CHILDRENS MERCY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS MERCY HOSPITAL (EIN 44-0605373)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201741329349302529
Schema version: 2015v3.0
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	2017-05-12T11:51:28-05:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	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	Senior VP & CFO	PersonTitleTxt
Phone	8162343000	PhoneNum
Signature	2017-05-12	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

Field	Value	IRS element (for citing)
Tax	2015	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	$1,278,184,234	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	8263	TotalEmployeeCnt
Total Volunteers	954	TotalVolunteersCnt
Total Gross UBI	$3,829,051	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$327,369	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,846,619	PYContributionsGrantsAmt
CY Contributions Grants	$37,060,901	CYContributionsGrantsAmt
PY Program Service Revenue	$1,133,871,342	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,194,702,474	CYProgramServiceRevenueAmt
PY Investment Income	$25,966,780	PYInvestmentIncomeAmt
CY Investment Income	$26,016,482	CYInvestmentIncomeAmt
PY Other Revenue	$15,822,736	PYOtherRevenueAmt
CY Other Revenue	$19,816,681	CYOtherRevenueAmt
PY Total Revenue	$1,203,507,477	PYTotalRevenueAmt
CY Total Revenue	$1,277,596,538	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,288,387	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,463,964	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$637,512,335	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$714,820,574	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,800,938	CYTotalFundraisingExpenseAmt
PY Other Expenses	$441,744,372	PYOtherExpensesAmt
CY Other Expenses	$473,424,006	CYOtherExpensesAmt
PY Total Expenses	$1,092,545,094	PYTotalExpensesAmt
CY Total Expenses	$1,203,708,544	CYTotalExpensesAmt
PY Revenues Less Expenses	$110,962,383	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$73,887,994	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,386,129,346	TotalAssetsBOYAmt
Total Assets EOY	$1,420,276,296	TotalAssetsEOYAmt
Total Liabilities BOY	$414,190,620	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$403,103,989	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$971,938,726	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,017,172,307	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	$956,816,427	ExpenseAmt
Grant	$15,463,964	GrantAmt
Revenue	$1,194,702,474	RevenueAmt
Desc	All expenses for program services relate to providing healthcare. There were a total of 354 licensed beds and 86,233 patient days during the year from 14,190 admissions. Interim stays totaled 10,403 and outpatient encounters, including ED and Urgent Care, were 777,573 from 224,867 individual patients. There were a total of 20,118 surgical cases which includes 4,230 inpatient and 15,888 outpatient cases. Diagnostic procedures, tests and treatments totaled 1,429,902 and outpatient prescriptions totaled 156,549. Children's Mercy critical care transports totaled 5,329 in fiscal year 2016.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	$32,652,446	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. 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, 2016 there were more than 390 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 $32.7 million in the year ended June 30, 2016 on research and per information from the NIH Reporter received more than $4 Million in NIH funding in this same time period. More than 700 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	$989,468,873	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	Yes (1)	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	531	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8263	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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 Senior 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 (25 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
Charles Schellhorn
Chairman	1.00	Yes (X)	Yes (X)	$0	$0	$0
Debbie Sosland-Edelman
Vice Chairman	1.00	Yes (X)	Yes (X)	$0	$0	$0
Elizabeth Braham
Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
David Goebel
Secretary	1.00	Yes (X)	Yes (X)	$0	$0	$0
Bill Krueger
Director	1.00	Yes (X)		$0	$0	$0
Dr Carolyn Davis
Director	1.00	Yes (X)		$0	$0	$0
Paul McLaughlin
Director	1.00	Yes (X)		$0	$0	$0
Andrew Teigen
Director	1.00	Yes (X)		$0	$0	$0
Jonathan Baum
Director	1.00	Yes (X)		$0	$0	$0
Kathy Perryman MD
Director	1.00	Yes (X)		$0	$0	$0
John Ovel
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)		$339,917	$0	$39,564
Randall L O'Donnell PhD
Director; President & CEO	40.00	Yes (X)	Yes (X)	$1,502,633	$0	$99,006
Charles Roberts MD
EVP & Exec.Medical Director	40.00		Yes (X)	$766,971	$0	$31,932
Sandra AJ Lawrence
Executive VP & CAO	40.00		Yes (X)	$713,654	$0	$35,589
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	40.00		Yes (X)	$705,924	$0	$34,758
Jo Stueve
Executive VP & Co-COO	40.00		Yes (X)	$687,316	$0	$34,858
David Cauble
Senior VP & CFO	40.00		Yes (X)	$0	$0	$0
Michael Artman MD
Chairman- Dept of Pediatrics	40.00			$580,135	$0	$35,589	Yes (X)
James O'Brien Jr MD
Physician	40.00			$1,199,432	$0	$35,589		Yes (X)
James D Saint Louis MD
Physician	40.00			$1,194,898	$0	$15,714		Yes (X)
Peter Pastuszko MD
Physician	40.00			$979,022	$0	$24,673		Yes (X)
Charles Snyder MD
Physician	40.00			$776,661	$0	$39,564		Yes (X)
Walter S Andrews MD
Physician	40.00			$776,723	$0	$39,564		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,223,286	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$466,400	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1762	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	$29,659,855
Lytle Construction Inc
1100 SW Hamblen Rd	Lees Summit	MO	64081	Construction	$13,560,636
Sodexho Marriott Services Inc
4880 Paysphere Circle	Chicago	IL	80674	Food Services	$9,021,479
BSA Lifestructures Inc
9365 Counselors Row	Indianapolis	IN	46240	Construction	$3,261,192
University Physician Associate
2310 Holmes Street	Kansas City	MO	64108	Physicians	$3,095,970

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	417	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$849,480	FederatedCampaignsAmt
Fundraising	$2,806,801	FundraisingAmt
Related Organizations	$8,124,915	RelatedOrganizationsAmt
Government Grants	$9,241,418	GovernmentGrantsAmt
