2023-05-08T14:13:22-05:00 2022-06-30 135565207 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2021-07-01 440605373 The Children's Mercy Hospital CHIL 8162343000 2401 Gillham Road Kansas City MO 64108 James Simaras Executive VP & CFO 8162343000 2023-05-08 1 James Simaras 999009999 Mollie P Longhouse P00294881 6142492300 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z James Simaras 2401 Gillham Road Kansas City MO 64108 2053847395 0 X www.childrensmercy.org X 1901 MO Excellence in healthcare for children 15 12 10017 672 4034116 212158 114304051 81660446 1573848853 1775671734 30623543 147978049 35334390 47520859 1754110837 2052831088 67683788 117687798 0 0 919618342 979999070 621411 562275 6387235 590480382 595790797 1578403923 1694039940 175706914 358791148 2689363915 2741802615 671608552 643743229 2017755363 2098059386 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 1212018510 112817140 1819620522 All expenses for program services relate to providing healthcare. There was a total of 390 licensed beds and 195,172 adjusted patient days during the year from 14,345 admissions. Outpatient encounters totaled 585,521 which includes 47,282 primary care visits, 99,939 urgent care visits, 102,557 emergency department visits and 335,743 specialty clinic visits. Telemedicine visits totaled 72,642 which includes both synchronous and asynchronous visits. There was a total of 19,469 surgical cases which includes 4,165 inpatient cases and 15,304 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. 86314681 4870658 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 CMRI building opened in the fall of 2020. 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, 2022 there were more than 477 active sponsored research projects. The Children's Mercy Research Institute occupies about 18% of the space on the main campus and 7% of the total annual operating budget. Children's Mercy spent $86 million in the year ended June 30, 2022 on research and per information from the NIH Reporter received more than $8.2 Million in NIH funding in this same time period. More than 900+ 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. 1298333191 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 1 480 0 1 10017 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 15 12 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 1565976 0 42657 Douglas Swanson MD Director 40.00 0.00 X 237193 0 20364 Elizabeth Braham Chair 2.00 1.00 X X 0 0 0 Bill Krueger Vice Chair 1.50 0.00 X X 0 0 0 Vince Clark Treasurer 1.50 0.00 X X 0 0 0 Andrew Teigen 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 1.50 0.00 X 0 0 0 Jeff Gehab Treasurer 1.00 0.00 X 0 0 0 Carolyn Davis MD Director 1.50 0.00 X 0 0 0 Terry Matlack Director 1.50 0.00 X 0 0 0 Paul McLaughlin Director 1.50 0.00 X 0 0 0 Walter Porter Director 1.00 0.00 X 0 0 0 Diane Gallagher Director 1.00 0.00 X 0 0 0 Olga Koper Director 1.00 0.00 X 0 0 0 David Cauble EVP & CFO; End 2/18/22 40.00 0.00 X 839156 0 39594 Robin Foster JD EVP, General Counsel 40.00 0.00 X 765437 0 46344 Robert Steele MD EVP & Chief Strategy/Innovation Off. 40.00 0.00 X 769907 0 32161 Jodi Coombs MBA BSN RN EVP & COO 40.00 0.00 X 763296 0 22305 Robert Lane MD EVP & Physician-in-Chief 40.00 0.00 X 795117 0 28944 Alex Daneshmand DO MBA EVP & Chief Quality Officer 40.00 0.00 X 568792 0 18956 Thomas Wright EVP & Chief HR Officer 40.00 0.00 X 506153 0 16090 Jennifer Kingry Interim CFO; Start 2/19/22 40.00 0.00 X 388234 0 39058 Shawn St Peter MD SVP/Surgeon-in-Chief;ChairDeptOfSurg 40.00 0.00 X 968656 0 41994 Thomas Curran PhD SVP, CSO, Executive Director-CMRI 40.00 0.00 X 894441 0 33293 James O'Brien Jr MD Physician 40.00 0.00 X 1553432 0 46326 William Douglas MD Physician 40.00 0.00 X 1502302 0 41994 Chad Mills Sr VP, CIO; End 10/23/21 40.00 0.00 X 1016053 0 31533 Charles Snyder MD Physician 40.00 0.00 X 804369 0 40044 John Gatti MD Physician 40.00 0.00 X 797311 0 46344 14735825 0 588001 1814 0 1 0 Anesthesia Associates 8717 West 110th Street Overland Park KS 66210 Anesthesiologists 23031177 Turner Construction Company 1220 Washington St Suite 100 Kansas City MO 64105 Construction 13149424 McCown Gordon Construction LLC 850 Main Street Kansas City MO 64105 Construction 9864275 Cerner Health Connections Inc 2800 Rockcreek Parkway Kansas City MO 64117 Professional Services 8977138 Morrison Management Specialists Inc 400 Northridge Rd Suite 600 Sandy Springs GA 30350 Food Service 7771723 490 206512 4907518 8128884 20818033 47599499 566537 81660446 Net Patient Services 621110 1775671734 1775671734 1775671734 147978049 147978049 554262 4907518 1016307 -462045 -462045 Contract Revenue 900099 27601560 27601560 Transport 621910 2887746 2887746 Gift Shop 453220 1383931 1383931 16109667 12075551 4034116 47982904 2052831088 1819620522 4034116 147516004 6136324 6136324 111404525 111404525 146949 146949 9341804 2175265 7166539 793558864 621622170 167617332 4319362 44700764 34729354 9730933 240477 79040591 62108870 16523385 408336 53357047 41454678 11615324 287045 1825788 19530 1806258 499845 499845 476094 476094 562275 562275 157127173 63620681 93335857 170635 6133294 27499 6105795 3869666 89370 3773985 6311 18557244 8337885 9902266 317093 4788721 3118889 1644292 25540 10726550 9479951 1246599 75711644 40290297 35371593 49754 24821068 19498885 5322183 Medical Supplies 194459367 190626704 3832663 0 State Medicaid Taxes 64033533 64033533 0 0 Dues & Subscriptions 8042444 3087989 4954455 0 Inventory- Food Service 6823855 6350472 473383 0 17894511 9973371 7920733 407 1694039940 1298333191 389319514 6387235 69008187 