHARMACEUTICALS 81242996 81242996 MEDICAL SUPPLIES 63917533 63917533 FRA EXPENSES 24264578 24264578 13811700 13732321 79379 0 826509063 731722298 94786765 0 13419534 26395722 5731774 6045901 2680468 3340197 109130861 120676076 0 0 0 0 0 0 8669260 7349775 10264446 10671398 761940723 489803153 272732242 272137570 5656668 6045525 693472 1116010 0 0 0 68262953 63246801 497241678 517024975 159394223 166448608 0 0 0 0 79948145 74252160 0 0 0 0 20422097 20206554 0 0 48179040 47255650 307943505 308162972 X 175266504 193766044 14031669 15095959 189298173 208862003 497241678 517024975 X 9439228 608956 0 0 0 9515646 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 149375 149375 149375 149375 826359688 826359688 826509063 826509063 1000000 1000000 250000 250000 0 0 0 0 true 1000000 1000000 1000000 1000000 4000000 6000000 146672 130179 143349 149375 569575 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 3926025 464984 4854 4386155 3562640 109617 362281 108513 3926025 4576540 -507830 506070 3562640 3555670 1026262 5392 4576540 3658405 26539 129274 3555670 0.0 0.705 0.295 true false 0 4096100 4096100 0 484021422 280971883 203049539 0 0 0 0 0 256544003 208831270 47712733 17279198 0 17279198 272137570 ASSETS FOR CAPITAL ACQUISITION 6525805 ASSETS EXTERNALLY RESTRICTED 965384 INTEREST IN ASSETS OF UH Foundation 14130575 OTHER RECEIVABLES 10977473 OPERATING LEASE ROU ASSETS 30165806 ACCRUED PENSION ASSET 481758 63246801 457F PLAN LIABILITY 6525805 UNAMORTIZED PREMIUM 1265869 OTHER LIABILITIES 8176222 OPERATING LEASE LIABILITY 31287754 47255650 943754111 608956 107372184 107981140 835772971 175320 175320 835948291 931668807 105297973 105297973 826370834 138229 138229 826509063 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 Organizations 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 - 175320 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Related Organizations Expense - 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 - 138229 true true X true X true X true true true false false 65233837 73741252 0 0.0 323588859 306539476 17049383 0.0199 0 0 0 0.0 0 0 388822696 380280728 17049383 0.0199 1182845 0 1182845 0.0014 48041420 38616812 9424608 0.0110 2974680 0 2974680 0.0035 0 0 0 0.0 424261 10 424251 0.0005 0 0 52623206 38616822 14006384 0.0164 0 0 441445902 418897550 31055767 0.0363 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 41536436 31152327 57896244 48946680 8949564 X true true 2 1 UNIVERSITY HEALTH TRUMAN MED CTR 2301 HOLMES KANSAS CITY MO 64108 WWW.UNIVERSITYHEALTHKC.ORG/ 285-46 X X X X X A 2 UNIVERSITY HEALTH LAKEWOOD MED CTR 7900 LEES SUMMIT ROAD KANSAS CITY MO 64139 WWW.UNIVERSITYHEALTHKC.ORG/ 195-61 X X X X X A A 2 false false true X X X X X X X X X 22 true true false true X https://www.universityhealthkc.org/about-us/publications/community-health-needs-assessment/ X true 22 true https://www.universityhealthkc.org/about-us/publications/community-health-needs-assessment/ false true X 100.0 400.0 X X X X true true X X X true X https://www.universityhealthkc.org/patients-visitors/billing-information/financial-assistance/ X https://www.universityhealthkc.org/patients-visitors/billing-information/financial-assistance/ X https://www.universityhealthkc.org/patients-visitors/billing-information/financial-assistance/ X X X X X X true X false X X X X true X false false 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. 1 UNIVERSITY HEALTH BEHAVIORAL HEALTH 300 WEST 19TH TERRACE KANSAS CITY MO 64108 MENTAL HEALTH FACILITY 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 true Friends of Psychiatry Foundation 300 W 9TH TERRACE KANSAS CITY MO 64108 431554307 501(C)(3) 400000 SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE HEALTH SCIENCES COMMUNITY IMPROVEMENT DISTRICT (CID) SEVEN MEMBER BOARD INCLUDES TWO UNIVERSITY HEALTH EMPLOYEES WITH OVERSIGHT OF THE FINANCIALS AND ACTIVITIES FOR THE HEALTH SCIENCES CID. X X X X X X false true false false false false false false false CHARLES W SHIELDS PRESIDENT/CEO/DIRECTOR 1013998 0 152906 0 211977 0 35700 0 36082 0 1450663 0 0 0 JOHN WILSON TREASURER 462537 0 79354 0 91387 0 34359 0 16623 0 684260 0 0 0 JOLIE L JUSTUS SECRETARY 351322 0 60338 0 98690 0 55336 0 26676 0 592362 0 89418 0 MARK T STEELE MD CHIEF MEDICAL