STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHILDRENS HOSPITAL AND HEALTH SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL AND HEALTH SYSTEM INC (EIN 39-1500074)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-07
IRS object ID
201413119349301491
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-07T15:57:22-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363168081PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1
CityBROOKFIELDCity
StateWIState
ZIP Code53005ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391500074EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL AND HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone4142665420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWELDON GAGEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4142665420PhoneNum
Signature2014-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRYAN L PAUTSCH CPAPreparerPersonNm
PTINP00034913PTIN
Phone2627549400PhoneNum
Preparation2014-11-03PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARGARET TROYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$121,246,457GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionINTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee899TotalEmployeeCnt
Total Volunteers2988TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,905,451PYContributionsGrantsAmt
CY Contributions Grants$15,096,540CYContributionsGrantsAmt
PY Program Service Revenue$93,657,430PYProgramServiceRevenueAmt
CY Program Service Revenue$104,646,476CYProgramServiceRevenueAmt
PY Investment Income$301,053PYInvestmentIncomeAmt
CY Investment Income$521,962CYInvestmentIncomeAmt
PY Other Revenue$1,004,312PYOtherRevenueAmt
CY Other Revenue$975,497CYOtherRevenueAmt
PY Total Revenue$108,868,246PYTotalRevenueAmt
CY Total Revenue$121,240,475CYTotalRevenueAmt
PY Grants And Similar Paid$306,691PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$492,765CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,032,022PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,610,047CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$62,230,458PYOtherExpensesAmt
CY Other Expenses$60,263,464CYOtherExpensesAmt
PY Total Expenses$111,569,171PYTotalExpensesAmt
CY Total Expenses$125,366,276CYTotalExpensesAmt
PY Revenues Less Expenses-$2,700,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,125,801CYRevenuesLessExpensesAmt
Total Assets BOY$70,835,861TotalAssetsBOYAmt
Total Assets EOY$70,572,534TotalAssetsEOYAmt
Total Liabilities BOY$26,320,272TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,073,827TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,515,589NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,498,707NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCHILDREN'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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$84,866,665ExpenseAmt
Revenue$92,181,216RevenueAmt
DescCHHS IS THE PARENT ORGANIZATION OF AN INTEGRATED SYSTEM OF ENTITIES PROVIDING COMPREHENSIVE MEDICAL CARE AND SOCIAL SERVICES TO CHILDREN FROM WISCONSIN AND THROUGHOUT THE MIDWEST. 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 $105 MILLION.CHHS OVERSEES AND COORDINATES THE ACTIVITIES OF THE VARIOUS OPERATING ENTITIES WITHIN THE INTEGRATED SYSTEM, INCLUDING THROUGH THE PROVISION OF SUPPORTIVE AND ADMINISTRATIVE SERVICES ON A CONSOLIDATED, CENTRALIZED BASIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,713,085ExpenseAmt
Revenue$982,786RevenueAmt
DescCHILDREN'S RESEARCH INSTITUTE ("CRI") IS A PROGRAM OF CHHS THAT ADVANCES PEDIATRIC MEDICAL RESEARCH IN WISCONSIN AND BEYOND. WITH A FOCUS ON TRANSLATIONAL RESEARCH, THE CRI IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES AT PATIENTS' BEDSIDES. RESEARCHERS AT THE CRI CONTINUE TO INVESTIGATE 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. IN 2013, CRI RESEARCHERS RECEIVED A $3.3 MILLION, FIVE YEAR GRANT 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.THE CRI ALSO CONTINUES TO FOCUS RESEARCH 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 WAS AWARDED A $10 MILLION GIFT FROM THE MACC FUND (MIDWEST