2024-11-14T16:36:48-06:00 2023-12-31 363168081 SIKICH LLC 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2023-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2024-11-13 1 0 JILL M BOYLE CPA P01246734 2627549400 2024-11-13 2023 2024-10-15 13:58:12Z CHILDREN'S WISCONSIN MARGARET TROY PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 308041360 0 X WWW.CHILDRENSWI.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 24 20 7635 1402 0 0 69319923 59935792 213882720 246915680 308193 447966 1106471 739668 284617307 308039106 0 0 0 0 123764788 145069093 0 0 0 158224522 157388727 281989310 302457820 2627997 5581286 109506894 153765560 89514878 129597581 19992016 24167979 X CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS") IS COMMITTED TO ENSURING A HEALTHIER FUTURE FOR CHILDREN BY PROVIDING AN INTEGRATED AND COORDINATED HEALTH AND SOCIAL SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 0 0 231937078 206638471 CHHS IS THE PARENT ORGANIZATION OF AN INTEGRATED SYSTEM OF ENTITIES PROVIDING COMPREHENSIVE MEDICAL CARE AND SOCIAL SERVICES TO CHILDREN FROM WISCONSIN AND THROUGHOUT THE COUNTRY. THE SYSTEM INCLUDES WISCONSIN'S ONLY FREESTANDING HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN, AS WELL AS VARIOUS OTHER FACILITIES PROVIDING INPATIENT AND OUTPATIENT CARE FOR CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE SYSTEM ALSO INCLUDES EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS. ON AN AGGREGATE BASIS, THE ENTITIES WITHIN THE SYSTEM PROVIDED COMMUNITY BENEFITS OF NEARLY $181 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. 13524231 1301790 AS A CHILDREN'S HOSPITAL IN AN ACADEMIC MEDICAL CENTER, RESEARCH IS INTERWOVEN INTO THE CARE WE PROVIDE EVERY DAY. CHILDREN'S ALLOCATES A PORTION OF ITS ANNUAL BUDGET TO PEDIATRIC RESEARCH IN ORDER TO STIMULATE RESEARCH ACTIVITY WHICH IS FOCUSED SOLELY ON IMPROVING CHILD HEALTH OUTCOMES. THIS RESEARCH IS FOCUSED ON IMPROVING DIAGNOSTICS, DISCOVERING AND TESTING NEW THERAPIES, AND IMPROVING THE WAY WE PREVENT AND MANAGE SOME OF THE MOST COMPLEX MEDICAL CONDITIONS. PHYSICIAN-SCIENTISTS, NURSE-SCIENTISTS, RESEARCHERS AND TECHNICIANS AT THE CHILDREN'S RESEARCH INSTITUTE (CRI) SEEK ANSWERS TO THE TOUGHEST QUESTIONS IN PEDIATRIC MEDICINE. THIS INNOVATIVE CULTURE HELPS TO ATTRACT AND RETAIN THE BEST AND BRIGHTEST MINDS TO OUR ORGANIZATION. SINCE ITS INCEPTION IN 2003, CRI HAS GROWN TO INCLUDE MORE THAN 150 RESEARCHERS SPANNING ALL DIAGNOSTIC, MEDICAL, AND SURGICAL SPECIALTIES. TOGETHER THEY FORM THE LARGEST CONCENTRATION OF 100% PEDIATRIC RESEARCH IN WISCONSIN. CHILDREN'S RESEARCH INSTITUTE PROVIDES INFRASTRUCTURE AND FINANCIAL SUPPORT FOR PEDIATRIC RESEARCHERS CONDUCTING CHILD HEALTH RESEARCH. CRI'S ACADEMIC PARTNERS INCLUDE THE MEDICAL COLLEGE OF WISCONSIN, UW-MILWAUKEE, AND MARQUETTE UNIVERSITY. TYPES OF SUPPORT INCLUDE THE FOLLOWING:- SUPPLEMENTAL GRANT SUPPORT FOR EARLY STAGE INVESTIGATORS- COMPETITIVE PILOT GRANTS TO HELP INVESTIGATORS TEST NEW IDEAS- SHARED SERVICES, INCLUDING A PEDIATRIC TRANSLATIONAL RESEARCH UNIT STAFFED BY PEDIATRIC NURSES TRAINED ON THE COMPLEXITIES OF REGULATED CLINICAL RESEARCH- DEDICATED LABORATORY SPACE FOR PEDIATRIC RESEARCHERSA FEW EXAMPLES OF ONGOING RESEARCH PROJECTS ARE DESCRIBED BELOW.CHILDREN'S HAS