2022-05-13T10:38:26-05:00 2021-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2020-07-01 440661018 TRUMAN MEDICAL CENTER INCORPORATED % JOHN WILSON TRUM 8164041000 2301 HOLMES STREET KANSAS CITY MO 64108 CHARLES W SHIELDS PRESIDENT/CEO 8164043528 2022-05-16 true Charles Shields XXX-XX-XXXX Michael J Engle P00482834 8162216300 2022-05-16 2 2020 2022-09-23 18:48:47Z JOHN WILSON 2301 HOLMES KANSAS CITY MO 64108 743548861 false X WWW.UNIVERSITYHEALTHKC.ORG X 1976 MO TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF ABILITY TO PAY. 32 30 5369 115 0 0 11391051 48436382 577623640 643516285 -159956 321439 45640429 44332231 634495164 736606337 19000 18000 0 0 324803169 351943099 0 0 0 302341194 334349405 627163363 686310504 7331801 50295833 444243623 489587316 371542204 332857478 72701419 156729838 X TRUMAN MEDICAL CENTER IS AN ACADEMIC HEALTH CENTER PROVIDING ACCESSIBLE, STATE-OF-THE-ART QUALITY HEALTHCARE TO OUR COMMUNITY REGARDLESS OF THE ABILITY TO PAY. false false 318420447 18000 359744774 OUTPATIENT DEPARTMENT- SEE SCHEDULE O 239271960 0 270324467 INPATIENT CARE- SEE SCHEDULE O 51142098 0 57779275 EMERGENCY DEPARTMENT- SEE SCHEDULE O 608834505 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true true false false false false false false false false false false false false false false true true false false false true 370 0 true 5369 true false false false false false false false false false false true false X 32 30 false false false false false true false true true false false false true true true true true true true true true MO X JOHN WILSON 8164043525 2301 HOLMES KANSAS CITY MO 64108 X CHARLES W SHIELDS PRESIDENT/CEO/DIRECTOR 40.0 0.0 X X 1180198 0 410597 JOHN GIANINO NEUROSURGEON 40.0 1.0 X 629574 0 116138 MITZI CARDENAS EXECUTIVE CHIEF ADMIN OFFICER 40.0 0.0 X 657392 0 40126 RUTH PULLINS CHIEF HR OFFICER 40.0 0.0 X 565281 0 58631 WILLIAM H COLBY SECRETARY UNTIL 09/2020 40.0 0.0 X 568502 0 37647 GERARD GRIMALDI CHIEF HEALTH POLICY/GOVT RELAT 40.0 0.0 X 437135 0 87679 MARK T STEELE MD DIRECTOR 20.0 1.0 X 420635 0 0 MARGA HOELSCHER ASSISTANT TREASURER 40.0 0.0 X 318897 0 79541 LYNETTE WHEELER COO - LW 40.0 0.0 X 340072 0 38635 JOLIE L JUSTUS SECRETARY 40.0 2.0 X 162921 0 20248 PEGGY J DUNN PAST CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 PHILIP J SANDERS CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 DRED D SCOTT EDD VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 TIMOTHY A WURST SECRETARY/VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 FORESTINE BEASLEY DIRECTOR 1.0 0.0 X 0 0 0 ZANE M BURKE DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS M BURGESS MD DIRECTOR 1.0 0.0 X 0 0 0 SEN KIKI CURLS DIRECTOR 1.0 0.0 X 0 0 0 TRACEY LEWIS TREASURER/DIRECTOR 1.0 0.0 X X 0 0 0 MARVIN LYMAN DIRECTOR 1.0 0.0 X 0 0 0 JON OTTO VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 MAHNAZ SHABBIR DIRECTOR 1.0 0.0 X 0 0 0 ZULEMA BASSHAM DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL COLLINS VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 CARLOS GOMEZ DIRECTOR 1.0 0.0 X 0 0 0 KAMANI M LANKACHANDRA MD DIRECTOR 1.0 0.0 X 0 0 0 ALISE MARTINY DIRECTOR 1.0 0.0 X 0 0 0 MELISSA ROBINSON DIRECTOR 1.0 0.0 X 0 0 0 MAULI AGRAWAL DIRECTOR 1.0 0.0 X 0 0 0 JEFFREY A METZNER MD DIRECTOR 1.0 0.0 X 0 0 0 PAT CONTRERAS DIRECTOR 1.0 0.0 X 0 0 0 SEAN GRATTON MD DIRECTOR 1.0 0.0 X 0 0 0 STEVE HAWN VICE CHAIR/DIRECTOR 1.0 0.0 X X 0 0 0 MARY ANNE JACKSON MD DIRECTOR 1.0 0.0 X 0 0 0 JAMES TERRANCE JR DIRECTOR 1.0 0.0 X 0 0 0 MUDASSAR ZIA MD DIRECTOR 1.0 0.0 X 0 0 0 LATOSHA ELIGON DIRECTOR 1.0 0.0 X 0 0 0 EILEEN WEIR DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL T MAYER DIRECTOR 1.0 0.0 X 0 0 0 BONNAYE MIMS DIRECTOR 1.0 0.0 X 0 0 0 BROOK NELSON MD DIRECTOR 1.0 0.0 X 0 0 0 5280607 0 889242 316 false true true CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SERVICES 26196274 UNIVERSITY HEALTH PHYSICIANS 2310 HOLMES SUITE 800 KANSAS CITY MO 64108 PHYSICIAN SERVICES 18736661 UNIVERSITY OF MISSOURI-KANSAS CITY PO BOX 805111 KANSAS CITY MO 64180 MEDICAL SERVICES 18677419 UNION HILL ANESTHESIA 5512 ABERDEEN RD FAIRWAY KS 66205 MEDICAL SERVICES 8117249 MEDICAL IMAGING PA 127 W 10TH STREET SUITE 202 KANSAS CITY MO 64105 MEDICAL SERVICES 5497214 36 14941221 33495161 48436382 NET PATIENT SERVICE REVENUE 621110 404774515 404774515 EXPENSE REIMBURSEMENT 621110 1728791 1728791 MEDICAID ENHANCEMENTS 621110 161750474 161750474 LOCAL GOVERNMENT SUBSIDY 900099 36196624 36196624 PROVIDER RELIEF FUNDS 900099 39065881 39065881 643516285 338457 338457 0 0 0 0 0 6921636 3870 6904121 38403 17515 -34533 -17018 -17018 0 0 0 0 0 0 0 0 0 340B REVENUE 900099 32966313 32966313 EHR MEANINGFUL USE 900099 278721 278721 LAB 900099 3831149 3831149 7256048 7256048 44332231 736606337 687848516 321439 18000 18000 0 0 0 4086199 4086199 0 287619198 255408585 32210613 4547072 4232502 314570 36835055 32353817 4481238 18855575 16529632 2325943 0 889353 889353 261589 261589 0 0 0 47363702 42627332 4736370 1208535 906401 302134 112951518 94669602 18281916 19651699 14738774 4912925 0 8397777 7415237 982540 2044 1805 239 0 36755 32455 4300 3190087 2839177 350910 0 22779384 19818064 2961320 2280247 1906407 373840 PHARMACEUTICALS 59973382 59973382 MEDICAL SUPPLIES 55220708 55220708 MEDICAL STAFF EXPENSES 142625 142625 686310504 608834505 77475999 0 51066237 22308247 2115412 2156528 566940 1442628 65022036 77733485 0 0 0 0 0 0 8477804 