2018-11-14T10:45:41-06:00 2017-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2017-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2018-10-30 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2018-10-30 209.170.231.5 2018-10-30 10:06:32 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 699AB1B4FFB88DAE42713CB5C2E305607ADB17BA 2017 2019-02-21 02:37:17Z SEE SCHEDULE O MARGARET TROY PO BOX 1997 MS 900 MILWAUKEE WI 532011997 155753269 0 X WWW.CHW.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 25 21 1164 2421 43629 38581 38319338 41612509 121692429 112081698 557171 970950 1118098 1083230 161687036 155748387 500 0 12269440 0 82286327 89501049 0 0 0 65920931 65104738 160477198 154605787 1209838 1142600 79346910 81555593 66535747 67781117 12811163 13774476 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 112687896 91412689 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 $103 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. 11888537 949152 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). SEVERAL RESEARCHERS HAVE DEMONSTRATED THEIR RESEARCH SUCCESS THROUGH THE EXTRAMURAL FUNDING THEY HAVE RECEIVED, A FEW EXAMPLES ARE 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. CRI RESEARCHERS CONTINUE TO MAKE PROGRESS ON THE $3.3 MILLION, FIVE-YEAR GRANT RECEIVED IN 2013 FROM THE NATIONAL INSTITUTE OF HEALTH'S NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO COMPLETE A SIX-CENTER CLINICAL STUDY OF THE NONINVASIVE APPROACH. 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. IN 2013, CHILDREN'S HOSPITAL OF WISCONSIN ("CHW") WAS AWARDED A 10-YEAR $10 MILLION GIFT FROM THE MACC FUND (MIDWEST ATHLETES AGAINST CHILDHOOD CANCER). THIS GIFT CONTINUES TO BE USED TO FURTHER CANCER RESEARCH IN THREE AREAS: DISCOVERY AND TESTING OF NEW DRUG THERAPIES, INCREASED USE OF CELLULAR THERAPIES AND FURTHER GENETIC RESEARCH FOR PERSONALIZED CANCER THERAPIES. 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.A RESEARCHER IN OUR NURSING RESEARCH DEPARTMENT RECEIVED A $400,000 GRANT FROM JOHNSON & JOHNSON TO FURTHER HER WORK IN PREMATURE INFANTS. OVER A PERIOD OF DECADES THIS RESEARCHER'S TEAM HAS WORKED TO DEVELOP AND REFINE INTERVENTIONS THAT SUPPORT THE INFANT'S IN-HOSPITAL EXPERIENCE WITH THE GOAL OF IMPROVING GROWTH AND DEVELOPMENT. THIS IS IMPORTANT BECAUSE OPTIMAL INFANT EXPERIENCE IS KNOWN TO CRITICALLY SHAPE A CHILD'S COGNITIVE DEVELOPMENT, ABILITY TO SELF-REGULATE, AND STRESS REACTIVITY. THERE IS INCREASING EVIDENCE THAT NEUROBIOLOGICAL SYSTEMS ARE INFLUENCED BY REGULATORY NEUROPEPTIDES, INCLUDING THE HORMONE OXYTOCIN, WHICH ARE CRITICAL COMPONENTS OF EARLY DEVELOPMENT. THE PURPOSE OF THIS GRANT IS TO COMPARE NEUROPEPTIDE LEVELS OF HEALTHY NEWLY BORN FULL TERM INFANTS BEFORE AND FOLLOWING TWO MATERNALLY ADMINISTERED MULTISENSORY BEHAVIORAL INTERVENTIONS. THIS STUDY ALSO AIMS TO QUANTIFY MATERNAL PSYCHOLOGICAL WELL-BEING AND INFANT BEHAVIORAL RESPONSES TO THE MATERNALLY ADMINISTERED MULTISENSORY BEHAVIORAL INTERVENTIONS. ADDITIONALLY, IT IS