2022-11-09T12:42:27-06:00 2021-12-31 363168081 SIKICH LLP 17335 GOLF PARKWAY BROOKFIELD WI 53045 990 2021-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2022-11-04 1 MARC CADIEUX 999009999 JILL M BOYLE CPA P01246734 2627549400 2022-11-04 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHILDREN'S WISCONSIN MARGARET TROY PO BOX 1997 MS 900 MILWAUKEE WI 532011997 196845226 0 X WWW.CHILDRENSWI.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 29 24 1294 87 0 0 30367504 18201650 150259755 176183797 471080 273256 314294 2174397 181412633 196833100 500 0 0 0 103231680 110957462 0 0 0 78221619 115558232 181453799 226515694 -41166 -29682594 94477809 95520569 75293034 75489316 19184775 20031253 X CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS") IS COMMITTED TO ENSURING A HEALTHIER FUTURE FOR CHILDREN BY PROVIDING AN INTEGRATED AND COORDINATED HEALTH AND SOCIAL SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 0 0 167958780 149793031 CHHS IS THE PARENT ORGANIZATION OF AN INTEGRATED SYSTEM OF ENTITIES PROVIDING COMPREHENSIVE MEDICAL CARE AND SOCIAL SERVICES TO CHILDREN FROM WISCONSIN AND THROUGHOUT THE COUNTRY. THE SYSTEM INCLUDES WISCONSIN'S ONLY FREESTANDING HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN, AS WELL AS VARIOUS OTHER FACILITIES PROVIDING INPATIENT AND OUTPATIENT CARE FOR CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE SYSTEM ALSO INCLUDES EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS. ON AN AGGREGATE BASIS, THE ENTITIES WITHIN THE SYSTEM PROVIDED COMMUNITY BENEFITS OF NEARLY $151 MILLION.CHHS OVERSEES AND COORDINATES THE ACTIVITIES OF THE VARIOUS OPERATING ENTITIES WITHIN THE INTEGRATED SYSTEM, THROUGH THE PROVISION OF SUPPORTIVE AND ADMINISTRATIVE SERVICES ON A CONSOLIDATED, CENTRALIZED BASIS. 13510734 1401010 CHILDREN'S RESEARCH INSTITUTE ("CRI") IS A PROGRAM OF CHHS THAT ADVANCES PEDIATRIC MEDICAL RESEARCH IN WISCONSIN AND BEYOND. WITH A FOCUS ON TRANSLATIONAL RESEARCH, CRI IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES, DIAGNOSTICS, AND WAYS TO IMPROVE CARE AT PATIENTS' BEDSIDES. CHILDREN'S PROVIDES INSTITUTIONAL SUPPORT OF RESEARCH THROUGH INFRASTRUCTURE SUPPORT SUCH AS LABORATORY SPACE, SHARED EQUIPMENT, AND SHARED SERVICES (INCLUDING BIOSTATISTICIANS, GRANT WRITERS, AND CLINICAL RESEARCH NURSES) AS WELL AS PROGRAMMATIC SUPPORT FOR RESEARCHERS. A FEW EXAMPLES OF ONGOING RESEARCH PROJECTS ARE DESCRIBED BELOW.CHILDREN'S HAS SIGNIFICANT EFFORTS IN CHILDHOOD CANCER RESEARCH, INCLUDING IMPROVING SURVIVORSHIP AND QUALITY OF LIFE FOR CHILDREN BATTLING SOME OF THE TOUGHEST FORMS OF THE DISEASE. ONGOING LABORATORY RESEARCH EFFORTS INCLUDE CANCER IMMUNOTHERAPY PROJECTS, WHERE OUR LABS ENGINEER NOVEL ANTIBODIES AND INCORPORATE THEM INTO ANTIBODY-BASED PRODUCTS FOR THERAPY