9535951 7687101 8867193 702763989 423391823 236616259 279372166 7514650 7877687 0 692273 0 0 0 0 65177184 79601158 444243623 489587316 197647544 171208563 0 0 0 0 97555900 92231210 0 0 0 0 25752722 50197890 0 0 50586038 19219815 371542204 332857478 X 47178523 129438472 25522896 27291366 72701419 156729838 444243623 489587316 X 50295833 136021 33596565 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 146672 146672 146672 146672 686163832 686163832 686310504 686310504 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 104992 110791 127770 146672 490225 250000 250000 250000 250000 1000000 1500000 42789 44175 59922 0 146886 3555670 0 1026262 5392 4576540 3658405 0 26539 129274 3555670 3511267 5000 151452 9314 3658405 3355388 5000 286306 135427 3511267 3130017 944 366243 141816 3355388 0.00000 0.90880 0.09120 true false 5384359 5384359 416418103 243420067 172998036 226337169 179971756 46365413 54624358 54624358 279372166 ASSETS FOR CAPITAL ACQUISITION 4850035 ASSETS EXTERNALLY RESTRICTED 922434 INTEREST IN ASSETS OF TMCCF 26368932 ASSETS HELD BY BOND TRUSTEE 747689 OTHER RECEIVABLES 9681855 OPERATING LEASE ROU ASSETS 37030213 79601158 0 457F PLAN LIABILITY 4850035 UNAMORTIZED PREMIUM 901171 OTHER LIABILITIES 7041882 OPERATING LEASE LIABILITY 6426727 19219815 786941524 136021 147361780 147497801 639443723 97162614 97162614 736606337 761732974 142193632 142193632 619539342 66771162 66771162 686310504 SCHEDULE D, PART V, LINE 4 THE INVESTMENTS ARE TO BE HELD IN PERPETUITY AT TRUMAN MEDICAL CENTER CHARITABLE 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 TMC, INC. SUPPORTING THE WOMEN'S HEALTH DEPARTMENT AT TMC, INC. SUPPORTING THE TRAUMA DEPARTMENT AT TMC, INC. PROVIDING PROGRAM SUPPORT TO BEHAVIORAL HEALTH AT TMC, INC. SUPPORTING THE UNRESTRICTED NEEDS OF TMC, INC. SUPPORTING ALZHEIMER UNIT AT TMC, INC. 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 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 XI, LINE 2D Net Assets Released From Restrictions $ 316,360 Related Organization Revenue 147,044,907 Temporarily Restricted Contributions 513 ----------- $ 147,361,780 SCHEDULE D, PART XI, LINE 4B Medical Staff Revenue $ 171,906 Contribution used for Asset Acquisition 30,380,171 Eliminations 66,610,537 ----------- $ 97,162,614 SCHEDULE D, PART XII, LINE 2D Related Organization Expenses $ 142,193,632 SCHEDULE D, PART XII, LINE 4B Eliminations $ 66,610,537 Medical Staff Expenses 160,625 ----------- Total $ 66,771,162 true true X true X false true true true false false 121955417 77045701 44909716 0.06550 214208348 187647214 26561134 0.03870 336163765 264692915 71470850 0.10420 903091 357474 545617 0.00080 45535061 40013490 5521571 0.00800 9888594 7829341 2059253 0.00300 499032 499032 0.00070 56825778 48200305 8625473 0.01250 392989543 312893220 80096323 0.11670 true 31610722 23708042 76445273 60484102 15961171 X true true 2 1 TRUMAN MEDICAL CENTER - HOSPITAL HILL 2301 HOLMES KANSAS CITY MO 64108 WWW.UNIVERSITYHEALTHKC.ORG/ 285-39 X X X X X A 2 TRUMAN MEDICAL CENTER - LAKEWOOD 7900 LEES SUMMIT ROAD KANSAS CITY MO 64139 WWW.UNIVERSITYHEALTHKC.ORG/ 195-54 X X X X X A A false false true X X X X X X X X X 18 true true false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 200. 0. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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 - BOTH FACILITIES TMC CONDUCTED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED 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. IN ADDITION, 395 TMC TEAM MEMBERS PARTICIPATED IN AN ELECTRONIC SURVEY IN WHICH THEY IDENTIFIED THE MOST IMPORTANT ISSUES THEY BELIEVE TMC NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH TMC FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY. SCHEDULE H, PART V, SECTION B, LINE 6A TMC COMPLETED CHNA REPORTS FOR TWO FACILITIES, TMC-HOSPITAL HILL AND TMC-LAKEWOOD. AS REQUIRED BY THE IRS, EACH FACILITY HAS A SEPARATE REPORT, WITH FACILITY-SPECIFIC PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 7A - BOTH FACILITIES THE COMPLETE CHNA FOR TMC-HOSPITAL HILL AND TMC-LAKEWOOD CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/ABOUT-US/PUBLICATIONS/ SCHEDULE H, PART V, SECTION B, LINE 10 - BOTH FACILITIES THE IMPLEMENTATION STRATEGY FOR TMC-HOSPITAL HILL AND TMC-LAKEWOOD CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/ABOUT-US/PUBLICATIONS/ SCHEDULE H, PART V, SECTION B, LINE 11 - BOTH FACILITIES Assessing the needs of the community is an integral part of TMC's day-to-day operations. As a safety net provider with a significant population of uninsured patients, it is critical to TMC'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, and again in 2019. This process included the following steps: Define Community. As part of this phase, TMC 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. TMC has many partners. As part of its ongoing work in meeting community need, TMC engages these organizations in strategic planning and in helping identify organizational priorities. During this phase, TMC completed the following: - Established an inventory of TMC involvement in community-based partnerships - Identified consumers and engaged them through focus groups and surveys Secondary Data: TMC 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 Truman Medical Centers 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 TMC patient experience. Aggregated Data: TMC assimilated Secondary