2018-05-11T12:06:14-05:00 2017-06-30 135565207 KPMG LLP 1000 Walnut St 1000 Kansas City MO 64106 990 2016-07-01 440605373 The Children's Mercy Hospital CHIL 8162343000 2401 Gillham Road Kansas City MO 64108 David Cauble Executive VP & CFO 8162343000 2018-05-11 1 Justin T Keller P01419781 8168025200 199.242.168.195 2018-05-11 11:56:07 CD P 512BFCB4856A61C9BA3BADBEAF9C352F7365FE70 512BFCB4856A61C9BA3BADBEAF9C352F7365FE70 2016 2021-01-29 14:40:06Z David Cauble 2401 Gillham Road Kansas City MO 64108 1403877531 0 X www.childrensmercy.org X 1901 MO Excellence in healthcare for children 13 10 8738 1261 3952948 432987 37060901 48842788 1194702474 1332048694 26016482 20278506 19816681 2086919 1277596538 1403256907 15463964 33158421 0 0 714820574 767446337 0 0 4341792 473424006 552414356 1203708544 1353019114 73887994 50237793 1420276296 1528633645 403103989 419022112 1017172307 1109611533 X To improve the health and well being of children by providing comprehensive, family-centered health care and committing to the highest level of clinical and psychosocial care, and to research, academic and service excellence. 1 0 1014810362 33158421 1332048694 All expenses for program services relate to providing healthcare. There were a total of 354 licensed beds and 89,370 patient days during the year from 14,369 admissions. Interim stays totaled 8,993 and outpatient encounters, including ED and Urgent Care, were 582,884. There were a total of 20,163 surgical cases which includes 4,307 inpatient and 15,856 outpatient cases. Diagnostic procedures, tests and treatments totaled 1,207,966 and outpatient prescriptions totaled 162,453. Children's Mercy critical care transports totaled 5,415 in fiscal year 2017.The Children's Mercy Hospital (the Hospital) consists of a 301-bed teaching hospital for children located in Kansas City, Missouri, and a 53-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. 44131331 Children's Mercy Hospital (CMH) is dedicated to becoming a leader in pediatric translational research. A recent strategic planning initiative established the Children's Research Institute to focus on research and research infrastructure. CMH initiated a planning process in preparation for making a commitment of a nearly $200 million to the construction of a new research building. CMH has already invested $4.1 million on design of the new building as part of the preparation. This commitment will lead to breakthroughs in treating, diagnosing and preventing complex childhood diseases. 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 Clinical Pharmacology and Therapeutic Innovation, Genomics Medicine, Health Services and Outcomes and Innovations in Health Care Delivery. During the year ended June 30, 2017 there were more than 342 active sponsored research projects. The Children's Research Institute occupies about 3% of the space on the main campus and is 3% of the total annual operating budget. Children's Mercy spent $43.9 million in the year ended June 30, 2017 on research and per information from the NIH Reporter received more than $4.5 million in NIH funding in this same time period. More than 900 publications were accepted and/or published. The Children's 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. 1058941693 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 593 0 1 8738 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 10 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X David Cauble Executive VP & CFO 8162343000 2401 Gillham Road Kansas City MO 64108 Debbie Sosland-Edelman Chairman 1.00 X X 0 0 0 David Goebel Vice Chairman 1.00 X X 0 0 0 Paul McLaughlin Secretary 1.00 X X 0 0 0 Elizabeth Braham Treasurer 1.00 X X 0 0 0 Jonathan Baum Director 1.00 X 0 0 0 Carolyn Davis MD Director 1.00 X 0 0 0 Bill Krueger Director 1.00 X 0 0 0 Kathy Perryman MD Director 1.00 X 0 0 0 Charles Schellhorn Director 1.00 X 0 0 0 Andrew Teigen Director 1.00 X 0 0 0 Tom Weir Director 1.00 X 0 0 0 Gerald Woods MD Director 40.00 X 348628 0 40734 Randall L O'Donnell PhD Director; President & CEO 40.00 X X 1498793 0 404600 Charles Roberts MD EVP & Exec.Medical Director 40.00 X 728797 0 35568 Sandra AJ Lawrence Executive VP & CAO 40.00 X 670654 0 36759 Karen S Cox RN PhD FAAN Executive VP & Co-COO 40.00 X 727899 0 35568 Jo Stueve Executive VP & Co-COO 40.00 X 709972 0 35568 David Cauble Senior VP & CFO 40.00 X 257539 0 8844 Michael Artman MD Chairman- Dept of Pediatrics 40.00 X 606554 0 35857 James O'Brien Jr MD Physician 40.00 X 1194951 0 36759 James D Saint Louis MD Physician 40.00 X 1198349 0 19540 Peter Pastuszko MD Physician 40.00 X 1118018 0 27472 Walter S Andrews MD Physician 40.00 X 779496 0 40734 George Holcomb III MD Physician 40.00 X 775448 0 40734 10615098 0 798737 2032 0 1 0 Anesthesia Associates 8717 West 110th Street Overland Park KS 66210 Anesthesiologists 32237057 Turner Construction Inc 1220 Washington St Suite 100 Kansas City MO 64105 Construction 24315721 Lytle Construction Inc 1100 SW Hamblen Rd Lees Summit MO 64081 Construction 14294957 Sodexho Marriott Services Inc 9801 Washingtonian Boulevard Gaithersburg MD 20878 Food Services 9662196 Kelly Construction Group Inc 6985 West 153rd Street Overland Park KS 66223 Construction 7179598 426 804569 2957202 8145778 9713778 27221461 496747 48842788 Net Patient Services 621110 1332048694 1332048694 1332048694 20278506 20278506 577192 2957202 620624 -43432 -43432 Cafeteria 722210 3207778 3207778 Transport 621910 2766458 2766458 Loss on Extinguishment of Debt 900099 -18592599 -18592599 14748714 10795766 3952948 2130351 1403256907 1348818696 3952948 1642475 X 433242 433242 32725179 32725179 10251289 5863951 4387338 610932494 504461188 104039332 2431974 29281753 24056028 5111085 114640 76371026 62741584 13330445 