178115608 36363988 41641177 237316739 274093148 17422487 18556240 30823421 28665792 1600484098 813405739 801737291 787078359 1226047938 1149774668 6483027 7671035 264160837 256206588 2689363915 2741802615 190279556 197277888 305923732 294749048 175405264 151716293 671608552 643743229 X 1831370960 1894759441 186384403 203299945 2017755363 2098059386 2689363915 2741802615 X 358791148 -32614728 -245872397 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 476094 476094 1297857097 1298333191 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 488841 595374 531724 476094 2092033 250000 250000 250000 250000 1000000 1500000 116845965 7032370 -11449850 2173533 110254952 79934240 14256948 24331407 1676630 116845965 73663733 6974083 1066434 1770010 79934240 69788763 3003013 3300499 2428542 73663733 61620527 6774013 3517083 2122860 69788763 0.80150 0.19850 0 1 1 24549276 24549276 1002253270 379891426 622361844 543214194 433514313 109699881 30467358 30467358 787078359 Other Assets 62083733 Income Beneficiary and Charitable Remainder Trusts 46274799 Restricted Investments 115887973 Right of Use Asset 31954750 Due from other funds 5333 256206588 Reserve for Prof. Liability Claims 47939693 Postretirement Medical Liability 59117811 Other Liabilities 9077732 Unearned Premiums 3015000 Lease Liability 32389036 Long-term Obligation Under Capital Lease 177021 151716293 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, 2022 and 2021, 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 34789 North America - Canada and Mexico, but not the United States 0 0 Program Services Travel for healthcare-related education and information sharing 8194 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Program Services Travel for healthcare-related education and information sharing 28665 Middle East and North Africa 0 0 Program Services Travel for healthcare-related education and information sharing 4358 Central America and the Caribbean 0 0 Program Services Travel for healthcare-related education and information sharing 9870 North America 0 0 Grantmaking 111783 Sub-Saharan Africa 0 0 Grantmaking 35166 0 0 0 0 0 0 232825 0 232825 North America - Canada and Mexico, but not the United States Research 27012 Check 0 FMV North America - Canada and Mexico, but not the United States Research 84771 Check 0 FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 24795 Check 0 FMV Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 10371 Check 0 FMV 3 1 0 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 Grants (R&G) Accounting monitors these invoices to ensure proper coding to the correct award. The R&G 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 R&G 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 an Uniformed Guidance (formerly A-133) audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for making sure that for all subrecipients that are required submit Uniform Guidance audits and that CMH has received an audit report. 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. Part III Accounting Method: 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 1408248 562275 845973 1408248 562275 845973 AL AK AZ AR CA CO CT FL ID IN KS LA ME MI MT NE NV NC OH OK OR PA RI SC SD TX UT VT VA DE HI IA MD MO WA WV WI WY Gala/Auction 2163101 1865997 297104 251054 282135 Event/Auction 3011626 2754638 256988 74788 406771 1 287053 286883 170 1559 5461780 4907518 554262 325842 690465 1016307 -462045 Schedule G, Part I, Line 2b, Column (v) Payments to TrueSense during FY22 totaled $663,399. This amount includes $562,275 for consulting services and $101,124 of fundraising expenses. The agreement distinguishes consulting costs separate from any expense payments of reimbursements. 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 2 105823 46881098 689607 46191491 0.02730 9 277866 784940065 722002858 62937207 0.03720 11 383689 831821163 722692465 109128698 0.06450 39 338077 19193111 4098287 15094824 0.00890 9 11277 38332042 19138629 19193413 0.01130 19 115268 69802087 29954967 39847120 0.02350 477 47869107 31298025 16571082 0.00980 5 29787 2013782 34766 1979016 0.00120 549 494409 177210129 84524674 92685455 0.05470 560 878098 1009031292 807217139 201814153 0.11920 4 203 176286 9000 167286 0.00010 6 6 303611 0 303611 0.00020 2 17 1848 0 1848 0.00000 1 900 184741 190060 0 0.00000 4 4 89609 0 89609 0.00010 15 1045 409727 38135 371592 0.00020 32 2175 1165822 237195 933946 0.00060 1 208602 0 2481792 4194561 -1712769 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 500.000000000000 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. The priority needs identified were: child and youth mental health; access to health services; violence prevention; housing and neighborhood conditions. Priority health needs were selected based on the issue's importance to children's health, potential measurable impact if addressed, and Children's Mercy's ability to mitigate the issue with resources and personnel. The Children's Mercy Board of Directors approved the Priority Health Needs on June 15, 2022. The Priority Health Needs will receive heightened attention and support from Children's Mercy. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. For the tax year ended June 30, 2022, which is the time period reported in this Form 990, Children's Mercy addressed the significant health needs that were identified in its 2018 CHNA and in which the implementation strategy was adopted for fiscal years 2020, 2021 and 2022. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 11: The implementation strategy plan that covers the time period reported on this tax return was approved on October 15, 2019 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 2018 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsFrom 2021 to 2022, Children's Mercy continued to support program and efforts that addressed the 2019 CHNA identified priority health needs: Access to Care with a focus on Asthma; Improving Infant Health; Improving Mental/Behavioral Health; Addressing Nutrition/Physical Activity and Weight; Increasing Injury and Violence Prevention activities, Reducing Tobacco, Alcohol and Substance Abuse. The following highlights key programs and activities that address the priority health needs. Access to care with a focus on asthma key activities and programs: launched a school-based asthma telemedicine support program to better serve high-risk children living with asthma in three Kansas City schools; created online training modules for school nurses addressing school-based care for children living with asthma and diabetes; added asthma screening to community-based health fair events, reaching over 60 individuals; maintained an online daily pollen and spore count accessed by 17,500 unique visitors; launched COVID-19 testing program in the Kansas City, Missouri Public School District; Expanded Circulation transportation program to all clinical service at Children's Mercy Broadway and Operation Breakthrough locations, providing 2,179 rides between 2021 - 2022; Provided Project Adam education and training to create heart safe schools; Increased social determinants of health screenings and referral programs through the launch of the Lift Up KC community referral platform; expanded Athletic Training and support services to serve 10 schools and reaching 5,340 student athletes; expanded primary care services for children offered at Vibrant Health, a FQHC located in Wyandotte County, Kansas; supported the Community Health Council of Wyandotte County to expand health insurance coverage and the availability of community health workers; provided health services at clinics located at Synergy Services, University Academy, and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources. Mental and behavioral health: developed a mental and behavioral health strategic plan to create greater access, developed new partnerships, and expanded mental and behavioral health services for children in the region; provided education to 230 parents and caregivers of children who have experienced stressful or traumatic events in their lives; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching 21,766 students, parents, teachers, and community members; offered acute mental health screening in emergency department; expanded the Prepped & Ready parenting video education series to reach 371 parents and caregivers; hired community outreach staff to develop new partnerships and strengthen community-based mental health services. Infant health: Continued support to Promise 1000 and TIES home visiting services reaching 509 parents and children; participated in community baby shower events in partnership with the Kansas City Black Healthcare Coalition; provided financial support to efforts led by community-based organizations including Uzazi Village, Nurture KC, Every Baby to One, and Cradle KC to expand outreach, services, and education to pregnant and parenting families; expanded availability of safe sleep education and portable cribs to area agencies. Nutrition, physical activity, and weight: convened and partnered with community-based organizations through the Kansas City Physical Activity Plan; continued support of the Kids Eat Free summer foods program; established a food pantry at Children's Mercy Broadway; established a Girls on the Run program; continued maintenance of the Children's Mercy Community Garden, serving 200 community members; facilitated a weight management evening group reaching 841 parents and children; established the Fruits and veggie Connect program. Injury and violence prevention: continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established the Community Outreach & Violence Response (COVER) program in the emergency department to serve as an intervention and support resource for families impacted by violence, reaching over 71 families between 2021 - 2022; continued to distribute gun locks; provided financial support to the Ad Hoc Group Against Crime, Mothers in Charge, Grandparents Against Gun Violence, and Charlie's House to support community-based initiatives to reduce injury and violence; distributed car seats and booster seats to 2,082 families and provided car seat consultations to 2,090 families; supported community-based bike rodeos and distributed bike helmets to promote injury prevention. Tobacco, Alcohol, and Substance Abuse: participated in national drug take-back days; provided community-based educational presentations on vaping and tobacco use; provided smoking cessation support for parents of children hospitalized at Children's Mercy. 