and Primary data sets into a combined comprehensive report and overview of the TMC 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 TMC staff/leadership and the community overall. After analysis of responses, and considering the unique focus of TMC as an academic medical center and safety net health system, the following issues emerged: Access to Integrated Care; Chronic Disease; Behavioral Health; Maternal & Infant Health; and Violence Prevention. Integrated Care Access is an overarching theme in TMC's CHNA. As an Essential Hospital, TMC is the safety net health system for the greater Kansas City region. In this capacity, TMC has a continual focus on assuring access; access to outpatient clinical care, access to specific target populations, and access to services needed by the community at large. With the community continuing to experience a shortage of primary care providers, TMC remains committed to working with the regions Federally Qualified Health Centers to assure access to specialty care. Through a variety of mechanisms, TMC will continue its efforts to increase access to all types of care, for all community members. Using a health equity approach, which recognizes the impact of socio-ecological factors on a persons' ability to access health care, TMC continues to identify locations for direct outreach, including community-based clinics and community-based health education. This approach is an underlying theme to everything TMC 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 TMC. Because of this focus, TMC will continue its goal of being the provider of choice for key health conditions which include Sickle Cell disease, HIV and other chronic conditions that disproportionately impact minority populations in the greater Kansas City region. Chronic Care Because chronic diseases impact a significant number of TMC's patients, and their prevalence in the community is high, the focus in this area is on continuous improvement of programs and services across all initiatives. Community need, and patient demand, will continue to be monitored with services tailored to meet need. Chronic disease self-management programs will be delivered in neighborhood settings to encourage participation, and patients with significant, and co-occurring conditions will be encouraged to enroll in specialty programs for assistance with medication management, self-care and other supportive services. Behavioral Health The opioid crisis has become predominant in the community. TMC will continue to model integrated primary care and intensive mental health/substance abuse services, including development of a clinic designed specifically to assist patients with medication-assisted therapy to address their addiction. Maternal & Infant Health TMC's primary focus relative to the CHNA is to expand its community outreach and education efforts to bring more pregnant women into care earlier in their pregnancies. Furthering this approach, efforts under the Access area will place clinical points of care in neighborhoods throughout the service area offering more immediate access to providers. Violence Prevention Under this area, TMC will participate in the Aim for Peace initiative. This intervention model is designed specifically to reduce retaliatory violence. As a Level 1 Trauma Center, TMC experiences a significant volume of gang-related emergency department visits. As a result, staff are trained to identify potentially violent situations and engage the Aim for Peace model to diffuse situations. SCHEDULE H, PART V, SECTION B, LINE 16A - BOTH FACILITIES THE FAP CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B - BOTH FACILITIES THE FAP APPLICATION CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C - BOTH FACILITIES THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: HTTPS://WWW.UNIVERSITYHEALTHKC.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/F INANCIAL-ASSISTANCE/ 1 TMC 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 7 THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO SCHEDULE H, PART I, LINE 7G NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COMMUNITY BENEFIT EXPENSES. SCHEDULE H, PART III, SECTION A, LINE 2 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, 2021. 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, SECTION A, LINE 4 THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 3 TMC HAS DISCOVERED ABOUT 75% OF BAD DEBTS RESULT FROM PATIENTS WHO ARE INDIGENT OR DO NOT QUALIFY FOR MEDICAID. SCHEDULE H, PART III, SECTION C, LINE 9B TMC DOES NOT PURSUE COLLECTION FOR UNPAID DISCOUNTED AMOUNTS FOR INDIVIDUALS WITHIN THE CATCHMENT AREA. SCHEDULE H, PART VI, LINE 2 TMC CONDUCTED AN ELECTRONIC SURVEY TO ENGAGE COMMUNITY PARTNERS IN THE ASSESSMENT PROCESS. A COMMON SET OF QUESTIONS WAS POSED, AND RESPONSES COLLECTED 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. IN ADDITION, 395 TMC TEAM MEMBERS PARTICIPATED IN AN ELECTRONIC SURVEY IN WHICH THEY IDENTIFIED THE MOST IMPORTANT ISSUES THEY BELIEVE TMC NEEDS TO ADDRESS BASED ON THEIR KNOWLEDGE OF ISSUES FACING PATIENTS AND THE COMMUNITY. TWO SURVEYS WERE CONDUCTED - ONE FOR EACH TMC FACILITY - IN ORDER TO ESTABLISH UNIQUE PRIORITIES FOR EACH ENTITY. SCHEDULE H, PART VI, LINE 3 IF A PATIENT IS UNINSURED, TMC'S FINANCIAL COUNSELING STAFF WORKS TO BECOME A PATIENT ADVOCATE. THEY ASSIST THE PATIENT IN APPLYING FOR MEDICARE, MEDICAID OR TMC'S CHARITY