2012-05-15T15:16:53-05:00 2011-06-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2010-07-01 440661018 Truman Medical Center Incorporated TRUM 8165563150 2301 HOLMES STREET KANSAS CITY MO 64108 JOHN W BLUFORD 8165563150 2012-05-15 true Michael J Engle 8162216300 2010 2016-02-24 21:20:13Z AL JOHNSON 2310 HOLMES KANSAS CITY MO 64108 452286449 false X WWW.TMCMED.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 THE ABILITY TO PAY. 29 25 5005 319 0 0 18224809 11887154 417462646 421345770 148394 408568 3348843 18644957 439184692 452286449 201352 77363 0 0 232667124 242504740 0 0 0 201169691 216919468 434038167 459501571 5146525 -7215122 287384699 321815144 177163973 213811168 110220726 108003976 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 39420323 0 46815013 EMERGENCY DEPARTMENT- SEE SCHEDULE O 185275520 0 193595920 INPATIENT CARE- SEE SCHEDULE O 169507391 77363 199579794 OUTPATIENT CARE- SEE SCHEDULE O 394203234 true true false true false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 189 0 true 5005 true false false false false false false false false false false X 29 25 false false false false false false false true true false true true false true true true true true true true false MO X AL JOHNSON 8164043528 2310 HOLMES KANSAS CITY MO 64108 X JOHN W BLUFORD 40.0 X X 639154 0 178733 JOHN GIANINO 40.0 X 397866 0 117311 PAUL M BLACK 1.0 X X 0 0 0 ROBERT A BROOKS III 1.0 X X 0 0 0 JON R GRAY 1.0 X 0 0 0 SARAH INGRAM-EISER 1.0 X 0 0 0 CHARLES W PEFFER 1.0 X X 0 0 0 JUAN M RANGEL JR 1.0 X X 0 0 0 NEIL T DOUTHAT 1.0 X 0 0 0 BETTY M DREES MD 1.0 X 0 0 0 PEGGY DUNN 1.0 X X 0 0 0 MATTHEW C GRATTON MD 1.0 X 0 0 0 PAUL P HOLEWINSKI 1.0 X 0 0 0 PETER S LEVI 1.0 X 0 0 0 LEO MORTON 1.0 X 0 0 0 DENNIS S O'LEARY MD 1.0 X 0 0 0 PHILIP B RICHTER 1.0 X 0 0 0 MARK T STEELE MD 1.0 X 106100 0 0 JEROME S TILZER CPA 1.0 X 0 0 0 JOY WHEELER 1.0 X 0 0 0 REVEREND ERIC D WILLIAMS 1.0 X 0 0 0 EDWARD DULLENTY 40.0 X 100987 0 2769 MICHAEL OFOKANSI 40.0 X 84161 0 5613 SARAH RUIZ CHAVEZ 1.0 X 0 0 0 MICHELLE CHOLLET 1.0 X 0 0 0 CINDY CIRCO 1.0 X 0 0 0 RITA CORTES 1.0 X 0 0 0 MARK DONOVAN 1.0 X 0 0 0 MIKE ENOS 1.0 X 0 0 0 MARVIN LYMAN 1.0 X 0 0 0 DRED SCOTT 1.0 X 0 0 0 CATHERINE DISCH 40.0 X 418698 0 109754 AL JOHNSON 40.0 X 361169 0 93940 STEPHEN JARVIS 40.0 X 241471 0 59639 HAROLD SIGLAR 40.0 X 313069 0 56137 WILLIAM COLBY 40.0 X 231336 0 82351 MITZI CARDENAS 40.0 X 224168 0 55639 MARY FAHRMEIER 40.0 X 215984 0 36107 3334163 0 797993 151 false true true UNIVERSITY OF MISSOURI- KANSAS CITY MEDICAL SERVICES 12509294 UNIVERSITY PHYSICIAN ASSOCIATES - MEDICAL SERVICES 8876248 CERNER CORPORATION MEDICAL SERVICES 7986883 MORRISON MANAGEMENT SPECIALISTS FOOD SERVICE MGMT 4726953 LYTLE CONSTRUCTION INC CONSTRUCTION 3750451 23 3425434 5621978 2839742 11887154 NET PATIENT SERVICE REVENUE 621110 248402092 248402092 EXPENSE REIMBURSEMENT 621110 2023959 2023959 MEDICAID ENHANCEMENTS 621110 135161884 135161884 LOCAL GOVERNMENT SUBSIDY 900099 35757835 35757835 421345770 408568 408568 0 0 0 0 0 0 MEDICAL STAFF REVENUE 900099 83403 83403 FICA REFUND 900099 5723612 5723612 EMR IMPLEMENTATION 900099 6895512 6895512 5942430 5942430 18644957 452286449 439990727 0 408568 77363 77363 0 0 0 2329794 687289 1642505 0 193759105 170196430 23562675 6569917 5876384 693534 25823213 22597351 3225862 14022711 12271093 1751617 0 444109 444109 166085 166085 88789 78134 10655 0 0 0 0 129911645 102384479 27527166 0 0 8396985 6286820 2110165 141178 115766 25412 0 554928 262592 292336 4599252 4047342 551910 0 24209649 21304491 2905158 3242900 2853752 389148 BAD DEBT EXPENSE 18281297 18281297 MEDICAL STAFF EXPENSES 85335 85335 MEDICAL SUPPLIES 26797316 26797316 _ 459501571 394203234 65298337 0 136613 15105 705808 237919 852371 764206 64809529 74988278 2750763 3219159 3482608 4878991 443372632 250994741 187473865 192377891 27173142 45333595 287384699 321815144 86974989 90469606 63800862 78096352 23478559 38752489 2909563 6492721 177163973 213811168 X 91889510 90014207 15268518 14921871 3062698 3067898 110220726 108003976 287384699 321815144 X -7215122 4998372 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 35205 35205 53584 53584 88789 88789 459412782 459412807 459501571 459501596 1000000 1000005 250000 250001 false 1000000 1000000 1000000 1000000 4000000 6000000 83842 104571 83125 88789 360327 250000 250000 250000 250000 1000000 1500000 42753 51987 42315 35205 172260 2781031 5200 291700 0 96797 0 2981134 2747603 1100 140396 0 108068 0 2781031 3179234 250 -340581 0 91300 0 2747603 0.00000 1.00000 0.00000 true false 1410446 1410446 274577806 153572563 121005243 0 0 0 151259667 97422178 53837489 16124713 0 16124713 192377891 ASSETS FOR CAPITAL ACQUISITION 2047241 ASSETS EXTERNALLY RESTRICTED 554711 INTEREST IN ASSETS OF TMCCF 16010597 DEFERRED FINANCING COST 772449 OTHER RECEIVABLES 15423654 HELD BY BOND TRUSTEE 10524943 45333595 0 457F PLAN LIABILITY 2047241 UNAMORTIZED PREMIUM 881434 OTHER LIABILITIES 3564046 6492721 452286449 459501571 -7215122 4998372 4998372 -2216750 455395631 7736381 7736381 447659250 4627199 4627199 452286449 459525142 2355344 2355344 457169798 2331773 2331773 