2025-11-14T10:51:36-06:00 2024-12-31 363168081 SIKICH LLC 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2024-01-01 391500075 CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC CHIL 4142665420 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2025-11-13 1 0 JILL M BOYLE CPA P01246734 2627549400 2025-11-12 2024 2025-03-06 01:10:19Z CHILDREN'S WISCONSIN MEG BRZYSKI NELSON PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 505524122 0 X WWW.CHILDRENSWI.ORG X 1984 WI SECURE FINANCIAL SUPPORT FOR CHILDREN'S HOSPITAL AND HEALTH SYSTEM AND ITS TAX EXEMPT AFFILIATES. 40 36 0 366 -68685 0 37078495 26370228 0 0 97768054 117608540 -689383 -476433 134157166 143502335 31122145 28492888 0 0 6438432 7095433 826821 770896 8494855 9740063 11523335 48127461 47882552 86029705 95619783 1554613816 1715742565 154000343 161381184 1400613473 1554361381 X CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. IS A 501(C)(3) ORGANIZATION THAT EXISTS TO FUNDRAISE FOR CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. AND ITS NOT-FOR-PROFIT AFFILIATES INCLUDING CHILDREN'S HOSPITAL OF WISCONSIN, INC., CHILDREN'S MEDICAL GROUP, INC., CHILDREN'S SERVICE SOCIETY OF WISCONSIN, AND CHILDREN'S SPECIALTY GROUP, INC. 0 0 10362403 10362403 IN COLLABORATION WITH CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW OR "THE HOSPITAL") AND ITS AFFILIATES, CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. ("CHWF OR "THE FOUNDATION") RAISES FUNDS TO SUPPORT FREE OR BELOW-COST COMMUNITY PROGRAMS SUCH AS HEALTH EDUCATION, CHILD ABUSE PREVENTION, PARENTING EDUCATION AND INJURY PREVENTION PROGRAMS. FUNDING ALSO SUPPORTS SCHOOL BASED HEALTH CENTERS IN MILWAUKEE SCHOOLS, PRIMARY CARE CLINICS IN UNDERSERVED AREAS, AND SUPPORTS SOCIAL SERVICES PROVIDED TO WISCONSIN CHILDREN AND FAMILIES BY CHILDREN'S SERVICE SOCIETY OF WISCONSIN. 13332687 13302162 THE FOUNDATION PROVIDES RESOURCES ESSENTIAL TO SUPPORT THE OPERATIONS AND CAPITAL NEEDS OF CHW. 4828323 4828323 IN COLLABORATION WITH CHW AND ITS AFFILIATES, THE FOUNDATION RAISES FUNDS TO SUPPORT INNOVATIVE NEW BIOMEDICAL, CLINICAL AND TRANSLATIONAL RESEARCH. 28523413 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 40 36 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI FL MN OH CA NJ IL X MS SARAH KAFKA 4142668976 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARGARET TROYTHROUGH AUG 2024 DIRECTOR/PRESIDENT & CEO CHHS 0.00 40.00 X 0 2589483 68848 GIL PERIBEGINNING AUG 2024 DIRECTOR/PRESIDENT & CEO CHHS 0.00 40.00 X 0 733264 170491 MARGARET NELSON DIRECTOR/PRES CHWF & SVP CHHS 40.00 0.00 X X 0 803228 155124 DAVE WERNER DIRECTOR/CHAIR 1.00 0.00 X 0 0 0 STACEY WALTHERS NAFFAH DIRECTOR/VICE CHAIR 1.00 0.00 X 0 0 0 THOMAS ARENBERG DIRECTOR 1.00 0.00 X 0 0 0 SOUHEIL BADRAN DIRECTOR 1.00 0.00 X 0 0 0 MARK BLUTSTEIN DIRECTOR 1.00 0.00 X 0 0 0 BETSY BRENNER DIRECTOR 1.00 0.00 X 0 0 0 RENEE BOLDT DIRECTOR 1.00 0.00 X 0 0 0 DAN BUEHRLE DIRECTOR 1.00 0.00 X 0 0 0 JIM CARAGHER DIRECTOR 1.00 0.00 X 0 0 0 KELLY J CLEARY-REBHOLZ DIRECTOR 1.00 0.00 X 0 0 0 MEG DEAN DIRECTOR 1.00 0.00 X 0 0 0 BARRI DRURY DIRECTOR 1.00 0.00 X 0 0 0 RAQUEL FILMANOWICZ DIRECTOR 1.00 0.00 X 0 0 0 RICHARD FLORSHEIM DIRECTOR 1.00 0.00 X 0 0 0 KELLY GREBE DIRECTOR 1.00 0.00 X 0 0 0 PATRICK HAMMES DIRECTOR 1.00 0.00 X 0 0 0 MARY M HOSMER DIRECTOR 1.00 0.00 X 0 0 0 JERRY JENDUSA DIRECTOR 1.00 0.