CHILDRENS MERCY HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS MERCY HOSPITAL (EIN 44-0605373)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-11
IRS object ID: 201801319349302810
Schema version: 2016v3.0
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-11T12:06:14-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	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	2018-05-11	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	2018-05-11	IPDt
IP Tm	11:56:07	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	512BFCB4856A61C9BA3BADBEAF9C352F7365FE70	AtSubmissionCreationDeviceId
At Submission Filing Device Id	512BFCB4856A61C9BA3BADBEAF9C352F7365FE70	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$1,403,877,531	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	8738	TotalEmployeeCnt
Total Volunteers	1261	TotalVolunteersCnt
Total Gross UBI	$3,952,948	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$432,987	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$37,060,901	PYContributionsGrantsAmt
CY Contributions Grants	$48,842,788	CYContributionsGrantsAmt
PY Program Service Revenue	$1,194,702,474	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,332,048,694	CYProgramServiceRevenueAmt
PY Investment Income	$26,016,482	PYInvestmentIncomeAmt
CY Investment Income	$20,278,506	CYInvestmentIncomeAmt
PY Other Revenue	$19,816,681	PYOtherRevenueAmt
CY Other Revenue	$2,086,919	CYOtherRevenueAmt
PY Total Revenue	$1,277,596,538	PYTotalRevenueAmt
CY Total Revenue	$1,403,256,907	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,463,964	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$33,158,421	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$714,820,574	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$767,446,337	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,341,792	CYTotalFundraisingExpenseAmt
PY Other Expenses	$473,424,006	PYOtherExpensesAmt
CY Other Expenses	$552,414,356	CYOtherExpensesAmt
PY Total Expenses	$1,203,708,544	PYTotalExpensesAmt
CY Total Expenses	$1,353,019,114	CYTotalExpensesAmt
PY Revenues Less Expenses	$73,887,994	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,237,793	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,420,276,296	TotalAssetsBOYAmt
Total Assets EOY	$1,528,633,645	TotalAssetsEOYAmt
Total Liabilities BOY	$403,103,989	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$419,022,112	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,017,172,307	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,109,611,533	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	$1,014,810,362	ExpenseAmt
Grant	$33,158,421	GrantAmt
Revenue	$1,332,048,694	RevenueAmt
Desc	All expenses for program services relate to providing healthcare. There were a total of 354 licensed beds and 89,370 patient days during the year from 14,369 admissions. Interim stays totaled 8,993 and outpatient encounters, including ED and Urgent Care, were 582,884. There were a total of 20,163 surgical cases which includes 4,307 inpatient and 15,856 outpatient cases. Diagnostic procedures, tests and treatments totaled 1,207,966 and outpatient prescriptions totaled 162,453. Children's Mercy critical care transports totaled 5,415 in fiscal year 2017.The Children's Mercy Hospital (the Hospital) consists of a 301-bed teaching hospital for children located in Kansas City, Missouri, and a 53-bed hospital for children located in Overland Park, Kansas. Children's Mercy Hospital provides the highest level of medical care, technology, services, equipment, and facilities promoting the health and well-being of children in the region, from birth through adolescence. Patients and their families are treated with compassion in a family-centered environment that recognizes their physical, emotional, financial, social, and spiritual needs. The comprehensive healthcare environment provided by the Hospital includes clinical services, research, and teaching efforts, which are designed to serve today's and tomorrow's children, and the community in which they live.The Hospital's services are available to all regardless of ability to pay.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$44,131,331	ExpenseAmt
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 $200 million to the construction of a new research building. CMH has already invested $4.1 million on design of the new building as part of the preparation. This commitment will lead to breakthroughs in treating, diagnosing and preventing complex childhood diseases. Research conducted today at CMH includes basic science and clinical research in numerous areas including pharmacology, cancer, cardiology, genetic diseases and health outcomes. Areas of research strength include Clinical Pharmacology and Therapeutic Innovation, Genomics Medicine, Health Services and Outcomes and Innovations in Health Care Delivery. During the year ended June 30, 2017 there were more than 342 active sponsored research projects. The Children's Research Institute occupies about 3% of the space on the main campus and is 3% of the total annual operating budget. Children's Mercy spent $43.9 million in the year ended June 30, 2017 on research and per information from the NIH Reporter received more than $4.5 million in NIH funding in this same time period. More than 900 publications were accepted and/or published. The Children's Research Institute provides seed funding to Investigators with internal competitive grant programs such as the Midwest Cancer Alliance and the Katherine Berry Richardson (KBR) Fund, with expectations that this funding will lead to applications for externally funded grant programs in the future.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,058,941,693	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	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	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	593	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8738	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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 (24 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
David Goebel
Vice Chairman	1.00	Yes (X)	Yes (X)	$0	$0	$0
Paul McLaughlin
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Elizabeth Braham
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Jonathan Baum
Director	1.00	Yes (X)		$0	$0	$0
Carolyn Davis MD
Director	1.00	Yes (X)		$0	$0	$0
Bill Krueger
Director	1.00	Yes (X)		$0	$0	$0
Kathy Perryman MD
Director	1.00	Yes (X)		$0	$0	$0
Charles Schellhorn
Director	1.00	Yes (X)		$0	$0	$0
Andrew Teigen
Director	1.00	Yes (X)		$0	$0	$0
Tom Weir
Director	1.00	Yes (X)		$0	$0	$0
Gerald Woods MD
Director	40.00	Yes (X)		$348,628	$0	$40,734
Randall L O'Donnell PhD
Director; President & CEO	40.00	Yes (X)	Yes (X)	$1,498,793	$0	$404,600
Charles Roberts MD
EVP & Exec.Medical Director	40.00		Yes (X)	$728,797	$0	$35,568
Sandra AJ Lawrence
Executive VP & CAO	40.00		Yes (X)	$670,654	$0	$36,759
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	40.00		Yes (X)	$727,899	$0	$35,568
Jo Stueve
Executive VP & Co-COO	40.00		Yes (X)	$709,972	$0	$35,568
David Cauble
Senior VP & CFO	40.00		Yes (X)	$257,539	$0	$8,844
Michael Artman MD
Chairman- Dept of Pediatrics	40.00			$606,554	$0	$35,857	Yes (X)
James O'Brien Jr MD
Physician	40.00			$1,194,951	$0	$36,759		Yes (X)
James D Saint Louis MD
Physician	40.00			$1,198,349	$0	$19,540		Yes (X)
Peter Pastuszko MD
Physician	40.00			$1,118,018	$0	$27,472		Yes (X)
Walter S Andrews MD
Physician	40.00			$779,496	$0	$40,734		Yes (X)
George Holcomb III MD
Physician	40.00			$775,448	$0	$40,734		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,615,098	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$798,737	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2032	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	$32,237,057
Turner Construction Inc
1220 Washington St Suite 100	Kansas City	MO	64105	Construction	$24,315,721
Lytle Construction Inc
1100 SW Hamblen Rd	Lees Summit	MO	64081	Construction	$14,294,957
Sodexho Marriott Services Inc
9801 Washingtonian Boulevard	Gaithersburg	MD	20878	Food Services	$9,662,196
Kelly Construction Group Inc
6985 West 153rd Street	Overland Park	KS	66223	Construction	$7,179,598