298997 40609775 33362412 7088373 158990 4116770 4116770 306770 306770 421071 421071 143098362 69980824 72660111 457427 7005175 63906 6941269 4229782 203882 3987473 38427 18489076 10452178 7728786 308112 9481397 7133250 2211348 136799 10890626 10890626 59530892 27857326 31644595 28971 13097256 10076519 3020737 Medical Supplies 146878479 137939355 8639585 299539 Bad Debt 59781078 59781078 State Medicaid Taxes 49178730 49178730 0 0 Dues & Subscriptions 6934143 3002279 3871992 59872 18974749 8738156 10228549 8044 1353019114 1058941693 289735629 4341792 64941368 77465637 3011 3025 5852768 9075998 200133023 186339631 12638569 13665606 14242332 15881509 1185528879 616689417 524676183 568839462 510911294 564674191 7853046 5038984 79024702 87649602 1420276296 1528633645 133332588 115147553 183604489 220413868 86166912 83460691 403103989 419022112 X 951043568 1032131130 66128739 77480403 1017172307 1109611533 1420276296 1528633645 X 50237793 25470879 16730554 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 421071 421071 1058520622 1058941693 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 615259 382374 374689 421071 1793393 250000 250000 250000 250000 1000000 1500000 51311822 7334271 5017500 2043066 61620527 48208836 5953303 -1112327 1737990 51311822 48018417 2780952 -916648 1673885 48208836 41996791 1926665 5685649 1590688 48018417 38607709 961835 4052039 1624792 41996791 0.87800 0.12200 0 1 1 22443796 22443796 652697596 246020006 406677590 473355912 370669411 102686501 37031575 37031575 568839462 Other Assets 41667821 Income Beneficiary and Charitable Remainder Trusts 45981781 87649602 Reserve for Prof. Liability Claims 42532661 Deferred Lease Incentive 367116 Postretirement Medical Liability 39725869 Other Non-Current Liabilities 835045 83460691 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: FIN 48 Footnote: The Hospital and its affiliates follow ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 provides specific guidance on how to address uncertainty in accounting for income tax assets and liabilities, prescribing recognition thresholds and measurement attributes. At June 30, 2017 and 2016, there were no uncertain tax positions. North America Program Services Travel for healthcare-related education and information sharing 195510 Central America & the Caribbean Program Services Travel for healthcare-related education and information sharing 3685 Europe Program Services Travel for healthcare-related education and information sharing 84485 East Asia & the Pacific Program Services Travel for healthcare-related education and information sharing 37477 Middle East & North Africa Program Services Travel for healthcare-related education and information sharing 9676 South Asia Program ServicesProgram Services Travel for healthcare-related education and information sharing 4807 Sub-Saharan Africa Program Services Travel for healthcare-related education and information sharing 91878 South America Program Services Travel for healthcare-related education and information sharing 6892 0 0 0 0 0 0 434410 0 434410 0 0 0 0 0 0 Part I, line 3: Method Used to Account for Expenditures: Actual expenses for international travel Gala/Auction 1872351 1530479 341872 175062 175029 2425 59011 Event/Auction 1662043 1426723 235320 67988 9282 0 131827 3534394 2957202 577192 243050 184311 2425 190838 620624 -43432 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 2 39954 14660632 344494 14316138 0.01110 9 366500 604149278 503606821 100542457 0.07770 11 406454 618809910 503951315 114858595 0.08880 36 135390 10739958 1362984 9376974 0.00730 49 16055 34351528 14839424 19512104 0.01510 39 208056 54791878 27920057 26871821 0.02080 350 0 35292991 12295198 22997793 0.01780 58 3737 773939 0 773939 0.00060 532 363238 135950294 56417663 79532631 0.06160 543 769692 754760204 560368978 194391226 0.15040 2 0 80354 0 80354 0.00010 2 0 9360 0 9360 0.00000 3 0 2600 0 2600 0.00000 1 50 57 0 57 0.00000 3 0 9875 0 9875 0.00000 8 0 222255 0 222255 0.00020 15 453 631404 48900 582504 0.00050 34 503 955905 48900 907005 0.00080 1 59781078 0 4438578 4034459 404119 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 15 1 0 0 1 X See Part V, Section C X 1 15 1 See Part V, Section C 0 1 X 300.000000000000 500.000000000000 X X X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C 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: As part of the CHNA, five focus groups were conducted over the first week of August 2016. The focus groups were constructed to focus on each of the four counties. Fourty-six individuals representing physicians, other health professionals, social service providers, business leaders, and other community leaders participated. In addition, a Key Informant Online Survey was sent to 99 elected officials, physicians, other health professionals, social service providers, and business, neighborhood, housing and community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work as well as the community overall. Over 230 representatives from area public health, health care, social services, governmental, community, neighborhood and housing organizations were invited to a Children's Health Summit on March 11, 2016. From this group, 168 attended (45 from Children's Mercy) and participated in a process to rate the priority health issues for the region. Organizations that participated in the all three events included: Mother & Child Health Coalition; Olathe Public Schools; Shawnee Mission Public Schools; Local Initiatives Support Corporation of Greater Kansas City; Rosedale Development Association; New Bethel Community Development Corporation; Truman Lakewood; Tri-County Mental Health; Turner House Children's Clinic; Unified Government of Wyandotte County Public Health Department; University of Missouri-Kansas City School of Nursing; Clay County Health Department; Johnson County (KS) Health Department; Missouri Department of Health and Human Services; Samuel U. Rodgers Health Center; Ewing Marion Kauffman Foundation; Jackson County Health Department; Kansas Department of Health and Environment; Urban Neighborhood Initiative; The Children's Place; Kansas Children's Service League; Kids TLC; Mid America Headstart. A complete list of all organizations and specifics about the process is provided in the community health needs assessment provided on the Children's Mercy website. Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 7d: The CHNA reports for both facilities in Facility Reporting Group A are located on the Hospital website: http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/ Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 11: The implementation strategy plan was approved on October 11, 2016 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 2015 tax year. The most recently adopted implementation stragegy plan can be found on the hospital website:http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/Through 2016 CHNA data, the community identified the following health needs: Access to Health Services; Mental and Behavioral Health; Infant Mortality; Obesity; Food Insecurity; Parent Support, Early Education, Housing, Violence, Employment and Poverty (in no particular order). Over 300 Children's Mercy employees and senior leadership were presented the community health needs and identified three, based on the need's importance and Children's Mercy's ability to make an impact, as "Priority Health Needs": Access to Health Services; Mental and Behavioral Health and Infant Mortality. The Priority Health Needs will receive priority attention and support. The remaining community identified needs were noted as "Significant Health Needs." Programs addressing the Significant Health Needs will continue, but not receive accelerated attention or dollars. Children's Mercy Board of Directors adopted the three priorities and the remaining significant health needs on June 14, 2016. An implementation strategy and action plan to address the 2016 Priority Health needs was developed by the Community Benefit/CHNA Advisory Group in consultation with staff from various community agencies and programs such as, the Wyandotte Health Department, the Wyandotte Fetal Infant Mortality Review, the Black Health Care Coalition, and Livewell Community Health Centers. The Board of Directors adopted the implementation plan and strategy on October 11, 2016. The CB/CHNA Advisory group completed a comprehensive inventory of current Children's Mercy programs that address the priority and significant health needs. As part of this exercise, a list of current and potential community partners was created and areas of opportunitiy identified. The creation of an internal community benefit support program and an externally focused Community Benefit Grant program help to support existing and new programs and services targeted at the priority and significant health needs strategies. The internal community benefit support program provides additional dollars for internal Children's Mercy programs that are addressing a priority and/or significant health need. The Community Benefit Grant program is to support outside organization that are addressing a Priority Health Need. Internal support dollars were provided to support the creation of the Behavior Health Master Class for outside providers (Mental/Behavioral Health priority), support the Coaching Boys Into Men program in area schools (Mental/Behavioral Health priority and Violence significant health needs), Infant Porta-Crib program for Truman Medical Center Newborns (Infant Mortality) and Incredible Years Baby program expansion (Mental/Behavioral Health and Infant Mortality priority health needs). Community Benefit Grant awards were made in the Infant Mortality area to the Black Health Care Coalition (Community Baby Showers), New Bethel Neighborhood Development Corporation (Faith-Based Infant Mortality Initiative), Mother and Child Health Coalition of Greater Kansas City (infant mortality data book), Uzazi Village (Chocolate Milk Breastfeeding Support), Happy Bottoms (distribution of newborn/infant diapers), Sleepy Head Beds (building a centralized crib distribution program) and Healthy Wyandotte (Community Baby Showers). 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 16j: The FAP and plain language summary were widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Policies/The FAP application form was widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Application/ Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 5: As part of the CHNA, five focus groups were conducted over the first week of August 2016. The focus groups were constructed to focus on each of the four counties. Fourty-six individuals representing physicians, other health professionals, social service providers, business leaders, and other community leaders participated. In addition, a Key Informant Online Survey was sent to 99 elected officials, physicians, other health professionals, social service providers, and business, neighborhood, housing and community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work as well as the community overall. Over 230 representatives from area public health, health care, social services, governmental, community, neighborhood and housing organizations were invited to a Children's Health Summit on March 11, 2016. From this group, 168 attended (45 from Children's Mercy) and participated in a process to rate the priority health issues for the region. Organizations that participated in the all