2026-05-11T15:50:43+00:00 2025-06-30 135565207 KPMG LLP 191 West Nationwide Blvd Suite 500 Columbus OH 432152568 990 2024-07-01 440605373 The Children's Mercy Hospital CHIL 8162343000 2401 Gillham Road Kansas City MO 64108 James Simaras Senior VP & CFO 8162343000 2026-05-11 true Mollie Longhouse P00294881 6142492300 2026-05-11 2024 2025-03-06 01:10:19Z James Simaras 2401 Gillham Road Kansas City MO 64108 2342915078 false X www.childrensmercy.org X 1901 MO Excellence in healthcare for children 16 12 10248 1105 3443004 469433 98900171 92394142 1827481936 2010436901 104903000 147290592 44783767 90870021 2076068874 2340991656 78033055 156774759 0 0 1074303229 1139058874 705193 509341 8439947 661330283 710131568 1814371760 2006474542 261697114 334517114 3348948694 3795083283 669396243 693695421 2679552451 3101387862 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. false false 1433901754 152512435 2098943515 All expenses for program services relate to providing healthcare. There was a total of 390 licensed beds and 203,844 adjusted patient days during the year from 14,807 admissions. Outpatient visits totaled 585,160 which includes 50,803 primary care visits, 91,051 urgent care visits, 95,187 emergency department visits and 348,119 specialty clinic visits. Telemedicine visits totaled 59,319 which includes both synchronous and asynchronous visits. There was a total of 21,482 surgical cases which includes 4,528 inpatient cases and 16,954 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. 107436459 4262324 0 Children's Mercy Hospital (CM) 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 CM 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, 2025 there were more than 823 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 $107 million in the year ended June 30, 2025 on research and per information from the NIH Reporter received more than $12.4 Million in NIH funding in this same time period. More than 700+ 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. 1541338213 true true false true false false false false false true true false false true true true false true false false true true false true true false true true true true true true true false false false false false false true true false true false false false true true true true false false true 632 0 true 10248 true true true false false false false true true false false false false true false X 16 12 false false false false false false false true true false false false true true true true true true true true true false X James Simaras 8162343000 2401 Gillham Road Kansas City MO 64108 Alejandro Quiroga MD MBA Director; President & CEO; Start 1/2/25 40.0 1.0 X X 0 0 0 Charlie Harris Secretary 1.5 0.0 X X 0 0 0 Diane Gallagher Chair 2.0 1.0 X X 0 0 0 Kevin Barth Vice Chair 1.5 0.0 X X 0 0 0 Paul Kempinski MS FACHE Director; President & CEO; End 1/2/25 40.0 1.0 X X 1760635 0 42433 Vince Clark Treasurer 2.0 0.0 X X 0 0 0 Ashley McClellan Director; Start 7/1/24 1.0 0.0 X 0 0 0 Bill Krueger Director 1.0 0.0 X 0 0 0 Christy Dempsey Director 1.5 0.0 X 0 0 0 Jeff Gehab Director 1.0 0.0 X 0 0 0 Jennifer Sauer MD Director 1.5 40.0 X 0 349746 10573 Jotishna Sharma MD DCH Med FAAP Director; Start 1/1/25 40.0 0.0 X 292007 0 26554 Kevin Bryant Director; Start 7/1/24 1.0 0.0 X 0 0 0 Mary Anne Queen MD FAAP Director; End 12/31/24 40.0 0.0 X 534518 0 53768 Olga Koper Director 1.5 0.0 X 0 0 0 Paul McLaughlin Director; Start 7/1/24 1.5 0.0 X 0 0 0 Terry Matlack Director 1.5 0.0 X 0 0 0 Walter Porter Director 1.0 0.0 X 0 0 0 Amy Fallon PhD MPH President of Regional Operations; Start 2/9/25 40.0 0.0 X 392312 0 23698 Douglas Rivard DO EVP & Physician-in-Chief; Start 9/8/24 40.0 0.0 X 804691 0 56190 James Simaras CPA MBA EVP & Chief Financial Officer 40.0 0.0 X 887838 0 77173 Jodi Coombs MBA BSN RN EVP & Chief Operating Officer; End 9/3/24 40.0 0.0 X 1161804 0 30891 Robert Steele MD MBA EVP & Chief Strategy & Innovation Officer 40.0 0.0 X 775499 0 88187 Robin Foster JD EVP, General Counsel; End 7/2/25 40.0 0.0 X 771146 0 48628 Stephanie Meyer MS-FNP RN NEA-BC EVP & Chief Nursing Exec/COO Acute Care; Start 2/8/25 40.0 0.0 X 563752 0 46661 Steven Leeder PharmD PhD EVP & Chief Scientific Officer; Start 2/9/25 40.0 0.0 X 508997 0 46790 Thomas Wright EVP & Chief Human Resources Officer; End 7/1/25 40.0 0.0 X 637851 0 47828 Jeanne James MD MBA FAAP Sr VP Chair, Department of Pediatrics 40.0 0.0 X 720382 0 55060 Jenea Oliver PhD Sr VP, Chief Development Officer 40.0 0.0 X 713181 0 49617 Shawn St Peter MD SVP; Chair, Department of Surgery 40.0 0.0 X 1190498 0 55523 Bhargava Mullapudi MD Physician; End 12/1/24 40.0 0.0 X 863404 0 46612 Edo Bedzra MD MBA Physician 40.0 0.0 X 989390 0 39973 James O'Brien Jr MD FACS Physician 40.0 0.0 X 1709538 0 54683 William Douglas MD Physician 40.0 0.0 X 1718527 0 50231 William Gibson DO Physician 40.0 0.0 X 1187862 0 47196 Jennifer Kingry CPA Former Interim CFO 40.0 0.0 X 434157 0 46107 Robert Lane MD Former EVP & Physician-in-Chief 40.0 0.0 X 266690 0 28213 18884679 349746 1072589 2499 true true false Qualivis LLC 5930 Cornerstone Court West Suite 300 San Diego CA 92121 Employment Agency 15727354 Marathon Health LLC 10 West Market Street Indianapolis IN 46204 Professional Services 10994167 Morrison Management Specialists Inc 400 Northridge Rd Suite 600 Sandy Springs GA 30350 Food Service 9882048 Sirius Computer Solutions LLC 200 North Milwaukee Avenue Vernon Hills IL 60061 IT Services 8904145 Kelly Construction Group Inc 4021 East 143rd Street Grandview MO 64030 Construction 7969034 561 270025 0 7442475 9519912 28311446 46850284 499511 92394142 Net Patient Services 621110 2010436901 2010436901 0 0 0 0 0 0 2010436901 147290592 0 66309 147224283 0 0 0 0 910134 7442475 1923422 -1013288 0 -1013288 Contract Revenue 900099 31540005 30151447 1388558 