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 0.00 X 0 0 0 TED D KELLNER DIRECTOR 1.00 0.00 X 0 0 0 BERNARD S KUBALE DIRECTOR 1.00 0.00 X 0 0 0 DAVE LUCZAK DIRECTOR 1.00 0.00 X 0 0 0 DAVE MARGOLIS MD DIRECTOR 1.00 0.00 X 0 0 0 JOHN MILLER DIRECTOR 1.00 0.00 X 0 0 0 CHAD NOEL DIRECTOR 1.00 0.00 X 0 0 0 JOHN M NOEL DIRECTOR 1.00 0.00 X 0 0 0 UGO NWAGBARAOCHA DIRECTOR 1.00 0.00 X 0 0 0 JIM OSTROM DIRECTOR 1.00 0.00 X 0 0 0 GREG W RENZ DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL SHEPPARD DIRECTOR 1.00 0.00 X 0 0 0 MARY ELLEN B STANEK DIRECTOR 1.00 0.00 X 0 0 0 SHELLY STAYER DIRECTOR 1.00 0.00 X 0 0 0 MARK THEINE DIRECTOR 1.00 0.00 X 0 0 0 JILL TIMM DIRECTOR 1.00 0.00 X 0 0 0 DEREK TYUS DIRECTOR 1.00 0.00 X 0 0 0 TEDDY WERNER DIRECTOR 1.00 0.00 X 0 0 0 GAIL YABUKI DIRECTOR 1.00 0.00 X 0 0 0 PORTIA YOUNG DIRECTOR 1.00 0.00 X 0 0 0 MARC CADIEUX TREASURER/SVP & CFO 0.00 40.00 X 0 1134229 138345 LESLIE TECTOR SECRETARY/VP GENERAL COUNSEL 0.00 40.00 X 0 694284 106972 CHRISTINE BARANOUCKY VP ENGAGEMENT & STEWARDSHIP 40.00 0.00 X 290428 0 45221 JAY RABIDEAUX VP DEVELOPMENT 40.00 0.00 X 343358 0 80410 JEFFREY STEWART COO FOUNDATION 40.00 0.00 X 381958 0 79625 MARYANNE KESSEL EXECUTIVE DEVELOPMENT DIR, HHI 40.00 0.00 X 282523 0 45486 DENA MCCORMICK DIR STRATEGIC INFO & RESEARCH 40.00 0.00 X 147820 0 29832 KARA MUCHOW SR DIRECTOR 40.00 0.00 X 161826 0 61581 HEATHER NELSON EXEC DIR PHILANTHROPY 40.00 0.00 X 207593 0 72908 KELLY SACHSE SENIOR DIR, PLANNED GIVING 40.00 0.00 X 202878 0 69631 MICHELLE METTNER FORMER OFFICER 0.00 40.00 X 0 173846 26 2018384 6128334 1124500 18 1 1 0 PARTNERS CAPITAL INVESTMENT GROUP LLP 600 ATLANTIC AVENUE 30TH FLOOR BOSTON MA 02210 INVESTMENT FEES 3877900 SRH MARKETING 1830 N HUBBARD ST 700 MILWAUKEE WI 53212 CONSULTING 1053501 COMMUNITY COUNSELING SERVICE LLC PO BOX 824885 PHILADELPHIA PA 19182 CONSULTING 428535 CHILDRENS MIRACLE NETWORK 205 W 700 SOUTH SALT LAKE CITY UT 84101 HOSPITAL AWARENESS NETWORK 409477 SCHULTZ & WILLIAMS INC 1617 JFK BLVD 1700 PHILADELPHIA PA 19103 CONSULTING 341231 17 117452 2207625 24045151 623725 26370228 29961343 -68685 30030028 449069438 361422241 87647197 87647197 87647197 123113 2207625 599546 -476433 -476433 143502335 0 -68685 117200792 28492888 28492888 1221001 461584 759417 4661154 1399691 3261463 191687 42607 149080 604926 169412 435514 416665 165263 251402 1403328 1403328 770896 770896 6352947 6352947 2267898 130856 2137042 48543 48543 477064 475074 1990 67690 4746 62944 7459 1088 6371 58097 58097 145530 145530 OTHER EXPENSES 694779 30525 199591 464663 47882552 28523413 10864284 8494855 4094456 2102181 2870754 3258635 624916 568509 868686 558865 367918 309821 1217553986 1364263506 329101786 345239913 1554613816 1715742565 2853308 2913121 151147035 158468063 154000343 161381184 X 1071650467 1209303849 328963006 345057532 1400613473 1554361381 1554613816 1715742565 X 95619783 58633693 -505568 X 0 1 X 1 0 X 34692358 33861834 34037576 37078495 26370228 166040491 34692358 33861834 34037576 37078495 26370228 166040491 3523548 162516943 16431681 15630479 20557682 26899391 29961343 109480576 275521067 0.58990 0.60150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1108518412 17247678 106819407 28492888 2020939 1202071670 973555404 26793553 141241866 31122144 1950267 1108518412 1089948981 51593137 -139659044 26259743 2067927 973555404 934152315 