CHILDRENS MERCY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS MERCY HOSPITAL (EIN 44-0605373)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349302580
- Schema version
- 2011v1.2
- Note
- A later return for the same period supersedes this one.
- 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) |
|---|---|---|
| Timestamp | 2013-05-14T12:39:30-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 135565207 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Two Central Park Plaza Suite 1501 | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 681021626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440605373 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 8162343000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 Gillham Road | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sandra AJ Lawrence | Name |
| Title | Executive VP & CFO | Title |
| Phone | 8162343000 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00223617 | PTIN |
| Phone | 4023481450 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sandra AJ Lawrence | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 Gillham Road | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 873546821 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.childrensmercy.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1901 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | Excellence in healthcare for children | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6721 | TotalNbrEmployees |
| Total Nbr Volunteers | 526 | TotalNbrVolunteers |
| Total Gross UBI | 50566 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -314046 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26781980 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 28096636 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 772728245 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 831584151 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1839740 | InvestmentIncomePriorYear |
| Investment Income Current Year | 938906 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15480791 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12617270 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 816830756 | TotalRevenuePriorYear |
| Total Revenue Current Year | 873236963 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15992712 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 13089408 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 477094190 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 496964073 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3077053 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 310580520 | OtherExpensePriorYear |
| Other Expenses Current Year | 323354663 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 803667422 | TotalExpensesPriorYear |
| Total Expenses Current Year | 833408144 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13163334 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 39828819 | RevenuesLessExpensesCY |
| Total Assets BOY | 915564338 | TotalAssetsBOY |
| Total Assets EOY | 1038666908 | TotalAssetsEOY |
| Total Liabilities BOY | 396259169 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 372156824 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 519305169 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 666510084 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 681184693 | Expense |
| Grants | 13089408 | Grants |
| Revenue | 831584151 | Revenue |
| Description | All expenses for program services relate to providing healthcare. There were a total of 319 licensed beds and 76,829 patient days during the year from 13,397 admissions. Outpatient encounters were 661,332 from 189,399 individual patients.The Children's Mercy Hospital (the Hospital) consists of a 265-bed teaching hospital for children located in Kansas City, Missouri, and a 54-bed hospital for children located in Overland Park, Kansas. The 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. | Description |
| Total Program Service Expense | 681184693 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 382 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 6721 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sandra AJ Lawrence EVP & CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8162343000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 Gillham Road | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Page Branton Reed | ||||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| John Ovel | ||||||||
| Vice Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Jon Zindel | ||||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Peggy Dunn | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Edward M Connolly Jr | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Mary Hunkeler | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| David Oliver | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Robert Jackson MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Margi Pence | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Johnathon Baum | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Debbie Sosland-Edelman | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Gerald Woods MD | ||||||||
| Director | 40.00 | X | 305136 | 0 | 28986 | |||
| Milton Fowler MD | ||||||||
| Director | 40.00 | X | 325165 | 0 | 28986 | |||
| Randall L O'Donnell PhD | ||||||||
| Director; President & CEO | 40.00 | X | X | 1372352 | 0 | 679105 | ||
| Charles Roberts MD | ||||||||
| Executive VP & Executive Medical Director | 40.00 | X | 611409 | 0 | 24882 | |||
| Sandra AJ Lawrence | ||||||||
| Executive VP & CFO | 40.00 | X | 579504 | 0 | 28986 | |||
| Karen S Cox RN PhD FAAN | ||||||||
| Executive VP & Co-COO | 40.00 | X | 509804 | 0 | 24654 | |||
| Jo Stueve | ||||||||
| Executive VP & Co-COO | 40.00 | X | 493988 | 0 | 24654 | |||
| Michael Artman | ||||||||
| Chairman of the Department of Pediatrics | 40.00 | 488011 | 0 | 14286 | X | |||
| James O'Brien Jr MD | ||||||||
| Physician | 40.00 | 797211 | 0 | 28986 | X | |||
| Walter S Andrews MD | ||||||||
| Physician | 40.00 | 781780 | 0 | 28986 | X | |||
| Ronald J Sharp MD | ||||||||
| Physician | 40.00 | 736659 | 0 | 24654 | X | |||
| Gary K Lofland MD | ||||||||
| Physician | 40.00 | 1217822 | 0 | 28986 | X | |||
| Richard A Hopkins MD | ||||||||