All Other Contributions	$16,038,287	AllOtherContributionsAmt
Noncash Contributions	$1,217,388	NoncashContributionsAmt
Total Contributions	$37,060,901	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Services	Desc
Business	621110	BusinessCd
Total Revenue Column	$1,194,702,474	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,194,702,474	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,194,702,474	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,016,482	TotalRevenueColumnAmt
Exclusion	$26,016,482	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$701,884	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,806,801	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$587,696	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,188	TotalRevenueColumnAmt
Exclusion	$114,188	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722210	$4,682,871	$4,682,871
Transport	621910	$2,185,830	$2,185,830
Gift Shop	453220	$1,199,080	$1,199,080

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,634,712	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,805,661	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,829,051	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$19,702,493	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,277,596,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,210,575,916	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,829,051	UnrelatedBusinessRevenueAmt
Exclusion	$26,130,670	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$402,069	TotalAmt
Program Services	$402,069	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$15,061,895	TotalAmt
Program Services	$15,061,895	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,078,285	TotalAmt
Program Services	$6,240,724	ProgramServicesAmt
Management And General	$3,837,561	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$566,974,734	TotalAmt
Program Services	$487,709,215	ProgramServicesAmt
Management And General	$77,288,456	ManagementAndGeneralAmt
Fundraising	$1,977,063	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,674,501	TotalAmt
Program Services	$22,833,029	ProgramServicesAmt
Management And General	$3,750,082	ManagementAndGeneralAmt
Fundraising	$91,390	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$73,408,245	TotalAmt
Program Services	$62,836,510	ProgramServicesAmt
Management And General	$10,320,228	ManagementAndGeneralAmt
Fundraising	$251,507	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$37,684,809	TotalAmt
Program Services	$32,257,711	ProgramServicesAmt
Management And General	$5,297,985	ManagementAndGeneralAmt
Fundraising	$129,113	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,022,721	TotalAmt
Management And General	$3,022,721	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$345,234	TotalAmt
Management And General	$345,234	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$374,689	TotalAmt
Management And General	$374,689	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$94,062,478	TotalAmt
Program Services	$75,543,233	ProgramServicesAmt
Management And General	$18,185,272	ManagementAndGeneralAmt
Fundraising	$333,973	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,650,817	TotalAmt
Program Services	$782,747	ProgramServicesAmt
Management And General	$3,798,362	ManagementAndGeneralAmt
Fundraising	$69,708	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,751,562	TotalAmt
Program Services	$5,876,763	ProgramServicesAmt
Management And General	$10,798,216	ManagementAndGeneralAmt
Fundraising	$76,583	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,850,754	TotalAmt
Program Services	$6,246,245	ProgramServicesAmt
Management And General	$1,372,313	ManagementAndGeneralAmt
Fundraising	$232,196	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,184,392	TotalAmt
Program Services	$13,184,392	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$56,152,892	TotalAmt
Program Services	$30,021,854	ProgramServicesAmt
Management And General	$25,906,132	ManagementAndGeneralAmt
Fundraising	$224,906	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,846,378	TotalAmt
Program Services	$8,947,444	ProgramServicesAmt
Management And General	$1,898,934	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$130,373,533	$127,184,285	$2,802,450	$386,798
State Medicaid Taxes	$45,652,965	$45,652,965
Equipment Rental and Ma	$31,511,224	$5,943,528	$25,567,696
Bad Debt	$29,960,538	$29,960,538

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,683,829	TotalAmt
Program Services	$12,783,726	ProgramServicesAmt
Management And General	$15,872,402	ManagementAndGeneralAmt
Fundraising	$27,701	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,203,708,544	TotalAmt
Program Services	$989,468,873	ProgramServicesAmt
Management And General	$210,438,733	ManagementAndGeneralAmt
Fundraising	$3,800,938	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$101,870,465	BOYAmt
EOY	$64,941,368	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,004	BOYAmt
EOY	$3,011	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,102,724	BOYAmt
EOY	$5,852,768	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$179,661,471	BOYAmt
EOY	$200,133,023	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,291,222	BOYAmt
EOY	$12,638,569	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,478,727	BOYAmt
EOY	$14,242,332	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,084,875,741	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$560,199,558	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$499,417,003	BOYAmt
EOY	$524,676,183	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$491,609,137	BOYAmt
EOY	$510,911,294	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,950,474	BOYAmt
EOY	$7,853,046	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,745,119	BOYAmt
EOY	$79,024,702	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,386,129,346	BOYAmt
EOY	$1,420,276,296	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$144,827,592	BOYAmt
EOY	$133,332,588	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$189,528,649	BOYAmt
EOY	$183,604,489	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,834,379	BOYAmt
EOY	$86,166,912	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$414,190,620	BOYAmt
EOY	$403,103,989	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$914,007,638	BOYAmt
EOY	$951,043,568	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,931,088	BOYAmt
EOY	$66,128,739	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$971,938,726	BOYAmt
