CHILDRENS HOSPITAL AND HEALTH SYSTEM INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL AND HEALTH SYSTEM INC (EIN 39-1500074)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-09
- IRS object ID
- 201643149349302569
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-09T14:11:57-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363168081 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIKICH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13400 BISHOPS LANE SUITE 300 | AddressLine1Txt |
| City | BROOKFIELD | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391500074 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL AND HEALTH SYSTEM | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 4142665420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1997 MS 900 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532011997 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC A CADIEUX | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4142665420 | PhoneNum |
| Signature | 2016-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRYAN L PAUTSCH CPA | PreparerPersonNm |
| PTIN | P00034913 | PTIN |
| Phone | 2627549400 | PhoneNum |
| Preparation | 2016-10-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARGARET TROY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1997 MS 900 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532011997 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $136,963,499 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1031 | TotalEmployeeCnt |
| Total Volunteers | 2525 | TotalVolunteersCnt |
| Total Gross UBI | $28,865 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $26,075 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,120,246 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,825,365 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $112,745,702 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,488,550 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,027,623 | PYInvestmentIncomeAmt |
| CY Investment Income | $226,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | $982,739 | PYOtherRevenueAmt |
| CY Other Revenue | $1,415,139 | CYOtherRevenueAmt |
| PY Total Revenue | $128,876,310 | PYTotalRevenueAmt |
| CY Total Revenue | $136,955,308 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $252,215 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $116,250 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $6,519,328 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $14,290,626 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,189,456 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $73,173,200 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $59,576,529 | PYOtherExpensesAmt |
| CY Other Expenses | $64,451,110 | CYOtherExpensesAmt |
| PY Total Expenses | $133,537,528 | PYTotalExpensesAmt |
| CY Total Expenses | $152,031,186 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,661,218 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,075,878 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $96,123,178 | TotalAssetsBOYAmt |
| Total Assets EOY | $77,253,911 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $67,264,161 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $65,178,498 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,859,017 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,075,413 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS") IS COMMITTED TO ENSURING A HEALTHIER FUTURE FOR CHILDREN BY PROVIDING AN INTEGRATED AND COORDINATED HEALTH AND SOCIAL SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $96,408,036 | ExpenseAmt |
| Revenue | $88,966,726 | RevenueAmt |
| Desc | CHHS IS THE PARENT ORGANIZATION OF AN INTEGRATED SYSTEM OF ENTITIES PROVIDING COMPREHENSIVE MEDICAL CARE AND SOCIAL SERVICES TO CHILDREN FROM WISCONSIN AND THROUGHOUT THE COUNTRY. THE SYSTEM INCLUDES WISCONSIN'S ONLY FREESTANDING HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN, AS WELL AS VARIOUS OTHER FACILITIES PROVIDING INPATIENT AND OUTPATIENT CARE FOR CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE SYSTEM ALSO INCLUDES EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS. ON AN AGGREGATE BASIS, THE ENTITIES WITHIN THE SYSTEM PROVIDED COMMUNITY BENEFITS OF OVER $115 MILLION.CHHS OVERSEES AND COORDINATES THE ACTIVITIES OF THE VARIOUS OPERATING ENTITIES WITHIN THE INTEGRATED SYSTEM, THROUGH THE PROVISION OF SUPPORTIVE AND ADMINISTRATIVE SERVICES ON A CONSOLIDATED, CENTRALIZED BASIS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,724,134 | ExpenseAmt |
| Revenue | $1,135,980 | RevenueAmt |