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	426	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$804,569	FederatedCampaignsAmt
Fundraising	$2,957,202	FundraisingAmt
Related Organizations	$8,145,778	RelatedOrganizationsAmt
Government Grants	$9,713,778	GovernmentGrantsAmt
All Other Contributions	$27,221,461	AllOtherContributionsAmt
Noncash Contributions	$496,747	NoncashContributionsAmt
Total Contributions	$48,842,788	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Services	Desc
Business	621110	BusinessCd
Total Revenue Column	$1,332,048,694	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,332,048,694	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,332,048,694	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,278,506	TotalRevenueColumnAmt
Exclusion	$20,278,506	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$577,192	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,957,202	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$620,624	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$43,432	TotalRevenueColumnAmt
Exclusion	-$43,432	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Cafeteria	722210	$3,207,778	$3,207,778
Transport	621910	$2,766,458	$2,766,458
Loss on Extinguishment of Debt	900099	-$18,592,599		-$18,592,599

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,748,714	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,795,766	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,952,948	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,130,351	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,403,256,907	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,348,818,696	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,952,948	UnrelatedBusinessRevenueAmt
Exclusion	$1,642,475	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	$433,242	TotalAmt
Program Services	$433,242	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$32,725,179	TotalAmt
Program Services	$32,725,179	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,251,289	TotalAmt
Program Services	$5,863,951	ProgramServicesAmt
Management And General	$4,387,338	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$610,932,494	TotalAmt
Program Services	$504,461,188	ProgramServicesAmt
Management And General	$104,039,332	ManagementAndGeneralAmt
Fundraising	$2,431,974	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$29,281,753	TotalAmt
Program Services	$24,056,028	ProgramServicesAmt
Management And General	$5,111,085	ManagementAndGeneralAmt
Fundraising	$114,640	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$76,371,026	TotalAmt
Program Services	$62,741,584	ProgramServicesAmt
Management And General	$13,330,445	ManagementAndGeneralAmt
Fundraising	$298,997	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,609,775	TotalAmt
Program Services	$33,362,412	ProgramServicesAmt
Management And General	$7,088,373	ManagementAndGeneralAmt
Fundraising	$158,990	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,116,770	TotalAmt
Management And General	$4,116,770	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$306,770	TotalAmt
Management And General	$306,770	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$421,071	TotalAmt
Management And General	$421,071	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$143,098,362	TotalAmt
Program Services	$69,980,824	ProgramServicesAmt
Management And General	$72,660,111	ManagementAndGeneralAmt
Fundraising	$457,427	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,005,175	TotalAmt
Program Services	$63,906	ProgramServicesAmt
Management And General	$6,941,269	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,229,782	TotalAmt
Program Services	$203,882	ProgramServicesAmt
Management And General	$3,987,473	ManagementAndGeneralAmt
Fundraising	$38,427	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,489,076	TotalAmt
Program Services	$10,452,178	ProgramServicesAmt
Management And General	$7,728,786	ManagementAndGeneralAmt
Fundraising	$308,112	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,481,397	TotalAmt
Program Services	$7,133,250	ProgramServicesAmt
Management And General	$2,211,348	ManagementAndGeneralAmt
Fundraising	$136,799	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,890,626	TotalAmt
Program Services	$10,890,626	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$59,530,892	TotalAmt
Program Services	$27,857,326	ProgramServicesAmt
Management And General	$31,644,595	ManagementAndGeneralAmt
Fundraising	$28,971	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,097,256	TotalAmt
Program Services	$10,076,519	ProgramServicesAmt
Management And General	$3,020,737	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$146,878,479	$137,939,355	$8,639,585	$299,539
Bad Debt	$59,781,078	$59,781,078
State Medicaid Taxes	$49,178,730	$49,178,730	$0	$0
Dues & Subscriptions	$6,934,143	$3,002,279	$3,871,992	$59,872

