CHILDRENS MERCY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS MERCY HOSPITAL (EIN 44-0605373)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-01
IRS object ID: 201911219349301346
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-01T17:53:26-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Walnut St 1000	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64106	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440605373	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Children's Mercy Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	8162343000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2401 Gillham Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David Cauble	PersonNm
Person Title	Executive VP & CFO	PersonTitleTxt
Phone	8162343000	PhoneNum
Signature	2019-05-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Justin T Keller	PreparerPersonNm
PTIN	P01419781	PTIN
Phone	8168025200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.242.168.195	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-01	IPDt
IP Tm	15:41:07	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BCF02EA18EFDC5BC0678815518EEAE43C22D81AE	AtSubmissionCreationDeviceId
At Submission Filing Device Id	BCF02EA18EFDC5BC0678815518EEAE43C22D81AE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David Cauble	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2401 Gillham Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,655,988,401	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrensmercy.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1901	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	Excellence in healthcare for children	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	11238	TotalEmployeeCnt
Total Volunteers	1412	TotalVolunteersCnt
Total Gross UBI	$4,929,419	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,407,800	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$48,842,788	PYContributionsGrantsAmt
CY Contributions Grants	$182,970,176	CYContributionsGrantsAmt
PY Program Service Revenue	$1,332,048,694	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,405,128,243	CYProgramServiceRevenueAmt
PY Investment Income	$20,278,506	PYInvestmentIncomeAmt
CY Investment Income	$34,457,449	CYInvestmentIncomeAmt
PY Other Revenue	$2,086,919	PYOtherRevenueAmt
CY Other Revenue	$32,547,035	CYOtherRevenueAmt
PY Total Revenue	$1,403,256,907	PYTotalRevenueAmt
CY Total Revenue	$1,655,102,903	CYTotalRevenueAmt
PY Grants And Similar Paid	$33,158,421	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$47,080,340	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$767,446,337	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$784,919,231	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$143,077	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,600,825	CYTotalFundraisingExpenseAmt
PY Other Expenses	$552,414,356	PYOtherExpensesAmt
CY Other Expenses	$556,128,606	CYOtherExpensesAmt
PY Total Expenses	$1,353,019,114	PYTotalExpensesAmt
CY Total Expenses	$1,388,271,254	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,237,793	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$266,831,649	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,528,633,645	TotalAssetsBOYAmt
Total Assets EOY	$1,965,698,928	TotalAssetsEOYAmt
Total Liabilities BOY	$419,022,112	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$579,024,567	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,109,611,533	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,386,674,361	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,001,621,310	ExpenseAmt
Grant	$45,663,092	GrantAmt
Revenue	$1,433,076,168	RevenueAmt
Desc	All expenses for program services relate to providing healthcare. There were a total of 367 licensed beds and 89,446 patient days during the year from 15,198 admissions. Interim stays totaled 6,576 and outpatient encounters, including ED and Urgent Care, were 610,691. There were a total of 20,144 surgical cases which includes 4,322 inpatient and 15,822 outpatient cases. Diagnostic procedures, tests and treatments totaled 1,234,020 and outpatient prescriptions totaled 167,387 Children's Mercy critical care transports totaled 5,725 in fiscal year 2018.The Children's Mercy Hospital (the Hospital) consists of a 314-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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$57,542,684	ExpenseAmt
Grant	$1,417,248	GrantAmt
Desc	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 $200M to the construction of a new research building. 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, 2018 there were more than 375 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 $51 million in the year ended June 30, 2018 on research and per information from the NIH Reporter received more than $5.8 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,059,163,994	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	527	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	11238	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David Cauble Executive VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8162343000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2401 Gillham Road	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64108	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Debbie Sosland-Edelman
Chairman	1.00	Yes (X)	Yes (X)	$0	$0	$0
Paul McLaughlin
Vice Chairman	1.00	Yes (X)	Yes (X)	$0	$0	$0
Elizabeth Braham
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Andrew Teigen
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Jonathan Baum
Director	1.00	Yes (X)		$0	$0	$0
Jean-Paul Chaurand
Director	1.00	Yes (X)		$0	$0	$0
Carolyn Davis MD
Director	1.00	Yes (X)		$0	$0	$0
Dave Goebel
Director	1.00	Yes (X)		$0	$0	$0
Bill Krueger
Director	1.00	Yes (X)		$0	$0	$0
Charles Schellhorn
Director	1.00	Yes (X)		$0	$0	$0
Edna Talboy
Director	1.00	Yes (X)		$0	$0	$0
Robert Weatherly MD
Director	40.00	Yes (X)		$528,672	$0	$38,298
Tom Weir
Director	1.00	Yes (X)		$0	$0	$0
Gerald Woods MD
Director	40.00	Yes (X)		$355,383	$0	$42,366
Randall L O'Donnell PhD
Director; President & CEO	40.00	Yes (X)	Yes (X)	$1,516,840	$0	$283,385
Charles Roberts MD
EVP & Exec.Medical Director	40.00		Yes (X)	$720,286	$0	$36,780
Sandra AJ Lawrence
Executive VP & CAO	40.00		Yes (X)	$705,508	$0	$42,366
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	40.00		Yes (X)	$731,210	$0	$36,792
Jo Stueve
Executive VP & Co-COO	40.00		Yes (X)	$727,084	$0	$36,792
David Cauble
Executive VP & CFO	40.00		Yes (X)	$595,858	$0	$18,066
Michael Artman MD
Chairman-Dept of Pediatrics	40.00			$625,075	$0	$36,780	Yes (X)
Shawn St Peter MD
Chairman-Dept of Surgery	40.00			$784,925	$0	$35,616	Yes (X)
Thomas Curran PhD
Exec Director & CSO, CRI	40.00			$667,519	$0	$7,506	Yes (X)
Robin Foster JD
Senior VP, General Counsel	40.00			$617,559	$0	$38,316	Yes (X)
James O'Brien Jr MD
Physician	40.00			$1,193,976	$0	$38,298		Yes (X)
James D Saint Louis MD
Physician	40.00			$1,197,352	$0	$26,964		Yes (X)
Paul Grabb MD
Physician	40.00			$803,348	$0	$33,338		Yes (X)
Walter S Andrews MD
Physician	40.00			$788,443	$0	$42,366		Yes (X)
George Holcomb III MD
Physician	40.00			$787,319	$0	$40,440		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,346,357	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$834,469	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2317	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Anesthesia Associates
8717 West 110th Street	Overland Park	KS	66210	Anesthesiologists	$32,393,074
Turner Construction Inc
1220 Washington St Suite 100	Kansas City	MO	64105	Construction	$22,268,605
Sodexho Marriott Services Inc
9801 Washingtonian Boulevard	Gaithersburg	MD	20878	Food Services	$8,993,514
BSA Lifestructures Inc
9365 Counselors Row	Indianapolis	IN	46240	Construction	$8,419,649
Cerner Health Connections Inc
2800 Rockcreek Parkway	Kansas City	MO	64117	Professional Services	$7,544,268