ATHLETES AGAINST CHILDHOOD CANCER). THIS GIFT WILL 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 WERE ACCEPTED INTO 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 PHASE I - IV CLINICAL TRIALS OF NOVEL CANCER THERAPIES.RESEARCHERS AT THE CRI CONTINUE TO FOCUS ON GENETICS AND RARE DISEASE RESEARCH. IN 2013, CHILDREN'S HOSPITAL OF WISCONSIN WAS AWARDED A $1 MILLION, THREE-YEAR GRANT FROM THE W.M. KECK FOUNDATION IN LOS ANGELES TO SUPPORT GENETIC RESEARCH AND TESTING. A TEAM OF RESEARCHERS AND PHYSICIANS FROM CHILDREN'S HOSPITAL AND THE MEDICAL COLLEGE OF WISCONSIN (MCW) WILL DEVELOP A TEST SYSTEM USING GENE EDITING TO GENERATE AND FUNCTIONALLY TEST GENETIC VARIANTS OF INTEREST. THE GOAL IS TO DEVELOP A TEST 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

FieldValueIRS element (for citing)
Expense$8,028,115ExpenseAmt
Revenue$10,672,849RevenueAmt
DescCHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2013, THERE WERE 22,619 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 4,638 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

FieldValueIRS element (for citing)
Expense$4,259,173ExpenseAmt
Grant$492,765GrantAmt
Revenue$470,176RevenueAmt
DescCOMMUNITY HEALTH 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, COMMUNITY HEALTH HAS INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. COMMUNITY HEALTH 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 2013, THERE WERE 18,888 SCHOOL-BASED NURSE ENCOUNTERS WHICH INCLUDED 946 VISION SCREENINGS. THE SCHOOL-BASED HEALTH CENTERS ALSO EDUCATE CHILDREN AND FAMILIES ABOUT PREVENTIVE CARE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,259,173TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$492,765TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$470,176TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$109,867,038TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee899EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MS SARAH KAFKABusinessNameLine1
FieldValueIRS element (for citing)
Phone4142661854PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVENUEAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
WILLIAM J ABRAHAM JR
DIRECTOR1.001.00Yes (X)$0$0$0
MICHAEL W ALTSCHAEFL
DIRECTOR1.001.00Yes (X)$0$0$0
THOMAS M BOLGER
DIRECTOR1.001.00Yes (X)$0$0$0
ELIZABETH BRENNER
DIRECTOR1.001.00Yes (X)$0$0$0
CURT S CULVER
DIRECTOR1.001.00Yes (X)$0$0$0
BETH DALEY-ULLEM
DIRECTOR1.001.00Yes (X)$0$0$0
DAVID J DRURY
DIRECTOR/CHAIR1.001.00Yes (X)$0$0$0Yes (X)
DAVID H GILBERT
DIRECTOR1.001.00Yes (X)$0$0$0
MARK R HOGAN
DIRECTOR1.001.00Yes (X)$0$0$0
PAUL W JONES
DIRECTOR1.001.00Yes (X)$0$0$0
JOSEPH KERSCHNER MD
DIRECTOR1.001.00Yes (X)$0$0$0
KEVIN MANSELL
DIRECTOR1.001.00Yes (X)$0$0$0
LINDA T MELLOWES
DIRECTOR1.001.00Yes (X)$0$0$0
C DAVID MYERS
DIRECTOR1.001.00Yes (X)$0$0$0
ALBERT S ORR III
DIRECTOR1.001.00Yes (X)$0$0$0
MICHAEL T PEPKE
DIRECTOR1.001.00Yes (X)$0$0$0
J JOEL QUADRACCI
DIRECTOR1.001.00Yes (X)$0$0$0
JAY O ROTHMAN
DIRECTOR1.001.00Yes (X)$0$0$0
JOHN E SCHLIFSKE
DIRECTOR1.001.00Yes (X)$0$0$0
PETER M SOMMERHAUSER
DIRECTOR/VICE CHAIR1.001.00Yes (X)$0$0$0Yes (X)
PAUL W SWEENEY
DIRECTOR1.001.00Yes (X)$0$0$0
OWEN J SULLIVAN
DIRECTOR1.001.00Yes (X)$0$0$0
PHOEBE W WILLIAMS
DIRECTOR1.001.00Yes (X)$0$0$0
MARK C WITT
DIRECTOR1.001.00Yes (X)$0$0$0
MARGARET TROY
DIRECTOR / PRESIDENT & CEO40.000.00Yes (X)$1,231,779$0$318,154Yes (X)
THOMAS ARENBERG
DIRECTOR1.001.00Yes (X)$0$0$0
MICHAEL LOVELL
DIRECTOR1.001.00Yes (X)$0$0$0
PAUL KNOEBEL
DIRECTOR1.001.00Yes (X)$0$0$0
MARC CADIEUX
VP FINANCIAL SERVICES40.000.00$199,061$0$20,997Yes (X)
CINTHIA S CHRISTENSEN
EXECUTIVE VP AND CHW PRESIDENT0.0040.00$0$654,973$108,969Yes (X)
ROBERT DUNCAN
EVP COMMUNITY SERVICES40.000.00$402,057$0$76,003Yes (X)
WELDON GAGE
CFO / TREASURER40.000.00$510,566$0$69,978Yes (X)
TRICIA GERAGHTY
CORPORATE VP MARKETING & PR40.000.00$256,466$0$58,832Yes (X)
MARC GORELICK MD
EXECUTIVE VP CHHS0.0040.00$0$96,585$28,234Yes (X)
VERONICA GUNN
VP POPULATION HLTH MGMT40.000.00$291,243$0$25,409Yes (X)
STEPHANIE LENZNER
VP INFORMATION SERVICES40.000.00$185,990$0$26,541Yes (X)
MICHELLE METTNER