| Physician | 40.00 | 801451 | 0 | 28986 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9020292 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 995137 | TotalOtherCompensation |
| Number Individuals GT100 K | 1265 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| JE Dunn Construction Company | |||||
| 1101 Locust Street | Kansas City | MO | 64106 | Construction | 33558314 |
| Anesthesia Associates | |||||
| 8717 West 110th Street | Overland Park | KS | 66210 | Anesthesiologists | 23618265 |
| Sodexho Marriott Services Inc | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Food Services | 7273266 |
| McCown Gordon Construction | |||||
| 422 Admiral Boulevard | Kansas City | MO | 64106 | Construction | 6291056 |
| Turner Construction | |||||
| 2345 Grand Boulevard | Kansas City | MO | 64108 | Construction | 5015012 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 355 | NumberOfContractorsGT100K |
| Federated Campaigns | 1053271 | FederatedCampaigns |
| Fundraising Events | 668589 | FundraisingEvents |
| Related Organizations | 9172296 | RelatedOrganizations |
| Government Grants | 11028695 | GovernmentGrants |
| All Other Contributions | 6173785 | AllOtherContributions |
| Noncash Contributions | 190623 | NoncashContributions |
| Total Contributions | 28096636 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Services | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 831584151 | TotalRevenueColumn |
| Related Or Exempt Function Income | 831584151 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 831584151 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 946026 | TotalRevenueColumn |
| Exclusion | $946,026 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6048 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13168 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -7120 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7120 | TotalRevenueColumn |
| Related Or Exempt Function Income | -7120 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 205940 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 668589 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 296690 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -90750 | TotalRevenueColumn |
| Exclusion | -$90,750 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Cafeteria | 722210 | 4517886 | 4517886 |
| Transport | 621910 | 2082040 | 2082040 |
| Reinsurance | 524298 | 1520185 | 1520185 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4587909 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4537343 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 50566 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12708020 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 873236963 | TotalRevenueColumn |
| Related Or Exempt Function Income | 844234485 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 50566 | UnrelatedBusinessRevenue |
| Exclusion | $855,276 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223035 | Total |
| Program Services | 223035 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12866373 | Total |
| Program Services | 12866373 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8396468 | Total |
| Program Services | 5228154 | ProgramServices |
| Management And General | 3168314 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 398440051 | Total |
| Program Services | 333698272 | ProgramServices |
| Management And General | 62539454 | ManagementAndGeneral |
| Fundraising | 2202325 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17834773 | Total |
| Program Services | 14857751 | ProgramServices |
| Management And General | 2880477 | ManagementAndGeneral |
| Fundraising | 96545 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44935413 | Total |
| Program Services | 34930447 | ProgramServices |
| Management And General | 9777660 | ManagementAndGeneral |
| Fundraising | 227306 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27357368 | Total |
| Program Services | 22790813 | ProgramServices |
| Management And General | 4418462 | ManagementAndGeneral |
| Fundraising | 148093 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241425 | Total |
| Management And General | 1241425 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305892 | Total |
| Program Services | 307 | ProgramServices |
| Management And General | 305585 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78862930 | Total |
| Program Services | 60619738 | ProgramServices |
| Management And General | 18202693 | ManagementAndGeneral |
| Fundraising | 40499 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3171363 | Total |
| Program Services | 810315 | ProgramServices |
| Management And General | 2290706 | ManagementAndGeneral |
| Fundraising | 70342 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11826771 | Total |
| Program Services | 4717698 | ProgramServices |
| Management And General | 7072350 | ManagementAndGeneral |
| Fundraising | 36723 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4611445 | Total |
| Program Services | 3540290 | ProgramServices |
| Management And General | 1033358 | ManagementAndGeneral |
| Fundraising | 37797 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14744157 | Total |
| Program Services | 14744157 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48712706 | Total |
| Program Services | 22902559 | ProgramServices |
| Management And General | 25699973 | ManagementAndGeneral |
| Fundraising | 110174 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8456232 | Total |
| Program Services | 6260975 | ProgramServices |
| Management And General | 2195257 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 85515231 | 81908661 | 3567032 | 39538 |
| State Medicaid Taxes | 33843131 | 33843131 | 0 | 0 |
| Bad Debt | 19207104 | 19207104 | 0 | 0 |
| Food Services | 5643450 | 5433986 | 198566 | 10898 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7212826 | Total |
| Program Services | 2600927 | ProgramServices |
| Management And General | 4555086 | ManagementAndGeneral |
| Fundraising | 56813 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 833408144 | Total |
| Program Services | 681184693 | ProgramServices |
| Management And General | 149146398 | ManagementAndGeneral |
| Fundraising | 3077053 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43246010 | BOY |
| EOY | 137629234 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145554603 | BOY |