OFFICER 494734 0 0 0 0 0 0 0 0 0 494734 0 0 0 JOHN GIANINO NEUROSURGEON 623518 0 1035 0 177553 0 88638 0 39758 0 930502 0 169838 0 MITZI CARDENAS EXECUTIVE CHIEF ADMIN OFFICER 520024 0 87582 0 98779 0 35700 0 21523 0 763608 0 0 0 RUTH PULLINS CHIEF HR OFFICER 362380 0 62573 0 73678 0 13200 0 28002 0 539833 0 0 0 GERARD GRIMALDI CHIEF HEALTH POLICY/GOVT RELAT 329490 0 58693 0 81294 0 26138 0 34091 0 529706 0 0 0 LYNETTE WHEELER COO LAKEWOOD 315818 0 28057 0 112895 0 13200 0 27172 0 497142 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan JOLIE JUSTICE - ACCRUAL - 42,136 DISTRIBUTION - 89,418 JOHN GIANINO - ACCRUAL - 52,938 DISTRIBUTION - 169,838 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 - 494734, NAME OF UNRELATED ORGANIZATION - UNIVERSITY HEALTH PHYSICIANS, TYPE OF COMPENSATION - SERVICES AS MEDICAL DIRECTOR A JACKSON COUNTY MISSOURI 446000524 467578GJ3 2012-09-04 41180485 REFUNDING BOND false false false B JACKSON COUNTY MISSOURI 446000524 467578LA6 2021-12-02 11208910 REFUNDING BOND false false false C MO HEALTH & EDUCATION FACILITIES AUTHORITY 431178966 2017-12-22 70000000 BUILDING EQUIPMENT & REFUNDING false false false A 26207665 37597509 451929 37142580 2012 true false true true B 2945000 11208810 184586 11024324 2021 true false true true C 11985000 70000000 485984 64554538 4754505 2020 true false true true A false false true true false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 false false true A false true false false false false true B false true false false false false true C false true false false false false true A true B true C true 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 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 (also referred to as University Health Truman Medical Center, or UHTMC) and at a location in Eastern Jackson County, MO which is 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, orthopaedics, women's health and emergency/trauma services. In addition, UH offers services that include ophthalmology, cardiology, gastroenterology and oral surgery. In Fiscal Year 2024 (FY24), University Health provided more than 589,000 outpatient care appointments, with about 173,000 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 90,000 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 FY24, UH providers treated adult patients at 9,630 visits and pediatric patients with asthma at 733 appointments. Diabetes University Health providers know that a diabetes diagnosis can be devastating. About 15,000 UH patients have a primary or secondary diagnosis of diabetes. In FY24, there were about 11,000 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 FY24, Sickle Cell Center providers cared for patients at 914 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 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 Kansas City. 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 3,393 babies in FY24, 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 Kansas City 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. A diverse and highly qualified dedicated breast team, including an Advance Practice Registered Nurse (APRN) certified by The American Society of Breast Surgeons, 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 116,368 visits in FY24. 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 FY24, the Cardiology Center provided 11,114 outpatient clinic appointments, performed 22,509 outpatient diagnostic procedures, performed 1,012 lab procedures, of which 675 were diagnostic catheterization procedures and placed 185 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, 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 FY24, the TMC GI Center provided 6,167 outpatient visits and performed nearly 8,000 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 FY24, the Ophthalmology Department provided care to patients during 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. 