CARE PROGRAM. TMC POSTS ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES THROUGHOUT THE HOSPITAL. SCHEDULE H, PART VI, LINE 4 The racial composition of TMCs 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 TMC 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 TMCs 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 TMC 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 6 N/A SCHEDULE H, PART VI, LINE 7 MISSOURI true TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION 2310 HOLMES STREET STE 735 KANSAS CITY MO 64108 431194064 501(C)(3) 10000 OPERATIONS 1 SCHEDULE I, PART I, LINE 2 THE GRANT PROVIDED WAS MADE TO A PUBLIC 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. X X X X X X false true false false false true false false false CHARLES W SHIELDS PRESIDENT/CEO/DIRECTOR 748908 0 0 0 431290 0 376979 0 33618 0 1590795 0 415932 0 JOLIE L JUSTUS SECRETARY 162491 0 0 0 430 0 10851 0 9397 0 183169 0 0 0 MARK T STEELE MD DIRECTOR 420635 0 0 0 0 0 0 0 0 0 420635 0 0 0 WILLIAM H COLBY SECRETARY UNTIL 09/2020 352983 0 0 0 215519 0 11900 0 25747 0 606149 0 51586 0 MARGA HOELSCHER ASSISTANT TREASURER 313033 0 0 0 5864 0 69164 0 10377 0 398438 0 0 0 JOHN GIANINO NEUROSURGEON 488305 0 454 0 140815 0 77463 0 38675 0 745712 0 131237 0 MITZI CARDENAS EXECUTIVE CHIEF ADMIN OFFICER 403001 0 0 0 254391 0 29013 0 11113 0 697518 0 189224 0 GERARD GRIMALDI CHIEF HEALTH POLICY/GOVT RELAT 259125 0 0 0 178010 0 58484 0 29195 0 524814 0 159060 0 LYNETTE WHEELER COO - LW 279839 0 0 0 60233 0 8710 0 29925 0 378707 0 6765 0 RUTH PULLINS CHIEF HR OFFICER 287744 0 100000 0 177537 0 34160 0 24471 0 623912 0 115126 0 SCHEDULE J, PART I, LINE 4B 2020 2020 2020 ACCRUAL DISTRIBUTION TOTAL CHARLES SHIELDS $ 367,219 415,932 $ 783,151 WILLIAM COLBY $ -0- 51,586 $ 51,586 JOHN GIANINO $ 47,963 131,237 $ 179,200 MITZI CARDENAS $ -0- 189,224 $ 189,224 LYNETTE WHEELER $ -0- 6,765 $ 6,765 RUTH PULLINS $ -0- 115,126 $ 115,126 MARGA HOELSCHER $ 43,281 -0- $ 43,281 GERARD GRIMALDI $ 41,063 159,060 $ 200,123 SCHEDULE J, PART I, LINE 6A CERTAIN EMPLOYEES ARE ELIGIBLE FOR A SMALL BONUS RELATED TO MEETING OR EXCEEDING BUDGET. PART VII, LINE 5 AND SCHEDULE J, PART II TRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY HEALTH PHYSICIANS $420,635 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR. A MO HEALTH AND EDUCATION FACILITIES AUTH 431178966 2017-12-22 70000000 BUILDING, EQUIPMENT AMD REFUNDING false false false B JACKSON COUNTY MISSOURI 446000524 467578GJ3 2012-09-04 41180485 REFUNDING BOND false false false C JACKSON COUNTY MISSOURI 446000524 467578FS4 2011-05-17 24674279 CONSTRUCTION AND EQUIPMENT false false false A 6030000 0 70000000 204973 900038 0 485984 0 0 64554538 4754505 0 2020 true false true true B 19953615 0 37597509 0 0 0 451929 0 0 0 37145580 0 2012 true false true true C 11900000 0 24674279 0 0 0 289279 0 0 24385000 0 0 2011 false false true true A false false false false 0 false false false true B false false true true false 0 false false false true C false false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 true true A true B true C true PART IV, LINE 2C, COLUMN B THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 9-24-2017 PART IV, LINE 2C, COLUMN C THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED 5-7-2016 FORM 990, PART III, LINE 4A One of the greatest strengths of Truman Medical Center, Incorporated (TMC, Inc.) is its ability to provide comprehensive, quality care to all its patients, regardless of patients' ability to pay. As an academic medical center, TMC, Inc. is the primary teaching hospital for the University of Missouri- Kansas City Schools of Medicine, Pharmacy, Nursing, and Dentistry. TMC, Inc. providers use a team approach to care for patients while they train the doctors of tomorrow. TMC, Inc. offers more than 50 primary, specialty, and mental health care clinics at its campus in downtown Kansas City (also referred to as the Health Sciences District campus) and at its Lakewood campus in Eastern Jackson County. TMC, Inc. also has a number of community-based primary and behavioral health clinics. The medical center's person-first approach puts the health needs of the patient above profit. TMC, Inc. is nationally recognized for programs in asthma, diabetes, sickle cell, orthopaedics, women's health, and emergency/trauma services. In addition, TMC, Inc. offers services that include ophthalmology, cardiology, gastroenterology, oral surgery, and community-based behavioral health services. In fiscal year 2021, TMC, Inc. provided more than a half a million (546,164 to be exact) outpatient care appointments, with more than 191,000 of those being outpatient behavioral health care visits. The TMC, Inc. Medical Pavilions at Health Sciences District and Lakewood 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 72,000 TMC, Inc. 