0 Late Claim Interest 900099 1366787 1366787 0 0 Gift Shop 455000 1718921 1718921 0 0 57257596 55269459 1988137 0 91883309 2340991656 2098943515 3443004 146210995 19446078 19446078 136964980 136964980 363701 363701 17118364 3188841 13929523 891106714 704229866 181114010 5762838 51053232 39741202 10959673 352357 118060324 92954426 24323878 782020 61720240 48044686 13249576 425978 4048991 183590 3865401 442321 106390 335931 525485 525485 509341 509341 199869597 76132895 123331490 405212 7549063 29605 7519458 3533119 287610 3245509 19876258 8734177 11014333 127748 8680424 6263673 2416751 10364481 10157730 206751 65580802 37841455 27664894 74453 32241127 25735938 6505189 Medical Supplies 242096702 238372586 3724116 State Medicaid Taxes 63994061 63994061 Inventory- Food Service 8677570 8234047 443523 Dues & Subscriptions 8079892 3811110 4268782 34571675 16519566 18052109 0 2006474542 1541338213 456696382 8439947 806571 342342 244432248 338274172 68906261 72205306 264646985 305043912 0 0 0 0 21097555 21540928 29617900 38099868 1539345792 747005219 745755026 792340573 1536116305 1755646552 94081617 102140979 25559461 35908733 317928765 333539918 3348948694 3795083283 213077281 231124190 277513490 269791535 0 0 178805472 192779696 669396243 693695421 2393829142 2821674417 285723309 279713445 2679552451 3101387862 3348948694 3795083283 X 334517114 9870857 77447440 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 525485 0 525485 0 148258704 0 148784189 0 1000000 0 250000 0 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 476094 374588 511132 525485 1887299 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 142250476 4960176 12413595 3291662 156332585 123046273 5464290 16063860 2323947 142250476 110013413 5456041 10209306 2632487 123046273 116845965 5907413 -10622207 2117758 110013413 79934240 14256948 24331407 1676630 116845965 0.6669 0.3331 false true true 28087513 28087513 1027634039 447929294 579704745 0 0 0 397834772 299075925 98758847 85789468 0 85789468 792340573 Other Assets 101278365 Income Beneficiary and Charitable Remainder Trusts 55115694 Restricted Investments 152663830 Right of Use Asset 23110896 Due from (due to) other funds 1371133 333539918 Federal Income Taxes Reserve for Prof. Liability Claims 67838219 Postretirement Medical Liability 92916895 Other Liabilities 6581176 Lease Liability 23993628 Long-term Obligation Under Capital Lease 1162384 Unearned Premiums 287394 192779696 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds 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. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote At June 30, 2025 and 2024, there were no uncertain tax positions. true Central America and the Caribbean 0 0 Program Services Travel for healthcare-related education and information sharing 42558 Europe (Including Iceland and Greenland) 0 0 Program Services Travel for healthcare-related education and information sharing 89353 North America (Canada & Mexico only) 0 0 Program Services Travel for healthcare-related education and information sharing 158624 Sub-Saharan Africa 0 0 Program Services Travel for healthcare-related education and information sharing 15714 Middle East and North Africa 0 0 Program Services Travel for healthcare-related education and information sharing 818 East Asia and the Pacific 0 0 Program Services Travel for healthcare-related education and information sharing 9191 South America 0 0 Program Services Travel for healthcare-related education and information sharing 13352 South Asia 0 0 Program Services Travel for healthcare-related education and information sharing 1588 North America (Canada & Mexico only) 0 0 Grantmaking 122291 Europe (Including Iceland and Greenland) 0 0 Grantmaking 88176 Sub-Saharan Africa 0 0 Grantmaking 153234 0 0 0 0 0 0 694899 0 694899 North America (Canada & Mexico only) Research 19849 Check 0 FMV North America (Canada & Mexico only) Research 43086 Check 0 FMV North America (Canada & Mexico only) Research 59356 Check 0 FMV Europe (Including Iceland and Greenland) Research 88176 Check 0 FMV Sub-Saharan Africa Research 153234 Check 0 FMV 3 2 true false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds 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 true TrueSense 502 Keystone Dr Warrendale PA 15086 Conducted annual giving campaigns; provided strategy, preparation, design, printing, mailing and analysis. false 1698744 408487 1290257 Donor Voice 11710 Plaza America Dr Reston VA 20190 Conducted annual giving campaigns; provided strategy, preparation, design, printing, mailing and analysis. false 174701 100854 73847 1873445 509341 1364104 CA CO CT DE DC FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY Gala/Auction 2946148 2438062 508086 375331 8000 435136 Event/Auction 5238616 4843223 395393 187734 870977 1 422016 415361 6655 46244 8606780 7696646 910134 563065 8000 1352357 1923422 -1013288 Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses TRUESENSE-PAYMENTS TO TRUESENSE DURING FY25 TOTALED $515,752. THIS AMOUNT INCLUDES $408,487 FOR CONSULTING SERVICES AND $107,265 OF FUNDRAISING EXPENSES. THE AGREEMENT DISTINGUISHES CONSULTING COSTS SEPARATE FROM ANY EXPENSE PAYMENTS OF REIMBURSEMENTS.;DONOR VOICE-PAYMENTS TO DONOR VOICE DURING FY25 TOTALED $109,200. THIS AMOUNT INCLUDES $100,854 FOR CONSULTING SERVICES AND $8,346 OF FUNDRAISING EXPENSES. THE AGREEMENT DISTINGUISHES CONSULTING COSTS SEPARATE FROM ANY EXPENSE PAYMENTS OF REIMBURSEMENTS.; true true X true X 300 false 2 103755 57192679 939351 56253328 0.02804 9 339415 841828810 683026075 158802735 0.07915 0 0.0 11 443170 899021489 683965426 215056063 0.10718 36 218617 21396949 3734979 17661970 0.00880 9 14611 55079678 17817792 37261886 0.01857 12 154007 81853589 25412292 56441297 0.02813 844 65330113 41087554 24242559 0.01208 4 15727 1144768 