SUCH AS BISPECIFIC ANTIBODIES AND CHIMERIC ANTIGEN RECEPTORS THAT FUNCTION TO REDIRECT POTENT IMMUNE EFFECTOR CELLS TOWARD ELIMINATION OF TUMOR CELLS. IN ADDITION, OUR RESEARCHERS ARE ACTIVE WITH THE THERAPEUTIC ADVANCES IN CHILDHOOD LEUKEMIA & LYMPHOMA (TACL) CONSORTIUM. THIS NATIONAL CONSORTIUM WAS ESTABLISHED TO DEVELOP AND CONDUCT PHASE I /II CLINICAL TRIALS OF NEW DRUGS AND NOVEL DRUG COMBINATIONS FOR RECURRENT CHILDHOOD LEUKEMIA OR LYMPHOMA. OUR RESEARCHERS ALSO CONTINUE TO PARTICIPATE IN THE COG (CHILDREN'S ONCOLOGY GROUP) CONSORTIUM FOR CLINICAL TRIALS OF NOVEL PEDIATRIC CANCER THERAPIES.RESEARCH IN IMPROVING NURSING CARE IS ALSO PART OF OUR RESEARCH PORTFOLIO, INCLUDING ONE PROJECT STUDYING WAYS TO ASSIST FAMILIES IN MANAGING COMPLEX CARE ISSUES AFTER THEY LEAVE THE HOSPITAL, POTENTIALLY IMPROVING ACCESS TO CARE AND POST DISCHARGE OUTCOMES FOR TRANSPLANT PATIENTS. THIS STUDY IS EVALUATING A NOVEL FAMILY CENTERED SELF-MANAGEMENT INTERVENTION THAT INCORPORATES AN INDIVIDUALIZED DAILY POST-DISCHARGE INTERACTIVE COMMUNICATION BETWEEN FAMILIES AND TRANSPLANT NURSES VIA MOBILE TECHNOLOGY. THE TOOL TRACKS DAILY FAMILY COPING, FAMILY SELF-MANAGEMENT BEHAVIORS OF COMPLEX CARE AT HOME, AND PARENT MANAGEMENT OF CHILDREN'S TRANSPLANT SYMPTOMS. THE TOOL MAY RESULT IN A PRE-IDENTIFIED TRIGGER AND ACTIVATE IMMEDIATE NOTIFICATION TO THE TRANSPLANT NURSE. THE ULTIMATE GOAL OF THE PROJECT IS TO IMPROVE ACCESS TO CARE.RESEARCHERS IN THE NEONATAL INTENSIVE CARE UNIT CONTINUE TO IMPROVE UNDERSTANDING OF PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN (PPHN), A LIFE-THREATENING CONDITION WHICH RESULTS FROM FAILURE OF PULMONARY VASCULAR RESISTANCE TO DECREASE AT BIRTH. IMPAIRED ANGIOGENESIS IN THE LUNG IS A KEY CONTRIBUTOR TO THE FAILED ADAPTATION. ENDOTHELIAL NITRIC OXIDE SYNTHASE (ENOS) PLAYS A CENTRAL ROLE IN THE REGULATION OF ANGIOGENESIS AND PULMONARY VASODILATION AT BIRTH. ONGOING STUDIES ARE INVESTIGATING THE CONTRIBUTION OF ENOS DYSFUNCTION TO IMPAIRED MITOCHONDRIAL BIOGENESIS AND EPIGENETIC ALTERATIONS IN ENOS GENE EXPRESSION IN PPHN, POTENTIALLY LEADING TO NOVEL THERAPY DEVELOPMENT TO RESTORE MITOCHONDRIAL BIOGENESIS AND ANGIOGENESIS IN INFANTS WITH PPHN.RESEARCHERS AT CRI ARE INVESTIGATING WAYS TO IMPROVE CARE FOR HEART TRANSPLANT PATIENTS, INCLUDING THE DEVELOPMENT OF A NEW METHOD TO MONITOR PEDIATRIC HEART TRANSPLANT RECIPIENTS AND IDENTIFY EARLY SIGNS OF TRANSPLANT REJECTION. TYPICALLY, HEART TRANSPLANT PATIENTS MUST UNDERGO A SERIES OF EIGHT TO TWELVE BIOPSIES PER YEAR TO MONITOR FOR TRANSPLANT REJECTION. THIS INVASIVE APPROACH POSES CERTAIN RISKS, AND CAN BE DIFFICULT FOR CHILDREN WHO HAVE ALREADY SPENT A CONSIDERABLE AMOUNT OF TIME HOSPITALIZED. THE RESEARCHERS HAVE DESIGNED A NONINVASIVE APPROACH THAT INVOLVES A SIMPLE BLOOD DRAW. THE LEVEL OF DONOR DNA IN THE BLOOD SERVES AS A BAROMETER OF HEART HEALTH; MORE THAN ONE-PERCENT OF DONOR DNA IN THE BLOOD INDICATES REJECTION. IN A PILOT STUDY, THIS METHOD SHOWED 100% SENSITIVITY. 