2025-05-12T14:40:01-05:00 2024-06-30 135565207 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2023-07-01 440605373 The Children's Mercy Hospital CHIL 8162343000 2401 Gillham Road Kansas City MO 64108 James Simaras Executive VP & CFO 8162343000 2025-05-12 1 1 Mollie P Longhouse P00294881 6142492300 2023 2025-03-06 01:10:19Z James Simaras 2401 Gillham Road Kansas City MO 64108 2077733963 0 X www.childrensmercy.org X 1901 MO Excellence in healthcare for children 13 9 9936 894 4073378 342208 123975399 98900171 1776025558 1827481936 99366469 104903000 43527288 44783767 2042894714 2076068874 87820178 78033055 0 0 1036828984 1074303229 560992 705193 7855744 652930530 661330283 1778140684 1814371760 264754030 261697114 3015652104 3348948694 648592709 669396243 2367059395 2679552451 X Children's Mercy is a leading independent children's health organization dedicated to holistic care, translational research, breakthrough innovation, and educating the next generation of caregivers. Together, we transform the health, well-being and potential of children, with unwavering compassion for those most vulnerable. 0 0 1284536600 75035613 1868932002 All expenses for program services relate to providing healthcare. There was a total of 390 licensed beds and 200,330 adjusted patient days during the year from 14,893 admissions. Outpatient visits totaled 594,734 which includes 53,771 primary care visits, 102,534 urgent care visits, 94,236 emergency department visits and 344,193 specialty clinic visits. Telemedicine visits totaled 59,756 which includes both synchronous and asynchronous visits. There was a total of 21,022 surgical cases which includes 4,356 inpatient cases and 16,666 outpatient cases. Children's Mercy's Adele Hall Campus consists of a 338-bed teaching hospital for children located in Kansas City, Missouri, and a 52-bed hospital for children located in Overland Park, Kansas. Children's Mercy Hospital provides the highest level of medical care, technology, services, equipment, and facilities promoting the health and well-being of children in the region, from birth through adolescence. Patients and their families are treated with compassion in a family-centered environment that recognizes their physical, emotional, financial, social, and spiritual needs. The comprehensive healthcare environment provided by the Hospital includes clinical services, research, and teaching efforts, which are designed to serve today's and tomorrow's children, and the community in which they live.The Hospital's services are available to all regardless of ability to pay. 98428942 2997442 0 Children's Mercy Hospital (CMH) is dedicated to becoming a leader in pediatric translational research. A strategic planning initiative established the Children's Mercy Research Institute (CMRI) to focus on research and research infrastructure. Through the generosity of two philanthropic gifts totaling $150 million, the Hospital has built a nine story, 375,000 square foot facility enabling research scientists to gain access to state-of-the-art research technology as well as dry lab and wet lab space to support that research. The building includes an auditorium for presentations to train medical school students and inform the public about pediatric healthcare innovations that are being developed and created by research scientists and physicians here in collaboration with others throughout the nation and world. In addition these generous gifts will help support funding for scientific programs and recruitment. Research conducted today at CMH includes basic science and clinical research in numerous areas including pharmacology, cancer, cardiology, genetic diseases and health outcomes. Areas of research strength include Precision Therapeutics, Genomics Medicine, Population Health, Emerging Infections and Health Care Innovation. During the year ended June 30, 2024 there were more than 742 active sponsored research projects. The Children's Mercy Research Institute occupies about 16% of the space on the main campus and 7% of the total annual operating budget. Children's Mercy spent $98 million in the year ended June 30, 2024 on research and per information from the NIH Reporter received more than $9.7 Million in NIH funding in this same time period. More than 1100+ publications were accepted and/or published. The Children's Mercy Research Institute provides seed funding to Investigators with internal competitive grant programs such as the Midwest Cancer Alliance and the Katherine Berry Richardson (KBR) Fund, with expectations that this funding will lead to applications for externally funded grant programs in the future. 1382965542 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 593 0 1 9936 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 13 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X James Simaras Executive VP & CFO 8162343000 2401 Gillham Road Kansas City MO 64108 Paul D Kempinski MS FACHE Director; President & CEO 40.00 1.00 X X 1675833 0 41752 Bill Krueger Chair 2.00 1.00 X X 0 0 0 Diane Gallagher Vice Chair 8.00 0.00 X X 0 0 0 Vince Clark Treasurer 2.50 0.00 X X 0 0 0 Charlie Harris Secretary 1.50 0.00 X X 0 0 0 Kevin Barth Director 1.00 0.00 X 0 0 0 Jean-Paul Chaurand Director; End 12/31/23 1.00 0.00 X 0 0 0 Christy Dempsey Director; Start 7/1/23 1.00 0.00 X 0 0 0 Jeff Gehab Director 1.50 0.00 X 0 0 0 Jeff Jones Director; End 5/15/24 1.00 0.00 X 0 0 0 Olga Koper Director 1.50 0.00 X 0 0 0 Terry Matlack Director 1.50 0.00 X 0 0 0 Walter Porter Director 1.50 0.00 X 0 0 0 Jennifer Sauer MD Director 1.50 40.00 X 0 461962 9900 Mary Ann Queen MD Director 40.00 0.00 X 514449 0 51311 Robin Foster JD EVP, General Counsel 40.00 0.00 X 767700 0 47237 Robert Steele MD EVP & Chief Strategy/Innovation Off. 40.00 0.00 X 762515 0 61963 Jodi Coombs MBA BSN RN EVP & COO 40.00 0.00 X 940377 0 54408 Robert Lane MD EVP & Physician-in-Chief;End 4/18/24 40.00 0.00 X 793472 0 65917 Alex Daneshmand DO MBA EVP&Chief Quality Officer;End 7/1/23 40.00 0.00 X 1187257 0 25244 Thomas Wright EVP & Chief HR Officer 40.00 0.00 X 652503 0 38115 Douglas Rivard DO InterimEVP/Physician-in-Chief4/18/24 40.00 0.00 X 734779 0 51669 James Simaras EVP & CFO 40.00 0.00 X 764846 0 48623 Shawn St Peter MD SVP/Surgeon-in-Chief;ChairDeptOfSurg 40.00 0.00 X 1146051 0 46248 Thomas Curran PhD SVP,CSO,Exec Dir-CMRI;End 11/17/23 40.00 0.00 X 1073053 0 38272 Jeanne James MD Sr VP, Chair of Pediatrics 40.00 0.00 X 714886 0 46230 James O'Brien Jr MD Physician 40.00 0.00 X 1571440 0 51120 William Douglas MD Physician 40.00 0.00 X 1519540 0 46032 Charles Snyder MD Physician 40.00 0.00 X 834479 0 44502 John Gatti MD Physician 40.00 0.00 X 798259 0 51198 Norman Otsuka MD Medical Chairman; End 5/23/24 40.00 0.00 X 947467 0 24696 Jennifer Kingry Former Interim CFO 40.00 0.00 X 443355 0 42948 17842261 461962 887385 2318 1 1 0 Qualivis LLC 5930 Cornerstone Court West Suite 3 San Diego CA 92121 Employment Agency 27470815 Morrison Management Specialists Inc 400 Northridge Rd Suite 600 Sandy Springs GA 30350 Food Service 10776982 US Engineering Construction 3433 Roanoke Rd Kansas City MO 64111 Contstruction 9181746 Cerner Health Connections Inc 2800 Rockcreek Parkway Kansas City MO 64117 Professional Services 7217395 Sirius Computer Solutions LLC 200 North Milwaukee Avenue Vernon Hills IL 60061 IT Services 7114698 516 258649 6228285 3247403 26928351 62237483 695627 98900171 Net Patient Services 621110 1827481936 1827481936 1827481936 104903000 -46539 104949539 878873 6228285 1665089 -786216 -786216 Contract Revenue 900099 32181105 30053535 2127570 Late Claim Interest 900099 2127498 2127498 Gift Shop 455000 1455023 1455023 9806357 7814010 1992347 45569983 2076068874 1868932002 4073378 104163323 3154372 3154372 74640093 74640093 238590 238590 12158050 3206630 8951420 856222635 664857274 186205045 5160316 47739045 36695450 10721414 322181 100460428 78395714 21421008 643706 57723071 44369846 12963664 389561 5491072 22642 5468430 536333 57500 478833 511678 511678 705193 705193 173842591 80633010 92774652 434929 8261084 20570 8240514 3797495 269960 3527092 443 19279864 8466182 10708746 104936 7858202 5795840 2048642 13720 10592246 10496722 95524 64913760 36977749 27864567 71444 26039471 20080671 5958800 Medical Supplies 223740625 219654670 4078990 6965 State Medicaid Taxes 65884398 65884398 0 0 Inventory- Food Service 8660136 8311464 348672 0 Dues & Subscriptions 7700617 3339174 4360649 794 34220711 17397021 16822134 1556 1814371760 1382965542 423550474 7855744 288448336 209578067 35660752 68767905 68906261 240672007 264646985 19877027 21097555 32254096 29617900 1456017253 710262227 763261164 745755026 1302966773 1630197922 7966647 25559461 291438149 317928765 3015652104 3348948694 204385395 213077281 285483697 277513490 158723617 178805472 648592709 669396243 X 2108725109 2393829142 258334286 285723309 2367059395 2679552451 3015652104 3348948694 X 261697114 1008777 49787165 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 511678 511678 1382453864 1382965542 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 531724 476094 374588 511678 1894084 250000 250000 250000 250000 1000000 1500000 123046273 5464290 16063860 2323947 142250476 110013413 5456041 10209306 2632487 123046273 116845965 5907413 -10622207 2117758 110013413 79934240 14256948 24331407 1676630 116845965 73663733 6974083 1066434 1770010 79934240 0.69800 0.30200 0 1 1 24549276 24549276 1011500475 415830316 595670159 393102883 294431911 98670972 26864619 26864619 745755026 Other Assets 91477956 Income Beneficiary and Charitable Remainder Trusts 52058529 Restricted Investments 149225849 Right of Use Asset 25166431 317928765 Reserve for Prof. Liability Claims 60970866 Postretirement Medical Liability 81606750 Other Liabilities 9229385 Lease Liability 25927313 Long-term Obligation Under Capital Lease 1071158 178805472 X Part V, Line 4: Endowment funds are held by The Children's Mercy Hospital and The Children's Mercy Hospital Foundation, a supporting organization of The Children's Mercy Hospital. The endowment funds are intended to provide a permanent source of funding for designated activities carried out by The Children's Mercy Hospital, the funds for which are provided from the earnings and principal of these endowment funds. Part X, Line 2: At June 30, 2024 and 2023, there were no uncertain tax positions. 