9,021 patients received oral surgical services at UH in FY24, and providers treated nearly 10,000 treatments for patients at the UH Lakewood Medical Center Dental Clinic. Outpatient Behavioral Health Services In FY24, University Health Behavioral Health provided 173,424 outpatient visits while caring for more than 10,000 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 Health Department University Health contracts with the Jackson County, Missouri government to manage the Jackson County Health Department (JACOHD). In FY24, the JACOHD provided more than 116,000 community-based encounters including vaccinations, community health education and adult traumatic brain injury case management. The JACOHD 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 90,067 visits in FY24, with more than 61,000 of those visits at the UHTMC campus, making it one of the busiest adult emergency departments in the Kansas City, Missouri metro area. The UHTMC Emergency Department (ED) is an American College of Surgeons verified Level 1 Trauma Center. It consists of a team of nearly 25 physicians and more than 125 nurses specially trained in treating trauma and critical care injuries. Trauma surgeons and other members of the trauma and critical care team are in the hospital 24-hours a day, seven-days a week. The UHLMC Emergency Department has a staff of ten 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 prevent violence, is focused on the reduction of intentional gunshot incidents. As the primary hospital in association with Aim4Peace, 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 SANE (Sexual Assault Nurse Examiner) on site to provide a thorough forensic examination of men or women 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 2024 include: Industry/Multicenter/ Collaborative Research 1. VBI-S for the Treatment of Hypotension in Hypovolemic Septic Shock Patients. Department of Defense (Navy) Phase 3 RCT; PI: Moncure; Sponsor Vivacelle Bio. 3 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 Outpatient 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. Does placement of Foley catheter tubing effect residual urine in the bladder. (QI) Gianino, John 13. Effect of Aim4Peace Community-Based Violence Prevention Program on Recidivism Rates in Trauma Patients in Kansas City Missouri. Moncure, Michael 14. 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, UH Lakewood Medical Center, and University Health Behavioral Health (UHBH.) UH TMC 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, throat, ophthalmology, oral and maxillofacial surgery, pain management, orthopedics and plastic surgery. UH providers cared for 84,000 individual patients at its downtown KC location, and nearly 60,000 individual patients at its Eastern Jackson County campus in Fiscal Year 2024 (FY24.) 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 FY24, (July 1, 2023- June 30, 20224), UH had 20,591 inpatient admissions and provided 91,082 days of inpatient care and more than 58,000 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 FY24, more than 90,000 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 three major languages: Spanish, Somali and Arabic. Additionally, over the phone and video remote interpreters in over 200 languages are available. In FY24, language access provided more than 350,000 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/or substance abuse and addiction problems. 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 FY24, UHBH provided 173,424 appointments, with 1,486 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. 2024 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 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 ALL OTHER REVENUE - Total Revenue: 45820152, Related or Exempt Function Revenue: 45820152, 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 - 1124050; CHANGE IN DEFINED BENEFIT PENSION PLAN - 34817827; PENSION SETTLEMENT - -28651831; TRANSFER FROM AFFILIATE - 2225600; TMC PROF AND GEN LIABILITY SELF INS TRUS 2301 HOLMES KANSAS CITY MO 64108 431946384 LIABILITY INS MO 501(c)(3) Type II NA false TMC FINANCE SUPPORT CORPORATION 2301 HOLMES KANSAS CITY MO 64108 271994129 SUPPORT MO 501(c)(3) Type I UH true false false false false false false false false false false false false false true true false true true true TRUMAN MEDICAL CENTER INCORPORATED 2301 HOLMES STREET KANSAS CITY MO 64108 440661018 X 0 149375 149375 826359688 826509063 1000000 250000 0 0 0 TMC FINANCE SUPPORT CORPORATION 2301 HOLMES STREET KANSAS CITY MO 64108 271994129 0 0 0 0 0 0 0 0 0 0