17427 1127341 0.00056 905 402962 224805097 88070044 136735053 0.06815 916 846132 1123826586 772035470 351791116 0.17533 3 202 154072 0 154072 0.00008 4 4 144952 0 144952 0.00007 0 0.0 0 0.0 1 1 56741 0 56741 0.00003 2 901 232837 40000 192837 0.00010 3 179 7904 0 7904 0.00000 16 3170 566172 140131 426041 0.00021 0 0.0 29 4457 1162678 180131 982547 0.00049 true 120334 0 3803413 4071931 -268518 X true true 2 1 Childrens Mercy Kansas 5808 W 110th Overland Park KS 66211 http://www.childrensmercy.org/ H-046-008 X X X X X Specialty Clinics a 2 The Childrens 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 a 2 false false true X X X X X X X X X 24 true false false true X www.childrensmercy.org/communityneeds X true 25 true www.childrensmercy.org/communityneeds false true X 300.0 0.0 X X X X X X X true true X X X true X www.childrensmercy.org/financialcounseling/ X Same as 16a X Same as 16a X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E The following areas represent the significant health needs of the community: mental health; health-related social needs; cognitive and behavioral conditions; access to health care services; nutrition, physical activity, and weight; injury and violence; prenatal and infant health; disabling conditions; tobacco and other substances; vision, hearing, and speech conditions. From this list of significant health needs, we prioritized four identified needs: mental health; access to community and school-based health care services; injury and violence prevention; health-related social needs. The prioritized 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 18, 2025. The significant health needs identified will receive heightened attention and support from Children's Mercy. Schedule H, Part V, Section B, Line 5 Facility a, 1 Facility a, 1 - Reporting Group A. Children's Mercy developed the most recent CHNA with input from persons who represent broad interests within the community. Data collection and analysis for the CHNA occurred between August 2024 and May 2025. During this time, Children's Mercy held activities and hosted meetings to solicit input and feedback from the community. Activities included: 23 community meetings with 135 total participants representing low-income households, youth, immigrants and refugees, health care and social service providers; 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 (29% response rate); a Children's Health Summit held March 25, 2025 that invited community representatives to review CHNA data and identify critical health needs (140 attended). Organizations participating in the CHNA surveys and events included: Blissful Beginnings Doula Services LLC; Blue Valley School District; Blue Valley Educational Foundation; Boys and Girls Club of Greater Kansas City; Bridging the Gao; Burrell Behavioral Health; Child Abuse Prevention Association; Center for Neighborhoods; Charlie's House; Child Protection Center; Children's Office, Missouri Department of Mental Health; Children's Services Fund of Jackson County; City of Independence; City of Kansas City; Clay County Children's Services Fund; CommCare; Community Action Agency of Greater Kansas City; Community Assistance Council; Community Capital Fund; Community Impact Solutions; Community Health Council of Wyandotte County; Community Mental Health Fund; Digital Health KC; Easterseals Midwest; El Centro, Inc.; First Call Grandparents for Gun Safety; Greater Kansas City Chamber of Commerce Growing Futures Early Education Center; Guadalupe Centers; Habitat for Humanity of Kansas City; Hall Family Foundation; Heartland Behavioral Health; Hispanic Chamber of Commerce; Hope House; Hoxie Collective; Ivanhoe Neighborhood Council; Jackson County CASA; Jewish Vocational Services; Johnson County Department of Health and Environment; Johnson County Mental Health; Kansas City, Kansas Public Schools; Kansas City Public Schools; Kansas City University; KC CARE Health Center; KVC Behavioral Healthcare Missouri, Inc.; Lewis and Clark Information Exchange; Love Fund for Children; Marion and Henry Bloch Family Foundation; Marlborough Community Coalition; Mattie Rhodes; Mid-America Regional Council; Mission Despegue; Newhouse; NKC Health; North Kansas City School District; Northland Health Alliance; Olathe Public Schools; Operation Breakthrough; OurSpot KC; Platte County Health Department; Plaza Academy; ReDiscover; Ronald McDonald House Charities; Safe Kids Johnson County; Saint Lukes BJC West; Samuel Rodgers Health Center; SAVE, Inc.; SchoolSmartKC; Seton Center; Shawnee Mission School District; Sunflower Health Plan; Sunflower House, Inc.; Swope Health; Synergy Services; The Family Conservancy; The Guidance Center; The Kansas City Black Mental Health Initiative; Uncornered; United Way of Greater Kansas City; University Health; University of Kansas; Urban Neighborhood Inititaive; Variety KC; WeDevelopment Credit Union; Wildwood Outdoor Education Center; Wyandot Behavioral Health Network, Inc.; Youth Ambassadors. The CHNA provides a comprehensive list of all organizations and specifics on the data collection process. Children's Mercy's 2025 - 2028 Implementation Plan was adopted by the Children's Mercy Board of Directors on October 1, 2025. For the tax year ended June 30, 2025, which is the time period reported in the Form 990, Children's mercy addressed the significant health needs that were identified in its fiscal year 2022 CHNA and in which the implementation strategy was adopted for fiscal years 2023, 2024 and 2025. Schedule H, Part V, Section B, Line 11 Facility a, 1 Facility a, 1 - Reporting Group A. The implementation strategy plan that covers the time period reported on this tax return 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/communityneeds No 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; 