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	428	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$741,596	FederatedCampaignsAmt
Fundraising	$3,683,042	FundraisingAmt
Related Organizations	$8,231,891	RelatedOrganizationsAmt
Government Grants	$10,106,633	GovernmentGrantsAmt
All Other Contributions	$160,207,014	AllOtherContributionsAmt
Noncash Contributions	$398,736	NoncashContributionsAmt
Total Contributions	$182,970,176	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Services	Desc
Business	621110	BusinessCd
Total Revenue Column	$1,405,128,243	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,405,128,243	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,405,128,243	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,457,449	TotalRevenueColumnAmt
Exclusion	$34,457,449	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$555,189	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,683,042	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$885,498	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$330,309	TotalRevenueColumnAmt
Exclusion	-$330,309	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Contract Revenue	900099	$15,305,306	$15,305,306
Cafeteria	722514	$3,050,470	$3,050,470
Transport	621910	$2,982,862	$2,982,862

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,538,706	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,609,287	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,929,419	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$32,877,344	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,655,102,903	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,433,076,168	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,929,419	UnrelatedBusinessRevenueAmt
Exclusion	$34,127,140	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,270,673	TotalAmt
Program Services	$1,270,673	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$45,412,273	TotalAmt
Program Services	$45,412,273	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$397,394	TotalAmt
Program Services	$397,394	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,388,189	TotalAmt
Program Services	$7,341,284	ProgramServicesAmt
Management And General	$6,046,905	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$626,349,955	TotalAmt
Program Services	$518,206,966	ProgramServicesAmt
Management And General	$105,700,507	ManagementAndGeneralAmt
Fundraising	$2,442,482	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,145,246	TotalAmt
Program Services	$25,585,983	ProgramServicesAmt
Management And General	$5,440,352	ManagementAndGeneralAmt
Fundraising	$118,911	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$69,528,083	TotalAmt
Program Services	$57,117,686	ProgramServicesAmt
Management And General	$12,144,943	ManagementAndGeneralAmt
Fundraising	$265,454	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$44,507,758	TotalAmt
Program Services	$36,563,357	ProgramServicesAmt
Management And General	$7,774,473	ManagementAndGeneralAmt
Fundraising	$169,928	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,661,239	TotalAmt
Program Services	$150,164	ProgramServicesAmt
Management And General	$5,511,075	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$493,924	TotalAmt
Program Services	$36,000	ProgramServicesAmt
Management And General	$457,924	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$492,239	TotalAmt
Management And General	$492,239	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$143,077	TotalAmt
Fundraising	$143,077	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$149,978,908	TotalAmt
Program Services	$70,119,308	ProgramServicesAmt
Management And General	$79,475,579	ManagementAndGeneralAmt
Fundraising	$384,021	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,803,897	TotalAmt
Program Services	$248,923	ProgramServicesAmt
Management And General	$6,554,934	ManagementAndGeneralAmt
Fundraising	$40	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,214,170	TotalAmt
Program Services	$135,508	ProgramServicesAmt
Management And General	$4,034,249	ManagementAndGeneralAmt
Fundraising	$44,413	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,798,568	TotalAmt
Program Services	$9,920,373	ProgramServicesAmt
Management And General	$9,571,878	ManagementAndGeneralAmt
Fundraising	$306,317	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,974,094	TotalAmt
Program Services	$6,145,449	ProgramServicesAmt
Management And General	$1,590,447	ManagementAndGeneralAmt
Fundraising	$238,198	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,540,305	TotalAmt
Program Services	$11,540,305	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$62,030,586	TotalAmt
Program Services	$28,003,861	ProgramServicesAmt
Management And General	$34,023,532	ManagementAndGeneralAmt
Fundraising	$3,193	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,617,286	TotalAmt
Program Services	$10,388,082	ProgramServicesAmt
Management And General	$3,229,204	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$154,335,706	$143,781,202	$10,177,451	$377,053
State Medicaid Taxes	$48,618,958	$48,618,958	$0	$0
Bad Debt	$27,680,522	$27,680,522	$0	$0
Dues & Subscriptions	$7,140,277	$3,275,478	$3,768,682	$96,117