VP GOVERNMENT RELATIONS40.000.00$249,732$0$37,888Yes (X)
MICHAEL NAUMAN
CORPORATE VP & CIO40.000.00$514,661$0$84,418Yes (X)
MARGARET NIEMER
VP CHW26.0014.00$49,487$260,241$73,808Yes (X)
SHEILA REYNOLDS
SECRETARY/CORP VP & GEN.COUNSEL40.000.00$383,091$0$82,165Yes (X)
ROBERT SANDERS
CORPORATE VP STRATEGIC MANAGEMENT40.000.00$340,662$0$67,419Yes (X)
THOMAS SHANAHAN
VP HUMAN RESOURCES40.000.00$235,319$0$42,888Yes (X)
MARK SHIP
VP REVENUE CYCLE (JAN-MAY 2013)40.000.00$321,195$0$20,839Yes (X)
SUZAN BUCHAKLIAN
DIR, SURGICAL SERVICES0.0040.00$0$186,949$28,356Yes (X)
SMRITI KHARE MD
PRESIDENT, CMG40.000.00$404,878$0$67,946Yes (X)
ROY JOHNSON
CORP DIRECTOR, IS OPERATIONS40.000.00$224,061$0$32,382Yes (X)
MARK RAKOWSKI
VICE PRESIDENT, CCHP40.000.00$223,889$0$43,555Yes (X)
ELIZABETH BEDWELL
VP RESEARCH ADMINISTRATION40.000.00$191,296$0$26,422Yes (X)
JULIE SPERKA
DIR, REVENUE INTEGRITY40.000.00$188,453$0$304,037Yes (X)
MARTIN VOGEL
FORMER HCE/CURRENT CHWF VP0.0040.00$0$219,953$42,388Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,403,886TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,418,701TotReportableCompRltdOrgAmt
Total Other Compensation$1,687,628TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MEDICAL COLLEGE OF WISCONSIN
8701 WATERTOWN PLANK RDMILWAUKEEWI53226RESEARCH, EDUCATION, MEDICAL LEADERSHIP$10,375,661
KFORCE INC
PO BOX 277997ATLANTAGA303847997IT CONTRACTORS AND CONSULTING$2,617,344
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI532880314SOFTWARE LICENSING AND MAINTENANCE$1,793,107
MICROSOFT LICENSING GP
1401 ELM ST 5TH FLR DEPT 842467DALLASTX75202SOFTWARE LICENSING AND MAINTENANCE$1,734,717
CUMBERLAND CONSULTING GROUP LLC
720 COOL SPRINGS BLVDFRANKLINTN37067IT CONSULTING$1,633,935
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K65CntrctRcvdGreaterThan100KCnt
Related Organizations$14,123,275RelatedOrganizationsAmt
Government Grants$955,520GovernmentGrantsAmt
All Other Contributions$17,745AllOtherContributionsAmt
Total Contributions$15,096,540TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OPER SUPPORT SERVICES541900$92,992,773$91,677,827$1,314,946
OUTPATIENT HEALTH CARE SERVICES621400$10,664,060$10,664,060
RESEARCH ADMINISTRATION FEE900099$931,044$931,044
CHEC FEES900099$58,599$58,599
FieldValueIRS element (for citing)
Total Program Service Revenue$104,646,476TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$526,886TotalRevenueColumnAmt
Exclusion$526,886ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,058OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,982OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,924OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,924TotalRevenueColumnAmt
Exclusion-$4,924ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescEDUCATIONAL SERVICESDesc
Business611430BusinessCd
Total Revenue Column$239,022TotalRevenueColumnAmt
Related Or Exempt Func Income$239,022RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$736,475TotalRevenueColumnAmt
Related Or Exempt Func Income$736,475RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$975,497OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,240,475TotalRevenueColumnAmt
Related Or Exempt Func Income$104,307,027RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,836,908ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$481,851TotalAmt
Program Services$481,851ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,914TotalAmt
Program Services$10,914ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,714,214TotalAmt
Program Services$6,834,794ProgramServicesAmt
Management And General$879,420ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,096,807TotalAmt
Program Services$37,824,240ProgramServicesAmt
Management And General$5,272,567ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,855,314TotalAmt
Program Services$2,506,735ProgramServicesAmt
Management And General$348,579ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,577,398TotalAmt
Program Services$6,677,758ProgramServicesAmt
Management And General$899,640ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,366,314TotalAmt
Program Services$2,969,775ProgramServicesAmt