EOY	$1,017,172,307	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,386,129,346	BOYAmt
EOY	$1,420,276,296	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$73,887,994	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,797,473	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,856,940	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

Field	Value	IRS element (for citing)
Political Expenditures	$3,145	PoliticalExpendituresAmt
Section4955 Organization Tax	$315	Section4955OrganizationTaxAmt
Form4720 Filed Section4955 Tax	Yes (1)	Form4720FiledSection4955TaxInd
Correction Made	Yes (1)	CorrectionMadeInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$374,689	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$374,689	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$989,094,184	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$989,468,873	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	$431,136	CurrentYearMinus3Amt
Current Year Minus2	$615,259	CurrentYearMinus2Amt
Current Year Minus1	$382,374	CurrentYearMinus1Amt
Current Year	$374,689	CurrentYearAmt
Total	$1,803,458	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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I-A, Line 1:

The Hospital remains neutral in political affairs and in no way endorses or opposes any candidate. However, payments were made to other organizations, which, unbeknownst to the Hospital, included funds directed toward political campaign activity. No organizational managers were aware such payments were going to be used towards political expenditures. We are appropriately reporting such payments, and paying the imposed 4955 excise tax. There was no intention to direct funds to support political activities, and this error involved very small amounts which are minor in relation to the Hospital's exempt purpose activities.

Part I-B, Line 4a:

As soon as the error was uncovered internally, safeguards were immediately established, including implementing specific procedures to prevent future unintentional diversion of funds for political expenditures. We have corrected the activity, including efforts to recover the expenditures to the extent possible.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,124,198	BeginningYearBalanceAmt
Contributions	$755,549	ContributionsAmt
Investment Earnings Or Losses	-$1,440,270	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,831,768	GrantsOrScholarshipsAmt
End Year Balance	$38,607,709	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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	$21,300,491	OtherCostOrOtherBasisAmt
Book Value	$21,300,491	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$581,932,129	OtherCostOrOtherBasisAmt
Depreciation	$221,800,009	DepreciationAmt
Book Value	$360,132,120	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$436,812,583	OtherCostOrOtherBasisAmt
Depreciation	$338,399,549	DepreciationAmt
Book Value	$98,413,034	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,830,538	OtherCostOrOtherBasisAmt
Book Value	$44,830,538	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$524,676,183	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$39,286,344
Income Beneficiary and Charitable Remainder Trusts	$39,738,358

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$79,024,702	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Reserve for Prof. Liability Claims	$49,537,301
Deferred Lease Incentive	$766,865
Postretirement Medical Liability	$35,862,746

Field	Value	IRS element (for citing)
Total Liability	$86,166,912	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, 2016 and 2015, 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	$60,907
Central America & the Caribbean	Program Services	Travel for healthcare-related education and information sharing	$33,395
Europe	Program Services	Travel for healthcare-related education and information sharing	$80,856
East Asia & the Pacific	Program Services	Travel for healthcare-related education and information sharing	$32,983
Middle East & North Africa	Program Services	Travel for healthcare-related education and information sharing	$3,493
South Asia	Program ServicesProgram Services	Travel for healthcare-related education and information sharing	$1,766
Sub-Saharan Africa	Program Services	Travel for healthcare-related education and information sharing	$44,161
South America	Program Services	Travel for healthcare-related education and information sharing	$3,611

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	$261,172	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$261,172	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	$1,786,602	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,411,477	CharitableContriEvent1Amt
Gross Revenue Event1	$375,125	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$145,160	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$172,111	FoodAndBeverageEvent1Amt
Entertainment Event1	$4,314	EntertainmentEvent1Amt
Other Direct Expenses Event1	$83,131	OtherDirectExpensesEvent1Amt
Event2	Event/Auction	Event2Nm
Gross Receipts Event2	$1,722,083	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,395,324	CharitableContriEvent2Amt
Gross Revenue Event2	$326,759	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$3,503	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$38,157	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$141,320	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$3,508,685	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,806,801	CharitableContributionsTotAmt
Gross Revenue Total Events	$701,884	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$148,663	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$210,268	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$4,314	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$224,451	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$587,696	DirectExpenseSummaryEventsAmt
Net Income Summary	$114,188	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	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	322	ActivitiesOrProgramsCnt
Persons Served	5779	PersonsServedCnt
Total Community Benefit Expns	$15,061,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$941,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,120,774	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	363	ActivitiesOrProgramsCnt
Persons Served	364198	PersonsServedCnt