HYPOTHESIZED THAT MOTHERS WILL REPORT IMPROVED PSYCHOLOGICAL WELL-BEING AND INFANTS WILL EXHIBIT AN INCREASED FREQUENCY OF ENGAGEMENT CUES FOLLOWING THE MATERNALLY ADMINISTERED INTERVENTION.FUNDING HAS ALSO BEEN SECURED FOR A COMMUNITY-BASED RESEARCH PROJECT - A $1.25 MILLION GRANT FROM THE GREATER MILWAUKEE FOUNDATION TO STUDY ASTHMA TRIGGERS. A CHILD'S ASTHMA IS MANAGED IN A CLINICAL SETTING, BUT ONE OF THE BIGGEST IMPACTS ON THE DISEASE IS INDOOR AIR QUALITY, WHICH CAN'T BE ASSESSED IN A DOCTOR'S OFFICE. INDOOR AIR QUALITY IS AFFECTED BY GAS RANGES, CLEANING PRODUCTS, DUST, AND MOLDFACTORS THAT DISPROPORTIONATELY IMPACT POOR, URBAN FAMILIES. IN COLLABORATION WITH A NON-PROFIT ASTHMA COALITION, THIS RESEARCHER IS LEADING THE FIRST STUDY TO DETERMINE WHICH CHEMICALS, PARTICULATES, AND PESTICIDES CAN BE COMMONLY FOUND IN THE HOMES OF ASTHMATIC KIDS AND YOUNG ADULTS IN MILWAUKEE. AT THE SAME TIME, THE RESEARCH TEAM WILL LOOK AT WHETHER AN IN-HOME EDUCATIONAL CURRICULUM GIVES FAMILIES THE KNOWLEDGE TO REDUCE THESE IRRITANTS AND HELP CONTROL ASTHMA AND REDUCE HOSPITALIZATIONS. THE STUDY USES NEW TECHNOLOGIES TO MEASURES AIR POLLUTANTS IN KIDS' HOMEFROM SILICONE BANDS THAT ABSORB PESTICIDES AND OTHER COMPOUNDS TO AIR-QUALITY DEVICES THAT CONTINUOUSLY MEASURE HUMIDITY AND PARTICULATES. COMMUNITY HEALTH WORKERS VISIT HOMES TO CONDUCT INSPECTIONS AND PROVIDE SEVERAL EDUCATION SESSIONS ON ASTHMA AND IRRITANT REDUCTION. THEY ALSO RECOMMEND TACTICS FOR REDUCING IRRITANTS AND PROVIDE SUPPLIES SUCH AS HEPA VACUUM CLEANERS AND "GREEN" CLEANERS. FOUR TO SIX MONTHS LATER, THE COMMUNITY HEALTH WORKERS WILL RETURN TO SEE WHETHER FAMILIES SUSTAINED THE CHANGES AND HOW WELL KIDS' ASTHMA WAS CONTROLLED FOLLOWING THE INTERVENTION. 10486107 12929079 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2017, THERE WERE 36,807 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 4,233 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 15316588 6628262 CHHS OFFERS FREE AND INEXPENSIVE HEALTH EDUCATION PROGRAMS AND RESOURCES TO TEACHERS, CHILDREN AND PARENTS. PROGRAMS OFFERED INCLUDE IN-CLASSROOM PROGRAMS ON HEALTHY EATING AND EXERCISE, BULLYING AND TEEN DEPRESSION. IN ADDITION, CHHS HAS INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. CHHS ALSO OFFERS HEALTH-BASED E-LEARNING PROGRAMS THROUGH BLUEKIDS.ORG WHICH HELPS STUDENTS MAKE MORE POSITIVE HEALTH CHOICES.CHHS ALSO PROVIDES FULL TIME SCHOOL NURSES IN 10 PARTNER MILWAUKEE PUBLIC SCHOOLS AND PART TIME NURSING SERVICES IN AN ADDITIONAL TWO MPS SCHOOLS AT NO COST TO THE STUDENTS, FAMILIES OR SCHOOLS. THE NURSES PROVIDE CHRONIC DISEASE MANAGEMENT, ACUTE CARE FOR MINOR ILLNESS AND INJURIES, HEALTH MAINTENANCE AND PROMOTION, PREVENTIVE CARE, RISK REDUCTION, SCREENINGS INCLUDING REFERRALS AND FOLLOW UP, TRAUMA INFORMED CARE, AND CARE COORDINATION IN AN AREA WITH HIGH-RISK POPULATIONS AND LIMITED SERVICES. IN THE 2017-18 SCHOOL YEAR, THERE WERE 15,100 SCHOOL NURSE ENCOUNTERS WITH A 94% RETURN TO CLASS RATE. VISION SCREENINGS WERE COMPLETED