Management And General$396,539ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$358,487TotalAmt
Program Services$267,353ProgramServicesAmt
Management And General$91,134ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$356,648TotalAmt
Program Services$315,990ProgramServicesAmt
Management And General$40,658ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$547,155TotalAmt
Program Services$484,780ProgramServicesAmt
Management And General$62,375ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$59,542TotalAmt
Program Services$40,771ProgramServicesAmt
Management And General$18,771ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,421,450TotalAmt
Program Services$24,723,074ProgramServicesAmt
Management And General$2,698,376ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,988,686TotalAmt
Program Services$2,654,666ProgramServicesAmt
Management And General$334,020ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,320,175TotalAmt
Program Services$1,159,415ProgramServicesAmt
Management And General$160,760ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,911,198TotalAmt
Program Services$9,648,637ProgramServicesAmt
Management And General$1,262,561ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,693,984TotalAmt
Program Services$2,615,869ProgramServicesAmt
Management And General$1,078,115ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$684,172TotalAmt
Program Services$607,947ProgramServicesAmt
Management And General$76,225ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$237,890TotalAmt
Program Services$205,652ProgramServicesAmt
Management And General$32,238ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,103,864TotalAmt
Program Services$3,479,061ProgramServicesAmt
Management And General$624,803ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,276,166TotalAmt
Program Services$1,001,600ProgramServicesAmt
Management And General$274,566ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL SUPPLIESDesc
Total$1,811,305TotalAmt
Program Services$1,810,523ProgramServicesAmt
Management And General$782ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,492,742TotalAmt
Program Services$3,545,633ProgramServicesAmt
Management And General$947,109ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$125,366,276TotalAmt
Program Services$109,867,038ProgramServicesAmt
Management And General$15,499,238ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$450,989BOYAmt
EOY$1,537,584EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$385,546BOYAmt
EOY$65,941EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,742,884BOYAmt
EOY$1,253,693EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$56,000BOYAmt
EOY$56,000EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$77,500BOYAmt
EOY$145,500EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$545,480BOYAmt
EOY$572,121EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,904,570BOYAmt
EOY$4,049,368EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,308,641LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,334,374LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,294,129BOYAmt
EOY$44,974,267EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,806,050BOYAmt
EOY$7,955,311EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,572,713BOYAmt
EOY$9,962,749EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$70,835,861BOYAmt
EOY$70,572,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,724,661BOYAmt
EOY$12,708,846EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$281,790BOYAmt
EOY$257,452EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,313,821BOYAmt
EOY$27,107,529EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,320,272BOYAmt
EOY$40,073,827EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,606,725BOYAmt
EOY$24,619,598EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,657,644BOYAmt
EOY$5,603,446EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$251,220BOYAmt
EOY$275,663EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,515,589BOYAmt
EOY$30,498,707EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,835,861BOYAmt