| Desc | CHILDREN'S RESEARCH INSTITUTE ("CRI") IS A PROGRAM OF CHHS THAT ADVANCES PEDIATRIC MEDICAL RESEARCH IN WISCONSIN AND BEYOND. WITH A FOCUS ON TRANSLATIONAL RESEARCH, CRI IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES AT PATIENTS' BEDSIDES.RESEARCHERS AT CRI ARE INVESTIGATING WAYS TO IMPROVE CARE FOR HEART TRANSPLANT PATIENTS, INCLUDING THE DEVELOPMENT OF A NEW METHOD TO MONITOR PEDIATRIC HEART TRANSPLANT RECIPIENTS AND IDENTIFY EARLY SIGNS OF TRANSPLANT REJECTION. CRI RESEARCHERS CONTINUE TO MAKE PROGRESS ON THE $3.3 MILLION, FIVE-YEAR GRANT RECEIVED IN 2013 FROM THE NATIONAL INSTITUTE OF HEALTH'S NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO COMPLETE A SIX-CENTER CLINICAL STUDY OF THE NONINVASIVE APPROACH. TYPICALLY, HEART TRANSPLANT PATIENTS MUST UNDERGO A SERIES OF EIGHT TO TWELVE BIOPSIES PER YEAR TO MONITOR FOR TRANSPLANT REJECTION. THIS INVASIVE APPROACH POSES CERTAIN RISKS, AND CAN BE DIFFICULT FOR CHILDREN WHO HAVE ALREADY SPENT A CONSIDERABLE AMOUNT OF TIME HOSPITALIZED. THE RESEARCHERS HAVE DESIGNED A NONINVASIVE APPROACH THAT INVOLVES A SIMPLE BLOOD DRAW. THE LEVEL OF DONOR DNA IN THE BLOOD SERVES AS A BAROMETER OF HEART HEALTH; MORE THAN ONE-PERCENT OF DONOR DNA IN THE BLOOD INDICATES REJECTION. IN A PILOT STUDY, THIS METHOD SHOWED 100% SENSITIVITY.CRI FOCUSES EFFORTS ON CHILDHOOD CANCER RESEARCH, INCLUDING IMPROVING SURVIVORSHIP AND QUALITY OF LIFE FOR CHILDREN BATTLING SOME OF THE TOUGHEST FORMS OF THE DISEASE. IN 2013, CHILDREN'S HOSPITAL OF WISCONSIN ("CHW") WAS AWARDED A 10-YEAR $10 MILLION GIFT FROM THE MACC FUND (MIDWEST ATHLETES AGAINST CHILDHOOD CANCER). THIS GIFT CONTINUES TO BE USED TO FURTHER CANCER RESEARCH IN THREE AREAS: DISCOVERY AND TESTING OF NEW DRUG THERAPIES, INCREASED USE OF CELLULAR THERAPIES AND FURTHER GENETIC RESEARCH FOR PERSONALIZED CANCER THERAPIES. IN ADDITION, OUR RESEARCHERS ARE ACTIVE WITH THE THERAPEUTIC ADVANCES IN CHILDHOOD LEUKEMIA & LYMPHOMA (TACL) CONSORTIUM. THIS NATIONAL CONSORTIUM WAS ESTABLISHED TO DEVELOP AND CONDUCT PHASE I /II CLINICAL TRIALS OF NEW DRUGS AND NOVEL DRUG COMBINATIONS FOR RECURRENT CHILDHOOD LEUKEMIA OR LYMPHOMA. OUR RESEARCHERS ALSO CONTINUE TO PARTICIPATE IN THE COG (CHILDREN'S ONCOLOGY GROUP) CONSORTIUM FOR CLINICAL TRIALS OF NOVEL PEDIATRIC CANCER THERAPIES.IN THE AREA OF GENETICS AND RARE DISEASE RESEARCH, CRI INVESTIGATORS CONTINUE TO MAKE PROGRESS ON THE $1 MILLION, THREE-YEAR GRANT RECEIVED IN 2013 FROM THE W.M. KECK FOUNDATION TO SUPPORT GENETIC RESEARCH AND TESTING. A TEAM OF RESEARCHERS AND PHYSICIANS FROM CHW AND THE MEDICAL COLLEGE OF WISCONSIN ARE DEVELOPING TEST SYSTEMS USING GENE EDITING TO GENERATE AND FUNCTIONALLY TEST GENETIC VARIANTS OF INTEREST. THE GOAL IS TO DEVELOP TESTS TO RAPIDLY HELP DIAGNOSE PATIENTS AND TREAT RARE DISORDERS, AND BUILD A SYSTEM THAT CAN BE USED BY OTHER LABORATORIES. THE GOAL OF THE PROJECT IS TO UNDERSTAND MORE ABOUT GENETIC VARIANTS OF UNCERTAIN SIGNIFICANCE, IN ORDER TO END THE DIAGNOSTIC ODYSSEY FOR THESE PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,468,519 | ExpenseAmt |
| Revenue | $10,282,548 | RevenueAmt |
| Desc | CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2015, THERE WERE 22,254 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 3,776 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $30,280,492 | ExpenseAmt |
| Grant | $116,250 | GrantAmt |
| Revenue | $20,191,698 | RevenueAmt |
| Desc | CHHS OFFERS FREE AND INEXPENSIVE HEALTH EDUCATION PROGRAMS AND RESOURCES TO TEACHERS, CHILDREN AND PARENTS. PROGRAMS OFFERED INCLUDE IN-CLASSROOM PROGRAMS ON HEALTHY EATING AND EXERCISE, BULLYING AND TEEN DEPRESSION. IN ADDITION, CHHS HAS INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. CHHS ALSO OFFERS HEALTH-BASED E-LEARNING PROGRAMS THROUGH BLUEKIDS.ORG WHICH HELPS STUDENTS MAKE MORE POSITIVE HEALTH CHOICES.CHHS ALSO PROVIDES SCHOOL-BASED HEALTH CENTERS IN MILWAUKEE SCHOOLS. THESE CENTERS PROVIDE PREVENTIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRICIAN PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2015, THERE WERE 21,282 SCHOOL-BASED NURSE ENCOUNTERS WHICH INCLUDED 883 VISION SCREENINGS. THE SCHOOL-BASED HEALTH CENTERS ALSO EDUCATE CHILDREN AND FAMILIES ABOUT PREVENTIVE CARE. SINCE 2014 CHHS PARTNERED WITH WISCONSIN'S DEPARTMENT OF HEALTH SERVICES AND THE DEPARTMENT OF CHILDREN AND FAMILIES AND ESTABLISHED A FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS TO ADMINISTER THE COORDINATION OF COMPREHENSIVE HEALTH CARE SERVICES INCLUSIVE OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE SERVICES FOR CHILDREN PLACED IN "OUT OF HOME CARE" (A.K.A."FOSTER CARE") IN KENOSHA, MILWAUKEE, OZAUKEE, RACINE, WASHINGTON, AND WAUKESHA COUNTIES IN WISCONSIN. UPON ENROLLMENT INTO THE PROGRAM THESE FOSTER CARE CHILDREN HAVE ACCESS TO CHILDREN'S COMMUNITY HEALTH PLAN'S ("CCHP") PROVIDER NETWORK AS CCHP PROVIDES ADMINISTRATIVE AND UTILIZATION SERVICES FOR CARE4KIDS PROGRAMMING. THROUGH DECEMBER OF 2015, PROGRAM ENROLLMENT WAS 2,991 WHICH REPRESENTED APPROXIMATELY 41% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $30,280,492 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $116,250 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $20,191,698 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $147,881,181 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1031 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MS SARAH KAFKA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4142661887 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1997 MS 900 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532011997 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL W ALTSCHAEFL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS ARENBERG | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH BRENNER | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MATT D'ATTILIO | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID J DRURY | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE GEHRKE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK R HOGAN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL W JONES | ||||||||||
