2016-11-09T14:11:26-06:00 2015-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2015-01-01 390812532 CHILDREN'S HOSPITAL OF WISCONSIN INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2016-11-08 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2016-10-31 2015 2017-02-10 21:41:12Z MARC GORELICK MD PO BOX 1997 MS 900 MILWAUKEE WI 532011997 695041374 0 X WWW.CHW.ORG X 1894 WI PEDIATRIC HEALTH CARE SERVICES 25 18 3670 354 96089 -22115 21450527 25195025 573825319 594434373 7679956 -3937586 11032397 8633309 613988199 624325121 9923948 19984671 0 0 212388724 222779648 0 0 0 331477413 342762981 553790085 585527300 60198114 38797821 1409808216 1424502769 410678146 395479529 999130070 1029023240 X THE MISSION OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. IS TO PROVIDE A COMPREHENSIVE AND INTEGRATED PEDIATRIC HEALTH CARE MODEL THAT DELIVERS SUPERIOR QUALITY AND VALUE BY OFFERING THE BEST SOLUTION FOR THE TOTAL HEALTH CARE NEEDS OF CHILDREN WITHIN OUR COMMUNITY, STATE AND REGION. OUR GOAL IS TO HAVE WISCONSIN CHILDREN BE THE HEALTHIEST CHILDREN IN THE COUNTRY. AS A PREMIER AND STANDARD-SETTING LEADER IN DELIVERY OF PEDIATRIC CLINICAL SERVICE, EDUCATION AND RESEARCH, CHILDREN'S HOSPITAL ADVOCATES FOR CHILDREN AND BRINGS A COMMITMENT TO EXCELLENCE TO OUR PATIENTS AND FAMILIES, MEDICAL STAFF, EMPLOYEES AND COMMUNITIES IN ADDRESSING THE HEALTH AND WELL-BEING OF CHILDREN.OUR MISSION IS MULTIFACETED INCLUDING:CAREGIVING - OFFERING HIGH-QUALITY, COMPREHENSIVE MEDICAL CAREADVOCACY - SPEAKING UP AND PROTECTING CHILDRENRESEARCH - FINDING CURES TO THE ILLNESSES THAT AFFECT CHILDRENEDUCATION - SHARING WHAT WE LEARN AND TEACHING OTHERS TO CARE FOR KIDS 0 0 433021619 19984671 600221577 INPATIENT SERVICES: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW OR "THE HOSPITAL") OPERATES A 306-BED HOSPITAL AT ITS MILWAUKEE CAMPUS, WHICH INCLUDES AN EMERGENCY ROOM OPEN ON A 24/7 BASIS. IT IS A FREESTANDING WISCONSIN HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN AND IS ONE OF THE LEADING CENTERS FOR PEDIATRIC HEALTH CARE IN THE U.S. THE HOSPITAL SERVES CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE, TO CHILDREN FROM WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS AND BEYOND. IN 2015, 10,754 CHILDREN WERE ADMITTED TO THE MILWAUKEE HOSPITAL, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU), A CANCER AND BLOOD DISORDERS CENTER, MEDICAL/SURGICAL UNITS AND A DAY SURGERY SHORT-STAY UNIT. THE HOSPITAL ALSO OPERATES A SEPARATELY LICENSED 42-BED PEDIATRIC HOSPITAL, WHICH INCLUDES A NICU AND A PEDIATRIC MEDICAL/SURGICAL UNIT, LOCATED AT THEDACARE REGIONAL MEDICAL CENTER-NEENAH, THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AND GREEN BAY AREAS. IN 2015, 486 CHILDREN WERE ADMITTED TO THE FOX VALLEY CAMPUS.OUTPATIENT AND AMBULATORY SERVICES: THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS AT MORE THAN 70 SUBSPECIALTY CLINICS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 66,821 VISITS TO THE EMERGENCY DEPARTMENT IN 2015. OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN, AND IN THE FOX VALLEY AND GREEN BAY MARKETS. THE HOSPITAL'S NATIONALLY KNOWN AND RECOGNIZED SPECIALTY PROGRAMS INCLUDE THOSE FOR TREATING CHILDREN WITH AIRWAY, DIGESTIVE AND VOICE CONDITIONS; BURNS; CANCER AND BLOOD DISORDERS; CONGENITAL AND ACQUIRED HEART DEFECTS AND DISEASES; CRANIOFACIAL DISORDERS; DERMATOLOGY, BIRTHMARKS AND VASCULAR ANOMALIES; DIABETES; GASTROINTESTINAL PROBLEMS; GENETIC DISORDERS; HIV; NEUROLOGICAL DISORDERS; ORTHOPEDIC CONDITIONS (INCLUDING SPINE, SPORTS MEDICINE, CONCUSSION); IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; SOLID ORGAN TRANSPLANTATION; SPEECH AND HEARING DISORDERS; AND SPASTICITY AND OTHER TONE AND MOBILITY CONDITIONS. THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT FIVE CLINICS IN CENTRAL CITY MILWAUKEE NEIGHBORHOODS. THE HOSPITAL ALSO OFFERS CASE MANAGEMENT SERVICES AND A FULL RANGE OF MEDICAL, PSYCHOLOGICAL, NURSING AND SOCIAL SERVICES FOR CHILDREN WITH DEVELOPMENTAL, BEHAVIORAL AND LEARNING PROBLEMS. IN 2015, THERE WERE A TOTAL OF 296,200 OUTPATIENT VISITS.RESEARCH: THE HOSPITAL AND THE CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH, EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; ORGAN TRANSPLANTATION; BIRTH DEFECTS AND FETAL ANOMALIES; IMMUNOLOGICAL CONDITIONS, BLOOD DISORDERS AND VARIOUS CHILDHOOD CANCERS; AND ENVIRONMENTAL HEALTH CONDITIONS. ADDITIONAL RESEARCH IS CONDUCTED IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS. NURSING RESEARCH INCLUDES STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS. EDUCATION: THE HOSPITAL IS A MAJOR TEACHING AFFILIATE OF THE MEDICAL COLLEGE OF WISCONSIN, WITH THIRD- AND FOURTH-YEAR MEDICAL STUDENTS ROTATING THROUGH THE HOSPITAL FOR REQUIRED AND ELECTIVE ROTATIONS. THE HOSPITAL ALSO MAINTAINS A THREE-YEAR PEDIATRIC RESIDENCY PROGRAM, A TWO-YEAR DENTAL TRAINING PROGRAM AND ACADEMIC FELLOWSHIP PROGRAMS IN AN ARRAY OF SPECIALTIES. THE HOSPITAL HAS RELATIONSHIPS WITH MORE THAN TWO DOZEN UNIVERSITIES FOR THE CLINICAL EDUCATION OF PEDIATRIC NURSES AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION AND VARIOUS OTHER DISCIPLINES. THE HOSPITAL'S PEDIATRIC SPECIALISTS ALSO PROVIDE EDUCATION AND TRAINING TO HEALTH CARE PROFESSIONALS AT COMMUNITY HOSPITALS, PRIMARY CARE CLINICS AND SCHOOLS THROUGHOUT WISCONSIN IN CONNECTION WITH THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH AND WELFARE CONDITIONS.COMMUNITY EDUCATION AND OUTREACH: THE HOSPITAL OFFERS A WIDE VARIETY OF COMMUNITY EDUCATION, OUTREACH AND CHILD HEALTH ADVOCACY PROGRAMS. THROUGH COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS CHILD HEALTH, INJURY PREVENTION, PARENTING, MANAGEMENT OF CHRONIC DISEASES, AND PREVENTIVE HEALTH, THE HOSPITAL REACHES THOUSANDS OF FAMILIES. ALONG WITH THE MEDICAL COLLEGE, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF UNDERSERVED CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN WISCONSIN. THE HOSPITAL PARTICIPATES IN AND STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THROUGH WHICH PROVIDERS AROUND THE STATE WORK COLLABORATIVELY TO RAISE AWARENESS OF CHILDREN'S HEALTH ISSUES, INCREASE ACCESS TO PEDIATRIC CARE, AND PROMOTE BEST PRACTICES. OTHER COMMUNITY OUTREACH AND ADVOCACY INITIATIVES INCLUDE, FOR EXAMPLE, CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH). 433021619 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 792 0 3670 1 1 1 0 0 0 0 0 0 0 0 0 X 25 18 1 0 0 0 1 1 1 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 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 MARK R HOGAN DIRECTOR 1.00 1.00 X 0 0 0 PAUL W JONES DIRECTOR (THROUGH FEB. 2015) 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 C DAVID MYERS DIRECTOR 1.00 1.00 X 0 0 0 ALBERT S ORR III 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 CHHS 0.00 40.00 X X 0 1376051 280989 WELDON GAGE TREASURER/CFO (THROUGH JAN. 2015) 0.00 40.00 X 0 181445 951 MARC GORELICK MD COO & EXECUTIVE VP CHHS 40.00 0.00 X 632707 0 92151 SHEILA REYNOLDS SECRETARY 0.00 40.00 X 0 437468 87457 MARC CADIEUX TREASURER/CFO 0.00 40.00 X 0 443414 52167 MICHAEL GUTZEIT MD CHIEF MEDICAL OFFICER/VP, CHW 40.00 0.00 X 541402 0 98867 JIM JABLONSKI VP CHW, ENVIRONMENT OF CARE 40.00 0.00 X 215169 0 49794 JULIET KERSTEN VICE PRESIDENT, CHW 40.00 0.00 X 338814 0 52080 NANCY KOROM CHIEF NURSING OFFICER/VP, CHW 40.00 0.00 X 439788 0 85819 THOMAS MILLER VICE PRESIDENT, CHW 40.00 0.00 X 210730 0 22480 ANDREW SCHMITT MD HOSPITALIST 40.00 0.00 X 243761 0 40311 LORI BARBEAU DDS MEDICAL DIR, DENTAL PROGRAM 40.00 0.00 X 284986 0 51326 MARYLYN RANTA MD DIR, CHW PHYSICIAN AFFAIRS 40.00 0.00 X 260352 0 55387 THOMAS NICHOLS MD MEDICAL DIRECTOR/HOSPITALIST 40.00 0.00 X 246966 0 45194 CARLI DIGIOIA DMD PEDIATRIC DENTIST 40.00 0.00 X 229251 0 27903 CINTHIA S CHRISTENSEN FORMER PRESIDENT & COO 0.00 0.00 X 607683 0 41268 4251609 2438378 1084144 153 1 1 0 MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 HEALTHCARE PROF/ACADEMIC/ADMIN 26701343 MEDICAL COLLEGE OF WISCONSIN AFFILIATED 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 RESIDENT SERVICES 11620567 THEDA CARE 122 E COLLEGE AVE APPLETON WI 54912 ANCILLIARY SERV/OTHER SERV 6215145 BLOOD CENTER OF WISCONSIN INC 638 N 18TH ST MILWAUKEE WI 53233 LAB SERVICES 4411932 SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 NUTRITION SERVICES 2969238 47 11010107 13105154 1079764 19250 25195025 NET PATIENT SERVICE REVENUE 621990 584911100 584911100 RENTAL INCOME 531120 5741683 5741683 OUTSIDE SALARY SUPPORT 541900 3781590 3781590 594434373 7019145 7019145 59753248 6274 60125357 10590896 -372109 -10584622 -10956731 -10956731 340B CONTRACTS 722210 3164332 3164332 PHARMACY SALES TO EMPLOYEES 446110 1650594 1650594 FOX VALLEY SCHOOL THERAPY 900099 947084 947084 2871299 1675788 96089 1099422 8633309 624325121 600221577 96089 -1187570 X 19984671 19984671 4914190 1169697 3744493 167092736 135453721 31639015 10937123 8833818 2103305 27574828 22859504 4715324 12260771 9293736 2967035 82342000 3150000 79192000 783235 783235 79074096 68275436 10798660 22134 17606 4528 293974 103993 189981 284348 92742 191606 20447057 15275162 5171895 689230 324055 365175 467453 135554 331899 13680220 13680220 51003683 51003683 3248422 3248422 MEDICAL SUPPLIES 62082020 62082020 HOSPITAL ASSESSMENT TAX 11372064 11372064 16973045 6665515 10307530 585527300 433021619 152505681 0 84001986 139749653 1636610 5987959 85240004 76820055 10000 595010 325667 4910129 5982291 4997817 5319247 756518504 348447903 424661490 408070601 235982870 236420787 567782300 545816509 1409808216 1424502769 69008194 68601036 1127966 1060800 262307290 258328867 78234696 67488826 410678146 395479529 X 789540768 825944566 60381260 57862833 149208042 145215841 999130070 1029023240 1409808216 1424502769 X 38797821 -4732387 -4172264 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 487016 197580 310265 374331 0 432441515 13587207 -2058549 16494796 1544490 425930887 368901399 70262985 8725963 14003006 1445826 432441515 337517064 20430025 20149400 8024840 1170250 368901399 320201015 12951629 13134597 7676552 1093625 337517064 319718349 8809809 501862 7914215 914790 320201015 0.52300 0.34100 0.13600 0 1 1 506593997 228739666 277854331 7411795 3332673 4079122 217866981 113109134 104757847 24645731 3266430 21379301 408070601 DUE FROM AFFILIATES 54521876 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION 489821254 457 PLAN ASSETS 1120670 INVESTMENT IN CATALPA 352709 545816509 457 PLAN LIABILITY 1120670 CAPITAL AND OTHER LEASE OBLIGATIONS 1685463 ESTIMATED THIRD PARTY PAYER SETTLEMENTS 4567717 FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 17163624 RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS 2772625 LT PENSION LIABILITY 33159704 LT STRATEGIC FUNDING RESERVE 5000000 LT CONTRACT INCENTIVE PAYABLE 1869023 MALPRACTICE INSURANCE TAIL LIABILITY 150000 67488826 X PART IV, LINE 1B: CERTAIN EMPLOYEES OF THE ORGANIZATION HAVE SIGNING AUTHORITY FOR THE CHILDREN'S HOSPITAL OF WISCONSIN MEDICAL STAFF FUNDS MONEY MARKET AND CHECKING ACCOUNT. AN EMPLOYEE OF THE ORGANIZATION ALSO PROVIDES ALL MONTHLY ACCOUNTING FUNCTIONS. PART V, LINE 4: CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, CAPITAL PROJECTS AND RESEARCH. 