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. COVID-19 On February 26, 2020 Emergency Management leaders at TMC, Inc. declared a Code Delta Level 1 in response to the spread of COVID-19. This response continued throughout FY21. This level of response meant the incident command team worked together virtually to prepare for, and respond to, the changes brought on by the ensuing pandemic. Initially staffing and securing adequate personal protective equipment (PPE) and sanitizing supplies were the challenges the command center team faced. As the pandemic progressed COVID-19 testing, treatment, and vaccination became key issues. Communicating evidence-based information about prevention, symptoms, and treatment of COVID-19 was a priority for both patients of TMC, Inc. and the community. The medical center's communications team worked with Interpreter Services and key community partners, such as members of the faith community, to ensure that members of Kansas City's Black and Brown communities had access to accurate COVID-19 information, vaccination, and testing. In March 2020 administrators arranged for drive-thru COVID-19 testing at both of the TMC, Inc. campuses and at mobile sites in the community. From March 2020 until the end of FY 21, providers administered approximately 135,000 COVID-19 tests that were processed by TMC, Inc. laboratories. Testing was not limited to established TMC, Inc. patients. The Kansas City region relied on TMC, Inc. for access to COVID-19 testing. The pandemic spurred the use of telemedicine at TMC, Inc. Before the spread of COVID-19, five providers offered telehealth services. By June 2020, more than 350 providers were using telehealth to see patients and behavioral health clients. The number of providers offering telehealth appointments declined as vaccination rates increased, but access through telehealth providers remains a priority for TMC, Inc. On December 14, 2020 Truman Medical Center, Incorporated was proud to be the first medical center in Kansas City to begin COVID-19 vaccinations. Throughout FY21, our providers administered more than 112,500 doses of the vaccine to eligible adults and adolescents in the region. The TMC, Inc. community outreach team worked with trusted civic partners to ensure that even those with the most barriers to care were able to receive the COVID-19 vaccine. During FY 21, TMC, Inc. established the Center for COVID Recovery, which is made up of providers from specialties such as: pulmonology, neurology, physical medicine, rehabilitation services, and cardiology, along with behavioral health experts. The Center for COVID Recovery aims to help patients suffering from lingering symptoms of COVID-19 take control of their health and wellness. Chronic Disease Management Asthma At TMC, Inc., 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. TMC, Inc. 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 FY 21, its providers treated asthma patients at 7,932 appointments. Diabetes At TMC, Inc., providers know that a diabetes diagnosis can be devastating. More than 15,000 TMC, Inc. patients have a diabetes diagnosis. In FY 21, there were more than 9,600 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. The Diabetes Center offers a state-of-the-art facility to better serve patients' needs. TMC, Inc. providers believe 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 . A patient waiting area designed for comfort . Expanded exam rooms with advanced technology with access to electronic health records Sickle Cell At TMC, Inc., providers strive to empower patients with Sickle Cell Disease to live life to the fullest. Providers provide 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 FY21, Sickle Cell Center providers cared for patients during 947 visits. During a crisis state, unlike an emergency department, the TMC, Inc. Sickle Cell Center is able to treat patients' pain more efficiently in a quiet, soothing environment with the goal of initiating pain treatment within 30 minutes of 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 other routine health needs such as sore throat, hypertension, or diabetes management to not only the person with sickle cell but also their adult family member. Women's Health Services Obstetrics & Gynecology At Truman Medical Center, Incorporated providers offer a wide variety of services and specialized care just 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, and 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, TMC, Inc.'s downtown Kansas City 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 woman or her unborn child. Families facing a fetal abnormality can come to TMC, Inc. with confidence knowing the medical center will provide expert care for their every need - maternal expertise for care of the pregnant woman, fetal expertise for care of the unborn baby, and pediatric expertise for care of their newborn. Patients have access to Level III Neonatal Intensive Care Unit (NICU) staffed by pediatricians from Children's Mercy Hospital. In addition, newborns have immediate access to an adjacent level IV NICU at Children's Mercy Hospital - the highest level of care available for premature and critically-ill newborns, including ECMO (extracorporeal membrane oxygenation) life support technology. The Birthplace At the TMC, Inc. Birthplace, the focus is on providing a safe, comfortable, and positive birth experience for families. TMC, Inc. is proud to have delivered 3,145 babies in FY21, making it the medical center where nearly half of all babies in Kansas City, Missouri are born. A Neonatal Intensive Care Unit nurse attends all deliveries, and if needed, its Level III Newborn Intensive Care Unit for infants with special needs is just steps away. Our staff also provides care to mothers who deliver at Children's Mercy Hospital for emergency and critical care maternal fetal medicine issues. A bridge connects the two facilities for easy access between the hospitals. Women's Care Breast Center Truman Medical Center, Inc. 