Total Community Benefit Expns	$556,065,793	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$430,888,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,177,423	NetCommunityBenefitExpnsAmt
Total Expense	0.10660	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	315	ActivitiesOrProgramsCnt
Persons Served	38526	PersonsServedCnt
Total Community Benefit Expns	$42,710,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,758,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,952,675	NetCommunityBenefitExpnsAmt
Total Expense	0.01610	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1000	ActivitiesOrProgramsCnt
Persons Served	408503	PersonsServedCnt
Total Community Benefit Expns	$613,838,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$455,587,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,250,872	NetCommunityBenefitExpnsAmt
Total Expense	0.13470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	108183	PersonsServedCnt
Total Community Benefit Expns	$8,724,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,022,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,702,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	10419	PersonsServedCnt
Total Community Benefit Expns	$42,717,729	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,447,119	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,270,610	NetCommunityBenefitExpnsAmt
Total Expense	0.02320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	133	ActivitiesOrProgramsCnt
Persons Served	140892	PersonsServedCnt
Total Community Benefit Expns	$78,682,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,787,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,894,189	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	353	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,423,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,377,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,045,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	2881	PersonsServedCnt
Total Community Benefit Expns	$584,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$583,986	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	570	ActivitiesOrProgramsCnt
Persons Served	262375	PersonsServedCnt
Total Community Benefit Expns	$145,132,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,635,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,496,993	NetCommunityBenefitExpnsAmt
Total Expense	0.04730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1570	ActivitiesOrProgramsCnt
Persons Served	670878	PersonsServedCnt
Total Community Benefit Expns	$758,970,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$545,223,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,747,865	NetCommunityBenefitExpnsAmt
Total Expense	0.18200	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	$74,688	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$74,688	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	393	PersonsServedCnt
Total Community Benefit Expns	$112,715	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,715	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	450	PersonsServedCnt
Total Community Benefit Expns	$4,285	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,285	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$376,504	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$195,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,676	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$296,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$196,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1143	PersonsServedCnt
Total Community Benefit Expns	$1,456,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,440,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	2086	PersonsServedCnt
Total Community Benefit Expns	$2,321,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,946	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,009,008	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$29,960,538	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,385,958	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,653,801	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$267,843	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
Information Gaps	Yes (X)	InformationGapsInd
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
Strategy Attached	0	StrategyAttachedInd
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 Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (16 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 2015. 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/Access with emphasis on Medical Home; Injury and Safety; and Weight, Nutrition and Physical Activity were the three priorities identified in the 2013 CHNA. Over the past three years progress has been made in each of these areas. The following are some of the accomplishments in the Access area: Children's Mercy continues to work with area pediatric practices to support their transition to a medical home; CMH adopted new scheduling practices that provide easier availability to appointments and launched Saturday specialty clinics in the summer of 2015. The Pediatric Fellow program expanded to 36 programs. In the Injury and Safety area the Promise 1000 collaboration between all the home visiting programs in the Kansas City area includes over 12 home visiting programs in the area and supports referrals, coordination of technical assistance, data collection and evaluation services. In addition, Children's Mercy serves as a partner agency in the Trauma Matters community program. In the Weight, Nutrition and Physical Activity area, CMH serves as the leader for a community collaboration called Weighing In that brings together a number of area groups to work on healthy eating and active lifestyle activities. From the 2016 CHNA, the community identified the following priorities: 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 staff members at Children's Mercy were presented the community priorities and identified three of the priorities to focus on through 2019: Access to Health Services; Mental and Behavioral Health and Infant Mortality. Children's Mercy adopted an implementation strategy and action plan to address the 2016 priority health needs.For more details, please visit 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 13b:	To determine financial assistance eligibility for discounted care, we review financial assistance denials that have been appealed 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.