26810154 153990449 23017331 1986606 1089948981 807628630 27146139 123060013 22072690 1609777 934152315 0.71295 0.22498 0.06207 0 0 602693 380357 222336 265993 178508 87485 309821 INVESTMENTS, PLEDGES, TRUSTS, & BEQUESTS DESIGNATED FOR RESTRICTED PURPOSES 345057531 457 PLAN ASSETS 182382 345239913 PAYABLE TO AFFILIATES 158285681 457 PLAN LIABILITY 182382 158468063 X PART V, LINE 4: CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION HOLDS ENDOWMENT FUNDS ON BEHALF OF CHILDREN'S HOSPITAL OF WISCONSIN AND RELATED ENTITIES. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, EDUCATION, CAPITAL PROJECTS, RESEARCH, AND SOCIAL SERVICES TO CHILDREN AND FAMILIES. PART X, LINE 2: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT 34925998 0 0 0 0 0 0 34925998 0 34925998 1 0 0 1 1 0 X X X X X X 1 SCHULTZ & WILLIAMS INC 1617 JOHN F KENNEDY BLVD STE 1700 PHILADELPHIA PA 19103 CONSULTING, FEASIBILITY STUDY, PHILANTHROPIC BENCHMARKING 0 1494223 341231 1152992 BENTZ WHALEY FLESSNER 7251 OHMS LANE MINNEAPOLIS MN 55439 CONSULTING, FEASIBILITY STUDY, PHILANTHROPIC BENCHMARKING 0 0 1130 -1130 COMMUNITY COUNSELING SERVICE LLC PO BOX 824885 PHILADELPHIA PA 19182 CONSULTING, FEASIBILITY STUDY, PHILANTHROPIC BENCHMARKING 0 0 428535 -428535 1494223 770896 723327 WI FL NJ MN OH CA IL WI FOOTBALL COACHES ASSOCIATION 355203 355203 49693 66 117738 MIRACLE MARATHON 930649 930649 258 135326 6 1044886 921773 123113 3500 32650 310 260005 2330738 2207625 123113 3500 82343 634 513069 599546 -476433 SCHEDULE G, PART I, LINE 2B, COLUMN III, CUSTODY/CONTROL OF CONTRIBUTIONS: BENTZ WHALEY FLESSNER, SCHULTZ & WILLIAMS, AND COMMUNITY COUNSELING SERVICES, LLC. DOES NOT ACCEPT OR PROCESS DONATIONS ON BEHALF OF CHF. ALL CONTRIBUTIONS ARE DIRECTED TO AND RECEIVED BY CHF. DURING 2024, THE ORGANIZATION PAID BENTZ WHALEY FLESSNER $1,130 FOR SERVICES, SCHULTZ & WILLIAMS $341,231 FOR SERVICES, AND COMMUNITY COUNSELING SERVICES, LLC $428,535 FOR SERVICES. SCHEDULE G, PART I, LINE 2B, COLUMN IV, GROSS RECEIPTS: BENTZ WHALEY FLESSNER AND COMMUNITY CONSULTING SERVICES, LLC PROVIDED CONSULTING FOR PHILANTHROPIC BENCHMARKING AND FEASIBILITY TO CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. THE ORGANIZATION DOES NOT ANTICIPATE RECEIVING ANY GROSS RECEIPTS FOR ACTIVITY DUE TO THE NATURE OF CONSULTING. BENTZ WHALEY FLESSNER AND COMMUNITY COUNSELING SERVICES, LLC WAS INCLUDED ON SCHEDULE G DUE TO DEFINITION OF FUNDRAISING ACTIVITIES IN INSTRUCTIONS. 1 CHILDREN'S HOSPITAL OF WISCONSIN INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390812532 501(C)(3) 13021421 0 OPERATION & CAPITAL SUPPORT CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391500074 501(C)(3) 9093847 0 MEDICAL RESEARCH, CHILD ABUSE PREVENTION, HEALTH EDUCATION, SCHOOL BASED CLINICS, COMMUNITY SERVICE & CAPITAL SUPPORT CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390806380 501(C)(3) 2961095 0 CHILD WELLBEING SERVICES & CAPITAL SUPPORT CHILDREN'S MEDICAL GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391789197 501(C)(3) 3135784 0 COMMUNITY-BASED PRIMARY CARE CLINICS CHILDREN'S SPECIALTY GROUP PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391990012 501(C)(3) 280741 0 RESEARCH, EDUCATION AND OPERATIONAL SUPPORT 5 PART I, LINE 2: CHWF AWARDS GRANTS TO ITS TAX-EXEMPT AFFILIATES. GRANTS ARE AWARDED BASED ON THE STRATEGIC INITIATIVES OF THE HEALTH SYSTEM, THE NEEDS OF THE AFFILIATES, AND ANY PURPOSE RESTRICTIONS SET BY THE DONORS. THE NEEDS OF THE AFFILIATES ARE EVALUATED IN THE ANNUAL BUDGET PROCESS. FINAL BUDGETS REQUIRE APPROVAL FROM MANAGEMENT, THE ENTITY'S BOARD OF DIRECTORS AND THE CHHS BOARD OF DIRECTORS AND SENIOR MANAGEMENT. IN ADDITION, THE OPERATIONS OF ALL AFFILIATES ARE SUBJECT TO SYSTEM CONTROLS, POLICIES AND PROCEDURES, AND ARE REFLECTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF CHHS AND ITS AFFILIATES. 