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-and patients can usually receive a diagnosis the same day. Providers offer clinical breast exams, mammograms, breast ultrasounds, fine-needle aspirations, and an imaging-assisted breast biopsy technique that is less invasive than a typical surgical breast biopsy. Patients have access to a dedicated breast nurse navigator who will guide them through their journey. A diverse and highly qualified dedicated breast team, including a fellowship-trained breast surgeon, plastic and reconstructive surgeon, gynecologist, and fellowship trained breast radiologist staff The Breast Center. 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. WIC TMC, Inc. is also one of the largest providers of Women, Infants and Children (WIC) Services in the state of Missouri with 103,259 visits in FY21. 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 TMC, Inc. Cardiology Center offers patients a complete range of cardiac services for prevention, early diagnosis, treatment, and recovery in a patient-centered environment. TMC, Inc.'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, and a cardiac rehabilitation service to help prevent repeat heart problems. In FY 21, the Cardiology Center provided 9,440 outpatient clinic appointments, performed 895 lab procedures, of which 542 were diagnostic catheterization procedures, and placed 176 patient required cardiovascular stents. Gastroenterology Services Truman Medical Center, Incorporated 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 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 exams 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 FY 2021, the TMC GI Center provided more than 10,700 outpatient visits and performed more than 8,200 procedures. Ophthalmology The Ophthalmology Clinics at TMC, Inc. 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 FY 21, the Ophthalmology Department provided care to patients during more than 17,000 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. 9,700 patients received oral surgical services at TMC, Inc. in FY21 and providers treated 18,084 dental patients at the TMC, Inc. Lakewood Dental Clinic. Outpatient Behavioral Health Services In FY 21, TMC, Inc. Behavioral Health provided 191,869 outpatient visits to 5,994 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 Truman Medical Center, Incorporated contracts with the Jackson County, Missouri government to manage the Jackson County Health Department (JACOHD). In FY 21, the JACOHD provided nearly 112,840 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 4B Truman Medical Center, Incorporated (TMC, Inc.) is an academic medical center that includes the campuses of TMC, Inc. Health Sciences District, TMC, Inc. Lakewood, and TMC, Inc. Behavioral Health. TMC, Inc. is the core educational partner for the University of Missouri-Kansas City Schools of Medicine, Nursing, Dentistry and Pharmacy. The newest addition to TMC, Inc. is University Health 2, which opened in December 2020. University Health 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 staffed by physicians of Truman Medical Center, Incorporated. Clinics at UH 1 include: audiology, The Breast Center, dermatology, ear, nose, throat, ophthalmology, oral and maxillofacial surgery, pain management, orthopedics, and plastic surgery. TMC, Inc. providers cared for more than 107,000 individual patients in fiscal year 2021. Regardless of their financial situation or ability to pay, these patients receive quality, state-of-the-art inpatient, outpatient, and emergency care that encompass both physical and mental health care. TMC, Inc. is licensed for 366 inpatient acute care (including 19 NICU) and 188 long-term care beds. In fiscal year 2021 (July 1, 2020- June 30, 2021), TMC, Inc. had 21,510 inpatient admissions and provided 89,982 days of inpatient care and more than 55,000 days of long-term patient care. As the primary safety net hospital in the Kansas City, Missouri metropolitan area, TMC, Inc. treats a vulnerable patient population with a high degree of health care disparity. These disparities cut across economic, racial, and ethnic boundaries. Many of TMC, Inc.'s patients and clients have multiple chronic diseases such as diabetes, asthma, heart failure, and hypertension. In FY 2021, more than 72,000 of TMC, Inc. patients suffered from 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. TMC, Inc. works diligently to overcome these ethnic, social, and racial barriers when patients receive their care. TMC, Inc. has specialized language interpreters on staff at both Health Sciences District and Lakewood locations to help ensure that patients with limited English proficiency or deaf patients receive high quality, individualized care with communication assistance. TMC, Inc. is one of the few hospitals to have on staff interpreters available around the clock to assist patients with paperwork and communicating with medical professionals. TMC, Inc. interpreter services has approximately 28 language interpreters on staff that provide face-to-face interpreting in three major languages: Spanish, Somali, and Arabic. Additionally, over the phone interpreters in 150 languages are available via dual handset telephonic interpreting units. In Fiscal Year 2021, TMC, Inc. language access provided 224,153 interpreted encounters for patients. COVID-19 On