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 16i:	The FAP, FAP application form and plain language summary were widely available on the hospital website:http://www.childrensmercy.org/financialcounseling/
Group A-Facility 1 -- The Children's Mercy Hospital Part V, Section B, line 22d:	Patients receiving charity care for emergency or medically necessary care are not charged more than amounts generally billed (AGB) to insured patients. AGB is determined using a cost to charge ratio from the most recently audited financial statements to determine discounts for patients receiving financial assistance.
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 2015. 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 strategy plan can be found on the hospital website:http://www.childrensmercy.org/About_Us/Community_Benefit/Community_Health_Needs_Assessment/Access with emphasis on Medical Home; Injury and Safety; and Weight, Nutrition and Physical Activity were the three priorities identified in the 2013 CHNA. Over the past three years progress has been made in each of these areas. The following are some of the accomplishments in the Access area: Children's Mercy continues to work with area pediatric practices to support their transition to a medical home; CMH adopted new scheduling practices that provide easier availability to appointments and launched Saturday specialty clinics in the summer of 2015. The Pediatric Fellow program expanded to 36 programs. In the Injury and Safety area the Promise 1000 collaboration between all the home visiting programs in the Kansas City area includes over 12 home visiting programs in the area and supports referrals, coordination of technical assistance, data collection and evaluation services. In addition, Children's Mercy serves as a partner agency in the Trauma Matters community program. In the Weight, Nutrition and Physical Activity area, CMH serves as the leader for a community collaboration called Weighing In that brings together a number of area groups to work on healthy eating and active lifestyle activities. From the 2016 CHNA, the community identified the following priorities: 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 staff members at Children's Mercy were presented the community priorities and identified three of the priorities to focus on through 2019: Access to Health Services; Mental and Behavioral Health and Infant Mortality. Children's Mercy adopted an implementation strategy and action plan to address the 2016 priority health needs.For more details, please visit 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 13b:	To determine financial assistance eligibility for discounted care, we review financial assistance denials that have been appealed 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.
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 16i:	The FAP, FAP application form and plain language summary were widely available on the hospital website:http://www.childrensmercy.org/Patients_and_Families/Financial_Matters/Financial_Counseling/
Group A-Facility 2 -- Children's Mercy Kansas Part V, Section B, line 22d:	Patients receiving charity care for emergency or medically necessary care are not charged more than amounts generally billed (AGB) to insured patients. AGB is determined using a cost to charge ratio from the most recently audited financial statements to determine discounts for patients receiving financial assistance.

Field	Value	IRS element (for citing)
Facility	32	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Children's Mercy Clinics on Broadway
3101 Broadway	Kansas City	MO	64111	Outpatient Clinics
2 - Children's Mercy Northland
501 NW Barry Rd	Kansas City	MO	64155	Outpatient Clinics
3 - Children's Mercy East
20300 East Valley View Parkway	Independence	MO	66102	Outpatient Clinics
4 - Children's Mercy College Boulevard
5520 College Boulevard	Overland Park	KS	66211	Outpatient Clinics
5 - Children's Mercy Blue Valley
6750 West 135th Street	Overland Park	KS	66223	Outpatient Clinics
6 - Children's Mercy West
4313 State Ave	Kansas City	KS	66201	Outpatient Clinics
7 - Children's Mercy Wichita
3243 E Murdock	Wichita	KS	67208	Outpatient Clinics
8 - CMH- Joplin Freeman Health System
3333 McIntosh Circle Dr Suite 6	Joplin	MO	64804	Outpatient Clinics
9 - Children's Mercy St Joseph
802 North Riverside Road Suite 105	St Joseph	MO	64501	Outpatient Clinics
10 - CMH Nephrology - Wichita
818 N Emporia Suite 310	Wichita	KS	67214	Outreach Clinic
11 - CMH Endocrinology - Springfield
1000 E Primrose	Springfield	MO	65807	Outreach Clinic
12 - CMH Speech & Language
1330 E Linwood Blvd	Kansas City	MO	64109	Specialty Clinic
13 - CMH Cardiology - Junction City
1106 St Marys Rd Suite 303	Junction City	KS	66441	Outreach Clinic
14 - CMH Gastroeneterolgy - Wichita
6837 W 37th Street North Bldg 1	Wichita	KS	67205	Outreach Clinic
15 - CMH Cardiology- Garden City
311 E Spruce St	Garden City	KS	67846	Outreach Clinic
16 - CMH Endocrinology - Junction City
361 Grant Ave	Junction City	KS	66441	Outreach Clinic
17 - CMH Urology - Wichita
6837 W 37th St North Bldg 1	Wichita	KS	67205	Outreach Clinic
18 - CMH Endocrinology - Great Bend
3515 Broadway Ave	Great Bend	KS	67530	Outreach Clinic
19 - CMH Endocrinology - Pittsburg
3011 N Michigan	Pittsburg	KS	66762	Outreach Clinic
20 - CMH Endocrinology - Parsons
1902 S US Highway 59	Parsons	KS	67357	Outreach Clinic
21 - CMH Orthopaedic Surgery - Salina
520 S Santa Fe Ave	Salina	KS	67401	Outreach Clinic
22 - CMH Gastroeneterolgy - Salina
400 S Santa Fe Ave	Salina	KS	67401	Outreach Clinic
23 - CMH Orthopaedic Surgery - Wichita
2778 N Webb Rd	Wichita	KS	67226	Outreach Clinic
24 - CMH Rehab Medicine- Wichita
929 N St Francis	Wichita	KS	67214	Outreach Clinic