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. Between 2021-2022, Children's Mercy received 67 requests that included 50 community/school events/health fairs and over 17 technical assistance/presentations/workshops/training services. Organizations receiving financial support from Children's Mercy include: Ability KC; AIDS Service Foundation of Greater Kansas City; American Heart Association; Angel Flight Central, Inc.; Big Brothers Big Sisters of Greater Kansas City; Bionexus KC; Black Health Care Coalition of Greater Kansas City; Boys and Girls Club of America; Children's Place; Children's Center for the Visually Impaired; Chrons and Colitis Foundation; Community Assistance Council; Community Services League; Child Protection Center; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance; Giving Hope and Help, Inc.; Grandparents for Gun Safety; HappyBottoms; Head for the Cure Foundation; Jackson County CASA; Junior League of Kansas City, Missouri; Kansas City Friends of Alvin Ailey; Kansas City Public Schools; Kansas City Hospice Foundation; Lead to Read, Inc.; Local Initiatives Support Corporation; Metropolitan Organization to Counter Sexual Assault; Missouri KidsFirst Child Advocacy Centers, Inc.; Newhouse, Inc.; Operation Breakthrough, Inc.; Ronald McDonald Charities; Rose Brooks Center; SAVE, Inc.; Sherwood Autism Center; Sunflower House, Inc.; Teach for America; Truman Heartland Community Foundation; Wichita's Little Heroes. 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. The priority needs identified were: child and youth mental health; access to health services; violence prevention; housing and neighborhood conditions. Priority health needs were selected based on the issue's importance to children's health, potential measurable impact if addressed, and Children's Mercy's ability to mitigate the issue with resources and personnel. The Children's Mercy Board of Directors approved the Priority Health Needs on June 15, 2022. The Priority Health Needs will receive heightened attention and support from Children's Mercy. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. For the tax year ended June 30, 2022, which is the time period reported in this Form 990, Children's Mercy addressed the significant health needs that were identified in its 2018 CHNA and in which the implementation strategy was adopted for fiscal years 2020, 2021 and 2022. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 11: The implementation strategy plan that covers the time period reported on this tax return was approved on October 15, 2019 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 2018 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsFrom 2021 to 2022, Children's Mercy continued to support program and efforts that addressed the 2019 CHNA identified priority health needs: Access to Care with a focus on Asthma; Improving Infant Health; Improving Mental/Behavioral Health; Addressing Nutrition/Physical Activity and Weight; Increasing Injury and Violence Prevention activities, Reducing Tobacco, Alcohol and Substance Abuse. The following highlights key programs and activities that address the priority health needs. Access to care with a focus on asthma key activities and programs: launched a school-based asthma telemedicine support program to better serve high-risk children living with asthma in three Kansas City schools; created online training modules for school nurses addressing school-based care for children living with asthma and diabetes; added asthma screening to community-based health fair events, reaching over 60 individuals; maintained an online daily pollen and spore count accessed by 17,500 unique visitors; launched COVID-19 testing program in the Kansas City, Missouri Public School District; Expanded Circulation transportation program to all clinical service at Children's Mercy Broadway and Operation Breakthrough locations, providing 2,179 rides between 2021 - 2022; Provided Project Adam education and training to create heart safe schools; Increased social determinants of health screenings and referral programs through the launch of the Lift Up KC community referral platform; expanded Athletic Training and support services to serve 10 schools and reaching 5,340 student athletes; expanded primary care services for children offered at Vibrant Health, a FQHC located in Wyandotte County, Kansas; supported the Community Health Council of Wyandotte County to expand health insurance coverage and the availability of community health workers; provided health services at clinics located at Synergy Services, University Academy, and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources. Mental and behavioral health: developed a mental and behavioral health strategic plan to create greater access, developed new partnerships, and expanded mental and behavioral health services for children in the region; provided education to 230 parents and caregivers of children who have experienced stressful or traumatic events in their lives; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching 21,766 students, parents, teachers, and community members; offered acute mental health screening in emergency department; expanded the Prepped & Ready parenting video education series to reach 371 parents and caregivers; hired community outreach staff to develop new partnerships and strengthen community-based mental health services. Infant health: Continued support to Promise 1000 and TIES home visiting services reaching 509 parents and children; participated in community baby shower events in partnership with the Kansas City Black Healthcare Coalition; provided financial support to efforts led by community-based organizations including Uzazi Village, Nurture KC, Every Baby to One, and Cradle KC to expand outreach, services, and education to pregnant and parenting families; expanded availability of safe sleep education and portable cribs to area agencies. Nutrition, physical activity, and weight: convened and partnered with community-based organizations through the Kansas City Physical Activity Plan; continued support of the Kids Eat Free summer foods program; established a food