EOY$70,572,534EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,125,801ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$361,326NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,529,755OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$10,000FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$537,155FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$547,155FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$109,319,883FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$109,867,038FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$282,225CurrentYearMinus3Amt
Current Year Minus2$296,103CurrentYearMinus2Amt
Current Year Minus1$547,278CurrentYearMinus1Amt
Current Year$547,155CurrentYearAmt
Total$1,672,761TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$16,310CurrentYearMinus1Amt
Current Year$10,000CurrentYearAmt
Total$26,310TotalAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$117,651BeginningBalanceAmt
Additions During Year$3,201AdditionsDuringYearAmt
Distributions During Year$106,469DistributionsDuringYearAmt
Ending Balance$14,383EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,908,864BeginningYearBalanceAmt
Contributions$4,237,509ContributionsAmt
Investment Earnings Or Losses$40,865InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,307,189GrantsOrScholarshipsAmt
Administrative Expenses$940AdministrativeExpensesAmt
End Year Balance$5,879,110EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,013,572BeginningYearBalanceAmt
Contributions$1,748,443ContributionsAmt
Investment Earnings Or Losses$27,616InvestmentEarningsOrLossesAmt
Grants Or Scholarships$879,862GrantsOrScholarshipsAmt
Administrative Expenses$905AdministrativeExpensesAmt
End Year Balance$2,908,864EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,914,287BeginningYearBalanceAmt
Contributions$843,860ContributionsAmt
Investment Earnings Or Losses$1,271InvestmentEarningsOrLossesAmt
Grants Or Scholarships$745,000GrantsOrScholarshipsAmt
Administrative Expenses$846AdministrativeExpensesAmt
End Year Balance$2,013,572EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,614,564BeginningYearBalanceAmt
Contributions$1,249,343ContributionsAmt
Investment Earnings Or Losses$30,138InvestmentEarningsOrLossesAmt
Grants Or Scholarships$978,936GrantsOrScholarshipsAmt
Administrative Expenses$822AdministrativeExpensesAmt
End Year Balance$1,914,287EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$1,614,564ContributionsAmt
End Year Balance$1,614,564EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.95300TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,457,978OtherCostOrOtherBasisAmt
Book Value$1,457,978BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,377,744OtherCostOrOtherBasisAmt
Depreciation$13,786,932DepreciationAmt
Book Value$36,590,812BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,880OtherCostOrOtherBasisAmt
Depreciation$205,332DepreciationAmt
Book Value$87,548BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,825,966OtherCostOrOtherBasisAmt
Depreciation$12,249,106DepreciationAmt
Book Value$6,576,860BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$354,073OtherCostOrOtherBasisAmt
Depreciation$93,004DepreciationAmt
Book Value$261,069BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,974,267TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DEFERRED COMPENSATION PLAN ASSETS$2,873,063
BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND.$5,879,109
INVESTMENT IN VIRTUAL PICU SYSTEMS, LLC$467,788
INVESTMENT IN NORTH SHORE SURGERY CENTER$714,867
INVESTMENT IN MED-HEALTH FINANCIAL SERVICES, INC.$9,000
ORGANIZATIONAL COSTS$18,922
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,962,749TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PLAN LIABILITY$2,873,063
RETIREMENT PLAN LIABILITY$3,016,682
DUE TO AFFILIATES$21,217,784
FieldValueIRS element (for citing)
Total Liability$27,107,529TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2013 AND 2012.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
FAMILY & CHILDRENS CENTER
1707 MAIN STREETLA CROSSEWI54601390821863501(C)(3)$47,003ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