three events included: Mother & Child Health Coalition; Olathe Public Schools; Shawnee Mission Public Schools; Local Initiatives Support Corporation of Greater Kansas City; Rosedale Development Association; New Bethel Community Development Corporation; Truman Lakewood; Tri-County Mental Health; Turner House Children's Clinic; Unified Government of Wyandotte County Public Health Department; University of Missouri-Kansas City School of Nursing; Clay County Health Department; Johnson County (KS) Health Department; Missouri Department of Health and Human Services; Samuel U. Rodgers Health Center; Ewing Marion Kauffman Foundation; Jackson County Health Department; Kansas Department of Health and Environment; Urban Neighborhood Initiative; The Children's Place; Kansas Children's Service League; Kids TLC; Mid America Headstart. A complete list of all organizations and specifics about the process is provided in the community health needs assessment provided on the Children's Mercy website. Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 7d: The CHNA reports for both facilities in Facility Reporting Group A are located on the Hospital website: http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/ Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 11: The implementation strategy plan was approved on October 11, 2016 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 2015 tax year. The most recently adopted implementation stragegy plan can be found on the hospital website:http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/Through 2016 CHNA data, the community identified the following health needs: Access to Health Services; Mental and Behavioral Health; Infant Mortality; Obesity; Food Insecurity; Parent Support, Early Education, Housing, Violence, Employment and Poverty (in no particular order). Over 300 Children's Mercy employees and senior leadership were presented the community health needs and identified three, based on the need's importance and Children's Mercy's ability to make an impact, as "Priority Health Needs": Access to Health Services; Mental and Behavioral Health and Infant Mortality. The Priority Health Needs will receive priority attention and support. The remaining community identified needs were noted as "Significant Health Needs." Programs addressing the Significant Health Needs will continue, but not receive accelerated attention or dollars. Children's Mercy Board of Directors adopted the three priorities and the remaining significant health needs on June 14, 2016. An implementation strategy and action plan to address the 2016 Priority Health needs was developed by the Community Benefit/CHNA Advisory Group in consultation with staff from various community agencies and programs such as, the Wyandotte Health Department, the Wyandotte Fetal Infant Mortality Review, the Black Health Care Coalition, and Livewell Community Health Centers. The Board of Directors adopted the implementation plan and strategy on October 11, 2016. The CB/CHNA Advisory group completed a comprehensive inventory of current Children's Mercy programs that address the priority and significant health needs. As part of this exercise, a list of current and potential community partners was created and areas of opportunitiy identified. The creation of an internal community benefit support program and an externally focused Community Benefit Grant program help to support existing and new programs and services targeted at the priority and significant health needs strategies. The internal community benefit support program provides additional dollars for internal Children's Mercy programs that are addressing a priority and/or significant health need. The Community Benefit Grant program is to support outside organization that are addressing a Priority Health Need. Internal support dollars were provided to support the creation of the Behavior Health Master Class for outside providers (Mental/Behavioral Health priority), support the Coaching Boys Into Men program in area schools (Mental/Behavioral Health priority and Violence significant health needs), Infant Porta-Crib program for Truman Medical Center Newborns (Infant Mortality) and Incredible Years Baby program expansion (Mental/Behavioral Health and Infant Mortality priority health needs). Community Benefit Grant awards were made in the Infant Mortality area to the Black Health Care Coalition (Community Baby Showers), New Bethel Neighborhood Development Corporation (Faith-Based Infant Mortality Initiative), Mother and Child Health Coalition of Greater Kansas City (infant mortality data book), Uzazi Village (Chocolate Milk Breastfeeding Support), Happy Bottoms (distribution of newborn/infant diapers), Sleepy Head Beds (building a centralized crib distribution program) and Healthy Wyandotte (Community Baby Showers). 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 16j: The FAP and plain language summary were widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Policies/The FAP application form was widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Application/ 12 1 - Children's Mercy West 4313 State Ave Kansas City KS 66102 Outpatient Clinics 2 - Children's Mercy Wichita Clinic 3243 E Murdock Suite 201 Wichita KS 67208 Outpatient Clinics 3 - Children's Mercy Joplin Clinic 3333 McIntosh Circle Suite 6 Joplin MO 64804 Outpatient Clinics 4 - Children's Mercy Heartland Clinic 802 N Riverside Rd Suite 105 St Joseph MO 64502 Outpatient Clinics 5 - Children's Mercy Pediatric Eye Care 4820 College Blvd Leawood KS 66211 Practice Use 6 - Children's Mercy Outreach Junction City 361 Grant Ave Junction City KS 66441 Outreach Clinic 7 - Children's Mercy Outreach Garden City 311 E Spruce St Garden City KS 67846 Outreach