| DIRECTOR (THROUGH FEB. 2015) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS KALTENBACH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH KERSCHNER MD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL KNOEBEL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL LOVELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MANSELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA T MELLOWES | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| C DAVID MYERS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALBERT S ORR III | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES POPP | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOM PRECIA | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| J JOEL QUADRACCI | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAY O ROTHMAN | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOHN E SCHLIFSKE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER M SOMMERHAUSER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL W SWEENEY | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PHOEBE W WILLIAMS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK C WITT | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET TROY | ||||||||||
| DIRECTOR / PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | $1,376,051 | $0 | $280,989 | Yes (X) | |||
| MARC CADIEUX | ||||||||||
| TREASURER/CFO | 40.00 | 0.00 | $443,414 | $0 | $52,167 | Yes (X) | ||||
| ROBERT DUNCAN | ||||||||||
| EVP COMMUNITY SERVICES | 40.00 | 0.00 | $531,735 | $0 | $90,075 | Yes (X) | ||||
| WELDON GAGE | ||||||||||
| TREASURER/CFO (THROUGH JAN. 2015) | 40.00 | 0.00 | $181,445 | $0 | $951 | Yes (X) | ||||
| TRICIA GERAGHTY | ||||||||||
| CORP VP MARKETING AND COMM | 40.00 | 0.00 | $326,445 | $0 | $73,475 | Yes (X) | ||||
| MARC GORELICK MD | ||||||||||
| EXECUTIVE VP CHHS | 0.00 | 40.00 | $0 | $632,707 | $92,151 | Yes (X) | ||||
| MICHELLE METTNER | ||||||||||
| VP GOVERNMENT RELATIONS | 40.00 | 0.00 | $335,086 | $0 | $51,586 | Yes (X) | ||||
| MICHAEL NAUMAN | ||||||||||
| ENTERPRISE PERF MGMT & CIO | 40.00 | 0.00 | $592,770 | $0 | $88,489 | Yes (X) | ||||
| SHEILA REYNOLDS | ||||||||||
| SECRETARY / CORPORATE VP & GENERAL COUNSEL | 40.00 | 0.00 | $437,468 | $0 | $87,457 | Yes (X) | ||||
| ROBERT SANDERS | ||||||||||
| CHIEF ADMINSTRATION OFFICER | 40.00 | 0.00 | $454,305 | $0 | $85,353 | Yes (X) | ||||
| STEPHANIE LENZNER | ||||||||||
| VP INFORMATION SERVICES | 40.00 | 0.00 | $237,659 | $0 | $31,832 | Yes (X) | ||||
| THOMAS MILLER | ||||||||||
| VP CHW | 0.00 | 40.00 | $0 | $210,730 | $22,480 | Yes (X) | ||||
| MONICA RICCA | ||||||||||
| VP REVENUE CYCLE | 40.00 | 0.00 | $229,037 | $0 | $42,246 | Yes (X) | ||||
| SMRITI KHARE MD | ||||||||||
| PRESIDENT, CMG | 40.00 | 0.00 | $443,456 | $0 | $71,447 | Yes (X) | ||||
| VERONICA GUNN | ||||||||||
| VP POP HEALTH MGMT AND PI | 40.00 | 0.00 | $372,932 | $0 | $43,346 | Yes (X) | ||||
| THOMAS SHANAHAN | ||||||||||
| VP, HUMAN RESOURCES | 40.00 | 0.00 | $303,538 | $0 | $46,981 | Yes (X) | ||||
| ROBERT ROHLOFF | ||||||||||
| PEDIATRICIAN/DIR CMG QUALITY & PAT SAFETY | 20.00 | 20.00 | $141,834 | $267,108 | $44,724 | Yes (X) | ||||
| MARK RAKOWSKI | ||||||||||
| VICE PRESIDENT, CCHP | 4.00 | 36.00 | $294,658 | $0 | $49,420 | Yes (X) | ||||
| ADAM COOK | ||||||||||
| DIR, ENTERPRISE PERFORMANCE MANAGEMENT | 40.00 | 0.00 | $229,204 | $0 | $17,264 | Yes (X) | ||||
| CINTHIA S CHRISTENSEN | ||||||||||
| COO CHW AND EVP CHHS | 0.00 | 0.00 | $0 | $607,683 | $41,268 | Yes (X) | ||||
| MARTIN VOGEL | ||||||||||
| FORMER HCE/CURRENT CHWF VP | 0.00 | 40.00 | $0 | $291,104 | $48,717 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,931,037 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,009,332 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,362,418 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 100 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL COLLEGE OF WISCONSIN | |||||
| 8701 WATERTOWN PLANK RD | MILWAUKEE | WI | 53226 | RESEARCH, EDUCATION, MEDICAL LEADERSHIP | $9,058,207 |
| FTI CONSULTING | |||||
| PO BOX 418005 | BOSTON | MA | 02241 | IT CONTRACTORS AND CONSULTING | $2,252,744 |
| MICROSOFT LICENSING GP | |||||
| 1401 ELM ST 5TH FLR DEPT 842467 | DALLAS | TX | 75202 | SOFTWARE LICENSING AND MAINTENANCE | $1,719,945 |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 532880314 | SOFTWARE LICENSING AND MAINTENANCE | $1,503,760 |