25 - CMH Endocrinology - Salina
737 E Crawford	Salina	KS	67401	Outreach Clinic
26 - CMH Hematology - Dodge City
2020 Central	Dodge City	KS	67801	Outreach Clinic
27 - Pediatric Eye Care PA
4820 College Blvd	Overland Park	KS	66211	Pratice Use
28 - CMH- DevelopmentalBehavioral Medicine
211 Cherry Ave	Oakley	KS	67748	Outreach Clinic
29 - CMH HematologyOncology - Springfield
2115 S Fremont Ave Suite 2200	Springfield	MO	65804	Outreach Clinic
30 - CMH Rehab Medicine- Bethany
6800 NW 39th Expressway	Bethany	OK	73008	Outreach Clinic
31 - CMH Telemedicine- Garden City
311 E Spruce St	Garden City	KS	67846	Outreach Clinic
32 - CMH HematologyOncology - Wichita
9211 E 21st St N	Wichita	KS	67206	Outreach Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	To determine financial assistance eligibility for discounted care, we review financial assistance denials that have been appealed 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:	Cost-to-charge ratios were calculated as appropriate and applied to charges.
Part I, Line 7g:	Children's Mercy operates subsidized health services that span across primary care clinics, in-patient units, specialty care clinics, and in the community. Over 218,000 children received subsidized health services in FY16. The organization operate a clinic at a 1,000 student K-12 charter school in Kansas City, MO. Subsidized health services also include the Developmental and Behavioral Sciences (over 8,000 children across the system), a Home Care program (636 children) and clinics for children with conditions such as Hemophilia, Downs Syndrome, Endocrine Disorders, and Burns. Additionally, Children's Mercy physicians and nurses provide outreach specialty clinics in communities throughout our region, making this specialized care more easily accessible to families so they don't have to travel long distances to receive care in Kansas City. In an attempt to further improve access, Children's Mercy provides telemedicine services that will allow the organization to reach a broader patient population.
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 $29,960,538.
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 provision for bad debt is based upon management's assessment of expected net collections on aged accounts and patient responsibility balances. For receivables associated with services provided to patients who have third party coverage, the Hospital provides a provision for bad debt for balances greater than 365 days or patient responsibility balances that have met criteria for bad debt prior to 365 days. For receivables associated with self-pay patients, the Hospital records a provision of bad debt in the period of service on the basis of its past experience at an amount that approximates cost. Patient responsibiltiy balances (after insurance processing and application of contractual discounts) as well as self pay amounts (less the applicable discount) for patients with no payor source are utilized to determine bad debt expense, less any patient payments.
Part III, Line 4:	Refer to footnote '(o) Net Patient Service Revenue and Other Revenue' on page 10 of the attached audited financial statements. This footnote discusses both bad debt expense as well as the allowance for doubtful accounts.
Part III, Line 8:	The Children's Mercy Hospital follows the regulations governing the preparation of the Medicare Cost Report. In doing so, the Medicare allowable costs are based on the Hospital's audited financial statement amounts adjusted for those costs not allowable, such as costs related to physician and nurse practitioner services, marketing, and physician referrals. Other revenue sources such as for the cafeteria, vending machines, medical records fees, and various miscellaneous operating revenues are offset from total costs to determine allowable costs. Total costs per functional area, or Cost Report line/category, are divided by charges to determine cost-to-charge ratios for each area.
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:	In FY2016, The Children's Mercy completed a child and adolescent Community Health Needs Assessment (CHNA) of the Children's Mercy service area (Jackson and Clay counties in Missouri and Johnson and Wyandotte counties in Kansas). This service area represents over 72% encounters during a fiscal year. Children's Mercy hired the firm, Professional Research Consultants, Inc. based in Omaha, NE., to support qualitative and quantitative data collection and analysis. The CHNA added an exploration of social determinants of health. Quantitative data sources include primary research (the 2015-6 PRC Child and Adolescent Health Survey-surveyed 1000 families across the region) and secondary data (vital statistics and health-related data from local, state and national sources). Qualitative data included input from five focus groups and an on-line Key Informant survey. Participants in the focus groups and in the Key Informant survey included representatives from community health care providers, public health professionals, social service representatives, and community leaders. The CHNA results were presented to over 220 representatives from across the community who participated in a day-long session (March 11, 2016) to identify key priorities for the region. The identified priorities were then presented to over 300 Children's Mercy staff members who rated the community identified priorities as to their importance, ability to measure outcomes, and Children's Mercy's ability to impact. The final top priorities that were then approved by the Children's Mercy Board of Directors in 2016 were 1.) Access to Health Services, 2.) Mental and Behavioral Health, and 3.) Infant Mortality.
