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The Children's Mercy Hospital

2401 Gillham Road
Kansas City, MO 64108
EIN: 440605373
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Childrens Mercy Hospital
2401 Gillham Road
Kansas City, MO 64108
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count263Medicare provider number263302Member of the Council of Teaching HospitalsYESChildren's hospitalYES

The Children's Mercy HospitalDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
11.91%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 1,694,039,940
      Total amount spent on community benefits
      as % of operating expenses
      		$ 201,814,153
      11.91 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 46,191,491
        2.73 %
        Medicaid
        as % of operating expenses
        		$ 62,937,207
        3.72 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 19,193,413
        1.13 %
        Subsidized health services
        as % of operating expenses
        		$ 39,847,120
        2.35 %
        Research
        as % of operating expenses
        		$ 16,571,082
        0.98 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 15,094,824
        0.89 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 1,979,016
        0.12 %
        Community building*
        as % of operating expenses        		$ 933,946
        0.06 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)32
          Physical improvements and housing4
          Economic development6
          Community support0
          Environmental improvements0
          Leadership development and training for community members2
          Coalition building1
          Community health improvement advocacy4
          Workforce development15
          Other0
          Persons served (optional)2,175
          Physical improvements and housing203
          Economic development6
          Community support0
          Environmental improvements0
          Leadership development and training for community members17
          Coalition building900
          Community health improvement advocacy4
          Workforce development1,045
          Other0
          Community building expense
          as % of operating expenses          		$ 933,946
          0.06 %
          Physical improvements and housing
          as % of community building expenses
          		$ 167,286
          17.91 %
          Economic development
          as % of community building expenses
          		$ 303,611
          32.51 %
          Community support
          as % of community building expenses
          		$ 0
          0 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 1,848
          0.20 %
          Coalition building
          as % of community building expenses
          		$ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 89,609
          9.59 %
          Workforce development
          as % of community building expenses
          		$ 371,592
          39.79 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 237,195
          Physical improvements and housing$ 9,000
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 190,060
          Community health improvement advocacy$ 0
          Workforce development$ 38,135
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 208,602
        0.01 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 1212018510 including grants of $ 112817140) (Revenue $ 1819620522)
All expenses for program services relate to providing healthcare. There was a total of 390 licensed beds and 195,172 adjusted patient days during the year from 14,345 admissions. Outpatient encounters totaled 585,521 which includes 47,282 primary care visits, 99,939 urgent care visits, 102,557 emergency department visits and 335,743 specialty clinic visits. Telemedicine visits totaled 72,642 which includes both synchronous and asynchronous visits. There was a total of 19,469 surgical cases which includes 4,165 inpatient cases and 15,304 outpatient cases. Children's Mercy's Adele Hall Campus consists of a 338-bed teaching hospital for children located in Kansas City, Missouri, and a 52-bed hospital for children located in Overland Park, Kansas. Children's Mercy Hospital provides the highest level of medical care, technology, services, equipment, and facilities promoting the health and well-being of children in the region, from birth through adolescence. Patients and their families are treated with compassion in a family-centered environment that recognizes their physical, emotional, financial, social, and spiritual needs. The comprehensive healthcare environment provided by the Hospital includes clinical services, research, and teaching efforts, which are designed to serve today's and tomorrow's children, and the community in which they live.The Hospital's services are available to all regardless of ability to pay.
      4B (Expenses $ 86314681 including grants of $ 4870658) (Revenue $ 0)
Children's Mercy Hospital (CMH) is dedicated to becoming a leader in pediatric translational research. A strategic planning initiative established the Children's Mercy Research Institute (CMRI) to focus on research and research infrastructure. Through the generosity of two philanthropic gifts totaling $150 million, the Hospital has built a nine story, 375,000 square foot facility enabling research scientists to gain access to state-of-the-art research technology as well as dry lab and wet lab space to support that research. The CMRI building opened in the fall of 2020. The building includes an auditorium for presentations to train medical school students and inform the public about pediatric healthcare innovations that are being developed and created by research scientists and physicians here in collaboration with others throughout the nation and world. In addition these generous gifts will help support funding for scientific programs and recruitment. Research conducted today at CMH includes basic science and clinical research in numerous areas including pharmacology, cancer, cardiology, genetic diseases and health outcomes. Areas of research strength include Precision Therapeutics, Genomics Medicine, Population Health, Emerging Infections and Health Care Innovation. During the year ended June 30, 2022 there were more than 477 active sponsored research projects. The Children's Mercy Research Institute occupies about 18% of the space on the main campus and 7% of the total annual operating budget. Children's Mercy spent $86 million in the year ended June 30, 2022 on research and per information from the NIH Reporter received more than $8.2 Million in NIH funding in this same time period. More than 900+ publications were accepted and/or published. The Children's Mercy Research Institute provides seed funding to Investigators with internal competitive grant programs such as the Midwest Cancer Alliance and the Katherine Berry Richardson (KBR) Fund, with expectations that this funding will lead to applications for externally funded grant programs in the future.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Part V, Section B
Facility Reporting Group A
      Facility Reporting Group A consists of:
- Facility 1: The Children's Mercy Hospital, - Facility 2: Children's Mercy Kansas
      Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 5:
Children's Mercy developed the most recent CHNA with input from persons who represent broad interests within the community. Data collection for the CHNA occurred between November 2021 and May 2022. During this time, Children's Mercy held activities and hosted meetings to solicit input and feedback from the community. Activities included: two community meetings with 21 neighborhood residents representing low income and vulnerable populations; a telephone survey of 1,250 randomly selected parents/caregivers of children under the age of 18 years old living in the Children's Mercy service area; a Key Informant Online Survey sent to 300 elected officials, physicians, public health leaders, health professionals, social service providers, and business, neighborhood, housing, and community leaders (26% response rate); a Children's Health Summit held April 28, 2022 that invited community representatives to review CHNA data and identify critical health needs (140 attended). Organizations participating in the CHNA surveys and events included: Ability KC; American Lung Association; Amethyst Place; Arvest Bank; B-C Education Consultant Services; Belton School District; BikeWalkKC; Black Health Care Coalition; Blue Springs Pediatrics; Calvary Community Outreach Network; CASA of Johnson and Wyandotte Counties; Catholic Charities of Kansas City-St. Joseph; CDC Foundation - MoDHSS; Center for Neighborhoods; Cerner Corporation; Child Protection Center; City of Kansas City, Missouri; Clay County Children's Services Fund; Clay County Public Health Center; Community Health Council of Wyandotte County; CMC, Cockerall and McIntosh Pediatrics; Commerce Bank; Comprehensive Mental Health; Communities in Schools; Community Health Council of Wyandotte County; Community LINC; Core Changing Concepts; Cornerstones of Care; Cradle Kansas City; Cradle Thru College Care Pediatrics, Inc.; Crittenton Children's Center; Cross-Lines Community Outreach, Inc.; DeBruce Foundation; DHSS - Office of the Assistant Secretary for Health; El Centro; Fore the Kids Foundation; Front Porch Alliance; Girl Scouts of NE Kansas NW Missouri; Greater Kansas City Coalition to End Homelessness; Green Acres Urban Farm and Research Project; Growing Futures; Harvesters - The Community Food Network; Health Resources and Services Administration; Health Forward Foundation; Health Partnership of Johnson County; H&R Block Foundation and Bloch Family Foundation; Ivanhoe Neighborhood Council; Jackson County Community Mental Health Fund; Jackson County Court; JE Dunn Construction; Johnson County Department of Health and Environment; Kansas City Area Transit Authority; Kansas City Indian Center; Kansas City, Kansas Community College; Kansas City, Missouri Health Department; Kansas City, Missouri Health Commission; Kansas City, Missouri Public Schools; Kansas Department of Health and Environment; KC Common Good; KC Healthy Kids; Kids Win Missouri; Latino Health for All Coalition; Lee's Summit School District; Lee's Summit Pediatrics; Liberty Public Schools; March of Dimes; Marion and Henry Bloch Family Foundation; Mattie Rhodes Center; Mid-America Head Start; Mid-America Regional Council; Mid-Continent Public Library; Missouri Department of Health and Senior Services; MOCSA; Northland Neighborhoods, Inc.; Parent Leadership Training Institute; Pediatric Associates; Pediatric Care North; Phoenix Family; Planet Play; Platform Civic Strategies; Platte County Health Department; Platte County Prevention Coalition; Preferred Pediatrics; Public Progress; Project Eagle Early Head Start; REACH Healthcare Foundation; Samuel U. Rodgers Health Center; Sleepyhead Beds; Start at Zero, Stone County Health Department; Swope Health Services; Synergy Services, Inc.; The Family Conservancy; Tri-County Mental Health Services; Nurture KC; ReDiscover; Rose Brooks; SchoolSmart KC; University of Missouri - Kansas City School of Urban Planning & Design; City of Kansas City, Missouri LGBTQ Commission; Unified Government Public Health Department of Wyandotte County; United Community Services of Johnson County; United Way of Greater Kansas City; University Health; University of Kansas Medical Center; Uzazi Village; Sierra Club of Greater Kansas City; Sophic Solutions; Urban Neighborhood Initiatives; Webster County Health Department; Westside Housing Organization; Wyandotte Economic Development Council; Wyandotte Health Foundation; Wyandotte Mental Health; YMCA of Greater Kansas City; Youth Ambassadors, Inc. The CHNA provides a comprehensive list of all organizations and specifics on the data collection process. The priority needs identified were: child and youth mental health; access to health services; violence prevention; housing and neighborhood conditions. Priority health needs were selected based on the issue's importance to children's health, potential measurable impact if addressed, and Children's Mercy's ability to mitigate the issue with resources and personnel. The Children's Mercy Board of Directors approved the Priority Health Needs on June 15, 2022. The Priority Health Needs will receive heightened attention and support from Children's Mercy. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. For the tax year ended June 30, 2022, which is the time period reported in this Form 990, Children's Mercy addressed the significant health needs that were identified in its 2018 CHNA and in which the implementation strategy was adopted for fiscal years 2020, 2021 and 2022.
      Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 11:
The implementation strategy plan that covers the time period reported on this tax return was approved on October 15, 2019 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2018 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsFrom 2021 to 2022, Children's Mercy continued to support program and efforts that addressed the 2019 CHNA identified priority health needs: Access to Care with a focus on Asthma; Improving Infant Health; Improving Mental/Behavioral Health; Addressing Nutrition/Physical Activity and Weight; Increasing Injury and Violence Prevention activities, Reducing Tobacco, Alcohol and Substance Abuse. The following highlights key programs and activities that address the priority health needs. Access to care with a focus on asthma key activities and programs: launched a school-based asthma telemedicine support program to better serve high-risk children living with asthma in three Kansas City schools; created online training modules for school nurses addressing school-based care for children living with asthma and diabetes; added asthma screening to community-based health fair events, reaching over 60 individuals; maintained an online daily pollen and spore count accessed by 17,500 unique visitors; launched COVID-19 testing program in the Kansas City, Missouri Public School District; Expanded Circulation transportation program to all clinical service at Children's Mercy Broadway and Operation Breakthrough locations, providing 2,179 rides between 2021 - 2022; Provided Project Adam education and training to create heart safe schools; Increased social determinants of health screenings and referral programs through the launch of the Lift Up KC community referral platform; expanded Athletic Training and support services to serve 10 schools and reaching 5,340 student athletes; expanded primary care services for children offered at Vibrant Health, a FQHC located in Wyandotte County, Kansas; supported the Community Health Council of Wyandotte County to expand health insurance coverage and the availability of community health workers; provided health services at clinics located at Synergy Services, University Academy, and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources. Mental and behavioral health: developed a mental and behavioral health strategic plan to create greater access, developed new partnerships, and expanded mental and behavioral health services for children in the region; provided education to 230 parents and caregivers of children who have experienced stressful or traumatic events in their lives; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching 21,766 students, parents, teachers, and community members; offered acute mental health screening in emergency department; expanded the Prepped & Ready parenting video education series to reach 371 parents and caregivers; hired community outreach staff to develop new partnerships and strengthen community-based mental health services. Infant health: Continued support to Promise 1000 and TIES home visiting services reaching 509 parents and children; participated in community baby shower events in partnership with the Kansas City Black Healthcare Coalition; provided financial support to efforts led by community-based organizations including Uzazi Village, Nurture KC, Every Baby to One, and Cradle KC to expand outreach, services, and education to pregnant and parenting families; expanded availability of safe sleep education and portable cribs to area agencies. Nutrition, physical activity, and weight: convened and partnered with community-based organizations through the Kansas City Physical Activity Plan; continued support of the Kids Eat Free summer foods program; established a food pantry at Children's Mercy Broadway; established a Girls on the Run program; continued maintenance of the Children's Mercy Community Garden, serving 200 community members; facilitated a weight management evening group reaching 841 parents and children; established the Fruits and veggie Connect program. Injury and violence prevention: continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established the Community Outreach & Violence Response (COVER) program in the emergency department to serve as an intervention and support resource for families impacted by violence, reaching over 71 families between 2021 - 2022; continued to distribute gun locks; provided financial support to the Ad Hoc Group Against Crime, Mothers in Charge, Grandparents Against Gun Violence, and Charlie's House to support community-based initiatives to reduce injury and violence; distributed car seats and booster seats to 2,082 families and provided car seat consultations to 2,090 families; supported community-based bike rodeos and distributed bike helmets to promote injury prevention. Tobacco, Alcohol, and Substance Abuse: participated in national drug take-back days; provided community-based educational presentations on vaping and tobacco use; provided smoking cessation support for parents of children hospitalized at Children's