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,974,749	TotalAmt
Program Services	$8,738,156	ProgramServicesAmt
Management And General	$10,228,549	ManagementAndGeneralAmt
Fundraising	$8,044	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,353,019,114	TotalAmt
Program Services	$1,058,941,693	ProgramServicesAmt
Management And General	$289,735,629	ManagementAndGeneralAmt
Fundraising	$4,341,792	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$64,941,368	BOYAmt
EOY	$77,465,637	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,011	BOYAmt
EOY	$3,025	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,852,768	BOYAmt
EOY	$9,075,998	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$200,133,023	BOYAmt
EOY	$186,339,631	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,638,569	BOYAmt
EOY	$13,665,606	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,242,332	BOYAmt
EOY	$15,881,509	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,185,528,879	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$616,689,417	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$524,676,183	BOYAmt
EOY	$568,839,462	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$510,911,294	BOYAmt
EOY	$564,674,191	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,853,046	BOYAmt
EOY	$5,038,984	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,024,702	BOYAmt
EOY	$87,649,602	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,420,276,296	BOYAmt
EOY	$1,528,633,645	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$133,332,588	BOYAmt
EOY	$115,147,553	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$183,604,489	BOYAmt
EOY	$220,413,868	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,166,912	BOYAmt
EOY	$83,460,691	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$403,103,989	BOYAmt
EOY	$419,022,112	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$951,043,568	BOYAmt
EOY	$1,032,131,130	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,128,739	BOYAmt
EOY	$77,480,403	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,017,172,307	BOYAmt
EOY	$1,109,611,533	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,420,276,296	BOYAmt
EOY	$1,528,633,645	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,237,793	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$25,470,879	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$16,730,554	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$421,071	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$421,071	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,058,520,622	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,058,941,693	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	$615,259	CurrentYearMinus3Amt
Current Year Minus2	$382,374	CurrentYearMinus2Amt
Current Year Minus1	$374,689	CurrentYearMinus1Amt
Current Year	$421,071	CurrentYearAmt
Total	$1,793,393	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,607,709	BeginningYearBalanceAmt
Contributions	$961,835	ContributionsAmt
Investment Earnings Or Losses	$4,052,039	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,624,792	GrantsOrScholarshipsAmt
End Year Balance	$41,996,791	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.87800	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12200	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	$22,443,796	OtherCostOrOtherBasisAmt
Book Value	$22,443,796	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$652,697,596	OtherCostOrOtherBasisAmt
Depreciation	$246,020,006	DepreciationAmt
Book Value	$406,677,590	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$473,355,912	OtherCostOrOtherBasisAmt
Depreciation	$370,669,411	DepreciationAmt
Book Value	$102,686,501	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,031,575	OtherCostOrOtherBasisAmt
Book Value	$37,031,575	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$568,839,462	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$41,667,821
Income Beneficiary and Charitable Remainder Trusts	$45,981,781

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$87,649,602	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Reserve for Prof. Liability Claims	$42,532,661
Deferred Lease Incentive	$367,116
Postretirement Medical Liability	$39,725,869
Other Non-Current Liabilities	$835,045

Field	Value	IRS element (for citing)
Total Liability	$83,460,691	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:

FIN 48 Footnote: The Hospital and its affiliates follow ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 provides specific guidance on how to address uncertainty in accounting for income tax assets and liabilities, prescribing recognition thresholds and measurement attributes. At June 30, 2017 and 2016, there were no uncertain tax positions.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
North America	Program Services	Travel for healthcare-related education and information sharing	$195,510
Central America & the Caribbean	Program Services	Travel for healthcare-related education and information sharing	$3,685
Europe	Program Services	Travel for healthcare-related education and information sharing	$84,485
East Asia & the Pacific	Program Services	Travel for healthcare-related education and information sharing	$37,477
Middle East & North Africa	Program Services	Travel for healthcare-related education and information sharing	$9,676
South Asia	Program ServicesProgram Services	Travel for healthcare-related education and information sharing	$4,807
Sub-Saharan Africa	Program Services	Travel for healthcare-related education and information sharing	$91,878
South America	Program Services	Travel for healthcare-related education and information sharing	$6,892

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$434,410	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$434,410	TotalSpentAmt
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

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, line 3:	FormAndLineReferenceDesc
Explanation	Method Used to Account for Expenditures: Actual expenses for international travel	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala/Auction	Event1Nm
Gross Receipts Event1	$1,872,351	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,530,479	CharitableContriEvent1Amt
Gross Revenue Event1	$341,872	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$175,062	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$175,029	FoodAndBeverageEvent1Amt
Entertainment Event1	$2,425	EntertainmentEvent1Amt
Other Direct Expenses Event1	$59,011	OtherDirectExpensesEvent1Amt
Event2	Event/Auction	Event2Nm
Gross Receipts Event2	$1,662,043	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,426,723	CharitableContriEvent2Amt
Gross Revenue Event2	$235,320	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$67,988	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$9,282	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$131,827	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$3,534,394	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,957,202	CharitableContributionsTotAmt
Gross Revenue Total Events	$577,192	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$243,050	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$184,311	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,425	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$190,838	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$620,624	DirectExpenseSummaryEventsAmt
Net Income Summary	-$43,432	NetIncomeSummaryAmt