Part VI, Line 3:	Flyers and business cards 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:	The Children's Mercy service area for the CHNA is comprised of 4 counties located in both Missouri (Jackson and Clay counties) and Kansas (Johnson and Wyandotte Counties). 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. Main Campus, Children's Mercy South, Children's Mercy West, Children's Mercy Northland, Children's Mercy Broadway Clinics 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 commitities (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.).
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	$48,500	Mission is to foster appropriate cardiac care in an effort to reduce disability and deaths caused by cardiovascular disease and stroke.
Boys & Girls Club of Greater Kansas City
2405 Elmwood Ave	Kansas City	MO	64127	436072065	501(c)3	$14,300	Promote development of self-esteem, values, and skills for boys and girls, ages 5-18, with special emphasis on youth from disadvantaged circumstances.
DeLaSalle Education Center
3737 Troost Ave	Kansas City	MO	64109	430971728	501(c)3	$14,625	A tuition-free charter high school that gives students a chance to improve their learning and life skills, stimulate their potential, and fulfill their promise.
Charlie's House
6324 N Chatham Ste 223	Kansas City	MO	64151	061830922	501(c)3	$26,000	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	$8,800	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	$5,900	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	$15,000	Support programs that improve the health of mothers and babies.
Jackson County CASA
2544 Holmes	Kansas City	MO	64108	431401328	501(c)3	$9,000	CASA's mission is to be a child's voice in court (recruit, train and support lay volunteers who act as advocates on behalf of the best interest of abused and neglected children).
Ronald McDonald House Charities
2502 Cherry St	Kansas City	MO	64108	431190760	501(c)3	$42,495	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	$9,860	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	$9,250	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	$45,560	Prepares Kansas City's youngest children to succeed in school by partnering with doctors and nurses to prescribe books and encourage families to read together.

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	5779	RecipientCnt
Cash Grant	$15,061,895	CashGrantAmt
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 (12 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	$315,058	$0	$14,779	$0	$10,080	$0	$23,850	$0	$15,956	$0	$379,723	$0	$0	$0
Randall L O'Donnell PhD
Director; President & CEO	$1,156,591	$0	$304,511	$0	$41,531	$0	$84,932	$0	$14,429	$0	$1,601,994	$0	$0	$0
Charles Roberts MD
EVP & Exec.Medical Director	$601,608	$0	$138,606	$0	$26,757	$0	$23,850	$0	$8,437	$0	$799,258	$0	$0	$0
Sandra AJ Lawrence
Executive VP & CAO	$558,495	$0	$132,938	$0	$22,221	$0	$19,875	$0	$16,069	$0	$749,598	$0	$0	$0
Karen S Cox RN PhD FAAN
Executive VP & Co-COO	$537,932	$0	$123,964	$0	$44,028	$0	$23,850	$0	$12,322	$0	$742,096	$0	$0	$0
Jo Stueve
Executive VP & Co-COO	$537,933	$0	$122,626	$0	$26,757	$0	$23,950	$0	$11,263	$0	$722,529	$0	$0	$0
Michael Artman MD
Chairman- Dept of Pediatrics	$557,731	$0	$0	$0	$22,404	$0	$19,875	$0	$17,128	$0	$617,138	$0	$0	$0
James O'Brien Jr MD
Physician	$1,178,291	$0	$0	$0	$21,141	$0	$19,875	$0	$16,069	$0	$1,235,376	$0	$0	$0
James D Saint Louis MD
Physician	$1,191,757	$0	$0	$0	$3,141	$0	$0	$0	$16,069	$0	$1,210,967	$0	$0	$0
Peter Pastuszko MD
Physician	$951,405	$0	$0	$0	$27,617	$0	$13,921	$0	$12,166	$0	$1,005,109	$0	$0	$0
Charles Snyder MD
Physician	$755,280	$0	$0	$0	$21,381	$0	$23,850	$0	$16,069	$0	$816,580	$0	$0	$0
Walter S Andrews MD
Physician	$753,260	$0	$0	$0	$23,463	$0	$23,850	$0	$16,069	$0	$816,642	$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)	$61,082 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 (3 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	60635HH85	2009-11-15	$178,852,416	See Part VI	0	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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$14,525,000	$179,112,696	$80,262,696	$98,850,000	2013	Yes (1)	Yes (1)	Yes (1)
B	$66,655,000	$71,550,000		$71,550,000		Yes (1)	Yes (1)	Yes (1)
C	$3,700,000	$18,775,000		$18,775,000		Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	0	0	0	0	Yes (1)	Yes (1)
UBS AG
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	0	0	Yes (1)	30.900000000000	0	0
UBS AG
C	0	0	Yes (1)	0	Yes (1)	Yes (1)	0	0	Yes (1)	20.900000000000	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (8 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 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 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Kathy Perryman Pediatric Anesthesi	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Anesthesia Associates of Kansas City, Member for the organization	RelationshipDescriptionTxt
Transaction	$29,773,326	TransactionAmt
Transaction	Medical	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$120,850	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$20,246	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	$231,039	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	$8,124	NoncashContributionsRptF990Amt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	17	ContributionCnt
Noncash Contributions Rpt F990	$199,807	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	16	ContributionCnt
Noncash Contributions Rpt F990	$10,133	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	33	ContributionCnt
Noncash Contributions Rpt F990	$75,034	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	16	ContributionCnt
Noncash Contributions Rpt F990	$20,100	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Toys	628	$242,087	FMV
Yes (X)	Trips & Experiences	60	$168,456	FMV
Yes (X)	Miscellaneous	43	$100,883	FMV
Yes (X)	Jewelry	6	$20,629	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 2	Children's Research Institute Children's Mercy established the Children's Mercy Research Institute to align and focus our research efforts more effectively so CMH can improve the health and well-being of children and advance pediatric health. Center for Pediatric Innovation Opened and staffed this facility, which concentrates on inspiring and supporting innovative healthcare providers and hospital staff to invent, test, and eject into the marketplace new or improved healthcare programs and processes to serve the vulnerable pediatric population in our community and beyond. Canine Therapy Program Created and staffed this program (including two highly trained therapy dogs), which evidence shows helps hospitalized patients recover their health from procedures in a more timely manner, thus enabling an earlier discharge from the hospital and lower costs. East Imaging Center An assessment of the population in the Eastern region of our Metropolitan service area uncovered barriers making it difficult for patients to gain timely access to diagnostic imaging services needed as a prerequisite to the prompt identification and execution of a treatment plan. Supported by a Certificate of Need from the State of Missouri, the center opened at Children's Mercy East, removing the access barriers that were inhibiting the delivery of timely service. Centralized Biorepository With the advent of this new program, previously decentralized tissue samples used for diagnosis, treatment and academic research are now combined and catalogued in a centralized unit, thus enabling researchers to gain access to a fully scaled source of robust data to conduct more sophisticated and reliable research to find cures for extraordinary diseases and conditions often unique to the pediatric population. Expansion of Wichita, Kansas Regional Center Supported by research to discover unmet needs of the pediatric patient population in Wichita and western Kansas, the center expanded and now supports the employment of full-time, locally residing medical subspecialists who treat Kansas patients requiring support from doctors in cardiology, endocrinology and nephrology. Pediatric Healthcare Summit Conducted in March 2016, the community's first ever pediatric healthcare summit gathered nearly 200 leaders representing partnering agencies to review the results of the area's only pediatric Community Health Needs Assessment and identify ways where partnership among attending organizations could lead to the more efficient and effective delivery of healthcare to the vulnerable population served by those participating in the program. STAT-Seq This proprietary, unique test enables prompt discovery of a patient's genetic anomalies - the source of medical conditions that prior to the use of this test would have taken months, if not years to diagnose. As a result, lives are now being saved and deteriorating health conditions now reversed because diagnostic conundrums are being solved, enabling prompter treatment of patients who gain better healthcare outcomes and oftentimes radically reduced healthcare costs.
Form 990, Part VI, Section B, line 11	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 XI, line 9:	Change in benefit obligation 203,025. Tax reversal of unrealized gain -8,679,975. Net unrealized change in income beneficiary and charitable remainder trusts 2,585,011. Intercompany Transfer -6,965,001.

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	$95,842	$10,785,858	The Children's Mercy Hospital
Physician Business Partners LLC
2401 Gillham Road	Kansas City	MO	64108	Physician network for education and purchasing	MO	$0	$0	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	$0	$0	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 (2 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 Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	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	-$8,367,713	$8,766,792	1.00000	Yes (1)
Income Beneficiary Trusts (6)
					Trust	MO		T				0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	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	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Children's Mercy Integrated Care Solutions
O	$4,362,939	Book
Children's Mercy Integrated Care Solutions
J	$187,351	Book
Children's Mercy Integrated Care Solutions
L	$1,642,707	Book
Children's Mercy Integrated Care Solutions
B	$7,100,000	Book
Children's Mercy Family Health Partners
C	$135,000	Book
Children's Mercy Integrated Care Solutions
P	$318,795	Book
Children's Mercy Integrated Care Solutions
Q	$101,689	Book
Children's Mercy Integrated Care Solutions
S	$122,416,595	Book