Mercy. Children's Mercy's website provides a link that allows community organizations to submit requests for Children's Mercy to provide resources, program support and/or expertise to address identified community needs. Between 2021-2022, Children's Mercy received 67 requests that included 50 community/school events/health fairs and over 17 technical assistance/presentations/workshops/training services. Organizations receiving financial support from Children's Mercy include: Ability KC; AIDS Service Foundation of Greater Kansas City; American Heart Association; Angel Flight Central, Inc.; Big Brothers Big Sisters of Greater Kansas City; Bionexus KC; Black Health Care Coalition of Greater Kansas City; Boys and Girls Club of America; Children's Place; Children's Center for the Visually Impaired; Chrons and Colitis Foundation; Community Assistance Council; Community Services League; Child Protection Center; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance; Giving Hope and Help, Inc.; Grandparents for Gun Safety; HappyBottoms; Head for the Cure Foundation; Jackson County CASA; Junior League of Kansas City, Missouri; Kansas City Friends of Alvin Ailey; Kansas City Public Schools; Kansas City Hospice Foundation; Lead to Read, Inc.; Local Initiatives Support Corporation; Metropolitan Organization to Counter Sexual Assault; Missouri KidsFirst Child Advocacy Centers, Inc.; Newhouse, Inc.; Operation Breakthrough, Inc.; Ronald McDonald Charities; Rose Brooks Center; SAVE, Inc.; Sherwood Autism Center; Sunflower House, Inc.; Teach for America; Truman Heartland Community Foundation; Wichita's Little Heroes.
      Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13b:
The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status.
      Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13h:
Patients seeking care at organization with out of network insurance plans are not eligible for charity care.
      Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, Line 20a:
Because the Hospital is not exercising any extraordinary collection actions in the event of nonpayment, it has no occasion to provide a written notice about upcoming ECAs.
      Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 5:
Children's Mercy developed the most recent CHNA with input from persons who represent broad interests within the community. Data collection for the CHNA occurred between November 2021 and May 2022. During this time, Children's Mercy held activities and hosted meetings to solicit input and feedback from the community. Activities included: two community meetings with 21 neighborhood residents representing low income and vulnerable populations; a telephone survey of 1,250 randomly selected parents/caregivers of children under the age of 18 years old living in the Children's Mercy service area; a Key Informant Online Survey sent to 300 elected officials, physicians, public health leaders, health professionals, social service providers, and business, neighborhood, housing, and community leaders (26% response rate); a Children's Health Summit held April 28, 2022 that invited community representatives to review CHNA data and identify critical health needs (140 attended). Organizations participating in the CHNA surveys and events included: Ability KC; American Lung Association; Amethyst Place; Arvest Bank; B-C Education Consultant Services; Belton School District; BikeWalkKC; Black Health Care Coalition; Blue Springs Pediatrics; Calvary Community Outreach Network; CASA of Johnson and Wyandotte Counties; Catholic Charities of Kansas City-St. Joseph; CDC Foundation - MoDHSS; Center for Neighborhoods; Cerner Corporation; Child Protection Center; City of Kansas City, Missouri; Clay County Children's Services Fund; Clay County Public Health Center; Community Health Council of Wyandotte County; CMC, Cockerall and McIntosh Pediatrics; Commerce Bank; Comprehensive Mental Health; Communities in Schools; Community Health Council of Wyandotte County; Community LINC; Core Changing Concepts; Cornerstones of Care; Cradle Kansas City; Cradle Thru College Care Pediatrics, Inc.; Crittenton Children's Center; Cross-Lines Community Outreach, Inc.; DeBruce Foundation; DHSS - Office of the Assistant Secretary for Health; El Centro; Fore the Kids Foundation; Front Porch Alliance; Girl Scouts of NE Kansas NW Missouri; Greater Kansas City Coalition to End Homelessness; Green Acres Urban Farm and Research Project; Growing Futures; Harvesters - The Community Food Network; Health Resources and Services Administration; Health Forward Foundation; Health Partnership of Johnson County; H&R Block Foundation and Bloch Family Foundation; Ivanhoe Neighborhood Council; Jackson County Community Mental Health Fund; Jackson County Court; JE Dunn Construction; Johnson County Department of Health and Environment; Kansas City Area Transit Authority; Kansas City Indian Center; Kansas City, Kansas Community College; Kansas City, Missouri Health Department; Kansas City, Missouri Health Commission; Kansas City, Missouri Public Schools; Kansas Department of Health and Environment; KC