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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	39954	PersonsServedCnt
Total Community Benefit Expns	$14,660,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$344,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,316,138	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	366500	PersonsServedCnt
Total Community Benefit Expns	$604,149,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$503,606,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,542,457	NetCommunityBenefitExpnsAmt
Total Expense	0.07770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	406454	PersonsServedCnt
Total Community Benefit Expns	$618,809,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$503,951,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,858,595	NetCommunityBenefitExpnsAmt
Total Expense	0.08880	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	135390	PersonsServedCnt
Total Community Benefit Expns	$10,739,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,362,984	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,376,974	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	49	ActivitiesOrProgramsCnt
Persons Served	16055	PersonsServedCnt
Total Community Benefit Expns	$34,351,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,839,424	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,512,104	NetCommunityBenefitExpnsAmt
Total Expense	0.01510	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	208056	PersonsServedCnt
Total Community Benefit Expns	$54,791,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,920,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,871,821	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	350	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,292,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,295,198	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,997,793	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	58	ActivitiesOrProgramsCnt
Persons Served	3737	PersonsServedCnt
Total Community Benefit Expns	$773,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$773,939	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	532	ActivitiesOrProgramsCnt
Persons Served	363238	PersonsServedCnt
Total Community Benefit Expns	$135,950,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,417,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,532,631	NetCommunityBenefitExpnsAmt
Total Expense	0.06160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	543	ActivitiesOrProgramsCnt
Persons Served	769692	PersonsServedCnt
Total Community Benefit Expns	$754,760,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$560,368,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$194,391,226	NetCommunityBenefitExpnsAmt
Total Expense	0.15040	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$80,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,360	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$57	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,875	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$222,255	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$222,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	453	PersonsServedCnt
Total Community Benefit Expns	$631,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$582,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	503	PersonsServedCnt
Total Community Benefit Expns	$955,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$907,005	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$59,781,078	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,438,578	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,034,459	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$404,119	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	See Part V, Section C	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	See Part V, Section C	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	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	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 (14 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 over the first week of August 2016. The focus groups were constructed to focus on each of the four counties. Fourty-six individuals representing physicians, other health professionals, social service providers, business leaders, and other community leaders participated. In addition, a Key Informant Online Survey was sent to 99 elected officials, physicians, other health professionals, social service providers, and business, neighborhood, housing and community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work as well as the community overall. Over 230 representatives from area public health, health care, social services, governmental, community, neighborhood and housing organizations were invited to a Children's Health Summit on March 11, 2016. From this group, 168 attended (45 from Children's Mercy) and participated in a process to rate the priority health issues for the region. Organizations that participated in the all three events included: Mother & Child Health Coalition; Olathe Public Schools; Shawnee Mission Public Schools; Local Initiatives Support Corporation of Greater Kansas City; Rosedale Development Association; New Bethel Community Development Corporation; Truman Lakewood; Tri-County Mental Health; Turner House Children's Clinic; Unified Government of Wyandotte County Public Health Department; University of Missouri-Kansas City School of Nursing; Clay County Health Department; Johnson County (KS) Health Department; Missouri Department of Health and Human Services; Samuel U. Rodgers Health Center; Ewing Marion Kauffman Foundation; Jackson County Health Department; Kansas Department of Health and Environment; Urban Neighborhood Initiative; The Children's Place; Kansas Children's Service League; Kids TLC; Mid America Headstart. A complete list of all organizations and specifics about the process is provided in the community health needs assessment provided on the Children's Mercy website.
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 7d:	The CHNA reports for both facilities in Facility Reporting Group A are located on the Hospital website: http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 11:	The implementation strategy plan was approved on October 11, 2016 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2015 tax year. The most recently adopted implementation stragegy plan can be found on the hospital website:http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/Through 2016 CHNA data, the community identified the following health needs: Access to Health Services; Mental and Behavioral Health; Infant Mortality; Obesity; Food Insecurity; Parent Support, Early Education, Housing, Violence, Employment and Poverty (in no particular order). Over 300 Children's Mercy employees and senior leadership were presented the community health needs and identified three, based on the need's importance and Children's Mercy's ability to make an impact, as "Priority Health Needs": Access to Health Services; Mental and Behavioral Health and Infant Mortality. The Priority Health Needs will receive priority attention and support. The remaining community identified needs were noted as "Significant Health Needs." Programs addressing the Significant Health Needs will continue, but not receive accelerated attention or dollars. Children's Mercy Board of Directors adopted the three priorities and the remaining significant health needs on June 14, 2016. An implementation strategy and action plan to address the 2016 Priority Health needs was developed by the Community Benefit/CHNA Advisory Group in consultation with staff from various community agencies and programs such as, the Wyandotte Health Department, the Wyandotte Fetal Infant Mortality Review, the Black Health Care Coalition, and Livewell Community Health Centers. The Board of Directors adopted the implementation plan and strategy on October 11, 2016. The CB/CHNA Advisory group completed a comprehensive inventory of current Children's Mercy programs that address the priority and significant health needs. As part of this exercise, a list of current and potential community partners was created and areas of opportunitiy identified. The creation of an internal community benefit support program and an externally focused Community Benefit Grant program help to support existing and new programs and services targeted at the priority and significant health needs strategies. The internal community benefit support program provides additional dollars for internal Children's Mercy programs that are addressing a priority and/or significant health need. The Community Benefit Grant program is to support outside organization that are addressing a Priority Health Need. Internal support dollars were provided to support the creation of the Behavior Health Master Class for outside providers (Mental/Behavioral Health priority), support the Coaching Boys Into Men program in area schools (Mental/Behavioral Health priority and Violence significant health needs), Infant Porta-Crib program for Truman Medical Center Newborns (Infant Mortality) and Incredible Years Baby program expansion (Mental/Behavioral Health and Infant Mortality priority health needs). Community Benefit Grant awards were made in the Infant Mortality area to the Black Health Care Coalition (Community Baby Showers), New Bethel Neighborhood Development Corporation (Faith-Based Infant Mortality Initiative), Mother and Child Health Coalition of Greater Kansas City (infant mortality data book), Uzazi Village (Chocolate Milk Breastfeeding Support), Happy Bottoms (distribution of newborn/infant diapers), Sleepy Head Beds (building a centralized crib distribution program) and Healthy Wyandotte (Community Baby Showers).
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13b:	The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status.
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 13h:	Patients seeking care at organization with out of network insurance plans are not eligible for charity care.
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 16j:	The FAP and plain language summary were widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Policies/The FAP application form was widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Application/
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 5:	As part of the CHNA, five focus groups were conducted over the first week of August 2016. The focus groups were constructed to focus on each of the four counties. Fourty-six individuals representing physicians, other health professionals, social service providers, business leaders, and other community leaders participated. In addition, a Key Informant Online Survey was sent to 99 elected officials, physicians, other health professionals, social service providers, and business, neighborhood, housing and community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work as well as the community overall. Over 230 representatives from area public health, health care, social services, governmental, community, neighborhood and housing organizations were invited to a Children's Health Summit on March 11, 2016. From this group, 168 attended (45 from Children's Mercy) and participated in a process to rate the priority health issues for the region. Organizations that participated in the all three events included: Mother & Child Health Coalition; Olathe Public Schools; Shawnee Mission Public Schools; Local Initiatives Support Corporation of Greater Kansas City; Rosedale Development Association; New Bethel Community Development Corporation; Truman Lakewood; Tri-County Mental Health; Turner House Children's Clinic; Unified Government of Wyandotte County Public Health Department; University of Missouri-Kansas City School of Nursing; Clay County Health Department; Johnson County (KS) Health Department; Missouri Department of Health and Human Services; Samuel U. Rodgers Health Center; Ewing Marion Kauffman Foundation; Jackson County Health Department; Kansas Department of Health and Environment; Urban Neighborhood Initiative; The Children's Place; Kansas Children's Service League; Kids TLC; Mid America Headstart. A complete list of all organizations and specifics about the process is provided in the community health needs assessment provided on the Children's Mercy website.
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 7d:	The CHNA reports for both facilities in Facility Reporting Group A are located on the Hospital website: http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 11:	The implementation strategy plan was approved on October 11, 2016 and made available to the public within the IRS required 4 1/2 months after year end associated with the conducted and approved CHNA completed during the 2015 tax year. The most recently adopted implementation stragegy plan can be found on the hospital website:http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/Through 2016 CHNA data, the community identified the following health needs: Access to Health Services; Mental and Behavioral Health; Infant Mortality; Obesity; Food Insecurity; Parent Support, Early Education, Housing, Violence, Employment and Poverty (in no particular order). Over 300 Children's Mercy employees and senior leadership were presented the community health needs and identified three, based on the need's importance and Children's Mercy's ability to make an impact, as "Priority Health Needs": Access to Health Services; Mental and Behavioral Health and Infant Mortality. The Priority Health Needs will receive priority attention and support. The remaining community identified needs were noted as "Significant Health Needs." Programs addressing the Significant Health Needs will continue, but not receive accelerated attention or dollars. Children's Mercy Board of Directors adopted the three priorities and the remaining significant health needs on June 14, 2016. An implementation strategy and action plan to address the 2016 Priority Health needs was developed by the Community Benefit/CHNA Advisory Group in consultation with staff from various community agencies and programs such as, the Wyandotte Health Department, the Wyandotte Fetal Infant Mortality Review, the Black Health Care Coalition, and Livewell Community Health Centers. The Board of Directors adopted the implementation plan and strategy on October 11, 2016. The CB/CHNA Advisory group completed a comprehensive inventory of current Children's Mercy programs that address the priority and significant health needs. As part of this exercise, a list of current and potential community partners was created and areas of opportunitiy identified. The creation of an internal community benefit support program and an externally focused Community Benefit Grant program help to support existing and new programs and services targeted at the priority and significant health needs strategies. The internal community benefit support program provides additional dollars for internal Children's Mercy programs that are addressing a priority and/or significant health need. The Community Benefit Grant program is to support outside organization that are addressing a Priority Health Need. Internal support dollars were provided to support the creation of the Behavior Health Master Class for outside providers (Mental/Behavioral Health priority), support the Coaching Boys Into Men program in area schools (Mental/Behavioral Health priority and Violence significant health needs), Infant Porta-Crib program for Truman Medical Center Newborns (Infant Mortality) and Incredible Years Baby program expansion (Mental/Behavioral Health and Infant Mortality priority health needs). Community Benefit Grant awards were made in the Infant Mortality area to the Black Health Care Coalition (Community Baby Showers), New Bethel Neighborhood Development Corporation (Faith-Based Infant Mortality Initiative), Mother and Child Health Coalition of Greater Kansas City (infant mortality data book), Uzazi Village (Chocolate Milk Breastfeeding Support), Happy Bottoms (distribution of newborn/infant diapers), Sleepy Head Beds (building a centralized crib distribution program) and Healthy Wyandotte (Community Baby Showers).
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13b:	The written financial assistance policy explains criteria beyond FPG to include residency requirements, available payors to applicant, asset levels, and in-network insurance status.
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 13h:	Patients seeking care at organization with out of network insurance plans are not eligible for charity care.
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 16j:	The FAP and plain language summary were widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Policies/The FAP application form was widely available on the hospital website:https://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Assistance_Application/