Clinic 8 - Children's Mercy Outreach Great Bend 1021 Einsenhower Ave Great Bend KS 65730 Outreach Clinic 9 - Children's Mercy Outreach Springfield 1000 E Primrose Suite 300 Springfield MO 65807 Outreach Clinic 10 - Children's Mercy Outreach Salina 737 E Crawford Salina KS 67401 Outreach Clinic 11 - Children's Mercy Outreach Parsons 1902 S US Hwy 59 BLDG E Ste 200 Parsons KS 67357 Outreach Clinic 12 - Children's Mercy Outreach Pittsburg 3011 N Michigan Pittsburg KS 66762 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-to-charge ratios derived from the Medicare Cost Report were used for Lines 7f and 7g. Part I, Line 7g: In FY17, Children's Mercy provided subsidized health services to over 208,000 children. Subsidized health services included pediatric primary care clinics at Children's Mercy Broadway and Children's Mercy West 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: dialysis, developmental and behavioral medicine, genetics, pain management, the fetal health center, ophthalmology and child abuse and neglect. 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. An increase in the subsidized health services reported for FY17 is due to an increase in the cost of the care, financial assistance and bad debt and a decrease in private insurance reimbursement. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), which is subtracted for purposes of calculating the percentage in this column, is $59,781,078. Part I, Line 7h: Children's Mercy researchers strive to find better ways to prevent, treat and eliminate pediatric disease. Children's Mercy organizes research efforts across four pillars: Genetics, Health Services Outcomes, Clinical Pharmacology and Infectious Disease. The four pillars became the model for how Children's Mercy evaluated its contribution to eligible community benefit research expenses for FY17. Part I, Line 7a: Financial assistance cost reported on this line is derived from Worksheet 1 which takes gross charges for patients who have been awarded financial assistance and then multiplies those charges by a cost-to-charge ratio derived from Worksheet 2 to arrive at cost of providing financial assistance. Part II, Community Building Activities: Children's Mercy conducts a variety of community building activities that allow the organization to connect with the community and promote healthy living. In addition to several longstanding programs such as Weighing In Coalition that works to bring together community organizations to change policy and environments to support healthy lifestyles and active living, Children's Mercy also offers community oriented programs and/or resources intended to make physical improvements, provide community support, build coalitions, advocate for community health improvements and address community-wide workforce issues. Some examples include the maintenance of the Hospital Hill Park and the Sylvia Nutter Playground, Environmental Health Community Trainings and housing assessments, Equity and Diversity programs, and numerous advocacy activities including a Healthy Lifestyles Youth Advocacy Program. Part III, Line 2: The amount of bad debt reported on Part III, Line 2 comes from the Bad Debt Expense reported on the CMH Audited Financial Statements. Bad debt is written off based on the remaining receivable balance after all other payments and adjustments for patients who do not qualify for financial assistance. Part III, Line 4: Audited Financial Statements- Note U, Page 17: Uncollectible amounts from patients who do not qualify for charity care [financial assistance] under CMH's charity care policy are included as a reduction of patient service revenue in the provision for bad debt. Receivables for the related revenue are recorded for the full amount and are offset by the allowance for contractual adjustments and doubtful accounts and appropriately reflected at the net realizable value. The increase in the provision for bad debt as of June 30, 2017 compared to June 30, 2016 is due to adjusting for historical trends in the collectability of aged receivables resulting in a reclassification of contractual allowances to allowance for doubtful accounts in the current year. 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 processes that brings forward new initiatives around strategic, operational, community health, and innovation initiatives based on community/market trends and needs. 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 zero to three 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. 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. Part VI, Line 4: Children's Mercy serves over 242,000 children from across the states of Kansas and Missouri. In Kansas 96 counties have federally-designated primary care HPSA areas and in Missouri, 117 counties have federally designated primary care HPSA areas. Within these two states we identify 43 counties as Outreach areas; 50 counties as the secondary service area; and 18 counties as the primary service area. Each of these areas is comprised of urban, suburban and rural regions. The Outreach service area covers includes more rural counties than the other listed service areas. The Metro service area (six counties) includes more urban and suburban areas than rural. Within the Metro service area is the Children's Mercy service area for the CHNA. This includes 4 counties located in both Missouri (Jackson and Clay counties) and Kansas (Johnson and Wyandotte Counties). Johnson, Wyandotte and Jackson counties have primary care HPSA areas. 