Common Good; KC Healthy Kids; Kids Win Missouri; Latino Health for All Coalition; Lee's Summit School District; Lee's Summit Pediatrics; Liberty Public Schools; March of Dimes; Marion and Henry Bloch Family Foundation; Mattie Rhodes Center; Mid-America Head Start; Mid-America Regional Council; Mid-Continent Public Library; Missouri Department of Health and Senior Services; MOCSA; Northland Neighborhoods, Inc.; Parent Leadership Training Institute; Pediatric Associates; Pediatric Care North; Phoenix Family; Planet Play; Platform Civic Strategies; Platte County Health Department; Platte County Prevention Coalition; Preferred Pediatrics; Public Progress; Project Eagle Early Head Start; REACH Healthcare Foundation; Samuel U. Rodgers Health Center; Sleepyhead Beds; Start at Zero, Stone County Health Department; Swope Health Services; Synergy Services, Inc.; The Family Conservancy; Tri-County Mental Health Services; Nurture KC; ReDiscover; Rose Brooks; SchoolSmart KC; University of Missouri - Kansas City School of Urban Planning & Design; City of Kansas City, Missouri LGBTQ Commission; Unified Government Public Health Department of Wyandotte County; United Community Services of Johnson County; United Way of Greater Kansas City; University Health; University of Kansas Medical Center; Uzazi Village; Sierra Club of Greater Kansas City; Sophic Solutions; Urban Neighborhood Initiatives; Webster County Health Department; Westside Housing Organization; Wyandotte Economic Development Council; Wyandotte Health Foundation; Wyandotte Mental Health; YMCA of Greater Kansas City; Youth Ambassadors, Inc. The CHNA provides a comprehensive list of all organizations and specifics on the data collection process. The priority needs identified were: child and youth mental health; access to health services; violence prevention; housing and neighborhood conditions. Priority health needs were selected based on the issue's importance to children's health, potential measurable impact if addressed, and Children's Mercy's ability to mitigate the issue with resources and personnel. The Children's Mercy Board of Directors approved the Priority Health Needs on June 15, 2022. The Priority Health Needs will receive heightened attention and support from Children's Mercy. Children's Mercy's 2022-2025 Implementation Plan was adopted by the Children's Mercy Board of Directors on November 7, 2022. For the tax year ended June 30, 2022, which is the time period reported in this Form 990, Children's Mercy addressed the significant health needs that were identified in its 2018 CHNA and in which the implementation strategy was adopted for fiscal years 2020, 2021 and 2022.
      Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 11:
The implementation strategy plan that covers the time period reported on this tax return was approved on October 15, 2019 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2018 tax year. The most recently adopted implementation strategy plan can be found on the hospital website:http://www.childrensmercy.org/communityneedsFrom 2021 to 2022, Children's Mercy continued to support program and efforts that addressed the 2019 CHNA identified priority health needs: Access to Care with a focus on Asthma; Improving Infant Health; Improving Mental/Behavioral Health; Addressing Nutrition/Physical Activity and Weight; Increasing Injury and Violence Prevention activities, Reducing Tobacco, Alcohol and Substance Abuse. The following highlights key programs and activities that address the priority health needs. Access to care with a focus on asthma key activities and programs: launched a school-based asthma telemedicine support program to better serve high-risk children living with asthma in three Kansas City schools; created online training modules for school nurses addressing school-based care for children living with asthma and diabetes; added asthma screening to community-based health fair events, reaching over 60 individuals; maintained an online daily pollen and spore count accessed by 17,500 unique visitors; launched COVID-19 testing program in the Kansas City, Missouri Public School District; Expanded Circulation transportation program to all clinical service at Children's Mercy Broadway and Operation Breakthrough locations, providing 2,179 rides between 2021 - 2022; Provided Project Adam education and training to create heart safe schools; Increased social determinants of health screenings and referral programs through the launch of the Lift Up KC community referral platform; expanded Athletic Training and support services to serve 10 schools and reaching 5,340 student athletes; expanded primary care services for children offered at Vibrant Health, a FQHC located in Wyandotte County, Kansas; supported the Community Health Council of Wyandotte County to expand health insurance coverage and the availability of community health workers; provided health services at clinics located at Synergy Services, University Academy, and Operation Breakthrough; participated in back-to-school events providing health assessments and referrals to needed resources. Mental