0 1 0 0 0 0 0 1 0 MARGARET TROYTHROUGH AUG 2024 DIRECTOR/PRESIDENT & CEO CHHS 0 1409156 0 610262 0 570065 0 25300 0 43548 0 2658331 0 0 MARC CADIEUX TREASURER/SVP & CFO 0 713591 0 215665 0 204973 0 137499 0 846 0 1272574 0 90953 MARGARET NELSON DIRECTOR/PRES CHWF & SVP CHHS 0 508749 0 159829 0 134650 0 91820 0 63304 0 958352 0 42303 GIL PERIBEGINNING AUG 2024 DIRECTOR/PRESIDENT & CEO CHHS 0 447226 0 150000 0 136038 0 145833 0 24658 0 903755 0 0 LESLIE TECTOR SECRETARY/VP GENERAL COUNSEL 0 519906 0 108594 0 65784 0 85450 0 21522 0 801256 0 0 JEFFREY STEWART COO FOUNDATION 257357 0 39189 0 85412 0 28750 0 50875 0 461583 0 0 0 JAY RABIDEAUX VP DEVELOPMENT 273426 0 31029 0 38903 0 21850 0 58560 0 423768 0 0 0 CHRISTINE BARANOUCKY VP ENGAGEMENT & STEWARDSHIP 221186 0 37954 0 31288 0 20317 0 24904 0 335649 0 0 0 MARYANNE KESSEL EXECUTIVE DEVELOPMENT DIR, HHI 244928 0 32103 0 5492 0 25114 0 20372 0 328009 0 0 0 HEATHER NELSON EXEC DIR PHILANTHROPY 187992 0 19158 0 443 0 15119 0 57789 0 280501 0 0 0 KELLY SACHSE SENIOR DIR, PLANNED GIVING 173744 0 24727 0 4407 0 19011 0 50620 0 272509 0 0 0 KARA MUCHOW SR DIRECTOR 148228 0 12360 0 1238 0 10249 0 51332 0 223407 0 0 0 DENA MCCORMICK DIR STRATEGIC INFO & RESEARCH 133576 0 13364 0 880 0 6747 0 23085 0 177652 0 0 0 MICHELLE METTNER FORMER OFFICER 0 173846 0 0 0 0 0 0 0 26 0 173872 0 0 PART I, LINE 3 THE FOUNDATION RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF THE FOUNDATION, TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION. PART I, LINE 4B IN 2024, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F)). THE ORGANIZATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2024 WERE AS FOLLOWS: G. PERI, $145,833; M. BRZYSKI NELSON, $66,520; M. CADIEUX, $112,199; L. TECTOR, $63,600. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2024 WERE: M. BRZYSKI NELSON, $42,303, AND M. CADIEUX, $90,953. PART I, LINE 7 CERTAIN LEADERS PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. INCENTIVE CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND LEADER SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE LEADER'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 & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS 1. GIL PERI, DIRECTOR OF CHWF AND PRESIDENT & CEO OF CHHS (BEGINNING IN AUGUST 2024), MARGARET TROY, DIRECTOR OF CHWF AND PRESIDENT & CEO OF CHHS (THROUGH AUGUST 2024), MARGARET BRZYSKI NELSON, DIRECTOR AND PRESIDENT OF CHWF AND SVP OF CHHS, MARC CADIEUX, TREASURER OF CHWF AND SVP & CFO OF CHHS, LESLIE TECTOR, SECRETARY OF CHWF AND SVP & CHIEF LEGAL OFFICER OF CHHS, AND MICHELLE METTNER, FORMER SECRETARY OF CHWF - 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 CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MR. PERI, MS. TROY AND MS. NELSON AS MEMBERS OF THE BOARD OF DIRECTORS OF CHWF WERE PROVIDED AS PART OF THEIR POSITIONS OF CHHS. TED KELLNER