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, 2015 AND 2014. 1 1 X 1 X 1 X 1 1 0 1 1 846760 846760 0.00140 269739384 201362968 68376416 0.11680 270586144 201362968 69223176 0.11820 5813927 1178851 4635076 0.00790 27315728 7751530 19564198 0.03340 11364321 3616277 7748044 0.01320 6220300 6220300 0.01060 453943 453943 0.00080 51168219 12546658 38621561 0.06590 321754363 213909626 107844737 0.18410 2000 2000 0.00000 80900 80900 0.00010 597036 5405 591631 0.00100 28204 28204 0.00000 2069636 41399 2028237 0.00350 6083 6083 0.00000 6868 6868 0.00000 2790727 46804 2743923 0.00460 0 3437381 1969795 1584529 385266 X 1 1 2 1 CHILDREN'S HOSPITAL OF WI-MILWAUKEE 9000 W WISCONSIN AVE MILWAUKEE WI 53201 CHW.ORG 135 X X X X X X 2 CHILDREN'S HOSPITAL OF WI-FOX VALLEY 130 S 2ND STREET NEENAH WI 54956 CHW.ORG 1005 X X X CHILDREN'S HOSPITAL OF WI-MILWAUKEE 1 0 0 1 X X X X X X X X X 13 1 1 0 1 X WWW.CHW.ORG X 1 13 1 WWW.CHW.ORG 0 0 1 X 200.000000000000 350.000000000000 X 1 1 X X X 1 X CHW.ORG X CHW.ORG X CHW.ORG X X X X X X 1 X 0 X X X X X 1 X 0 0 CHILDREN'S HOSPITAL OF WI-FOX VALLEY 2 0 0 1 X X X X X X X X X 13 1 0 0 1 X WWW.CHW.ORG X 1 13 1 WWW.CHW.ORG 0 0 1 X 200.000000000000 350.000000000000 X 1 1 X X X 1 X CHW.ORG X CHW.ORG X CHW.ORG X X X X X X 1 X 0 X X X X X 1 X 0 0 CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 5: IN 2011, CHILDREN'S HOSPITAL OF WI-MILWAUKEE ("CHW-MILWAUKEE") INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT RECOGNIZES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND THE IMPACT SUCH INFLUENCES MAY HAVE WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE, LIKE CHILDHOOD.CHW-MILWAUKEE SELECTED THREE MILWAUKEE NEIGHBORHOODS WHICH HAVE HISTORICALLY BEEN UNDERSERVED FOR INITIAL ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS - METCALFE PARK, FRANKLIN HEIGHTS/AMANI NEIGHBORHOOD, AND LINDSAY HEIGHTS - WERE IDENTIFIED BECAUSE 1) THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGE RESIDENTS; 2) THERE WERE SIGNIFICANT CHALLENGES TO CHILD HEALTH OUTCOMES; AND 3) THEY HAD AN EXISTING TRUSTED COMMUNITY RESOURCE(S) THAT WAS WILLING TO PARTNER WITH CHW-MILWAUKEE IN ENGAGING THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. THE INITIATIVE BEGAN WITH COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN EACH OF THE THREE NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHW-MILWAUKEE WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY.IN 2013, CHW-MILWAUKEE AND FOUR OTHER HEALTH SYSTEMS IN MILWAUKEE (THE MILWAUKEE HEALTH CARE PARTNERSHIP) COMMISSIONED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS. THE ASSESSMENT CONSISTS OF THREE NARROWER REPORTS MEANT TO PROVIDE A HOLISTIC PICTURE OF HEALTH IN MILWAUKEE:- MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY (MCCHS). THE PURPOSE OF THE MCCHS WAS TO ASSESS THE HEALTH STATUS OF RESIDENTS. PRIMARY OBJECTIVES WERE TO (A) GATHER SPECIFIC DATA ON BEHAVIORAL AND LIFESTYLE HABITS OF THE ADULT POPULATION; (B) GATHER DATA ON THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS EXISTING WITHIN THE ADULT POPULATION; (C) COMPARE, WHERE APPROPRIATE, HEALTH DATA OF RESIDENTS TO PREVIOUS HEALTH STUDIES; AND (D) COMPARE, WHERE APPROPRIATE AND AVAILABLE, HEALTH DATA OF RESIDENTS TO STATE AND NATIONAL MEASUREMENTS. APPROXIMATELY 1,200 MILWAUKEE COUNTY RESIDENTS WERE SAMPLED USING RANDOM LANDLINE AND CELL PHONE-ONLY SAMPLES. COMBINED, POST-STRATIFICATION WAS CONDUCTED BY SEX AND AGE TO REFLECT THE 2010 CENSUS PROPORTION OF THESE CHARACTERISTICS IN THE AREA.- KEY INFORMANT REPORT. THE KEY INFORMANT REPORT IS A SUMMARY OF FINDINGS FROM POLICYMAKERS, HEALTH CARE PROVIDERS, LOCAL EXPERTS AND COMMUNITY MEMBERS CONDUCTED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ASKED RESPONDENTS TO RANK UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN.- SECONDARY DATA REPORT. THE SECONDARY DATA REPORT IS A SUPPLEMENT TO THE PRIMARY DATA COLLECTION CONDUCTED IN THE MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY AND THE KEY INFORMANT REPORT. THE REPORT SUMMARIZES THE DISTRIBUTION OF HEALTH INDICATORS AMONG SOCIOECONOMIC GROUPS WITHIN THE CITY OF MILWAUKEE AND MILWAUKEE COUNTY. THE REPORT USES PUBLICLY AVAILABLE DATA SOURCES FROM LOCAL, STATE AND NATIONAL LEVELS. WHILE THESE REPORTS PROVIDE RICH DATA AND A HOLISTIC VIEW OF HEALTH IN MILWAUKEE, THE PRIMARY FOCUS WAS THE ADULT POPULATION. GIVEN THIS LIMITATION, THE FOLLOWING DATA SOURCES WERE USED TO SUPPLEMENT THE FINDINGS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT TO ENSURE CHW-MILWAUKEE'S HIGHEST PRIORITY - CHILDREN -ARE WELL REPRESENTED:- KIDS COUNT! DATA. KIDS COUNT IS A NATIONAL AND STATE-BY-STATE EFFORT TO TRACK WELL-BEING INDICATORS FOR CHILDREN IN THE UNITED STATES. FUNDED BY THE ANNIE E. CASEY FOUNDATION, KIDS COUNT OFFERS HIGH-QUALITY DATA AND TRENDS ANALYSIS.- KAISER STATE HEALTH FACTS. KAISER STATE HEALTH FACTS, FUNDED BY THE HENRY J. KAISER FAMILY FOUNDATION, PROVIDES FREE DATA ON MORE THAN 800 HEALTH INDICATORS AT THE STATE, NATIONAL AND COUNTY LEVEL. DATA, COMPILED FROM A VARIETY OF PUBLIC, PRIVATE AND GOVERNMENT SOURCES, ALLOWS USERS TO MAP, RANK, TREND OR DOWNLOAD INFORMATION.- UNITED STATES CENSUS BUREAU. IN ADDITION TO CONDUCTING A CENSUS DECENNIALLY, THE U.S. CENSUS BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. SOURCES FOR THIS INFORMATION INCLUDE THE POPULATION AND HOUSING CENSUS, NATIONAL HEALTH INTERVIEW SURVEY, ECONOMIC CENSUS, THE AMERICAN COMMUNITY SURVEY, CURRENT POPULATION SURVEY AND OTHER RELATED SURVEYS.- OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL PUBLIC AND GOVERNMENT DATA SOURCES INCLUDE THE CENTER FOR DISEASE CONTROL, WISCONSIN INSTITUTE ON POVERTY AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. TOGETHER, THESE SOURCES PROVIDE BOTH EXPERT AND BROAD PUBLIC INPUT INTO THE HEALTH NEEDS OF THE COMMUNITY. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 5: THE REPORT FOR CHILDREN'S HOSPITAL OF WI-FOX VALLEY ("CHW FOX VALLEY") USED DATA AND INFORMATION FROM THE FOX CITIES LIFE STUDY. CHW FOX VALLEY WORKED WITH UNITED WAY FOX CITIES, THE FOX CITIES CHAMBER OF COMMERCE, THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION AND THE FOX CITIES OF WISCONSIN ECONOMIC DEVELOPMENT PARTNERSHIP IN SPONSORING THIS REPORT. CHW FOX VALLEY'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE FOX VALLEY COMMUNITY RELIED HEAVILY ON THE LEADING INDICATORS FOR EXCELLENCE STUDY, OR LIFE STUDY. THE LIFE STUDY IS A MULTIFACETED ASSESSMENT OF LIFE IN 10 KEY AREAS IN THE FOX CITIES. IT EXAMINES WHAT "EXCELLENCE" WOULD LOOK LIKE FOR THE FOX CITIES REGION AND IDENTIFIED OPPORTUNITIES FOR THE FOX CITIES IN THE FOLLOWING AREAS:- ARTS AND CULTURE - LEISURE- COMMUNITY - NATURAL ENVIRONMENT- HEALTH - SAFETY- HOME - SELF-SUFFICIENCY- LEARNING - WORKOF PARTICULAR USE WAS THE "HEALTHY LIFE" REPORT, A SECTION OF THE LIFE STUDY FOCUSED ON THE COMPONENTS OF A HEALTHY LIFESTYLE, INCLUDING INDICATORS RELATED TO ACCESS TO MEDICAL CARE, HEALTH STATUS, MENTAL HEALTH STATUS, PREVENTION EFFORTS, QUALITY OF MEDICAL CARE AND RISKY BEHAVIORS. PRIMARY DATA FOR THE REPORT WAS COLLECTED THROUGH A VARIETY OF METHODS. A COMMUNITY SURVEY WAS CONDUCTED OF RANDOMLY SAMPLED RESIDENTS OF THE FOX CITIES METRO AREA AND OF AREA LEADERS REPRESENTING GOVERNMENT, FAITH, BUSINESS, MEDIA, NONPROFITS AND FOUNDATIONS, HEALTH CARE, EDUCATION AND THE COMMUNITY AT LARGE. COMMUNITY FOCUS GROUPS WITH IMPORTANT SUBGROUPS OF THE COMMUNITY - OLDER ADULTS, YOUTH, WORKING PARENTS AND MEMBERS OF THE MULTICULTURAL COMMUNITY - WERE CONVENED TO GAUGE THEIR PERCEPTIONS OF QUALITY OF LIFE. EXPERT SECTOR PANELS WERE CONVENED AND ONE-ON-ONE INTERVIEWS WERE CONDUCTED WITH PROFESSIONALS WITHIN EACH OF THE 10 SECTIONS OF THE LIFE STUDY. IN ADDITION TO THE SURVEYS, FOCUS GROUPS AND INTERVIEWS, A NUMBER OF SECONDARY DATA SOURCES WERE USED TO COMPLETE THE PICTURE. THESE SOURCES INCLUDE:- UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANKINGS- WISCONSIN DEPARTMENT OF HEALTH SERVICES- BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM- YOUTH RISK BEHAVIOR SURVEY- WISCONSIN INTERACTIVE STATISTICS ON HEALTH- U.S. CENSUS BUREAU- ANNIE E. CASEY FOUNDATION "KIDS COUNT"- CHILDREN'S HOSPITAL OF WISCONSIN PROGRAM DATA CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 6A: THE FOLLOWING INSTITUTIONS WERE INTEGRAL TO THE COMPLETION OF THE MILWAUKEE-AREA COMMUNITY HEALTH NEEDS ASSESSMENT: AURORA HEALTH CARE, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, WHEATON FRANCISCAN HEALTHCARE AND PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 11: DURING THE MILWAUKEE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, EIGHT BROAD HEALTH NEEDS WERE IDENTIFIED BY COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS AND OTHER HEALTH STAKEHOLDERS:- HEALTH CARE ACCESS AND COVERAGE- BEHAVIORAL HEALTH- OBESITY, NUTRITION AND PHYSICAL ACTIVITY- CHRONIC DISEASE- INFANT MORTALITY- SEXUAL HEALTH- HEALTH LITERACY- DISPARATE IMPACT: RACE, ETHNICITY, EDUCATION AND INCOMEAFTER THESE NEEDS WERE IDENTIFIED, CHILDREN'S HOSPITAL CREATED A SET OF HIGH PRIORITIES MEANT TO ADDRESS THE COMMUNITY'S MOST PRESSING HEALTH NEEDS. BECAUSE CHILDREN'S HOSPITAL IS A PEDIATRIC SPECIALTY HOSPITAL, IT IS IMPORTANT TO FOCUS OUR ATTENTION AND RESOURCES ON AREAS WHERE WE CAN MAKE THE BIGGEST IMPACT ON THE HEALTH OF CHILDREN. THE FOLLOWING ISSUES WERE IDENTIFIED AS THE HIGHEST HEALTH NEEDS OF THE PEDIATRIC COMMUNITY AND THE HIGHEST PRIORITIES FOR CHILDREN'S HOSPITAL:PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREPRIORITY #2: OBESITY AND WEIGHT MANAGEMENTPRIORITY #3: INFANT MORTALITYPRIORITY #4: SEXUAL HEALTHPRIORITY #5: COMMUNITY AND HOME SAFETYCHILDREN'S HAS ALIGNED ITS PRIORITIES TO BEST MEET EACH OF THE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY. CHILDREN'S HOSPITAL IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS TO LEVERAGE ALL AVAILABLE RESOURCES TO ENSURE THE BEST CARE POSSIBLE FOR THE CHILDREN IN OUR COMMUNITY. CHILDREN'S HOSPITAL WILL ADDRESS THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THROUGH PROGRAMMING, COLLABORATION AND EDUCATION.PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREMENTAL HEALTH CARECHILDREN'S HOSPITAL'S COUNSELING PROGRAMS WORK WITH CHILDREN, PARENTS AND OTHER FAMILY MEMBERS TO ADDRESS PROBLEMS AND IMPROVE SOCIAL AND EMOTIONAL DIFFICULTIES. TRAUMA INFORMED COUNSELING SERVICES REDUCE STRESS AND CONFLICT, IMPROVE PARENTING SKILLS AND STRENGTHEN FAMILY TIES. OUR THERAPISTS WORK PRIMARILY WITH KIDS WHO HAVE BEEN VICTIMS OF CHILD MALTREATMENT OR COMMUNITY-BASED INTERPERSONAL VIOLENCE. WE'VE