| KELLY SCOTT & MADISON INC | |||||
| 23983 NETWORK PLACE | CHICAGO | IL | 60373 | ADVERTISING | $1,307,331 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 95 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $14,064,480 | RelatedOrganizationsAmt |
| Government Grants | $684,591 | GovernmentGrantsAmt |
| All Other Contributions | $76,294 | AllOtherContributionsAmt |
| Total Contributions | $14,825,365 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OPERATIONAL SUPPORT SERVICES | 541900 | $91,579,853 | $90,281,981 | $1,297,872 |
| PREMIUM REVENUE | 524114 | $17,882,006 | $17,882,006 | |
| OUTPATIENT HEALTH CARE SERVICES | 621400 | $10,276,597 | $10,276,597 | |
| RESEARCH ADMINISTRATION FEE | 900099 | $725,595 | $725,595 | |
| CHEC FEES | 900099 | $21,846 | $21,846 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,653 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,653 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,488,550 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $234,445 | TotalRevenueColumnAmt |
| Exclusion | $234,445 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,191 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,191 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,191 | TotalRevenueColumnAmt |
| Exclusion | -$8,191 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EQUITY IN NSSC/VPS | 900099 | $307,611 | $307,611 |
| LICENSING REVENUE | 900099 | $252,523 | $252,523 |
| EDUCATIONAL SERVICES | 611430 | $188,629 | $188,629 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $666,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $637,511 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $28,865 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,415,139 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,955,308 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120,576,952 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $28,865 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,524,126 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,250 | TotalAmt |
| Program Services | $116,250 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,290,626 | TotalAmt |
| Program Services | $14,290,626 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,997,735 | TotalAmt |
| Program Services | $7,997,735 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,359,386 | TotalAmt |
| Program Services | $48,204,436 | ProgramServicesAmt |
| Management And General | $1,154,950 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,423,081 | TotalAmt |
| Program Services | $3,348,001 | ProgramServicesAmt |
| Management And General | $75,080 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,594,070 | TotalAmt |
| Program Services | $8,425,125 | ProgramServicesAmt |
| Management And General | $168,945 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,798,928 | TotalAmt |
| Program Services | $3,721,388 | ProgramServicesAmt |
| Management And General | $77,540 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,126 | TotalAmt |
| Program Services | $321,762 | ProgramServicesAmt |
| Management And General | $21,364 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,316 | TotalAmt |
| Program Services | $380,316 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,527 | TotalAmt |
| Program Services | $478,527 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,362 | TotalAmt |
| Program Services | $78,977 | ProgramServicesAmt |
| Management And General | $5,385 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,118,572 | TotalAmt |
| Program Services | $22,595,519 | ProgramServicesAmt |
| Management And General | $523,053 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,414,704 | TotalAmt |
| Program Services | $4,412,987 | ProgramServicesAmt |
| Management And General | $1,717 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200,681 | TotalAmt |
| Program Services | $1,175,694 | ProgramServicesAmt |
| Management And General | $24,987 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,797,721 | TotalAmt |
| Program Services | $12,775,740 | ProgramServicesAmt |
| Management And General | $21,981 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,294,520 | TotalAmt |
| Program Services | $4,372,785 | ProgramServicesAmt |
| Management And General | $921,735 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,443 | TotalAmt |
| Program Services | $623,575 | ProgramServicesAmt |
| Management And General | $10,868 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,542 | TotalAmt |
| Program Services | $313,993 | ProgramServicesAmt |
| Management And General | $30,549 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,360,576 | TotalAmt |
| Program Services | $3,735,580 | ProgramServicesAmt |
| Management And General | $624,996 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,214,522 | TotalAmt |
| Program Services | $1,080,261 | ProgramServicesAmt |
| Management And General | $134,261 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $8,151,619 | $7,807,484 | $344,135 |