pantry at Children's Mercy Broadway; established a Girls on the Run program; continued maintenance of the Children's Mercy Community Garden, serving 200 community members; facilitated a weight management evening group reaching 841 parents and children; established the Fruits and veggie Connect program. Injury and violence prevention: continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established the Community Outreach & Violence Response (COVER) program in the emergency department to serve as an intervention and support resource for families impacted by violence, reaching over 71 families between 2021 - 2022; continued to distribute gun locks; provided financial support to the Ad Hoc Group Against Crime, Mothers in Charge, Grandparents Against Gun Violence, and Charlie's House to support community-based initiatives to reduce injury and violence; distributed car seats and booster seats to 2,082 families and provided car seat consultations to 2,090 families; supported community-based bike rodeos and distributed bike helmets to promote injury prevention. Tobacco, Alcohol, and Substance Abuse: participated in national drug take-back days; provided community-based educational presentations on vaping and tobacco use; provided smoking cessation support for parents of children hospitalized at Children's Mercy. 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. Between 2021-2022, Children's Mercy received 67 requests that included 50 community/school events/health fairs and over 17 technical assistance/presentations/workshops/training services. Organizations receiving financial support from Children's Mercy include: Ability KC; AIDS Service Foundation of Greater Kansas City; American Heart Association; Angel Flight Central, Inc.; Big Brothers Big Sisters of Greater Kansas City; Bionexus KC; Black Health Care Coalition of Greater Kansas City; Boys and Girls Club of America; Children's Place; Children's Center for the Visually Impaired; Chrons and Colitis Foundation; Community Assistance Council; Community Services League; Child Protection Center; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance; Giving Hope and Help, Inc.; Grandparents for Gun Safety; HappyBottoms; Head for the Cure Foundation; Jackson County CASA; Junior League of Kansas City, Missouri; Kansas City Friends of Alvin Ailey; Kansas City Public Schools; Kansas City Hospice Foundation; Lead to Read, Inc.; Local Initiatives Support Corporation; Metropolitan Organization to Counter Sexual Assault; Missouri KidsFirst Child Advocacy Centers, Inc.; Newhouse, Inc.; Operation Breakthrough, Inc.; Ronald McDonald Charities; Rose Brooks Center; SAVE, Inc.; Sherwood Autism Center; Sunflower House, Inc.; Teach for America; Truman Heartland Community Foundation; Wichita's Little Heroes. 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. 10 1 - Children's Mercy Wichita Clinic 3243 E Murdock Suite 201 Wichita KS 67208 Outpatient Clinics 2 - Children's Mercy Village West 1801 N 98th Street Kansas City KS 66109 Rehabilitation 3 - Children's Mercy at KU Hospital 2000 Olathe Boulevard Kansas City KS 66103 Outreach Clinic 4 - Children's Mercy Joplin Clinic 3333 McIntosh Circle Suite 6 Joplin MO 64804 Outpatient Clinics 5 - Children's Mercy St Joseph 802 N Riverside Rd Suite 105 St Joseph MO 64502 Outpatient Clinics 6 - Children's Mercy Outreach Garden City 311 E Spruce St Garden City KS 67846 Outreach Clinic 7 - Children's Mercy Outreach Junction City 361 Grant Ave Junction City KS 66441 Outreach Clinic 8 - Children's Mercy Olathe 20333 W 151st St Olathe KS 66061 Outpatient Clinics 9 - Children's Mercy Outreach Great Bend 1021 Einsenhower Ave Great Bend KS 65730 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 FY22, over 115,000 children were reached through clinical services classified as Subsidized Health Services. Subsidized health services included pediatric primary care clinics at Children's Mercy Broadway as well as community-based clinics located at Synergy Services (youth-serving agency), Operation Breakthrough (early childhood center) and at University Academy (K-12 charter school). Other subsidized health services include: adolescent medicine; burn unit outpatient; child adversity & resilience; child & family mental health services; Center for Healthy Lifestyles and Nutrition; developmental & behavioral medicine; general pediatrics; genetics; hematology/oncology; home health; neonatology follow up; ophthalmology; pain management; palliative care outpatient; sexual assault nursing education program; teen clinic; critical care transport services. The services are provided at a financial loss to Children's Mercy after removing Charity Care, unreimbursed Medicaid, private insurance shortages and contract, grants and 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 I, Line 7H: Children's Mercy researchers strive to find better ways to prevent, treat and eliminate pediatric disease and to improve community-based health outcomes. In FY22, over 477 studies met Community Benefit criteria. The Children's Research Institute is creating an integrated research environment where no boundaries exist between science and medicine. The hospital's leadership in pediatric genomic medicine and clinical pharmacology is driving research and innovation in nephrology, cardiology, cancer treatment and other subspecialties to provide answers for the most difficult cases and challenging pediatric conditions. In addition, a dedicated, state-of-art biorepository that can advance diagnostic discovery and health outcomes is available for use by all