2019-11-13T16:46:47-06:00 2018-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2018-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2019-11-13 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2019-11-07 209.170.231.5 2019-11-13 09:10:15 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 934FC65FEE8495E85B690041CFEAE27130F8D972 2018 2020-03-31 21:24:44Z SEE SCHEDULE O MARGARET TROY PO BOX 1997 MS 900 MILWAUKEE WI 532011997 164407555 0 X WWW.CHW.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 25 21 1196 2479 5560 80626 41612509 42347593 112081698 120792833 970950 319337 1083230 945155 155748387 164404918 0 1000 0 0 89501049 94779481 0 0 0 65104738 67468895 154605787 162249376 1142600 2155542 81555593 78938253 67781117 63744485 13774476 15193768 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 115729761 1000 97129608 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 $131 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. 12557027 1116676 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 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.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.CRI FOCUSES EFFORTS ON 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. 12583790 15543185 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2018, THERE WERE 42,391 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 4,573 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 16359747 6759357 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 HEALTH CARE SERVICES IN TEN K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES. IN THE 2018-19 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COMPLETED OVER 19,100 HEALTH ROOM VISITS WITH A 96 PERCENT RETURN-TO-CLASS RATE. 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. 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. ADDITIONALLY, THE NURSES HELP FAMILIES' ACCESS COMMUNITY RESOURCES AND COORDINATE CARE WITH SOCIAL WORKERS AND SPECIALTY SERVICE PROVIDERS, INCLUDING BEHAVIORAL HEALTH, FOR FAMILIES WITH IDENTIFIED NEEDS AND EDUCATE STUDENTS AND FAMILIES REGARDING THE IMPORTANCE OF PREVENTIVE CARE AND A HOST OF OTHER HEALTH TOPICS, SUCH AS ANGER MANAGEMENT, DRUGS AND ALCOHOL, HUMAN GROWTH AND DEVELOPMENT, HYGIENE, NUTRITION, AND STRESS. ANNUALLY, CHILDREN'S SCHOOL NURSE PROGRAM CARES FOR 4,000 STUDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE. 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 2018, PROGRAM ENROLLMENT WAS 3,261 WHICH REPRESENTED APPROXIMATELY 40% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN 16359747 6759357 157230325 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 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 7 0 1196 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 25 21 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X MS SARAH KAFKA 4142661887 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 X TODD ADAMS DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL W ALTSCHAEFL DIRECTOR 1.00 1.00 X 0 0 0 THOMAS ARENBERG DIRECTOR 1.00 1.00 X 0 0 0 LINDA BENFIELD DIRECTOR 1.00 1.00 X 0 0 0 NANCY BERCE DIRECTOR 1.00 1.00 X 0 0 0 KENNETH BOCKHORST DIRECTOR 1.00 1.00 X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 1.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 1.00 X 0 0 0 EVE HALL DIRECTOR 1.00 1.00 X 0 0 0 PATRICK HAMMES DIRECTOR 1.00 1.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH KERSCHNER MD DIRECTOR 1.00 1.00 X 0 0 0 PAUL KNOEBEL DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL LOVELL DIRECTOR 1.00 1.00 X 0 0 0 KEVIN MANSELL DIRECTOR 1.00 1.00 X 0 0 0 LINDA T MELLOWES DIRECTOR 1.00 1.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 1.00 X 0 0 0 JAMES POPP DIRECTOR/VICE CHAIR 1.00 1.00 X X 0 0 0 TOM PRECIA DIRECTOR 1.00 1.