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; continued 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 that have received financial support from Children's Mercy during FY25 include: Ability KC; Advent Health Foundation; AIDS Service Foundation of Kansas City; Alison's Angels' American Foundation for Suicide Prevention; American Heart Association (Wichita); American Lung Association; Amethyst Place; Angelman Syndrome Foundation; Arthritis Foundation; Association of Fundraising Professionals Greater Kansas City Chapter Awesome Ambitions; Big Brothers Big Sisters Kansas City; Black Achievers Society of Greater Kansas City; Boys & Girls Clubs of Greater Kansas City; Braden's Hope for Childhood Cancer; Breakthrough T1D; Burns Recovered Support Group; Calvary Community Outreach Network; Camp Quality USA, Inc.; Cass Regional Medical Center Foundation; Child Protection Center; Children's Center for the Visually Impaired; Children's Place; Community Assistance Council; Community Health Council of Wyandotte County; Congenital Heart Defects Families Association; Cooper Davis Memorial Fund; Cristo Rey Kansas City; Crohn's & Colitis Foundation; Cystic Fibrosis Foundation; Delta Educational and Economic Development; Disabled But Not Really Foundation; Dream Factory of Greater Kansas City; El Centro; Epilepsy Foundation of Missouri and Kansas; Erin Andra Wilson Foundation; Farmer's House; First Tee of Greater Kansas City; Foundation Fighting Blindness; Friends of Johnson County Mental Health; Friends of the Kansas City Zoo; Gift of Life; Giving Hope & Help; Grandparents for Gun Safety; Greater Kansas Coalition to End Homelessness; Guadalupe Centers; Habitat for Humanity of Kansas City; Happy Bottoms; Head for the Cure Foundation; Health Partnership Clinic; High Aspirations; Hope Kids Kansas City; Jewish Community Relations Bureau; Jewish Family Services of Greater Kansas City; Jewish Vocational Service Bureau of Kansas City; Johnson County Community College Foundation; Junior Achievement; Junior League of Kansas City; Kansas Black Leadership Council; Kansas City Black Mental Health Initiative; Kansas City Friends of Alvin Ailey; Kansas City Metropolitan Bar Association; Kansas City Pride Community Alliance; Kansas City Public Schools Education Foundation; Kansas Emergency Medical Services Association; Kansas University Endowment Association; Kids TLC; Kids with Courage Foundation; KVC Health Systems Foundation; Lead to Read; Linda Hall Library; Local Initiatives Support Corporation; Love Fund for Children; Maddie's Mission Foundation; Marlene's Kaleidoscope; Mattie Rhodes; Marcy Health Foundation; Metropolitan Community College Foundation; Metropolitan Council of Community Mental Health Centers; Metropolitan Organization to Counter Sexual Assault; Mid-America LGBT Chamber of Commerce; Mid-America Nazarene University; Midwest Foster Care and Adoption; Mission Project; Missouri Kids First Advocacy Center; Missouri Network Against Child Abuse; National Kidney Foundation; Newhouse; Noah's Bandage Project; Nonprofit Connection; NKC Health; North Kansas City Schools Education Foundation; Northland Coalition; Northland Health Alliance; Nurture KC; Olathe Public Schools Foundation; Operation Breakthrough; OurSpot KC; Park Hill School District Education Foundation; Piper Educational Foundation; Police Foundation of Kansas City; Ronald McDonald House Charities; Rose Brooks Center; Safe Kids Kansas; SAVE, Inc.; Seven Days; Shadow Buddies Foundation, Inc.; Shawnee Mission Education Foundation; Sheffield Place; Sherwood Autism Center; Show Me KC Schools; Sisters in Christ; Suburban Balance; Sunflower House; Support Kids Foundation; Synergy Services; Temple Made Fitness; Truman Heartland Community Foundation; United Way of Greater Kansas City; United We Women's Foundation; University Health Foundation; University of Missouri - Kansas City Foundation; Urban Community Connections; Urban Neighborhood Initiative; Variety of Greater Kansas City; Vibrant Health; Victory Project; Wichita State University; Wichita's Littlest Heroes; Wonderscope; Wyandotte Behavioral Health Network. Schedule H, Part V, Section B, Line 13 Facility a, 1 Facility a, 1 - Reporting Group A. The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status. Schedule H, Part V, Section B, Line 13 Facility a, 1 Facility a, 1 - Reporting Group A. Patients seeking care at organization with out of network insurance plans are not eligible for charity care. Schedule H, Part V, Section B, Line 20 Facility a, 1 Facility a, 1 - Reporting Group A. 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 Childrens Mercy Wichita Clinic 3243 E Murdock Suite 201 Wichita KS 67208 Outpatient Clinics Childrens Mercy Village West 1801 N 98th Street Kansas City KS 66109 Rehabilitation Childrens Mercy Topeka 909 Mulvane St Topeka KS 66606 Outpatient Clinics Children's Mercy Springfield 1135 E Lakewood St 104 Springfield MO 65807 Outpatient Clinics Childrens Mercy St Joseph 802 N Riverside Rd Suite 105 St Joseph MO 64502 Outpatient Clinics Childrens Mercy Joplin Clinic 3333 McIntosh Circle Suite 6 Joplin MO 64804 Outpatient Clinics Childrens Mercy at KU Hospital 2000 Olathe Boulevard Kansas City KS 66103 Outreach Clinic Childrens Mercy Outreach Junction Ci 361 Grant Ave Junction City KS 66441 Outreach Clinic Childrens Mercy Outreach Great Bend 1021 Einsenhower Ave Great Bend KS 65730 Outreach Clinic Childrens Mercy Outreach Springfield 1000 E Primrose Suite 300 Springfield MO 65807 Outreach Clinic Schedule H, 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. Schedule H, Part III, Line 8 Cost to charge ratio Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care Free care eligibility is based on FPG and other factors including 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. Schedule H, Part I, Line 7g Subsidized Health Services In FY25, over 154,000 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. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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 7g (Subsidized Health Services). Schedule H, 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Audited Financial Statements Footnote 2(n), Page 13. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate. Schedule H, Part V, Section B, Line 16a FAP website a - Children's Mercy Kansas: Line 16a URL: www.childrensmercy.org/financialcounseling/; a - The Children's Mercy Hospital: Line 16a URL: www.childrensmercy.org/financialcounseling/; Schedule H, Part V, Section B, Line 16b FAP Application website a - Children's Mercy Kansas: Line 16b URL: Same as 16a; a - The Children's Mercy Hospital: Line 16b URL: Same as 16a; Schedule H, Part V, Section B, Line 16c FAP plain language summary website a - Children's Mercy Kansas: Line 16c URL: Same as 16a; a - The Children's Mercy Hospital: Line 16c URL: Same as 16a; Schedule H, Part VI, Line 2 Needs assessment 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's strategic planning process also takes into account all of the qualitative and quantitative market data to define strategies and tactics that address the community needs. 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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; hospital website posts the financial assistance policy. Schedule H, Part VI, Line 4 Community information 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 University of Kansas Medical Center, St. Luke's Health System, Centerpoint, Liberty Hospital, NKC Health, Research Medical Center, Advent Health, University Health, 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 67 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 1,863,379. Of these, 447,225 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. Black and Hispanic children living in poverty are disproportionately represented compared to their total population in each of the five assessed counties. Schedule H, Part VI, Line 5 Promotion of community health 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. true Ability KC 3011 Baltimore Avenue Kansas City MO 64108 440552045 501(c)(3) 10000 To support access to health care services Boys & Girls Clubs of Greater Kansas City 4001 Dr Martin Luther King Jr Blvd Kansas City MO 64130 436072065 501(c)(3) 18250 To support physical activity and social emotional health programs for children Braden's Hope for Childhood Cancer 15954 Murlen 124 Olathe KS 66062 273519273 501(c)(3) 12000 To support access to health care services Burns Recovered Support Group 6220 South Lindbergh Suite 203 St Louis MO 63123 431412215 501(c)(3) 10000 To support access to health care services Community Health Council of Wyandotte County 803 Armstrong Avenue Kansas City KS 66101 010674969 501(c)(3) 18000 To support community health programs Congenital Heart Defects Families Association 615 Northeast 94th Terrace Kansas City MO 64155 200391453 501(c)(3) 10000 To support access to health care services Crohn's & Colitis Foundation 733 Third Avenue Suite 510 New York NY 10016 136193105 501(c)(3) 4500 To support access to care by providing transportation assistance First Tee of Greater Kansas City 9401 Nall Avenue Suite 102 Prairie Village KS 66207 431532215 501(c)(3) 50000 To support youth development initiatives Head for the Cure Foundation 1607 Oak Street Kansas City MO 64108 208345719 501(c)(3) 5500 To support services to children experiencing a head injury Jewish Vocational Service Bureau of Kansas City 4600 The Paseo Boulevard Kansas City MO 64110 440545994 501(c)(3) 6000 To support mental health initiatives Junior Achievement of Greater Kansas City 2842 West 47th Avenue Kansas City KS 66103 440604809 501(c)(3) 110000 To support youth development initiatives Kids TLC 480 South Rogers Road Olathe KS 66062 480774593 501(c)(3) 7020 To support mental health initiatives KVC Health Systems Foundation 21350 West 153rd Street Olathe KS 66061 262516589 501(c)(3) 10000 To support access to health care services Lead to Read 31 West 31st Street Kansas City MO 64108 821256215 501(c)(3) 12500 To support programs for children Metropolitan Council of Community Mental Health Centers 3100 NE 83rd Street Suite 1001 Kansas City MO 64119 832063878 501(c)(3) 10000 To support mental health initiatives Missouri Network Against Child Abuse 521 Dix Road Suite C Jefferson City MO 65109 270124900 501(c)(3) 7500 To support child advocacy centers National Kidney Foundation 30 East 33rd Street New York NY 10016 131673104 501(c)(3) 20000 To support access to health care services Ronald McDonald House Charities 2502 Cherry Street Kansas City MO 64108 431190760 501(c)(3) 87120 To support access to health care services Synergy Services 400 E 6th Street Parkville MO 64152 430970674 501(c)(3) 6000 To support homeless prevention and housing services Variety of Greater Kansas City 4050 Pennsylvania Avenue Kansas City MO 64111 237431670 501(c)(3) 5500 To support children with special needs Vibrant Health Turner House Clinic 21 North 12th Street Kansas City KS 66102 481151382 501(c)(3) 10000 To support access to health care services Community Health Council of Wyandotte County 803 Armstrong Avenue Kansas City KS 66101 010674969 501(c)(3) 6037 Research Emory Genetics Medical Research Pediatrics 1760 Haygood Drive Northeast Suite Atlanta GA 30322 580566256 501(c)(3) 61593 Research University of Kansas Medical Center WS 203 MS 2035 Kansas City MO 64141 481124839 Govt 62022 Research Medical College of Wisconsin Inc 8701 Watertown Plank Road Milwaukee WI 53226 390806261 501(c)(3) 16566 Research NYH CUMC Pathologists Weill Medical College of Cornell 1300 York Avenue New