researchers. Part II, Community Building Activities: The Children's Mercy community building activities address identified community health needs such as physical activity, poverty, access to health services, mental and behavioral health, and employment. The 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, facilitation of the UMKC Health Sciences District, establishment of the Health Sciences District Community Improvement District (CID), the management of a community garden, advocacy activities, participation on Chamber of Commerce committees related to health improvement, health careers exploration activities for elementary students through support of Junior Achievement BizTown, and healthcare workforce development for high school students and community members. Part III, Line 4: Audited Financial Statements Footnote M, Page 13. 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 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 serves over 230,000 children from across the states of Kansas and Missouri. In Kansas 102 counties and in Missouri 114 counties have federally designated primary care HPSA areas. Across the two states, Children's Mercy identifies 43 counties as the Outreach Service Area, 50 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. All five counties have primary care HPSA designations. Children's Mercy is the only 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, 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 West, Children's Mercy Northland, Children's Mercy Broadway, Children's Mercy College Boulevard, Children's Mercy Olathe, Children's Mercy Blue Valley, Children's Mercy at The University of Kansas Hospital, 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 provides funding and partnership to over 75 community organizations and efforts that support programs addressing the CHNA priority health needs. Organizations include: Operation Breakthrough; Reach Out and Read; Black Health Care Coalition; Happy Bottoms; Community Health Council of Wyandotte County; Northland Health Alliance; Uzazi Village; Boys and Girls Clubs of Greater KC; Teach for America; Local Initiatives Support Corporation; Front Porch Alliance; Big Brothers Big Sisters of Greater Kansas City; AIDS Service Foundation of Greater Kansas City; Vibrant Health Services; Greenline Foundation; and Ronald McDonald House Charities of Kansas City. Through the Kansas City Physical Activity Plan, Children's Mercy convened 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;support the mental health of children; service on key community committees (i.e. Infant and Child Mortality review boards). Children's Mercy works closely with area school districts to support education, risk mitigation practices, testing and vaccination. Part VI, Line 6: The Children's Mercy Hospital is not part of an affiliated health care system. 1 American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)3 21540 0 To support vaping prevention, healthy living and physical activity activities and education for children and youth in Wichita and Kansas City region. Vibrant Health- Turner Health Clinic 12 North 12th Street Suite 300 Kansas City KS 66102 481151382 501(c)3 893716 0 To support access to care. Community Health Council of Wyandotte County 803 Armstrong Ave Kansas City KS 66101 010674969 501(c)3 17500 0 To support efforts to improve access to care for Wyandotte County residents. Kansas University Endowment PO Box 928 Lawrence KS 66044 480547734 501(c)3 5500 0 Support annual health equity conference and Medical Student Association. Greenline Foundation 3230 Benton Boulevard Kansas City MO 64128 852704983 501(c)3 200000 0 To support housing options for families living in central Kansas City. Ronald McDonald House Charities 2502 Cherry St Kansas City MO 64108 431190760 501(c)3 103620 0 To increase access to care by providing housing for families. RareKC Foundation 10708 West 129th Street Overland Park KS 66213 823511792 501(c)3 25000 0 To support education, awareness, and research on rare diseases. Camps for Kids 5913 Woodson Road Mission KS 66202 431244326 501(c)3 19315 0 o support summer camp for children, includes Camp Systole and Camp ChiMer. Boys and Girls Clubs of Greater Kansas City 4001 Dr Martin Luther King Jr Blvd Kansas City MO 64130 436072065 501(c)3 18500 0 To support physical activity and social emotional health programs for children. Operation Breakthrough 3039 Troost Kansas City MO 64109 430971560 501(c)3 12174 0 To support programs for children. Amethyst Place 2735A Troost Kansas City MO 64109 431887442 501(c)3 10000 0 To support the development of a playground. Black Health Care Coalition 6400 Independence Ave Kansas City MO 64125 431515095 501(c)3 10000 0 To support outreach to pregnant women and new parents. Burns Recovered Support Group 6220 South Lindberg BoulevardSuite 203 St Louis MO 63123 431412215 501(c)3 10000 0 To support summer camp opportunities for children. Food Equality Initiative 300 East 39th Street Kansas City MO 64111 472377396 501(c)3 10000 0 To address food insecurity. Uzazi Village 4232 Troost Kansas City MO 64110 460589830 501(c)3 10000 0 To support black women in achieving healthy birth outcomes. Arthritis Foundation 1355 Peachtree St NE Suite 600 Atlanta GA 30309 581341679 501(c)3 8500 0 To support Camp Joint Adventure and education and awareness. UMKC Foundation 5115 Oak Street Kansas City MO 64112 260840496 501(c)3 8250 0 To support medical school education. March of Dimes Foundation 1550 Crystal Drive Suite 1300 Arlington VA 22202 131846366 501(c)3 7500 0 To