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 1.00 X 0 0 0 J JOEL QUADRACCI DIRECTOR 1.00 1.00 X 0 0 0 ROLANDO RODRIGUEZ DIRECTOR 1.00 1.00 X 0 0 0 JAY O ROTHMAN DIRECTOR 1.00 1.00 X 0 0 0 JOHN E SCHLIFSKE DIRECTOR 1.00 1.00 X 0 0 0 PETER M SOMMERHAUSER DIRECTOR 1.00 1.00 X 0 0 0 PAUL W SWEENEY DIRECTOR 1.00 1.00 X 0 0 0 PHOEBE W WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 MARK C WITT DIRECTOR/CHAIR 1.00 1.00 X X 0 0 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO 40.00 0.00 X X 1403347 0 268172 MARC CADIEUX TREASURER/CFO 40.00 0.00 X 681683 0 97744 ROBERT DUNCAN EVP CHHS 40.00 0.00 X 718732 0 103839 TRICIA GERAGHTY CHIEF MARKETING OFFICER 40.00 0.00 X 385367 0 81450 MICHELLE METTNER SECRETARY/CORP VP GOV & LEGAL AFFAIRS 40.00 0.00 X 483804 0 88632 MICHAEL NAUMAN CHIEF INFORMATION OFFICER 40.00 0.00 X 653815 0 19035 ROBERT SANDERS CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 678480 0 30669 SCOTT TURNER COO CHW AND EVP CHHS 0.00 40.00 X 0 550021 103356 SMRITI KHARE MD PRESIDENT CMG 0.00 40.00 X 621660 0 93050 THOMAS MILLER VP CHW 0.00 40.00 X 0 259994 32748 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 0.00 40.00 X 451481 0 85028 MARK RAKOWSKI VP CCHP 0.00 40.00 X 364214 0 80585 ROBERT ROHLOFF MD DIR, QUALITY & PAT SAFETY, CMG 0.00 40.00 X 338410 0 51858 THOMAS SHANAHAN VP HUMAN RESOURCES 40.00 0.00 X 426622 0 84255 LESLIE TECTOR VP GENERAL COUNSEL 40.00 0.00 X 342990 0 15564 7550605 810015 1235985 158 0 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 9669171 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE LICENSING AND MAINTENANCE 4224207 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND VA 980526399 SOFTWARE LICENSING AND MAINTENANCE 1897142 PCM SALES FILE 55327 LOS ANGELES CA 900745327 OFFICE SUPPLIES 1248545 JP MORGAN CHASE COMMERICIAL CARD SOLUTI PO BOX 4475 CAROL STREAM IL 601974471 CREDIT CARD SERVICES 1054155 97 41392085 798994 156514 42347593 OPERATIONAL SUPPORT SERVICES 541900 97735052 96551450 1183602 OUTPATIENT HEALTH CARE SERVICES 621400 13793975 13793975 OUTPATIENT CASE MANAGEMENT 900099 5211225 5211225 PREMIUM REVENUE 524114 2980704 2980704 RESEARCH ADMINISTRATION FEE 900099 858673 858673 213204 213204 120792833 321974 321974 2637 -2637 -2637 -2637 EQUITY IN NSSC 900099 285775 285775 EDUCATIONAL SERVICES 611430 188076 188076 LICENSING REVENUE 900099 12102 12102 459202 453642 5560 945155 164404918 120548826 5560 1502939 X 1000 1000 6409478 6409478 69574424 67317772 2256652 3348786 3266228 82558 10416039 10195051 220988 5030754 4889144 141610 973923 973873 50 430715 430715 700206 700206 58720 56198 2522 22731312 21387491 1343821 3632611 3630063 2548 1698157 1690980 7177 16136143 16081148 54995 6769083 6712766 56317 602517 578714 23803 507553 450008 57545 4027863 3621007 406856 1525322 1430795 94527 OTHER EXPENSES 5376650 5142433 234217 MEDICAL SUPPLIES 2298120 2265255 32865 162249376 157230325 5019051 0 3541041 3342359 3917803 3215889 80720 16000 562377 565738 11069087 11475534 72557521 33768702 40125575 38788819 11132124 11805631 11126866 9728283 81555593 78938253 18442511 20541134 987902 993020 48350704 42210331 67781117 63744485 X 10923434 12733507 2551058 2182954 299984 277307 13774476 15193768 81555593 78938253 X 2155542 -345470 -390780 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24181 676025 700206 156087824 156788030 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 478527 578477 763247 700206 2520457 250000 250000 250000 250000 1000000 1500000 18480 18808 24687 24181 86156 2851042 240738 -15017 615373 1130 2460260 3184372 1019339 41644 1393194 1119 2851042 3734153 961396 21259 1531341 1095 3184372 5256577 264438 -3925 1781897 1040 3734153 5879110 1026698 17133 1665379 985 5256577 0.00000 0.11300 0.88700 0 1 1 1457978 1457978 51012168 23499141 27513027 4063887 1647497 2416390 15563338 8457214 7106124 460150 164850 295300 38788819 DEFERRED COMPENSATION PLAN ASSETS 6076947 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND 2460261 INVESTMENT IN NORTH SHORE SURGERY CENTER 1191075 9728283 DEFERRED COMPENSATION PLAN LIABILITY 6076947 RETIREMENT PLAN LIABILITY 2560992 DUE TO AFFILIATES 28596737 LEASE LIABILITY 4975408 OTHER LIABILITIES 247 42210331 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, 2018 AND 2017. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO 903665 0 381341 0 118341 0 235540 0 32632 0 1671519 0 0 0 MARC CADIEUX TREASURER/CFO 494431 0 144118 0 43134 0 71448 0 26296 0 779427 0 0 0 ROBERT DUNCAN EVP CHHS 484109 0 149190 0 85433 0 69500 0 34339 0 822571 0 38091 0 TRICIA GERAGHTY CHIEF MARKETING OFFICER 269078 0 61886 0 54403 0 47688 0 33762 0 466817 0 33355 0 MICHELLE METTNER SECRETARY/CORP VP GOV & LEGAL AFFAIR 360021 0 76098 0 47685 0 61750 0 26882 0 572436 0 0 0 MICHAEL NAUMAN CHIEF INFORMATION OFFICER 66722 0 93352 0 493741 0 0 0 19035 0 672850 0 122209 0 ROBERT SANDERS CHIEF ADMINISTRATIVE OFFICER 277385 0 125827 0 275268 0 0 0 30669 0 709149 0 112660 0 SCOTT TURNER COO CHW AND EVP CHHS 0 497193 0 10000 0 42828 0 74107 0 29249 0 653377 0 0 SMRITI KHARE MD PRESIDENT CMG 438380 0 126812 0 56468 0 66750 0 26300 0 714710 0 32773 0 THOMAS MILLER VP CHW 0 223650 0 26563 0 9781 0 17215 0 15533 0 292742 0 0 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 346516 0 82055 0 22910 0 51710 0 33318 0 536509 0 0 0 MARK RAKOWSKI VP CCHP 282897 0 68601 0 12716 0 49733 0 30852 0 444799 0 0 0 ROBERT ROHLOFF MD DIR, QUALITY & PAT SAFETY, CMG 334846 0 0 0 3564 0 23000 0 28858 0 390268 0 0 0 THOMAS SHANAHAN VP HUMAN RESOURCES 313369 0 70758 0 42495 0 57466 0 26789 0 510877 0 0 0 LESLIE TECTOR VP GENERAL COUNSEL 292659 0 44360 0 5971 0 5150 0 10414 0 358554 0 0 0 PART I, LINES 4A-B PART I, LINE 4A: MICHAEL NAUMAN SERVED AS CHIEF INFORMATION OFFICER UNTIL FEBRUARY 2018. CHHS PAID $325,154 AS SEVERANCE TO MR. NAUMAN PURSUANT TO A WRITTEN AGREEMENT. ROBERT SANDERS SERVED AS CHIEF ADMINISTRATIVE OFFICER UNTIL AUGUST 2018. CHHS PAID $77,106 AS SEVERANCE TO MR. SANDERS PURSUANT TO A WRITTEN AGREEMENT. PART I, LINE 4B: IN 2018, 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 2018 WERE AS FOLLOWS: M. CADIEUX, $51,198; R. DUNCAN, $52,000; T. GERAGHTY, $30,188; S. KHARE, M.D., $46,500; M. METTNER, $41,500; M. NELSON,$36,960; M. RAKOWSKI, $29,483; AND T. SHANAHAN, $34,466. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2018 WERE: R. DUNCAN, $38,091; T. GERAGHTY $33,355, S. KHARE, M.D., $32,773; M. NAUMAN, $122,209; AND R. SANDERS, $112,660. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2018 WAS $218,040 AND OF THAT, $49,022 WAS PAID AS A VESTED CONTRIBUTION UNDER THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN) MENTIONED ABOVE AND IS INCLUDED IN PART II, COLUMN (B)(III). 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: THOMAS MILLER, VP CHW AND SCOTT TURNER, COO 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 DIRECTOR (K. MANSELL) 55462 JENNIFER MANCE IS THE DAUGHTER OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $55,462 IN COMPENSATION. 0 KELLY REILLY DIRECTOR (M. WITT) 128700 KELLY REILLY IS THE SPOUSE OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $128,700 IN COMPENSATION. 0 FORM 990, BOX C, DOING BUSINESS AS: CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES 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, 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: WITT AND SOMMERHAUSER, ROTHMAN AND QUADRACCI, MANSELL AND SCHLIFSKE, ADAMS AND LOVELL, AND TROY AND LOVELL. 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 VII, LINE 39 THOMAS MILLER OVERSEES THE ORGANIZATION'S DISREGARDED ENTITY, SURGICENTER OF GREATER MILWAUKEE, LLC, AND ALSO IS A VICE PRESIDENT OF THE ORGANIZATION'S WHOLLY-OWNED SUBSIDIARY, CHILDREN'S HOSPITAL OF WISCONSIN, INC. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 6,470,199. MANAGEMENT AND GENERAL EXPENSES 837,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,307,871. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 956,036. MANAGEMENT AND GENERAL EXPENSES 402,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,358,689. OTHER FEES: PROGRAM SERVICE EXPENSES 7,372,714. MANAGEMENT AND GENERAL EXPENSES 103,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,476,210. GRANT EXPENDITURES: PROGRAM SERVICE EXPENSES 6,588,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,588,542. FORM 990, PART XI, LINE 9: INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -390,780. 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