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,747,927	TotalAmt
Program Services	$7,224,245	ProgramServicesAmt
Management And General	$28,512,061	ManagementAndGeneralAmt
Fundraising	$11,621	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,388,271,254	TotalAmt
Program Services	$1,059,163,994	ProgramServicesAmt
Management And General	$324,506,435	ManagementAndGeneralAmt
Fundraising	$4,600,825	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$77,465,637	BOYAmt
EOY	$141,948,242	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,025	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,075,998	BOYAmt
EOY	$118,037,496	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$186,339,631	BOYAmt
EOY	$231,257,514	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,665,606	BOYAmt
EOY	$13,425,700	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,881,509	BOYAmt
EOY	$23,665,860	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,233,502,139	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$617,224,313	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$568,839,462	BOYAmt
EOY	$616,277,826	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$564,674,191	BOYAmt
EOY	$578,888,106	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,038,984	BOYAmt
EOY	$5,874,244	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$87,649,602	BOYAmt
EOY	$236,323,940	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,528,633,645	BOYAmt
EOY	$1,965,698,928	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$115,147,553	BOYAmt
EOY	$144,942,092	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,413,868	BOYAmt
EOY	$338,069,643	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,460,691	BOYAmt
EOY	$96,012,832	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$419,022,112	BOYAmt
EOY	$579,024,567	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,032,131,130	BOYAmt
EOY	$1,163,213,731	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,480,403	BOYAmt
EOY	$223,460,630	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,109,611,533	BOYAmt
EOY	$1,386,674,361	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,528,633,645	BOYAmt
EOY	$1,965,698,928	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$266,831,649	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,783,448	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,447,731	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$492,239	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$492,239	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,058,671,755	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,059,163,994	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$382,374	CurrentYearMinus3Amt
Current Year Minus2	$374,689	CurrentYearMinus2Amt
Current Year Minus1	$421,071	CurrentYearMinus1Amt
Current Year	$492,239	CurrentYearAmt
Total	$1,670,373	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$61,620,527	BeginningYearBalanceAmt
Contributions	$6,774,013	ContributionsAmt
Investment Earnings Or Losses	$3,517,083	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,122,860	GrantsOrScholarshipsAmt
End Year Balance	$69,788,763	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,311,822	BeginningYearBalanceAmt
Contributions	$7,334,271	ContributionsAmt
Investment Earnings Or Losses	$5,017,500	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,043,066	GrantsOrScholarshipsAmt
End Year Balance	$61,620,527	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,208,836	BeginningYearBalanceAmt
Contributions	$5,953,303	ContributionsAmt
Investment Earnings Or Losses	-$1,112,327	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,737,990	GrantsOrScholarshipsAmt
End Year Balance	$51,311,822	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,018,417	BeginningYearBalanceAmt
Contributions	$2,780,952	ContributionsAmt
Investment Earnings Or Losses	-$916,648	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,673,885	GrantsOrScholarshipsAmt
End Year Balance	$48,208,836	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,996,791	BeginningYearBalanceAmt
Contributions	$1,926,665	ContributionsAmt
Investment Earnings Or Losses	$5,685,649	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,590,688	GrantsOrScholarshipsAmt
End Year Balance	$48,018,417	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.83590	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16410	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,339,744	OtherCostOrOtherBasisAmt
Book Value	$26,339,744	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$677,987,936	OtherCostOrOtherBasisAmt
Depreciation	$259,308,622	DepreciationAmt
Book Value	$418,679,314	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$465,729,519	OtherCostOrOtherBasisAmt
Depreciation	$357,915,691	DepreciationAmt
Book Value	$107,813,828	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,444,940	OtherCostOrOtherBasisAmt
Book Value	$63,444,940	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$616,277,826	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$46,417,958
Income Beneficiary and Charitable Remainder Trusts	$46,912,208
Restricted Investments	$59,247,547
Unexpended Proceeds of Debt Issuance	$83,746,227

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$236,323,940	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Reserve for Prof. Liability Claims	$48,206,853
Deferred Lease Incentive	$196,232
Postretirement Medical Liability	$42,168,461
Other Liabilities	$5,441,286

Field	Value	IRS element (for citing)
Total Liability	$96,012,832	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

Endowment funds are held by The Children's Mercy Hospital and The Children's Mercy Hospital Foundation, a supporting organization of The Children's Mercy Hospital. The endowment funds are intended to provide a permanent source of funding for designated activities carried out by The Children's Mercy Hospital, the funds for which are provided from the earnings and principal of these endowment funds.

Part X, Line 2:

At June 30, 2018 and 2017, there were no uncertain tax positions.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (10 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
North America	Program Services	Travel for healthcare-related education and information sharing	$201,658
Central America & the Caribbean	Program Services	Travel for healthcare-related education and information sharing	$11,740
Europe	Program Services	Travel for healthcare-related education and information sharing	$83,917
East Asia & the Pacific	Program Services	Travel for healthcare-related education and information sharing	$14,896
South America	Program Services	Travel for healthcare-related education and information sharing	$2,277
South Asia	Program ServicesProgram Services	Travel for healthcare-related education and information sharing	$3,120
Sub-Saharan Africa	Program Services	Travel for healthcare-related education and information sharing	$45,607
North America	Grantmaking		$153,976
Sub-Saharan Africa	Grantmaking		$223,026
Europe	Grantmaking		$20,392

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$517,191	SubtotalSpentAmt
Continuation Spent	$243,418	ContinuationSpentAmt
Total Spent	$760,609	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (4 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc
North America	Research	$51,028	Check	FMV
North America	Research	$102,948	Check	FMV
Sub-Saharan Africa	Research	$220,599	Check	FMV
Europe (Including Iceland & Greenland)	Research	$20,392	Check	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 2:	Subrecipients sign an agreement which details the subrecipient's plan and budget as well as allowable expenditures of the Federal Awards. The agreement is also approved/signed by the Children's Mercy Hospital (CMH) signing official. Each subrecipient is required to submit periodic invoices (not more than monthly) to CMH for reimbursement. All expenditures on the invoice must be according to the subrecipient's budget that was developed during the application process. Invoices received from subrecipients are certified as complete and accurate by the subrecipient and reviewed and approved by the Principal Investigator or appropriate level of authorization, who forwards them to accounts payable for processing. In addition, Research and Grants (R&G) Accounting monitors these invoices to ensure proper coding to the correct award. The R&G accounting staff captures the amount on the budget-to-actual report to monitor the total amount spent by the subrecipient. Based on the amount budgeted to subrecipients and normal invoiced activity, the R&G accounting staff questions unreasonable invoice amounts with the subrecipient. In addition, any subrecipient that received more than $500,000 in Federal funds during the fiscal year is required to obtain an A-133 audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for making sure that for all subrecipients that are required submit A-133 audits and that CMH has received an audit report. CMH maintains a subrecipient monitoring spreadsheet to track A-133 audit status, DUNS number, year-to-date spending, etc. for all subrecipients.
Part I, line 3:	Method Used to Account for Expenditures: Actual expenses for international travel and international grants.
Schedule F, Part II, Line 1	Method Used to Account for Cash Grants and Noncash Assistance on the Organization's Financial Statement: Accrual.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Schultz & Williams
1617 JFK BlvdSte 1700	Philadelphia	PA	19103	Consult/develop an annual fund and mid-level giving program	0	$439,358	$56,452	$382,906
Rachael Steele
2401 Gillham Rd	Kansas City	MO	64108	Consult & advise on capital campaign	0	$0	$86,625	-$86,625