1 Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium 0 0 Program Services Travel for healthcare-related education and information sharing 117950 North America - Canada and Mexico, but not the United States 0 0 Program Services Travel for healthcare-related education and information sharing 264756 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Program Services Travel for healthcare-related education and information sharing 14195 Middle East and North Africa 0 0 Program Services Travel for healthcare-related education and information sharing 1048 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Program Services Travel for healthcare-related education and information sharing 29864 East Asia and the Pacific 0 0 Program Services Travel for healthcare-related education and information sharing 9415 South America 0 0 Program Services Travel for healthcare-related education and information sharing 2748 South Asia 0 0 Program Services Travel for healthcare-related education and information sharing 5069 North America 0 0 Grantmaking 53224 Europe (Including Iceland & Greenland) 0 0 Grantmaking 101856 Sub-Saharan Africa 0 0 Grantmaking 83510 0 0 0 0 0 0 445045 238590 683635 North America - Canada and Mexico, but not the United States Research 11418 Check 0 FMV North America - Canada and Mexico, but not the United States Research 41806 Check 0 FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 24958 Check 0 FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 58552 Check 0 FMV Europe (Including Iceland & Greenland) Research 101856 Check 0 FMV 3 2 1 0 0 0 0 0 Part I, Line 2: Subrecipients sign an agreement which details the subrecipient's plan and budget as well as allowable expenditures of the Federal Awards. The agreement is also approved/signed by the Children's Mercy Hospital (CMH) signing official. Each subrecipient is required to submit periodic invoices (not more than monthly) to CMH for reimbursement. All expenditures on the invoice must be according to the subrecipient's budget that was developed during the application process. Invoices received from subrecipients are certified as complete and accurate by the subrecipient and reviewed and approved by the Principal Investigator or appropriate level of authorization, who forwards them to accounts payable for processing. In addition, Research and Sponsored Projects (RaSPA) Accounting monitors these invoices to ensure proper coding to the correct award. The RaSPA accounting staff captures the amount on the budget-to-actual report to monitor the total amount spent by the subrecipient. Based on the amount budgeted to subrecipients and normal invoiced activity, the RaSPA accounting staff questions unreasonable invoice amounts with the subrecipient. In addition, any subrecipient that received more than $750,000 in Federal funds during the fiscal year is required to obtain a Uniformed Guidance audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for confirming that CMH has received a Uniform Guidance audit report from all subrecipients for which it is required. CMH maintains a subrecipient monitoring spreadsheet to track Uniform Guidance audit status, DUNS number, year-to-date spending, etc. for all subrecipients. Part I, line 3: Method Used to Account for Expenditures: Actual expenses for international travel and international grants. Schedule F, Part II, Line 1 Method Used to Account for Cash Grants and Noncash Assistance on the Organization's Financial Statement: Accrual. X X X X X 1 TrueSense 502 Keystone Dr Warrendale PA 15086 Consult/develop an annual fund and giving program 0 1869614 705193 1164421 1869614 705193 1164421 AL AK AZ AR CA CO CT DC FL GA HI ID IL IN IA KS KY LA MD MA MN MO MT NE NV NH NY NC ND OH OK OR PA SC SD TN TX UT VT VA WA WV WI WY Gala/Auction 3610931 3045554 565377 366845 9500 389093 Event/Auction 3229426 2918230 311196 21250 787925 1 266801 264501 2300 3874 86602 7107158 6228285 878873 3874 388095 9500 1263620 1665089 -786216 Schedule G, Part I, Line 2b, Column (v) Payments to TrueSense during FY24 totaled $826,713. This amount includes $705,193 for consulting services and $121,520 of fundraising expenses. The agreement distinguishes consulting costs separate from any expense payments of reimbursements. 1 1 X 1 X 300.000000000000 0 1 1 0 1 1 2 82746 31541655 604308 30937347 0.01710 9 349747 845289831 720427938 124861893 0.06880 0 0 11 432493 876831486 721032246 155799240 0.08590 36 242705 20587206 4429791 16157415 0.00890 9 10875 40916230 19281028 21635202 0.01190 12 142693 74274741 23709470 50565271 0.02790 683 57212659 35474714 21737945 0.01200 4 12126 1235346 10519 1224827 0.00070 744 408399 194226182 82905522 111320660 0.06140 755 840892 1071057668 803937768 267119900 0.14730 3 202 134120 1804 132316 0.00010 8 8 219272 0 219272 0.00010 0 0 0 0 0 0 0 0 0 0 0 0 2 901 321427 40000 281427 0.00020 5 161 66910 0 66910 0.00000 21 3092 562549 74242 488307 0.00030 39 4364 1304278 116046 1188232 0.00070 1 134645 4395898 4616037 -220139 X 1 1 2 1 The Children's Mercy Hospital 2401 Gillham Road Kansas City MO 64108 http://www.childrensmercy.org/ 39-54 X X X X X X Specialty Clinics; Primary Care Clinics A 2 Children's Mercy Kansas 5808 W 110th Overland Park KS 66211 http://www.childrensmercy.org/ H-046-008 X X X X X Specialty Clinics A Facility Reporting Group - A 0 0 1 X X X X X X X X X 21 1 0 0 1 X www.childrensmercy.org/communityneeds X 1 22 1 www.childrensmercy.org/communityneeds 0 1 X 300.000000000000 X X X X X X X 1 1 X X X 1 X www.childrensmercy.org/financialcounseling/ X Same as 16a X Same as 16a X X X X X X 1 X 0 X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: The Children's Mercy Hospital, - Facility 2: Children's Mercy Kansas Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 5: Children's Mercy developed the most recent CHNA with input from persons who represent broad interests within the community. Data collection for the CHNA occurred between November 2021 and May 2022. During this time, Children's Mercy held activities and hosted meetings to solicit input and feedback from the community. Activities included: two community meetings with 21 neighborhood residents representing low income and vulnerable populations; a telephone survey of 1,250 randomly selected parents/caregivers of children under the age of 18 years old living in the Children's Mercy service area; a Key Informant Online Survey sent to 300 elected officials, physicians, public health leaders, health professionals, social service providers, and business, neighborhood, housing, and community leaders (26% response rate); a Children's Health Summit held April 28, 2022 that invited community representatives to review CHNA data and identify critical health needs (140 attended). Organizations participating in the CHNA surveys and events included: Ability KC; American Lung Association; Amethyst Place; Arvest Bank; B-C Education Consultant Services; Belton School District; BikeWalkKC; Black Health Care Coalition; Blue Springs Pediatrics; Calvary Community Outreach Network; CASA of Johnson and Wyandotte Counties; Catholic Charities of Kansas City-St. Joseph; CDC Foundation - MoDHSS; Center for Neighborhoods; Cerner Corporation; Child Protection Center; City of Kansas City, Missouri; Clay County Children's Services Fund; Clay County Public Health Center; Community Health Council of Wyandotte County; CMC, Cockerall and McIntosh Pediatrics; Commerce Bank; Comprehensive Mental Health; Communities in Schools; Community Health Council of Wyandotte County; Community LINC; Core Changing Concepts; Cornerstones of Care; Cradle Kansas City; Cradle Thru College Care Pediatrics, Inc.; Crittenton Children's Center; Cross-Lines Community Outreach, Inc.; DeBruce Foundation; DHSS - Office of the Assistant Secretary for Health; El Centro; Fore the Kids Foundation; Front Porch Alliance; Girl Scouts of NE Kansas NW Missouri; Greater Kansas City Coalition to End Homelessness; Green Acres Urban Farm and Research Project; Growing Futures; Harvesters - The Community Food Network; Health Resources and Services Administration; Health Forward Foundation; Health Partnership of Johnson