ALSO PROVIDED SERVICES TO VICTIMS OF MASS CASUALTY. NO ONE IS TURNED AWAY FOR INABILITY TO PAY.CHW'S CHILD AND ADOLESCENT PSYCHIATRY AND BEHAVIORAL MEDICINE CENTER PROVIDES MENTAL HEALTH DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND FAMILIES. STAFF INCLUDES EXPERTS IN THE FIELDS OF CHILD AND ADOLESCENT PSYCHIATRY, PEDIATRIC PSYCHOLOGY, NEUROPSYCHOLOGY AND PSYCHOTHERAPY.CHW'S ADOPTION THERAPY PROGRAM IS AN OUTPATIENT COUNSELING PROGRAM DESIGNED TO MEET THE UNIQUE NEEDS OF PRE- AND POST-ADOPTIVE CHILDREN AND THEIR FAMILIES. THE ADOPTION THERAPIST ALSO MAY CONDUCT BONDING/ATTACHMENT ASSESSMENTS TO FACILITATE DECISION MAKING IN THE ADOPTION PROCESS. ORAL HEALTH CARE:CHILDREN'S HOSPITAL OPERATES FOUR DENTAL CENTERS IN MILWAUKEE DEDICATED TO PROVIDING COMPREHENSIVE ORAL HEALTH SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS AND YOUNG ADULTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2015, CHILDREN'S HOSPITAL DENTAL CENTERS HAD MORE THAN 29,000 VISITS.CHILDREN'S HOSPITAL COMMUNITY HEALTH EDUCATION LEADS COORDINATING FOR BETTER ORAL HEALTH, AN ACTIVE WORKGROUP THAT BRINGS TOGETHER BOTH CHILDREN'S HOSPITAL RESOURCES AND COMMUNITY RESOURCES ALL FOCUSED ON THE GOAL OF IMPROVING STUDENT'S OVERALL ORAL HEALTH. PARTICIPANTS INCLUDE COMMUNITY-BASED ORGANIZATIONS IN ADDITION TO CHILDREN'S HOSPITAL SCHOOL NURSES, COMMUNITY HEALTH EDUCATORS, AS WELL AS CHILDREN'S HOSPITAL CLINICAL MANAGERS AND DENTAL HYGIENISTS. THESE PARTICIPANTS WORK TOGETHER TO BETTER UNDERSTAND PATIENT FAMILIES' NEEDS, BARRIERS AND IDENTIFY WAYS IN WHICH MORE FAMILIES CAN ACCESS ORAL HEALTH SERVICES.CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S SERVICE SOCIETY OF WISCONSIN, PROVIDES CASE MANAGEMENT SERVICES FOR CHILDREN IN THE CHILD WELFARE SYSTEM IN MILWAUKEE COUNTY. ONE TARGET THAT IS CLOSELY MONITORED IS COMPLIANCE WITH GETTING CHILDREN IN FOR DENTAL EXAMS IN A TIMELY MANNER. CHILDREN'S HOSPITAL'S SEAL-A-SMILE PROGRAM TARGETS CHILDREN IN ELEMENTARY SCHOOLS WHERE MORE THAN 35 PERCENT OF STUDENTS RECEIVE FREE OR REDUCED SCHOOL LUNCHES IN THE CITY OF MILWAUKEE. A TOTAL OF 11,380 CHILDREN RECEIVED DENTAL SEALANTS AND 18,500 CHILDREN RECEIVED ORAL HEALTH ASSESSMENTS IN MILWAUKEE COUNTY AS A RESULT OF THIS PROGRAM.CHILDREN'S HOSPITAL'S EARLIER IS BETTER PROGRAM IS AN EARLY ORAL HEALTH EDUCATION PROGRAM THAT TARGETS EARLY HEAD START CHILDREN AT TWO LOCATIONS IN MILWAUKEE: BRUCE GUADALUPE AND NEXT DOOR FOUNDATION.PRIMARY CARE:THE NEED FOR ACCESSIBLE AND AFFORDABLE HEALTH CARE HAS NEVER BEEN GREATER. BY INCREASING ACCESS TO PRIMARY CARE SERVICES, CHRONIC DISEASES LIKE ASTHMA, JUVENILE ARTHRITIS OR CROHN'S DISEASE WILL BE BETTER MANAGED AND DECREASE UTILIZATION FOR SPECIALTY CARE. CHILDREN'S HOSPITAL AND ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, INC., WORK TO PROVIDE EVERY CHILD ACCESS TO THE BEST CARE POSSIBLE AND STRIVES TO MAKE CARE ACCESSIBLE CLOSER TO HOME. OUR PRIMARY CARE CLINICS ARE DEDICATED TO PROVIDING QUALITY PEDIATRIC PRIMARY CARE FOR CHILDREN AND ADOLESCENTS IN MILWAUKEE, REGARDLESS OF THEIR ABILITY TO PAY. CHILDREN'S HOSPITAL OPERATES 27 PRIMARY CARE CLINICS THROUGHOUT SOUTHEAST WISCONSIN, WITH 5 CLINICS IN MILWAUKEE. THREE OF THESE CLINICS, THE DOWNTOWN HEALTH CENTER, NEXT DOOR PEDIATRICS AND DENTAL CENTER, AND GOOD HOPE PEDIATRICS HAVE A LONG HISTORY OF OPERATION IN MILWAUKEE. IN 2015, THESE THREE CLINICS HAD MORE THAN 26,000 VISITS. THE TWO OTHER CLINICS, CHILDREN'S HOSPITAL PRIMARY CARE CLINIC AT COA GOLDIN CENTER AND CHILDREN'S HOSPITAL PRIMARY CARE CLINIC AT THE NORTHSIDE YMCA, WERE OPENED IN PARTNERSHIP WITH MARQUETTE UNIVERSITY COLLEGE OF NURSING TO ADDRESS HEALTH CARE DISPARITIES IDENTIFIED IN HIGH NEED NEIGHBORHOODS.CHILDREN'S HOSPITAL'S COMMUNITY HEALTH NAVIGATORS SERVE FAMILIES LIVING IN THREE NEIGHBORHOODS IN MILWAUKEE'S INNER CITY: AMANI, METCALFE PARK AND LINDSAY HEIGHTS. COMMUNITY HEALTH NAVIGATORS BUILD RELATIONSHIPS WITH FAMILIES AND LINK THEM TO ESTABLISHED RESOURCES WITHIN THEIR COMMUNITIES THAT WORK TO IMPROVE THEIR OVERALL HEALTH AND WELL-BEING. THE NAVIGATORS ALSO SERVE AS NEIGHBORHOOD CAPACITY BUILDERS BRINGING A COMBINATION OF AWARENESS AND EDUCATION ABOUT MORE RESOURCES AVAILABLE FOR RESIDENTS IN UNDERSERVED NEIGHBORHOODS. THE NAVIGATORS SERVE ABOUT 30 FAMILIES EACH MONTH IN EACH NEIGHBORHOOD. THIS MEANS MORE THAN 1,000 FAMILIES HAVE RECEIVED HELP THAT IS TAILORED TO THEIR NEEDS IN NAVIGATING THROUGH HEALTH CARE SYSTEMS.CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S SERVICE OF WISCONSIN, PROVIDES CASE MANAGEMENT SERVICES FOR CHILDREN IN THE CHILD WELFARE SYSTEM IN MILWAUKEE COUNTY. ONE TARGET THAT IS CLOSELY MONITORED IS COMPLIANCE WITH GETTING CHILDREN IN FOR MEDICAL EXAMS IN A TIMELY MANNER. CHILDREN'S HOSPITAL SUPPORTS FULL-TIME SCHOOL NURSES IN NINE SCHOOLS WITHIN THE MILWAUKEE PUBLIC SCHOOLS. THE SCHOOL NURSES ROLE INCLUDES "TRADITIONAL" SCHOOL NURSING SUPPORT FROM STUDENT DAILY CARE, MEDICATION ADMINISTRATION, VISION SCREENING, CHRONIC DISEASE MANAGEMENT AND EDUCATION, SUPPORT AND IMPLEMENTATION OF HEALTH POLICIES. THE SCHOOL NURSES ACCESS AND DOCUMENT IN THE HOSPITAL'S ELECTRONIC HEALTH RECORD ALLOWING THEM TO BE AN ACTIVE PART OF A CHILD'S CARE DELIVERY TEAM. ESSENTIALLY, THE NURSES SERVE AS A CONDUIT BETWEEN PRIMARY AND SPECIALTY CARE AND THE CHILD AND FAMILY.IN ADDITION, THE SCHOOL NURSE ALSO SERVES AS THE COORDINATOR OF THE CENTER FOR DISEASE CONTROL'S COORDINATED SCHOOL HEALTH MODEL IN EACH OF OUR SCHOOLS. AS THE COORDINATOR, THEY BRING TOGETHER EDUCATIONAL, COMMUNITY AND CLINICAL RESOURCES THAT WORK IN CONCERT TO SUPPORT THE ACADEMIC ACHIEVEMENT OF STUDENTS. FOR EXAMPLE, SCHOOL NURSES ARE THE ON-SITE COORDINATOR FOR PARENTAL/GUARDIAN CONSENT FORMS FOR PARTICIPATION IN THE COMMUNITY-BASED ORAL HEALTH PROGRAM THAT PROVIDES STUDENTS WITH DENTAL CLEANING, SEALANTS AND FLUORIDE TREATMENTS AT SCHOOL. WITH THE SUPPORT OF THE CHILDREN'S HOSPITAL SCHOOL NURSES, CONSENTS AT THOSE SCHOOLS ARE SIGNIFICANTLY HIGHER THAN OTHER SITES, SO MORE CHILDREN GET THE DENTAL CARE THAT THEY NEED.PRIORITY #2: OBESITY AND WEIGHT MANAGEMENTCHILDREN'S HOSPITAL IS A MEMBER OF THE MILWAUKEE CHILDHOOD OBESITY PREVENTION PROJECT, A COALITION WITH THE GOAL OF REDUCING CHILDHOOD OBESITY IN MILWAUKEE THROUGH ENVIRONMENTAL AND POLICY IMPROVEMENTS AND CHANGES THAT PROMOTE HEALTHY EATING AND ACTIVE LIVING. MEMBERS INCLUDE LEADERS AND STAFF FROM THE EIGHT UNITED NEIGHBORHOOD CENTERS OF MILWAUKEE; COMMUNITY RESIDENTS; YOUTH-SERVING ORGANIZATIONS; AND SPECIALISTS IN THE FIELDS OF NUTRITION, EXERCISE SCIENCE, PHYSICAL EDUCATION, PUBLIC HEALTH, MEDICINE, URBAN PLANNING AND OTHERS.KEY AREAS OF FOCUS:- HEALTHY FOODS AND BEVERAGES- LAND USE- ACTIVE LIVING- CURRICULUM AND PROFESSIONAL DEVELOPMENTCHILDREN'S HOSPITAL SCHOOL NURSES AND COMMUNITY HEALTH EDUCATORS WORK WITH NINE SCHOOLS WITHIN MILWAUKEE PUBLIC SCHOOLS TO ACTIVELY IMPLEMENT THE CENTERS FOR DISEASE CONTROL'S COORDINATED SCHOOL HEALTH MODEL. TO DATE, IMPLEMENTATION HAS INCLUDED A SCHOOL ASSESSMENT AND D CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 11: PRIORITY AREASAS A PART OF THE LIFE STUDY PROCESS, INTERVIEWS, SURVEYS AND PANELS WITH COMMUNITY MEMBERS, EXPERTS AND OTHER PROFESSIONALS WERE CONDUCTED TO PAINT A FULL PICTURE OF THE NEEDS OF THE COMMUNITY. A BROAD LIST OF ISSUES RANGING FROM HOUSING TO EDUCATION WERE IDENTIFIED. AS A PART OF THIS PROCESS, STAKEHOLDERS WERE ASKED TO DEFINE "EXCELLENCE" IN THE COMMUNITY ACROSS ISSUES. HEALTH "EXCELLENCE," AS DEFINED BY THE COMMUNITY, FOR THE FOX CITIES MEANS THAT COMMUNITY MEMBERS PRACTICE HEALTHY LIFESTYLES AND:- EAT A BALANCED DIET- EXERCISE ROUTINELY- ENGAGE IN ACTIVITIES THAT SUPPORT GOOD MENTAL HEALTH- DO NOT ABUSE SUBSTANCES THAT ARE HARMFUL- HAVE ROUTINE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE CHECKS- IN THE EVENT OF AN ILLNESS, GET TREATMENT EARLY BY WELL-PREPARED HEALTH PROVIDERSCOMMUNITY STAKEHOLDERS, SUCH AS CHILDREN'S HOSPITAL, MUST DO THEIR BEST TO CREATE OPPORTUNITIES AND THE RIGHT ENVIRONMENT FOR THE COMMUNITY TO ACHIEVE HEALTH "EXCELLENCE." BECAUSE CHILDREN'S HOSPITAL IS A PEDIATRIC SPECIALTY HOSPITAL, IT IS IMPORTANT TO FOCUS OUR ATTENTION AND RESOURCES TO AREAS WHERE WE CAN MAKE THE BIGGEST IMPACT ON THE HEALTH OF CHILDREN AND YOUTH. WE CONVENED SEVERAL MEETINGS OF CROSS-SECTOR STAFF MEMBERS TO PRIORITIZE THE FINDINGS FROM THE LIFE STUDY AND TO SELECT THE HIGHEST HEALTH PRIORITIES FOR CHILDREN'S HOSPITAL. DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, A NUMBER OF NEEDS WERE IDENTIFIED BY COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS AND OTHER HEALTH STAKEHOLDERS. THE WORK OF CHILDREN'S HOSPITAL FOX VALLEY DIRECTLY ADDRESSES MANY OF THE TOP NEEDS IDENTIFIED, INCLUDING ACCESS TO MEDICAL AND MENTAL HEALTH CARE, HEALTHY DEVELOPMENT OF YOUTH, LIFESTYLE AND HEALTH, AND SUPPORT FOR CHILDREN. WHILE CHILDREN'S HOSPITAL PROVIDES SERVICES IN MANY OF THE AREAS IDENTIFIED AS HIGH-NEED, THERE ARE SOME ISSUES THAT WOULD BE BETTER ADDRESSED BY OTHER INSTITUTIONS, EITHER BECAUSE THEY ARE SPECIFIC TO AN ADULT POPULATION OR NOT HEALTH CARE SPECIFIC. THESE NEEDS INCLUDE: AFFORDABLE HOUSING, CARE FOR ELDERLY AND ADULTS WITH A DISABILITY, INVESTMENT IN ENVIRONMENT, NEED FOR BETTER PAYING JOBS, PERSONAL SAFETY OF ADULTS, AND ADULT SELF-SUFFICIENCY CHALLENGES. AFTER THE REVIEW PROCESS, THE FOLLOWING AREAS WERE ESTABLISHED AS THE HIGHEST PRIORITIES FOR CHILDREN'S HOSPITAL:PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREPRIORITY #2: HEALTHY DEVELOPMENT OF ALL YOUTHPRIORITY #3: LIFESTYLE AND HEALTHPRIORITY #4: SUPPORT FOR CHILDRENCHILDREN'S HOSPITAL RECOGNIZES THE SCOPE AND MAGNITUDE OF THESE ISSUES REQUIRE "ALL HANDS ON DECK." NO SINGLE ORGANIZATION HAS THE RESOURCES NECESSARY TO ADDRESS EVERY ISSUE IDENTIFIED BY THE COMMUNITY. HOWEVER, CHILDREN'S HOSPITAL IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS TO LEVERAGE ALL RESOURCES TO ENSURE THE BEST CARE POSSIBLE FOR OUR COMMUNITY'S CHILDREN. CHILDREN'S HOSPITAL WILL ADDRESS THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THROUGH PROGRAMMING, COLLABORATION AND EDUCATION.THE FOLLOWING SECTIONS PROVIDE MORE INFORMATION ON THE WORK CHILDREN'S HOSPITAL IS UNDERTAKING IN THE PRIORITY AREAS.PRIORITY #1ACCESS TO MENTAL, ORAL AND PRIMARY HEALTHCARECHILDREN'S HOSPITAL OPERATED THE FOX VALLEY CHILDREN'S MENTAL HEALTH CENTER UNTIL OCTOBER 2012 WHEN CATALPA HEALTH WAS FORMED AS A NEW JOINT VENTURE AND PARTNERSHIP BETWEEN CHILDREN'S HOSPITAL, AFFINITY HEALTH SYSTEM AND THEDACARE. CATALPA HEALTH IS THE EXCLUSIVE PROVIDER OF OUTPATIENT PEDIATRIC MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS AGES 2-19 IN THE FOX VALLEY. CHILDREN'S HOSPITAL PROVIDES FUNDRAISING SERVICES AND DIRECT FINANCIAL SUPPORT TO CATALPA AND WORKS CLOSELY WITH CATALPA TO ASSURE THAT AGE-APPROPRIATE MENTAL HEALTH CARE IS AVAILABLE IN THE COMMUNITY. SINCE OPENING IN 2012, CATALPA HEALTH HAS HAD MORE