and behavioral health: developed a mental and behavioral health strategic plan to create greater access, developed new partnerships, and expanded mental and behavioral health services for children in the region; provided education to 230 parents and caregivers of children who have experienced stressful or traumatic events in their lives; continued the Red Card: Call It When You See It anti-bullying campaign in partnership with local MLS soccer Team, Sporting Kansas City, reaching 21,766 students, parents, teachers, and community members; offered acute mental health screening in emergency department; expanded the Prepped & Ready parenting video education series to reach 371 parents and caregivers; hired community outreach staff to develop new partnerships and strengthen community-based mental health services. Infant health: Continued support to Promise 1000 and TIES home visiting services reaching 509 parents and children; participated in community baby shower events in partnership with the Kansas City Black Healthcare Coalition; provided financial support to efforts led by community-based organizations including Uzazi Village, Nurture KC, Every Baby to One, and Cradle KC to expand outreach, services, and education to pregnant and parenting families; expanded availability of safe sleep education and portable cribs to area agencies. Nutrition, physical activity, and weight: convened and partnered with community-based organizations through the Kansas City Physical Activity Plan; continued support of the Kids Eat Free summer foods program; established a food pantry at Children's Mercy Broadway; established a Girls on the Run program; continued maintenance of the Children's Mercy Community Garden, serving 200 community members; facilitated a weight management evening group reaching 841 parents and children; established the Fruits and veggie Connect program. Injury and violence prevention: continue to serve as a leader with the Safe Kids Greater Kansas City Coalition; established the Community Outreach & Violence Response (COVER) program in the emergency department to serve as an intervention and support resource for families impacted by violence, reaching over 71 families between 2021 - 2022; continued to distribute gun locks; provided financial support to the Ad Hoc Group Against Crime, Mothers in Charge, Grandparents Against Gun Violence, and Charlie's House to support community-based initiatives to reduce injury and violence; distributed car seats and booster seats to 2,082 families and provided car seat consultations to 2,090 families; supported community-based bike rodeos and distributed bike helmets to promote injury prevention. Tobacco, Alcohol, and Substance Abuse: participated in national drug take-back days; provided community-based educational presentations on vaping and tobacco use; provided smoking cessation support for parents of children hospitalized at Children's Mercy. Children's Mercy's website provides a link that allows community organizations to submit requests for Children's Mercy to provide resources, program support and/or expertise to address identified community needs. Between 2021-2022, Children's Mercy received 67 requests that included 50 community/school events/health fairs and over 17 technical assistance/presentations/workshops/training services. Organizations receiving financial support from Children's Mercy include: Ability KC; AIDS Service Foundation of Greater Kansas City; American Heart Association; Angel Flight Central, Inc.; Big Brothers Big Sisters of Greater Kansas City; Bionexus KC; Black Health Care Coalition of Greater Kansas City; Boys and Girls Club of America; Children's Place; Children's Center for the Visually Impaired; Chrons and Colitis Foundation; Community Assistance Council; Community Services League; Child Protection Center; Friends of Johnson County Mental Health, Inc.; Front Porch Alliance; Giving Hope and Help, Inc.; Grandparents for Gun Safety; HappyBottoms; Head for the Cure Foundation; Jackson County CASA; Junior League of Kansas City, Missouri; Kansas City Friends of Alvin Ailey; Kansas City Public Schools; Kansas City Hospice Foundation; Lead to Read, Inc.; Local Initiatives Support Corporation; Metropolitan Organization to Counter Sexual Assault; Missouri KidsFirst Child Advocacy Centers, Inc.; Newhouse, Inc.; Operation Breakthrough, Inc.; Ronald McDonald Charities; Rose Brooks Center; SAVE, Inc.; Sherwood Autism Center; Sunflower House, Inc.; Teach for America; Truman Heartland Community Foundation; Wichita's Little Heroes.
      Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13b:
The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status.
      Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13h:
Patients seeking care at organization with out of network insurance plans are not eligible for charity care.
      Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, Line 20a:
Because the Hospital is not exercising any extraordinary collection actions in the event of nonpayment, it has no occasion to provide a written notice about upcoming ECAs.