FAMILY RESOURCE CENTER OF SHEBOYGAN
1209A EASTERN AVENUEPLYMOUTHWI53073391857835501(C)(3)$50,000ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
FAMILY RESOURCE CENTER ST CROIX VALLEY INC
857 MAIN STREET PO BOX 2087BALDWINWI54002391943404501(C)(3)$37,811ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
FAMILY SERVICES OF NORTHEAST WISCONSIN
PO BOX 22308GREEN BAYWI54305390827320501(C)(3)$59,000ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
SAFE BABIES HEALTHY FAMILIES
137 WISCONSIN AVENUEWAUKESHAWI53188391552886501(C)(3)$54,000ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
SEXUAL ASSAULT CRISIS CENTER
35 PARK PLACE SUITE 100APPLETONWI54914391309331501(C)(3)$10,000ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
NORTHWEST CONNECTION FAMILY RESOURCES
15896 W 3RD STREETHAYWARDWI54843391800322501(C)(3)$10,000ANNUAL GRANT FOR A CHILD ABUSE PREVENTION PROGRAM
NEXT DOOR FOUNDATION INC
2545 N 29TH STREETMILWAUKEEWI53210391162969501(C)(3)$213,037ANNUAL HRSA GRANT FOR A PARKING LOT
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
PROJECT MANAGEMENT FOR HOME VISITATION OUTCOMES PROJECT1$10,394N/A
SCHOLARSHIPS1$520N/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMONITORING 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. SCHEDULE I, PART III: SCHOLARSHIPS AWARDED TO RECIPIENTS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARGARET TROY
DIRECTOR / PRESIDENT & CEO$766,613$0$410,197$0$54,969$0$270,958$0$47,196$0$1,549,933$0$0$0
MARC CADIEUX
VP FINANCIAL SERVICES$198,631$0$0$0$430$0$14,272$0$6,725$0$220,058$0$0$0
CINTHIA S CHRISTENSEN
EXECUTIVE VP AND CHW PRESIDENT$0$418,624$0$169,200$0$67,149$0$66,840$0$42,129$0$763,942$0$0
ROBERT DUNCAN
EVP COMMUNITY SERVICES$276,995$0$111,150$0$13,912$0$43,635$0$32,368$0$478,060$0$0$0
WELDON GAGE
CFO / TREASURER$377,897$0$132,129$0$540$0$47,434$0$22,544$0$580,544$0$0$0
TRICIA GERAGHTY
CORPORATE VP MARKETING & PR$238,153$0$0$0$18,313$0$32,950$0$25,882$0$315,298$0$0$0
VERONICA GUNN
VP POPULATION HLTH MGMT$240,050$0$50,664$0$529$0$0$0$25,409$0$316,652$0$0$0
STEPHANIE LENZNER
VP INFORMATION SERVICES$175,443$0$0$0$10,547$0$7,675$0$18,866$0$212,531$0$0$0
MICHELLE METTNER
VP GOVERNMENT RELATIONS$205,672$0$43,607$0$453$0$16,400$0$21,488$0$287,620$0$0$0
MICHAEL NAUMAN
CORPORATE VP & CIO$362,954$0$116,381$0$35,326$0$53,090$0$31,328$0$599,079$0$0$0
MARGARET NIEMER
VP CHW$46,040$146,015$0$83,829$3,447$30,397$0$48,727$4,349$20,732$53,836$329,700$0$0
SHEILA REYNOLDS
SECRETARY/CORP VP & GEN.COUNSEL$270,873$0$92,602$0$19,616$0$48,727$0$33,438$0$465,256$0$0$0
ROBERT SANDERS
CORPORATE VP STRATEGIC MANAGEMENT$256,246$0$69,283$0$15,133$0$41,350$0$26,069$0$408,081$0$0$0
THOMAS SHANAHAN
VP HUMAN RESOURCES$208,630$0$0$0$26,689$0$20,853$0$22,035$0$278,207$0$0$0
MARK SHIP
VP REVENUE CYCLE (JAN-MAY 2013)$248,850$0$71,920$0$425$0$0$0$20,839$0$342,034$0$0$0
SUZAN BUCHAKLIAN
DIR, SURGICAL SERVICES$0$161,911$0$0$0$25,038$0$7,142$0$21,214$0$215,305$0$0
SMRITI KHARE MD
PRESIDENT, CMG$318,658$0$60,251$0$25,969$0$51,382$0$16,564$0$472,824$0$0$0
ROY JOHNSON
CORP DIRECTOR, IS OPERATIONS$210,620$0$0$0$13,441$0$17,646$0$14,736$0$256,443$0$0$0
MARK RAKOWSKI
VICE PRESIDENT, CCHP$223,265$0$0$0$624$0$17,910$0$25,645$0$267,444$0$0$0
ELIZABETH BEDWELL
VP RESEARCH ADMINISTRATION$167,941$0$22,825$0$530$0$7,790$0$18,632$0$217,718$0$0$0
JULIE SPERKA
DIR, REVENUE INTEGRITY$177,775$0$0$0$10,678$0$274,634$0$29,403$0$492,490$0$0$0
MARTIN VOGEL
FORMER HCE/CURRENT CHWF VP$0$204,548$0$14,380$0$1,025$0$17,741$0$24,647$0$262,341$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BIN 2013, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F)). THE ORGANIZATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2013 WERE AS FOLLOWS: M. TROY, $55,802; C. CHRISTENSEN, $45,340; R. DUNCAN, $29,785; W. GAGE, $38,684; T. GERAGHTY, $24,200; M. GORELICK, M.D., $21,058; M. NAUMAN, $39,240; S. REYNOLDS, $29,777; R. SANDERS, $27,500; AND S. KHARE, M.D., $32,432. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2013 WERE: J. KERSTEN, $7,761. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2013 WAS $201,306.