459501571 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 The investments are to be held in perpetuity at Truman Medical Center Charitable Foundation; the income is primarily restricted for the purpose of funding department chairman positions at The University of Missouri-Kansas City School of Medicine. (The Medical Center is the teaching facility for the UMKC School of Medicine.) UNCERTAIN TAX POSITIONS DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN NET ASSETS OF TMC FOUNDATION (108,741) TRANSFER TO AFFILIATE 110,226 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN 4,991,687 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 5,200 --------- TOTAL $4,998,372 RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 322,477 RELATED ORGANIZATION REVENUE 7,413,904 ------------ TOTAL $7,736,381 RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 4B MEDICAL STAFF REVENUE 82,403 TEMPORARY RESTRICTED CONTRIBUTIONS 289,298 CONTRIBUTION USED FOR ASSET ACQUISITION 2,008,060 ELIMINATIONS 2,246,438 ---------- TOTAL 4,627,199 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D RELATED ORGANIZATION EXPENSES $2,355,344 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 4B ELIMINATIONS 2,246,438 MEDICAL STAFF EXPENSES 85,335 ---------- TOTAL $2,331,773 true true X true X true X true true true false true true 101136802 42441815 58694987 0.13430 185850636 163627520 22223116 0.05080 286987438 206069335 80918103 0.18510 6330237 1533986 4796251 0.01100 34701625 29409892 5291733 0.01210 14102543 3013235 11089767 0.02540 584260 584260 0.00130 55718665 33957113 21762011 0.04980 342706103 240026448 102680114 0.23490 680000 680000 680000 680000 true 12323422 9242566 56951790 79181801 -22230011 X true true 2 1 TRUMAN MEDICAL CENTER - HOSPITAL HILL

2301 HOLMES KANSAS CITY MO 64108

X X X X 2 TRUMAN MEDICAL CENTER - LAKEWOOD

7900 LEES SUMMIT ROAD KANSAS CITY MO 64139

X X X X TRUMAN MEDICAL CENTER - HOSPITAL HILL 1 TRUMAN MEDICAL CENTER - LAKEWOOD 2 3 TMC BEHAVIOR HEALTH

300 WEST 19TH TERRACE KANSAS CITY MO 64108

MENTAL HEALTH SERVICES JACKSON COUNTY HEALTH DEPARTMENT

313 SOUTH LIBERTY INDEPENDENCE MO 64050

COUNTY HEALTH DEPARTMENT INDEPENDENCE CLINIC

10010 EAST TRUMAN ROAD INDEPENDENCE MO 64052

OUTPATIENT CLINIC PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $18,281,297. PART I, LINE 7G THE ORGANIZATION DEDUCTION INCLUDES $2,500,000 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. PART I, LINE 7 THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO. COMMUNITY BUILDING ACTIVITIES PART II TMC provides many community building activities such as: health education wellness screening, community and school based services to individuals, group services which focus on education, prevention and promotion for healthier lifestyles. In addition, TMC provides health screenings to identify such factors that cause or contribute to illness or chronic diseases. Based on these screenings, programs and participation are initiated by the need of the community. Exposure of TMC to the community is obtainted through many community and civic events. BAD DEBT EXPENSE PART III, LINE 4 THE COST OF BAD DEBTS IS DETERMINED BY USING THE COST TO CHARGE RATIO. BAD DEBTS DO REPRESENT FREE OR UNCOMPENSATED SERVICES PROVIDED TO PATIENTS IN WHICH THERE WAS AN EXPECTATION OF PAYMENT AT TIME OF SERVICE. HOWEVER MANY TIMES AFTER PURSUING COLLECTION IT IS DISCOVERED THE PATIENT DID NOT HAVE THE ABILITY TO PAY. MEDICARE PART III, LINE 8 TMC BELIEVES THAT MEDICARE SHORTFALLS SHOULD QUALIFY AS A COMMUNITY BENEFIT COST IF THE MEDICARE BENEFICIARY IS INDIGENT. APPROXIMATELY 80% OF THE TMC MEDICARE SHORTFALL OR APPROXIMATELY $17.5 MILLION IS RELATED TO THE COST OF TREATING THE MEDICARE INDIGENT (MEDICARE/MEDICAID ELIGIBLE) POPULATION. PART III, LINE 9B TMC DOES NOT PURSUE COLLECTION FROM PATIENTS WHO APPLY FOR MEDICAL ASSISTANCE. TMC WILL PURSUE COLLECTION FOR UNPAID DISCOUNTED CARE AMOUNTS FOR INDIVIDUALS OUTSIDE THE CATCHMENT AREA. METHOD OF APPLYING FINANCIAL ASSISTANCE PART V, SECTION B, LINE 12 TMC FINANCIAL COUNSELING STAFF ARE RESPONSIBLE FOR DETERMINING IF A PATIENT IS A RESIDENT OF KANSAS CITY OR JACKSON COUNTY AND THEREFORE MAY BE ELIGIBLE FOR DISCOUNTED OR FREE MEDICAL SERVICES. THE GUIDELINES ARE BASED ON RESIDENCY, INCOME, AND FAMILY SIZE. THE DISCOUNT IS GRANTED FOR INCOMES UP TO 400% OF FEDERAL POVERTY GUIDELINES WITH FREE CARE UP TO 200% OF FPG. TMC USES A VERIFICATION TOOL CALLED TRANSUNION REVENUE MANAGER TO VERIFY RESIDENCY, INCOME, ASSETS AND FAMILY UNIT. PART V. SECTION B, LINE 17E OTHER NOTIFICATIONS OF FINANCIAL ASSISTANCE OPTIONS INCLUDE MAILING A LETTER INFORMING THE PATIENT OF OPTIONS IF A PATIENT IS DISCHARGED BEFORE BEING SEEN BY A FINANCIAL ASVISOR. NEEDS ASSESSMENT A TMC Community partner, the Mid-America Regional Council launched a bi-state (MO-KS) health care initiative to improve access to health care for the uninsured and under served in greater Kansas City. The initiative included a survey and creation of several subgroups to address healthcare and mental health needs of the uninsured and under insured in the Kansas City area and systems needed to provide that care. TMC is an active member of the safety net collaborative sub-group. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE If a patient is uninsured, TMC's Financial Counseling Staff works to become a patient advocate. They assist the patient in applying for Medicare Medicaid or TMC's Charity Care program. TMC posts its Charity Care and Financial Assistance policies throughout the hospital. COMMUNITY INFORMATION TMC serves the population of Jackson County and Kansas City, Missouri. Jackson County encompasses approximately 618 square miles and serves a population of 675,000. The demographics are 70% Caucasian and 23% African American. TMC Hospital Hill demographics are 48% African American and 39% Caucasian. TMC-Lakewood demographics are 17% African American and 73% Caucasian. More than 70% of TMC patients have commercial or government insurance coverage. STATE FILING OF COMMUNITY BENEFIT REPORT TMC HAS FILED AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MISSOURI SINCE 2005. FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFIT ACTIVITIES, PLEASE SEE TMC'S 2011-2012 COMMUNITY BENEFIT REPORT ATTACHED. true TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION 2310 HOLMES SUITE 735 KANSAS CITY MO 64108 431194064 501(c)(3) 45277 SUPPORT AUXILIARY TO TRUMAN MEDICAL CENTER 2301 HOLMES KANSAS CITY MO 64108 436099279 501(C)(3) 32086 SUPPORT 2 0 PROCESS FOR MONITORING THE USE OF GRANTS IN THE U.S. SCHEDULE I, PART I, LINE 2 THE GRANTS PROVIDED WERE MADE TO OTHER PUBLIC CHARITIES WHO HAVE A CLOSE WORKING RELATIONSHIP WITH TRUMAN MEDICAL CENTER. THESE ORGANIZATIONS STRIVE TO FURTHER SUPPORT THE HOSPITAL OPPERATIONS OF TRUMAN MEDICAL CENTER, INC. THEREFORE, THE USE OF THE GRANTED FUNDS IS MONITORED THROUGH THE CLOSE WORKING RELATIONSHIPS WITH THESE ORGANIZATIONS. X X true true X X X X X X true true false false false false false false false JOHN W BLUFORD 606892 0 25200 0 7062 0 132287 0 46446 0 817887 0 0 0 CATHERINE DISCH 320871 0 95221 0 2606 0 82145 0 27609 0 528452 0 0 0 AL JOHNSON 283201 0 200 0 77768 0 70274 0 23666 0 455109 0 75521 0 JOHN GIANINO 396474 0 200 0 1192 0 86046 0 31265 0 515177 0 0 0 STEPHEN JARVIS 240657 0 200 0 614 0 23895 0 35744 0 301110 0 0 0 HAROLD SIGLAR 123483 0 200 0 189386 0 31388 0 24749 0 369206 0 65702 0 MARK T STEELE MD 106100 0 0 0 0 0 0 0 0 0 106100 0 0 0 WILLIAM COLBY 229527 0 200 0 1609 0 40088 0 42263 0 313687 0 0 0 MITZI CARDENAS 218416 0 5200 0 552 0 17506 0 38133 0 279807 0 0 0 MARY FAHRMEIER 215508 0 200 0 276 0 11145 0 24962 0 252091 0 0 0 COMPENSATION BENEFITS SCHEDULE J, PART I, LINE 1A TRUMAN MEDICAL CENTER INC. PROVIDED A HEALTH CLUB MEMBERSHIP AND LEGAL SERVICES TO JOHN W. BLUFORD, PRESIDENT AND CEO. THE VALUE OF THE MEMBERSHIP AND LEGAL SERVICES WERE INCLUDED IN HIS W-2 AS TAXABLE INCOME. SEVERENCE PAY SCHEDULE J, PART I, LINE 4B & PART II HAROLD SIGLAR $121,627 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B & PART II 2010 2010 2010 ACCRUAL DISTRIBUTION TOTAL JOHN W. BLUFORD $103,883 -0- $103,883 CATHERINE DISCH $53,741 -0- $53,741 AL JOHNSON $44,873 $75,521 $120,394 JOHN GIANINO $60,651 -0- $60,651 STEPHEN JARVIS $14,025 -0- $14,025 HAROLD SIGLAR $7,932 $65,702 $73,634 WILLIAM COLBY $35,373 -0- $35,373 MITZI CARDENAS $11,159 -0- $11,159 COMPENSATION FROM UNRELATED ORGANIZATION PART VII, LINE 5 AND SCH J, PART II TRUMAN MEDICAL CENTER, INC. (TMC) REIMBURSED UNIVERSITY PHYSICIANS ASSOCIATES $106,100 FOR THE TIME MARK STEELE, M.D. SPENT ASSISTING TMC, INC. AS THE MEDICAL DIRECTOR. COMPENSATION REPORTED IN PRIOR YEAR FORM 990 SCHEDULE J, PART II, COLUMN F COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. SCHEDULE J, PART II, COLUMN F REPRESENTS AMOUNTS THAT HAVE BEEN PREVIOUSLY REPORTED IN PRIOR YEARS. JACKSON COUNTY MISSOURI PUBLIC BUILDING CORP 431772348 46737ECH3 2006-05-18 20236825 CONSTRUCTION false false false HEALTH AND EDUCATIONAL FACILITIES AUTHORTY OF MO 431178966 60635RW37 2005-09-08 8400000 CONSTRUCTION & EQUIPMENT false false false JACKSON COUNTY MISSOURI 431772348 467578FS4 2011-05-17 24385000 CONSTRUCTION & EQUIPMENT false false false 20236825 245099 19852726 2006 false false true true 8400000 136800 8263800 2006 false false true true 24385000 289276 2011 false false true true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false true false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false false false Emergency/Trauma Services FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS TRUMAN MEDICAL CENTERS EMERGENCY DEPARTMENTS PROVIDED CARE TO MORE THAN 98,000 PATIENTS IN 2011, WITH MORE THAN 69,000 OF THOSE VISITS AT TMC HOSPITAL HILL, MAKING IT ONE OF THE BUSIEST ADULT EMERGENCY DEPARTMENTS IN THE KANSAS CITY METRO AREA. THE TMC LAKEWOOD EMERGENCY DEPARTMENT HAS A STAFF OF TEN BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND 36 NURSES PROVIDING IMMEDIATE, COMPASSIONATE, QUALITY CARE TO NEARLY 30,000 RESIDENTS OF EASTERN JACKSON COUNTY, MISSOURI EACH YEAR. AS A DESIGNATED LEVEL 1 TRAUMA CENTER, ONE OF ONLY FOUR IN THE REGION, THE TMC HOSPITAL HILL EMERGENCY DEPARTMENT (ED) CONSISTS OF A TEAM OF NEARLY 50 PHYSICIANS