ON 1599 STUDENTS AND OVER 750 REFERRALS WERE MADE FOR A VARIETY OF ADDITIONAL CARE NEEDS DISCOVERED DURING A SCHOOL NURSE OFFICE VISIT. THE SCHOOL NURSES ALSO PROVIDE CLASSROOM EDUCATION TO STUDENTS AND FACULTY ON A VARIETY OF HEALTH RELATED TOPICS ACCORDING TO THE NEEDS OF THE SCHOOL, AND WORK CLOSELY WITH THE COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS ON POPULATION-BASED CARE, OUTREACH, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. 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 2017, PROGRAM ENROLLMENT WAS 3,149 WHICH REPRESENTED APPROXIMATELY 40% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN. 15316588 6628262 150379128 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 5 0 1164 1 1 1 0 0 0 0 0 0 0 0 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 ELIZABETH BRENNER DIRECTOR/VICE CHAIR 1.00 1.00 X X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 1.00 X 0 0 0 DAVID J DRURY DIRECTOR 1.00 1.00 X 0 0 0 JOE GEHRKE 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 1.00 1.00 X 0 0 0 TOM PRECIA DIRECTOR 1.00 1.00 X 0 0 0 J JOEL QUADRACCI DIRECTOR 1.00 1.00 X 0 0 0 JAY O ROTHMAN DIRECTOR/CHAIR 1.00 1.00 X 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 1.00 1.00 X 0 0 0 MARGARET TROY DIRECTOR / PRESIDENT & CEO 40.00 0.00 X X 1524413 0 287590 MARC CADIEUX TREASURER/CFO 40.00 0.00 X 621560 0 94262 ROBERT DUNCAN EVP CHHS 40.00 0.00 X 681446 0 101457 TRICIA GERAGHTY CHIEF MARKETING OFFICER 40.00 0.00 X 364677 0 80082 MARC GORELICK MD EXECUTIVE VP CHHS 0.00 40.00 X 0 327965 7755 MICHELLE METTNER SECRETARY / CORP VP GOV & LEGAL AFFAIRS 40.00 0.00 X 474174 0 78555 MICHAEL NAUMAN ENTERPRISE PERF MGMT & CIO 40.00 0.00 X 614082 0 87198 ROBERT SANDERS CHIEF ADMINSTRATIVE OFFICER 40.00 0.00 X 536623 0 92555 ADAM COOK VP HEALTH MGMT OPERATIONS 40.00 0.00 X 212269 0 27040 SMRITI KHARE MD PRESIDENT, CMG 0.00 40.00 X 620140 0 77920 THOMAS MILLER VICE PRESIDENT CHW 0.00 40.00 X 0 250326 29347 VERONICA GUNN VP POP HEALTH MGMT AND PI 40.00 0.00 X 417828 0 78029 ROBERT ROHLOFF DIR QUALITY & PAT SAFETY, CMG 40.00 0.00 X 323786 0 46260 MEG BRYZSKI NELSON CHIEF DEVELOPMENT OFFICER 0.00 40.00 X 393608 0 80631 THOMAS SHANAHAN VP, HUMAN RESOURCES 40.00 0.00 X 413676 0 82579 MARK RAKOWSKI VICE PRESIDENT, CCHP 0.00 40.00 X 373578 0 78881 SHEILA REYNOLDS FORMER SECRETARY 0.00 0.00 X 241525 0 21470 7813385 578291 1351611 142 1 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 9824939 CAPITAL DATA 600 N BROADWAY AVE SUITE 100 MILWAUKEE WI 53202 SOFTWARE LICENSING AND MAINTENANCE 2381211 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE LICENSING AND MAINTENANCE 2310652 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND VA 980526399 SOFTWARE LICENSING AND MAINTENANCE 1833046 FTI CONSULTING INC PO BOX 418005 BOSTON MA 02109 CONSULTING 1350000 96 40928869 461105 222535 41612509 OPERATIONAL SUPPORT SERVICES 541900 91871068 90668951 1202117 OUTPATIENT HEALTH CARE SERVICES 621400 10371834 10371834 OUTPATIENT CASE MANAGEMENT 900099 5806687 