DIRECTOR 350000 TED KELLNER HAS A GREATER THAN 35% OWNERSHIP INTEREST IN FIDUCIARY MANAGEMENT, INC. (FMI). CHF MADE PAYMENTS TOTALING APPROXIMATELY $350,000 TO FMI. 0 X 20 266367 SELLING PRICE X OTHER DONATED GOODS 262 319761 FMV X TOYS / BLANKETS / OTHER 46 37097 FMV X FOOD / BEVERAGES 1 500 FMV 0 1 0 FORM 990, PART V, LINE 1A THE ORGANIZATION DID NOT FILE ANY FORMS 1099 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 AND HEALTH SYSTEM, INC. (CHHS), WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHHS. THE FORMS 1099 FOR SUCH PAYMENTS WERE ISSUED BY CHHS, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE INDEPENDENT CONTRACTORS. FORM 990, PART V, LINE 2A THE ORGANIZATION DID NOT FILE FORM W-3 DURING THE TAXABLE YEAR. ALTHOUGH THE ORGANIZATION DID RETAIN EMPLOYEES AND REPORTED SALARIES ON PART IX OF THE FORM 990, THE COMPENSATION AMOUNTS PAID TO EMPLOYEES OF CHWF WERE PROCESSED AND PAID BY A RELATED ENTITY, CHHS, WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHHS. THE FORM W-3 WAS ISSUED BY CHHS, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ELIZABETH BRENNER & DAVE MARGOLIS, TED KELLNER & DAVE MARGOLIS, GIL PERI & DAVE MARGOLIS, MARY ELLEN STANEK & DAVE MARGOLIS. FAMILY RELATIONSHIP EXISTS BETWEEN JOHN NOEL AND CHAD NOEL FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS. FORM 990, PART VI, SECTION A, LINE 7A CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 OF CHWF WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF CHHS AND PRIOR TO FILING, A COPY WAS MADE AVAILABLE TO ALL DIRECTORS OF CHWF. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL 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 PRESIDENT, TREASURER, AND SECRETARY WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF CHHS (THE ORGANIZATION'S CORPORATE MEMBER). 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 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 CHWF ARE AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. FORM 990, PART XI, LINE 9: WRITE-OFF OF UNCOLLECTIBLE PLEDGES -505,568. CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391500074 AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SUPPT SVCS WI 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390812532 PEDIATRIC HOSPITAL WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S MEDICAL GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391789197 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390806380 CHILD WELLFARE SERVICES WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHORUS COMMUNITY HEALTH PLANS INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 271494977 WISCONSIN MEDICAID HMO & COMMERCIAL EXCHANGE PLAN WI 501(C)(3) LINE 10 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SPECIALTY GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391990012 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 12A, I N/A 0 WEST ALLIS PRESCRIPTION CENTER INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 463421597 PHARMACY WI N/A C 0 WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 061654484 PHARMACY WI N/A C 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 SCHEDULE R, PART V, LINE 1D PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED DECEMBER 1, 2017, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEES CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS.