MetroCARE of Greater Kansas City
5810 NW Barry Road
Lower Level
Kansas City MO 64154
Web and Phone Contact
Telephone (816) 880-2782
Mission Statement
MetroCARE improves access to medical care for uninsured patients through volunteerism among health care providers.
Leadership
CEO/Executive Director Andrea J Routh
Board Chair Marna Courson-Gasperino
Board Chair Company Affiliation
History and Background
Year of Incorporation 2007
Financial Summary
Revenue Expense Area Graph

Comparing revenue to expenses shows how the organizations finances fluctuate over time.

Source: IRS Form 990

 Breakdown
Net Gain/Loss:    in 
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.
Statements
Mission Statement MetroCARE improves access to medical care for uninsured patients through volunteerism among health care providers.
Background Statement

MetroCARE of Greater Kansas City began operation in April 2007 after several years of assessing the need for charity medical care for uninsured residents of Clay, Platte and Jackson Counties. MetroCARE received official tax exempt status in December 2007. 

MetroCARE has a simple goal: increase access to quality primary and specialty health services for low-income, uninsured patients throughout the Kansas City area via a medical care referral network. MetroCARE's patients are truly in the coverage gap. They do not qualify for Medicaid, Medicare, Affordable Care Act private insurance subsidies, nor can they afford private insurance. They often work two or more jobs, but not for employers who provide coverage.

From 2007 through December 2016, MetroCARE arranged for 11,811 referrals for low income uninsured patients to receive pro bono health care services. As of January 31, 2017, there are 457 participating health care providers physicians for both primary and specialty care. This number was recalculated in late 2015 after a complete audit of records related to participating specialty providers. The MetroCARE board meets six times a year. Several MetroCARE board members are also on the board of the Kansas City Medical Society which facilitates an understanding of medical practices and how donated care can best be a part of private practice. MetroCARE partners with Safety net clinics, Truman Medical Center, and the Northland Care program--all referral sources for MetroCARE specialty services. 

MetroCARE's board also includes members with considerable knowledge of the Greater Kansas City’s health care delivery systems, such as a safety net clinic director, an area practice manager of HCA Midwest and representative(s) from the Center of Practical for Bioethics, and Northland Health Care Access.  Northland Health Care Access provides a host of health care programs and partners with MetroCARE for primary care in North KC. 

The MetroCARE program continues to allow access to health care services for low-income uninsured individuals.  MetroCARE is the “connective tissue” allowing low income individuals to access necessary health care services at no cost to them.  Patients are linked to care and ultimately with a stable health care home in a managed approach. Our referral system spreads the patient needs among the 900+ providers in a manner that allows physicians provide a level of free care that doesn’t break the bank. 

Impact Statement

2016 Accomplishments:

  1. Provided 1,213 patient referrals for primary and specialty health care services.
  2. Increased total number of primary care south patients served from 88 to 109 active patients.
  3. A total of $1.9 million in donated services were donated and documented. (This is always under-reported as some providers do not report the value of their donated services to MetroCARE.)
  4. Held the first major fundraising/friendraising event, Salud!, and with a net revenue of over $3000 and over 100 attendees.
  5. Obtained key support from HCA physicians services CEO, clearing the way for more participation from HCA providers.
  6. Obtained funding for and professionally produced a video to promote MetroCARE and to use as a recruiting tool.
  7. Sought and received funding for exploration of a new collaboration among the 3 Project Access programs in the Greater Kansas City area.  Completed facilitated talks among WyJoCARE, NorthlandCare, MetroCARE, the Kansas City Medical Society, and the WyJo Medical Society within 4 months and agreed to work to merge WyJoCARE and MetroCARE in 2017, for the benefit of our patients, and to increase efficiency among the programs.
  8. Made progress in strengthening hospital relationships in Jackson County to ensure access to surgery or in-patient stays when needed for our patients by our participating physicians.
 