February 26, 2020 Emergency Management leaders at TMC, Inc. declared a Code Delta Level 1 in response to the spread of COVID-19. This response continued throughout FY21. This level of response meant the incident command team worked together virtually to prepare for, and respond to, the changes brought on by the ensuing pandemic. Initially staffing and securing adequate personal protective equipment (PPE) and sanitizing supplies were the challenges the command center team faced. As the pandemic progressed COVID-19 testing, treatment, and vaccination became key issues. Communicating evidence-based information about prevention, symptoms, and treatment of COVID-19 was a priority for both patients of TMC, Inc. and the community. The medical center's communications team worked with Interpreter Services and key community partners, such as members of the faith community, to ensure that members of Kansas City's Black and Brown communities had access to accurate COVID-19 information, vaccination, and testing. In March 2020 administrators arranged for drive-thru COVID-19 testing at both of the TMC, Inc. campuses and at mobile sites in the community. From March 2020 until the end of FY 21, providers administered approximately 135,000 COVID-19 tests that were processed by TMC, Inc. laboratories. Testing was not limited to established TMC, Inc. patients. The Kansas City region relied on TMC, Inc. for access to COVID-19 testing. The pandemic spurred the use of telemedicine at TMC, Inc. Before the spread of COVID-19, five providers offered telehealth services. By June 2020, more than 350 providers were using telehealth to see patients and behavioral health clients. The number of providers offering telehealth appointments declined as vaccination rates increased, but access through telehealth providers remains a priority for TMC, Inc. On December 14, 2020 Truman Medical Center, Incorporated was proud to be the first medical center in Kansas City to begin COVID-19 vaccinations. Throughout FY21, our providers administered more than 112,500 doses of the vaccine to eligible adults and adolescents in the region. The TMC, Inc. community outreach team worked with trusted civic partners to ensure that even those with the most barriers to care were able to receive the COVID-19 vaccine. During FY 21, TMC, Inc. established the Center for COVID Recovery, which is made up of providers from specialties such as: pulmonology, neurology, physical medicine, rehabilitation services, and cardiology, along with behavioral health experts. The Center for COVID Recovery aims to help patients suffering from lingering symptoms of COVID-19 take control of their health and wellness. 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. TMC, Inc. is one of only a few health systems that provides both inpatient medical and mental health care beds. TMC, Inc. Behavioral Health offers a comprehensive array of mental health and substance abuse treatment services at both the TMC, Inc. Health Sciences District and TMC, Inc. 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. TMC, Inc. services also provide the support many people with mental illness need to regain a sense of meaning and purpose in life. TMC, Inc. Behavioral Health has 66 inpatient mental health beds including a specialized geriatric inpatient unit at TMC, Inc. Lakewood. In FY 21, TMC, Inc. Behavioral Health treated nearly 6,000 patients, with 1,911 patients admitted for inpatient mental health care at a TMC, Inc. facility. Women's Health TMC, Inc. offers full Women's Health Services and is the birthplace to nearly half of all babies born in Kansas City, Missouri. TMC, Inc. Health Sciences District specializes in high-risk pregnancies and births. It is home to a 19-bed, Level III neonatal intensive care unit (NICU), one of the largest in the area. In 2011, TMC, Inc. Lakewood opened a renovated and expanded labor and delivery unit serving the people of eastern Jackson County. This unit also includes a Level II NICU. In fiscal year 2021, TMC, Inc. proudly delivered 3,143 babies, which is nearly half of the number of all babies born in Kansas City, Missouri. FORM 990, PART III, LINE 4C Truman Medical Center, Incorporated's Emergency Departments provided care to 80,942 patients in fiscal year 2021, with more than 56,000 of those visits at TMC, Inc. Health Sciences District, making it one of the busiest adult emergency departments in the Kansas City metro area. The TMC, Inc. Health Sciences District Emergency Department (ED) is a state designated 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 team are in the hospital 24-hours a day, seven days a week. The TMC, Inc. Lakewood 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, TMC, Inc. receives a significant amount of intentional trauma. Aim4Peace, a local organization that works to prevent violence, is focused on the reduction of intentional gunshot incidents. As the primary hospital in association with Aim4Peace, TMC, Inc. 