AND MORE THAN 125 NURSES SPECIALLY TRAINED IN TREATING TRAUMA AND CRITICAL CARE INJURIES. TRAUMA SURGEONS AND OTHER MEMBERS OF THE TRAUMA TEAM ARE IN THE HOSPITAL 24-HOURS A DAY, SEVEN DAYS A WEEK. AIM 4 PEACE AS AN ACADEMIC SAFETY NET HOSPITAL IN KANSAS CITY, MISSOURI, TMC RECEIVES A SIGNIFICANT AMOUNT OF PENETRATING TRAUMA. AIM 4 PEACE, AS THE VIOLENCE AND INJURY PREVENTION PROGRAM, IS FOCUSED ON THE REDUCTION OF INTENTIONAL GUNSHOT INCIDENTS AND ESTABLISHES A MECHANISM TO FACILITATE COLLABORATIVE EFFORTS BETWEEN THE TWO IN ENGAGING AND ASSISTING THE CITIZENS OF KANSAS CITY TO MANAGE PROBLEMS IN A MORE CONSTRUCTIVE MANNER. AS THE ONLY HOSPITAL IN ASSOCIATION WITH AIM 4 PEACE, TMC HAS THE UNIQUE OPPORTUNITY TO INTERVENE, IN CONCERT WITH THE INTERVENTION SPECIALIST, TO AFFECT A CULTURE SHIFT IN WHAT IS ACCEPTED AS THE NORM AMONG THE PERPETRATORS OF VIOLENT CRIME WHILE REDUCING RECIDIVISM IN THE EMERGENCY DEPARTMENT. TMC IS LISTED IN THE NATIONAL DIRECTORY OF HOSPITAL-BASED VIOLENCE INTERVENTION AND PREVENTION PROGRAMS. SINCE INCEPTION OF THE PROGRAM (THROUGH DECEMBER 2010), GUN-RELATED VIOLENCE HAS DECREASED BY 15% IN THE FOUR TARGETED "GROUND ZERO ZONES." AGGRAVATED ASSAULT IN THE EAST PATROL DIVISION DROPPED 8.9% AND HOMICIDES EXPERIENCED A 25% REDUCTION THROUGH 2009. IN 2008, THE AIM 4 PEACE PUBLIC HEALTH MODEL CREATED SAVINGS TO KANSAS CITY OF $7.6 MILLION DOLLARS THROUGH GANG RELATED MEDIATION. THE HEALTH CARE SAVINGS WERE $964,000 AND LAW ENFORCEMENT SAVINGS AMOUNTED TO $1.5 MILLION DOLLARS. NO ADDITIONAL UPDATES ON SAVINGS HAVE BEEN PROVIDED BY THE CITY OF KANSAS CITY. SEXUAL ABUSE NURSE EXAMINER (SANE) THE TMC HOSPITAL HILL EMERGENCY DEPARTMENT HAS A SEXUAL ABUSE NURSE EXAMINER (SANE) ON SITE TO PROVIDE A THOROUGH FORENSIC EXAMINATION OF WOMEN WHO HAVE BEEN THE VICTIMS OF RAPE. WHEN A WOMAN ENTERS THE EMERGENCY DEPARTMENT CLAIMING A SEXUAL ASSAULT OR RAPE, SHE IS SENT TO A SANE AND TAKEN TO A PRIVATE ROOM FOR EXAMINATION. THE KANSAS CITY SANE PROGRAM HAS MADE A PROFOUND DIFFERENCE IN THE QUALITY OF CARE PROVIDED TO SEXUAL ASSAULT VICTIMS. SANES OFFER VICTIMS PROMPT, COMPASSIONATE CARE AND COMPREHENSIVE FORENSIC EVIDENCE COLLECTION. IN ADDITION TO HELPING PRESERVE THE VICTIM'S DIGNITY AND REDUCE PSYCHOLOGICAL TRAUMA, SANES ENHANCE EVIDENCE COLLECTION FOR MORE EFFECTIVE INVESTIGATIONS AND BETTER PROSECUTIONS. PARTICULARLY IN NONSTRANGER SEXUAL ASSAULT CASES, THOROUGH DOCUMENTATION OF EVIDENCE CORROBORATING A VICTIM'S ACCOUNT OF AN ASSAULT BY ESTABLISHING LACK OF CONSENT LEADS TO MORE PROSECUTIONS THAT ARE SUCCESSFUL. TMCS SANE HAS ALSO HELPED TO PROVIDE LEADERSHIP IN THE COMMUNITY BY EDUCATING AND TRAINING OTHER POTENTIAL SANES. EACH YEAR NEARLY 100 WOMEN ARE CARED FOR AND EXAMINED BY THE TMC SANE IN THE HOSPITAL HILL EMERGENCY DEPARTMENT. TRAUMA RESEARCH IN ADDITION TO PATIENT CARE, LEVEL ONE TRAUMA CENTERS CONDUCT RESEARCH PROGRAMS, HEALTHCARE PROVIDER EDUCATION, COMMUNITY OUTREACH PROGRAMS, AND IS A REFERRAL RESOURCE FOR COMMUNITIES IN NEARBY REGIONS. THE TRAUMA RESEARCH TEAM IS CURRENTLY CONDUCTING SEVERAL EXCITING RESEARCH PROJECTS INCLUDING PHARMACEUTICAL-SPONSORED TRIALS, GRANT-FUNDED RESEARCH AND ORIGINAL PROJECTS. ALL PROJECTS ARE DESIGNED WITH THE OBJECTIVE OF OPTIMIZING CARE OF THE TRAUMATICALLY INJURED PATIENT. RESEARCH PROJECTS IN PROGRESS DURING 2010 INCLUDE: A) THE TRAUMA SERVICES DEPARTMENT IS ENROLLING PATIENTS IN A PHARMACUETICAL TRIAL LOOKING AT THE EFFECT AND SAFETY OF OCTAPLEX AND FFP IN PATIENTS UNDER VITAMIN K ANTAGONIST THERAPY WITH THE NEED FOR URGENT SURGERY OR INVASIVE PROCEDURES. B) HEMORRHAGIC SHOCK STUDY INVESTIGATING THE MECHANISMS OF CELL INJURY FOLLOWING HEMORRHAGIC SHOCK, AND SPECIFICALLY HOW THE DEVELOPMENT OF SHOCK LEADS TO THE DEPLETION OF CELLULAR ENERGY STORES AND CELL DEATH. THE GOAL OF THIS RESEARCH PROGRAM IS TO DEVELOP NEW TREATMENTS FOR HEMORRHAGIC SHOCK WHICH CAN BE ADMINISTERED BEFORE OR DURING INITIAL RESUSCITATION. PERFORMANCE IMPROVEMENT PATIENT SAFETY (PIPS) THE PERFORMANCE IMPROVEMENT PATIENT SAFETY (PIPS) IS AN IMPORTANT PART OF THE TRAUMA PROGRAM AT TMC HOSPITAL HILL. THE PERFORMANCE IMPROVEMENT AND PATIENT SAFETY PROGRAM WORKS TOWARD IMPLEMENTING A SYSTEM OF PATIENT CARE DELIVERY THAT FOCUSES ON THE ACHIEVEMENT OF OUTCOMES WITHIN EFFECTIVE TIME FRAMES AND WITH APPROPRIATE USE OF RESOURCES. THE AREAS OF MONITORING AND IMPROVING INCLUDE PRE-HOSPITAL CARE, EMERGENCY DEPARTMENT, INPATIENT STAY, TO REHABILITATION. THE PRIMARY FOCUS IS ON THE PROMPTNESS, DOCUMENTATION, AND APPROPRIATENESS OF CARE ALONG WITH PATIENT OUTCOMES. ADVANCED TRAUMA CARE FOR NURSES CONTINUING MEDICAL EDUCATION IS NOT JUST A REQUIREMENT IT IS A NECESSITY TO ENHANCE THE KNOWLEDGE AND ABILITIES OF THE MEDICAL PROFESSIONAL. TRUMAN MEDICAL CENTER HOSPITAL HILL WAS THE FIRST HOSPITAL TO BRING ADVANCED TRAUMA CARE FOR NURSES (ATCN) TO THE KANSAS CITY METROPOLITAN AREA. THE COURSE IS GEARED TOWARD NURSING STAFF IN THE EMERGENCY DEPARTMENT AND INTENSIVE CARE UNITS. WHEN NURSES COMPLETE THE ATCN CLASS AND WORK ALONG SIDE TRAUMA PHYSICIANS CERTIFIED IN ADVANCED TRAUMA LIFE SUPPORT (ATLS) THEY FIND THAT THEIR THOUGHT