| MEDICAL SUPPLIES | $1,632,879 | $1,624,420 | $8,459 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,031,186 | TotalAmt |
| Program Services | $147,881,181 | ProgramServicesAmt |
| Management And General | $4,150,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,970,516 | BOYAmt |
| EOY | $2,571,815 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,643 | BOYAmt |
| EOY | $116,245 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,517,697 | BOYAmt |
| EOY | $7,082,114 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,333 | BOYAmt |
| EOY | $18,666 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,894 | BOYAmt |
| EOY | $59,720 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,841 | BOYAmt |
| EOY | $608,900 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,089,832 | BOYAmt |
| EOY | $4,395,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,371,951 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,328,926 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,926,914 | BOYAmt |
| EOY | $44,043,025 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,504,171 | BOYAmt |
| EOY | $9,386,998 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,040,337 | BOYAmt |
| EOY | $8,970,854 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,123,178 | BOYAmt |
| EOY | $77,253,911 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,229,669 | BOYAmt |
| EOY | $18,904,575 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,868 | BOYAmt |
| EOY | $248,592 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,732,624 | BOYAmt |
| EOY | $46,025,331 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,264,161 | BOYAmt |
| EOY | $65,178,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,602,440 | BOYAmt |
| EOY | $8,341,260 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,975,608 | BOYAmt |
| EOY | $3,465,788 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,969 | BOYAmt |
| EOY | $268,365 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,859,017 | BOYAmt |
| EOY | $12,075,413 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,123,178 | BOYAmt |
| EOY | $77,253,911 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$15,075,878 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$176,302 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,531,424 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $18,480 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $460,047 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $478,527 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $147,110,694 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $147,589,221 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $547,278 | CurrentYearMinus3Amt |
| Current Year Minus2 | $547,155 | CurrentYearMinus2Amt |
| Current Year Minus1 | $477,926 | CurrentYearMinus1Amt |
| Current Year | $478,527 | CurrentYearAmt |
| Total | $2,050,886 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $16,310 | CurrentYearMinus3Amt |
| Current Year Minus2 | $10,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $10,000 | CurrentYearMinus1Amt |
| Current Year | $18,480 | CurrentYearAmt |
| Total | $54,790 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $10,859 | BeginningBalanceAmt |
| Additions During Year | $302 | AdditionsDuringYearAmt |
| Distributions During Year | $11,161 | DistributionsDuringYearAmt |
| Ending Balance | $0 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,256,577 | BeginningYearBalanceAmt |
| Contributions | $264,438 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,925 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,781,897 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,040 | AdministrativeExpensesAmt |
| End Year Balance | $3,734,153 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,879,110 | BeginningYearBalanceAmt |
| Contributions | $1,026,698 | ContributionsAmt |
| Investment Earnings Or Losses | $17,133 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,665,379 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $985 | AdministrativeExpensesAmt |
| End Year Balance | $5,256,577 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,908,864 | BeginningYearBalanceAmt |
| Contributions | $4,237,509 | ContributionsAmt |
| Investment Earnings Or Losses | $40,865 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,307,189 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $940 | AdministrativeExpensesAmt |
| End Year Balance | $5,879,110 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,013,572 | BeginningYearBalanceAmt |
| Contributions | $1,748,443 | ContributionsAmt |
| Investment Earnings Or Losses | $27,616 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $879,862 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $905 | AdministrativeExpensesAmt |
| End Year Balance | $2,908,864 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,914,287 | BeginningYearBalanceAmt |
| Contributions | $843,860 | ContributionsAmt |