19721166 19460559 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2021, THERE WERE 54,464 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 4,528 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 16296205 6479189 CHHS OFFERS FREE AND INEXPENSIVE HEALTH EDUCATION PROGRAMS AND RESOURCES AT NO CHARGE TO TEACHERS, CHILDREN AND PARENTS. IN ADDITION, CHHS PROVIDES INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES FULL-TIME REGISTERED NURSES FOR HEALTH CARE SERVICES IN 11 K-5 AND K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES, SERVING OVER 4,000 STUDENTS ANNUALLY WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE. THE NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL, AND SOCIAL-EMOTIONAL WELLBEING NEEDS OF STUDENTS. THE SCHOOL NURSES ADDRESS THE SOCIAL DETERMINANTS OF HEALTH HELP BY FAMILIES' ACCESS COMMUNITY RESOURCES THROUGH COORDINATION WITH THE COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS. THEY BRING TOGETHER PARENTS/CAREGIVERS, SCHOOL SUPPORT STAFF, PRIMARY AND SPECIALTY CARE PROVIDERS, AND MENTAL HEALTH PROVIDERS TO ADDRESS AND IMPROVE THE HEALTH AND WELLNESS OF THE STUDENTS THEY CARE FOR. THE SCHOOL NURSES EDUCATE STUDENTS AND FAMILIES ON THE IMPORTANCE OF PREVENTIVE CARE AND CONDUCT SCREENING SERVICES INCLUDING BEHAVIORAL HEALTH ASSESSMENTS. THEY ASSIST WITH ESTABLISHING MEDICAL AND DENTAL HOMES, CARRY OUT DISEASE SURVEILLANCE AND REPORTING, PROVIDE CHRONIC DISEASE MANAGEMENT, ASSESS AND DEVELOP SCHOOL SAFETY AND EMERGENCY PREPAREDNESS PLANS, PROVIDE DAILY CARE INCLUDING MEDICATION ADMINISTRATION, G-TUBE FEEDINGS AND OTHER COMPLEX HEALTH PROCEDURES ONLY A HEALTH CARE PROVIDER CAN ADMINISTER IN THE SCHOOL SETTING. AS THE HEALTH EXPERT IN THE SCHOOL, THE NURSES ALSO OFFER CLASSROOM EDUCATION ON TOPICS SUCH AS MINDFULNESS, HYGIENE, AND NUTRITION.THE NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL, AND SOCIAL-EMOTIONAL WELLBEING NEEDS OF STUDENTS. THE SCHOOL NURSES ALSO WORK CLOSELY WITH THE COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS ON POPULATION-BASED CARE, OUTREACH, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THEY BRING PROVIDERS, FAMILIES, AND SCHOOL SUPPORT STAFF TOGETHER TO ADDRESS AND IMPROVE THE HEALTH AND WELLNESS OF THE STUDENTS THEY CARE FOR ON A DAILY BASIS. THE SCHOOL NURSES ROLE ENCOMPASSES DELIVERING PREVENTIVE AND SCREENING SERVICES; ESTABLISHING MEDICAL AND DENTAL HOMES; BEHAVIORAL ASSESSMENT; DISEASE SURVEILLANCE AND REPORTING; CHRONIC DISEASE MANAGEMENT; SCHOOL SAFETY AND EMERGENCY PREPAREDNESS; PROVIDING HEALTH EDUCATION; AND DAILY