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 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 Joplin Clinic
3333 McIntosh Circle Suite 6	Joplin	MO	64804	Outpatient Clinics
4 - Children's Mercy Heartland Clinic
802 N Riverside Rd Suite 105	St Joseph	MO	64502	Outpatient Clinics
5 - Children's Mercy Pediatric Eye Care
4820 College Blvd	Leawood	KS	66211	Practice Use
6 - Children's Mercy Outreach Junction City
361 Grant Ave	Junction City	KS	66441	Outreach Clinic
7 - Children's Mercy Outreach Garden City
311 E Spruce St	Garden City	KS	67846	Outreach Clinic
8 - Children's Mercy Outreach Great Bend
1021 Einsenhower Ave	Great Bend	KS	65730	Outreach Clinic
9 - Children's Mercy Outreach Springfield
1000 E Primrose Suite 300	Springfield	MO	65807	Outreach Clinic
10 - Children's Mercy Outreach Salina
737 E Crawford	Salina	KS	67401	Outreach Clinic
11 - Children's Mercy Outreach Parsons
1902 S US Hwy 59 BLDG E Ste 200	Parsons	KS	67357	Outreach Clinic
12 - Children's Mercy Outreach Pittsburg
3011 N Michigan	Pittsburg	KS	66762	Outreach Clinic