York NY 10065 131623978 501(c)(3) 45975 Research Oregon Health And Science University 3181 SW Sam Jackson Park Road Portland OR 97239 931176109 Govt 51467 Research Seattle Children's Research Inst Seattle Children's Hosp 4800 Sand Point Way NE Seattle WA 98105 910564748 501(c)(3) 32067 Research Stowers Institute for Medical Research 1000 East 50Th Street Kansas City MO 64110 202993509 501(c)(3) 136588 Research University of Alabama at Birmingham 801 5th Avenue South Room 251 Birmingham AL 35233 636005396 501(c)(3) 11866 Research University of Kansas Hospital Authority 3901 Rainbow Blvd Kansas City KS 66160 481202402 Govt 20000 Research KUCR University of Kansas Center For Research Inc 2385 Irving Hill Road Lawrence KS 66045 480680117 501(c)(3) 123299 Research Regents of The University of Michigan 5082 Wolverine Tower Ann Arbor MI 481091287 386006309 Govt 26079 Research University of New Mexico 1 University of New Mexico MSC01 13 Albuquerque NM 87131 856000642 Govt 35597 Research University of Pittsburgh Commonwealth Sys of Higher Ed PO Box 640458 Pittsburgh PA 15264 250965591 501(c)(3) 50307 Research University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive San Antonio TX 782293900 741586031 501(c)(3) 11674 Research University of Wisconsin 465 Henry Mall Madison WI 53706 391805963 501(c)(3) 11288 Research Washington University Physicians PO Box 60352 Saint Louis MO 631600352 430653611 501(c)(3) 74272 Research Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue Suite 330 Cincinnati OH 452293039 310833936 501(c)(3) 73818 Research NACHRI Natl Assoc Children's Hospitals And Related Inst PO Box 874957 Kansas City MO 641874957 510120256 501(c)(3) 67289 Research Dupont Hospital For Children Nemours Foundation 1600 Rockland Road Wilmington DE 19803 590634433 501(c)(3) 45125 Research University of Washington Laboratory Medicine PO Box 744675 Los Angeles CA 900744675 916001537 Govt 53842 Research University of Miami PO Box 248106 Coral Gables FL 331242912 590624458 501(c)(3) 51072 Research KUMC Research Institute Inc 3901 Rainbow Boulevard Kansas City KS 66160 481108830 501(c)(3) 476984 Research University of Minnesota 2221 University Ave Minneapolis MN 55414 416007513 Govt 10307 Research Oxford University Press 2001 Evans Road Cary NC 27513 986001062 98967 Research UMKC KCUR Health Sci Bookst MMRRC RRRC Sheldon Casgsl One Hospital Drive MA314 Columbia MO 64180 436003859 Govt 216321 Research Cleveland Clinic Laboratories Cleveland Clinic Found 9500 Euclid Avenue Cleveland OH 44195 340714585 501(c)(3) 7096 Research Boston Children's Hospital Children's Hospital Corp 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 160764 Research Huntsman Cancer Institute University of Utah 2000 Circle of Hope Salt Lake City UT 84112 876000525 501(c)(3) 72432 Research Trustees of Indiana University 1024 East 3rd Street Room 132 Bloomington IN 47405 356001673 501(c)(3) 9645 Research Midwest Veterans Biomedical Research Foundation PO Box 300662 Kansas City MO 641300662 431496422 501(c)(3) 95571 Research Westside Housing Organization 919 West 24th Street Kansas City MO 64108 431122742 501(c)(3) 246903 Research Mayo Clinic 200 First Street Southwest Rochester MN 55905 416011702 501(c)(3) 40353 Research University of Nebraska Medical Center 985045 Nebraska Medical Center Omaha NE 681985440 470049123 Govt 44784 Research University of Illinois 506 South Wright Street Urbana IL 61801 376000511 501(c)(3) 148297 Research Children's Nebraska Children's Hospital and Medical Ctr 8200 Dodge Street Omaha NE 68114 470379754 501(c)(3) 21175 Research Duke University Box 104132 Durham NC 27708 560532129 501(c)(3) 184888 Research H Lee Moffitt Cancer Center And Research Institute Inc 12902 Magnolia Drive Tampa FL 33612 592451713 501(c)(3) 225804 Research Regents of The University of California San Francisco 1855 Folsom Street Suite 425 San Francisco CA 94143 946036493 501(c)(3) 34122 Research Kaiser Foundation Research Institute 1800 Harrison Street 16Th Floor Oakland CA 946123433 941105628 8374 Research Albert Einstein College of Medicine 1300 Morris Park Avenue Bronx NY 10461 830621846 185117 Research University of North Carolina at Chapel Hill PO Box 402420 Atlanta GA 303842420 566001393 501(c)(3) 113818 Research San Diego State University Foundation 5250 Campanile Drive MC 1947 San Diego CA 921821947 956042721 216436 Research Research Foundation for the State University New York PO Box 9 Albany NY 122010009 141368361 501(c)(3) 7805 Research Arkansas Children's Research Institute 13 Childrens Way Slot 842 Little Rock AR 72202 710694931 501(c)(3) 11880 Research Children's Research Institute 111 Michigan Avenue NW Suite 5400 Washington DC 20010 521654453 501(c)(3) 40158 Research UCSD Regents of The University of California 9500 Gilman Drive MC 0967 La Jolla CA 920930967 956006144 Govt 19839 Research University of Notre Dame 724 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 8458 Research Transition Academy 6320 Brookside Plaza Suite 503 Kansas City MO 64113 842533606 501(c)(3) 20200 Research Healthy Housing Omaha 7929 West Center Road Omaha NE 68124 205085175 501(c)(3) 15800 Research Metropolitan Energy Center 300 East 39Th Street Suite Ll 1K Kansas City MO 64111 431297891 501(c)(3) 15500 Research Kansas City University 1750 Independence Avenue Kansas City MO 64106 440545280 501(c)(3) 11000 Research Translate Inc 1920 West 143rd Street Suite 120 Leawood KS 662247813 873109659 61980 Research OPH LLC 21350 W 153rd St Olathe KS 66061 921011034 501(c)(3) 15117565 To support mental health initiatives 70 5 Patient Financial Assistance 103755 0 136964980 Cost Charity Care Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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 true true false false false false false false false Paul Kempinski MS