Field	Value	IRS element (for citing)
Total Gross Receipts	$439,358	TotalGrossReceiptsAmt
Total Retained By Contractors	$143,077	TotalRetainedByContractorsAmt
Total Net To Organization	$296,281	TotalNetToOrganizationAmt
Licensed States	KS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala/Auction	Event1Nm
Gross Receipts Event1	$2,019,687	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,712,135	CharitableContriEvent1Amt
Gross Revenue Event1	$307,552	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$354,983	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$13,304	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,880	EntertainmentEvent1Amt
Other Direct Expenses Event1	$28,291	OtherDirectExpensesEvent1Amt
Event2	Event/Auction	Event2Nm
Gross Receipts Event2	$2,218,544	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,970,907	CharitableContriEvent2Amt
Gross Revenue Event2	$247,637	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$217,796	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$93,444	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,424	EntertainmentEvent2Amt
Other Direct Expenses Event2	$173,376	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$4,238,231	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,683,042	CharitableContributionsTotAmt
Gross Revenue Total Events	$555,189	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$572,779	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$106,748	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$4,304	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$201,667	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$885,498	DirectExpenseSummaryEventsAmt
Net Income Summary	-$330,309	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule G, Part I, Line 2b, Column (v)	FormAndLineReferenceDesc
Explanation	Payments to Schultz & Williams during FY18 totaled $256,982. This amount includes $56,452 for consulting fees and $200,530 of fundraising expenses. The agreement distinguishes consulting costs separate from any expense payments or reimbursements.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	44499	PersonsServedCnt
Total Community Benefit Expns	$18,537,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$920,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,617,304	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	434672	PersonsServedCnt
Total Community Benefit Expns	$636,766,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$562,892,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,874,160	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	479171	PersonsServedCnt
Total Community Benefit Expns	$655,304,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$563,813,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,491,464	NetCommunityBenefitExpnsAmt
Total Expense	0.06720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	230972	PersonsServedCnt
Total Community Benefit Expns	$12,744,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,910,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,833,603	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	12245	PersonsServedCnt
Total Community Benefit Expns	$35,208,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,250,399	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,958,505	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	130756	PersonsServedCnt
Total Community Benefit Expns	$76,391,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,110,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,280,553	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	234	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$34,751,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,608,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,142,707	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$756,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$733,708	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	328	ActivitiesOrProgramsCnt
Persons Served	373973	PersonsServedCnt
Total Community Benefit Expns	$159,852,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,903,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,949,076	NetCommunityBenefitExpnsAmt
Total Expense	0.06320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	339	ActivitiesOrProgramsCnt
Persons Served	853144	PersonsServedCnt
Total Community Benefit Expns	$815,156,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$637,716,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,440,540	NetCommunityBenefitExpnsAmt
Total Expense	0.13040	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$92,157	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	360	PersonsServedCnt
Total Community Benefit Expns	$2,852	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,852	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$71,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	965	PersonsServedCnt
Total Community Benefit Expns	$719,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$692,586	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	1327	PersonsServedCnt
Total Community Benefit Expns	$885,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$857,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$27,680,522	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,556,027	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,764,991	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,208,964	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
The Children's Mercy Hospital
1	2401 Gillham Road	Kansas City	MO	64108	http://www.childrensmercy.org/	39-54	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Specialty Clinics; Primary Care Clinics	A
Children's Mercy Kansas
2	5808 W 110th	Overland Park	KS	66211	http://www.childrensmercy.org/	H-046-008	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Specialty Clinics	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.childrensmercy.org/communityneeds	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.childrensmercy.org/communityneeds	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.childrensmercy.org/financialcounseling/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.childrensmercy.org/financialcounseling/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.childrensmercy.org/financialcounseling/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 the first week of August 2016. Fourty-six individuals representing physicians, public health leaders, 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, public health leaders, 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 on 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 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:www.childrensmercy.org/communityneedsThrough 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 selected three (Access to Health Services; Mental and Behavioral Health and Infant Mortality) as "Priority Health Needs", based on the need's importance and Children's Mercy's ability to make an impact. The Priority Health Needs will receive heightened 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 resources. The Children's Mercy Board of Directors adopted the CHNA and the Priority and Significant Health Needs on June 14, 2016. An implementation strategy and action plan to address the Priority Health Needs was developed by the Children's Mercy Community Benefit/CHNA Advisory Group (CB/CHNA) 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 Live Well Community Health Centers. The Children's Mercy 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 opportunity and key indicators 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. Over the past year, internal support dollars were provided to support the distribution of gun locks (violence), supplying porta-cribs to births at Truman Medical Center newborns (infant mortality), development of early intervention program (mental health and infant mortality), Adolescent access to care (access to care), distribution of medication lock boxes (mental health, violence), development of a community garden (food insecurity/obesity), and the support of summer lunch program (food insecurity/obesity). A Community Benefit Grant awards were made to address the Priority Health Area- Infant Mortality to the Black Health Care Coalition (to support Community Baby Showers), the New Bethel Development Corporation (to develop a faith-based infant mortality reduction initiative), to the Mother and Child Health Coalition of Greater Kansas City (to produce a data report on Infant Mortality and to conduct an infant mortality conference), Uzzazi Village (to support outreach to pregnant and parenting African American women) and to SleepyHead Beds (to support a centralized distribution system of port-a-cribs). A number of initiatives are under development including a transportation initiative (access to care) that will launch in January of 2019 and an anti-bullying campaign in conjunction with the local MLS Soccer team, Sporting KC.
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 2 -- Children's Mercy Kansas Part V, Section B, line 5:	As part of the CHNA, five focus groups were conducted the first week of August 2016. Fourty-six individuals representing physicians, public health leaders, 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, public health leaders, 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 on 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 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:www.childrensmercy.org/communityneedsThrough 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 selected three (Access to Health Services; Mental and Behavioral Health and Infant Mortality) as "Priority Health Needs", based on the need's importance and Children's Mercy's ability to make an impact. The Priority Health Needs will receive heightened 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 resources. The Children's Mercy Board of Directors adopted the CHNA and the Priority and Significant Health Needs on June 14, 2016. An implementation strategy and action plan to address the Priority Health Needs was developed by the Children's Mercy Community Benefit/CHNA Advisory Group (CB/CHNA) 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 Live Well Community Health Centers. The Children's Mercy 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 opportunity and key indicators 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. Over the past year, internal support dollars were provided to support the distribution of gun locks (violence), supplying porta-cribs to births at Truman Medical Center newborns (infant mortality), development of early intervention program (mental health and infant mortality), Adolescent access to care (access to care), distribution of medication lock boxes (mental health, violence), development of a community garden (food insecurity/obesity), and the support of summer lunch program (food insecurity/obesity). A Community Benefit Grant awards were made to address the Priority Health Area- Infant Mortality to the Black Health Care Coalition (to support Community Baby Showers), the New Bethel Development Corporation (to develop a faith-based infant mortality reduction initiative), to the Mother and Child Health Coalition of Greater Kansas City (to produce a data report on Infant Mortality and to conduct an infant mortality conference), Uzzazi Village (to support outreach to pregnant and parenting African American women) and to SleepyHead Beds (to support a centralized distribution system of port-a-cribs). A number of initiatives are under development including a transportation initiative (access to care) that will launch in January of 2019 and an anti-bullying campaign in conjunction with the local MLS Soccer team, Sporting KC.
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.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 Pediatric Eye Care
4820 College Blvd	Leawood	KS	66211	Practice Use
4 - Children's Mercy Sports Medicine Center
1801 N 98th Street	Kansas City	KS	66109	Rehabilitation
5 - Children's Mercy Joplin Clinic
3333 McIntosh Circle Suite 6	Joplin	MO	64804	Outpatient Clinics
6 - Children's Mercy Heartland Clinic
802 N Riverside Rd Suite 105	St Joseph	MO	64502	Outpatient Clinics
7 - Children's Mercy Outreach Junction City
361 Grant Ave	Junction City	KS	66441	Outreach Clinic
8 - Children's Mercy Olathe
20333 W 151st St	Olathe	KS	66061	Outpatient Clinics
9 - Children's Mercy Outreach Garden City
311 E Spruce St	Garden City	KS	67846	Outreach Clinic
10 - Children's Mercy Outreach Great Bend
1021 Einsenhower Ave	Great Bend	KS	65730	Outreach Clinic
11 - Children's Mercy Outreach Springfield
1000 E Primrose Suite 300	Springfield	MO	65807	Outreach Clinic
12 - Children's Mercy Outreach Parsons
1902 S US Hwy 59 BLDG E Ste 200	Parsons	KS	67357	Outreach Clinic
13 - Children's Mercy Outreach Salina
737 E Crawford	Salina	KS	67401	Outreach Clinic
14 - Children's Mercy Outreach Pittsburg
3011 N Michigan	Pittsburg	KS	66762	Outreach Clinic