5806687 PREMIUM REVENUE 524114 2892070 2892070 RESEARCH ADMINISTRATION FEE 900099 764584 764584 375455 375455 112081698 975832 975832 4882 -4882 -4882 -4882 EQUITY IN NSSC 900099 559952 559952 EDUCATIONAL SERVICES 611430 210983 210983 LICENSING REVENUE 900099 16504 16504 295791 252162 43629 1083230 155748387 111919182 43629 2173067 X 6576044 6576044 66372094 64670524 1701570 2733699 2675183 58516 9058225 8902665 155560 4760987 4649997 110990 503603 487482 16121 388015 388015 763247 763247 46856 40753 6103 20659665 19623673 1035992 4337762 4336547 1215 1583449 1575770 7679 15212727 15180369 32358 6021522 5957390 64132 582043 559058 22985 490920 424288 66632 3829838 3365962 463876 1379467 1286559 92908 OTHER EXPENSES 7324995 6935353 389642 MEDICAL SUPPLIES 1980629 1980249 380 154605787 150379128 4226659 0 3136741 3541041 160201 0 2392084 3917803 74720 80720 579256 562377 11308911 11069087 70935239 30809664 41121224 40125575 9713060 11132124 10860713 11126866 79346910 81555593 21717241 18442511 596133 987902 44222373 48350704 66535747 67781117 X 9626791 10923434 2908567 2551058 275805 299984 12811163 13774476 79346910 81555593 X 1142600 154043 -333330 X 0 1 X 1 1 1 X 24687 738560 763247 148706088 149469335 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 477926 478527 578477 763247 2298177 250000 250000 250000 250000 1000000 1500000 10000 18480 18808 24687 71975 3184372 1019339 41644 1393194 1119 2851042 3734153 961396 21259 1531341 1095 3184372 5256577 264438 -3925 1781897 1040 3734153 5879110 1026698 17133 1665379 985 5256577 2908864 4237509 40865 1307189 940 5879110 0.00000 0.10500 0.89500 0 1 1 1457978 1457978 51068181 21849456 29218725 3376874 1260905 2115969 14634577 7498057 7136520 397629 201246 196383 40125575 DEFERRED COMPENSATION PLAN ASSETS 5943773 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND 2851043 INVESTMENT IN NORTH SHORE SURGERY CENTER 2332050 11126866 DEFERRED COMPENSATION PLAN LIABILITY 5943773 RETIREMENT PLAN LIABILITY 2701850 DUE TO AFFILIATES 29376464 LEASE LIABILITY 5271119 PAYABLE TO WISCONSIN (CCHP) 5057251 OTHER LIABILITIES 247 48350704 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, 2017 AND 2016. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR / PRESIDENT & CEO 862613 0 525000 0 136800 0 255100 0 32490 0 1812003 0 62628 0 MARC CADIEUX TREASURER/CFO 455161 0 144434 0 21965 0 68100 0 26162 0 715822 0 0 0 ROBERT DUNCAN EVP CHHS 446225 0 163334 0 71887 0 67100 0 34357 0 782903 0 30814 0 TRICIA GERAGHTY CHIEF MARKETING OFFICER 257270 0 76356 0 31051 0 46409 0 33673 0 444759 0 12131 0 MARC GORELICK MD EXECUTIVE VP CHHS 0 99880 0 171945 0 56140 0 0 0 7755 0 335720 0 0 MICHELLE METTNER SECRETARY / CORP VP GOV & LEGAL AFFA 330369 0 97436 0 46369 0 53140 0 25415 0 552729 0 0 0 MICHAEL NAUMAN ENTERPRISE PERF MGMT & CIO 411478 0 123008 0 79596 0 61311 0 25887 0 701280 0 40597 0 ROBERT SANDERS CHIEF ADMINSTRATIVE OFFICER 375547 0 113885 0 47191 0 59270 0 33285 0 629178 0 31037 0 ADAM COOK VP HEALTH MGMT OPERATIONS 187654 0 23924 0 691 0 