PART I, LINE 7:CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
FORM 990, PART VII, COLUMN E AND SCHEDULE J, PART II:SALARIES PAID BY RELATED ORGANIZATIONS: 1. CINTHIA CHRISTENSEN, PRESIDENT OF CHW AND EXECUTIVE VICE PRESIDENT OF CHHS, BARBARA JOERS, CHW VP, MARGARET NIEMER, CHW VP, MARC GORELICK, M.D., EXECUTIVE VP CHHS, AND SUZAN BUCHAKLIAN, DIRECTOR OF SURGICAL SERVICES - 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. 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

FieldValueIRS element (for citing)
Business Name Line1M CADIEUXBusinessNameLine1
FieldValueIRS element (for citing)
Relationship With OrgOFFICERRelationshipWithOrgTxt
Loan PurposeEDUCATIONLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$56,000OriginalPrincipalAmt
Balance Due$56,000BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$56,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FOLEY AND LARDNER LLP
DIRECTORS (J. ROTHMAN)$159,923MR. ROTHMAN IS THE CHIEF EXECUTIVE OFFICER AT FOLEY AND LARDNER, LLP. THE ORGANIZATION PAID FOLEY AND LARDNER $159,923 FOR LEGAL SERVICES.0
JOHNSON INSURANCE
DIRECTOR (T. BOLGER)$229,693MR. BOLGER IS THE CHIEF EXECUTIVE OFFICER OF JOHNSON BANK AND ITS PARENT COMPANY JOHNSON FINANCIAL GROUP. THE ORGANIZATION PAID JOHNSON INSURANCE, A SUBSIDIARY OF JOHNSON FINANCIAL GROUP, $229,693 FOR BROKERAGE SERVICES.0
WE ENERGIES
DIRECTOR (C. CULVER)$230,920MR. CULVER IS ON THE BOARD OF DIRECTORS AT WE ENERGIES. THE ORGANIZATION PAID WE ENERGIES $230,920 FOR UTILITIES.0
WE ENERGIES
DIRECTOR (T. BOLGER)$230,920MR. BOLGER, WHO IS ON THE ORGANIZATION'S BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH MARY ELLEN STANEK, WHO IS ON THE BOARD OF DIRECTORS AT WE ENERGIES. THE ORGANIZATION PAID WE ENERGIES $230,920 FOR UTILITIES.0
JENNIFER MANCE
DIRECTOR (K. MANSELL)$26,339JENNIFER MANCE IS THE DAUGHTER OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $26,339 IN COMPENSATION0
BMO HARRIS BANK
DIRECTOR (M. HOGAN)$293,814MR. HOGAN IS A SENIOR ADVISOR AT BMO HARRIS BANK. THE ORGANIZATION PAID BMO HARRIS BANK $293,814 FOR BANKING AND INVESTMENT SERVICES.0
KELLY REILLY
DIRECTOR (M. WITT)$101,475KELLY REILLY IS THE SPOUSE OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $101,475 IN COMPENSATION.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 FIVE 1099 FORMS LISTED IN PART V ARE THE FORMS FILED BY THE ORGANIZATION'S DISREGARDED ENTITY.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: ORR AND PEPKE, DRURY AND SCHLIFSKE, DRURY AND SOMMERHAUSER, DRURY AND BRENNER, DRURY AND SULLIVAN, BRENNER AND SULLIVAN, ROTHMAN AND ABRAHAM, SCHLIFSKE AND SOMMERHAUSER, SCHLIFSKE AND MANSELL, MANSELL AND SOMMERHAUSER, ABRAHAM AND QUADRACCI, WITT AND SOMMERHAUSER, KERSCHNER AND BRENNER, KERSCHNER AND CULVER, KERSCHNER AND MELLOWES, KERSCHNER AND SULLIVAN, BOLGER AND SULLIVAN, CULVER AND GORELICK, BRENNER AND GORELICK, KERSCHNER AND GORELICK, MELLOWES AND GORELICK, WILLIAMS AND TROY, WITT AND ABRAHAM, AND SULLIVAN AND GORELICK.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CANNUALLY, 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 15THE COMPENSATION OF THE ORGANIZATION'S CEO AND SENIOR OFFICERS, WITH THE EXCEPTION OF THE VP OF FINANCIAL SERVICES, THE EXECUTIVE VP CHHS, THE VP POPULATION HEALTH MANAGEMENT, THE VP CHW, THE VP INFORMATION SERVICES, THE VP GOVERNMENT RELATIONS, THE VP CHW, THE VP HUMAN RESOURCES, THE VP REVENUE CYCLE, AND THE DIRECTOR OF SURGICAL SERVICES, 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 AND THE KEY EMPLOYEES EXCEPTED ABOVE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE CHHS MARKETING AND COMMUNICATION DEPARTMENT.
FORM 990, PART VII, LINE 42SUZAN BUCHAKLIAN IS THE DIRECTOR OF THE ORGANIZATION'S DISREGARDED ENTITY, SURGICENTER OF GREATER MILWAUKEE, LLC, AND ALSO IS DIRECTOR OF SURGICAL SERVICES AT THE ORGANIZATION'S WHOLLY-OWNED SUBSIDIARY, CHILDREN'S HOSPITAL OF WISCONSIN, INC.