2017 Goals:  
  1. Continue to serve at least 120 active primary care patients and process at least 1400 specialty referrals while merger with WyJoCare is implemented by year end.
  2. Obtain funding for technical assistance to work through legal, financial and other issues and complete merger with WyJoCare by year end.
  3. Recruit at least 2 more Jackson County hospitals to participate in MetroCARE.
  4. Recruit at least 15 new specialty providers based on need and wait lists.
  5. Diversify funding by increasing corporate, individual and event revenue.
  6. Obtain at least one grant from a new source for MetroCARE operations.
Needs Statement
  1. $10,000 for services and medical equipment/supplies, such as transportation, interpretation, and diabetes and durable medical supplies that uninsured patients cannot afford, but need in order to access health care providers and to follow physician orders
  2. $65,000 in salary/benefits, mileage and supplies for staff to recruit more of the area’s physicians, dentists, and specialty clinics to provide volunteer donated health care services to uninsured residents. 
  3. Pledges/donations of care from Jackson County health care providers who will see patients for Cardiology, GI, endocrinology, orthopedic surgery, GYN services, and General Surgery.
  4. Pledges/donations of care from Jackson County hospitals.
Service Categories
Ambulatory & Primary Health Care
Community Health Systems
Patient & Family Support
Areas of Service
MO - Clay County
MO - Eastern Jackson Co
MO - Jackson County
MO - Jackson County Urban Core
MO - Platte County
CEO/Executive Director/Board Chair Statement

Even with the ACA Insurance Marketplace, there are still huge gaps in insurance availability and affordability for many low-income individuals.  Neither the ACA Insurance Marketplace nor Medicaid is available to adults with annual income between $2,236 and $11,770 (100% federal poverty level). Additionally, for those patients whose income is above 100% poverty and do not qualify for the ACA subsidies, an insurance premium often presents an additional monthly expense which is not “affordable” and a health care deductible can mean a catastrophic financial blow to an already fragile family. MetroCARE is committed to “minding the gap” by connecting those patients to a provider who has agreed to provide services “pro-bono”.

MetroCARE’s referral network makes it possible for each of the numerous health care providers to contribute a little to spread the burden of providing free care for those in need. Since inception, MetroCARE has made 11,811 referrals for health care, totaling over $26.2 million in donated services.

In 2016, with annual expenditures of $300,000 MetroCARE was able to leverage $1.9 million in donated and documented medical services. Each $1 invested in MetroCARE returned over $6 in direct health care services for needy patients.  Highly efficient and cost effective, MetroCARE utilizes resources within the community avoiding extensive administration and overhead expenses. Because grants are often limited to one year and funders desire to spread their grants among organizations from year to year, MetroCARE is committed to diversifying its funding base. We seek a level of sustainable funding so we can devote our limited time resources to doing what we do best - “minding the health care gap" and providing care beyond the safety net.

Acknowledging the growing number of non-profit organizations in the Kansas City area, MetroCARE and WyJoCare have decided to merge in 2017, to create additional administrative efficiency and to better serve our patients. This merger brings with it a closer relationship for MetroCARE with the area's medical societies, which will likely result in more physicians participating in the program and donating care to our patients. During this merger year, MetroCARE is committed to keeping the program going for those we serve and will need additional operational funding to do so.  MetroCARE receives substantial grant support from the Health Care Foundation of Greater Kansas City, but will need to supplement this funding.
Programs
Description
MetroCARE is a medical care referral network that helps low-income, uninsured residents of Clay, Platte and Jackson County obtain the donated health care they need. Care is provided in the offices of area physicians and other providers. This is a vital service in today’s distressed economy, with more and more people (123,147 of the residents of the three counties) living without any form of health insurance.
 