12812 0 14228 0 239309 0 0 0 SMRITI KHARE MD PRESIDENT, CMG 406845 0 147778 0 65517 0 62300 0 15620 0 698060 0 41594 0 THOMAS MILLER VICE PRESIDENT CHW 0 206404 0 43220 0 702 0 16626 0 12721 0 279673 0 0 VERONICA GUNN VP POP HEALTH MGMT AND PI 321888 0 92096 0 3844 0 50230 0 27799 0 495857 0 0 0 ROBERT ROHLOFF DIR QUALITY & PAT SAFETY, CMG 320222 0 0 0 3564 0 17944 0 28316 0 370046 0 0 0 MEG BRYZSKI NELSON CHIEF DEVELOPMENT OFFICER 302255 0 78808 0 12545 0 47400 0 33231 0 474239 0 0 0 THOMAS SHANAHAN VP, HUMAN RESOURCES 291449 0 81004 0 41223 0 56011 0 26568 0 496255 0 0 0 MARK RAKOWSKI VICE PRESIDENT, CCHP 263309 0 105921 0 4348 0 47389 0 31492 0 452459 0 0 0 SHEILA REYNOLDS FORMER SECRETARY 0 0 0 0 241525 0 0 0 21470 0 262995 0 0 0 PART I, LINES 4A-B PART I, LINE 4A: UNTIL JUNE 2016, SHEILA REYNOLDS SERVED AS CHHS CORPORATE VP & GENERAL COUNSEL. IN 2017, CHHS PAID $241,525 AS SEVERANCE TO MS. REYNOLDS PURSUANT TO A WRITTEN AGREEMENT. PART I, LINE 4B: IN 2017, 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 2017 WERE AS FOLLOWS: M. CADIEUX, $48,300; R. DUNCAN, $50,000; T. GERAGHTY, $29,309; V. GUNN, M.D., $33,130; S. KHARE, M.D., $42,500; M. METTNER, $36,040; M. NAUMAN, $44,211; M. NELSON,$33,000; M. RAKOWSKI, $27,589; T. SHANAHAN, $33,511 AND R. SANDERS, $42,170. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2017 WERE: R. DUNCAN, $30,814; S. KHARE, M.D., $41,594; M. NAUMAN, $40,597; T.GERAGHTY, $12,131 AND R. SANDERS, $31,037. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2017 WAS $238,000 AND OF THAT, $62,628 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: 1. MARC GORELICK, M.D., EXECUTIVE VP CHHS, AND THOMAS MILLER, VP CHW - 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) 60014 JENNIFER MANCE IS THE DAUGHTER OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $60,014 IN COMPENSATION. 0 KELLY REILLY DIRECTOR (M. WITT) 149940 KELLY REILLY IS THE SPOUSE OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $149,940 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: BRENNER AND KERSCHNER, DRURY AND SCHLIFSKE, DRURY AND SOMMERHAUSER, WITT AND SOMMERHAUSER, BRENNER AND SWEENEY, ROTHMAN AND QUADRACCI, ADAMS AND TROY, MANSELL AND SCHLIFSKE, LOVELL AND ADAMS, 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 EMPLOYEES 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 5,434,353. MANAGEMENT AND GENERAL EXPENSES 599,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,033,802. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 1,055,863. MANAGEMENT AND GENERAL EXPENSES 351,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,407,690. OTHER FEES: PROGRAM SERVICE EXPENSES 7,004,177. MANAGEMENT AND GENERAL EXPENSES 84,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,088,893. GRANT EXPENDITURES: PROGRAM SERVICE EXPENSES 6,129,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,129,280. FORM 990, PART XI, LINE 9: INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -333,330. 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