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 FY18, over 130,000 children were reached through clinical services classified as Subsidized Health Services. Subsidized health services included pediatric primary care clinics at Children's Mercy Broadway and 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, neonatology, hematology/oncology, genetics, pain management, the fetal health center, ophthalmology and child abuse and neglect. 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, 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 $27,680,522.
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 FY18, over 234 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, heart care, cancer treatment and other subspecialties to provide answers for the most difficult cases and challenging pediatric conditions. In addition, we are building a dedicated, state-of-art biorepository that can advance diagnostic discovery and health outcomes.
Part II, Community Building Activities:	Children's Mercy conducts a variety of community building activities which addresses identified health needs such as physical activity, behavioral and mental health, access to health services, 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. Some examples include the maintenance of the Hospital Hill Park and the Sylvia Nutter Playground, the development of a community garden, advocacy activities related to mental and behavioral health and access to health services and healthcare workforce development targeted at high school students.
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 l, Page 12: Uncollectible amounts from patients who do not qualify for charity care 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 decrease in the provision for bad debt as of June 30, 2018 compared to June 30, 2017 is due to a significant revision of estimates for allowances for bad debt in FY2017 as well as the implementation of presumptive charity in mid-FY2017, which moved significant deductions to charity in FY2018 as compared to FY2017.
Part III, Line 8:	Cost to charge ratio
Part III, Line 9b:	Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate.
Part VI, Line 2:	The hospital has an initiative development process that brings forward new initiatives around strategic, operational, community health, and innovation based on community/market trends and needs and through consultation with community-based organizations. On a routine basis, the Strategic Planning Department monitors demographic and service trends of the region and compares this data to national benchmarks. The hospital strategic planning process also takes into account all of the qualitative and quantitative market data to define strategies and tactics that address the community need. In addition, Trauma Services maintains a Trauma Registry and the Promise 1000 centralizes the data collection on the health services and needs of children (0 - 3 years of age) who receive home visiting services.
Part VI, Line 3:	Flyers and financial counselor business cards and copies of the Financial Assistance Plain Language Summary are available at all access points within the Hospital. Efforts are made by the financial counselors to contact self pay patients and families, either in person, or through phone call or letters to inform/assist families with charity care and Medicaid or state program eligibility . Self pay or underinsured patients can also be referred to a financial counselor by an Access Representative, Patient Care Services, Social Work, Patient Financial Services, or other staff members for screening and assistance. All billing statements refer patients to financial counseling resources; financial assistance policy posted on the hospital website.
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 includes more rural counties than the other listed service areas. The Metro service area (6 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 70% 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 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 4 counties house a total population of 1,652,781; of these 411,888 or 25.9% 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 4 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% of the 4 counties under 18 years of age population and in 2013 36% 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% of all children live in poverty; 37.6% of children in Wyandotte County live in poverty. Of all Kansas City area families led by a single mother, 29.2% 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 include providing direct funding support to community organizations engaged in important work to address the CHNA priorities (Infant Mortality reduction, Access to Health and Access to Behavioral and Mental Health). Organizations include: Reach Out and Read; the Ronald McDonald House; The March of Dimes; the Black Health Care Coalition; Happy Bottoms; the Greater Kansas City Maternal and Child Health Coalition, the Community Health Council of Wyandotte County; New Bethel Neighborhood Development Corporation; and Uzazi Village. Programs working to improve outcomes for children are strengthened through a community-wide strategy to organize home visiting, participation in community health fairs, service on key community committees (i.e., Infant and Child Mortality review boards, health department planning committees) and through the provision of training and education for families with children at-risk for obesity or diabetes (i.e. Zoom to Health, PHIT Kids, etc.).
Part VI, Line 6:	The Children's Mercy Hospital is not part of an affiliated health care system.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Heart Association
6800 W 93rd Street	Overland Park	KS	66212	135613797	501(c)3	$8,018	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	$14,250	Promote development of self-esteem, values, and skills for boys and girls, ages 5-18, with special emphasis on youth from disadvantaged circumstances.
JDRF- Juvenile Diabetes Research Foundation
920 Main St Ste 280	Kansas City	MO	64105	231907729	501(c)3	$8,700	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	$18,720	Mission is to cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families.
Ronald McDonald House Charities
2502 Cherry St	Kansas City	MO	64108	431190760	501(c)3	$73,615	Provide comfort and care for families seeking life-saving medical treatment for their children.
Kansas University Endowment (Reach Out and Read)
3901 Rainbow Blvd MS 1051	Kansas City	KS	66106	480547734	501(c)3	$65,560	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	$9,300	Help conquer everday battles with arthritis through life-changing information and resources, access to optimal care, and advancements in science and community connections.
Center for Practical Bioethics
1111 Main St Ste 500	Kansas City	MO	64105	480985815	501(c)3	$7,500	Initiatives in Aging in Community, addressing under-treatment of cronic pain, certificate program in clinical ethics and health policy.
DeLaSalle Education Center
3737 Troost Ave	Kansas City	MO	64109	430971728	501(c)3	$14,750	DeLaSalle Education Center is the only alternative charter high school in Missouri dedicated to serving at-promise urban core students.
Duke University Health System
PO Box 104132	Durham	NC	27708	562070036	501(c)3	$11,716	Research
Emory Genetics Medical Research
103 B Jones Center	Atlanta	GA	30322	580566256	501(c)3	$38,180	Research
Medical College of Wisconsin
8701 Watertown Plank Rd	Milwaukee	WI	53226	390806261	501(c)3	$25,701	Research
Oregon Health & Science
3181 SW Sam Jackson Park Rd AD201	Portland	OR	97201	931176109	GOVT	$7,082	Research
Seattle Children's Hospital
4800 Sand Point Way NE	Seattle	WA	98105	910564748	501(c)3	$18,406	Research
University of Alabama UAB
701 20th St S	Birmingham	AL	35294	636005396	501(c)3	$16,283	Research
University of California
9500 Gilman Dr	La Jolla	CA	92093	330833316		$102,298	Research
Regents University of Michigan
1500 East Medical Center Dr	Ann Arbor	MI	48109	386006309	GOVT	$23,354	Research
University of New Mexico
1 University of New Mexico	Albuquerque	NM	87131	856000642	GOVT	$31,630	Research
Cincinnati Children's Hospital
3333 Burnet Avenue Suite 330	Cincinnati	OH	45229	310833936	501(c)3	$97,563	Research
Stanford Junior University
3145 Porter Dr	Palo Alto	CA	94304	941156365	501(c)3	$8,750	Research
OUHSC Oklahoma
PO Box 26901	Oklahoma City	OK	73126	736017987	GVOT	$7,615	Research
University of Kansas City Missouri
414 East 12th St	Kansas City	MO	64106	446000201	GOVT	$12,500	Research
Vanderbilt Medical Center
Dept AT 40379	Atlanta	GA	31192	352528741	501(c)3	$25,290	Research
KUMC Research Institute Inc
3901 Rainbow Blvd MS 1039	Kansas City	KS	66160	481108830	501(c)3	$19,661	Research
University of Missouri UMKC KCUR
118 University Hall	Columbia	MO	65211	436003859	GOVT	$215,694	Research
Cleveland Clinic
9500 Euclid Avenue NA-4	Cleveland	OH	44195	340714585	501(c)3	$20,120	Research
Children's Hospital Boston
300 Longwood Avenue	Boston	MA	02115	042774441	501(c)3	$13,594	Research
California Los Angeles UCLA
10921 Wilshire Blvd 5th Floor	Los Angeles	CA	90024	956006143	501(c)3	$20,799	Research
STFM Teachers Family Medicine
11400 Tomahawk Creek Pkwy Ste 240	Leawood	KS	66211	431026492	501(c)6	$66,855	Research
Duke University
PO Box 104132	Durham	NC	27708	560532129	501(c)3	$7,898	Research
H Lee Moffitt Cancer Center
12902 Magnolia Dr	Tampa	FL	33612	592451713	501(c)3	$190,239	Research
Youth Ambassadors Inc
7309 High Dr	Prairie Village	KS	66208	455220294	501(c)3	$25,000	Research