FACHE Director; President & CEO; End 1/2/25 1333041 0 392365 0 35229 0 25875 0 16558 0 1803068 0 0 0 Jennifer Sauer MD Director 0 249231 0 93934 0 6581 0 10350 0 223 0 360319 0 0 Jotishna Sharma MD DCH Med FAAP Director; Start 1/1/25 247503 0 19563 0 24941 0 25317 0 1237 0 318561 0 0 0 Mary Anne Queen MD FAAP Director; End 12/31/24 437538 0 92832 0 4148 0 31050 0 22718 0 588286 0 0 0 Robert Lane MD Former EVP & Physician-in-Chief 254863 0 0 0 11827 0 20198 0 8015 0 294903 0 0 0 Jennifer Kingry CPA Former Interim CFO 331272 0 73041 0 29844 0 22425 0 23682 0 480264 0 0 0 Jodi Coombs MBA BSN RN EVP & Chief Operating Officer; End 9/3/24 546730 0 186572 0 428502 0 22855 0 8036 0 1192695 0 24006 0 Robert Steele MD MBA EVP & Chief Strategy & Innovation Officer 599799 0 148868 0 26832 0 64474 0 23713 0 863686 0 0 0 Thomas Wright EVP & Chief Human Resources Officer; End 7/1/25 486187 0 120733 0 30931 0 31050 0 16778 0 685679 0 0 0 Robin Foster JD EVP, General Counsel; End 7/2/25 593314 0 146059 0 31773 0 31050 0 17578 0 819774 0 0 0 James Simaras CPA MBA EVP & Chief Financial Officer 713672 0 161358 0 12808 0 60776 0 16397 0 965011 0 0 0 Douglas Rivard DO EVP & Physician-in-Chief; Start 9/8/24 775632 0 0 0 29059 0 31050 0 25140 0 860881 0 0 0 Stephanie Meyer MS-FNP RN NEA-BC EVP & Chief Nursing Exec/COO Acute Care; Start 2/8/25 422935 0 88560 0 52257 0 30927 0 15734 0 610413 0 0 0 Steven Leeder PharmD PhD EVP & Chief Scientific Officer; Start 2/9/25 470093 0 7809 0 31095 0 31050 0 15740 0 555787 0 0 0 Amy Fallon PhD MPH President of Regional Operations; Start 2/9/25 304780 0 46779 0 40753 0 3278 0 20420 0 416010 0 0 0 Shawn St Peter MD SVP; Chair, Department of Surgery 1019851 0 144918 0 25729 0 31050 0 24473 0 1246021 0 0 0 Jeanne James MD MBA FAAP Sr VP Chair, Department of Pediatrics 569493 0 121806 0 29083 0 32208 0 22852 0 775442 0 0 0 Jenea Oliver PhD Sr VP, Chief Development Officer 563809 0 115340 0 34032 0 25875 0 23742 0 762798 0 0 0 William Douglas MD Physician 1674617 0 7851 0 36059 0 25875 0 24356 0 1768758 0 0 0 James O'Brien Jr MD FACS Physician 1672495 0 0 0 37043 0 31050 0 23633 0 1764221 0 0 0 William Gibson DO Physician 1154857 0 7851 0 25154 0 22425 0 24771 0 1235058 0 0 0 Edo Bedzra MD MBA Physician 979728 0 7851 0 1811 0 15104 0 24869 0 1029363 0 0 0 Bhargava Mullapudi MD Physician; End 12/1/24 784884 0 53941 0 24579 0 22259 0 24353 0 910016 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Included in the compensation of Jodi Coombs is $246,052 of severance following termination of employment. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a supplemental nonqualified retirement plan: Jodi Coombs, James Simaras and Robert Steele. Included in the compensation of Jodi Coombs is $131,661 from a supplemental nonqualified retirement plan payout. A Health and Educational Facilities Authority of the State of Missouri 431178966 60637ALX8 2016-10-13 148207195 Bonds were issued to refinance a portion of the outstanding Series 2009 Bonds (issued Nov 19, 2009). false false false B Health and Educational Facilities Authority of the State of Missouri 431178966 60637AMM1 2017-12-20 131226503 Bonds were issued to construct and equip a professional office building and a research institute. false false false C Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2019-02-28 17940000 The Series 2019A Bonds were issued to refinance 2008a/b Bonds and remaining portion of 2009 Bonds. false false false D Health and Educational Facilities Authority of the State of Missouri 431178966 000000000 2019-02-28 24750000 The Series 2019B Bonds were issued to refinance 2008a/b Bonds and remaining portion of 2009 Bonds. false false false A 22855000 148207195 638217 147568978 false true true true B 133764094 1224610 132404922 134562 2019 false false true true C 16695500 17940000 17940000 true false true true D 24750000 24750000 true false true true A false false true true true true 0.0 0.0 0.0 false false 0 false true B false false true true true true 0.0 0.0 0.0 false false 0 false true C false false true true true true 0.0 0.0 0.0 false false 0 false true D false false true true true true 0.0 0.0 0.0 false false 0 false true A false true false true false false 0 false false false 0 false false true B false true false true false false 0 false false false 0 false false true C false true true true true false 0 false false false 0 false false true D false true true true true false 0 false false false 0 false false true A true B true C true D true Schedule K, Part II, Line 3 Column B: Total Proceeds Difference between issue price and total proceeds of the Series 2017A Bonds represent $2,537591 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 was 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: 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 72496 Employment false Substantial Contributor Substantial Contributor 157459 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 608851 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 4494275 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 2559152 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 9279513 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 174070 Payment for FMV of Services Provided false Substantial Contributor Substantial Contributor 1499870 Payment for FMV of Services Provided false X 16015 Market value 28 427859 Market value 5 31755 Market value X Food 10 3559 Market value X Jewelry 4 13290 Market value X Miscellaneous 13 7033 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Food inventory - The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Securities - Publicly traded - The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Other - Food The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Other - Jewelry The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Other - Miscellaneous The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy Corporate compliance reviews all potential conflicts disclosed, and reviews and approves completion of the related management plan. Form 990, Part VI, Line 15a Process to establish compensation of top management official The People and Compensation Committee of the Board of Directors (the "Committee") is responsible for approving the compensation of the CEO. 