MetroCARE offers eligible individuals pro bono care in 45 medical specialties plus access to primary care providers for residents of eastern Jackson County, where there is a severe shortage of safety net clinics. We serve patients 19-64 because virtually all children and older adults qualify for some form of government-funded health coverage, such as MO HealthNet (Medicaid) or Medicare. Until MetroCARE was formed in 2007, there was no organized system on the Missouri side of metropolitan Kansas City to recruit providers willing to offer charity care and screen and refer patients to them.
Category Health Care, General/Other Health Care Referrals
Population Served Adults, Adults, Children and Youth (0 - 19 years)
Short-Term Success
MetroCARE’s initial short-term measure of success is to ensure that eligible patients can access the pro bono health care services they need from our volunteer network of physicians. This includes recruiting a sufficient number/variety of volunteer physicians to provide our uninsured patients with appropriate medical care.  In 2013, MetroCARE increased the number of participating providers by 56% over the previous year. 
 
Other measures of short-term success, which come from our annual patient satisfaction survey, include the following:
  1. 91% said the donated medical care they received adequately addressed their health care concers.
  2. 92% said they would not have been able to access the care they needed without MetroCARE. 
  3. 70% of patients said they were able to avoid seeking care at an emergency room due to the timely health care they received via MetroCARE.
Long-Term Success
MetroCARE seeks to restore the health of uninsured people who are in dire need of medical care but cannot afford to pay for it.  The intent is for as many as possible to graduate from the program once their health improves enough to allow them to secure regular employment and obtain health insurance.
Program Success Monitored By
MetroCARE uses several key tools to track our success.
  • Voluntary provider pledge forms, which list contact information for each physician/provider as well as their medical specialty/focus and how much time/patient care they are willing to donate annually.
  • Cerner Electronic Medical Record, a computerized patient tracking and referral system that allows us to input the medical status of patients when they apply for MetroCARE. 
  • Cerner Direct, a referral system that allows safety nets clinics to electronically and confidentially send physician orders to MetroCARE for a specialty care referral to a participating provider. 
  • The annual Patient satisfaction survey, which is conducted by an independent agency, the Resource Development Institute.
  • The annual Provider survey, which is conducted online by Survey Monkey to ensure that the MetroCARE program processes are  streamlined and gather feedback from the participating Providers and Practice Managers. 
Examples of Program Success

Five years ago Mike knew nothing about the MetroCARE program. He was working and had private health insurance. Mike was diagnosed with a Renal Carcinoma and had to have a partial nephrectomy. In March 2013, Mike was laid off from his job and subsequently lost his health insurance. Mike began searching for another job , he knew he needed health insurance and would have a hard time purchasing it out of pocket. He was having to pay for his medical care out of pocket and this was too costly on just unemployment alone. At a follow up appointment with his Nephrologist, Mike received some daunting news, they feared the cancer had returned. He was going to need an X-Ray, MRI and blood work to figure out what they were dealing with. Since Mike had no insurance, his Nephrologist who was a MetroCARE provider, referred him to MetroCARE to see if he could get some assistance. Within a couple of weeks Mike was determined eligible for the program and enrolled as a MetroCARE patient. He was accepted by his long standing PCP who was also part of the MetroCARE program. Mike was able to get the imaging and blood work he needed to figure out that there was now a renal mass in his left kidney. Mike was able to have surgery to remove the cancer and the entire procedure was donated care from the hospital and surgeon. Mike is truly thankful for MetroCARE program, he believes that MetroCARE saved his life and provided the care that he needed to live. 

CEO Comments

MetroCARE is collaborating with new partners to:

  1. Complete research of health care needs of low-income residents and the gaps in access to appropriate care with UMKC professors and graduate students.
  2. Pilot a dental access project in the Northland in partnership with the area hospitals emergency departments and Samuel U. Rodgers dental clinic for patients presenting in the EDs with oral health issues.

Through its care coordination staff, MetroCARE assists individuals to learn about the ACA Marketplace.  In 2014 sixty-one percent (61%) of MetroCARE’s “graduations” found health care insurance, 34% of those in an affordable insurance option in the Marketplace. MetroCARE staff educate patients on the opportunities to enroll in an insurance plan when this is an option for them.

We built a new provider data base in 2014.  Utilizing this data base will streamline our specialty referrals and enhance our provider retention and recruitment activities. 