Field	Value	IRS element (for citing)
Total501c3 Org	30	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Patient Financial Assistance	GrantTypeTxt
Recipient	44499	RecipientCnt
Non Cash Assistance	$45,412,273	NonCashAssistanceAmt
Valuation Method Used	Cost	ValuationMethodUsedDesc
Non Cash Assistance	Charity Care	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	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. Subrecipients sign an agreement which details the subrecipient's plan and budget as well as allowable expenditures of the Federal Awards. The agreement is also approved/signed by the Children's Mercy Hospital (CMH) signing official. Each subrecipient is required to submit periodic invoices (not more than monthly) to CMH for reimbursement. All expenditures on the invoice must be according to the subrecipient's budget that was developed during the application process. Invoices received from subrecipients are certified as complete and accurate by the subrecipient and reviewed and approved by the Principal Investigator or appropriate level of authorization, who forwards them to accounts payable for processing. In addition, Research and Grants (R&G) Accounting monitors these invoices to ensure proper coding to the correct award. The R&G accounting staff captures the amount on the budget-to-actual report to monitor the total amount spent by the subrecipient. Based on the amount budgeted to subrecipients and normal invoiced activity, the R&G accounting staff questions unreasonable invoice amounts with the subrecipient. In addition, any subrecipient that received more than $500,000 in Federal funds during the fiscal year is required to obtain an A-133 audit and send a copy of the audit report to CMH's accounting department for review. The Post Award Manager is responsible for making sure that for all subrecipients that are required submit A-133 audits and that CMH has received an audit report. CMH maintains a subrecipient monitoring spreadsheet to track A-133 audit status, DUNS number, year-to-date spending, etc. for all subrecipients.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Weatherly MD
Director	$507,195	$0	$0	$0	$21,477	$0	$20,250	$0	$18,333	$0	$567,255	$0	$0	$0
Gerald Woods MD
Director	$313,702	$0	$17,624	$0	$24,057	$0	$24,300	$0	$18,270	$0	$397,953	$0	$0	$0
Randall L O'Donnell PhD
Director; President & CEO	$1,229,242	$0	$238,197	$0	$49,401	$0	$270,893	$0	$12,777	$0	$1,800,510	$0	$0	$0
Charles Roberts MD
EVP & Exec.Medical Director	$605,395	$0	$86,387	$0	$28,504	$0	$24,300	$0	$12,765	$0	$757,351	$0	$0	$0
Sandra AJ Lawrence
Executive VP & CAO	$586,966	$0	$95,382	$0	$23,160	$0	$24,300	$0	$18,351	$0	$748,159	$0	$0	$0
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	$589,759	$0	$96,093	$0	$45,358	$0	$24,300	$0	$13,932	$0	$769,442	$0	$0	$0
Jo Stueve
Executive VP & Co-COO	$589,467	$0	$99,444	$0	$38,173	$0	$24,300	$0	$12,777	$0	$764,161	$0	$0	$0
David Cauble
Executive VP & CFO	$479,074	$0	$68,378	$0	$48,406	$0	$0	$0	$19,503	$0	$615,361	$0	$0	$0
Michael Artman MD
Chairman-Dept of Pediatrics	$599,776	$0	$0	$0	$25,299	$0	$24,300	$0	$13,920	$0	$663,295	$0	$0	$0
Shawn St Peter MD
Chairman-Dept of Surgery	$766,115	$0	$0	$0	$18,810	$0	$17,550	$0	$19,506	$0	$821,981	$0	$0	$0
Thomas Curran PhD
Exec Director & CSO, CRI	$648,963	$0	$0	$0	$18,556	$0	$0	$0	$7,791	$0	$675,310	$0	$0	$0
Robin Foster JD
Senior VP, General Counsel	$517,266	$0	$78,288	$0	$22,005	$0	$20,250	$0	$19,506	$0	$657,315	$0	$0	$0
James O'Brien Jr MD
Physician	$1,173,138	$0	$0	$0	$20,838	$0	$20,250	$0	$18,333	$0	$1,232,559	$0	$0	$0
James D Saint Louis MD
Physician	$1,176,514	$0	$0	$0	$20,838	$0	$17,550	$0	$9,699	$0	$1,224,601	$0	$0	$0
Paul Grabb MD
Physician	$783,633	$0	$0	$0	$19,715	$0	$15,272	$0	$18,351	$0	$836,971	$0	$0	$0
Walter S Andrews MD
Physician	$761,989	$0	$0	$0	$26,454	$0	$24,300	$0	$18,351	$0	$831,094	$0	$0	$0
George Holcomb III MD
Physician	$764,659	$0	$0	$0	$22,660	$0	$24,300	$0	$17,580	$0	$829,199	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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)	$246,593 of deferred severance compensation was accrued for Randall O'Donnell that may or may not be paid in the future.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Health and Educational Facilities Authority of the State of Missouri
A	431178966	60635HH77	2009-11-19	$178,852,416	See Part VI	Yes (1)	0	0
Health and Educational Facilities Authority of the State of Missouri
B	431178966		2010-12-21	$71,550,000	See Part VI	0	0	0
Health and Educational Facilities Authority of the State of Missouri
C	431178966		2014-11-14	$18,775,000	See Part VI	0	0	0
Health and Educational Facilities Authority of the State of Missouri
D	431178966	60637ALX8	2016-10-13	$148,207,195	see Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$20,145,000	$131,440,000	$179,112,696	$80,262,696	$98,850,000	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$66,905,000		$71,550,000		$71,550,000		Yes (1)	0	Yes (1)	Yes (1)
C	$7,650,000		$18,775,000		$18,775,000		Yes (1)	0	Yes (1)	Yes (1)
D			$148,207,195		$147,568,975		0	Yes (1)	Yes (1)	Yes (1)	$638,217