PROCESSES AND ACTIONS ARE MORE ALIGNED WITH THE PHYSICIANS APPROACH, WHICH SIMULTANEOUSLY ADDRESSES THE CARE OF THE TRAUMA PATIENT IN A PATIENT-CENTERED AND LOGICAL SEQUENCE. ATCN ENCOURAGES A TEAM APPROACH TO TRAUMA CARE AND IS TAUGHT CONCURRENTLY WITH ATLS, SO BOTH NURSE ATCN AND PHYSICIAN ATLS STUDENTS ATTEND THE SAME LECTURES. LECTURES ARE FOLLOWED BY A SERIES OF HANDS-ON SKILLS STATIONS THAT INCLUDE EXTENSIVE TRAINING ON INITIAL PATIENT ASSESSMENT AND MANAGEMENT OF AIRWAY, BREATHING, HEMORRHAGIC SHOCK, MUSCULOSKELETAL, SPINAL, HEAD AND PEDIATRIC TRAUMA. Inpatient Care FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS THE TRUMAN MEDICAL CENTERS (TMC) INCLUDES TMC HOSPITAL HILL, TMC LAKEWOOD AND TMC BEHAVIORAL HEALTH AND IS THE PRIMARY TEACHING HOSPITAL FOR THE UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOLS OF MEDICINE, NURSING, DENTISTRY AND PHARMACY. TMC IS THE MEDICAL HOME TO MORE THAN 96,000 INDIVIDUAL PATIENTS EACH YEAR. THESE PATIENTS RECEIVE, REGARDLESS OF THEIR FINANCIAL SITUATION OR ABILITY TO PAY, QUALITY, STATE-OF-THE-ART INPATIENT, OUTPATIENT AND EMERGENCY CARE THAT ENCOMPASS BOTH PHYSICAL AND MENTAL HEALTH CARE. TMC IS LICENSED FOR 380 INPATIENT ACUTE CARE (INCLUDING 19 NICU) AND 212 LONG-TERM CARE BEDS. IN FISCAL YEAR 2011 (JULY 1, 2010-JUNE 30, 2011), TMC HAD 20,093 INPATIENT ADMISSIONS AND PROVIDED 92,637 PATIENT DAYS OF CARE. AS THE PRIMARY SAFETY NET HOSPITAL IN THE KANSAS CITY, MISSOURI METROPOLITAN AREA, TMC TREATS A VULNERABLE PATIENT POPULATION WITH A HIGH DEGREE OF HEALTH CARE DISPARITY. THESE DISPARITIES CUT ACROSS ECONOMIC, RACIAL AND ETHNIC BOUNDARIES. MANY OF TMCS CLIENTELE HAVE MULTIPLE, POORLY MANAGED CHRONIC DISEASES SUCH AS DIABETES, ASTHMA, HEART FAILURE AND HYPERTENSION. THEY ARE FREQUENTLY ADMITTED TO A TMC HOSPITAL BECAUSE OF THESE CHRONIC ILLNESSES AND DUE TO SOME SOCIAL DISPARITIES, SUCH AS LACK OF TRANSPORTATION, OR A LANGUAGE BARRIER, THEIR ABILITY TO MANAGE THEIR CONDITION WITH PROPER MEDICATION AND FOLLOW-UP CARE IS DIFFICULT AND MANY TIMES, THEY END UP READMITTED FOR THEIR CONDITION. TMC WORKS DILIGENTLY TO OVERCOME THESE ETHNIC, SOCIAL AND RACIAL BARRIERS WHEN PATIENTS RECEIVE THEIR CARE. TMC HAS SPECIALIZED LANGUAGE INTERPRETERS ON STAFF AT BOTH HOSPITAL HILL AND LAKEWOOD LOCATIONS TO HELP ENSURE THAT PATIENTS WITH LIMITED PROFICIENCY IN ENGLISH OR DEAFNESS RECEIVE HIGH QUALITY, INDIVIDUALIZED CARE WITH COMMUNICATION ASSISTANCE. TMC IS ONE OF FEW HOSPITALS TO HAVE ON STAFF INTERPRETERS AVAILABLE AROUND THE CLOCK TO ASSIST PATIENTS WITH PAPERWORK AND COMMUNICATING, IN THEIR NATIVE LANGUAGE, WITH MEDICAL PROFESSIONALS. TMC INTERPRETER SERVICES HAS APPROXIMATELY 20 LANGUAGE INTERPRETERS ON STAFF THAT PROVIDES DIRECT TRANSLATIONS IN THREE MAJOR LANGUAGES, SPANISH, SOMALI AND ARABIC. ADDITIONALLY, 150 LANGUAGE INTERPRETATIONS ARE AVAILABLE VIA DUAL HANDSET TELEPHONIC INTERPRETING UNITS. IN FISCAL YEAR 2011, TMC HOSPITAL HILL INTERPRETIVE SERVICES PROVIDED MORE THAN 81,000 INTERPRETED ENCOUNTERS FOR PATIENTS IN 79 LANGUAGES. MENTAL HEALTH IS ESSENTIAL TO WELL-BEING AND CAN AFFECT SELF-IMAGE, RELATIONSHIPS, SLEEP, EATING, AND EVEN PHYSICAL HEALTH. MANY TIMES PATIENTS WITH CHRONIC DISEASES ALSO SUFFER FROM MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND ADDICTION PROBLEMS. GAINING ACCESS TO QUALITY, MENTAL HEALTH CARE SERVICES IS OFTEN DIFFICULT AND EXPENSIVE. IN MANY COMMUNITIES, INPATIENT MENTAL HEALTH FACILITIES DO NOT EXIST AND/OR ARE AT CAPACITY NEARLY 100 PERCENT OF THE TIME. TMC IS ONE OF ONLY A FEW HEALTH SYSTEMS THAT PROVIDE BOTH INPATIENT MEDICAL AND MENTAL HEALTH CARE BEDS. TMC BEHAVIORAL HEALTH OFFERS A COMPREHENSIVE ARRAY OF MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICES AT BOTH THE TMC HOSPITAL HILL AND TMC LAKEWOOD CAMPUSES. ALL MENTAL HEALTH SERVICES ARE AIMED AT ASSISTING CLIENTS IN MANAGING THE SYMPTOMS OF THEIR ILLNESSES AND IN IMPROVING THEIR DAY-TO-DAY LIVES. TMC SERVICES ALSO PROVIDE THE SUPPORT MANY PERSONS WITH MENTAL ILLNESS NEED TO REGAIN A SENSE OF MEANING AND PURPOSE IN LIFE. TMC BEHAVIORAL HEALTH HAS 78 INPATIENT MENTAL HEALTH BEDS BETWEEN THE TWO CAMPUSES AND AN EMERGENCY DEPARTMENT. IN FY 2011, TMC BEHAVIORAL HEALTH TREATED NEARLY 16,000 PATIENTS, WITH 3,085 PATIENTS ADMITTED FOR INPATIENT MENTAL HEALTH CARE AT A TMC FACILITY. WOMENS HEALTH TMC OFFERS FULL WOMENS HEALTH SERVICES AND IS THE BIRTHPLACE TO MORE THAN ONE-THIRD OF ALL BABIES BORN IN JACKSON COUNTY, MISSOURI. TMC HOSPITAL HILL SPECIALIZES IN HIGH-RISK PREGNANCIES AND BIRTHS AND IS HOME TO A 19-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU), ONE OF THE LARGEST IN THE AREA, THAT PROVIDES COMPASSIONATE CARE TO THE MOST ILL OF NEWBORNS. IN FISCAL YEAR 2011, TMC DELIVERED 3,039 BABIES WITH 525 NICU ADMISSIONS. Outpatient Care FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS ONE OF TRUMAN MEDICAL CENTERS' (TMC) STRENGTHS IS THE ABILITY TO PROVIDE HIGH QUALITY, STATE-OF-THE-ART HEALTHCARE TO ALL OUR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OFFERING MORE THAN 35 PRIMARY, SPECIALTY AND MENTAL HEALTH CARE CLINICS AT TMC HOSPITAL HILL AND TMC LAKEWOOD, AS WELL AS, A