Executive Director/CEO
Executive Director Andrea J Routh
Term Start Aug 2015
Compensation $75,001 - $100,000
Experience Andrea Routh is MetroCARE's Interim CEO. She is an attorney with 27 years health policy experience and significant management and non-profit management experience, Ms. Routh worked for 15 years in Missouri state government, as legislative staff; Executive Director of the Jt. House/Senate Committee on Health Care Policy and Planning; Governor Mel Carnahan's Policy Director; Director of the Missouri Division of Aging (where she managed 800 employees statewide and an $80Million budget); and as a division Director and Assistant Department Director of the Missouri Department of Insurance. Routh completed Harvard University's John F. Kennedy School of Government program for Senior Executives in 1998. She was the founding Executive Director of the Missouri Health Advocacy Alliance, a statewide non-profit consumer health advocacy coalition of 50 safety net providers and consumer groups. She served in that role from 2007 until May, 2015, raising several million dollars to support the work of consumer health advocates in Missouri. As MetroCARE’s CEO, Routh's primary responsibilities including fundraising, board support, marketing the organization and its services, program quality, and administration.
Co-CEO/Executive Director
Term Start 0
Compensation Last Year
Former CEOs
NameTerm
Chris Rackers Feb 2014 - Aug 2015
Jill Watson Jan 1995 - Jan 2013
Staff
Paid Full-Time Staff 2
Paid Part-Time Staff 2
Volunteers 471
Paid Contractors 4
Retention Rate 100%
Staff Diversity (Ethnicity)
Caucasian 4
Staff Diversity (Gender)
Female 4
Male 0
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Non-Management Formal Evaluation Yes
Non-Management Formal Evaluation Frequency Annually
Plans & Policies
Organization Has a Fundraising Plan Yes
Organization Has a Strategic Plan Yes
Management Succession Plan Under Development
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Collaborations

Collaborations with Northland Health Care Access (NHCA) leverage available board meeting space, shared recruiting staff, donated office space for staff, and other shared equipment resources. MetroCARE is a partner with the safety net clinics to extend patients’ continuum of care beyond the primary care that safety net clinics have to offer. Collaborations with specialty health care providers, including physician practices, laboratories, and hospitals provide a continuum of care for charity care in the metropolitan area. MetroCARE and NHCA share Cerner Powerworks SPM, Powerchart & Cerner Direct; communication and marketing; physician recruitment literature; computer equipment; office supplies and donated office space.

Through these strong working relationships and MetroCARE’s active leadership in safety net coalitions and collaborations, the program avoids duplication of services and constantly evolves, using best practices to address gaps in care for the uninsured.

MetroCARE has worked to build a strong relationship with WyJoCare as we look to merging in late 2017. This has resulted in a learning community for MetroCARE and WyJo staff and has increased awareness in the medical society of patient needs, especially in Jackson County.
Government Licenses
Is your organization licensed by the government? No
CEO Comments

Challenges: 

Provider recruitment and retention is tantamount to program success. As physicians join large hospital based practices, we must revise our provider recruiting tactics to engage hospital system practice managers. Having these managers understand the benefits of MetroCARE’s ability to equitably distribute the referrals among physicians is key to our ability to access the physicians.
 
MetroCARE has encountered substantial barriers to referring cancer patients to oncology providers due to changes occurring within hospital systems and their oncologists. Diligent efforts continue as partners work with North Kansas City Hospital, the University of Kansas Medical Center, and other providers. MetroCARE works individually with each cancer patient to seek donations for oncology care on a case-by-case basis.
 
We recognize the need to diversity and find new funding sources. Many foundations and donors desire to spread their resources to different entities each year, so fund development is a continuous challenge. It is especially a challenge for small staff organizations, like MetroCARE, to take on fund development activities that require a substantial amount of staff time. MetroCARE has a fundraising plan and a board fundraising committee is working to implement new strategies for fundraising and sustainability of the program. The organization faces a challenge in attempting to raise additional money while a merger is pending, but patients still need our services and we continue to have specialty recruitment needs.
 