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. TMC, Inc. is listed in the national directory of hospital-based violence intervention and prevention programs. Sexual Abuse Nurse Examiner (SANE) The Health Sciences District Emergency Department (ED) has a TMC, Inc. KC SANE (Sexual Abuse 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 or rape, they are sent to a TMC, Inc. KC SANE in a private room for examination. The TMC, Inc. KC 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. In addition to helping preserve the survivor's dignity and reduce psychological trauma, SANEs enhance evidence collection for more effective investigations and better prosecutions. TMC, Inc.'s KC SANE program has also helped to provide leadership in the community by educating and training other potential KC SANEs. Each year, the TMC, Inc. KC SANE cares for and examines more than 200 women 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 2021 include: Investigator Initiated . Detection and Prevention of Concussive Injuries with Smart Technology; Dr. Moncure, PI . Effect of Aim 4 Peace Community Based Violence Prevention Program on Recidivism Rates in Trauma Patients in Kansas City; Dr. Moncure, PI . Measuring Immediate Responders' Knowledge Gained Through "Stop the Bleed" Education and Training; Teresa Lienhop, PI . The Utility of a Viscoelastic Hemostatic Assay in Guiding the Administration of Antifibrinolytics and Blood Products; Dr. Moncure, PI . Does Procedural Simulation Training Improve Resident Training and Ability on the da Vinci Surgical System Compared to Basic Simulation Training? Dr. Nelson, PI . Perioperative Treatment of Patients with Positive Drug Screens After Orthopaedic Surgery Procedures, Dr. Sorenson, PI . A Comprehensive Review of the Use of Whole Blood at Level 1 Trauma Centers, Dr. Moncure, PI (Multicenter study - UH TMC is the control variable) . The Association Between an Acoustic Gunshot Detection System and Mortality Due to Urban Gun Violence: A Multicenter Study; Dr. Moncure, PI . The Role of Surgical Reality Fluid in Providing a Superior Experience in Dissections; Dr. Moncure, PI 10. Using a Delphi consensus for decision making in the treatment of radial head fractures; Dr. Cil, PI . Safety Comparison of Heparin and Enoxaparin for VTE Prophylaxis in Traumatic Brain Injury; Drs. Moncure, Neel, Gianino . Does the RISE Program Improve Screening and Follow-up of Traumatically Injured Patients with PTSD; Dr. Moncure, PI . Effect of Enoxaparin Dosing on Rate of VTE in Trauma Patients . Assessing the difference in patient safety between verbal handoffs and more visual bedside handoffs in surgical residency as residents perceive it.; Dr. Moncure, PI . Incidental Positive COVID 19 Results in Trauma Patients; Dr. Moncure, PI . Comparing Fibroscan to Biopsy Results in determining liver transplantability and function; Dr. Moncure, PI . The Follow-up of Incidental Findings in Trauma Patients; Dr. Moncure, PI . Does race or ethnicity predict complication rate after discharge from ED in unstable ankle fractures requiring surgery? Dr. Jonathan Dubin, PI . Does wound vac training improve nursing performance when using wound vacs? QI PROJECT--Dr. Moncure, PI . Effects of intensive care unit culture on patient outcomes at an academic medical center: QI PROJECT--Dr. Moncure, PI . Will implementing a protocol for post-operative care of PEG placement at Truman hospital help decrease rates of early and late PEG tube dislodgements and subsequent medical interventions at Truman hospital; QI PROJECT--Dr. Moncure, PI Performance Improvement Patient Safety Program (PIPS) The Performance Improvement Patient Safety (PIPS) is an important part of the trauma program at University Health TMC Trauma Services. PIPS 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 Continuing medical education is not just a requirement it is a necessity to enhance the knowledge and abilities of the medical professional. University Health Truman Medical Center 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. patient assessment and management of airway, breathing, hemorrhagic shock, musculoskeletal, spinal, head and pediatric trauma. FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE FROM THE TMC MEDICAL STAFF AND FIVE FROM UNIVERSITY HEALTH PHYSICIANS, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE 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 TMC, INC. 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, SECTION B, LINE 12C THE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY EXECUTIVES). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE, AND ANALYZE THE DISCLOSURES WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO 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 TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK. FORM 990, PART VI, SECTION B, LINE 15A & 15B 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 THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. 2021 WAS THE MOST RECENT REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT. FORM 990, PART XI, LINE 9 CHANGE IN NET ASSETS OF TMC FOUNDATION $ 2,085,343 CHANGE IN DEFINED BENEFIT PENSION PLAN 29,500,663 TRANSFER FOR AFFILIATE 2,000,000 OTHER RECONCILING ITEMS 10,559 ------------- TOTAL $ 33,596,565 TMC PROF AND GEN LIABILITY SELF INS TRUS 2301 HOLMES KANSAS CITY MO 64108 431946384 LIABILITY INS MO 501(C)(3) 12B NA false TMC FINANCE SUPPORT CORPORATION 2301 HOLMES KANSAS CITY MO 64108 271994129 SUPPORT MO 501(C)(3) 12A TMC true false false false false false false false false false false false false true true true false true true true TRUMAN MEDICAL CENTER INCOR 2301 HOLMES STREET KANSAS CITY MO 64108 440661018 X 0 146672 146672 686163832 686310504 1000000 250000 0 0 0 TMC FINANCE SUPPORT CORPORAT 2301 HOLMES STREET KANSAS CITY MO 64108 271994129 0 0 0 0 0 0 0 0 0 0