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 FY17, Children's Mercy provided subsidized health services to over 208,000 children. Subsidized health services included pediatric primary care clinics at Children's Mercy Broadway and Children's Mercy West as well as community-based clinics located at Synergy Services (youth-serving agency), Operation Breakthrough (early childhood center) and at University Academy (K-12 charter school). Other subsidized health services include: dialysis, developmental and behavioral medicine, genetics, pain management, the fetal health center, ophthalmology and child abuse and neglect. All subsidized health services meet an identified community need and a shortage of available services would exist in the community if Children's Mercy did not provide the service. An increase in the subsidized health services reported for FY17 is due to an increase in the cost of the care, financial assistance and bad debt and a decrease in private insurance reimbursement.
Part I, Ln 7 Col(f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), which is subtracted for purposes of calculating the percentage in this column, is $59,781,078.
Part I, Line 7h:	Children's Mercy researchers strive to find better ways to prevent, treat and eliminate pediatric disease. Children's Mercy organizes research efforts across four pillars: Genetics, Health Services Outcomes, Clinical Pharmacology and Infectious Disease. The four pillars became the model for how Children's Mercy evaluated its contribution to eligible community benefit research expenses for FY17.
Part I, Line 7a:	Financial assistance cost reported on this line is derived from Worksheet 1 which takes gross charges for patients who have been awarded financial assistance and then multiplies those charges by a cost-to-charge ratio derived from Worksheet 2 to arrive at cost of providing financial assistance.
Part II, Community Building Activities:	Children's Mercy conducts a variety of community building activities that allow the organization to connect with the community and promote healthy living. In addition to several longstanding programs such as Weighing In Coalition that works to bring together community organizations to change policy and environments to support healthy lifestyles and active living, Children's Mercy also offers community oriented programs and/or resources intended to make physical improvements, provide community support, build coalitions, advocate for community health improvements and address community-wide workforce issues. Some examples include the maintenance of the Hospital Hill Park and the Sylvia Nutter Playground, Environmental Health Community Trainings and housing assessments, Equity and Diversity programs, and numerous advocacy activities including a Healthy Lifestyles Youth Advocacy Program.
Part III, Line 2:	The amount of bad debt reported on Part III, Line 2 comes from the Bad Debt Expense reported on the CMH Audited Financial Statements. Bad debt is written off based on the remaining receivable balance after all other payments and adjustments for patients who do not qualify for financial assistance.
Part III, Line 4:	Audited Financial Statements- Note U, Page 17: Uncollectible amounts from patients who do not qualify for charity care [financial assistance] under CMH's charity care policy are included as a reduction of patient service revenue in the provision for bad debt. Receivables for the related revenue are recorded for the full amount and are offset by the allowance for contractual adjustments and doubtful accounts and appropriately reflected at the net realizable value. The increase in the provision for bad debt as of June 30, 2017 compared to June 30, 2016 is due to adjusting for historical trends in the collectability of aged receivables resulting in a reclassification of contractual allowances to allowance for doubtful accounts in the current year.
Part III, Line 8:	Cost to charge ratio
Part III, Line 9b:	Collection attempts are discontinued once charges are determined to be eligible for charity care or financial assistance; insurance collection attempts continue as appropriate.
Part VI, Line 2:	The hospital has an initiative development processes that brings forward new initiatives around strategic, operational, community health, and innovation initiatives based on community/market trends and needs. On a routine basis, the Strategic Planning Department monitors demographic and service trends of the region and compares this data to national benchmarks. The hospital strategic planning process also takes into account all of the qualitative and quantitative market data to define strategies and tactics that address the community need. In addition, Trauma Services maintains a Trauma Registry and the Promise 1000 centralizes the data collection on the health services and needs of children zero to three who receive home visiting services.
Part VI, Line 3:	Flyers and financial counselor business cards and copies of the Financial Assistance Plain Language Summary are available at all access points within the Hospital. Efforts are made by the financial counselors to contact self pay patients and families, either in person, or through phone call or letters. Self pay or underinsured patients can also be referred to a financial counselor by an Access Representative, Patient Care Services, Social Work, Patient Financial Services, or other staff members for screening and assistance. All billing statements refer patients to financial counseling resources; hospital website posts the financial assistance policy.
Part VI, Line 4:	Children's Mercy serves over 242,000 children from across the states of Kansas and Missouri. In Kansas 96 counties have federally-designated primary care HPSA areas and in Missouri, 117 counties have federally designated primary care HPSA areas. Within these two states we identify 43 counties as Outreach areas; 50 counties as the secondary service area; and 18 counties as the primary service area. Each of these areas is comprised of urban, suburban and rural regions. The Outreach service area covers includes more rural counties than the other listed service areas. The Metro service area (six counties) includes more urban and suburban areas than rural. Within the Metro service area is the Children's Mercy service area for the CHNA. This includes 4 counties located in both Missouri (Jackson and Clay counties) and Kansas (Johnson and Wyandotte Counties). Johnson, Wyandotte and Jackson counties have primary care HPSA areas. Children's Mercy is the only children's hospital in the region. Limited pediatric services are available at the Kansas University Medical Center, St. Luke's Health System, Centerpoint, Liberty Hospital, North Kansas City, Research Medical Center, Shawnee Mission Medical Center and Overland Park hospitals. During the fiscal year in which Children's Mercy initiated the CHNA, residents of these counties contribute over 72% of the encounters at Children's Mercy. The four counties serve as the location of our physical facilities (e.g., Children's Mercy Adele Hall Campus, Children's Mercy Hospital Kansas, Children's Mercy West, Children's Mercy Northland, Children's Mercy Broadway, Children's Mercy College Boulevard, Children's Mercy Olathe, Children's Mercy Blue Valley, and Children's Mercy East) and the source of a majority of our patient encounters. The four counties house a total population of 1,652,781; of these 411,888 or 25.9 percent are children. Within this region, Wyandotte County has the greatest proportion of children under 18 and Jackson County has the smallest proportion, but largest in absolute number. The overall population of children in these four counties increased between 1980 and 2013 and the overall make-up of the population shifted as well. In 1980, black, Hispanic or other ethnicities comprised 21 percent of the four counties under 18 years of age population and in 2013 36 percent of the region's under 18 population made up these groups. According to the U.S. Census, the median family income was $68,993. In 2014, across the region, 19 percent of all children live in poverty; 37.6 percent of children in Wyandotte County live in poverty. Of all Kansas City area families led by a single mother, 29.2 percent are living in poverty. Jackson County and especially Wyandotte County have considerably more families led by a single mother living below the federal poverty level.
Part VI, Line 5:	The Children's Mercy Hospital is a nonprofit hospital operated to serve a public rather than a private interest and meeting the requirements of Revenue Ruling 69-545. Control of the Hospital rests with its Board, which is primarily composed of members of the community, in addition to a few select employees of the Hospital. The Hospital accepts patients paying with Medicaid and Medicare, and operates an active and generally accessible emergency room open to all children without regard to ability to pay. The Hospital uses any surplus funds to improve the quality of patient care, expand its facilities, and advance its medical training, education, and research programs.Children's Mercy promotes children's health in the Kansas City region in numerous ways. Highlights of these programs include providing direct funding support to community organizations with like missions (i.e. Reach Out and Read, the Ronald McDonald House), training community members on assessing and managing child abuse (i.e. SCAN Outreach Services), the coordination of a community-wide strategy to organize home visiting, participating in community health fairs, serving on key community committees (i.e., Infant and Child Mortality review boards, health department planning committees) and providing training and education for families with children at-risk for obesity or diabetes (i.e. Zoom to Health, PHIT Kids, etc.). In addition, Children's Mercy provided community benefit capacity-building grants to support efforts to address the Infant Mortality priority health need.
Part VI, Line 6:	The Children's Mercy Hospital is not part of an affiliated health care system.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 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	$10,000	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	$15,000	Promote development of self-esteem, values, and skills for boys and girls, ages 5-18, with special emphasis on youth from disadvantaged circumstances.
Charlie's House
6324 N Chatham Ste 223	Kansas City	MO	64151	061830922	501(c)3	$25,000	Participates in and sponsors community-wide events to provide home safety information.
JDRF- Juvenile Diabetes Research Foundation
920 Main St Ste 280	Kansas City	MO	64105	231907729	501(c)3	$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	$15,580	Mission is to cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families.
March of Dimes
4400 College Ste 180	Overland Park	KS	66211	131846366	501(c)3	$44,000	Support programs that improve the health of mothers and babies.
Ronald McDonald House Charities
2502 Cherry St	Kansas City	MO	64108	431190760	501(c)3	$73,215	Provide comfort and care for families seeking life-saving medical treatment for their children.
National Kidney Foundation
6405 Metcalf Ave Ste 204	Overland Park	KS	66202	131673104	501(c)3	$8,441	Dedicated to preventing kidney and urinary tract diseases, improving the health and well-being of individuals and families affected by kidney disease and increasing the availability of all organs for transplantation.
Kansas City Friends of Alvin Ailey
1714 E 18th St	Kansas City	MO	64108	431412078	501(c)3	$9,100	Making dance accessible to all people, teaching young people critical life skills through dance, and modeling interracial and multi-cultural community partnerships.
Kansas University Endowment (Reach Out and Read)
3901 Rainbow Blvd MS 1051	Kansas City	KS	66106	480547734	501(c)3	$63,790	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.
Kansas City University of Medicine & Biosciences
1750 INdependence Ave	Kansas City	MO	64106	440545280	501(c)3	$8,750	Private university comprised of a College of Osteopathic Medicine and a College of Biosciences.