THAN 112,000 PATIENT VISITS AND HAS REDUCED FOX VALLEY'S WAIT TIME FROM 54 DAYS TO 5 DAYS FOR MENTAL HEALTH THERAPY AND INITIAL ASSESSMENTS.THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS (NERC) PROVIDES INFORMATION AND REFERRAL TO PARENTS AND PROVIDERS OF CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THE NERC TEAM PARTICIPATES IN ON-GOING TRAINING AND SERVES ON SEVERAL COMMITTEES THAT ADDRESS BEHAVIORAL AND MENTAL HEALTH ISSUES IN THE FOX VALLEY REGION. STAFF FROM THE NERC WORKS WITH THE NATIONAL ASSOCIATION OF MENTAL ILLNESS IN WISCONSIN TO PROVIDE ADVOCACY TRAINING TO GUARDIANS AND PROVIDERS THROUGH THE COURSE MENTAL ILLNESS IN CHILDREN & ADOLESCENTS. COMMITTEE PARTICIPATION INCLUDES: THE FOX VALLEY EARLY CHILDHOOD COALITION, MENTAL HEALTH SHARE SHOP AND THE N.E.W. MENTAL HEALTH CONNECTION.THE FOX VALLEY EARLY CHILDHOOD COALITION, WHICH INCLUDES MEMBERS FROM CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES, FOCUSES ON ADDRESSING OVERALL SERVICE GAPS FOR CHILDREN IN THOSE AREAS. NERC SERVES ALL THREE OF THESE COUNTIES. OTHER MEMBERS CONSIST OF LOCAL PUBLIC HEALTH DEPARTMENTS (THREE FROM COUNTIES AND TWO FROM CITIES), EARLY INTERVENTION, CHILD CARE RESOURCE AND REFERRAL, LIBRARY SYSTEMS, UNITED WAY, ONEIDA TRIBE, COMMUNITY HEALTH CLINIC, MEDICAL SYSTEMS AND VARIOUS OTHER ORGANIZATIONS. NERC SERVES AS A MEMBER ON THE MAIN COMMITTEE, AND NERC STAFF HAVE SERVED AS COMMITTEE CHAIRS.THE MENTAL HEALTH SHARE SHOP IS A PROGRAM OF THE WINNEBAGO COUNTY THINK PROJECT, A GROUP DEDICATED TO IDENTIFYING AND SOLVING ACCESS ISSUES TO BEHAVIORAL HEALTH CARE. THE WORK CONTINUES TO FOCUS ON "NO WRONG DOOR" TO ENSURE MENTAL HEALTH SERVICES ARE RECEIVED IN A TIMELY MANNER REGARDLESS OF WHERE A CONSUMER ACCESSES THE SYSTEM. THE COMMITTEE IS ALSO WORKING ON AN ANTI-STIGMA CAMPAIGN IN WHICH MEDIA AND MESSAGING IS DISTRIBUTED THROUGH THE COMMUNITY.THE MISSION OF N.E.W. MENTAL HEALTH CONNECTION (NEWMHC) IS TO CONNECT COMMUNITY STAKEHOLDERS AND RESOURCES TO IMPROVE THE MENTAL HEALTH OF OUR COMMUNITY. THE NEWMHC HAS SEVERAL COMMITTEES WORKING TO INCREASE ACCESS AND NAVIGATION OF MENTAL HEALTH SERVICES IN THE FOX CITIES FOR CONSUMERS AND THEIR FAMILIES.THE WISCONSIN STATEWIDE MEDICAL HOME INITIATIVE (WISMHI) IS FUNDED BY CHILDREN'S HOSPITAL AND THE WISCONSIN DEPARTMENT OF HEALTH SERVICES, DIVISION OF PUBLIC HEALTH, CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS PROGRAM THROUGH THE MATERNAL AND CHILD HEALTHTITLE V SERVICES BLOCK GRANT. THE PURPOSE OF WISMHI IS TO PROMOTE THE CONCEPTS OF MEDICAL HOME FOR PRIMARY CARE PROVIDERS, FAMILIES AND SERVICE PROVIDERS THROUGHOUT WISCONSIN. THE MEDICAL HOME CONCEPT IS A TEAM-BASED APPROACH TO HEALTH CARE. THE TEAM IS LED BY A PHYSICIAN, PHYSICIAN ASSISTANT OR NURSE PRACTITIONER WHO PROVIDES COMPREHENSIVE AND CONSISTENT MEDICAL CARE TO PATIENTS WITH THE GOAL OF OBTAINING THE BEST HEALTH OUTCOMES. TRAINING, TECHNICAL ASSISTANCE AND RESOURCES ARE PROVIDED TO SUPPORT MEDICAL HOME IMPLEMENTATION WITH A FOCUS IN THE AREAS OF EARLY IDENTIFICATION OF DEVELOPMENTAL CONCERNS IN THE PRIMARY CARE PRACTICE AND COORDINATION OF CARE AND SERVICES, INCLUDING THOSE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS.PRIORITY #2HEALTHY DEVELOPMENT OF ALL YOUTHCHW-FOX VALLEY PARTICIPATES IN THE WEIGHT OF THE FOX VALLEY SUMMIT TO ENGAGE COMMUNITY STAKEHOLDERS IN UNDERSTANDING THE CAUSES AND CONSEQUENCES OF OBESITY. THOSE INVITED TO THIS SUMMIT INCLUDE COMMUNITY LEADERS FROM ALL SEGMENTS OF THE COMMUNITY, INCLUDING SCHOOLS, MEDICAL CLINICS, DENTAL CLINICS, HEALTH CARE SYSTEMS, INSURANCE PROVIDERS, RESTAURANTS, GROCERY STORIES AND COMMUNITY ORGANIZATIONS.THE GOALS OF THE SUMMIT ARE TO EDUCATE THE COMMUNITY ON THE CAUSES, IMPACT AND COMPLEXITY OF OBESITY IN THE FOX VALLEY, BUILD AND ENHANCE CAPACITY TO DEAL WITH THE ISSUE OF OBESITY BY BRINGING PEOPLE TOGETHER, AND DEFINE INITIAL STEPS TO ADDRESS THE ISSUE OF OBESITY IN THE FOX VALLEY.CHILDREN'S HOSPITAL OPERATES THE TREATMENT FOSTER CARE (TFC) PROGRAM STATEWIDE. THE GOAL OF THIS PROGRAM IS TO RECRUIT, SCREEN, LICENSE AND TRAIN FOSTER PARENTS TO PROVIDE HOME-BASED CARE FOR CHILDREN AND ADOLESCENTS WITH MORE SIGNIFICANT EMOTIONAL, BEHAVIORAL, PHYSICAL OR MEDICAL NEEDS. CHILDREN AND YOUTH OF ALL AGES ARE REFERRED TO TFC, ALTHOUGH MOST CHILDREN ARE 10 YEARS OF AGE OR OLDER. MANY OF THE CHILDREN HAVE HAD MULTIPLE PLACEMENTS, ARE LEAVING THEIR CURRENT PLACEMENT, OR ARE AT RISK OF ENTERING A MORE RESTRICTIVE SETTING SUCH AS A GROUP HOME OR INSTITUTION.IN 2015, CHILDREN'S HOSPITAL HAD 12 LICENSED TREATMENT FOSTER CARE HOMES IN THE FOX VALLEY REGION AND HAD 9 PLACEMENTS.PRIORITY #3LIFESTYLE AND HEALTHCHILDREN'S HOSPITAL PARTICIPATES ON THEDACARE'S COMMUNITY HEALTH ACTION TEAM (CHAT), A DIVERSE GROUP OF 25 LEADERS FROM ALL SECTORS OF THE COMMUNITY - INCLUDING EDUCATION, GOVERNMENT, BUSINESS AND NONPROFITS AND HEALTH CARE ORGANIZATIONS - THAT COMES TOGETHER TO UNDERSTAND LOCAL HEALTH ISSUES. CHAT BRINGS TOGETHER DIVERSE GROUPS OF PEOPLE TO STUDY PROBLEMS FIRSTHAND THROUGH "PLUNGES," WHICH ARE DAYLONG EVENTS THAT GATHER PEOPLE MOST AFFECTED BY OR INVOLVED IN SOLVING AN ISSUE. WHETHER ATTEMPTING CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 16I: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO CHILDREN'S HOSPITAL. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 16I: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AT LEAST 3 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AT LEAST 3 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT CHILDREN'S HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS'S REGULATIONS AND IS BASED ON CHILDREN'S HOSPITAL'S OVERALL MEDICARE, MEDICAID, AND COMMERCIAL REIMBURSEMENT RATE. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT CHILDREN'S HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS REGULATIONS AND IS BASED ON CHILDREN'S HOSPITAL'S OVERALL MEDICARE, MEDICAID, AND COMMERCIAL REIMBURSEMENT RATE. PART V, SECTION B, LINE 11: PRIORITY #3: INFANT MORTALITYCHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S COMMUNITY HEALTH PLAN, INC., OFFERS A HEALTHY MOM HEALTHY BABY PROGRAM WHICH PROVIDES CARE COORDINATION SERVICES TO PREGNANT MEMBERS OF CHILDREN'S COMMUNITY HEALTH PLAN. AN OUTREACH ATTEMPT IS MADE TO EVERY PREGNANT WOMAN, AND PRENATAL CARE COORDINATION IS OFFERED IN MILWAUKEE COUNTY. AS A PART OF THE PROGRAM, INCENTIVES ARE USED TO KEEP MEMBERS ENGAGED IN THEIR MEDICAL CARE. MEMBERS ARE FOLLOWED IN THE PROGRAM THROUGH THE POSTPARTUM PERIOD. OTHER AREAS OF FOCUS INCLUDE BREASTFEEDING, SMOKING CESSATION, SAFE HOME ENVIRONMENT AND SAFE SLEEP PRACTICES FOR BABY, COUNSELING FOR ALCOHOL AND DRUG USE AND CREATING ACCESS FOR DENTAL CARE. THE HEALTHY MOM HEALTHY BABY PROGRAM HAS AN INCREASED FOCUS ON THE PERIOD OF TIME BETWEEN PREGNANCIES FOR WOMEN TO PROVIDE EDUCATION TO WOMEN ON THE IMPORTANCE OF PREGNANCY SPACING, KEEPING CURRENT WITH MEDICAL AND DENTAL CHECKUPS, HEALTHY EATING AND GETTING REGULAR EXERCISE.THE MEDICAL HOME PILOT IS A COLLABORATIVE EFFORT WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES TO DETERMINE IF PREGNANT WOMEN ENROLLED IN THE PILOT WILL HAVE IMPROVED BIRTH OUTCOMES. CHILDREN'S HOSPITAL RECRUITED SEVERAL HEALTH CARE PROVIDERS TO PARTICIPATE IN THE MEDICAL HOME PILOT:- COLUMBIA/ST. MARY'S FAMILY PRACTICE CLINIC- LIFE TIME OB/GYN- ST. JOSEPH'S FAMILY PRACTICE CLINIC- WAUKESHA FAMILY PRACTICE CLINIC- SIXTEENTH STREET COMMUNITY HEALTH CENTER- ST. JOSEPH'S OUTPATIENT CENTER- FROEDTERT EAST OB RESIDENCY CLINIC- AURORA MIDWIFERY CLINIC- PROGRESSIVE- MILWAUKEE HEALTH SERVICES- MARQUETTE NEIGHBORHOOD HEALTH CENTERREFERRALS TO THE MEDICAL HOME PILOT PROGRAM ARE MADE BY THE "MEDICAL HOME" SITE OR FROM CHILDREN'S COMMUNITY HEALTH PLAN.CARE COORDINATORS HAVE BEEN ASSIGNED AS LIAISONS TO EACH MEDICAL HOME SITE. LIAISONS ARE SOCIAL WORKERS OR NURSES THAT ASSIST THE STAFF AT THE MEDICAL HOME SITES TO MEET THE NEEDS OF THE MEMBERS AND THE MEDICAL HOME SITE. THE CARE COORDINATORS CAN ALSO PROVIDE PRENATAL CARE COORDINATION SERVICES TO THE MEMBERS IF THE SERVICES ARE NOT AVAILABLE AT THE MEDICAL HOME SITE. THE PROGRAM HAS ACHIEVED AN 83% RATE OF FULL TERM BIRTHS WITH 94% SUCCESS IN ENROLLING THE FAMILY IN THE WIC PROGRAM AND 96% IMMUNIZATION COMPLIANCE.PRIORITY #4: SEXUAL HEALTHCHILDREN'S HOSPITAL'S PREGNANCY COUNSELING AND RESOURCES SPECIALIZE IN PROVIDING FREE QUALITY PREGNANCY COUNSELING FOR ADOLESCENTS AND YOUNG ADULTS UP TO 24 YEARS OF AGE. THE PROGRAM EXTENDS TO PARTNERS, PARENTS, OTHER FAMILY MEMBERS AND SOCIAL SUPPORTS. THE PROGRAM PROVIDES ACCURATE AND AGE-APPROPRIATE EDUCATION ON TEENAGE PREGNANCY AND PROMOTES HONEST COMMUNICATION BETWEEN ADULTS AND ADOLESCENTS.CHILDREN'S HOSPITAL OPERATES THE HEALTHY KIDS, HEALTHY CHOICES PROGRAM TO EDUCATE YOUTH IN OUT-OF-HOME CARE AND FOSTER AND CHILD WELFARE STAFF ABOUT TEEN PREGNANCY PREVENTION. THIS PROGRAM HELPS TO INCREASE THE CHOICES AVAILABLE TO TEENS AND HELPS THEM RECOGNIZE THE BENEFITS OF MAKING CHOICES THAT ARE MORE LIKELY TO LEAD TO POSITIVE OUTCOMES. YOUTH, AGES 11 TO 18, ARE PROVIDED COMPREHENSIVE REPRODUCTIVE HEALTH EDUCATION INCLUDING INFORMATION ON SEXUALLY TRANSMITTED INFECTIONS, CONTRACEPTION AND HIV PREVENTION. ADDITIONALLY, CAREGIVERS, CASEWORKERS, CHILD WELFARE STAFF AND FOSTER PARENTS ARE EQUIPPED WITH EVIDENCE-BASED CURRICULUM THAT ASSIST THEM WITH ADDRESSING SEXUAL AND REPRODUCTIVE HEALTH WITH YOUTH IN THEIR CARE.PRIORITY #5: COMMUNITY AND HOME SAFETYCHILDREN'S HOSPITAL'S CHILD PROTECTION CENTER PROVIDES ASSESSMENTS TO CHILDREN WHO MAY HAVE BEEN HARMED. THE GOAL OF THE CENTER IS TO PROTECT CHILDREN FROM ABUSE AND PROVIDE RESOURCES TO HELP THEM HEAL. IN ADDITION TO PROVIDING CASE REVIEWS, EXPERT COURT TESTIMONY AND PROFESSIONAL CONSULTATIONS, THE CHILD PROTECTION CENTER PROVIDES CHILD ABUSE ASSESSMENT, INCLUDING A COMPLETE MEDICAL EXAMINATION AND AN INTERVIEW WITH A SOCIAL WORKER SPECIALLY TRAINED TO WORK WITH TRAUMATIZED KIDS. ALL WORK IS CAREFULLY DOCUMENTED ON VIDEOTAPE OR DVD TO MEET JUDICIAL STANDARDS. FOLLOWING ASSESSMENT, CENTER STAFF MEMBERS REFER SUSPECTED VICTIMS OF ABUSE TO COUNSELORS, MEDICAL DOCTORS AND PSYCHIATRIC AND DEVELOPMENTAL REHABILITATION SPECIALISTS WHO CAN HELP THEM RECOVER. THE CENTER PROVIDES ONGOING TRAINING TO LAW ENFORCEMENT OFFICERS, SOCIAL WORKERS, PHYSICIANS, NURSE AND OTHER PROFESSIONALS IN THE MILWAUKEE AREA, AND FACILITATES THE SHARING OF RESEARCH IN INVESTIGATIVE TECHNIQUES.THE GOAL OF CHILDREN'S HOSPITAL'S ACT NOW! PROGRAM IS TO REDUCE BULLYING IN SCHOOLS THROUGH PREVENTION EDUCATION FOCUSED ON THE BYSTANDER, INCLUDING STUDENTS, TEACHERS, STAFF AND SCHOOL ADMINISTRATORS. THE ANTICIPATED IMPACT OF THIS PROGRAM INCLUDES LONG-TERM REDUCTION IN BULLYING AND VIOLENCE; MORE TIME SPENT ON LEARNING, RESULTING IN INCREASED ACHIEVEMENT; IMPROVED STUDENT ATTENDANCE; AND AN INCREASE IN THE NUMBER OF SCHOOLS PARTICIPATING IN BULLYING PREVENTION. AFTER