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. The consulting firm provides an opinion to the Committee regarding the reasonableness of such compensation, which is maintained in the Committee's records. This review is conducted annually. Form 990, Part VI, Line 15b Process to establish compensation of other employees The People and Compensation Committee of the Board of Directors (the "Committee") is responsible for approving, 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 EVPs. The consulting firm provides an opinion to the Committee regarding the reasonableness of such compensation, which is maintained in the Committee's records. This review is conducted annually. Form 990, Part VI, Line 19 Required documents available to the public The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 57257596, Related or Exempt Function Revenue: 55269459, Unrelated Business Revenue: 1988137, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in interest rate swap valuation - -201978; Net unrealized change in Income Beneficiary and Charitable Remainder Trusts - 3057165; Unrealized Loss on Equity Investments - 90994510; Net assets released from restricted investment in joint venture - -15881596; Net defined postretirement benefit plan - -520661; Total - 77447440; CMH Insurance Company LLC 2401 Gillham Road Kansas City MO 64108 Insurance for The Children's Mercy Hospital MO 688979 15795425 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 -393994 184201 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) 11 NA false 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) 11 The Children's Mercy Hospital true Children's Mercy Integrated Care Solutions Inc 2420 Pershing Road Suite G-10 Kansas City MO 64108 453741386 Coordinates medical care of pediatric patients KS The Children's Mercy Hospital C Corporation 1026673 97973311 1 true Children's Mercy- Pediatric Associates Inc 4400 Broadway Suite 206 kansas City MO 64111 814659989 Medical Practice KS The Children's Mercy Hospital C Corporation -19650 3707364 1 true Children's Mercy- Pediatric Care Specialists Inc 7400 West 129th Street Suite 200 Overland Park KS 66213 814753049 Medical Practice KS The Children's Mercy Hospital C Corporation 3130 1037318 1 true 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 Corporation 2376 1120568 1 true 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 Corporation 18672 972922 1 true Children's Mercy- Preferred Pediatrics Inc 241 NW McNary Ct Lees Summit MO 64081 821130197 Medical Practice KS The Children's Mercy Hospital C Corporation 9873 480821 1 true 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 Corporation 29181 445017 1 true 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 Corporation 3298 424078 1 true 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 Corporation 46324 887484 1 true 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 Corporation 2570 1210194 1 true 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 Corporation 11613 2269540 1 true 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 Corporation 21190 338231 1 true Children's Mercy- Leawood Pediatrics Inc 5401 College Blvd Suite 101 Leawood KS 66211 842411195 Medical Practice KS The Children's Mercy Hospital C Corporation -28 947766 1 true 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 Corporation 72228 1249599 1 true 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 Corporation 739093 4169431 1 true 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 Corporation 3137 416873 1 true Children's Mercy- Pediatric Partners Inc 7450 W 135th Street Overland Park KS 66223 880866933 Medical Practice KS The Children's Mercy Hospital C Corporation 85897 1293728 1 true 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 Corporation -137636 1052182 1 true Children's Mercy- Wildwood Pediatrics Inc 4025 NE Lakewood Way Ste 100 Lees Summit MO 64081 992609682 Medical Practice KS The Children's Mercy Hospital C Corporation 4076 369362 1 true Children's Mercy- JC Peds Inc 1705 Christy Dr Suite 210 Jefferson City MO 65101 992263475 Medical Practice KS The Children's Mercy Hospital C Corporation 35956 355984 1 true Children's Mercy- Village Pediatrics Inc 8340 Mission Rd Suite 100 Prairie Village KS 66206 993249483 Medical Practice KS The Children's Mercy Hospital C Corporation 144580 853361 1 true Income Beneficiary Trusts (5) Trust MO NA Trust false true false true true true false false false false true false true false false true true true false true Childrens Mercy Integrated Care Solutions O 8087376 Book Childrens Mercy Integrated Care Solutions J 74836 Book Childrens Mercy Integrated Care Solutions L 801000 Book Childrens Mercy Integrated Care Solutions P 798207 Book Childrens Mercy Integrated Care Solutions S 222729549 Book Childrens Mercy- Pediatric Care North Inc A 1093 Book Childrens Mercy- Redwood Pediatrics Inc A 2835 Book Childrens Mercy- Cass County Pediatrics and Adolescents Inc A 8174 Book Childrens Mercy- Community Choice Pediatrics Inc A 49836 Book Children's Mercy- Wildwood Pediatrics Inc D 125000 Book Children's Mercy- Wildwood Pediatrics Inc A 5552 Book Children's Mercy- JC Peds Inc D 500000 Book Children's Mercy- JC Peds Inc A 12284 Book Children's Mercy- Village Pediatrics Inc D 350000 Book Children's Mercy- Village Pediatrics Inc A 17154 Book