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)
UBS AG
B	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	30.900000000000	0	0
UBS AG
C	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	20.900000000000	0	0
(no name)
D	0	Yes (1)	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
Schedule K, Part IV, Line 2c, Column A	The Arbitrage Rebate Analysis was performed as of November 1, 2012.
Schedule K, Part I, Row A, Column (f)	The Series 2017A Bonds were issued to contruct and equip a professional office building and a research institute for the Corporation.
Schedule K, Part II, Line 3, Column A	Difference between issue price and total proceeds of the Series 2017A Bonds represents $308,626 of investment proceeds.
Schedule K, Part II, Line 13, Column A	The projects financed by the Series 2017A have not yet been completed.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Health and Educational Facilities Authority of the State of Missouri	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	431178966	BondIssuerEIN
CUSIP	60637AMM1	CUSIPNum
Bond Issued	2017-12-20	BondIssuedDt
Issue Price	$131,226,503	IssuePriceAmt
Purpose	see Part VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$131,535,129	TotalProceedsAmt
Issuance Costs From Proceeds	$1,224,064	IssuanceCostsFromProceedsAmt
Capital Expenditures	$46,265,058	CapitalExpendituresAmt
Other Spent Proceeds	$2,082	OtherSpentProceedsAmt
Unspent	$84,043,925	UnspentAmt
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Substantial Contributor
Substantial Contributor	$16,730,220	Sevices and sale of assets	0
Substantial Contributor
Substantial Contributor	$10,790,595	Services	0
Substantial Contributor
Substantial Contributor	$3,129,465	Services	0
Christine Roberts
Spouse of Officer Charles Roberts	$25,431	Employment	0
Nancy Zirpolo
Sister of Officer Karen Cox	$95,746	Employment	0
Debra Horne
Spouse of Key Employee Michael Artman	$10,758	Employment	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$23,195	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$200	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,114	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$43,393	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	24	ContributionCnt
Noncash Contributions Rpt F990	$232,427	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	21	ContributionCnt
Noncash Contributions Rpt F990	$7,680	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	24	ContributionCnt
Noncash Contributions Rpt F990	$17,012	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Events	27	$32,581	FMV
Yes (X)	Experiences	21	$19,770	FMV
Yes (X)	Miscellaneous	13	$10,441	FMV
Yes (X)	Jewelry	6	$8,923	FMV