| EOY | 26663954 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19704716 | BOY |
| EOY | 11119836 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120868360 | BOY |
| EOY | 119523013 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7239674 | BOY |
| EOY | 7962329 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6690006 | BOY |
| EOY | 8737772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 813165033 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 357974499 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 419306670 | BOY |
| EOY | 455190534 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65113757 | BOY |
| EOY | 212035399 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62611787 | BOY |
| EOY | 33118234 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25228755 | BOY |
| EOY | 26686603 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915564338 | BOY |
| EOY | 1038666908 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106192809 | BOY |
| EOY | 109038981 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245769062 | BOY |
| EOY | 201913263 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366624 | BOY |
| EOY | 105071 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43930674 | BOY |
| EOY | 61099509 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 396259169 | BOY |
| EOY | 372156824 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 473375598 | BOY |
| EOY | 624145095 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45929571 | BOY |
| EOY | 42364989 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 519305169 | BOY |
| EOY | 666510084 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915564338 | BOY |
| EOY | 1038666908 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 39828819 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 107376096 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 467864 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 467864 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 680716829 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 681184693 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 290191 | CurrentYearMinus3 |
| Current Year Minus2 | 344415 | CurrentYearMinus2 |
| Current Year Minus1 | 405207 | CurrentYearMinus1 |
| Current Year | 467864 | CurrentYear |
| Total | 1507677 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 3000 | CurrentYearMinus3 |
| Total | 3000 | Total |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 41124198 | BeginningOfYearBalance |
| Contributions | 755549 | Contributions |
| Investment Earnings Or Losses | -1440270 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1831768 | GrantsOrScholarships |
| End Of Year Balance | 38607709 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 35713462 | BeginningOfYearBalance |
| Contributions | 695711 | Contributions |
| Investment Earnings Or Losses | 6607520 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1892495 | GrantsOrScholarships |
| End Of Year Balance | 41124198 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 33889964 | BeginningOfYearBalance |
| Contributions | 317605 | Contributions |
| Investment Earnings Or Losses | 3237589 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1731696 | GrantsOrScholarships |
| End Of Year Balance | 35713462 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 42887302 | BeginningOfYearBalance |
| Contributions | 416385 | Contributions |
| Investment Earnings Or Losses | -7597819 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1815904 | GrantsOrScholarships |
| End Of Year Balance | 33889964 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.99310 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00690 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14212420 | OtherCostOrOtherBasis |
| Book Value | 14212420 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 392081393 | OtherCostOrOtherBasis |
| Depreciation | 143066818 | Depreciation |
| Book Value | 249014575 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 307804279 | OtherCostOrOtherBasis |
| Depreciation | 214907681 | Depreciation |
| Book Value | 92896598 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 99066941 | OtherCostOrOtherBasis |
| Book Value | 99066941 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 455190534 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Reserve for Professional Liability Claims | $36,532,903 |
| Deferred Lease Incentive | $2,690,566 |
| Postretirement Medical Liability | $21,876,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 61099509 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | Endowment funds are held by 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. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | 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, 2012 and 2011, there were no uncertain tax positions. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| North America | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 45891 |
| Central America & the Caribbean | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 3987 |
| Europe | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 20542 |
| East Asia & the Pacific | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 38100 |
| Middle East & North Africa | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 1741 |
| South Asia | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 3672 |
| Sub-Saharan Africa | 0 | 0 | Program Services | Travel for healthcare-related education and information sharing | 9836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 123769 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 123769 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Method Used to Acccount for Expenditures: | Identifier |
| Explanation | Schedule F, Part I, Line 3: Method Used to Account for Expenditures: Actual expenses for international travel | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala/Auction | NameOfEvent1 |
| Gross Receipts Event1 | 874529 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 668589 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 205940 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 10722 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 154891 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 12000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 119077 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 874529 | GrossReceiptsTotal |