      Supplemental Information
      Schedule H (Form 990) Part VI
      Part I, Line 3c:
Free care eligibility is based on FPG and other factors such as residency and exhausting other available payor sources. For discounted care, if a financial assistance application was denied and the decision then appealed, the case is reviewed through a multi-disciplinary committee that uses a point system rubric using indicators such as FPG, total balance due as a percentage of annual income, out of pocket responsibility for upcoming year as a percentage of annual income, annual frequency of visits for ongoing care, financial hardship indicators such as recent bankruptcy/foreclosure, and medical complexity due to health condition. Each factor, if applicable, is reviewed and assigned point value based on a preset scale, that serves as a tool for the discounted care scale.
      Part I, Line 7:
The cost-to-charge ratio derived from Worksheet 2 was used for Lines 7a and 7b. Cost from the Medicare Cost Report was used for Lines 7f (Health Professions Education). Cost from our decision support system was used for 7g (Subsidized Health Services).
      Part I, Line 7g:
In FY22, over 115,000 children were reached through clinical services classified as Subsidized Health Services. Subsidized health services included pediatric primary care clinics at Children's Mercy Broadway as well as community-based clinics located at Synergy Services (youth-serving agency), Operation Breakthrough (early childhood center) and at University Academy (K-12 charter school). Other subsidized health services include: adolescent medicine; burn unit outpatient; child adversity & resilience; child & family mental health services; Center for Healthy Lifestyles and Nutrition; developmental & behavioral medicine; general pediatrics; genetics; hematology/oncology; home health; neonatology follow up; ophthalmology; pain management; palliative care outpatient; sexual assault nursing education program; teen clinic; critical care transport services. The services are provided at a financial loss to Children's Mercy after removing Charity Care, unreimbursed Medicaid, private insurance shortages and contract, grants and gifts. All subsidized health services meet an identified community need and a shortage of available services would exist in the community if Children's Mercy did not provide the service.
      Part I, Line 7A:
Financial assistance cost reported on this line is derived from Worksheet 1 which takes gross charges for patients who have been awarded financial assistance and then multiplies those charges by a cost-to-charge ratio derived from Worksheet 2 to arrive at cost of providing financial assistance.
      Part I, Line 7H:
Children's Mercy researchers strive to find better ways to prevent, treat and eliminate pediatric disease and to improve community-based health outcomes. In FY22, over 477 studies met Community Benefit criteria. The Children's Research Institute is creating an integrated research environment where no boundaries exist between science and medicine. The hospital's leadership in pediatric genomic medicine and clinical pharmacology is driving research and innovation in nephrology, cardiology, cancer treatment and other subspecialties to provide answers for the most difficult cases and challenging pediatric conditions. In addition, a dedicated, state-of-art biorepository that can advance diagnostic discovery and health outcomes is available for use by all researchers.
      Part II, Community Building Activities:
The Children's Mercy community building activities address identified community health needs such as physical activity, poverty, access to health services, mental and behavioral health, and employment. The activities include programs and/or resources intended to make physical improvements, provide community support, advocate for community health improvements, and address community-wide workforce issues through numerous workforce development outreach initiatives. Examples include the maintenance of the Hospital Hill Park and the Sylvia Nutter Playground, facilitation of the UMKC Health Sciences District, establishment of the Health Sciences District Community Improvement District (CID), the management of a community garden, advocacy activities, participation on Chamber of Commerce committees related to health improvement, health careers exploration activities for elementary students through support of Junior Achievement BizTown, and healthcare workforce development for high school students and community members.
      Part III, Line 4:
Audited Financial Statements Footnote M, Page 13.
      Part III, Line 8:
Cost to charge ratio
      Part III, Line 9b:
Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate.
      Part VI, Line 3:
Flyers and financial counselor business cards and copies of the Financial Assistance Plain Language Summary are available at all access points within the Hospital. Efforts are made by the financial counselors to contact self pay patients and families, either in person, or through phone call or letters to inform/assist families with charity care and Medicaid or state program eligibility. Self pay or underinsured patients can also be referred to a financial counselor by an Access Representative, Patient Care Services, Social Work, Patient Financial Services, or other staff members for screening and assistance. All billing statements refer patients to financial counseling resources and the financial assistance policy posted on the hospital website.
      Part VI, Line 6:
The Children's Mercy Hospital is not part of an affiliated health care system.
      Part VI, Line 2:
The hospital has an initiative development process that brings forward new initiatives around strategic, operational, community health, and innovation based on community/market trends and needs and through consultation with community-based organizations. On a routine basis, the Strategic Planning Department monitors demographic and service trends of the region and compares this data to national benchmarks. The hospital strategic planning process also takes into account all of the qualitative and quantitative market data to define strategies and tactics that address the community need. In addition, Trauma Services maintains a Trauma Registry and the Promise 1000 centralizes the data collection on the health services and needs of children (0 - 3 years of age) who receive home visiting services.
      Part VI, Line 4:
Children's Mercy serves over 230,000 children from across the states of Kansas and Missouri. In Kansas 102 counties and in Missouri 114 counties have federally designated primary care HPSA areas. Across the two states, Children's Mercy identifies 43 counties as the Outreach Service Area, 50 counties as the Secondary Service Area, and 18 counties as the Primary Service Area. Within the Primary Service Area are six counties called the Metro Service Area. Each of the service areas include urban, suburban and rural counties. The Outreach Service Area includes more rural counties than the other service areas. The Metro Service Area includes more urban and suburban areas than rural. Within the Metro Service Area are the five counties (Jackson, Clay, and Platte counties located in Missouri and Johnson and Wyandotte counties located in Kansas) that comprise the Children's Mercy CHNA service area. All five counties have primary care HPSA designations. Children's Mercy is the only children's hospital in the region. Limited pediatric services are available at the Kansas University Medical Center, St. Luke's Health System, Centerpoint, Liberty Hospital, North Kansas City, Research Medical Center, Shawnee Mission Medical Center and Overland Park hospitals. During the fiscal year in which Children's Mercy initiated the CHNA, residents of Jackson, Clay, Platte, Wyandotte, and Johnson Counties contribute over 72 percent of the encounters at Children's Mercy. The Children's Mercy CHNA service area serve as the location of our physical facilities (e.g., Children's Mercy Adele Hall Campus, Children's Mercy Hospital Kansas, Children's Mercy West, Children's Mercy Northland, Children's Mercy Broadway, Children's Mercy College Boulevard, Children's Mercy Olathe, Children's Mercy Blue Valley, Children's Mercy at The University of Kansas Hospital, Children's Mercy Sports Medicine at Village West, and Children's Mercy East) and the source of a majority of our patient encounters. The five counties house a total population of 1,861,214. Of these, 440,392 or 24 percent are children. Within this region, Wyandotte County has the greatest proportion of children under 18 and Jackson County has the smallest proportion, but largest in absolute number. The overall population of children in these five counties increased between 1980 and 2020 and the overall make-up of the population shifted as well. In 1980, black, Hispanic or other ethnicities comprised 21 percent of the five counties under 18 years of age population. In 2020 36.4 percent of the region's under 18 population made up these groups. A higher percentage of children under age 18 years live in poverty than the population as a whole. The percentage of children under age 18 who live in poverty has grown in four of the five counties from 2015 to 2020. The highest percentage of children living in poverty is in Wyandotte County (26.7%), followed by Jackson County (20.2%), Clay County (11.5%), Platte County (5.9%), and Johnson County (5.4%).
      Part VI, Line 5:
The Children's Mercy Hospital is a nonprofit hospital operated to serve a public rather than a private interest and meeting the requirements of Revenue Ruling 69-545. Control of the Hospital rests with its Board, which is primarily composed of members of the community, in addition to a few select employees of the Hospital. The Hospital accepts patients paying with Medicaid and Medicare, and operates an active and generally accessible emergency room open to all children without regard to ability to pay. The Hospital uses any surplus funds to improve the quality of patient care, expand its facilities, and advance its medical training, education, and research programs.Children's Mercy provides funding and partnership to over 75 community organizations and efforts that support programs addressing the CHNA priority health needs. Organizations include: Operation Breakthrough; Reach Out and Read; Black Health Care Coalition; Happy Bottoms; Community Health Council of Wyandotte County; Northland Health Alliance; Uzazi Village; Boys and Girls Clubs of Greater KC; Teach for America; Local Initiatives Support Corporation; Front Porch Alliance; Big Brothers Big Sisters of Greater Kansas City; AIDS Service Foundation of Greater Kansas City; Vibrant Health Services; Greenline Foundation; and Ronald McDonald House Charities of Kansas City. Through the Kansas City Physical Activity Plan, Children's Mercy convened with organizations across the community to improve physical infrastructures to promote healthy living and eating. Programs working to improve outcomes for children are strengthened through a community-wide strategy to organize home visiting; participation in community health fairs; support for healthy housing;support the mental health of children; service on key community committees (i.e. Infant and Child Mortality review boards). Children's Mercy works closely with area school districts to support education, risk mitigation practices, testing and vaccination.