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 2	Headache Treatment Center First-of-its-kind in the country Headache Treatment Center opened at Children's Mercy Hospital Kansas to provide rapid headache relief to patients age 3 to 21. Headaches will be evaluated by a headache-trained provider and will offer a personalized treatment to reduce or eliminate pain. Maternal Fetal Transport Team Children's Mercy launched Maternal Fetal Transport service, the only one of its kind in western Missouri and all of Kansas where a high-risk obstetrics nurse is an integral member of the transport team. Other team members include a neonatal critical care nurse, respiratory therapist and EMT or Paramedic. Sports Medicine Center at Village West Opening of the state-of-the art facility for youth athletes in joint collaboration with Sporting KC's National Training Center and US Soccer's Coaching Development Center. Children's Mercy App Children's Mercy launched its Children's Mercy App which includes indoor navigation, Save My Spot for Urgent Care Center, Patient Portal, Find a Doctor, and more. Children's Mercy Junction City Children's Mercy opened a regional outreach center in Junction City, KS to better suuport patients in western and central Kansas. Children's Mercy Riverside Children's Mercy expanded its Pharmacy and Home Health services to a new location in Riverside, MO. CHPeds Guide App Launched the first phase of the CMPeds App to help support external providers with clinical decision support in conditions like febrile infants.
Form 990, Part VI, Section A, line 4	The bylaws of The Children's Mercy Hospital were updated to add a Research Committee to the list of Standing Committees. The duties and activities of the Research Committee were also added to the bylaws.
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 Corporate Compliance.
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 70,119,308. Management and general expenses 79,475,579. Fundraising expenses 384,021. Total expenses 149,978,908.
Form 990, Part XI, line 9:	Change in benefit obligation 1,099,205. Change in interest rate swap valuation 5,972,318. Net Unrealized Change in Income Beneficiary and Charitable Remainder Trusts 1,306,208. Intercompany Transfer 70,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CMH Insurance Company LLC
2401 Gillham Road	Kansas City	MO	64108	Insurance for The Children's Mercy Hospital	MO	$109,702	$10,065,565	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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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		Yes (1)	The Children's Mercy Hospital
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		Yes (1)	The Children's Mercy Hospital

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Direct Controlling NADirectControllingNACd
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	$17,269,049	1.00000	Yes (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	$1,737,258	1.00000	Yes (1)
Children's Mercy- Pediatric Care Specialists Inc
12541 Foster St Suite 260	Overland Park	KS	66213	814753049	Medical Practice	KS	The Children's Mercy Hospital	C	$1,444,348	1.00000	Yes (1)	-$3,091
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	$1,352,143	1.00000	Yes (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	$637,214	1.00000	Yes (1)	-$4,669
Children's Mercy- Preferred Pediatrics Inc
241 NW McNary Ct	Lees Summit	MO	64081	821130197	Medical Practice	KS	The Children's Mercy Hospital	C	$428,374	1.00000	Yes (1)	-$22,797
Children's Mercy- Cass County Pediatrics and Adolescents Inc
503 N Scott	Belton	MO	64012	820881485	Medical Practice	KS	The Children's Mercy Hospital	C	$304,644	1.00000	Yes (1)	-$1,304
Children's Mercy- Cradle Thru College Care Inc
1004 Carondelet Dr Suite 30	Kansas City	MO	64114	822804086	Medical Practice	KS	The Children's Mercy Hospital	C	$223,896	1.00000	Yes (1)	-$86,020
Children's Mercy- Redwood Pediatrics Inc
9151 NE 81st Ter Suite 240	Kansas City	MO	64158	822564241	Medical Practice	KS	The Children's Mercy Hospital	C	$169,151	1.00000	Yes (1)	-$363
Income Beneficiary Trusts (6)
					trust	MO		T			0		N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Children's Mercy Integrated Care Solutions
O	$5,455,722	Book
Children's Mercy Integrated Care Solutions
J	$275,809	Book
Children's Mercy Integrated Care Solutions
L	$1,121,812	Book
Children's Mercy Integrated Care Solutions
P	$359,835	Book
Children's Mercy Integrated Care Solutions
Q	$68,602	Book
Children's Mercy Integrated Care Solutions
S	$125,927,973	Book
Children's Mercy Hospital Family Health Partners Inc
R	$70,000	Book
Children's Mercy- Cass County Pediatrics and Adolescents Inc
D	$165,000	Book
Children's Mercy- Preferred Pediatrics Inc
D	$175,000	Book
Children's Mercy- Redwood Pediatrics Inc
D	$75,000	Book
Children's Mercy- Cradle thru College Care Inc
D	$200,000	Book
Children's Mercy- Pediatric Care Specialists Inc
A	$1,573	Book
Children's Mercy- Pediatric Associates Inc
A	$11,805	Book
Children's Mercy- Pediatric Care North Inc
A	$3,793	Book
Children's Mercy- Cass County Pediatrics and Adolescents Inc
A	$2,814	Book
Children's Mercy- Preferred Pediatrics Inc
A	$5,246	Book
Children's Mercy- Redwood Pediatrics Inc
A	$2,130	Book
Children's Mercy- Cradle thru College Care Inc
A	$3,185	Book