| Charitable Contributions Total | 668589 | CharitableContributionsTotal |
| Gross Revenue Total Events | 205940 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 10722 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 154891 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 12000 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 119077 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 296690 | DirectExpenseSummaryEvents |
| Net Income Summary | -90750 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 8879 | PersonsServed |
| Total Community Benefit Expense | 12752973 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1687394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11065579 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01340 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 285372 | PersonsServed |
| Total Community Benefit Expense | 459927610 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 353351240 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 106576370 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12950 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 1777 | PersonsServed |
| Total Community Benefit Expense | 9487928 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6109746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3378182 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 296028 | PersonsServed |
| Total Community Benefit Expense | 482168511 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 361148380 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 121020131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14700 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 270178 | PersonsServed |
| Total Community Benefit Expense | 3161937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 210650 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2951287 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 41 | NumberOfActivitiesOrPrograms |
| Persons Served | 5535 | PersonsServed |
| Total Community Benefit Expense | 1889163 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 279924 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1609239 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 138513 | PersonsServed |
| Total Community Benefit Expense | 63524064 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54413093 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9110971 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01110 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 187 | NumberOfActivitiesOrPrograms |
| Persons Served | 910 | PersonsServed |
| Total Community Benefit Expense | 10450689 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10450689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 73 | NumberOfActivitiesOrPrograms |
| Persons Served | 67011 | PersonsServed |
| Total Community Benefit Expense | 328414 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 328414 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 328 | NumberOfActivitiesOrPrograms |
| Persons Served | 482147 | PersonsServed |
| Total Community Benefit Expense | 79354267 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54903667 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24450600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 335 | NumberOfActivitiesOrPrograms |
| Persons Served | 778175 | PersonsServed |
| Total Community Benefit Expense | 561522778 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 416052047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 145470731 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17680 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1245244 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1245244 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 180 | PersonsServed |
| Total Community Building Expense | 97032 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 97032 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 1158 | PersonsServed |
| Total Community Building Expense | 222949 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 222949 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 893 | PersonsServed |
| Total Community Building Expense | 211290 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 211290 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 54 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 144327 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 144327 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 292 | PersonsServed |
| Total Community Building Expense | 52062 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 52062 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 68 | NumberOfActivitiesOrPrograms |
| Persons Served | 2523 | PersonsServed |
| Total Community Building Expense | 1972904 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1972904 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $19,207,104 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2850253 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 2680883 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 169370 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|---|
| The Children's Mercy Hospital | |||||||||||
| 1 | 2401 Gillham Road | Kansas City | MO | 64108 | X | X | X | X | X | X | Specialty Clinics; Primary Care Clinics |
| Children's Mercy South | |||||||||||
| 2 | 5808 W 110th | Overland Park | KS | 66211 | X | X | X | X | X | Specialty Clinics | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Children's Mercy Hospital | ||||||||||||||||||||||
| 1 | 1 | 1 | 300.000000000000 | 1 | 500.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | 1 | 0 | 1 | X | 0 | 0 |
| Children's Mercy South | ||||||||||||||||||||||
| 2 | 1 | 1 | 300.000000000000 | 1 | 500.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 37 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (37 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Children's Mercy Northland | ||||
| 501 NW Barry Rd | Kansas City | MO | 64155 | Outpatient Clinics |
| Children's Mercy Clinics on Broadway | ||||
| 3101 Broadway | Kansas City | MO | 64111 | Outpatient Clinics |
| Children's Mercy College Boulevard | ||||
| 5520 College Boulevard | Overland Park | KS | 66211 | Outpatient Clinics |
| Children's Mercy College Boulevard Urgen | ||||
| 5520 College Boulevard Suite 130 | Overland Park | KS | 66211 | Urgent Care |
| Children's Mercy West | ||||
| 4313 State Ave | Kansas City | KS | 66201 | Outpatient Clinics |
| CMH Endocrinology - Springfield | ||||
| 1443 N Robberson Suite 308 | Springfield | MO | 65802 | Outreach Clinic |
| Children's Mercy Wichita | ||||
| 3243 E Murdock | Wichita | KS | 67208 | Outpatient Clinics |
| Children's Mercy St Joseph | ||||
| 802 North Riverside Road Suite 105 | St Joseph | MO | 64501 | Outpatient Clinics |
| CMH Gastroeneterolgy - Springfield | ||||
| 1965 S Fremont Ave | Springfield | MO | 65804 | Outreach Clinic |
| CMH Endocrinology - Joplin | ||||
| 2203 W 32nd St | Joplin | MO | 64804 | Outreach Clinic |
| CMH Gastroeneterolgy - Wichita | ||||
| 6837 W 37th St North Bldg 1 | Wichita | KS | 67205 | Outreach Clinic |
| CMH Endocrinology - Junction City | ||||
| 1106 St Marys Rd | Junction City | KS | 66441 | Outreach Clinic |
| CMH Endocrinology - Pittsburg | ||||
| 1102 E Centennial | Pittsburg | KS | 66762 | Outreach Clinic |
| CMH Endocrinology - Parsons | ||||
| 1902 S US Highway 59 | Parsons | KS | 67357 | Outreach Clinic |
| CMH Endocrinology - Salina | ||||
| 400 S Santa Fe Ave | Salina | KS | 67401 | Outreach Clinic |
| CMH Cardiology - Joplin | ||||
| 3020 S St Johns Blvd Suite A | Joplin | MO | 64804 | Outreach Clinic |
| CMH Nephrology - Wichita | ||||
| 818 N Emporia Suite 310 | Wichita | KS | 67214 | Outreach Clinic |
| CMH Cardiology - St Joseph | ||||
| 902 N Riverside Rd Suite 100 | St Joseph | MO | 64506 | Outreach Clinic |
| CMH Orthopaedic Surgery - Wichita | ||||
| 2778 N Webb Rd | Wichita | KS | 67226 | Outreach Clinic |
| CMH Gastroeneterolgy - Joplin | ||||
| 3333 McIntosh Dr Suite 6 | Joplin | MO | 64804 | Outreach Clinic |
| CMH HematologyOncology - Wichita | ||||
| 9211 E 21st St N | Wichita | KS | 67206 | Outreach Clinic |
| CMH Rheumatolgy - Springfield | ||||
| 1965 S Fremont Ave | Springfield | MO | 65804 | Outreach Clinic |
| CMH Speech & Language | ||||
| 1330 E Linwood Blvd | Kansas City | MO | 64109 | Specialty Clinic |
| CMH Cardiology - Junction City | ||||
| 1106 St Marys Rd | Junction City | KS | 66441 | Outreach Clinic |
| CMH Gastroeneterolgy - Salina | ||||
| 400 S Santa Fe Ave | Salina | KS | 67401 | Outreach Clinic |
| CMH Nephrology - Joplin | ||||
| 3333 McIntosh Dr Suite 6 | Joplin | MO | 64804 | Outreach Clinic |
| CMH HematologyOncology - Springfield | ||||
| 1965 S Fremont Ave | Springfield | MO | 65804 | Outreach Clinic |
| CMH Endocrinology - Hays | ||||
| 2214 Canterbury Dr Suite 204 | Hays | KS | 67601 | Outreach Clinic |
| CMH Orthopaedic Surgery - Salina | ||||
| 520 S Santa Fe Ave | Salina | KS | 67401 | Outreach Clinic |
| CMH Endocrinology - Great Bend | ||||
| 3515 Broadway Ave | Great Bend | KS | 67530 | Outreach Clinic |
| CMH Orthopaedic Surgery - Springfield | ||||
| 3800 S National Ave Suite 200 | Springfield | MO | 65807 | Outreach Clinic |
| CMH Oncology - Joplin | ||||
| 3333 McIntosh Dr Suite 6 | Joplin | MO | 64804 | Outreach Clinic |
| CMH Endocrinology - St Joseph | ||||
| 902 N Riverside Rd Suite 100 | St Joseph | MO | 64506 | Outreach Clinic |
| Children's Mercy Wichita | ||||
| 9825 Shannon Woods | Wichita | KS | 67226 | Temporary Outpatient Clinic |
| CMH Urology - Wichita | ||||
| 6837 W 37th St North Bldg 1 | Wichita | KS | 67205 | Outreach Clinic |
| CMH Genetics - Cillicothe | ||||
| 100 Central Ave | Chillicothe | MO | 64061 | Outreach Clinic |
| CMH Hematology - Dodge City | ||||
| 2020 Central | Dodge City | KS | 67801 | Outreach Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| Part I, Line 7: Cost-to-charge ratios were calculated as appropriate and applied to charges. | ||
| Part I, Line 7g: The Children's Mercy Hospital operates subsidized health services that span across primary care clinics, specialty care clinics, home care, diagnostics, inpatient admissions and emergency services. The organization also operates a clinic within an inner city day care center serving 600 children daily, and a dedicated clinic named Children's Mercy West in the underserved community of Kansas City, KS. Additionally, our 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 has invested in a telemedicine/telehealth infrastructure that will allow the organization to reach a broader patient population. | ||
| The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $19,207,104. | Part I, Line 7, Column (f) | |
| Part II: The Children's Mercy Hospital has developed a variety of community building activities that allow the organization to connect with the community we serve and promote health. In addition to several longstanding programs such as Weighing In, 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 renovation of Hospital Hill Park, Community Supported Agriculture (CSA), Intensive Care Nursery Family Group, Hematology/Oncology Family Group and numerous advocacy efforts. | ||
| Part III, Line 4: There is no financial statement footnote on bad debt. The amount of bad debt reported represents cost of charges. The primary basis of bad debt is the sum of adjustments made to patient accounts that represent non-collectible amounts. The allowance for uncollectible accounts is adjusted to equal the sum of all accounts whose balances are in excess of 365 days and self pay account balances. If the prior period's allowance balance is less than the current month's calculated balance, the allowance is credited and bad debt is increased. If the balance requires a decrease, then bad debt is also decreased by the same amount.Discounts (Gross Charges less Ratio of Cost to Charge applied) and any other adjustments on patient accounts are applied to account balances prior to any bad debt expense determination. | ||
| 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 V, Section B, Line 13g: Flyers and business cards are available at all access points within the Hospital. All self pay patients and families are contacted by a financial counselor, 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. | The Children's Mercy Hospital | |
| Part V, Section B, Line 13g: Flyers and business cards are available at all access points within the Hospital. All self pay patients and families are contacted by a financial counselor, 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. | Children's Mercy South | |
| Part V, Section B, Line 19d: A blended rate from Commercial and Governmental payers is determined annually for our self-pay discount. | The Children's Mercy Hospital | |
| Part V, Section B, Line 19d: A blended rate from Commercial and Governmental payers is determined annually for our self-pay discount. | Children's Mercy South | |
| Part VI, Line 2: Children's Mercy has organized a dedicated Community Health Needs Assessment Advisory Committee that began meeting towards the end of 2011, which includes broad representation from the organization that spans across various clinical and administrative functions (27 current members). The sole purpose of this committee is to create the processes and infrastructure needed to regularly identify Community Health Needs and identify strategies to address them. As a result of the committee's work, Children's Mercy has partnered with Professional Research Consultants, Inc. to conduct the first pediatric-specific Community Health Needs Assessment and is currently in the process of finalizing the project and adopting said implementation strategies. Shortly after, the results of the year-long project will be communicated broadly. In addition, the Community Health Needs Assessment work is now directed by the Strategic Planning department to ensure ongoing alignment and incorporate Community Health Needs into the organizations regular planning processes. | ||
| Part VI, Line 3: Flyers and business cards are available at all access points within the Hospital. All self pay patients and families are contacted by a financial counselor, 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. | ||
| Part VI, Line 4: The Children's Mercy Hospital service area is comprised of counties located in both Missouri and Kansas. Our Primary Service Area is defined as the 18 counties immediately surrounding the Kansas City MSA, while our Secondary Service Area is comprised of the 50 surrounding counties. Children's Mercy Hospital is the only pediatric hospital within the tertiary service area and we provide a number of unique services not available anywhere within a 200-mile radius of Kansas City. In addition, a minority of the pediatric primary care providers in our service area accept Medicaid, so our primary care and dental services see a disproportionate share of uninsured and underinsured patients. The hospital is located in an area designated by HRSA as medically underserved and as a primary care and dental health provider. For purposes of the Community Health Needs Assessment, Children's Mercy Hospital has defined a 4 county "community" based on patient utilization data. This is comprised of 2 counties in Missouri (Jackson and Clay) and 2 counties in Kansas (Johnson and Wyandotte). These counties serve as both 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. Approximately 74% of the total number of patients we encounter reside in these 4 counties alone. This is broken down by both encounters and percent of total as follows: Jackson County, MO (234,182 encounters and 37.2% of total); Clay County, MO (65,701 encounters and 10.4% of total); Johnson County, KS (103,696 encounters and 16.50% of total); and Wyandotte County, KS (59,693 encounters and 9.5% of total). | ||
| 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 pediatric health in the Kansas City region in numerous ways. In addition to providing the community with access to a top-tier tertiary care center and training future pediatric healthcare providers, we provide many community-oriented programs. Highlights of these programs include supporting the clinical care of at-risk children (i.e. Operation Breakthrough, providing free vaccinations to all (i.e. Family and Friends Flu Vaccination Clinic), providing direct funding support to community organizations with like missions (i.e. Rose Brooks Bridge Program, Civic Engagement), training community members on assessing and managing child abuse (i.e. SCAN Outreach Services) and providing training and education for families with children at-risk for obesity or diabetes (i.e. Weighing In, Zoom to Health, PHIT Kids, etc.). | ||
| Part VI, Line 6: The Children's Mercy Hospital is not part of an affiliated health care system.Part VI, Line 7: The Children's Mercy Hospital did not file a community benefit report in any states. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Boys & Girls Club of Greater Kansas City | |||||||
| 6301 Rockhill Road | Kansas City | MO | 64131 | 436072065 | 501(c)3 | 9500 | Promote development of self-esteem, values, and skills for boys and girls, ages 5-18 |
| Center for Practical Bioethics | |||||||
| 1111 Main St Ste 500 | Kansas City | MO | 64105 | 480985815 | 501(c)3 | 5300 | Initiatives in Aging in Community, addressing undertreatment of chronic pain, certificate program in clinical ethics and health policy |
| Juvenile Diabetes Research Foundation | |||||||
| 920 Main Street Ste 280 | Kansas City | MO | 64105 | 231907729 | 501(c)3 | 7400 | Support diabetes research and research-related education |
| March of Dimes | |||||||
| 4400 College Blvd Ste 180 | Overland Park | KS | 66211 | 131846366 | 501(c)3 | 31300 | Support programs that improve the health of mothers and babies |
| Missouri Physicians Health | |||||||
| 113 Madison Street | Jefferson City | MO | 65102 | 431572458 | 501(c)3 | 7000 | Provide quality continuing medical education for Missouri physicians |
| Reach Out and Read Kansas City | |||||||
| 3901 Rainbow Blvd MS 1051 | Kansas City | KS | 66106 | 480547734 | 501(c)3 | 45600 | 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 |
| Ronald McDonald House Charities | |||||||
| 2502 Cherry Street | Kansas City | MO | 64108 | 431190760 | 501(c)3 | 20200 | Provide comfort and care for families seeking life-saving medical treatment for children |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| Medical Residency | 37 | 113400 | |||
| Patient Financial Assistance | 8879 | 12752973 | Cost | Charity Care |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants generally go to nonprofit organizations and agencies with which The Children's Mercy Hospital shares a common mission. These are agencies that generally support the health and well-being of children and families. The Children's Mercy Hospital documents the appropriate use of our funds by attending annual events to collaborate with agency board members and their executive leaders about issues related to the achievement of the agency's mission; reviewing web-based annual reports; and requesting and receiving a report from the agency grant recipient confirming the portion of grant dollars that go directly to the agency's mission-critical enterprise. Grants are also provided to the Medical Residents of The Children's Mercy Hospital. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gerald Woods MD | |||||||||||||
| 301729 | 0 | 0 | 0 | 3407 | 0 | 14700 | 0 | 14501 | 0 | 334337 | 0 | 0 | 0 |
| Milton Fowler MD | |||||||||||||
| 322673 | 0 | 0 | 0 | 2492 | 0 | 14700 | 0 | 14487 | 0 | 354352 | 0 | 0 | 0 |
| Randall L O'Donnell PhD | |||||||||||||
| 1039782 | 0 | 250000 | 0 | 82570 | 0 | 664819 | 0 | 14629 | 0 | 2051800 | 0 | 0 | 0 |
| Charles Roberts MD | |||||||||||||
| 493908 | 0 | 93438 | 0 | 24063 | 0 | 14700 | 0 | 10525 | 0 | 636634 | 0 | 0 | 0 |
| Sandra AJ Lawrence | |||||||||||||
| 466106 | 0 | 91657 | 0 | 21741 | 0 | 14700 | 0 | 14629 | 0 | 608833 | 0 | 0 | 0 |
| Karen S Cox RN PhD FAAN | |||||||||||||
| 399532 | 0 | 73186 | 0 | 37086 | 0 | 14700 | 0 | 11306 | 0 | 535810 | 0 | 0 | 0 |
| Jo Stueve | |||||||||||||
| 397345 | 0 | 73182 | 0 | 23461 | 0 | 14700 | 0 | 10247 | 0 | 518935 | 0 | 0 | 0 |
| Michael Artman | |||||||||||||
| 483913 | 0 | 0 | 0 | 4098 | 0 | 0 | 0 | 14613 | 0 | 502624 | 0 | 0 | 0 |
| James O'Brien Jr MD | |||||||||||||
| 778002 | 0 | 0 | 0 | 19209 | 0 | 14700 | 0 | 14629 | 0 | 826540 | 0 | 0 | 0 |
| Walter S Andrews MD | |||||||||||||
| 760696 | 0 | 0 | 0 | 21084 | 0 | 14700 | 0 | 14629 | 0 | 811109 | 0 | 0 | 0 |
| Ronald J Sharp MD | |||||||||||||
| 711402 | 0 | 0 | 0 | 25257 | 0 | 14700 | 0 | 10297 | 0 | 761656 | 0 | 0 | 0 |
| Gary K Lofland MD | |||||||||||||
| 1196957 | 0 | 0 | 0 | 20865 | 0 | 14700 | 0 | 14629 | 0 | 1247151 | 0 | 0 | 0 |
| Richard A Hopkins MD | |||||||||||||
| 780328 | 0 | 0 | 0 | 21123 | 0 | 14700 | 0 | 14629 | 0 | 830780 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4b | A Supplemental Executive Retirement Plan (SERP) was made available to President & CEO, Randall O'Donnell, Ph.D. $423,402 was deferred into the plan during the year. |
| 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Health and Educational Facilities Authority of the State of Missouri | |||||||
| 431178966 | 60635RC62 | 2002-06-13 | 50000000 | See Part VI | 0 | 0 | 0 |
| Health and Educational Facilities Authority of the State of Missouri | |||||||
| 431178966 | 60635RC88 | 2003-06-05 | 27500000 | Refund 1993 Bonds June 5, 2003 | 0 | 0 | 0 |
| Health and Educational Facilities Authority of the State of Missouri | |||||||
| 431178966 | 60635HH85 | 2009-11-15 | 178852416 | See Part VI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Credit EnhancementCreditEnhancement | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|
| 44675000 | 46000000 | 1225608 | 2004 | 1 | 0 | 1 | 1 | ||
| 5225000 | 25550000 | 709028 | 1995 | 1 | 0 | 1 | 1 | ||
| 4465000 | 178852416 | 1 | 0 | 0 | 1 | 76208017 | 3940002 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||
| 0 | 1 | 1 | 30.900000000000 | 0 | 0 | 0 | 0 | 0 |
| UBS AG | ||||||||
| 0 | 1 | 1 | 20.900000000000 | 0 | 0 | 0 | 0 | 0 |
| (no name) | ||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule K, Part I, Row A, Column (f) | Bond Issue, Description of Purpose | A portion of the proceeds of the Bonds will be used to finance and reimburse the Corporation for a portion of the costs of the Project, which consists of (1) the following improvements at the Corporation's Main Campus in Kansas City, Missouri: (a) construction of four new operating rooms designed for cardiac surgery, together with related support facilities and space over the emergency room parking area at the southeast corner of the Main Campus, (b) construction of a fifth floor addition to the existing Henson Tower to house a new 27-bed inpatient unit, (c) construction of a new heliport with two landing surfaces on the roof of the existing Sutherland Tower and (d) construction of a four-story 72,000 square foot clinic and research building over the existing parking garage; and (2) construction of the following improvements at the Corporation's South Campus in Overland Park, Kansas: (a) a new 120,000 square foot building, connected to the existing approximately 50,000 square foot building, to be used to house an urgent care center, new patient beds and additional general support space and (b) the development of 400 new surface parking spaces. |
| Schedule K, Part I, Row C, Column (f) | Bond Issue, Description of Purpose | $100,000,000: Refinance of Commerce Bank debt which refinanced Series 2007 bonds. $80,002,416: A portion of the proceeds of the Bonds loaned to the Corporation will be used to construct and equip a new six-story bed tower on the Corporation's Main Campus. The tower will provide an additional 42 medical/surgical beds, a maternal fetal medicine unit with four observation beds and a labor and delivery suite, 14 additional pediatric intensive care beds, expansion of radiology and infusion services, expansion of the cafeteria, dock, and storage space and expanded gift shop. The Corporation plans to establish a presence in Independence, Missouri in eastern Jackson County to be known as Children's Mercy East, which will include outpatient pediatric services. The Corporation has purchased the 8.9 acre site and has received a grant for $1 million to pay for the architectural and engineering costs associated with this project. Construction is expected to begin on this facility in 2011 and proceeds of the Bonds are expected to be used to fund $15 million of the costs of this facility. The Corporation will also use a portion of the proceeds of the Bonds for other capital expenditures at its facilities that are part of its ongoing capital improvement plan. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Peggy Dunn Secretary | |||
| JE Dunn, More than 35% owned by family member | 33558314 | Construction | 0 |
| Margi Pence Director | |||