County; H&R Block Foundation and Bloch Family Foundation; Ivanhoe Neighborhood Council; Jackson County Community Mental Health Fund; Jackson County Court; JE Dunn Construction; Johnson County Department of Health and Environment; Kansas City Area Transit Authority; Kansas City Indian Center; Kansas City, Kansas Community College; Kansas City, Missouri Health Department; Kansas City, Missouri Health Commission; Kansas City, Missouri Public Schools; Kansas Department of Health and Environment; KC Common Good; KC Healthy Kids; Kids Win Missouri; Latino Health for All Coalition; Lee's Summit School District; Lee's Summit Pediatrics; Liberty Public Schools; March of Dimes; Marion and Henry Bloch Family Foundation; Mattie Rhodes Center; Mid-America Head Start; Mid-America Regional Council; Mid-Continent Public Library; Missouri Department of Health and Senior Services; MOCSA; Northland Neighborhoods, Inc.; Parent Leadership Training Institute; Pediatric Associates; Pediatric Care North; Phoenix Family; Planet Play; Platform Civic Strategies; Platte County Health Department; Platte County Prevention Coalition; Preferred Pediatrics; Public Progress; Project Eagle Early Head Start; REACH Healthcare Foundation; Samuel U. Rodgers Health Center; Sleepyhead Beds; Start at Zero, Stone County Health Department; Swope Health Services; Synergy Services, Inc.; The Family Conservancy; Tri-County Mental Health Services; Nurture KC; ReDiscover; Rose Brooks; SchoolSmart KC; University of Missouri - Kansas City School of Urban Planning & Design; City of Kansas City, Missouri LGBTQ Commission; Unified Government Public Health Department of Wyandotte County; United Community Services of Johnson County; United Way of Greater Kansas City; University Health; University of Kansas Medical Center; Uzazi Village; Sierra Club of Greater Kansas City; Sophic Solutions; Urban Neighborhood Initiatives; Webster County Health Department; Westside Housing Organization; Wyandotte Economic Development Council; Wyandotte Health Foundation; Wyandotte Mental Health; YMCA of Greater Kansas City; Youth Ambassadors, Inc. The CHNA provides a comprehensive list of all organizations and specifics on the data collection process. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 11: The implementation strategy plan was approved on November 7, 2022 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2021 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsNo entity can alone address the health needs of a community. Our community engagement focuses on partnership development and expansion of collaborations. As such, Children's Mercy launched the Catalyst Partner Grant program to provide grants to organizations launching interventions in the priority health needs identified in the 2022 CHNA. Children's Mercy also continues to support programs and efforts that addressed the 2022 CHNA identified priority health needs: Access to Care; Child & Youth Mental Health; Violence Prevention; Housing & Neighborhood Conditions. The following highlights key programs and activities that address the priority health needs. Access to Care: Maintained the Circulation transportation program to all clinical services at Children's Mercy Broadway and Operation Breakthrough locations, providing 3,267 rides between 2023-2024; Provided Project Adam education and training to create heart safe schools; provided health services at clinics located at Synergy Services and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources; participated in workforce development initiatives to increase the sustainability and expand the pipeline of future healthcare providers within the region; implemented programs and practices to improve asthma care, support, and management across clinical, home, school, and community settings. Child & Youth Mental Health: Continued implementation of a five-year mental and behavioral health strategic plan to increase access to evidence-based treatment with specific focus on equity for the most vulnerable children within the region; sustained and supported efforts to expand accessibility and availability of specialty mental health services, including the launch of a depression and anxiety clinic; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching an estimated 40,000 students, parents, teachers, and community members; partnered with schools to build sustainable systems for increasing mental health supports for students. Violence Prevention: Continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established a Violence and Injury Prevention Committee; began strategic planning for a hospital-based violence intervention program; continued to distribute gun locks; provided financial support to community-based organizations to support initiatives to reduce injury and violence; continue to serve in county and state-level Child Fatality Review programs. Housing & Neighborhood Conditions: Sustained and grew efforts by the Children's Mercy Environmental Health Department to mitigate at-home asthma risks and lead exposures; sustained the Kansas City Physical Activity Plan's efforts that champion built environment improvements; continued leadership on the Health Sciences Community Improvement District; continued assessment and follow-up support for those who identify as housing insecure and/or as having issues impacting the health of homes. Children's Mercy's website provides a link that allows community organizations to submit requests for Children's Mercy to provide resources, program support and/or expertise to address identified community needs. Children's Mercy staff attend community events throughout the year to share information about available services and resources, provide community-based clinical screenings, and share health education that improves the community's ability to protect health. Organizations receiving financial support from Children's Mercy include: Amethyst Place, Inc.; CommCare; Lyriks Institution; Red Apple EdCo; Ronald McDonald House Charities of Kansas City; Sherwood Center for the Exceptional Child; Uncornered, Inc.; Ability KC; Advent Health Shawnee Mission Foundation; AIDS Service Foundation of Greater Kansas City; Alison's Angels; American Foundation for Suicide Prevention; American Heart Association - Kansas City; American Heart Association - Wichita; American Lung Association; American Public Square, Inc.; Angel Flight Central, Inc.; Arthritis Foundation, Inc.; Awesome Ambitions; Big Brothers Big Sisters of Greater Kansas City; Bishop Sullivan Center, Inc.; Blue Valley Educational Foundation; Braden's Hope for Childhood Cancer; Burns Recovered Support Group, Inc.; Camp Quality USA, Inc.; Camp for Kids; Center Education Foundation; Center for Disability Inclusion, Inc.; Center for Excellence in Health Care Journalism; Charlie's House; Child Protection Center, Inc.; Children's Center for the Visually Impaired; Children's Heart Foundation; Children's Place, Inc. Community Assistance Council; Congenital Heart Defects Families Association; Cooper Davis Memorial Foundation; Cystic Fibrosis Foundation; Farmers House, Inc; First Tee Greater Kansas City Junior Golf Foundation; Folly Theater Performing Arts Foundation of Kansas City; Foster Adopt Connect, Inc.; Foundation Fighting Blindness, Inc.; Foundation for Springfield Public Schools; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance Kansas City; Gilda's Club Kansas City; Girls on the Run Serving Greater Kansas City; Grandparents for Gun Safety; Guadalupe Centers, Inc.; Habitat for Humanity of Kansas City; HappyBottoms; Health Forum, Inc.; Health Partnership Clinic, Inc.; Hear 2 Help, Inc.; High Asipirations; HNC Living Foundation; HopeKids, Inc.; JDRF International; Jewish Vocation Service Bureau of Kansas City; Johnson County Community College; Junior Achievement of Greater Kansas City; Junior League of Kansas City, Missouri; Kansas Association for Infant Early Childhood Mental Health; Kansas City Friends of Alvin Ailey; Kansas City Public Schools Education Foundation; Kansas City Zoo Friends of the Zoo, Inc.; Kansas Emergency Medical Services ASsociation, Inc.; Kansas University Endowment Association; KC Healthy Kids; Kids Win Missouri; KIDSTLC, Inc.; KVC Health Systems; Leukemia and Lymphoma Society, Inc.; Links Foundation, Inc.; Local Initiatives Support Corporation; Maddies Mission Foundation; Marlene's Kaleidoscope; Metropolitan Community College Foundation; Metropolitan Organization to Counter Sexual Assault; Midwest Hemophilia Association; Mission Project, Inc.; National Kidney Foundation, Inc.; Newhouse, Inc.; Noah's Bandage Project; Nonprofit Connect; North Kansas City Schools Education Foundation; Northland Coalition; Olathe Public Schools Foundation; Operation Breakthrough, Inc.; Police Foundation of Kansas City; Prospect KC; River of Refuge; Rose Brooks Center; Safe Kids Kansas, Inc.; SevenDays, Inc.; Shawnee Mission Education Foundation; Show Me KC Schools; Sister's in Christ; Sleepyhead Beds; Suburban Balance; Sunflower house, Inc.; UMKC Foundation; United Way of Greater Kansas City, Inc.; United WE Women's Foundation of Greater Kansas City; University Academy Foundation; Urban neighborhood Initiative, Inc.; Vibrant Health; Victory Project; Voices of Courage Northwest; Wonderscope, Inc. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13b: The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13h: Patients seeking care at organization with out of network insurance plans are not eligible for charity care. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, Line 20a: Because the Hospital is not exercising any extraordinary collection actions in the event of nonpayment, it has no occasion to provide a written notice about upcoming ECAs. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 5: Children's Mercy developed the most recent CHNA with input from persons who represent broad interests within the community. Data collection for the CHNA occurred between November 2021 and May 2022. During this time, Children's Mercy held activities and hosted meetings to solicit input and feedback from the community. Activities included: two community meetings with 21 neighborhood residents representing low income and vulnerable populations; a telephone survey of 1,250 randomly selected parents/caregivers of children under the age of 18 years old living in the Children's Mercy service area; a Key Informant Online Survey sent to 300 elected officials, physicians, public health leaders, health professionals, social service providers, and business, neighborhood, housing, and community leaders (26% response rate); a Children's Health Summit held April 28, 2022 that invited community representatives to review CHNA data and identify critical health needs (140 attended). Organizations participating in the CHNA surveys and events included: Ability KC; American Lung Association; Amethyst Place; Arvest Bank; B-C Education Consultant Services; Belton School District; BikeWalkKC; Black Health Care Coalition; Blue Springs Pediatrics; Calvary Community Outreach Network; CASA of Johnson and Wyandotte Counties; Catholic Charities of Kansas City-St. Joseph; CDC Foundation - MoDHSS; Center for Neighborhoods; Cerner Corporation; Child Protection Center; City of Kansas City, Missouri; Clay County Children's Services Fund; Clay County Public Health Center; Community Health Council of Wyandotte County; CMC, Cockerall and McIntosh Pediatrics; Commerce Bank; Comprehensive Mental Health; Communities in Schools; Community Health Council of Wyandotte County; Community LINC; Core Changing Concepts; Cornerstones of Care; Cradle Kansas City; Cradle Thru College Care Pediatrics, Inc.; Crittenton Children's Center; Cross-Lines Community Outreach, Inc.; DeBruce Foundation; DHSS - Office of the Assistant Secretary for Health; El Centro; Fore the Kids Foundation; Front Porch Alliance; Girl Scouts of NE Kansas NW Missouri; Greater Kansas City Coalition to End Homelessness; Green Acres Urban Farm and Research Project; Growing Futures; Harvesters - The Community Food Network; Health Resources and Services Administration; Health Forward Foundation; Health Partnership of Johnson County; H&R Block Foundation and Bloch Family Foundation; Ivanhoe Neighborhood Council; Jackson County Community Mental Health Fund; Jackson County Court; JE Dunn Construction; Johnson County Department of Health and Environment; Kansas City Area Transit Authority; Kansas City Indian Center; Kansas City, Kansas Community College; Kansas City, Missouri Health Department; Kansas City, Missouri Health Commission; Kansas City, Missouri Public Schools; Kansas Department of Health and Environment; KC Common Good; KC Healthy Kids; Kids Win Missouri; Latino Health for All Coalition; Lee's Summit School District; Lee's Summit Pediatrics; Liberty Public Schools; March of Dimes; Marion and Henry Bloch Family Foundation; Mattie Rhodes Center; Mid-America Head Start; Mid-America Regional Council; Mid-Continent Public Library; Missouri Department of Health and Senior Services; MOCSA; Northland Neighborhoods, Inc.; Parent Leadership Training Institute; Pediatric Associates; Pediatric Care North; Phoenix Family; Planet Play; Platform Civic Strategies; Platte County Health Department; Platte County Prevention Coalition; Preferred Pediatrics; Public Progress; Project Eagle Early Head Start; REACH Healthcare Foundation; Samuel U. Rodgers Health Center; Sleepyhead Beds; Start at Zero, Stone County Health Department; Swope Health Services; Synergy Services, Inc.; The Family Conservancy; Tri-County Mental Health Services; Nurture KC; ReDiscover; Rose Brooks; SchoolSmart KC; University of Missouri - Kansas City School of Urban Planning & Design; City of Kansas City, Missouri LGBTQ Commission; Unified Government Public Health Department of Wyandotte County; United Community Services of Johnson County; United Way of Greater Kansas City; University Health; University of Kansas Medical Center; Uzazi Village; Sierra Club of Greater Kansas City; Sophic Solutions; Urban Neighborhood Initiatives; Webster County Health Department; Westside Housing Organization; Wyandotte Economic Development Council; Wyandotte Health Foundation; Wyandotte Mental Health; YMCA of Greater Kansas City; Youth Ambassadors, Inc. The CHNA provides a comprehensive list of all organizations and specifics on the data collection process. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 11: The implementation strategy plan was approved on November 7, 2022 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2021 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsNo entity can alone address the health needs of a community. Our community engagement focuses on partnership development and expansion of collaborations. As such, Children's Mercy launched the Catalyst Partner Grant program to provide grants to organizations launching interventions in the priority health needs identified in the 2022 CHNA. Children's Mercy also continues to support programs and efforts that addressed the 2022 CHNA identified priority health needs: Access to Care; Child & Youth Mental Health; Violence Prevention; Housing & Neighborhood Conditions. The following highlights key programs and activities that address the priority health needs. Access to Care: Maintained the Circulation transportation program to all clinical services at Children's Mercy Broadway and Operation Breakthrough locations, providing 3,267 rides between 2023-2024; Provided Project Adam education and training to create heart safe schools; provided health services at clinics located at Synergy Services and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources; participated in workforce development initiatives to increase the sustainability and expand the pipeline of future healthcare providers within the region; implemented programs and practices to improve asthma care, support, and management across clinical, home, school, and community settings. Child & Youth Mental Health: Continued implementation of a five-year mental and behavioral health strategic plan to increase access to evidence-based treatment with specific focus on equity for the most vulnerable children within the region; sustained and supported efforts to expand accessibility and availability of specialty mental health services, including the launch of a depression and anxiety clinic; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching an estimated 40,000 students, parents, teachers, and community members; partnered with schools to build sustainable systems for increasing mental health supports for students. Violence Prevention: Continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established a Violence and Injury Prevention Committee; began strategic planning for a hospital-based violence intervention program; continued to distribute gun locks; provided financial support to community-based organizations to support initiatives to reduce injury and violence; continue to serve in county and state-level Child Fatality Review programs. Housing & Neighborhood Conditions: Sustained and grew efforts by the Children's Mercy Environmental Health Department to mitigate at-home asthma risks and lead exposures; sustained the Kansas City Physical Activity Plan's efforts that champion built environment improvements; continued leadership on the Health Sciences Community Improvement District; continued assessment and follow-up support for those who identify as housing insecure and/or as having issues impacting the health of homes. Children's Mercy's website provides a link that allows community organizations to submit requests for Children's Mercy to provide resources, program support and/or expertise to address identified community needs. Children's Mercy staff attend community events throughout the year to share information about available services and resources, provide community-based clinical screenings, and share health education that improves the community's ability to protect health. Organizations receiving financial support from Children's Mercy include: Amethyst Place, Inc.; CommCare; Lyriks Institution; Red Apple EdCo; Ronald McDonald House Charities of Kansas City; Sherwood Center for the Exceptional Child; Uncornered, Inc.; Ability KC; Advent Health Shawnee Mission Foundation; AIDS Service Foundation of Greater Kansas City; Alison's Angels; American Foundation for Suicide Prevention; American Heart Association - Kansas City; American Heart Association - Wichita; American Lung Association; American Public Square, Inc.; Angel Flight Central, Inc.; Arthritis Foundation, Inc.; Awesome Ambitions; Big Brothers Big Sisters of Greater Kansas City; Bishop Sullivan Center, Inc.; Blue Valley Educational Foundation; Braden's Hope for Childhood Cancer; Burns Recovered Support Group, Inc.; Camp Quality USA, Inc.; Camp for Kids; Center Education Foundation; Center for Disability Inclusion, Inc.; Center for Excellence in Health Care Journalism; Charlie's House; Child Protection Center, Inc.; Children's Center for the Visually Impaired; Children's Heart Foundation; Children's Place, Inc. Community Assistance Council; Congenital Heart Defects Families Association; Cooper Davis Memorial Foundation; Cystic Fibrosis Foundation; Farmers House, Inc; First Tee Greater Kansas City Junior Golf Foundation; Folly Theater Performing Arts Foundation of Kansas City; Foster Adopt Connect, Inc.; Foundation Fighting Blindness, Inc.; Foundation for Springfield Public Schools; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance Kansas City; Gilda's Club Kansas City; Girls on the Run Serving Greater Kansas City; Grandparents for Gun Safety; Guadalupe Centers, Inc.; Habitat for Humanity of Kansas City; HappyBottoms; Health Forum, Inc.; Health Partnership Clinic, Inc.; Hear 2 Help, Inc.; High Asipirations; HNC Living Foundation; HopeKids, Inc.; JDRF International; Jewish Vocation Service Bureau of Kansas City; Johnson County Community College; Junior Achievement of Greater Kansas City; Junior League of Kansas City, Missouri; Kansas Association for Infant Early Childhood Mental Health; Kansas City Friends of Alvin Ailey; Kansas City Public Schools Education Foundation; Kansas City Zoo Friends of the Zoo, Inc.; Kansas Emergency Medical Services ASsociation, Inc.; Kansas University Endowment Association; KC Healthy Kids; Kids Win Missouri; KIDSTLC, Inc.; KVC Health Systems; Leukemia and Lymphoma Society, Inc.; Links Foundation, Inc.; Local Initiatives Support Corporation; Maddies Mission Foundation; Marlene's Kaleidoscope; Metropolitan Community College Foundation; Metropolitan Organization to Counter Sexual Assault; Midwest Hemophilia Association; Mission Project, Inc.; National Kidney Foundation, Inc.; Newhouse, Inc.; Noah's Bandage Project; Nonprofit Connect; North Kansas City Schools Education Foundation; Northland Coalition; Olathe Public Schools Foundation; Operation Breakthrough, Inc.; Police Foundation of Kansas City; Prospect KC; River of Refuge; Rose Brooks Center; Safe Kids Kansas, Inc.; SevenDays, Inc.; Shawnee Mission Education Foundation; Show Me KC Schools; Sister's in Christ; Sleepyhead Beds; Suburban Balance; Sunflower house, Inc.; UMKC Foundation; United Way of Greater Kansas City, Inc.; United WE Women's Foundation of Greater Kansas City; University Academy Foundation; Urban neighborhood Initiative, Inc.; Vibrant Health; Victory Project; Voices of Courage Northwest; Wonderscope, Inc. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13b: The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13h: Patients seeking care at organization with out of network insurance plans are not eligible for charity care. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, Line 20a: Because the Hospital is not exercising any extraordinary collection actions in the event of nonpayment, it has no occasion to provide a written notice about upcoming ECAs. Part V, Section B, Line 3e (Group A: Facility 1 and Facility 2): The following areas represent the significant health needs of the community: child and youth mental health; access to health services; violence prevention; housing and neighborhood conditions. The significant health needs were identified after consideration of various criteria, including: standing in comparison with benchmark data; identified trends; the magnitude of the issue in terms of the number of children affected and the potential health impact of a given issue. These areas also take into account the identified issues by various community partners. The Children's Mercy Board of Directors approved the significant health needs on June 15, 2022. The significant health needs identified will receive heightened attention and support from Children's Mercy. 10 1 - Children's Mercy Village West 1801 N 98th Street Kansas City KS 66109 Rehabilitation 2 - Children's Mercy Wichita Clinic 3243 E Murdock Suite 201 Wichita KS 67208 Outpatient Clinics 3 - Children's Mercy Topeka 909 Mulvane St Topeka KS 66606 Outpatient Clinics 4 - Children's Mercy at KU Hospital 2000 Olathe Boulevard Kansas City KS 66103 Outreach Clinic 5 - Children's Mercy St Joseph 802 N Riverside Rd Suite 105 St Joseph MO 64502 Outpatient Clinics 6 - Children's Mercy Joplin Clinic 3333 McIntosh Circle Suite 6 Joplin MO 64804 Outpatient Clinics 7 - Children's Mercy Outreach Junction City 361 Grant Ave Junction City KS 66441 Outreach Clinic 8 - Children's Mercy Outreach Great Bend 1021 Einsenhower Ave Great Bend KS 65730 Outreach Clinic 9 - Children's Mercy Outreach Garden City 311 E Spruce St Garden City KS 67846 Outreach Clinic 10 - Children's Mercy Outreach Springfield 1000 E Primrose Suite 300 Springfield MO 65807 Outreach Clinic Part I, Line 3c: Free care eligibility is based on FPG and other factors such as residency and exhausting other available payor sources. For discounted care, if a financial assistance application was denied and the decision then appealed, the case is reviewed through a multi-disciplinary committee that uses a point system rubric using indicators such as FPG, total balance due as a percentage of annual income, out of pocket responsibility for upcoming year as a percentage of annual income, annual frequency of visits for ongoing care, financial hardship indicators such as recent bankruptcy/foreclosure, and medical complexity due to health condition. Each factor, if applicable, is reviewed and assigned point value based on a preset scale, that serves as a tool for the discounted care scale. Part I, Line 7: The cost-to-charge ratio derived from Worksheet 2 was used for Lines 7a and 7b. Cost from the Medicare Cost Report was used for Lines 7f (Health Professions Education). Cost from our decision support system was used for 7g (Subsidized Health Services). Part I, Line 7g: In FY24, over 142,000 children were reached through clinical services classified as Subsidized Health Services. Subsidized health services included: Outpatient Burn Unit, Division of Child Adversity & Resilience, Child & Family Mental Health Services, Center for Children's Healthy Lifestyles & Nutrition, Developmental & Behavioral Health, Endocrinology, Gastroenterology, General Pediatric Primary Care Clinics, Hematology & Oncology, Neonatology Follow Up Clinics, Rheumatology, and the SANE Program. The services are provided at a financial loss to Children's Mercy after removing Charity Care, unreimbursed Medicaid, private insurance shortages, contract revenues, grants and philanthropic gifts. All subsidized health services meet an identified community need and a shortage of available services would exist in the community if Children's Mercy did not provide the service. Part I, Line 7A: Financial assistance cost reported on this line is derived from Worksheet 1 which takes gross charges for patients who have been awarded financial assistance and then multiplies those charges by a cost-to-charge ratio derived from Worksheet 2 to arrive at cost of providing financial assistance. Part II, Community Building Activities: The Children's Mercy community building activities include programs and/or resources intended to make physical improvements, provide community support, advocate for community health improvements, and address community-wide workforce issues through numerous workforce development outreach initiatives. Examples include the maintenance of the Hospital Hill Park and the Sylvia Nutter Playground, the management of a community garden, advocacy activities, participation on Chamber of Commerce committees related to health improvement, and healthcare workforce development for high school students and community members. Part III, Line 4: Audited Financial Statements Footnote 2(n), Page 14. Part III, Line 8: Cost to charge ratio Part III, Line 9b: Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate. Part VI, Line 2: The Children's Mercy Hospital has an initiative development process that brings forward new initiatives around strategic, operational, community health, and innovation based on community/market trends and needs and through consultation with community-based organizations. On a routine basis, the Strategic Planning Department monitors demographic and service trends of the region and compares this data to national benchmarks. The hospital strategic planning process also takes into account all of the qualitative and quantitative market data to define strategies and tactics that address the community need. In addition, Trauma Services maintains a Trauma Registry and the Promise 1000 centralizes the data collection on the health services and needs of children (0 - 3 years of age) who receive home visiting services. Part VI, Line 3: Flyers and financial counselor business cards and copies of the Financial