CARE COORDINATION INCLUDING MEDICATION ADMINISTRATION, G-TUBE FEEDINGS AND OTHER COMPLEX HEALTH PROCEDURES ONLY A HEALTH CARE PROVIDER CAN ADMINISTER.AN INCREASING NUMBER OF STUDENTS ARE ENTERING SCHOOLS EACH YEAR WITH SPECIAL NEEDS AND COMPLEX HEALTH CONDITIONS (ATTENTION-DEFICIT/ HYPERACTIVITY DISORDER, DIABETES, LIFE-THREATENING ALLERGIES, ASTHMA, AND SEIZURES) THAT REQUIRE EXTENSIVE INTERVENTION AND COORDINATION THROUGHOUT THE SCHOOL DAY TO KEEP KIDS HEALTHY AND IN THE CLASSROOM LEARNING. AS THE ONLY HEALTH CARE EXPERT IN THE SCHOOLS, THE SCHOOL NURSES PLAY A VITAL ROLE ON THE SPECIAL EDUCATION TEAMS TO ADVISE AND ADVOCATE FOR SPECIAL EDUCATION SERVICES NECESSARY FOR STUDENTS WITH MEDICAL CONCERNS TO ACCESS A FAIR AND EQUAL EDUCATION. FOR CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, SEIZURES OR SICKLE CELL ANEMIA, THE SCHOOL NURSES WORK WITH PARENTS AND FAMILIES TO CREATE CARE PLANS HELPING GUIDE THE STUDENTS TO SELF-MANAGEMENT BY THE TIME THEY REACH HIGH SCHOOL, WITH A GOAL OF DECREASED URGENT CARE AND EMERGENCY DEPARTMENT VISITS AND INCREASED UTILIZATION OF PRIMARY CARE PROVIDERS. DURING THE 2020-21 SCHOOL YEAR THE SCHOOL NURSES WERE ACTIVE TEAM MEMBERS ON DEVELOPING 13 BEHAVIOR PLANS, 48 INDIVIDUAL EDUCATION PROGRAMS AND 4 504 PLANS FOR STUDENTS WITH DISABILITIES. FOR THE 2020-21 SCHOOL YEAR, STUDENTS AND NURSES WERE VIRTUAL FOR MUCH OF THE TIME. IN APRIL APPROXIMATELY 35% OF STUDENTS RETURNED TO IN PERSON LEARNING, WHILE THE REMAINING STUDENTS REMAINED VIRTUAL UNTIL THE END OF THE SCHOOL YEAR. DURING THIS TIME, THE NURSES FOUND INNOVATIVE WAYS TO SUPPORT STUDENTS IN BOTH LEARNING ENVIRONMENTS. CHILDREN'S SCHOOL NURSES WERE ABLE TO IDENTIFY WHAT CHALLENGES STUDENTS FACED, AND HELPED PROVIDE THEM WITH THE TOOLS NECESSARY TO ACHIEVE SUCCESS. EQUITY, COLLABORATION AND ADVOCACY WERE CRITICAL DURING THIS SCHOOL YEAR, AND THE TEAM WORKED TO ENSURE STUDENTS AND FAMILIES HAD WHAT THEY NEEDED TO BE HEALTHY, SAFE AND READY TO LEARN.CHILDREN'S NURSES COMPLETED 970 IN-PERSON STUDENT ENCOUNTERS AND 1,601 STUDENT/FAMILY OUTREACH CONNECTIONS, KEEPING STUDENTS AND STAFF SAFE WHILE FOLLOWING STRICT COIVD PROTOCOLS AND MITIGATION STRATEGIES. WITH THE CONTINUING CONCERNS OF THE CORONAVIRUS PANDEMIC AND THE DISPROPORTIONAL IMPACT ON STUDENTS AND FAMILIES OF COLOR, OUR TEAM HAD TO REMAIN INNOVATIVE AND READY TO RESPOND TO THE ONGOING NEEDS OF VULNERABLE STUDENTS AND FAMILIES. THE NURSES CONTINUED TO BE AVAILABLE DURING THE SCHOOL DAY FOR FAMILIES OF STUDENTS PARTICIPATING IN VIRTUAL SCHOOL FOR PHONE CONSULTATIONS TO ANSWER BASIC HEALTH QUESTIONS SUCH AS GENERAL HEALTH AND WELLNESS CONCERNS, VACCINE QUESTIONS OR CONCERNS, MEDICATION MANAGEMENT, AND CORONAVIRUS INFORMATION. THE NURSES ALSO MAINTAINED THEIR GOOGLE CLASSROOMS TO CONNECT WITH THE STUDENTS ENSURING EQUITY IN PROVIDING EDUCATION, RESOURCES AND REASSURANCE. AS KNOWLEDGE OF THE PANDEMIC INCREASED AND VACCINES BECAME AVAILABLE, THE SCHOOL NURSES WERE VITAL IN COMMUNICATING, GUIDING AND EDUCATING FAMILIES ON THE CORONAVIRUS TO KEEP THEM SAFE, ESPECIALLY IN COMMUNITIES, SEEING HIGHER RATES OF INFECTIONS, HOSPITALIZATIONS, AND DEATH. THEY WERE ABLE TO ASSIST FAMILIES WHO WERE UNSURE OF HOW TO ACCESS COVID TESTING SITES AND EDUCATE OR ALLEVIATE FEARS ON COVID VACCINES. THE SCHOOL NURSES WERE INSTRUMENTAL IN COORDINATING FOUR SCHOOL-BASED FLU VACCINE CLINICS, MAKING 684 REFERRALS THROUGH OUTREACH, AND VACCINATING 415 STUDENTS AND COMMUNITY MEMBERS FOR INFLUENZA. WHEN SCHOOLS RESUMED IN-PERSON LEARNING, THE SCHOOL NURSES WERE THE LEADERS IN PROVIDING COVID EDUCATION AND CONSULTATION FOR MITIGATION POLICIES AND PROCEDURES, EDUCATING 1,025 STUDENTS AND 103 SCHOOL STAFF ON COVID SAFETY. SINCE 2014 CHHS PARTNERED WITH WISCONSIN'S DEPARTMENT OF HEALTH SERVICES AND THE DEPARTMENT OF CHILDREN AND FAMILIES AND ESTABLISHED A FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS TO ADMINISTER THE COORDINATION OF COMPREHENSIVE HEALTH CARE SERVICES INCLUSIVE OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE SERVICES FOR CHILDREN PLACED IN "OUT OF HOME CARE" (A.K.A. "FOSTER CARE") IN KENOSHA, MILWAUKEE, OZAUKEE, RACINE, WASHINGTON, AND WAUKESHA COUNTIES IN WISCONSIN. UPON ENROLLMENT INTO THE PROGRAM THESE FOSTER CARE CHILDREN HAVE ACCESS TO CHILDREN'S COMMUNITY HEALTH PLAN'S ("CCHP") PROVIDER NETWORK AS CCHP PROVIDES ADMINISTRATIVE AND UTILIZATION SERVICES FOR CARE4KIDS PROGRAMMING. THROUGH DECEMBER OF 2021, PROGRAM ENROLLMENT WAS 2,900 WHICH REPRESENTED APPROXIMATELY 40-45% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN. 16296205 6479189 217486885 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 1 X 2 0 1294 1 0 0 0 0 0 0 0 0 0 0 1 0 X 29 24 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142661887 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARGARET TROY DIRECTOR/PRESIDENT & CEO 40.00 0.00 X X 1992190 0 57536 SCOTT TURNER PRESIDENT, CHW AND EVP CHHS 0.00 40.00 X 0 917160 53694 MARC CADIEUX TREASURER 40.00 0.00 X 911175 0 24953 ROBERT DUNCAN EVP CHHS 40.00 0.00 X 861129 0 61781 SMRITI KHARE PRESIDENT CMG 40.00 0.00 X 736536 0 57677 MICHELLE METTNER SECRETARY 40.00 0.00 X 679520 0 50122 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 614936 0 56370 THOMAS SHANAHAN CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 558768 0 55243 PATRICIA GERAGHTY VP NETWORK STRATEGY & DEV 40.00 0.00 X 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0.00 X 0 0 0 TINA CHANG DIRECTOR 1.00 0.00 X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 0.00 X 0 0 0 TODD ENDRES DIRECTOR 1.00 0.00 X 0 0 0 NANCY FLORES DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE GASS DIRECTOR 1.00 0.