NUMBER OF COMMUNITY-BASED PRIMARY AND MENTAL HEALTH CLINICS, TMC'S PERSON-FIRST APPROACH PUTS THE HEALTH NEEDS OF THE PATIENT ABOVE PROFIT. WE ARE NATIONALLY RECOGNIZED FOR OUR PROGRAMS IN ASTHMA, DIABETES, SICKLE CELL, WOMEN'S HEALTH AND EMERGENCY/TRAUMA SERVICES. HOWEVER, WE OFFER MANY MORE SERVICES, INCLUDING OPHTHALMOLOGY, CARDIOLOGY, GASTROENTEROLOGY, ORAL SURGERY AND COMMUNITY BASED MENTAL HEALTH SERVICES. IN 2011, TMC PROVIDED OUTPATIENT CARE FOR 522,851 PATIENTS, WITH 220,402 OF THOSE BEING OUTPATIENT MENTAL HEALTH CARE SERVICES. TMC'S MEDICAL PAVILIONS AT HOSPITAL HILL AND LAKEWOOD PROVIDE HIGH-QUALITY OUTPATIENT PRIMARY CARE, WHETHER A PATIENT'S NEEDS INCLUDE A GENERAL PHYSICAL EXAM OR HELP WITH A SPECIFIC COMPLAINT. TMC'S INTERNAL MEDICINE PHYSICIANS TREAT HIGH CHOLESTEROL, OSTEOPOROSIS, DIABETES, HIGH BLOOD PRESSURE, WOMEN'S HEALTH SERVICES AND SKIN DISORDERS, AMONG OTHERS. IN 2011, THE HIGHLY SKILLED PAVILION MEDICAL STAFF TREATED MORE THAN 23,000 PATIENTS. CHRONIC DISEASE MANAGEMENT AT TMC, TREATMENT OF ASTHMA IS BROAD AND INCLUDES STRIVING FOR EXCELLENCE IN ALL AREAS WHERE PATIENTS WITH ASTHMA ARE ENCOUNTERED. OUR GOAL IS TO PROVIDE SUPERIOR AND CONSISTENT CARE FOR THE PATIENT WITH ASTHMA WHETHER IT IS IN THE EMERGENCY DEPARTMENT, INPATIENT UNIT, CLINIC SETTING, RESEARCH OR THE COMMUNITY. TMC HOSPITAL HILL IS HOME TO THE AREA'S AMERICAN LUNG ASSOCIATION ASTHMA CLINICAL RESEARCH CENTER (ACRC), AN ELITE NETWORK OF 18 NOT-FOR-PROFIT CLINICAL RESEARCH CENTERS DEDICATED TO ASTHMA TREATMENT RESEARCH, ATTRACTING SOME OF THE BEST ASTHMA INVESTIGATORS WORLDWIDE. THE ACRC NETWORK CONDUCTS LARGE CLINICAL TRIALS THAT WILL HAVE A DIRECT IMPACT ON PATIENT CARE AND ASTHMA TREATMENT. SEVERAL YEARS AGO, TMC INSTITUTED A COMPREHENSIVE ASTHMA PROGRAM THAT PROVIDES ASTHMA EDUCATION TO OUTPATIENTS AND INPATIENTS. IN AN EFFORT TO PROVIDE A CONSISTENT CONTINUUM OF CARE, PATIENTS ARE TREATED IN THE EMERGENCY DEPARTMENT USING A STANDARDIZED PROTOCOL BASED ON NATIONAL GUIDELINES FOR THE MANAGEMENT OF ASTHMA AND ARE REFERRED FOR FOLLOW-UP CARE TO OUR OUTPATIENT PULMONARY CLINIC TO HELP BREAK THE CYCLE OF EMERGENT CARE. THIS PROGRAM HAS RESULTED IN A SUBSTANTIAL REDUCTION IN ADMISSIONS FOR ASTHMA SUFFERERS. THE PULMONARY CLINIC SEES NEARLY 1,000 PATIENTS EACH YEAR FOR THE TREATMENT AND CARE OF ASTHMA. DIABETES IN 2009, TMC HOSPITAL HILL OPENED A SPACIOUS NEW STATE-OF-THE-ART DIABETES CENTER TO BETTER SERVE THE NEEDS OF OUR PATIENTS. THE NEW SPACE INCLUDES A PATIENT RESOURCE CENTER WITH COMPUTER ACCESS, DIABETES EDUCATION CLASSROOM AND CONSULTATION ROOMS, A COMFORTABLE, ATTRACTIVE WAITING AREA; AND EXPANDED EXAM ROOMS WITH ADVANCED TECHNOLOGY TO SUPPORT THE ELECTRONIC HEALTH RECORD PROGRESSION. THE TMC DIABETES CENTER PROVIDES QUALITY CARE FOR OUR PATIENTS WITH DIABETES, HELPING TO MANAGE DIABETES ON A PLANNED, RATHER THAN EPISODIC BASIS. THE COMPREHENSIVE "TEAM APPROACH" CONNECTS PATIENTS WITH SPECIALLY-TRAINED PHYSICIANS AND NURSING STAFF. THE TEAM ALSO HELPS COORDINATE CARE WITH OTHER SPECIALTY SERVICE PROVIDERS, SUCH AS OPHTHALMOLOGY, CARDIOLOGY, PODIATRY, AND OTHER REFERRALS AS NEEDED. IN FISCAL YEAR 2011, TMC TREATED MORE THAN 9,000 PATIENTS IN THE DIABETES OUTPATIENT AND EDUCATION CLINIC. SICKLE CELL TMC HOSPITAL HILL IS ALSO ONE OF THE TOP PROVIDERS OF SICKLE CELL CARE IN THE REGION, WITH KANSAS CITY'S ONLY ADULT SICKLE CELL CENTER. THE CENTER PROVIDES A VARIETY OF MEDICAL INPATIENT AND OUTPATIENT TREATMENTS, INCLUDING ANNUAL EXAMS, NUTRITIONAL COUNSELING, PHYSICAL THERAPY, LAB AND X-RAY EVALUATIONS AND PAIN MANAGEMENT COUNSELING. PATIENTS IN SICKLE CELL CRISIS FIND A HEALING ENVIRONMENT WHERE THEIR PAIN IS TREATED QUICKLY, MANY TIMES BYPASSING THE EMERGENCY DEPARTMENT, IN A SOOTHING SETTING OFFERING CALMING COLORS AND SOFT LIGHTING. IN 2011, 481 PATIENTS CONSIDER TMC AS THEIR MEDICAL HOME FOR SICKLE CELL CARE. WOMEN'S HEALTH SERVICES AS A NATIONAL CENTER OF EXCELLENCE IN WOMEN'S HEALTH, TMC SEEKS TO CONNECT WOMEN TO THE BEST RESOURCES AVAILABLE IN HEALTH CARE SERVICES; EDUCATION AND COMMUNITY OUTREACH, AND EMPOWER THE CAREGIVER TO MAKE HEALTHY DECISIONS FOR THEMSELVES AND OTHERS. WITH THESE OBJECTIVES AS THE FOCUS, TMC OFFERS A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING FAMILY PLANNING, MID-LIFE SERVICES, BREAST HEALTH, THE SPECIALIZED TREATMENT OF VULVAR AND PELVIC PAIN DISEASES, OBSTETRICS, HYSTEROSCOPIC SURGERY AND ALTERNATIVES TO HYSTERECTOMY, ADOLESCENT GYNECOLOGY, AND WELL-WOMAN EXAMS. PATIENTS CAN RECEIVE OB/GYN SERVICES AND PRIMARY CARE, ALL IN ONE LOCATION. TMC PROVIDES DIAGNOSTIC BREAST HEALTH SERVICES, STREAMLINING THE PATIENT EXPERIENCE BY MAKING VIRTUALLY ALL OF THE COMPONENTS OF A BREAST EVALUATION AVAILABLE IN ONE CAMPUS LOCATION. TMC OFFERS CLINICAL BREAST EXAMS, MAMMOGRAMS, BREAST ULTRASOUNDS, FINE-NEEDLE ASPIRATIONS, AND AN IMAGING-ASSISTED BREAST BIOPSY TECHNIQUE THAT IS LESS INVASIVE THAN A TYPICAL SURGICAL BREAST BIOPSY. TMC IS ALSO ONE OF THE LARGEST PROVIDERS OF WOMEN, INFANTS AND CHILDREN (WIC) SERVICES IN THE STATE OF MISSOURI WITH 173,904 VISITS IN 2011. WIC PROVIDES HEALTHY FOODS, NUTRITION EDUCATION AND