PARTICIPATING IN ACT NOW!, ONE MILWAUKEE PUBLIC SCHOOL HAD A 57.2 PERCENT REDUCTION IN STUDENTS WHO REPORTED BULLYING ANOTHER STUDENT AND A 31.4 PERCENT REDUCTION IN STUDENTS WHO REPORTED BEING BULLIED. DURING THE 2015-16 SCHOOL, ACT NOW! REACHED OVER 45,000 STUDENTS IN MILWAUKEE.CHILDREN'S HOSPITAL'S VISITATION CENTER IS A PROGRAM DESIGNED TO ENSURE SAFE CONTACT BETWEEN PARENTS AND THEIR CHILDREN AND TO MEET THE NEEDS OF CHILDREN AND THEIR SEPARATED OR DIVORCED PARENTS. THE CENTER IS DESIGNED FOR PARENTS WHO NEED A NEUTRAL, COMFORTABLE PLACE TO VISIT OR TRANSFER THEIR CHILDREN, WITH THE GOAL OF ELIMINATING OR REDUCING TRAUMA AND HARM TO THE CHILDREN. A COMPLETE PHYSICAL IS PROVIDED FOR ALL CHILDREN ENTERING A FOSTER-CARE ENVIRONMENT IN MILWAUKEE COUNTY. FOSTER CARE HEALTH SCREENING AIMS TO DOCUMENT RECENT SIGNS OF ABUSE/NEGLECT, ENSURE CHILDREN RECEIVE QUALITY, CONSISTENT AND TIMELY HEALTH EVALUATIONS, ENCOURAGE AND SUPPORT CHILDREN RECEIVING ONGOING QUALITY HEALTH CARE, AND IMPROVE THE HEALTH OF CHILDREN IN FOSTER CARE.PROJECT UJIMA WORKS TO STOP THE CYCLE OF VIOLENT CRIMES BY REDUCING THE NUMBER OF REPEAT VICTIMS OF VIOLENCE THROUGH INDIVIDUAL, FAMILY AND COMMUNITY INTERVENTIONS AND PREVENTION STRATEGIES. THE PROJECT PROVIDES FOR HOSPITAL-BASED AND HOME-BASED SERVICES TO VICTIMS OF VIOLENCE. COMMUNITY-BASED SERVICES, INCLUDING MENTORING, YOUTH DEVELOPMENT, FAMILY AND YOUTH SUPPORT GROUPS, GANG INTERVENTIONS, JOB PREPAREDNESS AND ADVOCACY TO ADDRESS LEGAL, EDUCATION AND HOUSING ISSUES ARE ALSO OFFERED. THE PROGRAM ALSO PROVIDES COMMUNITY AND PROFESSIONAL EDUCATION ABOUT YOUTH VIOLENCE, INCLUDING SEMINARS ON YOUTH VIOLENCE AND YOUTH DEVELOPMENT, AND SUPPORT OF COMMUNITY-BASED ACTIVITIES, FORUMS AND DEBRIEFING.SAFE KIDS WISCONSIN, LED BY CHILDREN'S HOSPITAL, IS A MEMBER OF SAFE KIDS WORLDWIDE, A GLOBAL NETWORK OF ORGANIZATIONS DEDICATED TO PREVENTING ACCIDENTAL INJURY. SAFE KIDS WISCONSIN IS ONE OF MORE THAN 300 GRASS-ROOTS COALITIONS IN THE U.S., INCLUDING THE DISTRICT OF COLUMBIA AND PUERTO RICO, THAT BRING TOGETHER HEALTH AND SAFETY EXPERTS, EDUCATORS, CORPORATIONS, FOUNDATIONS, GOVERNMENTS AND VOLUNTEERS TO EDUCATE AND PROTECT FAMILIES. SAFE KIDS WISCONSIN AND ITS COALITIONS PARTICIPATE IN THE FOLLOWING: CAR SEAT RECYCLE DAY, CHILD PASSENGER SAFETY AND SAFETY IN AND AROUND CARS (SAFE KIDS BUCKLE UP), FIRE AND CARBON MONOXIDE SAFETY (DELIVERING FIRE PREVENTION), PEDESTRIAN SAFETY (SAFE KIDS WALK THIS WAY), SAFE KIDS DAY, SAFE INFANT SLEEP (CRIBS FOR KIDS), WATER SAFETY EDUCATION, AND WHEELED SPORTS SAFETY. 6 1 - CHILD ADVOCACY CENTER - FOX VALLEY 325 N COMMERCIAL ST SUITE 400 NEENAH WI 54956 PATIENT CARE SERVICES 2 - CHILD ADVOCACY CENTER - RACINE 8800 WASHINGTON AVE MOUNT PLEASANT WI 53406 PATIENT CARE SERVICES 3 - CHILD ADVOCACY CENTER - WAUKESHA 726 N EAST AVE WAUKESHA WI 53186 PATIENT CARE SERVICES 4 - DOWNTOWN HEALTH CENTER 1020 N 12TH ST MILWAUKEE WI 53233 URBAN HEALTH CENTER 5 - CHILD ADVOCACY CENTER - WALWORTH CTY W4063 HWY NN ELKHORN WI 53121 PATIENT CARE SERVICES 6 - CHILD ADVOCACY CENTER - GREEN BAY 503 S MONROE AVE GREEN BAY WI 54301 PATIENT CARE SERVICES PART I, LINE 3C: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHILDREN'S HOSPITAL") USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY AT BOTH OF ITS HOSPITAL SITES. CHILDREN'S HOSPITAL IS DEDICATED TO ENSURING THAT PATIENTS RECEIVE ALL MEDICALLY NECESSARY CARE. IN FURTHERANCE OF THAT OBJECTIVE, CHILDREN'S HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY ("FAP"), PURSUANT TO WHICH CHILDREN'S HOSPITAL PROVIDES DISCOUNTED OR FREE CARE TO PATIENTS WHO ARE UNINSURED OR OTHERWISE UNABLE TO PAY ALL OR A PORTION OF THEIR BILLED CHARGES. THE POLICY GENERALLY PROVIDES THAT ELIGIBILITY IS DETERMINED BASED ON HOUSEHOLD INCOME AND FAMILY SIZE, AND SPECIFICALLY INCORPORATES CRITERIA SET FORTH UNDER THE FEDERAL POVERTY GUIDELINES. PART I, LINE 6A: CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE SOLE CORPORATE MEMBER OF CHILDREN'S HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF BOTH OF THE HOSPITALS AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON CHILDREN'S HOSPITAL'S WEBSITE OR UPON REQUEST. PART I, LINE 7: CHILDREN'S HOSPITAL USED A COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A AND 7B FOR CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. FOR LINES 7E, 7F, 7G, 7H, AND 7I, THE HOSPITAL USED COSTS FROM ITS ACCOUNTING SYSTEM. FOR LINE 7G, THE COSTS FROM THE ACCOUNTING SYSTEM WERE ADJUSTED FOR MEDICAID, MEDICARE, AND CHARITY CARE PATIENTS, AS THE COST RELATED TO THESE PATIENTS WAS TAKEN INTO ACCOUNT IN LINES 7A AND 7B. THE WISCONSIN MEDICAID PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED OR UNDERINSURED. HOSPITAL REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND THE AVAILABILITY OF STATE AID AND TO ASSIST THEM IN ENROLLING IN THE PROGRAM THAT PROVIDES THE PATIENT WITH THE GREATEST BENEFIT. FOR THAT REASON, THE AMOUNT OF CHARITY CARE RENDERED BY THE HOSPITAL IS CONSIDERABLY SMALLER THAN LEVELS EXPERIENCED BY COMMUNITY HOSPITALS OR OTHER FACILITIES SERVING THE ADULT POPULATION. PART I, LINE 7G: IN MILWAUKEE, CHILDREN'S HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $2,361,405 PAID TO CHILDREN'S MEDICAL GROUP, INC. ("CMG"), WHICH IS A SECTION 501(C)(3) ORGANIZATION AND AN AFFILIATE OF THE HOSPITAL THAT PROVIDES PRIMARY CARE PHYSICIAN SERVICES IN SOUTHEASTERN WISCONSIN. THE PAYMENTS WERE MADE TO SUBSIDIZE THE NEXT DOOR PEDIATRIC CLINIC AND OTHER CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED.IN THE FOX VALLEY, CHILDREN'S HOSPITAL INCLUDED $246,550 PAID TO CATALPA TO SUBSIDIZE MENTAL HEALTH SERVICES. CATALPA IS A NON-PROFIT MENTAL HEALTH PROVIDER THE HOSPITAL OWNS JOINTLY WITH TWO AREA ADULT HOSPITAL SYSTEMS. PART II, COMMUNITY BUILDING ACTIVITIES: CHILDREN'S HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS FOR CHILDREN, SUCH AS POVERTY AND ENVIRONMENTAL ISSUES. THESE COMMUNITY-BUILDING ACTIVITIES INCLUDE STAFF PARTICIPATION ON COMMUNITY BOARDS, COALITIONS AND/OR COMMITTEES THAT ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. CHILDREN'S HOSPITAL PROVIDES SUPPORT TO MANY PROGRAMS THAT HELP COMMUNITY MEMBERS KEEP THEIR CHILDREN AND FAMILIES HEALTHY. EXAMPLES INCLUDE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THE SOUTHEAST AND NORTHEAST REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, AND A FREE GUARDIANSHIP CLINIC. CHILDREN'S HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO ITS PARENT, CHILDREN'S HOSPITAL AND HEALTH SYSTEM ("CHHS"), TO SUPPORT THE SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION.CHILDREN'S HOSPITAL STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A STATEWIDE COALITION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE IS GUIDED BY A STATEWIDE 28-MEMBER ADVISORY BOARD AND PARTNERS WITH HUNDREDS OF ORGANIZATIONS AND INDIVIDUALS TO RAISE AWARENESS OF CHILD HEALTH CONCERNS, MOBILIZE LEADERS, IMPACT PUBLIC HEALTH, AND IMPLEMENT PROGRAMS PROVEN TO WORK. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A WISCONSIN DEPARTMENT OF HEALTH SERVICES MATERNAL CHILD HEALTH GRANT, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER PUBLIC AND PRIVATE FUNDING. THE ALLIANCE IS FINANCIALLY SUPPORTED BY CHILDREN'S HOSPITAL THROUGH STAFF AND OTHER RESOURCES TO CARRY ON THE ALLIANCE'S PROGRAMS. THE ALLIANCE'S KEY INITIATIVES ARE: ASTHMA, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, LEAD POISONING, ORAL HEALTH COALITION, AND REACH OUT AND READ PROGRAM. THE ALLIANCE LEADS AND MANAGES THE INFANT DEATH CENTER, REACH OUT AND READ WISCONSIN COALITION, WISCONSIN ASTHMA COALITION, AND THE WISCONSIN ORAL HEALTH COALITION. CHILDREN'S HOSPITAL ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. IT IS 1 OF 5 REGIONAL CENTERS DEDICATED TO SUPPORTING FAMILIES WITH CHILDREN WHO HAVE SPECIAL HEALTH CARE NEEDS AND THE PROVIDERS WHO CARE FOR THEM. IT IS FUNDED THROUGH A TITLE 5 MATERNAL AND CHILD HEALTH BLOCK GRANT, EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDING STAFF AND OTHER PROGRAM EXPENSES, AND CHARITABLE DONATIONS. FAMILIES AND PROVIDERS CAN CALL THE CENTER FOR INFORMATION, REFERRAL AND PROBLEM-SOLVING RELATED TO COMMUNITY AND STATE SERVICES, HEALTH BENEFITS ASSISTANCE, TRANSITION PLANNING, AND EMOTIONAL SUPPORT. EACH YEAR THE STAFF OFFERS TRAINING SUCH AS "CARE IN THE COMMUNITY AND OTHER SESSIONS THAT FOCUS ON YOUTH TRANSITIONS. STAFF ALSO PARTICIPATE IN NUMEROUS COMMUNITY INITIATIVES AND PARTNER WITH AREA PEDIATRICIANS AND OTHER HEALTH CARE PROVIDERS TO INCORPORATE EARLY IDENTIFICATION AND SCREENING METHODS INTO THEIR PRACTICES. IN 2015, STAFF SHARED THEIR EXPERTISE, LEADERSHIP AND TECHNICAL ASSISTANCE WITH MORE THAN 18 COMMUNITY AGENCIES AND COMMITTEES, WHICH INCLUDE SOUTHEAST REGION AUTISM CORE TEAM, MILWAUKEE COUNTY COMMISSION FOR PERSONS WITH DISABILITIES, PATIENT AT RISK, WISCONSIN CHILDREN'S LONG-TERM CARE ADVISORY COMMITTEE AND MANY MORE. THE CENTER SERVES EIGHT COUNTIES. IN THE FOX VALLEY, CHILDREN'S HOSPITAL ALSO SUPPORTS THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, WHICH PROVIDES SIMILAR SERVICES TO THE SOUTHEAST CENTER DESCRIBED ABOVE WITH A FOCUS ON COUNTIES IN WISCONSIN'S FOX VALLEY. ADDITIONALLY, ONE OF THE NEEDS IDENTIFIED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE FOX VALLEY WAS ACCESS TO MENTAL HEALTH CARE SERVICES. THEREFORE, CHILDREN'S HOSPITAL, ALONG WITH AFFINITY HEALTH SYSTEM AND THEDACARE, CREATED AN ORGANIZATION CALLED CATALPA HEALTH TO PROVIDE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES IN THE FOX VALLEY. CHILDREN'S HOSPITAL'S PARENT ORGANIZATION, CHHS, ALSO PERFORMS COMMUNITY-BUILDING ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WHICH ARE FURTHER DISCUSSED IN SCHEDULE H PART VI, LINE 6. PART III, LINE 2: THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS CHILDREN'S HOSPITAL'S BAD DEBT EXPENSE INCLUDED AS A REDUCTION OF PATIENT REVENUE, AND IS THE SUM OF ALL OF THE UNCOLLECTED PATIENT ACCOUNT BALANCES SENT TO THIRD PARTY COLLECTIONS, REDUCED BY ACTUAL RECOVERIES, REDUCED BY ANY ACCOUNTS RETURNED TO THE HOSPITAL BY THE THIRD PARTY COLLECTION AGENCY, AND INCREASED BY AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS WHEN APPLICABLE. THE AMOUNT DOES NOT INCLUDE DISCOUNTS PROVIDED UNDER THE HOSPITAL'S FAP, INCLUDING DISCOUNTS PROVIDED TO SELF-PAY ACCOUNTS, WHICH ARE ALSO REPORTED AS A REDUCTION OF PATIENT REVENUE. PART III, LINE 4: CHILDREN'S HOSPITAL'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. SEE PAGES 26-27 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: CHILDREN'S HOSPITAL USED ITS FILED MEDICARE COST REPORT TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED ON PART III, SECTION B. AS A CHILDREN'S HOSPITAL, THE HOSPITAL HAS A SMALL POPULATION OF MEDICARE PATIENTS AND IS NORMALLY PAID LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE MEDICARE SURPLUS IN 2015 RESULTED FROM TIMING OF YEAR END REPORTING VERSUS THE FILING OF THE 2015 COST REPORT. PAYMENTS RECEIVED IN 2015 WERE BASED ON AN INTERIM RATE WHICH WAS HIGHER THAN ACTUAL COST DUE TO LOW VOLUMES. THE SURPLUS WAS PAID BACK IN 2016 WHEN THE COST REPORT WAS FILED. PART III, LINE 9B: AT ALL LOCATIONS UNDER CHILDREN'S HOSPITAL'S POLICIES AND PROCEDURES, CHILDREN'S HOSPITAL UNDERTAKES EXTENSIVE MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, CHILDREN'S HOSPITAL AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE MEDICAID PROGRAM. IN CASES WHERE MEDICAID COVERAGE IS NOT AVAILABLE, CHILDREN'S HOSPITAL SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHILDREN'S HOSPITAL'S FAP. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, HOSPITAL PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES; SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNTS DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS' ELIGIBILITY FOR FINANCIAL ASSISTANCE CANNOT BE DETERMINED DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION. IN SUCH CASES, CHILDREN'S HOSPITAL FOLLOWS AN ESTABLISHED MULTI-STEP PROCESS IN AN EFFORT TO REACH THE FAMILY AND PROVIDE THEM WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE PROGRAM. ACCOUNTS ARE SENT TO COLLECTIONS ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN WITHOUT SUCCESS. PART VI, LINE 2: IN MILWAUKEE AND THE FOX VALLEY, THE HOSPITALS, IN COLLABORATION WITH A TEAM OF OTHER HOSPITAL SYSTEMS, HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY STAKEHOLDERS OR OTHER HEALTH PROFESSIONALS, HAS DEVELOPED A COMMUNITY NEEDS ASSESSMENT SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, CHW-MILWAUKEE CONDUCTED COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN CERTAIN HISTORICALLY UNDERSERVED NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHW-MILWAUKEE WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY. IN ADDITION, CHW-MILWAUKEE USED SECONDARY DATA SUCH AS THE WISCONSIN FAMILY HEALTH SURVEY, COUNTY HEALTH RANKING REPORT AND THE WISCONSIN HEALTHIEST PEOPLE 2020 TO ASSESS THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: AS INDICATED ABOVE, CHILDREN'S HOSPITAL WORKS CLOSELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AND ENROLL IN MEDICAL ASSISTANCE PROGRAMS AVAILABLE THROUGH THE STATE OF WISCONSIN, AND WHERE APPROPRIATE, FEDERAL PROGRAMS. WHEN SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER CHILDREN'S HOSPITAL'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON CHILDREN'S HOSPITAL'S WEBSITE AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND CHILDREN'S HOSPITAL'S TRAINED FINANCIAL SERVICES COUNSELORS AND SOCIAL WORKERS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. PART VI, LINE 4: CHILDREN'S HOSPITAL PROVIDES CARE TO CHILDREN FROM URBAN, RURAL, AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, ETHNICITY, INCOME, DISABILITY, OR COUNTRY OF ORIGIN AT BOTH OF ITS HOSPITAL SITES. CHILDREN'S HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEASTERN WISCONSIN, BUT TREATS PATIENTS FROM THE ENTIRE STATE OF WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS, AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF CHILDREN'S HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2015 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID. PART VI, LINE 5: THE HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF AT BOTH HOSPITAL SITES, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTH CARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, THE HOSPITAL OFFERS CLINICS IN THE CENTRAL, DOWNTOWN AND SOUTHWEST PART OF THE CITY. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY AND KENOSHA AREAS. IN RESPONSE TO FEEDBACK FROM THE COMMUNITY GAINED THROUGH LISTENING SESSIONS, THE HOSPITAL, THROUGH ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, OFFERS TWO ADDITIONAL CLINICS IN AREAS OF THE CENTRAL CITY PREVIOUSLY LACKING PRIMARY CARE THAT NOW SERVE CHILDREN AND THEIR CAREGIVERS.THE HOSPITAL FUNDS SCHOOL-BASED HEALTH CENTERS IN NINE (WITH A 10TH STARTING IN 2017) MILWAUKEE PUBLIC SCHOOLS IN UNDERSERVED AREAS. THESE CENTERS PROVIDE PREVENTIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AREAS THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2015, THERE WERE 21,282 SCHOOL-BASED NURSE ENCOUNTERS, WHICH INCLUDED 883 VISION SCREENINGS.CHILDREN'S HOSPITAL OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TO MENTAL HEALTH PROVIDERS. WE HAVE PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. OUR COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES.CHILDREN'S HOSPITAL OF WISCONSIN'S EDUCATION ARM, COMMUNITY HEALTH, EDUCATES CHILDREN AND FAMILIES REGARDING A WIDE RANGE OF ISSUES IMPACTING THE HEALTH AND SAFETY OF CHILDREN. RESOURCES AND PROGRAMS ARE AVAILABLE FOR CHILDREN, PARENTS, TEACHERS, AND CAREGIVERS TO HELP KEEP WISCONSIN'S CHILDREN HEALTHY AND SAFE. ONLINE LEARNING PROGRAMS ARE A RESOURCE FOR TEACHERS TO USE IN THEIR CLASSROOMS TO DELIVER AN OUTCOMES-BASED HEALTH CURRICULUM TO STUDENTS IN GRADE K5-8. COMMUNITY HEALTH'S INJURY PREVENTION TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS. THEY ALSO DELIVER IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. IN 2015, COMMUNITY HEALTH CONTINUED ITS PARTNERSHIP WITH KOHL'S CORPORATION ON A WEBSITE/MOBILE APP/TOUR RELATED TO INJURY PREVENTION IN THE HOME CALLED KOHL'S CARES GROW SAFE AND HEALTHY PROGRAM. THE PROGRAM IS DESIGNED TO MAKE WISCONSIN KIDS AND FAMILIES AWARE OF SAFETY RISKS IN AND OUT OF THEIR HOMES, AND THE NECESSARY STEPS TO HELP AVOID INJURY. THE HOSPITAL'S CAR SEAT CLINIC IS COLLABORATION BETWEEN THE HOSPITAL, ITS INJURY PREVENTION PROGRAM, SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION. IT OFFERS CAR SEAT CLINICS IN TWO LOCATIONS NEAR THE MILWAUKEE HOSPITAL CAMPUS AND DOWNTOWN MILWAUKEE. TRAINED CHILD PASSENGER SAFETY TECHNICIANS MAKE CERTAIN THAT INFANT AND TODDLER CAR SEATS AND BOOSTER SEATS ARE INSTALLED CORRECTLY AND ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILDREN USING THEM. THE PROGRAM ALSO PROVIDES LOW-COST OR FREE CAR OR BOOSTER SEATS FOR FAMILIES IN NEED.THE WISCONSIN POISON CENTER, WHICH IS STAFFED BY REGISTERED NURSES SUPPORTED BY M.D. TOXICOLOGISTS 24 HOURS A DAY, 365 DAYS A YEAR, PROVIDES IMMEDIATE AND AUTHORITATIVE PHONE CONSULTATION IN CASES OF ACCIDENTAL OR INTENTIONAL POISONING IN ADULTS AND CHILDREN FOR PATIENTS AND HOSPITALS ACROSS WISCONSIN. THE CENTER ALSO HAS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS ALERTING PEOPLE TO SPECIFIC TOXIC DANGERS. THESE INCLUDE HOSPITAL GRAND ROUNDS LECTURES FOR PHYSICIANS, TRAINING FOR EMERGENCY MEDICAL TECHNICIANS, BABY SITTER WORKSHOPS, AND PRESCHOOL POISON PREVENTION EDUCATION. THE POISON CENTER ALSO TRIAGES CALLS FOR MPOWER, AN ALCOHOL AND DRUG CRISIS LINE FOR TEENS. PROJECT ADAM (AUTOMATIC DEFIBRILLATORS IN ADAM'S MEMORY) IS A PROGRAM OF THE HOSPITAL COMMITTED TO MAKING AUTOMATED EXTERNAL DEFIBRILLATORS UNIVERSALLY AVAILABLE TO ALL CHILDREN AND ADOLESCENTS BY BEING A NATIONAL RESOURCE FOR IMPLEMENTING PEDIATRIC PUBLIC ACCESS DEFIBRILLATION PROGRAMS IN SCHOOLS. IT IS ALSO WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. SINCE THE PROGRAM BEGAN, THE HOSPITAL HAS CELEBRATED MORE THAN 100 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, THE HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, CENTRAL WISCONSIN (WAUSAU), THE FOX VALLEY, AND CHIPPEWA VALLEY (EAU CLAIRE). EACH CENTER IS A SAFE PLACE FOR KIDS WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THE CENTERS BRING TOGETHER A TEAM OF SPECIALLY TRAINED PROFESSIONALS WHO EVALUATE AND INVESTIGATE CASES OF CHILD ABUSE, PROVIDE MEDICAL CARE AND HELP CHILDREN AND THEIR FAMILIES HEAL. THE CENTERS ARE A COLLABORATION OF THE HOSPITAL AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS.IN 2015 (WITH THE GRAND OPENING HAVING TAKEN PLACE IN FEBRUARY 2016), CHW, IN COLLABORATION WITH SOJOURNER, COMPLETED CONSTRUCTION OF THE SOJOURNER FAMILY PEACE CENTER THAT PROVIDES A SINGLE LOCATION FOR SERVICES FOR MILWAUKEE WOMEN AND CHILDREN IMPACTED BY FAMILY VIOLENCE. THE CENTER ALSO PROVIDES SPACE FOR THE DISTRICT ATTORNEY AND MILWAUKEE POLICE DEPARTMENT SENSITIVE CRIMES UNITS TO HELP SUPPORT AND PROTECT THESE VULNERABLE WOMEN AND CHILDREN.THE HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS. THE GOAL IS TO ENSURE FAMILIES HAVE THE BEST POSSIBLE CARE IN AND OUT OF THE HOSPITAL. THE HOSPITAL PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE, WHICH IS LED AND SUPPORTED BY MEDICAL STAFF AT THE HOSPITAL, IS A COALITION THAT WORKS TO REDUCE AND ELIMINATE DISPARITIES IN ASTHMA CARE AND DEVELOP A SUSTAINABLE STRATEGY FOR ASTHMA CONTROL IN THE COMMUNITY. FIGHT ASTHMA MILWAUKEE PROVIDES COMMUNITY-WIDE ASTHMA EDUCATION FOR PARENTS, CAREGIVERS, HEALTH CARE PROFESSIONALS AND SCHOOL STAFF.THE INFANT DEATH CENTER (IDC) IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A HOSPITAL-LED AND STAFFED COALITION. THE CENTER PROVIDES INFORMATION AND SUPPORT TO WISCONSIN FAMILIES AND OTHERS AFFECTED BY THE SUDDEN AND UNEXPECTED DEATH OF AN INFANT. THE IDC STRIVES TO INCREASE HEALTHY BIRTH OUTCOMES AND REDUCE INFANT DEATHS. THE CENTER WORKS TOGETHER WITH OTHER PROFESSIONALS IN OUTREACH, EDUCATION AND INFANT MORTALITY REVIEW PROGRAMS. IN PARTNERSHIP WITH PUBLIC HEALTH SYSTEMS AND NATIONAL INFANT MORTALITY PROGRAMS, THE IDC MAINTAINS INFORMATION THAT ASSISTS IN THE STUDY AND UNDERSTANDING OF THE CAUSES OF INFANT DEATHS. THE INFORMATION IS USED FOR STATISTICAL REPORTING. THE DANIEL M. SOREF FAMILY RESOURCE CENTER LOCATED ON THE FIRST FLOOR OF CHILDREN'S HOSPITAL'S MILWAUKEE CAMPUS OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO HOSPITAL AND COMMUNITY RESOURCES. THE RESOURCE CENTER OFFERS SPIRITUAL CARE, THE KATIE BECKETT PROGRAM, PATIENT RELATIONS, INTERPRETERS, FAMILY ACCOMMODATIONS AND THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. STAFF MEMBERS ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. THE RESOURCE CENTER HAS COMPUTERS, A CONSULT ROOM, BUSINESS CENTER AND OTHER RESOURCES FOR FAMILIES. THE RESOURCE CENTER ALSO HAS A LENDING LIBRARY WITH BOOKS, VIDEOS AND ARTICLES ON A VARIETY OF HEALTH CONDITIONS AND TOPICS. IN 2015, THE FAMILY RESOURCE CENTER SERVED MORE THAN 26,000 VISITORS. CHILDREN'S HOSPITAL OPERATES A FREE GUARDIANSHIP CLINIC, WHICH PROVIDES PARENTS IN NEED WITH PRO BONO LEGAL SERVICES TO SECURE GUARDIANSHIP WHEN THEIR SPECIAL NEEDS CHILD TURNS 18.CHILDREN'S HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE MILWAUKEE HOSPITAL CAMPUS. ADDITIONALLY, CHILDREN'S HOSPITAL CONTINUES TO PARTNER WITH EASTER SEALS ON A PROGRAM PART VI, LINE 6: CHILDREN'S HOSPITAL IS PART OF AN AFFILIATED GROUP OF ORGANIZATIONS UNDER THE CONTROL OF CHHS, WHICH PROVIDES VARIOUS CENTRALIZED ADMINISTRATIVE AND SUPPORTING SERVICES FOR THE HOSPITAL AND ITS AFFILIATES. AMONG THE AFFILIATED ENTITIES, THE HOSPITAL AND CERTAIN OTHER ENTITIES (INCLUDING CHILDREN'S