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 0.00 X 0 0 0 TIM GEREND DIRECTOR 1.00 0.00 X 0 0 0 KELLY GREBE DIRECTOR 1.00 0.00 X 0 0 0 EVE HALL DIRECTOR 1.00 0.00 X 0 0 0 PATRICK HAMMES DIRECTOR 1.00 0.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH KERSCHNER MD DIRECTOR 1.00 0.00 X 0 0 0 PAUL KNOEBEL DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LOVELL DIRECTOR 1.00 0.00 X 0 0 0 KEVIN MANSELL DIRECTOR (ENDING 03/12/21) 1.00 0.00 X 0 0 0 BEN NELSON DIRECTOR 1.00 0.00 X 0 0 0 TOM PRECIA DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 0.00 X 0 0 0 JOHN RAYMOND MD DIRECTOR 1.00 0.00 X 0 0 0 JOHN REICHERT DIRECTOR 1.00 0.00 X 0 0 0 ROLANDO RODRIGUEZ DIRECTOR 1.00 0.00 X 0 0 0 PAUL W SWEENEY DIRECTOR (ENDING 03/12/21) 1.00 0.00 X 0 0 0 DAVE WERNER DIRECTOR 1.00 0.00 X 0 0 0 PHOEBE W WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 10233174 1240365 912355 218 1 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 27532403 CRAMER KRASSELT COMPANY 39012 TREASURY CTR CHICAGO IL 60694 ADVERTISING SERVICES 1956129 GOOGLE DEPT 33654 PO BOX 39000 SAN FRANCISCO CA 94139 ADVERTISING SERVICES 1407138 TEGRIA SERVICES GROUP PO BOX 735734 DALLAS TX 75373 TRAINING, CONSULTING, INSTALL AND TECH S 1333321 SYSLOGIC 375 BISHOPS WAY SUITE 105 BROOKFIELD WI 53005 CONSULTING 1051358 39 13473355 4716245 12050 18201650 OPERATIONAL SUPPORT SERVICES 541900 147727728 146503323 1224405 OUTPATIENT HEALTH CARE SERVICES 621400 17761754 17761754 OUTPATIENT CASE MANAGEMENT 900099 5233098 5233098 PREMIUM REVENUE 524114 2875949 2875949 RESEARCH ADMINISTRATION FEE 900099 1484726 1484726 1100542 1100542 176183797 285382 285382 12126 -12126 -12126 -12126 WORKERS COMPENSATION REFUND 900099 1752910 1752910 EDUCATIONAL SERVICES 611430 109791 109791 311696 311696 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43105399 X PART V, LINE 4: CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHHS. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED EDUCATIONAL SERVICES. PART X, LINE 2: FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO 1055136 0 537120 0 399934 0 21350 0 36186 0 2049726 0 0 0 SCOTT TURNER PRESIDENT, CHW AND EVP CHHS 0 643047 0 229771 0 44342 0 15550 0 38144 0 970854 0 0 MARC CADIEUX TREASURER 583756 0 209833 0 117586 0 21350 0 3603 0 936128 0 71857 0 ROBERT DUNCAN EVP CHHS 558690 0 177574 0 124865 0 21350 0 40431 0 922910 0 67700 0 SMRITI KHARE PRESIDENT CMG 517432 0 157294 0 61810 0 24250 0 33427 0 794213 0 39569 0 MICHELLE METTNER SECRETARY 464755 0 121456 0 93309 0 21350 0 28772 0 729642 0 46007 0 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 438088 0 110187 0 66661 0 18450 0 37920 0 671306 0 28635 0 THOMAS SHANAHAN CHIEF