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 these counties contribute over 72% of the encounters at Children's Mercy. The four counties 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, and Children's Mercy East) and the source of a majority of our patient encounters. The four counties house a total population of 1,652,781; of these 411,888 or 25.9 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 four counties increased between 1980 and 2013 and the overall make-up of the population shifted as well. In 1980, black, Hispanic or other ethnicities comprised 21 percent of the four counties under 18 years of age population and in 2013 36 percent of the region's under 18 population made up these groups. According to the U.S. Census, the median family income was $68,993. In 2014, across the region, 19 percent of all children live in poverty; 37.6 percent of children in Wyandotte County live in poverty. Of all Kansas City area families led by a single mother, 29.2 percent are living in poverty. Jackson County and especially Wyandotte County have considerably more families led by a single mother living below the federal poverty level. 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 promotes children's health in the Kansas City region in numerous ways. Highlights of these programs include providing direct funding support to community organizations with like missions (i.e. Reach Out and Read, the Ronald McDonald House), training community members on assessing and managing child abuse (i.e. SCAN Outreach Services), the coordination of a community-wide strategy to organize home visiting, participating in community health fairs, serving on key community committees (i.e., Infant and Child Mortality review boards, health department planning committees) and providing training and education for families with children at-risk for obesity or diabetes (i.e. Zoom to Health, PHIT Kids, etc.). In addition, Children's Mercy provided community benefit capacity-building grants to support efforts to address the Infant Mortality priority health need. Part VI, Line 6: The Children's Mercy Hospital is not part of an affiliated health care system. 1 American Heart Association 6800 W 93rd Street Overland Park KS 66212 135613797 501(c)3 10000 Mission is to foster appropriate cardiac care in an effort to reduce disability and deaths caused by cardiovascular disease and stroke. Boys & Girls Club of Greater Kansas City 2405 Elmwood Ave Kansas City MO 64127 436072065 501(c)3 15000 Promote development of self-esteem, values, and skills for boys and girls, ages 5-18, with special emphasis on youth from disadvantaged circumstances. Charlie's House 6324 N Chatham Ste 223 Kansas City MO 64151 061830922 501(c)3 25000 Participates in and sponsors community-wide events to provide home safety information. JDRF- Juvenile Diabetes Research Foundation 920 Main St Ste 280 Kansas City MO 64105 231907729 501(c)3 8700 Support diabetes research and research-related education. Leukemia and Lymphoma Society 6811 Shawnee Mission Pkwy Ste 202 Shawnee Mission KS 66202 135644916 501(c)3 15580 Mission is to cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families. March of Dimes 4400 College Ste 180 Overland Park KS 66211 131846366 501(c)3 44000 Support programs that improve the health of mothers and babies. Ronald McDonald House Charities 2502 Cherry St Kansas City MO 64108 431190760 501(c)3 73215 Provide comfort and care for families seeking life-saving medical treatment for their children. National Kidney Foundation 6405 Metcalf Ave Ste 204 Overland Park KS 66202 131673104 501(c)3 8441 Dedicated to preventing kidney and urinary tract diseases, improving the health and well-being of individuals and families affected by kidney disease and increasing the availability of all organs for transplantation. Kansas City Friends of Alvin Ailey 1714 E 18th St Kansas City MO 64108 431412078 501(c)3 9100 Making dance accessible to all people, teaching young people critical life skills through dance, and modeling interracial and multi-cultural community partnerships. Kansas University Endowment (Reach Out and Read) 3901 Rainbow Blvd MS 1051 Kansas City KS 66106 480547734 501(c)3 63790 Prepares Kansas City's youngest children to succeed in school by partnering with doctors and nurses to prescribe books and encourage families to read together. Arthritis Foundation 1900 W 75th Street Suite 200 Prairie Village KS 66208 581341679 501(c)3 9300 Help conquer everday battles with arthritis through life-changing information and resources, access to optimal care, and advancements in science and community connections. Kansas City University of Medicine & Biosciences 1750 INdependence Ave Kansas City MO 64106 440545280 501(c)3 8750 Private university comprised of a College of Osteopathic Medicine and a College of Biosciences. 12 Patient Financial Assistance 39954 0 32725179 Cost Charity Care Part I, Line 2: Grants generally go to nonprofit organizations and agencies with which The Children's Mercy Hospital shares a common mission. These are agencies that generally support the health and well-being of children and families. The Children's Mercy Hospital documents the appropriate use of our funds by attending annual events to collaborate with agency board members and their executive leaders about issues related to the achievement of the agency's mission; reviewing web-based annual reports; and requesting and receiving a report from the agency grant recipient confirming the portion of grant dollars that go directly to the agency's mission-critical enterprise. X X X X X 0 1 0 0 0 1 0 0 0 Gerald Woods MD Director 306323 0 18022 0 24283 0 23850 0 17105 0 389583 0 0 0 Randall L O'Donnell PhD Director; President & CEO 1193451 0 254443 0 50899 0 392882 0 12036 0 1903711 0 0 0 Charles Roberts MD EVP & Exec.Medical Director 590689 0 111303 0 26805 0 23850 0 12036 0 764683 0 0 0 Sandra AJ Lawrence Executive VP & CAO 572586 0 75799 0 22269 0 19875 0 17202 0 707731 0 0 0 Karen S Cox RN PhD FAAN Executive VP & Co-COO 574670 0 108497 0 44732 0 23850 0 12036 0 763785 0 0 0 Jo Stueve Executive VP & Co-COO 574670 0 108497 0 26805 0 23850 0 12036 0 745858 0 0 0 David Cauble Senior VP & CFO 243263 0 0 0 14276 0 0 0 9624 0 267163 0 0 0 Michael Artman MD Chairman- Dept of Pediatrics 584150 0 0 0 22404 0 19875 0 17407 0 643836 0 0 0 James O'Brien Jr MD Physician 1173762 0 0 0 21189 0 19875 0 17202 0 1232028 0 0 0 James D Saint Louis MD Physician 1177160 0 0 0 21189 0 11308 0 8550 0 1218207 0 0 0 Peter Pastuszko MD Physician 1089633 0 0 0 28385 0 16066 0 12831 0 1146915 0 0 0 Walter S Andrews MD Physician 752691 0 0 0 26805 0 23850 0 17202 0 820548 0 0 0 George Holcomb III MD Physician 753044 0 0 0 22404 0 23850 0 18309 0 817607 0 0 0 Part I, Line 6 A portion of the total cash compensation paid to the President/CEO and all Executive Vice Presidents is determined by a performance based plan approved by the Compensation Committee of the Board of Directors. The plan includes Hospital and individual performance goals, one component of which is based in part on net earnings. Part I, Line 4b and Part II, Line 2, Column (C) $369,032 of deferred severance compensation was accrued for Randall O'Donnell that may or may not be paid in the future. A Health and Educational Facilities Authority of the State of Missouri 431178966 60635HH77 2009-11-19 178852416 See Part VI 1 0 0 B Health and Educational Facilities Authority of the State of Missouri 431178966 2010-12-21 71550000 See Part VI 0 0 0 C Health and Educational Facilities Authority of the State of Missouri 431178966 2014-11-14 18775000 See Part VI 0 0 0 D Health and Educational Facilities Authority of the State of Missouri 431178966 60637ALX8 2016-10-13 148207195 see Part VI 0 0 0 A 17265000 131440000 179112696 80262696 98850000 2013 1 0 1 1 B 66775000 71550000 71550000 1 0 1 1 C 5650000 18775000 18775000 1 0 1 1 D 148207195 638217 147568978 0 1 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 1 1 1 1 UBS AG 30.900000000000 0 0 0 0 1 C 0 0 1 1 1 1 UBS AG 20.900000000000 0 0 0 0 1 D 0 1 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 Schedule K, Part I, Row A, Column (f) The Series 2009 Bonds were issued for the following purposes: (i) refinance a bank loan, which was incurred to refinance the Series 2007AB Bonds (issued June 26, 2007) and (ii) finance hospital facilities (new tower on Main Campus and new hospital location). Schedule K, Part I, Row B, Column (f) In 2008, the Organization restructed some of its existing debt. The Series 2002 Bonds (June 19, 2002) were remarketed as the Series 2008A Bonds, and the Series 2003 Bonds (June 5, 2003) were remarketed as the Series 2008B Bonds. Then, in December 2010, the Series 2008A/B Bonds were modified in a manner that resulted in a "reissuance" for tax purposes. Schedule K, Part I, Row C, Column (f) In 2008, the Organization restructured some of its existing debt. The Series 2002 Bonds (June 19, 2002) were remarketed as the Series 2008A Bonds, and the Series 2003 Bonds (June 5, 2003) were remarketed as the Series 2008B bonds. Then, in December 2010, the Series 2008AB Bonds were modified in a manner that resulted in a "reissuance" for tax purposes. Later, in November 2011, the Series 2008B Bonds were modified in a manner that resulted in a "reissuance" for tax purposes. Schedule K, Part I, Row D, Column (f) The Series 2016 Bonds were issued to refinance a portion of the outstanding Series 2009 Bonds (issued Nov. 19, 2009). Schedule K, Part II, Line 3, Column A Difference between issue price and total proceeds of the Series 2009 Bonds represents $260,280 of investment proceeds. Schedule K, Part II, Line 11, Column A $98,850,000 of Bond proceeds were used to pay off the bank loan that was incurred to refinance the Series 2007AB Bonds. Schedule K, Part II, Line 11, Column B $71,550,000 of Bond proceeds were treated as used to refinance the Series 2008AB Bonds as a result of the "reissuance" of the Series 2008AB Bonds. Schedule K, Part II, Line 11, Column C $18,775,000 of Bond proceeds was treated as used to refinance the Series 2008B Bonds as a result of the "reissuance" of the Series 2008B Bonds. Schedule K, Part II, Line 11, Column D $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 13, Column B The Series 2008AB Bonds were treated as "reissued" on December 21, 2010, and therefore, there were no "new-money" projects financed by the "reissued" Series 2008AB Bonds. Schedule K, Part II, Line 13, Column C The Series 2008B Bonds were treated as "reissued" on November 14,2014, and therefore, there were no "new-money" projects financed by the "reissued" Series 2008B Bonds. Schedule K, Part II, Line 13, Column D 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. Jonathan Baum Director 159554 Amounts paid to George K. Baum & Company as Co-Manager on the Series 2016 Bonds 0 Substantial Contributor Substantial Contributor 11673851 Services and sale of assets 0 substantial Contributor substantial Contributor 353548 Services and sale of assets 0 substantial Contributor substantial Contributor 3450063 Services 0 substantial Contributor substantial Contributor 24315721 Services 0 X 8 10260 FMV X 21918 FMV X 1 48435 X 22 212838 FMV X 19 15250 FMV X 19 7041 FMV X Experiences 36 142656 FMV X Events 25 34888 FMV X Miscellaneous 5 3461 FMV 0 1 0 Part I, Column (b): The amounts in Part I, Column (b) represent the number of contributions received during the taxable year. Part I, Line 33: Books and clothing were received and utilized by patients and families; not resold. Form 990, Part III, line 2 CMPeDS App Developed in partnership with Engage Mobile, the CMPeDs App is a first-of-its-kind decision support tool to help clinical providers more easily make the most accurate diagnosis of their pediatric patients. The App has been downloaded by almost 10,000 users worldwide, who feel it is a valuable tool. Children's Mercy Affiliated Practices (CMAP) Children's Mercy Affiliated Practices were developed to strengthen the alignment with community pediatricians and better manage the continuum of patient care. CMAPs are committed to working together for healthier kids, sharing best practices, and collaborating with likeminded pediatricians to improve how care is delivered. Children's Mercy Kansas Outpatient Pharmacy A new outpatient pharmacy was opened at the Children's Mercy Hospital Kansas location. The location demonstrated a great need for a retail pharmacy to better address continuum of care needs for CMK patients. The new pharmacy will be able to take care of patients' pharmacy needs from the ED, clinics, and inpatient floors, as well as serve as a greater convenience for their care givers. Specialty Pharmacy The creation of a Specialty Pharmacy was developed to better serve patients who require highly specialized, high-cost pharmaceuticals. The initial phase focused on providing human growth hormone to patients. Use of these type of drugs are on the rise and roughly 7 out of 10 new drugs coming into the market fall into the specialty category. The Specialty Pharmacy positions CMH to better serve pediatric patients and to respond to the growing demand for these types of drugs. KidCare Anywhere CMH launched an online virtual health service called "KidCare Anywhere" to address consumers growing desire for on demand care. KidCare Anywhere was also created with a goal to deliver value as part of an integrated pediatric health system. It will enable patients/families to access a Children's Mercy physician or advanced nurse practitioner in minutes via a smartphone, tablet, or computer for non-emergent conditions. The new service is currently limited to Children's Mercy Pediatric Care Network patients, but expansion will occur within the next year. Form 990, Part VI, Section A, line 4 The bylaws of The Children's Mercy Hospital were updated to include changes to the Conflict of Interest section. 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 Each employee is required to complete an Outside Professional and Commercial Interests Form (Conflict of Interest Form) at the time of employment, at the time of their annual evaluation, and any time their financial interests change. Board members are required to complete a Conflict of Interest Questionnaire at the time of their appointment, at least one time annually, and are required to update their information any time their financial interests change. All Outside Professional and Commercial Interests Forms and Conflict of Interest Questionnaires are reviewed by the Corporate Compliance Manager. Form 990, Part VI, Section B, line 15 The Compensation Committee of the Board of Directors is responsible for approving the compensation of the CEO, which they document in an Employment Agreement between the Board of Directors and the CEO. The Compensation Committee also approves the compensation of the EVP/CAO, the EVP/Chief Medical Officer, two persons with the title EVP/co-Chief Operating Officer, all officers of the Hospital, and the Chair of the Department of Pediatrics, who is a key employee. The Compensation Committee is composed of independent outside directors who receive no compensation for their participation on the Board. The Compensation Committee engages an outside consulting firm, whose practice includes the analysis of compensation for not-for-profit hospitals, to advise the Committee with regard to market data and analysis, which was used to establish compensation. A letter from the compensation consultant opining on the reasonableness of the compensation was provided to the Committee and documentation of the Committee's deliberations and decision are in existence. 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 IX, line 11g Other Fees: Program service expenses 69,980,824. Management and general expenses 72,660,111. Fundraising expenses 457,427. Total expenses 143,098,362. Form 990, Part XI, line 9: Change in benefit obligation -160,311. Change in interest rate swap valuation 10,328,089. Net Unrealized Change in Income Beneficiary and Charitable Remainder Trusts 6,243,423. Intercompany Transfer 319,353. CMH Insurance Company LLC 2401 Gillham Road Kansas City MO 64108 Insurance for The Children's Mercy Hospital MO 91848 11844334 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 13481796 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 -261959 1009677 1.00000 1 Income Beneficiary Trusts (6) trust MO N/A T 0 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 -27359 1187188 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 -13768 836877 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 -33580 696266 1.00000 1 1 0 1 1 1 0 0 0 0 1 0 1 0 0 1 1 1 1 1 Children's Mercy Integrated Care Solutions O 4871923 Book Children's Mercy Integrated Care Solutions J 187351 Book Children's Mercy Integrated Care Solutions L 1579275 Book Children's Mercy Integrated Care Solutions P 232457 Book Children's Mercy Integrated Care Solutions Q 143520 Book Children's Mercy Integrated Care Solutions S 124475115 Book Children's Mercy Hospital Self-Insurance Trust R 3837914 Book Children's Mercy- Johnson County Pediatrics Inc D 375000 Book Children's Mercy- Pediatric Care Specialists Inc D 400000 Book Children's Mercy- Pediatric Associates Inc D 625000 Book Children's Mercy- Pediatric Care North Inc D 400000 Book Children's Mercy- Johnson County Pediatrics Inc A 5933 Book Children's Mercy- Pediatric Care Specialists Inc A 4075 Book