Children's Mercy Shifts 473 Jobs to Ensemble
The Kansas City children's hospital is eliminating 115 positions while transferring 473 revenue cycle and scheduling roles to an outside firm.
Updated on Nov. 6, 2026 in Jobs — General
Children's Mercy has eliminated 115 positions and is moving 473 employees in its revenue cycle and scheduling departments to Ensemble Health Partners. The hospital sent a WARN Act notice to Kansas City Mayor Quinton Lucas and state officials.
Why it matters
The move transfers a large group of administrative workers to a third-party employer rather than ending their roles outright. The WARN notice gives local and state officials advance warning of the layoffs and the restructuring.
The WARN notice lists 473 positions ending on Feb. 6, 2027, with 439 of the transferring employees full-time, and 115 positions cut, including 98 full-time roles. It is not yet known how many transferring employees will accept Ensemble's offers or what the nine lab position eliminations will look like in practice.
The players
Children's Mercy
Children's Mercy is a pediatric hospital system based in Kansas City, Missouri, serving children across the region.
Ensemble Health Partners
Ensemble Health Partners is a healthcare revenue cycle management company that provides billing and related administrative services to hospitals.
Quinton Lucas
Quinton Lucas is the mayor of Kansas City, Missouri, and received the WARN Act notice from the hospital.
The details
Ensemble Health Partners will make employment offers in mid-December to the transitioning roles, contingent on background and pre-employment screenings. Ensemble has said base pay will not decrease and seniority will carry over, and the positions will remain at Children's Mercy facilities or operate remotely as the role requires.
Timeline
Early November 2026: Children's Mercy confirms the 115 eliminated positions and sends the WARN notice.
Mid-December 2026: Ensemble Health Partners makes employment offers to transitioning employees.
Feb. 6, 2027: The 473 positions end, and nine lab positions are eliminated within 90 days.
Legal Context
Children's Mercy's WARN notice follows the federal Worker Adjustment and Retraining Notification Act, which requires employers to give advance notice before mass layoffs. Here, most affected roles are moving to an outside firm rather than being eliminated, which changes what the notice reports.
Employees in the affected revenue cycle and scheduling roles will be asked to accept offers from Ensemble, with base pay and seniority said to carry over. Workers in the 115 eliminated positions will lose their jobs, and the nine lab roles face elimination within 90 days of Feb. 6, 2027.
The takeaway
Employees affected by the transfer should watch for Ensemble's mid-December offers and compare terms carefully, since base pay and seniority are reported to carry over. Those in the eliminated roles and lab positions should plan around the Feb. 6, 2027 timeline.
What happens next
Ensemble Health Partners will make employment offers in mid-December, and the 473 positions end on Feb. 6, 2027, with nine lab positions eliminated within 90 days after that date.
Further reading
For more on local employment shifts, see Jobs — General coverage in Kansas City.
Source note: This article includes information reported by Kctv5.