| Investment Earnings Or Losses | $1,271 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $745,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $846 | AdministrativeExpensesAmt |
| End Year Balance | $2,013,572 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.07200 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.92800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,457,978 | OtherCostOrOtherBasisAmt |
| Book Value | $1,457,978 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,892,780 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,909,743 | DepreciationAmt |
| Book Value | $32,983,037 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,730,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $582,155 | DepreciationAmt |
| Book Value | $2,148,164 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,980,712 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,702,178 | DepreciationAmt |
| Book Value | $7,278,534 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $310,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $134,850 | DepreciationAmt |
| Book Value | $175,312 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,043,025 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMPENSATION PLAN ASSETS | $3,889,366 |
| BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND | $3,734,153 |
| INVESTMENT IN NORTH SHORE SURGERY CENTER | $1,115,019 |
| ORGANIZATIONAL COSTS | $7,636 |
| OTHER ASSETS | $200,000 |
| RECEIVABLES FROM VENDORS | $24,680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,970,854 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION PLAN LIABILITY | $3,889,366 |
| RETIREMENT PLAN LIABILITY | $2,963,941 |
| DUE TO AFFILIATES | $27,729,773 |
| LEASE LIABILITY | $5,961,952 |
| PAYABLE TO WISCONSIN (CCHP) | $5,480,299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,025,331 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | CERTAIN EMPLOYEES OF THE ORGANIZATION HAVE SIGNING AUTHORITY FOR THE CHECKING ACCOUNT OF THE WELFARE AUXILIARY OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("WA"). THE ORGANIZATION ALSO PROVIDES ACCOUNTING FUNCTIONS FOR WA. |
| PART V, LINE 4: | CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHHS. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED EDUCATIONAL SERVICES. |
| PART X, LINE 2: | FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| FAMILY RESOURCE CTR ST CROIX VALLEY INC | |||||||
| 857 MAIN ST PO BOX 2087 | BALDWIN | WI | 54002 | 391943404 | 501(C)(3) | $45,788 | ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM |
| FAMILY SERV OF NE WI | |||||||
| PO BOX 22308 | GREEN BAY | WI | 54305 | 390827320 | 501(C)(3) | $64,187 | ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MONITORING PROCEDURES - THE CHILD ABUSE PREVENTION FUND IS COMMITTED TO ENSURING A SAFE ENVIRONMENT FOR CHILDREN THROUGH FINANCIAL SUPPORT OF PRIMARY PREVENTION ACTIVITIES THROUGHOUT WISCONSIN, AS WELL AS EDUCATING PROFESSIONALS AND THE PUBLIC ABOUT THE ROLE OF PREVENTION IN ELIMINATING CHILD ABUSE. THE CHILD ABUSE PREVENTION FUND IS A SPECIAL FUNDRAISING INITIATIVE OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM. THE FUND'S FOCUS IS ON OUTCOMES OR RESULTS FOR FAMILIES, CHILDREN AND COMMUNITIES. AGENCIES THAT RECEIVE FUNDING MEET CRITERIA FOR EFFECTIVENESS AND ACCOUNTABILITY. EACH ORGANIZATION FUNDED IS EXPECTED TO DEMONSTRATE POSITIVE OUTCOMES THROUGH SIX-MONTH AND ANNUAL PROGRESS REPORTS. IN MANY CASES, THE CHILDREN'S HOSPITAL AND HEALTH SYSTEM STAFF OVERSEE AND PLAY A ROLE IN HELPING ORGANIZATIONS DEMONSTRATE POSITIVE OUTCOMES. CHILDREN'S HOSPITAL AND HEALTH SYSTEM STAFF ALSO PERFORM SITE VISITS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARGARET TROY | ||||||||||||||
| DIRECTOR / PRESIDENT & CEO | $813,770 | $0 | $446,931 | $0 | $115,350 | $0 | $232,659 | $0 | $48,330 | $0 | $1,657,040 | $0 | $0 | $0 |
| MARC CADIEUX | ||||||||||||||
| TREASURER/CFO | $273,307 | $0 | $95,252 | $0 | $74,855 | $0 | $47,350 | $0 | $4,817 | $0 | $495,581 | $0 | $0 | $0 |
| ROBERT DUNCAN | ||||||||||||||
| EVP COMMUNITY SERVICES | $332,715 | $0 | $126,102 | $0 | $72,918 | $0 | $53,188 | $0 | $36,887 | $0 | $621,810 | $0 | $44,984 | $0 |
| WELDON GAGE | ||||||||||||||
| TREASURER/CFO (THROUGH JAN. 2015) | $53,541 | $0 | $127,883 | $0 | $21 | $0 | $0 | $0 | $951 | $0 | $182,396 | $0 | $0 | $0 |
| TRICIA GERAGHTY | ||||||||||||||
| CORP VP MARKETING AND COMM | $230,393 | $0 | $76,522 | $0 | $19,530 | $0 | $40,168 | $0 | $33,307 | $0 | $399,920 | $0 | $0 | $0 |
| MARC GORELICK MD | ||||||||||||||
| EXECUTIVE VP CHHS | $0 | $457,436 | $0 | $169,578 | $0 | $5,693 | $0 | $55,200 | $0 | $36,951 | $0 | $724,858 | $0 | $0 |
| MICHELLE METTNER | ||||||||||||||
| VP GOVERNMENT RELATIONS | $240,572 | $0 | $55,500 | $0 | $39,014 | $0 | $25,450 | $0 | $26,136 | $0 | $386,672 | $0 | $0 | $0 |
| MICHAEL NAUMAN | ||||||||||||||
| ENTERPRISE PERF MGMT & CIO | $398,382 | $0 | $123,275 | $0 | $71,113 | $0 | $58,439 | $0 | $30,050 | $0 | $681,259 | $0 | $45,533 | $0 |
| SHEILA REYNOLDS | ||||||||||||||