Assistance Plain Language Summary are available at all access points within the Hospital. Efforts are made by the financial counselors to contact self pay patients and families, either in person, or through phone call or letters to inform/assist families with charity care and Medicaid or state program eligibility. Self pay or underinsured patients can also be referred to a financial counselor by an Access Representative, Patient Care Services, Social Work, Patient Financial Services, or other staff members for screening and assistance. All billing statements refer patients to financial counseling resources and the financial assistance policy posted on the hospital website. Part VI, Line 4: Children's Mercy provides care to vulnerable populations who come from across Kansas and Missouri. In Kansas, 88 counties and in Missouri, 122 counties have federally designated primary care HPSA areas. Across the two states, Children's Mercy identifies 43 counties as the Outreach Service Area, 51 counties as the Secondary Service Area; and 18 counties as the Primary Service Area. Within the Primary Service Area are six counties called the Metro Service Area. Each of the service areas include urban, suburban and rural counties. The Outreach Service Area includes more rural counties than the other service areas. The Metro Service Area includes more urban and suburban areas than rural. Within the Metro Service Area are the five counties (Jackson, Clay, and Platte counties located in Missouri and Johnson and Wyandotte counties located in Kansas) that comprise the Children's Mercy CHNA service area. Children's Mercy is the only freestanding children's hospital in the region. Limited pediatric services are available at the Kansas University Medical Center, St. Luke's Health System, Centerpoint, Liberty Hospital, North Kansas City Hospital, Research Medical Center, Shawnee Mission Medical Center and Overland Park hospitals. During the fiscal year in which Children's Mercy initiated the CHNA, residents of Jackson, Clay, Platte, Wyandotte, and Johnson Counties contribute over 72 percent of the encounters at Children's Mercy. The Children's Mercy CHNA service area serve as the location of our physical facilities (e.g. Children's Mercy Adele Hall Campus, Children's Mercy Hospital Kansas, Children's Mercy Operation Breakthrough Clinic, Children's Mercy Northland, Children's Mercy Broadway, Children's Mercy College Boulevard, Children's Mercy Blue Valley, Children's Mercy Sports Medicine at Village West, and Children's Mercy East) and the source of a majority of our patient encounters. The five counties house a total population of 1,861,214. Of these, 440,392 or 24 percent are children. Within this region, Wyandotte County has the greatest proportion of children under 18 and Jackson County has the smallest proportion, but largest in absolute number. The overall population of children in these five counties increased between 1980 and 2020 and the overall make-up of the population shifted as well. In 1980, black, Hispanic or other ethnicities comprised 21 percent of the five counties under 18 years of age population. In 2020 36.4 percent of the region's under 18 population made up these groups. A higher percentage of children under age 18 years live in poverty than the population as a whole. The percentage of children under age 18 who live in poverty has grown in four of the five counties from 2015 to 2020. The highest percentage of children living in poverty is in Wyandotte County (26.7%), followed by Jackson County (20.2%), Clay County (11.5%), Platte County (5.9%), and Johnson County (5.4%). Part VI, Line 5: The Children's Mercy Hospital is a nonprofit hospital operated to serve a public rather than a private interest and meeting the requirements of Revenue Ruling 69-545. Control of the Hospital rests with its Board, which is primarily composed of members of the community, in addition to a few select employees of the Hospital. The Hospital accepts patients paying with Medicaid and Medicare, and operates an active and generally accessible emergency room open to all children without regard to ability to pay. The Hospital uses any surplus funds to improve the quality of patient care, expand its facilities, and advance its medical training, education, and research programs.Children's Mercy annually provides funding and partnership to community organizations and efforts that support programs addressing the CHNA priority health needs. Children's Mercy continues to support the Kansas City Physical Activity and works with organizations across the community to improve physical infrastructures to promote healthy living and eating. Programs working to improve outcomes for children are strengthened through a community-wide strategy to organize home visiting; participation in community health fairs; support for healthy housing and schools; distribution of free gun locks & lock boxes; participation in community-wide youth suicide prevention initiatives; service on key community committees (i.e. Infant and Child Mortality review boards), and through the provision of training and education for families with children at-risk for obesity or diabetes. Part VI, Line 6: The Children's Mercy Hospital is not part of an affiliated health care system. 1 Ability KC 3011 Baltimore Avenue Kansas City MO 64108 440552045 501 (c) 3 6000 0 To Support Access To Health Care Services American Heart Association 6800 West 93rd Street Overland Park KS 66212 135613797 501 (c) 3 8000 0 To Support Access To Health Care Services Arthritis Foundation Inc 1355 Peachtree Street Northeast Suite 600 Atlanta GA 30309 581341679 501 (c) 3 10000 0 To Support Access To Health Care Services Braden'S Hope For Childhood Cancer 15954 Murlen No 124 Olathe KS 66062 273519273 501 (c) 3 5520 0 To Support Access To Health Care Services Burns Recovered Support Group Inc 6220 South Lindbergeh Suite 203 St Louis MO 63123 431412215 501 (c) 3 10000 0 To Support Access To Health Care Services Camps For Kids 5913 Woodson Road Suite 211 Mission KS 66202 431244326 501 (c) 3 10000 0 To Support Access To Health Care Services Congenital Heart Defects Families Association 615 Northeast 94th Terrace Kansas City MO 64155 200391453 501 (c) 3 10000 0 To Support Access To Health Care Services Cystic Fibrosis Foundation 4550 Montgomery Avenue Suite 1100N Bethesda MD 20814 131930701 501 (c) 3 10000 0 To Support Access To Health Care Services First Tee Greater Kansas City Junior Golf Foundation 9401 Nall Avenue Suite 102 Prairie Village KS 66207 431532215 501 (c) 3 25000 0 To Support Youth Development Initiatives Foster Adopt Connect Inc 18600 East 37th Terrace Independence MO 64057 431895965 501 (c) 3 7500 0 To Support Foster Care Youth JDRF International 200 Vesey Street 28th Floor New York NY 10281 231907729 501 (c) 3 7500 0 To Support Access To Health Care Services Junior Achievement Of Greater Kansas City 2842 West 47th Avenue Kansas City KS 66103 440604809 501 (c) 3 105000 0 To Support Youth Development Initiatives KVC Health Systems 21350 West 153rd Street Olathe KS 66061 262516589 501 (c) 3 10000 0 To Support Access To Health Care Services Midwest Hemophilia Association 1471 West South Street Ozark MO 65721 431595395 501 (c) 3 15000 0 To Support Access To Health Care Services National Kidney Foundation Inc 30 East 33rd Street New York NY 10016 131673104 503 (c) 3 38500 0 To Support Access To Health Care Services Ronald McDonald House Charities Of Kansas City 2502 Cherry Street Kansas City MO 64108 431190760 501 (c) 3 100000 0 To Support Access To Health Care Services Uncornered Inc 300 East 39th Street Kansas City MO 64111 861382778 501 (c) 3 7500 0 To Support Violence Prevention Initiatives Vibrant Health 21 North 12th Street Kansas City KS 66102 481151382 501 (c) 3 10000 0 To Support Access To Health Care Services American College Of Medical Genetics And Genomics 7101 Wisconsin Avenue Suite 1101 Bethesda MD 20814 521774227 501(c)(6) 7114 0 Research Creighton University 2500 California Plaza Omaha NE 68178 470376583 501(c)(3) 24540 0 Research Emory Genetics Medical Research Pediatrics 1760 Haygood Drive Northeast Suite W440C Atlanta GA 30322 580566256 501(c)(3) 17201 0 Research State Of Kansas KUMC 3901 Rainbow Boulevard Kansas City KS 66160 481124839 Govt 71028 0 Research Medical College Of Wisconsin Inc 8701 Watertown Plank Road Milwaukee WI 53226 390806261 501(c)(3) 16209 0 Research Oregon Health And Science University 3181 SW Sam Jackson Park Road Portland OR 97239 931176109 Govt 15459 0 Research Seattle Children's Research Inst Seattle Children's Hosp 4800 Sand Point Way Ne Seattle WA 98105 910564748 501(c)(3) 13012 0 Research Stowers Institute For Medical Research 1000 East 50th Street Kansas City MO 64110 202993509 501(c)(3) 89825 0 Research University Of Chicago 5801 South Ellis Avenue Chicago IL 60637 362177139 501(c)(3) 19217 0 Research KUCR University Of Kansas Center For Research Inc 2385 Irving Hill Road Lawrence KS 66045 480680117 501(c)(3) 78155 0 Research University Of New Mexico 1 University Of New Mexico Albuquerque NM 87131 856000642 Govt 44227 0 Research University Of Wisconsin 465 Henry Mall Madison WI 53706 391805963 501(c)(3) 9263 0 Research Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue Suite 330 Cincinnati OH 452293039 310833936 501(c)(3) 86084 0 Research NACHRI Natl Assoc Children's Hospitals And Related Inst Po Box 874957 Kansas City MO 641874957 510120256 501(c)(3) 128846 0 Research Stanford Univ Board Of Trustees Leland Stanford Jr Univ 485 Broadway Redwood City CA 94063 941156365 501(c)(3) 5542 0 Research MD Anderson Cancer Center 1515 Holcombe Boulevard Houston TX 770307009 746001118 501(c)(3) 25520 0 Research Univ Of Colorado Anschutz Med Barbara Davis Diabetes 12631 East 17th Avenue Aurora CO 80045 846000555 Govt 19680 0 Research University Of Miami PO Box 248106 Coral Gables FL 331242912 590624458 501(c)(3) 93638 0 Research Vanderbilt University Medical Center 1161 21st Avenue South Nashville TN 372325445 352528741 501(c)(3) 8408 0 Research KUMC Research Institute Inc 3901 Rainbow Boulevard Kansas City KS 66160 481108830 501(c)(3) 303479 0 Research University Of Minnesota 2221 University Ave Suite 100 Minneapolis MN 55414 416007513 Govt 20040 0 Research Oxford University Press 2001 Evans Road Cary NC 27513 986001062 121720 0 Research Cleveland Clinic Laboratories Cleveland Clinic Found 9500 Euclid Avenue Cleveland OH 44195 340714585 501(c)(3) 8486 0 Research Boston Children's Hospital Children's Hospital 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 55177 0 Research Westside Housing Organization 919 West 24th Street Kansas City MO 64108 431122742 501(c)(3) 60324 0 Research Ability KC 3011 Baltimore Avenue Kansas City MO 64108 440552045 501(c)(3) 7170 0 Research University Of Nebraska Medical Center 985045 Nebraska Medical Center Omaha NE 681985440 470049123 Govt 114724 0 Research University Of Illinois 506 South Wright Street Urbana IL 61801 376000511 501(c)(3) 172570 0 Research Joslin Diabetes Center Inc One Joslin Place Boston MA 022155306 042203836 54288 0 Research Duke University Box 104132 Durham NC 27708 560532129 501(c)(3) 222876 0 Research Regents Of The University Of California San Francisco 1855 Folsom Street Suite 425 San Francisco CA 94143 946036493 501(c)(3) 37587 0 Research Kaiser Foundation Research Institute 1800 Harrison Street 16th Floor Oakland CA 946123433 941105628 27652 0 Research Albert Einstein College Of Medicine 1300 Morris Park Avenue Bronx NY 10461 830621846 209151 0 Research University Of North Carolina At Chapel Hill PO Box 402420 Atlanta GA 303842420 566001393 501(c)(3) 109345 0 Research San Diego State University Foundation 5250 Campanile Drive San Diego CA 921821947 956042721 188804 0 Research Logan County Hospital County Of Logan 211 Cherry Avenue Oakley KS 67748 486092185 Govt 6885 0 Research Children's Research Institute 111 Michigan Avenue NW Suite 5400 Washington DC 20010 521654453 501(c)(3) 42770 0 Research UCSD Regents Of The University Of California 9500 Gilman Drive La Jolla CA 920930967 956006144 Govt 24983 0 Research University Of Notre Dame 724 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 10221 0 Research Transition Academy 6320 Brookside Plaza Suite 503 Kansas City MO 64113 842533606 501(c)(3) 21250 0 Research Metropolitan Energy Center 300 Ease 39th Street Suite Ll 1K Kansas City MO 64111 431297891 501(c)(3) 10000 0 Research Univ MO UMKC KCUR Health Sci Bookstore 118 University Hall Columbia MO 65211 436003859 Govt 156382 0 Research 55 5 Patient Financial Assistance 82746 74640093 Cost Charity Care Part I, Line 2: Children's Mercy provides charitable contributions to nonprofit organizations which share a common mission to improve the health and well-being of children. The contributions are restricted to meet a community identified need and community benefit requirements. Children's Mercy documents the appropriate use of our funds by sending a restricted contribution letter; attending annual events; reviewing web-based annual reports; and meeting with agency grant recipients to ascertain the outcomes of their work. Subrecipients sign an agreement which details the subrecipient's plan and budget as well as allowable expenditures of the Federal Awards. The agreement is also approved/signed by the Children's Mercy Hospital (CMH) signing official. Each subrecipient is required to submit periodic invoices (not more than monthly) to CMH for reimbursement. All expenditures on the invoice must be according to the subrecipient's budget that was developed during the application process. Invoices received from subrecipients are certified as complete and accurate by the subrecipient and reviewed and approved by the Principal Investigator or appropriate level of authorization, who forwards them to accounts payable for processing. In addition, Research and Sponsored Projects (RaSPA) Accounting monitors these invoices to ensure proper coding to the correct award. The RaSPA accounting staff captures the amount on the budget-to-actual report to monitor the total amount spent by the subrecipient. Based on the amount budgeted to subrecipients and normal invoiced activity, the RaSPA accounting staff questions unreasonable invoice amounts with the subrecipient. In addition, any subrecipient that received more than $750,000 in Federal funds during the fiscal year is required to obtain a Uniformed Guidance audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for confirming that CMH has received a Uniform Guidance audit report from all subrecipients for which it is required. CMH maintains a subrecipient monitoring spreadsheet to track Uniform Guidance audit status, DUNS number, year-to-date spending, etc. for all subrecipients. X X X X X 1 1 0 0 0 0 0 0 0 Paul D Kempinski MS FACHE Director; President & CEO 1272415 0 369917 0 33501 0 24750 0 17950 0 1718533 0 0 0 James O'Brien Jr MD Physician 1536021 0 0 0 35419 0 29700 0 22269 0 1623409 0 0 0 William Douglas MD Physician 1479427 0 5500 0 34613 0 24750 0 23150 0 1567440 0 0 0 Alex Daneshmand DO MBA EVP&Chief Quality Officer;End 7/1/23 355340 0 160059 0 671858 0 13768 0 12343 0 1213368 0 0 0 Shawn St Peter MD SVP/Surgeon-in-Chief;ChairDeptOfSurg 966431 0 108361 0 71259 0 24750 0 23168 0 1193969 0 0 0 Thomas Curran PhD SVP,CSO,Exec Dir-CMRI;End 11/17/23 862745 0 169760 0 40548 0 29700 0 9942 0 1112695 0 0 0 Jodi Coombs MBA BSN RN EVP & COO 730119 0 184179 0 26079 0 45456 0 10511 0 996344 0 0 0 Norman Otsuka MD Medical Chairman; End 5/23/24 940339 0 0 0 7128 0 9900 0 16380 0 973747 0 0 0 Charles Snyder MD Physician 795148 0 3917 0 35414 0 29700 0 15273 0 879452 0 0 0 Robert Lane MD EVP & Physician-in-Chief;End 4/18/24 619497 0 145810 0 28165 0 44419 0 21954 0 859845 0 0 0 John Gatti MD Physician 771858 0 0 0 26401 0 29700 0 23008 0 850967 0 0 0 Robert Steele MD EVP & Chief Strategy/Innovation Off. 582386 0 154691 0 25438 0 40465 0 22988 0 825968 0 0 0 Robin Foster JD EVP, General Counsel 574960 0 151998 0 40742 0 29700 0 19022 0 816422 0 0 0 James Simaras EVP & CFO 608328 0 96199 0 60319 0 30959 0 19153 0 814958 0 0 0 Douglas Rivard DO InterimEVP/Physician-in-Chief4/18/24 709311 0 0 0 25468 0 29273 0 22876 0 786928 0 0 0 Jeanne James MD Sr VP, Chair of Pediatrics 554379 0 132758 0 27749 0 24750 0 21906 0 761542 0 0 0 Thomas Wright EVP & Chief HR Officer 496929 0 126172 0 29402 0 24750 0 14797 0 692050 0 0 0 Mary Ann Queen MD Director 425647 0 85764 0 3038 0 29700 0 21847 0 565996 0 0 0 Jennifer Kingry Former Interim CFO 321490 0 98534 0 23331 0 21450 0 22853 0 487658 0 0 0 Jennifer Sauer MD Director 0 245770 0 206250 0 9942 0 9900 0 216 0 472078 0 0 Part I, Lines 4a-b Schedule J, Part I, Line 4a: Included in the compensation of Alex Daneshmand is $659,954 of severance following termination of employment. Schedule J, Part I, Line 4b: The following individuals participated in a supplemental nonqualified retirement plan: Jodi Coombs, Robert Lane, James Simaras and Robert Steele. A Health and Educational Facilities Authority of the State of Missouri 431178966 60637ALX8 2016-10-13 148207195 see Part VI 0 0 0 B Health and Educational Facilities Authority of the State of Missouri 431178966 60637AMM1 2017-12-20 131226503 see Part VI 0 0 0 C Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2019-02-28 17940000 see Part VI 0 0 0 D Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2019-02-28 24750000 see Part VI 0 0 0 A 17225000 148207195 638217 147568978 0 1 1 1 B 133764094 1224610 132404922 134562 2019 0 0 0 1 C 15478100 17940000 17940000 1 0 1 1 D 24750000 24750000 1 0 1 1 A 0 0 1 1 1 1 0 0 1 B 0 0 1 1 1 1 0 0 1 C 0 0 1 1 1 1 0 0 1 D 0 0 1 1 1 1 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 1 0 1 0 0 0 1 D 0 1 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: Health and Educational Facilities Authority of the State of Mi Date the Rebate Computation was Performed: 10/17/2023 Schedule K, Part I, Line A, Column (f) Description of Purpose- The Series 2016 Bonds were issued to refinance a portion of the outstanding Series 2009 Bonds (issued Nov. 19, 2009). Schedule K, Part I, Line B, Column (f) Description of Purpose- The Series 2017A Bonds were issued to construct and equip a professional office building and a research institute for the Corporation. Schedule K, Part I, Line C, Column (f) Description of Purpose- The Series 2019A Bonds were issued to refinance 2008A/B Bonds and remaining portion of 2009 Bonds. Schedule K, Part I, Line D, Column (f) Description