MetroCARE’s Board and staff are implementing a strategic plan to focus efforts on quality services to patients, building provider relationships and on-going sustainability. 

Opportunities: 

MetroCARE (MC) is collaborating with new partners to Monitor outcomes for 30 primary care patients in South Jackson County, targeting those with diabetes diagnosis. MC has an office in Lee's Summit and staff is partnering with other organizations in the community to provide diabetes education, fitness and nutrition interventions for these patients. With this pilot, MC intends to demonstrate that the program's care coordination can reduce ED visits and hospital readmissions. 
 
Relationships with WyJoCare and the medical societies should improve MC recruitment efforts, but will require staff time to visit practices and follow up.
 
MC is challenged with a small staff: a 32 hour per week Interim CEO, a FT Specialty Program Coordinator, a contracted services primary coordinator in Jackson County, and a half time recruiter who just tendered her resignation.  
Board Chair
Board Chair Marna Courson-Gasperino
Term Jan 2011 to Jan 2018
Email mbcourson@hotmail.com
Board Members
NameAffiliation
Angela Bedell Kansas City Medical Society, WyJo Medical Society, WyJo Foundation
Mary Jo Burton Community Volunteer
Karen Dolt Northland Health Care Access
Sukumar Ethirajan MDKansas City Cancer Centers
Marna Gasperino Public Relations Professional
Karen Highfill HCA Midwesst
Dr. Scott Kujath MDMidwest Aortic and Vascular Institute
Travis Langner M.D.
Casey Murray Spencer Fane, LLP
Tarris Rosell PhDCenter for Practical Bioethics
John O. Stanley MDMeritas Health Briarcliff
Jill Watson KCMPA Accountable Care Organization
Sheridan Y. Wood Kansas City Free Health Clinic
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 1
Caucasian 12
Hispanic/Latino 0
Native American/American Indian 0
Other 0
Board Demographics - Gender
Male 6
Female 7
Unspecified 0
Governance
Board Term Lengths 3
Board Term Limits 6
Board Meeting Attendance % 85%
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 77%
Percentage Making In-Kind Contributions 50%
Number of Full Board Meetings Annually 6
Standing Committees
Executive
Board Governance
Operations
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Communications / Promotion / Publicity / Public Relations
CEO Comments


Financials
Fiscal Year Start Jan 01, 2017
Fiscal Year End Dec 31, 2017
Projected Revenue $700,000
Projected Expenses $700,000
IRS Letter of Exemption
Foundation Comments
  • FY 2015, 2014: Financial data reported using the organization's IRS Form 990.
  • FY 2013: Financial data reported using the organization's audited financial statements.  
  • Foundation/corporate revenue line items may include contributions from individuals.
Detailed Financials
 
Expense Allocation
Fiscal Year201520142013
Program Expense$529,277$492,249$437,639
Administration Expense$35,188$53,938$89,122
Fundraising Expense$35,452$13,271$0
Payments to Affiliates----$0
Total Revenue/Total Expenses1.020.801.18
Program Expense/Total Expenses88%88%83%
Fundraising Expense/Contributed Revenue6%3%0%
Assets and Liabilities
Fiscal Year201520142013
Total Assets$137,068$127,294$246,680
Current Assets$135,599$125,130$245,661
Long-Term Liabilities$0$0$0
Current Liabilities$6,255$8,152$17,187
Total Net Assets$130,813$119,142$229,493
Short-Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities21.6815.3514.29
Long-Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets0%0%0%
Top Funding Sources
Fiscal Year201520142013
Top Funding Source & Dollar Amount -- -- --
Second Highest Funding Source & Dollar Amount -- -- --
Third Highest Funding Source & Dollar Amount -- -- --
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years No
Organization Name MetroCARE of Greater Kansas City
Address 5810 NW Barry Road
Lower Level
Kansas City, MO 64154
Primary Phone (816) 880-2782
Contact Email arouth@metrocarekc.org
CEO/Executive Director Andrea J Routh
Board Chair Marna Courson-Gasperino
Year of Incorporation 2007