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Patient Financial Assistance	GrantTypeTxt
Recipient	39954	RecipientCnt
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$32,725,179	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.	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 (13 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
Gerald Woods MD
Director	$306,323	$0	$18,022	$0	$24,283	$0	$23,850	$0	$17,105	$0	$389,583	$0	$0	$0
Randall L O'Donnell PhD
Director; President & CEO	$1,193,451	$0	$254,443	$0	$50,899	$0	$392,882	$0	$12,036	$0	$1,903,711	$0	$0	$0
Charles Roberts MD
EVP & Exec.Medical Director	$590,689	$0	$111,303	$0	$26,805	$0	$23,850	$0	$12,036	$0	$764,683	$0	$0	$0
Sandra AJ Lawrence
Executive VP & CAO	$572,586	$0	$75,799	$0	$22,269	$0	$19,875	$0	$17,202	$0	$707,731	$0	$0	$0
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	$574,670	$0	$108,497	$0	$44,732	$0	$23,850	$0	$12,036	$0	$763,785	$0	$0	$0
Jo Stueve
Executive VP & Co-COO	$574,670	$0	$108,497	$0	$26,805	$0	$23,850	$0	$12,036	$0	$745,858	$0	$0	$0
David Cauble
Senior VP & CFO	$243,263	$0	$0	$0	$14,276	$0	$0	$0	$9,624	$0	$267,163	$0	$0	$0
Michael Artman MD
Chairman- Dept of Pediatrics	$584,150	$0	$0	$0	$22,404	$0	$19,875	$0	$17,407	$0	$643,836	$0	$0	$0
James O'Brien Jr MD
Physician	$1,173,762	$0	$0	$0	$21,189	$0	$19,875	$0	$17,202	$0	$1,232,028	$0	$0	$0
James D Saint Louis MD
Physician	$1,177,160	$0	$0	$0	$21,189	$0	$11,308	$0	$8,550	$0	$1,218,207	$0	$0	$0
Peter Pastuszko MD
Physician	$1,089,633	$0	$0	$0	$28,385	$0	$16,066	$0	$12,831	$0	$1,146,915	$0	$0	$0
Walter S Andrews MD
Physician	$752,691	$0	$0	$0	$26,805	$0	$23,850	$0	$17,202	$0	$820,548	$0	$0	$0
George Holcomb III MD
Physician	$753,044	$0	$0	$0	$22,404	$0	$23,850	$0	$18,309	$0	$817,607	$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)	$369,032 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	$17,265,000	$131,440,000	$179,112,696	$80,262,696	$98,850,000	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$66,775,000		$71,550,000		$71,550,000		Yes (1)	0	Yes (1)	Yes (1)
C	$5,650,000		$18,775,000		$18,775,000		Yes (1)	0	Yes (1)	Yes (1)
D			$148,207,195		$147,568,978		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 (12 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jonathan Baum
Director	$159,554	Amounts paid to George K. Baum & Company as Co-Manager on the Series 2016 Bonds	0
Substantial Contributor
Substantial Contributor	$11,673,851	Services and sale of assets	0
substantial Contributor
substantial Contributor	$353,548	Services and sale of assets	0
substantial Contributor
substantial Contributor	$3,450,063	Services	0
substantial Contributor
substantial Contributor	$24,315,721	Services	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$10,260	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	$21,918	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	$48,435	NoncashContributionsRptF990Amt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$212,838	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	19	ContributionCnt
Noncash Contributions Rpt F990	$15,250	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	19	ContributionCnt
Noncash Contributions Rpt F990	$7,041	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Experiences	36	$142,656	FMV
Yes (X)	Events	25	$34,888	FMV
Yes (X)	Miscellaneous	5	$3,461	FMV

Field	Value	IRS element (for citing)
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	CMPeDS App Developed in partnership with Engage Mobile, the CMPeDs App is a first-of-its-kind decision support tool to help clinical providers more easily make the most accurate diagnosis of their pediatric patients. The App has been downloaded by almost 10,000 users worldwide, who feel it is a valuable tool. Children's Mercy Affiliated Practices (CMAP) Children's Mercy Affiliated Practices were developed to strengthen the alignment with community pediatricians and better manage the continuum of patient care. CMAPs are committed to working together for healthier kids, sharing best practices, and collaborating with likeminded pediatricians to improve how care is delivered. Children's Mercy Kansas Outpatient Pharmacy A new outpatient pharmacy was opened at the Children's Mercy Hospital Kansas location. The location demonstrated a great need for a retail pharmacy to better address continuum of care needs for CMK patients. The new pharmacy will be able to take care of patients' pharmacy needs from the ED, clinics, and inpatient floors, as well as serve as a greater convenience for their care givers. Specialty Pharmacy The creation of a Specialty Pharmacy was developed to better serve patients who require highly specialized, high-cost pharmaceuticals. The initial phase focused on providing human growth hormone to patients. Use of these type of drugs are on the rise and roughly 7 out of 10 new drugs coming into the market fall into the specialty category. The Specialty Pharmacy positions CMH to better serve pediatric patients and to respond to the growing demand for these types of drugs. KidCare Anywhere CMH launched an online virtual health service called "KidCare Anywhere" to address consumers growing desire for on demand care. KidCare Anywhere was also created with a goal to deliver value as part of an integrated pediatric health system. It will enable patients/families to access a Children's Mercy physician or advanced nurse practitioner in minutes via a smartphone, tablet, or computer for non-emergent conditions. The new service is currently limited to Children's Mercy Pediatric Care Network patients, but expansion will occur within the next year.
Form 990, Part VI, Section A, line 4	The bylaws of The Children's Mercy Hospital were updated to include changes to the Conflict of Interest section.
Form 990, Part VI, Section B, line 11b	The final Form 990, including all required schedules, was provided to each voting member of the Board of Directors prior to its filing with the IRS.
Form 990, Part VI, Section B, line 12c	Each employee is required to complete an Outside Professional and Commercial Interests Form (Conflict of Interest Form) at the time of employment, at the time of their annual evaluation, and any time their financial interests change. Board members are required to complete a Conflict of Interest Questionnaire at the time of their appointment, at least one time annually, and are required to update their information any time their financial interests change. All Outside Professional and Commercial Interests Forms and Conflict of Interest Questionnaires are reviewed by the Corporate Compliance Manager.
Form 990, Part VI, Section B, line 15	The Compensation Committee of the Board of Directors is responsible for approving the compensation of the CEO, which they document in an Employment Agreement between the Board of Directors and the CEO. The Compensation Committee also approves the compensation of the EVP/CAO, the EVP/Chief Medical Officer, two persons with the title EVP/co-Chief Operating Officer, all officers of the Hospital, and the Chair of the Department of Pediatrics, who is a key employee. The Compensation Committee is composed of independent outside directors who receive no compensation for their participation on the Board. The Compensation Committee engages an outside consulting firm, whose practice includes the analysis of compensation for not-for-profit hospitals, to advise the Committee with regard to market data and analysis, which was used to establish compensation. A letter from the compensation consultant opining on the reasonableness of the compensation was provided to the Committee and documentation of the Committee's deliberations and decision are in existence.
Form 990, Part VI, Section C, line 19	The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request.
Form 990, Part IX, line 11g	Other Fees: Program service expenses 69,980,824. Management and general expenses 72,660,111. Fundraising expenses 457,427. Total expenses 143,098,362.
Form 990, Part XI, line 9:	Change in benefit obligation -160,311. Change in interest rate swap valuation 10,328,089. Net Unrealized Change in Income Beneficiary and Charitable Remainder Trusts 6,243,423. Intercompany Transfer 319,353.

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	$91,848	$11,844,334	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 (6 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	$13,481,796	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	$1,009,677	1.00000	Yes (1)	-$261,959
Income Beneficiary Trusts (6)
					trust	MO		T			0		N/A
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	$1,187,188	1.00000	Yes (1)	-$27,359
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	$836,877	1.00000	Yes (1)	-$13,768
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	$696,266	1.00000	Yes (1)	-$33,580

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 (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Children's Mercy Integrated Care Solutions
O	$4,871,923	Book
Children's Mercy Integrated Care Solutions
J	$187,351	Book
Children's Mercy Integrated Care Solutions
L	$1,579,275	Book
Children's Mercy Integrated Care Solutions
P	$232,457	Book
Children's Mercy Integrated Care Solutions
Q	$143,520	Book
Children's Mercy Integrated Care Solutions
S	$124,475,115	Book
Children's Mercy Hospital Self-Insurance Trust
R	$3,837,914	Book
Children's Mercy- Johnson County Pediatrics Inc
D	$375,000	Book
Children's Mercy- Pediatric Care Specialists Inc
D	$400,000	Book
Children's Mercy- Pediatric Associates Inc
D	$625,000	Book
Children's Mercy- Pediatric Care North Inc
D	$400,000	Book
Children's Mercy- Johnson County Pediatrics Inc
A	$5,933	Book
Children's Mercy- Pediatric Care Specialists Inc
A	$4,075	Book