MEDICAL GROUP, INC.) DIRECTLY PROVIDE PROFESSIONAL PEDIATRIC HEALTHCARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN.IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA, CHILDREN'S MEDICAL GROUP (CMG) PARTNERED WITH LOCAL AGENCIES TO OPEN TWO COMMUNITY CLINICS LOCATED IN CENTRAL MILWAUKEE. BOTH CLINICS SERVE PEDIATRIC PATIENTS FROM BIRTH TO 19 YEARS OF AGE AND THEIR ADULT CAREGIVERS. THE CLINICS ARE STAFFED BY ADULT AND FAMILY NURSE PRACTITIONERS AND ARE LOCATED IN AREAS THAT HISTORICALLY HAVE LARGE HEALTH CARE DISPARITIES AND FEW HEALTH CARE OPTIONS. THE CLINICS PROVIDE EASIER ACCESS TO HEALTH CARE FOR PATIENTS IN THESE NEIGHBORHOODS, ENSURING ALL CHILDREN AND THEIR CAREGIVERS HAVE THE NECESSARY SERVICES TO BE HEALTHY AND SAFE. THE CLINICS HAD APPROXIMATELY 2,535 VISITS IN 2015, AND 94 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. A THIRD CLINIC IS LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY. IT PROVIDES BOTH PRIMARY CARE AND DENTAL CARE IN AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. THIS CLINIC HAD APPROXIMATELY 3,614 PRIMARY CARE VISITS AND 4,054 DENTAL VISITS IN 2015. ADDITIONALLY, CMG RUNS THE DOWNTOWN HEALTH CENTER PRIMARY CARE OFFICE. LOCATED IN DOWNTOWN MILWAUKEE, THE MISSION OF THIS CLINIC IS TO IMPROVE HEALTH AND ADVANCE HEALTH EQUITY FOR THE MOST VULNERABLE CHILDREN IN MILWAUKEE THROUGH AN ACADEMIC PRIMARY CARE MEDICAL HOME. ON-SITE SERVICES INCLUDE ACUTE AND CHRONIC CARE, WELL-CHILD EXAMINATIONS, LABORATORY TESTING, AND VISION AND HEARING SCREENINGS. CRIB, CAR SEAT AND BIKE HELMET DISTRIBUTION AND FITTINGS, SAFE-SLEEPING TECHNIQUES, AND GUN-LOCK EDUCATION ARE OTHER SPECIAL CLINIC ACTIVITIES THAT ARE AVAILABLE AT THIS SITE, MOSTLY FREE OF CHARGE. THE CENTER HAD APPROXIMATELY 17,315 VISITS IN 2015 AND 98 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. ADOLESCENTS HAVE ACCESS TO SOCIAL SERVICES, CONTRACEPTIVE MANAGEMENT, FAMILY PLANNING, AND ALCOHOL AND DRUG ABUSE COUNSELING SERVICES. IN ADDITION, CHILDREN'S HOSPITAL PROVIDES SPECIALTY CARE SERVICES INCLUDING DENTAL, PSYCHOLOGICAL AND CHILD PROTECTIVE SERVICES AT THIS DOWNTOWN LOCATION. THE DOWNTOWN HEALTH CENTER ALSO OFFERS FREE LEGAL CONSULTATIONS TO FAMILIES IN COLLABORATION WITH MARQUETTE LAW SCHOOL TO HELP FAMILIES ADDRESS HOUSING, UTILITY, AND OTHER ISSUES THAT IMPACT THEIR CHILD'S HEALTH. THE PRIMARY CARE AND BEHAVIORAL MEDICINE SERVICES AT DOWNTOWN HEALTH CENTER MOVED TO THE NEW MIDTOWN CLINIC, ALSO LOCATED IN MILWAUKEE'S CENTRAL CITY, IN 2016.ANOTHER AFFILIATE OF CHILDREN'S HOSPITAL IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN, DOING BUSINESS AS CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES ("CHW COMMUNITY SERVICES"). THIS SOCIAL SERVICE ORGANIZATION ADDRESSES THE CHALLENGES FACED BY CHILDREN, WHICH OFTEN DIRECTLY IMPACT THEIR PHYSICAL AND MENTAL HEALTH AND WELLBEING. CHW COMMUNITY SERVICES OFFERS CHILD WELLBEING SERVICES IN FOUR CORE AREAS (PUBLIC CHILD WELFARE, CHILD AND FAMILY COUNSELING, OUT-OF-HOME CARE AND PREVENTION SERVICES) FROM LOCATIONS THROUGHOUT WISCONSIN. SERVICES INCLUDE: FINDING LOVING, STABLE HOMES FOR CHILDREN IN NEED OF A FAMILY THROUGH FOSTER CARE AND ADOPTION; REDUCING STRESS AND CONFLICT, ENHANCING PARENTING SKILLS AND STRENGTHENING FAMILY TIES THROUGH TRAUMA-INFORMED MENTAL HEALTH SERVICES COUNSELING; PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE; PROVIDING FOSTER PARENTS WHO ARE CARING FOR CHILDREN WITH SPECIAL MEDICAL OR EMOTIONAL NEEDS WITH A MUCH NEEDED BREAK THROUGH OUR RESPITE CARE PROGRAM; OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP PARENTS DEALING WITH AN UNPLANNED PREGNANCY; PROVIDING INTENSIVE IN-HOME THERAPY TO KEEP CHILDREN SAFE IN THEIR HOMES AND PREVENT OUT-OF-HOME PLACEMENT; ASSISTING YOUNG ADULTS TRANSITIONING OUT OF FOSTER CARE BY GIVING THEM THE SKILLS, TRAINING, GUIDANCE AND SUPPORT ENABLING THEM TO MAKE IT ON THEIR OWN; PROVIDING PARENTS WITH SUPPORT AND GUIDANCE TO HELP THEM BE THE BEST PARENTS THEY CAN BE; AND PROVIDING CHILDREN WHO HAVE BEEN HARMED OR HURT A SAFE PLACE TO GO TO BE INTERVIEWED AND PROVIDING THEM RESOURCES TO HELP THEM HEAL.CHW COMMUNITY SERVICES ALSO RUNS PROJECT UJIMA, A PROGRAM THAT PROVIDES CASE MANAGEMENT, EMOTIONAL SUPPORT AND RESOURCES TO FAMILIES WHOSE CHILDREN HAVE EXPERIENCED INTERPERSONAL COMMUNITY-BASED VIOLENCE OR WHO HAVE LOST A FAMILY MEMBER (OF ANY AGE) TO HOMICIDE IN MILWAUKEE COUNTY.CHHS PERFORMS COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF CHILDREN'S HOSPITAL AND ITS AFFILIATES. IN 2015, THE GOVERNOR SIGNED WISCONSIN'S $72.2 BILLION BIENNIAL BUDGET. CHILDREN'S HOSPITAL FOCUSED MUCH OF OUR ADVOCACY EFFORTS ON THE MEDICAID BUDGET AND SPECIFICALLY THE DISPROPORTIONATE SHARE HOSPITAL PROGRAM (DSH), WHICH WAS FUNDED AND WAS MADE AN ONGOING PROVISION. WE ALSO SUCCESSFULLY ADVOCATED FOR INCREASED FUNDING FOR THE WISCONSIN POISON CONTROL CENTER, IMPROVEMENTS TO THE REPORTING REQUIREMENTS IN THE WISCONSIN IMMUNIZATION REGISTRY (WIR), AND INCREASES IN FUNDING FOR HELP TO VICTIMS OF CHILD SEX-TRAFFICKING. IN ADDITION, CHHS SUCCESSFULLY ADVOCATED FOR SEVERAL PIECES OF PUBLIC POLICY WITH PARTNER ORGANIZATIONS INCLUDING LEGISLATION TO ENSURE THAT ALL YOUTH LEARN BASIC, COMPRESSIONS-ONLY CPR IN HIGH SCHOOL. CHILDREN'S HOSPITAL ALSO SUPPORTED A BILL WHICH CREATES AN EXEMPTION FROM PROSECUTION FOR ANY PERSON THAT FORCIBLY ENTERS A VEHICLE IN ORDER TO SAVE A CHILD FROM DANGER. CHILDREN'S HOSPITAL SUCCESSFULLY ADVOCATED FOR ALLOWING RESPIRATORY CARE PRACTITIONERS (RCP) TO STAFF PEDIATRIC EMERGENCY TRANSPORT BY AIRPLANE. IN MANY CASES, HAVING THE RCP ON THE EMERGENCY TRANSPORT FOR INFANTS AND CHILDREN IS CRITICAL.ON THE FEDERAL LEVEL, CHHS ADVOCATED TO PROTECT MEDICAID PROGRAMS AND EDUCATED OUR DELEGATION ABOUT THE IMPORTANCE OF ACCESS TO AND COVERAGE OF MEDICAL SERVICES FOR PREGNANT WOMEN AND CHILDREN. THIS INCLUDED SUCCESSFULLY ADVOCATING FOR A TWO YEAR EXTENSION OF THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) WHICH IS A CRITICAL SOURCE OF FUNDING FOR HEALTH INSURANCE FOR CHILDREN IN LOW-INCOME HOUSEHOLDS. CHHS ACTIVELY SUPPORTED LEGISLATION TO REQUIRE CONTINUOUS ENROLLMENT UNDER MEDICAID WHICH WOULD REDUCE CHURN AND IMPROVE CONTINUITY OF CARE FOR BENEFICIARIES. CHHS ALSO ADVOCATED FOR, AND EDUCATED CONGRESSIONAL MEMBERS ABOUT THE IMPORTANCE OF, TRAINING FOR PEDIATRIC PHYSICIANS AND PEDIATRIC SPECIALISTS. IN 2015, CHHS ACTIVELY ADVOCATED FOR THE ADVANCING CARE FOR EXCEPTIONAL KIDS ACT (ACE KIDS). THIS BILL IS CHAMPIONED BY THE CHILDREN'S HOSPITAL ASSOCIATION AND SEEKS TO ADVANCE CARE FOR THE SICKEST CHILDREN ON MEDICAID BY ALLOWING STATES THE OPTION OF CREATING CHILDREN'S HOSPITAL NETWORKS FOR CHILDREN WITH MEDICAL COMPLEXITY. CHHS ACTIVELY EDUCATED LAWMAKERS ABOUT THE IMPORTANCE OF FEDERAL PROGRAMS, SUCH AS THE VICTIMS OF CRIME ACT, THAT SUPPORTS FAMILY JUSTICE CENTERS WHICH PROVIDE COMPREHENSIVE HEALTH AND SOCIAL SERVICES TO CHILD AND ADULT VICTIMS OF VIOLENCE. IN 2015, CHHS ALSO WORKED WITH PARTNER ORGANIZATIONS SUCH AS THE CHILDREN'S HOSPITAL ASSOCIATION AND WISCONSIN HOSPITAL ASSOCIATION TO EDUCATE MEMBERS ABOUT THE IMPORTANCE OF THE 340B PROGRAM IN ALLOWING SAFETY-NET HOSPITALS TO EXPAND HEALTH CARE SERVICES IN THE COMMUNITY. FINALLY, CHHS ACTIVELY ADVOCATED AND EDUCATED CONGRESSIONAL MEMBERS ABOUT POLICIES TO PROVIDE EVIDENCE-BASED SERVICES TO VULNERABLE FAMILIES IN ORDER TO PREVENT FOSTER CARE PLACEMENTS. IN ADDITION TO ADVOCACY, CHILDREN'S HOSPITAL'S COMMUNITY SERVICES DIVISION HAS INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT ACKNOWLEDGES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND RECOGNIZES THAT SUCH INFLUENCES MAY HAVE PARTICULARLY DELETERIOUS EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHILDREN'S HOSPITAL IS BRINGING THE FULL SPECTRUM OF THE SYSTEM'S RESOURCES TO BEAR IN THE COMMUNITY ENGAGEMENT EFFORT. BY CONNECTING OUR VAST CLINICAL AND COMMUNITY-BASED RESOURCES - SCHOOL NURSES, COMMUNITY PEDIATRICIANS, SOCIAL WORKERS, HEALTH EDUCATORS, FOSTER CARE PARENTS, HOSPITALISTS, EMERGENCY DEPARTMENT STAFF, RESEARCHERS AND POLICY MAKERS - CHILDREN'S HOSPITAL IS FACILITATING COMMUNITY HEALTH IMPROVEMENT BOTH DIRECTLY (E.G., EXPANDING MENTAL HEALTH AND DENTAL CARE IN UNDERSERVED AREAS), AND INDIRECTLY (E.G., BRINGING LAW ENFORCEMENT TO THE COMMUNITY CONVERSATION RE: CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). CHILDREN'S HOSPITAL HAS SELECTED THREE NEIGHBORHOODS FOR INITIAL ENGAGEMENT EFFORTS. THESE NEI 1 ADAMS COUNTY PUBLIC HEALTH AND HUMAN SERVICES 108 E NORTH STREET FRIENDSHIP WI 53934 396005665 ADAMS COUNTY 5376 DENTAL SEALANT BROWN COUNTY ORAL HLTH PARTNERSHIP 331 N BROADWAY GREEN BAY WI 54303 208969896 501 ( C ) (3) 25383 DENTAL SEALANT CITY OF MENASHA 316 RACINE STREET MENASHA WI 54952 396005525 GOVERNMENT 6381 DENTAL SEALANT COLUMBIA COUNTY PO BOX 132 PORTAGE PORTAGE WI 53901 396005681 COLUMBIA COUNTY 24612 DENTAL SEALANT COLUMBIA ST MARY'S FOUNDATION 2320 N LAKE DRIVE MILWAUKEE WI 53211 391494981 501 ( C ) (3) 130962 DENTAL SEALANT COMMUNITY HEALTH SYSTEMS INC 2320 N LAKE DRIVE MILWAUKEE WI 53511 391494981 501 ( C ) (3) 5833 DENTAL SEALANT JEFFERSON COUNTY 74 ELIPSE CENTER BELOIT WI 53549 391919806 JEFFERSON COUNTY 6239 DENTAL SEALANT LAKES COMMUNITY HEALTH DEPARTMENT NORTHLAKES COMMUNITY CLINIC 503 N JACKSON AVENUE JEFFERSON WI 54843 370947637 501 ( C ) (3) 17543 DENTAL SEALANT MARQUETTE UNIVERSITY PO BOX 1881 MILWAUKEE WI 53201 390806251 501 ( C ) (3) 71690 DENTAL SEALANT MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE WI 53226 390806261 501 ( C ) (3) 27722 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS PORTAGE COUNTY HEALTH AND HUMAN SERVICES 817 WHITING AVENUE STEVENS POINT WI 54481 396005731 PORTAGE COUNTY 28553 DENTAL SEALANT PREFERRED DENTISTRY ASSOCIATION OF WISCONSIN LLC 1029 HOWARD ST EVANSTON IL 60202 272634563 63000 DENTAL SEALANT PRICE COUNTY HEALTH DEPARTMENT 104 S EYDER AVENUE PHILLIPS WI 54555 396005733 PRICE COUNTY 28601 DENTAL SEALANT PROFESSIONAL DENTAL HYGIENE EXPRESS 5388 STATE HWY 64 BLOOMER WI 54724 274969600 22818 DENTAL SEALANT SAUK COUNTY 505 BROADWAY BARABOO WI 53913 396005740 SAUK COUNTY 26312 DENTAL SEALANT SCHOOL DISTRICT OF JANESVILLE 521 S FRANKLIN STREET JANESVILLE WI 53548 396002726 SCHOOL DISTRICT JANE 8363 DENTAL SEALANT SEALS ON WHEELS 1710 GOLDEN OAK LN MADISON WI 53711 388086637 10204 DENTAL SEALANT TREMPELEAU COUNTY 36245 MAIN STREET WHITEHALL WI 54773 396005747 TREMPELEAU COUNTY 16083 DENTAL SEALANT VILAS COUNTY PUBLIC HEALTH 330 COURT STREET EAGLE RIVER WI 54521 396005751 VILAS COUNTY 16322 DENTAL SEALANT WALWORTH COUNTY PO BOX 1001 ELKHORN WI 53121 396002726 WALWORTH COUNTY 9609 DENTAL SEALANT WAUPACA COUNTY 811 HARDING ST WAUPACA WI 54981 396005758 WAUPACA COUNTY 19985 DENTAL SEALANT WAUKESHA COUNTY COMMUNITY DENTAL CLINIC 210 NW BARSTOW STREET 305 WAUKESHA WI 53188 391355301 501 ( C ) (3) 5428 DENTAL SEALANT WAUSHARA COUNTY PO BOX 837 WAUTOMA WI 54982 396005759 WAUSHARA COUNTY 12900 DENTAL SEALANT WOOD COUNTY 400 MARKET STREET WISCONSIN RAPIDS WI 54494 396005763 WOOD COUNTY 15257 DENTAL SEALANT CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391500074 501 ( C ) (3) 8404689 GRANTS TO AFFILIATE CHILDREN'S PHYSICIAN GROUP PC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 364303682 501 ( C ) (3) 5574806 GRANTS TO AFFILIATE CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391789197 501 ( C ) (3) 5400000 GRANTS TO AFFILIATE 24 3 PART I, LINE 2: MONITORING PROCEDURES - THE ORGANIZATION RECEIVES GRANT FUNDING FROM VARIOUS STATE AND FEDERAL AGENCIES. SOME OF THE GRANT AWARDS ARE SUB-AWARDED TO OTHER AGENCIES BASED ON THE REQUIREMENTS OF THE INDIVIDUAL GRANT AGREEMENTS. IN ORDER TO MONITOR THE USE OF THE FUNDS, THE ORGANIZATION ENTERS INTO SIGNED AGREEMENTS WITH THE SUB-GRANTEE AGENCIES TO OUTLINE THE TERMS OF THE ARRANGEMENTS INCLUDING THE PROPER USE OF FUNDS. THESE AGREEMENTS REQUIRE AGENCIES TO PROVIDE CERTIFICATIONS OF EXPENSES SUBMITTED FOR REIMBURSEMENT ALONG WITH DESCRIPTIONS OF THE ACTUAL EXPENSES INCURRED COMPARED TO THE BUDGETED AWARD TOTAL. EACH AWARD IS MONITORED BY A DESIGNATED EMPLOYEE OF THE ORGANIZATION WHO VERIFIES THAT ALL SERVICES ARE PROVIDED ACCORDING TO THE CONTRACT, APPROVES PAYMENTS TO THE AGENCY, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. IN SOME CASES, THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. ADDITIONALLY, CHW 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. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO CHHS 0 813770 0 446931 0 115350 0 232659 0 48330 0 1657040 0 0 WELDON GAGE TREASURER/CFO (THROUGH JAN. 2015) 0 53541 0 127883 0 21 0 0 0 951 0 182396 0 0 MARC GORELICK MD COO & EXECUTIVE VP CHHS 457436 0 169578 0 5693 0 55200 0 36951 0 724858 0 0 0 SHEILA REYNOLDS SECRETARY 0 287272 0 93546 0 56650 0 51224 0 36233 0 524925 0 35371 MARC CADIEUX TREASURER/CFO 0 273307 0 95252 0 74855 0 47350 0 4817 0 495581 0 0 MICHAEL GUTZEIT MD CHIEF MEDICAL OFFICER/VP, CHW 352001 0 119517 0 69884 0 60345 0 38522 0 640269 0 36294 0 JIM JABLONSKI VP CHW, ENVIRONMENT OF CARE 205958 0 0 0 9211 0 17696 0 32098 0 264963 0 0 0 JULIET KERSTEN VICE PRESIDENT, CHW 251586 0 77695 0 9533 0 19600 0 32480 0 390894 0 8291 0 NANCY KOROM CHIEF NURSING OFFICER/VP, CHW 309977 0 93862 0 35949 0 53980 0 31839 0 525607 0 33512 0 THOMAS MILLER VICE PRESIDENT, CHW 194632 0 10000 0 6098 0 14067 0 8413 0 233210 0 0 0 ANDREW SCHMITT MD HOSPITALIST 232531 0 0 0 11230 0 10059 0 30252 0 284072 0 0 0 LORI BARBEAU DDS MEDICAL DIR, DENTAL PROGRAM 265912 0 0 0 19074 0 22250 0 29076 0 336312 0 0 0 MARYLYN RANTA MD DIR, CHW PHYSICIAN AFFAIRS 242742 0 0 0 17610 0 22250 0 33137 0 315739 0 0 0 THOMAS NICHOLS MD MEDICAL DIRECTOR/HOSPITALIST 235784 0 0 0 11182 0 18963 0 26231 0 292160 0 0 0 CARLI DIGIOIA DMD PEDIATRIC DENTIST 215472 0 0 0 13779 0 15464 0 12439 0 257154 0 0 0 CINTHIA S CHRISTENSEN FORMER PRESIDENT & COO 56352 0 149888 0 401443 0 10797 0 30471 0 648951 0 0 0 PART I, LINE 3 CHW AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CHW, SHARE A BOARD OF DIRECTORS WHICH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE. THIS COMMITTEE IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF CHW'S PRESIDENT, AND USED THE METHODS LISTED AND CHECKED IN SCHEDULE J LINE 3. PART I, LINES 4A-B PART I LINE 4A: UNTIL DECEMBER 2014, CINDY CHRISTENSEN SERVED AS PRESIDENT AND COO OF CHW. CHW PAID CERTAIN AMOUNTS AS SEVERANCE TO MS. CHRISTENSEN PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MS. CHRISTENSEN IN 2015 TOTALED $401,443. PART I, LINE 4B: IN 2015, THERE WAS A CHHS 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 2015 WERE AS FOLLOWS: M. CADIEUX, $27,570; M. GORELICK, M.D., $46,200; M. GUTZEIT, M.D., $38,095; N. KOROM, $31,730; AND S. REYNOLDS, $31,624. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2015 WERE: J. KERSTEN, $8,291; N. KOROM, $33,512; AND S. REYNOLDS, $35,371. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2015 WAS $274,540 AND OF THAT, $58,831 WAS PAID AS A VESTED DISTRIBUTION 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 & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: MARGARET TROY, PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CHW AND TREASURER & CFO OF CHHS, WELDON GAGE, TREASURER OF CHW (THROUGH JANUARY 2015) AND TREASURER & CFO OF CHHS (THROUGH JANUARY 2015), AND SHEILA REYNOLDS, SECRETARY OF CHW AND CORPORATE VICE PRESIDENT & GENERAL COUNSEL OF 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 CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY AS A MEMBER OF THE BOARD OF DIRECTORS OF CHW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. A WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BCS9 2008-07-29 152300000 SEE PART VI 0 0 0 B WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BCC4 2008-06-25 100771610 SEE PART VI 0 0 0 A 152300953 1000301 2075652 149225000 2009 1 0 1 1 B 113903904 771611 13132293 100000000 2009 1 0 1 1 A 0 1 1 1 0 0.01100 0.01100 1 0 1 B 0 0 1 1 0 1 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 SCHEDULE K SUPPLENTAL INFORMATION SCHEDULE K, PART I, LINE A, COLUMN (F): THE SERIES 2008B BONDS WERE ISSUED TO REFUND SEVERAL SERIES OF PRIOR BONDS, INCLUDING: (1) THE ISSUER'S SERIES 2007-3 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 TO REFUND A PORTION OF THE ISSUER'S SERIES 1998 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON JUNE 2, 1998. (2) THE ISSUER'S SERIES 2004B BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON MAY 6, 2004 TO CONSTRUCT AND EQUIP CERTAIN HEALTH CARE FACILITIES (INCLUDING A MEDICAL OFFICE BUILDING/CHILDREN'S CORPORATE CENTER, PARKING STRUCTURE, TUNNEL, UTILITIES AND A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. THE SERIES 2008 BONDS ALSO FUNDED CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART I, LINE B, COLUMN (F): THE SERIES 2008A BONDS WERE ISSUED TO REFUND THE ISSUER'S SERIES 2007-1 AND SERIES 2007-2 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 FOR THE CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART II, LINE 3, COLUMN (A): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $953. SCHEDULE K, PART II, LINE 3, COLUMN (B): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $48,153 AND TRANSFERRED PROCEEDS FROM THE SERIES 2007-1 AND SERIES 2007-2 BONDS OF $13,084,140. SCHEDULE K, PART III, COLUMN B, LINE 3A: THE ORGANIZATION HAS DETERMINED BASED ON A LEGAL REVIEW THAT A MANAGEMENT CONTRACT WITH RESPECT TO THE PROPERTY FINANCED BY THE BOND ISSUE LISTED IN COLUMN B DOES NOT RESULT IN PRIVATE BUSINESS USE. PART IV, LINE 7 THE ORGANIZATION MONITORS THE PRIVATE USE OF ITS BOND-FINANCED ASSETS AND ROUTINELY TAKES STEPS TO LIMIT PRIVATE USE. THE ORGANIZATION DOES NOT SEPARATELY TRACK PRIVATE PAYMENTS AND PRIVATE SECURITIES, RATHER IT ASSUMES SUCH TESTS WILL BE MET AND MANAGES COMPLIANCE THROUGH THIS PRIVATE USE MONITORING. BASED SOLEY ON THIS ASSUMPTION, THE ORGANIZATION HAS RESPONDED YES TO THIS QUESTION. CARLI DIGIOIA DMD HIGHLY COMPENSATED EMPLOYEE EMPLOYMENT INCENTIVE LOAN X 30000 10000 0 0 1 10000 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: DRURY AND SCHLIFSKE, SCHLIFSKE AND MANSELL, WITT AND SOMMERHAUSER, KERSCHNER AND BRENNER, WILLIAMS AND LOVELL, TROY AND LOVELL AND WILLIAMS AND TROY. 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 11 THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS/CHW BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHW. 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 CORPORATE VICE PRESIDENT AND GENERAL COUNSEL OF CHHS. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE AT EACH BOARD AND COMMITTEE MEETING. 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 COO, TREASURER, SECRETARY, CHHS PRESIDENT, VP CHIEF MEDICAL OFFICER, AND VP CHIEF NURSING OFFICER 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 IX, LINE 11G MEDICAL COLLEGE OF WISCONSIN FEES: PROGRAM SERVICE EXPENSES 28,219,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,219,445. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 11,319,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,319,143. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 28,736,848. MANAGEMENT AND GENERAL EXPENSES 10,798,660. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,535,508. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN F -9,401,925. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 9,092,192. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -555,034. PENSION SETTLEMENT CHARGE -3,307,497. FORM 990, SCHEDULE R, PART V, LINE 1E: PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE 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. CHILDREN'S HOSPITAL & HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391500074 OPERATIONAL SUPPORT SERVICES WI 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391500075 FUND DEVELOPMENT WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 1 CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391789197 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 1 CHILDREN'S PHYSICIAN GROUP PC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 364303682 PEDIATRIC PHYSICIAN SERVICES IL 501(C)(3) LINE 9 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 1 CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 MS 900 MILWAUKEE WI 532011997 390806380 CHILD WELL-BEING SERVICES WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 1 CHILDREN'S COMMUNITY HEALTH PLAN INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 271494977 WISCONSIN MEDICAID HMO WI 501(C)(3) LINE 9 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 1 MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 391341366 GRADUATE MEDICAL EDUCATION SUPPORT WI 501(C)(3) LINE 11 TYPE 1 N/A 0 VIRTUAL PICU SYSTEMS LLC 401 WYTHE STREET SUITE 101 ALEXANDRIA VA 22314 201414664 QUALITY/OUTCOMES ANALYSIS DE CHILDREN'S HOSPITAL & HEALTH SYSTEM RELATED 0 0 1 0 1 0 1 0 0 0 0 1 1 1 1 0 0 1 1 0 1 CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A(IV) ABOVE) A 515262 CASH PAID/RECEIVED CHILDREN'S PHYSICIAN GROUP PC B 5574806 CASH PAID/RECEIVED CHILDREN'S MEDICAL GROUP INC B 5400000 CASH PAID/RECEIVED CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC C 11010107 CASH PAID/RECEIVED CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC E 253958868 NET BOOK VALUE CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT L 23976867 CASH PAID/RECEIVED CHILDREN'S MEDICAL GROUP INC L 66000 CASH PAID/RECEIVED CHILDREN'S MEDICAL GROUP INC Q 351075 CASH PAID/RECEIVED CHILDREN'S COMMUNITY HEALTH PLAN INC - ASSESSMENT PASS THROUGH PAYMENTS S 18250471 CASH PAID/RECEIVED SCHEDULE R, PART V, LINE 1E PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, 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 GUARANTEE 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