| Hallmark Cards, More than 35% owned by family member | 899289 | Rental Property; Payments made to Kessington/Hunter Mgmt Co and Crown Center Parking | 0 |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 0 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | N/A | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 0 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | N/A | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 16 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 190623 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Real Estate Residential RealEstateResidential
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 112548 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Non Reporting of Revenue: | Identifier |
| Return Reference | Part I, Line 33: | ReturnReference |
| Explanation | Books and clothing were received and utilized by patients and families; not resold. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | Emergency Department at Children's Mercy South in Overland Park, Kansas In response to the growing number of patients we are serving from the State of Kansas, we opened the state's first pediatric emergency room program at our Overland Park hospital. The patient population being served by this program continues to grow, which means access to pediatric emergency room service has been substantially improved. Johnson County, Kansas, Urgent Care Also in pursuit of improved access, we moved our hospital-based urgent care program to a new facility on College Boulevard in Johnson County, Kansas. The program continues to be the community's only pediatric hospital-operated urgent care service, and cares for the health of a growing number of pediatric patients from Eastern Kansas and Western Missouri. Fetal Health Care Expansion The hospital expanded its capacity to manage the births of at-risk babies by moving to a newly constructed facility where larger numbers of at-risk births can be accommodated. The facility includes a newly constructed skywalk that connects our Fetal Health operating rooms and birthing centers directly to the operating rooms at Truman Medical Center. The skywalk permits Truman babies delivered during unexpected troubled births to be brought immediately for treatment at Children's Mercy. Conversely, if a well mother giving birth at our Fetal Health Center encounters unexpected challenges, that mom can be taken immediately to the operating room at Truman, where physicians trained in treating the body of an adult experiencing a health crisis are on duty 24 hours a day. Wichita, Kansas Outreach Greater access to nephrology and endocrinology pediatric programs occurred as we hired two full-time medical doctors and support staff to serve pediatric patients who reside in central and southwest Kansas. Negotiations got underway for the consolidation of outreach services in that part of the state by establishing a facility and a presence there, so a growing number of pediatric patients can be better served. Expanded Primary Care Greater access to primary care physicians, particularly for the Medicaid population, became the result of moving our Primary Care Clinic from the hospital's main campus at 24th and Gillham to a facility we purchased and renovated at 31st and Broadway in Kansas City, Missouri. As a result of this move, greater efficiencies were enabled on the campus itself so larger numbers of patients can gain access to vital programs. Patient Transport Technologies The hospital made a significant commitment to the purchase of additional transportation vehicles, including fixed-wing aircraft, thus improving the efficiency and safety for patients who are transported by the only pediatric-customized ambulances, helicopters, and aircraft available between Denver and St. Louis. |
| 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/CFO, 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. | |
| Changes in Net Assets | Form 990, Part XI, Line 5 | Change in unrealized gains on investments: 2,761,567 Tax reversal of Friends of Children's Mercy 289,638 Change in benefit obligations (365,193) Tax reversal of unrealized loss (20,230,767) Intercompnay transfers 124,920,851 Total to Form 990, Part XI, Line 5 107,376,096 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| CMH Insurance Company LLC | ||||||||
| 1000 Bank Street Suite 100 | Burlington | VT | 05401 | Insurance for The Children's Mercy Hospital | VT | 78991 | 8370648 | The Children's Mercy Hospital |
| Children's Mercy Health Network | ||||||||
| 2401 Gillham Road | Kansas City | MO | 64108 | Physician network for education and purchasing | MO | 0 | 0 | The Children's Mercy Hospital |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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-FI | N/A | 0 | |
| Friends of Children's Mercy | |||||||||||
| 2401 Gillham Road | Kansas City | MO | 64108 | 430961097 | Support of Children's Mercy Hospital | MO | 501(c)(3) | line 11, III-FI | 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 | 1 | The Children's Mercy Hospital | |
| Children's Mercy Hospital Self-Insurance Trust | |||||||||||
| MI Trust Co NA PO Box 2977 | Milwaukee | WI | 53201 | 436231807 | Providing funds for malpractice claims against CMH & employees | MO | 501(C)(3) | line 11, I | 1 | The Children's Mercy Hospital | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Mercy Pediatric Care Network Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 Gillham Road | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453741386 | EIN |
| Primary Activity | Coordinates medical care of pediatric patients | PrimaryActivity |
| Legal Domicile State | KS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Mercy Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 48846125 | ShareOfTotalIncome |
| Share Of EOY Assets | 12513805 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Children's Mercy's Family Health Partners | ||
| P | 8402522 | Book |
| Children's Mercy's Family Health Partners | ||
| I | 227984 | Book |
| Children's Mercy's Family Health Partners | ||
| K | 2426853 | Book |
| Children's Mercy's Family Health Partners | ||
| C | 123904217 | Book |
| Children's Mercy Hospital Self-Insurance Trust | ||
| Q | 5550000 | Cash |
| Children's Mercy Pediatric Care Network | ||
| P | 3354586 | Book |
| Children's Mercy Pediatric Care Network | ||
| I | 93675 | Book |
| Children's Mercy Pediatric Care Network | ||
| K | 345866 | Book |
| Children's Mercy Pediatric Care Network | ||
| B | 1016638 | Book |
| Children's Mercy's Family Health Partners | ||
| R | 682589 | Book |
| Children's Mercy Pediatric Care Network | ||
| R | 146164 | Book |