of Purpose- The Series 2019B Bonds were issued to refinance 2008A/B Bonds and remaining portion of 2009 Bonds. Schedule K, Part II, Line 3, Column B Total Proceeds- Difference between issue price and total proceeds of the Series 2017A Bonds represent $2,537,591 of investment proceeds. Schedule K, Part II, Line 11, Column A Other Spent Proceeds- $147,568,978 of Bond proceeds was used to establish a refunding escrow to refinance a portion of the outstanding Series 2009 Bonds. Schedule K, Part II, Line 11, Column C Other Spent Proceeds- $17,940,000 of Bond proceeds were used to refund the series 2008A/B and 2009 Bonds. Schedule K, Part II, Line 11, Column D Other Spent Proceeds- $24,750,000 of Bond proceeds was used to refund the series 2008A/B and 2009 Bonds. Schedule K, Part II, Line 13, Column A Date of Substantial Completion- The Series 2016 Bonds were issued to refinance the Series 2009 Bonds, and therefore, there were no "new-money" projects financed by the Series 2016 Bonds. Schedule K, Part II, Line 13, Column B Date of Substantial Completion- The projects financed by the Series 2017A Bonds have not yet been completed. Schedule K, Part II, Line 13, Column C Date of Substantial Completion- The Series 2019A Bonds were issued to refinance the Series 2008A/B and 2009 Bonds, and therefore, there were no "new-money" projects financed by the Series 2019A Bonds. Schedule K, Part II, Line 13, Column D Date of Substantial Completion- The Series 2019B Bonds were issued to refinance the Series 2008A/B and 2009 Bonds, and therefore, there were no "new-money" projects financed by the Series 2019B Bonds. Francesca Barth Daughter-in-law of Director Kevin Barth 64333 Employment 0 Substantial Contributor Substantial Contributor 110959 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 123474 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 677143 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 654357 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1962095 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 6679537 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1202284 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 142266 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 393211 Payment for FMV of Services Provided 0 X 14700 FMV X 40 457132 FMV X 7 61800 FMV X 1 99000 FMV X Miscellaneous 25 36556 FMV X Food 7 16794 FMV X Jewelry 2 9645 FMV 0 0 1 0 Part I, Column (b): The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Form 990, Part VI, Section B, line 11b The final Form 990, including all required schedules, was provided to each voting member of the Board of Directors prior to its filing with the IRS. Form 990, Part VI, Section B, line 12c Corporate compliance reviews all potential conflicts disclosed, and reviews and approves completion of the related management plan. Form 990, Part VI, Section B, line 15 The People and Compensation Committee of the Board of Directors (the "Committee") is responsible for approving the compensation of the CEO and, based on the CEO's recommendation, the compensation of the Executive Vice Presidents ("EVPs"). The Committee's deliberations and approvals of such compensation are documented in the minutes of the Committee's meetings. The Committee is composed of independent directors who receive no compensation for their service on the Board of Directors. The Committee engages an independent consulting firm, with expertise and experience in analysis of compensation of not-for-profit hospital executives (including review and application of market data), to advise the Committee with regard to compensation of the CEO and the EVPs. The consulting firm provides an opinion to the Committee regarding the reasonableness of such compensation, which is maintained in the Committee's records. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request. Form 990, Part XI, line 9: Net assets released from restriction from use in joint venture -19,038,191. Change in interest rate swap valuation 228,373. Net Unrealized Change in Income Beneficiary and Charitable Remainder Trusts 3,787,840. Unrealized Loss on Equity Investments 64,519,860. Change in benefit obligation 289,283. CMH Insurance Company LLC 2401 Gillham Road Kansas City MO 64108 Insurance for The Children's Mercy Hospital MO 114978 16772596 The Children's Mercy Hospital Physician Business Partners LLC 2401 Gillham Road Kansas City MO 64108 Physician network for education and purchasing MO The Children's Mercy Hospital Children's Research Institute LLC 2401 Gillham Road Kansas City MO 64108 Supports research activities of The Children's Mercy Hospital MO The Children's Mercy Hospital PedsMarket LLC 2401 Gillham Road Kansas City MO 64108 921002512 Advancing pediatric innovation MO -475766 208100 The Children's Mercy Hospital Children's Mercy Hospital Foundation 2401 Gillham Road Kansas City MO 64108 431564302 Investment management to benefit Children's Mercy Hospital MO 501(C)(3) line 11, III-NFI N/A 0 Children's Mercy Hospital Self-Insurance Trust Commerce Trust Co PO Box 419248 Kansas City MO 64141 436231807 Providing funds for malpractice claims against CMH & employees MO 501(C)(3) line 11, I The Children's Mercy Hospital 1 Children's Mercy Integrated Care Solutions Inc 2401 Gillham Road Kansas City MO 64108 453741386 Coordinates medical care of pediatric patients KS The Children's Mercy Hospital C 500075 99736672 1.00000 1 Children's Mercy- Pediatric Associates Inc 4400 Broadway Suite 206 Kansas City MO 64111 814659989 Medical Practice KS The Children's Mercy Hospital C -1379 3066233 1.00000 1 Children's Mercy- Pediatric Care Specialists Inc 12541 Foster St Suite 260 Overland Park KS 66213 814753049 Medical Practice KS The Children's Mercy Hospital C -8417 1224785 1.00000 1 Children's Mercy- Pediatric Care North Inc 8781 N Platte Purchase Drive Kansas City MO 64155 815020009 Medical Practice KS The Children's Mercy Hospital C -34996 1061422 1.00000 1 Children's Mercy- Johnson County Pediatrics Inc 8800 West 75th St Suite 220 Shawnee Mission KS 66204 320505028 Medical Practice KS The Children's Mercy Hospital C 5713 930153 1.00000 1 Children's Mercy- Preferred Pediatrics Inc 241 NW McNary Ct Lees Summit MO 64081 821130197 Medical Practice KS The Children's Mercy Hospital C -85104 909758 1.00000 1 Children's Mercy- Cass County Pediatrics and Adolescents Inc 503 N Scott Belton MO 64012 820881485 Medical Practice KS The Children's Mercy Hospital C 34642 368935 1.00000 1 Children's Mercy- Cradle Thru College Care Inc 1004 Carondelet Dr Suite 30 Kansas City MO 64114 822804086 Medical Practice KS The Children's Mercy Hospital C 2272 351928 1.00000 1 Children's Mercy- Redwood Pediatrics Inc 9151 NE 81st Ter Suite 240 Kansas City MO 64158 822564241 Medical Practice KS The Children's Mercy Hospital C 78253 529359 1.00000 1 Children's Mercy- Summit Pediatrics and Adolescent Medicine Inc 3171 E Carnegie Dr ST A Lees Summit MO 64064 824082519 Medical Practice KS The Children's Mercy Hospital C -1059 1102366 1.00000 1 Children's Mercy- Shawnee Mission Pediatrics Inc 7450 Kessler St Suite 105 Merriam KS 66204 841836624 Medical Practice KS The Children's Mercy Hospital C 16476 2861095 1.00000 1 Children's Mercy- Health Care for Children Inc 9051 NE 81st Terrace Suite 100 Kansas City MO 64158 841845668 Medical Practice KS The Children's Mercy Hospital C -1143 364546 1.00000 1 Children's Mercy- Leawood Pediatrics Inc 5401 College Blvd Suite 101 Leawood KS 66211 842411195 Medical Practice KS The Children's Mercy Hospital C 382 1021059 1.00000 1 Children's Mercy- Cockerell and McIntosh Pediatrics Inc 1203 SW State Route 7 Blue Springs MO 64014 844455782 Medical Practice KS The Children's Mercy Hospital C 23680 1634858 1.00000 1 Children's Mercy- Community Choice Pediatrics Inc 1425 NW Blue Parkway Lees Summit MO 64086 851139290 Medical Practice KS The Children's Mercy Hospital C 205979 3830091 1.00000 1 Children's Mercy- Peacock Pediatrics Inc 805 N 36th Suite B Saint Joseph MO 64506 880853144 Medical Practice KS The Children's Mercy Hospital C 12694 406302 1.00000 1 Children's Mercy- Pediatric Partners Inc 7450 W 135th Street Overland Park KS 66223 880866933 Medical Practice KS The Children's Mercy Hospital C 51421 1274692 1.00000 1 Children's Mercy- Premier Pediatrics Inc 8675 College Blvd Suite 100 Overland Park KS 66210 920889381 Medical Practice KS The Children's Mercy Hospital C 319595 1078137 1.00000 1 Income Beneficiary Trusts(5) Trust MO N/A T 0 1 0 1 1 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 Children's Mercy Integrated Care Solutions O 8238224 Book Children's Mercy Integrated Care Solutions J 74836 Book Children's Mercy Integrated Care Solutions L 814101 Book Children's Mercy Integrated Care Solutions P 441757 Book Children's Mercy Integrated Care Solutions S 241999155 Book Children's Mercy- Pediatric Care North Inc D 300000 Book Children's Mercy- Community Choice Pediatrics Inc D 150000 Book Children's Mercy- Pediatric Care North Inc A 4280 Book Children's Mercy- Redwood Pediatrics Inc A 16046 Book Children's Mercy- Cass County Pediatrics and Adolescents Inc A 6196 Book Children's Mercy- Community Choice Pediatrics Inc A 41715 Book Children's Mercy- Peacock Pediatrics Inc A 2468 Book