HUMAN RESOURCES OFFICER 367534 0 99015 0 92219 0 24250 0 30993 0 614011 0 44249 0 PATRICIA GERAGHTY VP NETWORK STRATEGY & DEV 320432 0 87650 0 66517 0 18450 0 38610 0 531659 0 44637 0 MARK RAKOWSKI CHIEF OPERATING OFFICER CCHP 310408 0 70339 0 52872 0 24250 0 36229 0 494098 0 47267 0 ROBERT ROHLOFF DIR, QUALITY & PAT SAFETY, CMG 360875 0 26814 0 23058 0 24250 0 33113 0 468110 0 0 0 LESLIE TECTOR VP GENERAL COUNSEL 322586 0 75506 0 10681 0 18450 0 11869 0 439092 0 0 0 MATTHEW GRAY CMIO ACIO VP IS CLINICAL APPS 334295 0 44045 0 540 0 15550 0 36927 0 431357 0 0 0 DAVID MEULER PHYSICIAN UC FLEX 36730 305895 0 16500 0 810 10852 0 0 31527 47582 354732 0 0 JAMES SIMARAS VP FINANCE 284357 0 40028 0 13951 0 18450 0 39923 0 396709 0 0 0 ANGELA JOHNSON CISO AND VP SUPPLY CHAIN 300687 0 38155 0 20263 0 15550 0 15429 0 390084 0 0 0 STEVEN BUCARO BEG 030821 CHIEF STRATEGY & GOV OFFICER 329098 0 0 0 22506 0 9750 0 26231 0 387585 0 0 0 MONICA RICCA VP REVENUE CYCLE 262112 0 36528 0 2622 0 18450 0 35573 0 355285 0 0 0 SEUNG PARK CHIEF INFORMATION OFFICER 60759 0 0 0 226078 0 0 0 11461 0 298298 0 0 0 PART I, LINES 4A-B IN 2021, DR. PARK RECIEVED A SEVERANCE PAYMENT OF $210,000. IN 2021, THERE WAS A CHHS EXECUTIVE FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2021 WERE AS FOLLOWS: M. CADIEUX, $73,148; R. DUNCAN, $89,418; T. GERAGHTY, $42,783; S. KHARE, M.D., $79,975; M. METTNER, $60,017; M. BRZYSKI NELSON,$54,817; M. RAKOWSKI, $38,732; S. BUCARO, $48,000; S TURNER , $102,549; AND T. SHANAHAN, $48,330. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2021 WERE: M. CADIEUX, $71,857; R. DUNCAN, $67,700; T. GERAGHTY $44,637, S. KHARE, M.D., $39,569, M. METTNER, $46,007; M RAKOWSKI, $47,267; T. SHANAHAN, $44,249; AND M. BRZYSKI NELSON $28,635. PART I, LINE 7 CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES. FORM 990, PART VII, COLUMN E AND SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. SCOTT TURNER, PRESIDENT CHW AND EVP CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHW AND AFFILIATES. THESE AMOUNTS WERE PAID BY CHW. JENNIFER MANCE FAMILY MEMBER OF DIRECTOR K. MANSELL 82404 JENNIFER MANCE, DAUGHTER OF DIRECTOR KEVIN MANSELL, WAS PAID $82,404 IN COMPENSATION BY CHHS DURING 2021. 0 KELLY REILLY FAMILY MEMBER OF DIRECTOR M. WITT 179533 KELLY REILLY, SPOUSE OF DIRECTOR MARK WITT, WAS PAID $179,533 IN COMPENSATION BY CHHS DURING 2021. 0 TINA CHANG DIRECTOR 1051358 TINA CHANG IS SOLE OWNER OF SYSLOGIC. CHHS MADE PAYMENTS TOTALING $1,051,358 TO SYSLOGIC IN 2021. 0 ROSE RICCA FAMILY MEMBER OF KEY EMPLOYEE (FORMER), M. RICCA 65413 ROSE RICCA, DAUGHTER OF KEY EMPLOYEE (FORMER) MONICA RICCA, WAS PAID $65,413 IN COMPENSATION BY CHHS DURING 2021. 0 FORM 990, PART V, LINE 1A: THE ORGANIZATION DID NOT FILE ANY 1099 FORMS DURING THE TAXABLE YEAR. ALTHOUGH THE ORGANIZATION DID RETAIN INDEPENDENT CONTRACTORS, THE COMPENSATION AMOUNTS OWED TO SUCH CONTRACTORS WERE PROCESSED AND PAID BY A RELATED ENTITY, CHILDREN'S HOSPITAL OF WISCONSIN, INC. (CHW), WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHW. THE 1099 FORMS FOR SUCH PAYMENTS WERE ISSUED BY CHW, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE INDEPENDENT CONTRACTORS. THE 1099 FORMS LISTED IN PART V ARE THE FORMS FILED BY THE ORGANIZATION'S DISREGARDED ENTITY. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: RAYMOND AND KERSCHNER, LOVELL AND ADAMS, TROY AND LOVELL, TROY AND ADAMS, AND ADAMS AND BOCKHORST. FORM 990, PART VI, SECTION A, LINE 4 ARTICLE II, BOARD OF DIRECTORS. SECTION 2(C), EX OFFICIO DIRECTORS: AMENDED IN ACCORDANCE WITH THE APPROVED AFFILIATION AGREEMENT BETWEEN CHHS AND THE MEDICAL COLLEGE OF WISCONSIN, INC. TO INCLUDE THE MCW PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE MCW DEAN OF THE SCHOOL OF MEDICINE, PROVOST, AND EXECUTIVE VICE PRESIDENT AS EX OFFICIO DIRECTORS OF THE CORPORATION WITH VOTING RIGHTS. ARTICLE IV, OFFICERS. SECTIONS 1, NUMBER, AND 10, THE VICE PRESIDENTS: AMENDED TO CHANGE "VICE PRESIDENT" TO "DEPARTMENT CHIEF" TO REFLECT UPDATED TITLES. SECTION 11, THE SECRETARY: AMENDED TO CHANGE "CORPORATE VICE PRESIDENT, GOVERNMENT AND LEGAL AFFAIRS" TO "CHIEF GOVERNMENT & LEGAL OFFICER TO REFLECT UPDATED TITLE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHHS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE DIRECTOR OF CORPORATE COMPLIANCE. THE COMPLIANCE DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO AND OFFICERS, ALONG WITH THE PRESIDENT, CMG, WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE OTHER KEY EMPLOYEE WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J, CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 8,534,310. MANAGEMENT AND GENERAL EXPENSES 604,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,138,460. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 27,053,037. MANAGEMENT AND GENERAL EXPENSES 525,166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,578,203. OTHER FEES: PROGRAM SERVICE EXPENSES 3,968,617. MANAGEMENT AND GENERAL EXPENSES 43,453. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,012,070. RESEARCH EXPENDITURES: PROGRAM SERVICE EXPENSES 5,890,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,890,364. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,861,383. MANAGEMENT AND GENERAL EXPENSES 21,805. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,883,188. FORM 990, PART XI, LINE 9: DECREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -575,697. EXTRAORDINARY DISTRIBUTION FROM CCHP - RETURN OF PAID IN CAPITAL 31,600,000. 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