support pregnant women and infants. Midwest Hemophilia Association 1471 West South Street Suite F Ozark MO 64134 431595395 501(c)3 7500 0 To support summer camp opportunities for children. Community Assistance council 10901 Blue Ridge Boulevard Kansas City MO 64134 237439079 501(c)3 7000 0 o support agency in addressing SDOH Community Services League 404 North Noland Road Independence MO 64050 430976396 501(c)3 7000 0 To support agency in addressing SDOH. Duke University PO Box 104132 Durham NC 27708 560532129 501(c)3 164464 0 Research H Lee Moffitt Cancer Center 12902 Magnolia Dr Tampa FL 33612 592451713 501(c)3 9540 0 Research Midwest Biomedical Research PO Box 300662 Kansas City MO 64130 431496422 181413 0 Research Illumisoft LLC 1111 Main Street Kansas City MO 64105 823165111 21987 0 Research CYFT Incorporated 222 Third Street Suite 1130 Cambridge MA 02142 473547678 1176250 0 Research University of Alabama 701 20th Street S Birmingham AL 35294 636005396 501(c)3 8358 0 Research Washington University 700 Rosedale Avenue Saint Louis MO 63112 430653611 501(c)3 6827 0 Research Kansas University Endowment Association PO Box 928 Lawrence KS 66044 480547734 501(c)3 240000 0 Research Albert Einstein College of Medicine 1300 Morris Park Ave Bronx NY 10461 830621846 88953 0 Research University of North Carolina at Chapel Hill PO Box 402420 Atlanta GA 30384 566001393 501(c)3 113390 0 Research San Diego State University Foundation 5250 Campanile Drive San Diego CA 92182 956042721 108672 0 Research KU Hospital Authority 3901 Rainbow Blvd Kansas City KS 66160 481202402 GOVT 35000 0 Research University of Miami PO Box 248106 Coral Gables FL 33124 590624458 501(c)3 242527 0 Research University of Illinois 506 South Wright Street Urbana IL 61801 376000511 501(c)3 52688 0 Research CHOP Children's Hospital of Philadelphia 3401 Civic Center Blvd Philadelphia PA 19104 231352166 501(c)3 144466 0 Research EMORY Genetics Medical Research Pediatrics 1760 Haygood Drive NE Suite W440C Atlanta GA 30322 580566256 501(c)3 25597 0 Research University of Chicago 5801 South Ellis Ave Chicago IL 60637 362177139 501(c)3 270588 0 Research University of Pittsburgh 500 Ross Street Pittsburg PA 15262 250965591 501(c)3 13906 0 Research University of Wisconsin 465 Henry Mall Madison WI 53706 391805963 501(c)3 13457 0 Research Dupont Hospital for Children Nemours Foundation 1600 Rockland Rd Wilmington DE 19803 590634433 501(c)3 58369 0 Research State of Kansas KUMC 3901 Rainbow Blvd Kansas City KS 66160 481124839 GOVT 23759 0 Research Oxford University Press 2001 Evans Road Cary NC 27513 986001062 176628 0 Research Children's Hospital Boston 300 Longwood Ave Boston MA 02115 042774441 501(c)3 6828 0 Research Huntsman Cancer Institute University of Utah 2000 Circle of Hope Salt Lake City UT 84112 876000525 501(c)3 13658 0 Research Adventhealth Centra Care 2600 Westhall Lane Maitland FL 32751 480637731 501(c)3 49503 0 Research University of Nebraska Medical Center 985045 Nebraska Medical Center Omaha NE 68198 470049123 GOVT 250480 0 Research Joslin Diabetes Center Inc One Joslin Place Boston MA 02215 042203836 119735 0 Research Wright State University 3640 Colonel Glen Highway Dayton OH 45435 310732831 GOVT 28588 0 Research Arkansas Children's Research Institute 13 Childrens Way Little Rock AR 72202 710694931 501(c)3 12000 0 Research Children's Research Institute 111 Michigan Ave NW Suite 5400 Washington DC 20010 521654453 501(c)3 42180 0 Research Medical College of Wisconsin 8701 Watertown Plank Rd Milwaukee WI 53226 390806261 501(c)3 19925 0 Research Oregon Health & Science 3181 SW Sam Jackson Park Rd AD201 Portland OR 97239 931176109 GOVT 18458 0 Research Seattle Children's Hospital 4800 Sand Point Way NE Seattle WA 98105 910564748 501(c)3 38741 0 Research Regents UCSF 1955 Folsom Street San Francisco CA 94143 946036493 501(c)3 12200 0 Research University of California 9500 Gilman Dr La Jolla CA 92093 330833316 501(c)3 22511 0 Research University of New Mexico 1 University of New Mexico Albuquerque NM 87131 856000642 GOVT 22318 0 Research Cincinnati Children's Hospital 3333 Burnet Avenue Suite 330 Cincinnati OH 45229 310833936 501(c)3 55131 0 Research Stanford Junior University 3145 Porter Dr Palo Alto CA 94304 941156365 501(c)3 6593 0 Research KU Center for Research KUCR 2385 Irving Hill Road Lawrence KS 66045 480680117 501(c)3 77471 0 Research Vanderbilt Medical Center Dept AT 40379 Atlanta GA 31192 352528741 501(c)3 18635 0 Research KUMC Research Institute Inc 3901 Rainbow Blvd Kansas City MO 66160 481108830 501(c)3 459989 0 Research University of Missouri UMKC KCUR 118 University Hall Columbia MO 65211 436003859 GOVT 253175 0 Research Cleveland Clinic 9500 Euclid Avenue NA-4 Cleveland OH 44195 340714585 501(c)3 11751 0 Research Research Institute at Nationwide Children's Hospital 700 Childrens Drive Columbus OH 43205 316056230 501(c)3 7000 0 Research 59 6 Patient Financial Assistance 105823 0 111404525 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 recipient 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 Grants (R&G) Accounting monitors these invoices to ensure proper coding to the correct award. The R&G 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 R&G 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 (formerly A-133) audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for making sure that for all subrecipients that are required submit Uniform Guidance audits and that CMH has received an audit report. 