FORM 990, PART IX, LINE 11GCONSULTING FEES: PROGRAM SERVICE EXPENSES 10,487,300. MANAGEMENT AND GENERAL EXPENSES 1,362,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,850,195. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 2,194,323. MANAGEMENT AND GENERAL EXPENSES 423,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,618,012. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 166,165. MANAGEMENT AND GENERAL EXPENSES 21,380. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,545. OTHER FEES: PROGRAM SERVICE EXPENSES 6,976,955. MANAGEMENT AND GENERAL EXPENSES 888,702. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,865,657. GRANT EXPENDITURES: PROGRAM SERVICE EXPENSES 4,898,331. MANAGEMENT AND GENERAL EXPENSES 1,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,900,041.
FORM 990, PART XI, LINE 9:NET ASSET/CASH TRANSFER TO CHILDREN'S COMMUNITY HEALTH PLAN, INC. -12,500,000. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION 2,970,245.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SURGICENTER OF GREATER MILWAUKEE LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVENUE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
EIN391682308EIN
Primary ActivitiesAMBULATORY SURGERY CENTER/MEDICAL OFFICE BUILDINGPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$9,697,767TotalIncomeAmt
End Of Year Assets$22,799,574EndOfYearAssetsAmt
Direct Controlling NAN/ADirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
CHILDREN'S HOSPITAL OF WISCONSIN INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201390812532PEDIATRIC HOSPITALWI501(C)(3)LINE 3N/AYes (1)
CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201391500075FUND DEVELOPMENTWI501(C)(3)LINE 7N/AYes (1)
CHILDREN'S MEDICAL GROUP INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201391789197PEDIATRIC PHYSICIAN SERVICESWI501(C)(3)LINE 3N/AYes (1)
CHILDREN'S PHYSICIAN GROUP PC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201364303682PEDIATRIC PHYSICIAN SERVICESIL501(C)(3)LINE 9N/AYes (1)
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201390806380CHILD WELFARE SERVICESWI501(C)(3)LINE 7N/AYes (1)
CHILDREN'S COMMUNITY HEALTH PLAN INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201271494977WISCONSIN MEDICAID HMOWI501(C)(3)LINE 9N/AYes (1)
CHILDREN'S SPECIALTY GROUP INC
999 N 92ND ST SUITE C740MILWAUKEEWI53226391990012PEDIATRIC PHYSICIAN SERVICESWI501(C)(3)LINE 11N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VIRTUAL PICU SYSTEMS LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 WYTHE STREET SUITE 101AddressLine1
CityALEXANDRIACity
StateVAState
ZIP Code22314ZIPCode
FieldValueIRS element (for citing)
EIN201414664EIN
Primary ActivitiesQUALITY/OUTCOMES ANALYSISPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$14,408ShareOfTotalIncomeAmt
Share Of EOY Assets$537,548ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.33330OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MED-HEALTH FINANCIAL SERVICES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
EIN391547907EIN
Primary ActivitiesCOLLECTION SERVICESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Share Of Total Income$3,569,878ShareOfTotalIncomeAmt
Share Of EOY Assets$3,916,611ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL OF WISCONSIN INC - RENT (LINE 1A (IV) ABOVE
A$694,019CASH PAID/RECEIVED
CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A (IV) ABOVE)
A$246,451CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN - RENT (LINE 1A (IV) ABOVE)
A$288CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN INC
C$9,034,446CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC
C$5,088,829CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC
D$6,000,000CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN INC
K$69,506CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN INC
L$82,624,641CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
L$2,084,433CASH PAID/RECEIVED
CHILDREN'S MEDICAL GROUP INC
L$3,589,580CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC
L$1,010,519CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC
L$750,000CASH PAID/RECEIVED
CHILDREN'S PHYSICIAN GROUP PC
L$218,498CASH PAID/RECEIVED
MED-HEALTH FINANCIAL SERVICES INC
L$600,000CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT
L$920,493CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
M$131,791CASH PAID/RECEIVED
MED-HEALTH FINANCIAL SERVICES INC
M$989,831CASH PAID/RECEIVED
CHILDREN'S HOSPITAL OF WISCONSIN INC
P$225,065CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC
R$12,500,000CASH PAID/RECEIVED