REFERRALS FOR WOMEN, INFANTS, AND CHILDREN UP TO THE AGE OF 5, WHO ARE AT NUTRITIONAL RISK AND MEET PROGRAM GUIDELINES. Outpatient Care - Continued FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS CARDIOLOGY SERVICES THE TMC CARDIOLOGY CENTER OFFERS PATIENTS A COMPLETE RANGE OF CARDIAC SERVICES FOR PREVENTION, EARLY DIAGNOSIS, TREATMENT AND RECOVERY IN A PATIENT-CENTERED ENVIRONMENT. TMC'S CARDIOLOGY CENTER SPECIALIZES IN INTERVENTIONAL CARDIOLOGY, WHICH REFERS TO NON-SURGICAL TREATMENTS FOR HEART CONDITIONS. CARDIAC INTERVENTIONS ARE USED TO DIAGNOSE AND TREAT CORONARY ARTERY DISEASE, VALVULAR HEART DISEASE, HEART FAILURE AND CONGENITAL HEART DISEASE. THE CARDIOLOGY CENTER FEATURES A SOPHISTICATED CARDIAC CATHETERIZATION LAB, FOUR ADDITIONAL CLINIC ROOMS, INCREASED ECHOCARDIOGRAPHY TESTING CAPABILITIES AND A CARDIAC REHABILITATION SERVICE TO HELP PREVENT REPEAT HEART PROBLEMS. IN 2011, THE CARDIOLOGY CENTER PROVIDED MORE THAN 7,300 OUTPATIENT CLINIC VISITS, PERFORMED 708 CATHETERIZATION PROCEDURES, WHICH INCLUDED 615 HEART CATHETERIZATIONS (188 OF WHICH WERE STENT PLACEMENTS). GASTROENTEROLOGY SERVICES TMC'S GASTROENTEROLOGY (GI) CENTER ON HOSPITAL HILL WAS EXPANDED TO INCLUDE ENDOSCOPIC ULTRASOUND EQUIPMENT, ONE OF ONLY A FEW SUCH UNITS IN THE KANSAS CITY AREA, PROVIDING TMC PATIENTS ANOTHER METHOD FOR EARLY DETECTION OF CANCER. THE CENTER ALSO FEATURES THREE PROCEDURE ROOMS, A DEDICATED PREP AND RECOVERY AREA, IMPROVED PATIENT MONITORING EQUIPMENT, INCLUDING ADDITIONAL CARDIAC MONITORING CAPABILITIES WITH A CENTRAL MONITOR AT THE NURSING STATION, SIX EXAMS ROOMS - ALL WITH NEW EQUIPMENT INCLUDING A COMPUTER IN EACH ROOM, A DEDICATED TRIAGE ROOM, A LARGE EDUCATION CLASSROOM, AND A SPACIOUS NEW WAITING ROOM AREA. THE CENTER PROVIDES "ONE-STOP SHOPPING" FOR PATIENTS, WITH REGISTRATION/CHECK-IN AND FINANCIAL COUNSELING ALL IN SAME AREA. IN 2011, THE TMC GI CENTER TREATED MORE THAN 4,000 PATIENTS AND PERFORMED MORE THAN 5,200 PROCEDURES. OPHTHALMOLOGY SERVICES THE OPHTHALMOLOGY CLINICS AT TMC ARE FULL-SERVICE FACILITIES FOR THE MEDICAL AND SURGICAL TREATMENT OF EYE DISEASES. SERVICES RANGE FROM PRESCRIBING OF GLASSES AND FITTING OF CONTACT LENSES TO THE TREATMENT OF COMPLEX OCULAR DISORDERS. OUTPATIENT SURGERY AND LASER TREATMENT, INCLUDING REFRACTIVE LASER SURGERY, ARE ALSO PERFORMED. IN 2011, THE OPHTHALMOLOGY DEPARTMENT TREATED MORE THAN 16,000 PATIENTS. DENTISTRY AND ORAL SURGERY SERVICES ORAL & MAXILLOFACIAL SURGEONS MANAGE A WIDE VARIETY OF PROBLEMS RELATING TO THE MOUTH, TEETH AND FACIAL REGIONS, PRACTICING A WIDE SCOPE OF CARE WITH EXPERTISE RANGING FROM CORRECTIVE JAW SURGERY TO WISDOM TOOTH REMOVAL. THEY ALSO DIAGNOSE AND TREAT FACIAL INJURIES AND TEMPOROMANDIBULAR JOINT SYNDROME (TMJ) DISORDERS, AND PERFORM A FULL RANGE OF DENTAL IMPLANT PROCEDURES. TMC PROVIDES DIAGNOSIS AND TREATMENT OF ORAL AND FACIAL EMERGENCIES, BROKEN FACIAL BONES, AND PLACEMENT OF DENTAL IMPLANTS. THE FACIAL PAIN/TMJ CLINIC ALSO OFFERS DIAGNOSIS AND TREATMENT OF FACIAL PAIN AND TMJ. NEARLY 7,000 PATIENTS RECEIVED ORAL SURGICAL SERVICES AT TMC IN 2011 AND TREATED MORE THAN 17,000 DENTAL PATIENTS AT THE TMC LAKEWOOD DENTAL CLINIC. OUTPATIENT MENTAL HEALTH SERVICES IN ADDITION TO OUTPATIENT PHYSICAL MEDICAL CARE SERVICES, TMC PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES. IN 2011, TMC BEHAVIORAL HEALTH PROVIDED 220,402 OUTPATIENT VISITS TO NEARLY 16,000 PATIENTS. THESE SERVICES ARE AIMED AT ASSISTING CLIENTS IN MANAGING THE SYMPTOMS OF THEIR ILLNESS AND IN IMPROVING FUNCTIONING IN THEIR DAY-TO-DAY LIVES AND INCLUDE CASE MANAGEMENT, CRISIS AND OUTREACH SERVICES, MENTAL HEALTH ASSESSMENTS, EMPLOYMENT SERVICES, OCCUPATIONAL THERAPIES, PEER SUPPORT GROUPS, MEDICATION MANAGEMENT, REHABILITATION, SUBSTANCE ABUSE TREATMENT AND THERAPY AND COUNSELING FOR CHILDREN, ADOLESCENTS, ADULTS AND FAMILIES. JACKSON COUNTY HEALTH DEPARTMENT TMC CONTRACTS WITH THE JACKSON COUNTY, MISSOURI GOVERNMENT TO MANAGE THE JACKSON COUNTY HEALTH DEPARTMENT (JACOHD). IN 2011, THE JACOHD PROVIDED 159,304 COMMUNITY BASED ENCOUNTERS INCLUDING VACCINATIONS, COMMUNITY HEALTH EDUCATION AND ADULT TRAUMATIC BRAIN INJURY CASE MANAGEMENT. THE JCHD IS DEDICATED TO THE PREVENTION OF DISEASE AND THE MAINTENANCE OF A HIGH LEVEL OF HEALTH IN THE FAMILY AND COMMUNITY THROUGH EDUCATION, IMMUNIZATION, INSPECTION, AND SUPPORTIVE CARE. ELECTION OF BOARD Form 990, Part VI, Section A, Line 7A ALL DIRECTORS ARE ELECTED BY THE SITTING TMC BOARD. SEVERAL DIRECTORS ARE DESIGNATED BY THE CHIEF EXECUTIVE OFFICERS OF VARIOUS REPRESENTED ENTITIES, INCLUDING THREE EACH FROM THE CITY OF KANSAS CITY, MISSOURI AND JACKSON COUNTY, MISSOURI, ONE EACH FROM THE TMC MEDICAL STAFF AND UNIVERSITY PHYSICIAN ASSOCIATES, AND TWO EMPLOYEES OF TMC WHO REPRESENT NON-MANAGEMENT STAFF. IN ADDITION, THE MEDICAL SCHOOL DEAN AND CHANCELLOR OF THE UNIVERSITY OF MISSOURI-KANSAS CITY AND THE BOARD CHAIR OF THE TMC CHARITABLE FOUNDATION ARE NOMINATED EACH YEAR FOR BOARD ELECTION. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR THE FORM 990 IS GATHERED AND INDEPENDENTLY PREPARED BY THE DIRECTOR OF CORPORATE ACCOUNTING AND REVIEWED BY THE SENIOR DIRECTOR OF BUDGET AND DECISION SUPPORT BEFORE SUBMITTING TO AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN PREPARED AND REVIEWED BY THE INDEPENDENT ACCOUNTING FIRM USING THE INFORMATION GATHERED. THE 990 DRAFT IS THEN SENT TO THE CFO WHO REVIEWS AND DISTRIBUTES TO THE TMC, INC. AUDIT COMMITTEE. DUE TO THE SIZE OF THE TMC, INC. BOARD, THE AUDIT COMMITTEE (A SUB-COMMITTEE OF THE BOARD) REVIEWS THE 990 BEFORE IT IS FILED. FINAL COPIES OF THE 990 ARE AVAILABLE TO ALL BOARD MEMBERS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE TMC POLICY IS NO TMC EXECUTIVE WILL DISADVANTAGE TRUMAN MEDICAL CENTER'S, INCORPORATED (TMC'S) INTEREST AS A RESULT OF A PRIVATE INTEREST. THIS POLICY APPLIES TO TMC EMPLOYEES FROM THE LEVEL OF ASSOCIATE ADMINISTRATOR UP TO PRESIDENT, AND TO TMC-EMPLOYED PHYSICIANS (HEREINAFTER, COLLECTIVELY "EXECUTIVES"). THE PURPOSE OF THE POLICY AND PROCEDURE IS TO PROTECT THE INTEREST OF TMC, WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TMC EXECUTIVE. EXECUTIVES HAVE THE FIDUCIARY DUTY TO ACT IN GOOD FAITH WITH DUE REGARD FOR THE BEST INTERESTS OF THE INSTITUTION. WHENEVER AN EXECUTIVE FIRST BECOMES AWARE OF A PROPOSED OR ACTUAL TRANSACTION TO WHICH THE EXECUTIVE OR FAMILY MEMBER IS A PARTY, REGARDLESS OF THE DOLLAR AMOUNT OF THE TRANSACTION, THE EXECUTIVE SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE TO THE CONFLICT OF INTEREST PANEL (VIA THE DIRECTOR OF INTERNAL AUDIT) OF ALL MATERIAL FACTS OF THE TRANSACTION AND THE EXECUTIVE'S INTEREST. THIS DISCLOSURE SHALL BE MADE BEFORE TMC ENTERS INTO OR APPROVES THE TRANSACTION AND THE EXECUTIVE SHALL NOT PARTICIPATE IN OR BE PRESENT DURING THE CONSIDERATION OF THE PROPOSED TRANSACTION, EXCEPT THAT THE EXECUTIVE MAY STATE A POSITION ON THE MATTER AND MAY ANSWER PERTINENT QUESTIONS. THE PANEL, WITH THE SUPPORT OF THE APPROPRIATE TMC MANAGERS OTHER THAN THE CONFLICTED EXECUTIVE, SHALL DETERMINE WHETHER TMC COULD OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH EXECUTIVE SHALL ANNUALLY DISCLOSE THE NATURE OF PERSONAL INTERESTS OF THE EXECUTIVE OR FAMILY MEMBERS IN EACH ORGANIZATION WITH WHICH TMC HAS DONE BUSINESS IN THE PAST YEAR OR MAY DO BUSINESS IN THE COMING YEAR. THE DIRECTOR OF INTERNAL AUDIT SHALL RECEIVE, COMPILE AND ANALYZE THE DISCLOSURES. WITHIN 90 DAYS OF DISTRIBUTING THE ANNUAL DISCLOSURE STATEMENTS TO EXECUTIVE AND SHALL IDENTIFY ANY POTENTIAL ISSUES. THE PANEL COLLECTIVELY IS RESPONSIBLE FOR ENSURING THAT EACH EXECUTIVE COMPLIES WITH THE POLICY AND WITH APPLICABLE RELATED POLICIES AND PROCEDURES. IF THE PANEL DETERMINES THAT AN EXECUTIVE HAS VIOLATED OR MAY VIOLATE SUCH A POLICY, THE PANEL SHALL NOTIFY THE EXECUTIVE OF THE STEPS TO BE TAKEN TO RECTIFY THE SITUATION. IF THE PANEL IS UNABLE TO EFFECT AN ADJUSTMENT OF THE MATTER TO ITS SATISFACTION, IT SHALL REPORT THE MATTER TO THE EXECUTIVE'S SUPERVISOR OR OTHER APPROPRIATE SUPERVISORY AUTHORITY WITH A RECOMMENDATION FOR REMEDY OR SANCTION. ADDITIONALLY, EXECUTIVES REMAIN SUBJECT TO THE RELATED POLICIES THAT APPLY TO ALL TMC EMPLOYEES, INCLUDING CONFLICT OF INTEREST POLICY, CORPORATE CODE OF CONDUCT AND EMPLOYEE HANDBOOK. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE (ECC) IS A SEPARATE COMMITTEE OF THE BOARD OF DIRECTORS. THE ECC REVIEWS THE COMPENSATION FOR ALL SENIOR EXECUTIVES ANNUALLY. THE ECC REVIEWS THE EMPLOYMENT AGREEMENT FOR THE CEO AND THAT PROPOSED COMPENSATION INCREASES MEET IRS GUIDELINES. ECC HIRES AN INDEPENDENT CONSULTANT COMPANY TO SUPPORT THE ECC ANALYSIS. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AS APPROVED BY THE CFO OR LEGAL DEPARTMENT. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN NET ASSETS OF TMC FOUNDATION (108,741) TRANSFER TO AFFILIATE 110,226 CHANGE IN DEFINED BENEFIT PENSION PLAN GAIN 4,991,687 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 5,200 ---------- TOTAL $4,998,372 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL M. BLACK TITLE:CHAIRPERSON/DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT A. BROOKS III TITLE:PAST CHAIRPERSON/DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JON R. GRAY TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP B. RICHTER TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK T. STEELE, MD TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEROME S. TILZER, CPA TITLE:DIRECTOR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM COLBY TITLE:LEGAL COUNSEL HOURS:2 AUXILIARY TO TRUMAN MEDICAL CENTER 2301 HOLMES KANSAS CITY MO 64108 436099279 SUPPORT MO 501(c)(3) 11C NA TMC PROF & GENERAL LIABILITY SELF-INS 2301 HOLMES KANSAS CITY MO 64108 431946384 LIABILITY INS MO 501(c)(3) 11B NA TMC FINANCE SUPPORT CORPORATION 2301 HOLMES KANSAS CITY MO 64108 271994129 SUPPORT MO 501(c)(3) 11A TMC false true true true false false false false false false false true true true false true false true TMC FINANCE SUPPORT CORPORATION R 110226 TRUMAN MEDICAL CENTER INCOR 2301 HOLMES STREET KANSAS CITY MO 64108 440661018 X 35205 53584 88789 459412782 459501571 1000000 250000 0 0 0 TMC FINANCE SUPPORT CORPORAT 2301 HOMES STREET KANSAS CITY MO 64108 271994129 0 0 0 25 25 5 1 0 0 0