| SECRETARY / CORPORATE VP & GENERAL C | $287,272 | $0 | $93,546 | $0 | $56,650 | $0 | $51,224 | $0 | $36,233 | $0 | $524,925 | $0 | $35,371 | $0 |
| ROBERT SANDERS | ||||||||||||||
| CHIEF ADMINSTRATION OFFICER | $311,357 | $0 | $105,846 | $0 | $37,102 | $0 | $51,068 | $0 | $34,285 | $0 | $539,658 | $0 | $21,636 | $0 |
| STEPHANIE LENZNER | ||||||||||||||
| VP INFORMATION SERVICES | $191,356 | $0 | $38,602 | $0 | $7,701 | $0 | $9,739 | $0 | $22,093 | $0 | $269,491 | $0 | $0 | $0 |
| THOMAS MILLER | ||||||||||||||
| VP CHW | $0 | $194,632 | $0 | $10,000 | $0 | $6,098 | $0 | $14,067 | $0 | $8,413 | $0 | $233,210 | $0 | $0 |
| MONICA RICCA | ||||||||||||||
| VP REVENUE CYCLE | $198,367 | $0 | $30,021 | $0 | $649 | $0 | $9,000 | $0 | $33,246 | $0 | $271,283 | $0 | $0 | $0 |
| SMRITI KHARE MD | ||||||||||||||
| PRESIDENT, CMG | $338,480 | $0 | $101,887 | $0 | $3,089 | $0 | $54,043 | $0 | $17,404 | $0 | $514,903 | $0 | $0 | $0 |
| VERONICA GUNN | ||||||||||||||
| VP POP HEALTH MGMT AND PI | $302,747 | $0 | $69,375 | $0 | $810 | $0 | $14,300 | $0 | $29,046 | $0 | $416,278 | $0 | $0 | $0 |
| THOMAS SHANAHAN | ||||||||||||||
| VP, HUMAN RESOURCES | $217,545 | $0 | $53,048 | $0 | $32,945 | $0 | $22,250 | $0 | $24,731 | $0 | $350,519 | $0 | $0 | $0 |
| ROBERT ROHLOFF | ||||||||||||||
| PEDIATRICIAN/DIR CMG QUALITY & PAT S | $124,803 | $172,763 | $0 | $91,063 | $17,031 | $3,282 | $12,908 | $0 | $10,045 | $21,771 | $164,787 | $288,879 | $0 | $0 |
| MARK RAKOWSKI | ||||||||||||||
| VICE PRESIDENT, CCHP | $224,299 | $0 | $69,219 | $0 | $1,140 | $0 | $19,600 | $0 | $29,820 | $0 | $344,078 | $0 | $0 | $0 |
| ADAM COOK | ||||||||||||||
| DIR, ENTERPRISE PERFORMANCE MANAGEME | $176,830 | $0 | $0 | $0 | $52,374 | $0 | $7,108 | $0 | $10,156 | $0 | $246,468 | $0 | $0 | $0 |
| CINTHIA S CHRISTENSEN | ||||||||||||||
| COO CHW AND EVP CHHS | $0 | $56,352 | $0 | $149,888 | $0 | $401,443 | $0 | $10,797 | $0 | $30,471 | $0 | $648,951 | $0 | $0 |
| MARTIN VOGEL | ||||||||||||||
| FORMER HCE/CURRENT CHWF VP | $0 | $218,114 | $0 | $66,516 | $0 | $6,474 | $0 | $19,600 | $0 | $29,117 | $0 | $339,821 | $0 | $5,373 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | IN 2015, THERE WAS A CHHS EXECUTIVE FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2015 WERE AS FOLLOWS: M. CADIEUX, $27,750; R. DUNCAN, $36,238; T. GERAGHTY, $25,868; M. GORELICK, M.D., $46,200; S. KHARE, $34,443; M. METTNER, $8,500; M. NAUMAN, $41,673; S. REYNOLDS, $31,624; AND R. SANDERS, $34,118. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2015 WERE: R. DUNCAN, $44,984; M. NAUMAN, $45,533; S. REYNOLDS, $35,371; AND R. SANDERS, $21,636. 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 AND SCHEDULE J, PART II: | PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. CINTHIA CHRISTENSEN, FORMER PRESIDENT OF CHW AND EXECUTIVE VICE PRESIDENT OF CHHS, MARC GORELICK, M.D., EXECUTIVE VP CHHS, AND THOMAS MILLER, VP CHW - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHW AND AFFILIATES. THESE AMOUNTS WERE PAID BY CHW. 2. ROBERT ROHLOFF, M.D., DIR CMG QUALITY AND PAT SAFETY - 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 CMG. THESE AMOUNTS WERE PAID BY CMG. 3. MARTIN VOGEL, VICE PRESIDENT OF PRINCIPAL GIFTS OF CHWF - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHWF. THESE AMOUNTS WERE PAID BY CHWF. PRIOR TO 2011, MR. VOGEL'S COMPENSATION FOR SERVICES AS VICE PRESIDENT OF PRINCIPAL GIFTS OF CHWF WAS PAID BY CHHS AND ALLOCATED TO CHWF. AS A RESULT, MR. VOGEL WAS REPORTED AS A HIGHLY COMPENSATED EMPLOYEE OF CHHS IN PREVIOUS YEARS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M CADIEUX | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | OFFICER | RelationshipWithOrgTxt |
| Loan Purpose | EDUCATION | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $56,000 | OriginalPrincipalAmt |
| Balance Due | $18,666 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $18,666 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FOLEY AND LARDNER LLP | |||
| DIRECTORS (J. ROTHMAN) | $184,017 | MR. ROTHMAN IS THE CHIEF EXECUTIVE OFFICER AT FOLEY AND LARDNER, LLP. THE ORGANIZATION PAID FOLEY AND LARDNER $184,017 FOR LEGAL SERVICES. | 0 |
| JENNIFER MANCE | |||
| DIRECTOR (K. MANSELL) | $52,205 | JENNIFER MANCE IS THE DAUGHTER OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $52,205 IN COMPENSATION | 0 |
| KELLY REILLY | |||
| DIRECTOR (M. WITT) | $107,689 | KELLY REILLY IS THE SPOUSE OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $107,689 IN COMPENSATION. | 0 |
| ANGELA BROWNE | |||
| OFFICER (M. RICCA) | $84,106 | ANGELA BROWNE IS THE SISTER OF ONE OF THE ORGANIZATION'S OFFICERS. THE ORGANIZATION PAID HER $84,106 IN COMPENSATION. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX C, DOING BUSINESS AS: | CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES |
| FORM 990, PART V, LINE 1A: | THE ORGANIZATION DID NOT FILE ANY 1099 FORMS DURING THE TAXABLE YEAR. ALTHOUGH THE ORGANIZATION DID RETAIN INDEPENDENT CONTRACTORS, THE COMPENSATION AMOUNTS OWED TO SUCH CONTRACTORS WERE PROCESSED AND PAID BY A RELATED ENTITY, CHW, WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHW. THE 1099 FORMS FOR SUCH PAYMENTS WERE ISSUED BY CHW, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE INDEPENDENT CONTRACTORS. THE 1099 FORMS LISTED IN PART V ARE THE FORMS FILED BY THE ORGANIZATION'S DISREGARDED ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS 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 B, LINE 11 | THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHHS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CORPORATE VICE PRESIDENT AND GENERAL COUNSEL. 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 CEO AND SENIOR OFFICERS, WITH THE EXCEPTION OF THE VP GOVERNMENT RELATIONS, 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 OTHER OFFICERS EXCEPTED ABOVE AND THE KEY EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. |
| FORM 990, PART VII, LINE 42 | THOMAS MILLER OVERSEES THE ORGANIZATION'S DISREGARDED ENTITY, SURGICENTER OF GREATER MILWAUKEE, LLC, AND ALSO IS A VICE PRESIDENT OF THE ORGANIZATION'S WHOLLY-OWNED SUBSIDIARY, CHILDREN'S HOSPITAL OF WISCONSIN, INC. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,612,729. MANAGEMENT AND GENERAL EXPENSES 63,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,676,044. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 1,315,349. MANAGEMENT AND GENERAL EXPENSES 362,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,678,115. OTHER FEES: PROGRAM SERVICE EXPENSES 6,254,100. MANAGEMENT AND GENERAL EXPENSES 96,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,351,072. GRANT EXPENDITURES: PROGRAM SERVICE EXPENSES 5,413,341. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,413,341. |
| FORM 990, PART XI, LINE 9: | OTHER ADJUSTMENT -9,000. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -1,522,424. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SURGICENTER OF GREATER MILWAUKEE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVENUE PO BOX 1997 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391682308 | EIN |
| Primary Activities | AMBULATORY SURGERY CENTER/MEDICAL OFFICE BUILDING | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $8,478,466 | TotalIncomeAmt |
| End Of Year Assets | $23,919,979 | EndOfYearAssetsAmt |
| Direct Controlling NA | N/A | DirectControllingNACd |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF WISCONSIN INC | |||||||||||
| PO BOX 1997 MS 900 | MILWAUKEE | WI | 532011997 | 390812532 | PEDIATRIC HOSPITAL | WI | 501(C)(3) | LINE 3 | N/A | Yes (1) | |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | |||||||||||
| PO BOX 1997 MS 900 | MILWAUKEE | WI | 532011997 | 391500075 | FUND DEVELOPMENT | WI | 501(C)(3) | LINE 7 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S MEDICAL GROUP INC | |||||||||||
| PO BOX 1997 MS 900 | MILWAUKEE | WI | 532011997 | 391789197 | PEDIATRIC PHYSICIAN SERVICES | WI | 501(C)(3) | LINE 3 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S PHYSICIAN GROUP PC | |||||||||||
| PO BOX 1997 MS 900 | MILWAUKEE | WI | 532011997 | 364303682 | PEDIATRIC PHYSICIAN SERVICES | WI | 501(C)(3) | LINE 9 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| 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 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S COMMUNITY HEALTH PLAN INC | |||||||||||
| PO BOX 1997 MS 900 | MILWAUKEE | WI | 532011997 | 271494977 | WISCONSIN MEDICAID HMO | WI | 501(C)(3) | LINE 9 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S SPECIALTY GROUP INC | |||||||||||
| 999 N 92ND ST SUITE C740 | MILWAUKEE | WI | 53226 | 391990012 | PEDIATRIC PHYSICIAN SERVICES | WI | 501(C)(3) | LINE 11 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRTUAL PICU SYSTEMS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 WYTHE STREET SUITE 101 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201414664 | EIN |
| Primary Activities | QUALITY/OUTCOMES ANALYSIS | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $4,620 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.33330 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILDREN'S HOSPITAL OF WISCONSIN INC - RENT (LINE 1A (IV) ABOVE | ||
| A | $680,467 | CASH PAID/RECEIVED |
| CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A (IV) ABOVE) | ||
| A | $247,871 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||
| C | $8,404,689 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | ||
| C | $5,659,791 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||
| K | $76,014 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||
| L | $82,519,635 | CASH PAID/RECEIVED |
| CHILDREN'S SERVICE SOCIETY OF WISCONSIN | ||
| L | $2,000,000 | CASH PAID/RECEIVED |
| CHILDREN'S MEDICAL GROUP INC | ||
| L | $3,822,656 | CASH PAID/RECEIVED |
| CHILDREN'S COMMUNITY HEALTH PLAN INC | ||
| L | $1,000,000 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | ||
| L | $750,000 | CASH PAID/RECEIVED |
| CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT | ||
| L | $730,092 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||
| P | $670,109 | CASH PAID/RECEIVED |