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 0 0 0 0 0 0 0 0 Paul D Kempinski MS FACHE Director; President & CEO 1115317 0 426440 0 24219 0 21750 0 21192 0 1608918 0 0 0 James O'Brien Jr MD Physician 1530430 0 0 0 23002 0 26100 0 20511 0 1600043 0 0 0 William Douglas MD Physician 1479300 0 0 0 23002 0 21750 0 20529 0 1544581 0 0 0 Chad Mills Sr VP, CIO; End 10/23/21 410126 0 116119 0 489808 0 14705 0 17945 0 1048703 0 0 0 Shawn St Peter MD SVP/Surgeon-in-Chief;ChairDeptOfSurg 866216 0 82105 0 20335 0 21750 0 21684 0 1012090 0 0 0 Thomas Curran PhD SVP, CSO, Executive Director-CMRI 734418 0 132510 0 27513 0 24875 0 8703 0 928019 0 0 0 David Cauble EVP & CFO; End 2/18/22 612787 0 205627 0 20742 0 18850 0 22184 0 880190 0 0 0 John Gatti MD Physician 775464 0 0 0 21847 0 26100 0 21684 0 845095 0 0 0 Charles Snyder MD Physician 780125 0 0 0 24244 0 26100 0 14229 0 844698 0 0 0 Robert Lane MD EVP & Physician-in-Chief 576309 0 195831 0 22977 0 8700 0 20529 0 824346 0 0 0 Robin Foster JD EVP, General Counsel 568821 0 170258 0 26358 0 26100 0 21684 0 813221 0 0 0 Robert Steele MD EVP & Chief Strategy/Innovation Off. 559865 0 189300 0 20742 0 11917 0 21684 0 803508 0 0 0 Jodi Coombs MBA BSN RN EVP & COO 556203 0 186351 0 20742 0 13875 0 9870 0 787041 0 0 0 Alex Daneshmand DO MBA EVP & Chief Quality Officer 342273 0 154173 0 72346 0 6231 0 13623 0 588646 0 0 0 Thomas Wright EVP & Chief HR Officer 404660 0 76697 0 24796 0 8700 0 8678 0 523531 0 0 0 Jennifer Kingry Interim CFO; Start 2/19/22 295591 0 73695 0 18948 0 18850 0 21556 0 428640 0 0 0 Douglas Swanson MD Director 208323 0 8365 0 20505 0 20250 0 1137 0 258580 0 0 0 Part I, Line 4a Included in the compensation of Chad Mills is $489,228 of severance following termination of employment. 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 8690000 148207195 638217 147568978 0 1 1 1 B 133764094 1224610 132404922 134562 0 0 0 1 C 11191000 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 1 0 1 0 0 0 0 1 B 0 1 0 1 0 0 0 0 1 C 0 1 1 1 1 0 0 0 1 D 0 1 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 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. John Barth Son of Director Kevin Barth 57737 Employment 0 Francesca Barth Daughter-in-law of Director Kevin Barth 61813 Employment 0 Chandra Swanson Daughter of Director Douglas Swanson 84304 Employment 0 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1161488 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 155889 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1006125 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1109563 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 664157 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1028194 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 5598452 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 865353 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 1201888 Payment for FMV of Services Provided 0 Substantial Contributor Substantial Contributor 5424060 Payment for FMV of Services Provided 0 X 6 5809 FMV X 3709 X 28 405099 FMV X 23 115896 FMV X Miscellaneous 21 27514 FMV X Jewelry 3 8510 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: Change in benefit obligation 252,559. Change in interest rate swap valuation 3,729,247. Net Unrealized Change in Income Beneficiary and Charitable Remainder Trusts -8,689,506. Unrealized Loss on Equity Investments -241,164,697. CMH Insurance Company LLC 2401 Gillham Road Kansas City MO 64108 Insurance for The Children's Mercy Hospital MO -4680 10407939 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 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's Family Health Partners Inc 2420 Pershing Kansas City MO 64108 431726517 Integrated health insurance benefits care system MO 501(C)(3) line 9 The Children's Mercy Hospital 1 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 10254953 77011806 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 640 3157165 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 -4856 1506007 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 -17831 1460864 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 3261 819256 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 66384 635100 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 2353 190380 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 57948 338978 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 66728 541113 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 1818 1012079 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 22186 1960684 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 102295 403722 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 -5308 1055386 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 33788 1411151 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 -3188 2306610 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 7057362 Book Children's Mercy Integrated Care Solutions J 303554 Book Children's Mercy Integrated Care Solutions L 1062000 Book Children's Mercy Integrated Care Solutions P 409842 Book Children's Mercy Integrated Care Solutions Q 16332 Book Children's Mercy Integrated Care Solutions S 216040410 Book Children's Mercy- Cockerell & McIntosh Pediatrics Inc D 100000 Book Book Children's Mercy- Pediatric Associates Inc A 1612 Book Children's Mercy- Cass County Pediatrics and Adolescents Inc A 4056 Book Children's Mercy- Cradle thru College Care Inc A 1058 Book Children's Mercy- Health Care for Children Inc A 54 Book Children's Mercy- Leawood Pediatrics Inc A 5317 Book Children's Mercy- Cockerell & McIntosh Pediatrics Inc A 111 Book Children's Mercy- Community Choice Pediatrics Inc A 23626 Book