SIGNIFICANT EFFORTS IN CHILDHOOD CANCER RESEARCH, INCLUDING IMPROVING SURVIVORSHIP AND QUALITY OF LIFE FOR CHILDREN BATTLING SOME OF THE TOUGHEST FORMS OF THE DISEASE. ONGOING LABORATORY RESEARCH EFFORTS INCLUDE CANCER IMMUNOTHERAPY PROJECTS, WHERE OUR LABS ENGINEER NOVEL ANTIBODIES AND INCORPORATE THEM INTO ANTIBODY-BASED PRODUCTS FOR THERAPY SUCH AS BISPECIFIC ANTIBODIES AND CHIMERIC ANTIGEN RECEPTORS THAT FUNCTION TO REDIRECT POTENT IMMUNE EFFECTOR CELLS TOWARD ELIMINATION OF TUMOR CELLS. 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.RESEARCH IN IMPROVING NURSING CARE IS ALSO PART OF OUR RESEARCH PORTFOLIO, INCLUDING ONE PROJECT STUDYING AN INTERVENTION, TO HELP PARENTS ENGAGE WITH THEIR INFANTS IN THE NICU AND THE TRANSITION TO HOME. THIS INTERVENTION, H-HOPE (HOSPITAL TO HOME: OPTIMIZING THE PRETERM INFANT'S ENVIRONMENT), HAS ESTABLISHED EFFICACY, AND HAS A STANDARDIZED PROTOCOL, MAKING IT READY FOR WIDESPREAD IMPLEMENTATION. THE INFANT-DIRECTED COMPONENT OF H-HOPE PROVIDES AUDITORY (VOICE), TACTILE (MODERATE TOUCH MASSAGE), VISUAL (EYE TO EYE), AND VESTIBULAR (ROCKING) STIMULATION STARTING WHEN INFANTS ARE READY FOR SOCIAL INTERACTION. THIS INTERVENTION CAN HELP TO SUPPORT EARLY BRAIN MATURATION, HEALTH, AND DEVELOPMENT FOR BABIES IN THE NEONATAL INTENSIVE CARE UNIT. IN THIS NIH-FUNDED RESEARCH, H-HOPE IMPROVED GROWTH, DEVELOPMENTAL MATURITY AND MOTHER-INFANT INTERACTION, AND REDUCED INITIAL HOSPITALIZATION COSTS AND ACUTE CARE VISITS THROUGH 6-WEEKS CORRECTED AGE. THIS RESEARCH IS NOW TESTING WHETHER H- HOPE CAN BE IMPLEMENTED AND SUSTAINED IN FIVE DIVERSE NICUS. ADDITIONAL RESEARCHERS IN THE NEONATAL INTENSIVE CARE UNIT CONTINUE TO IMPROVE UNDERSTANDING OF PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN (PPHN), A LIFE-THREATENING CONDITION WHICH RESULTS FROM FAILURE OF PULMONARY VASCULAR RESISTANCE TO DECREASE AT BIRTH. IMPAIRED ANGIOGENESIS IN THE LUNG IS A KEY CONTRIBUTOR TO THE FAILED ADAPTATION. ENDOTHELIAL NITRIC OXIDE SYNTHASE (ENOS) PLAYS A CENTRAL ROLE IN THE REGULATION OF ANGIOGENESIS AND PULMONARY VASODILATION AT BIRTH. ONGOING STUDIES ARE INVESTIGATING THE CONTRIBUTION OF ENOS DYSFUNCTION TO IMPAIRED MITOCHONDRIAL BIOGENESIS AND EPIGENETIC ALTERATIONS IN ENOS GENE EXPRESSION IN PPHN, POTENTIALLY LEADING TO NOVEL THERAPY DEVELOPMENT TO RESTORE MITOCHONDRIAL BIOGENESIS AND ANGIOGENESIS IN INFANTS WITH PPHN.RESEARCHERS AT CRI ARE INVESTIGATING WAYS TO IMPROVE CARE FOR CONGENITAL HEART DISEASE PATIENTS. ONE PROJECT AIMS TO IMPROVE UNDERSTANDING OF PULMONARY ARTERIOVENOUS MALFORMATIONS (PAVMS), WHICH ARE COMMON SEQUELAE OF SURGICAL PALLIATION FOR UNIVENTRICULAR CONGENITAL HEART DISEASE. THEY ARE STUDYING A CIRCULATING PROTEIN (SOLUBLE VASCULAR ENDOTHELIAL GROWTH FACTOR RECEPTOR 1; SVEGFR1), WHICH THEY RECENTLY IDENTIFIED AS A CANDIDATE FACTOR THAT MAY PREVENT PAVMS. BY STUDYING THE ROLE OF SVEGFR1 IN VASCULAR REMODELING AND PAVM PREVENTION, THEY ANTICIPATE THAT THIS NEW KNOWLEDGE WILL IMPROVE UNDERSTANDING OF PULMONARY MICROVASCULAR BIOLOGY AND MAY LEAD TO DEVELOPMENT OF TARGETED MEDICAL THERAPIES FOR PATIENTS WITH UNIVENTRICULAR CONGENITAL HEART DISEASE AND PAVMS.RESEARCHERS IN OUR EMERGENCY DEPARTMENT ARE STUDYING WAYS TO IMPROVE THE TREATMENT OF PEDIATRIC PAIN FOR INJURED CHILDREN. FRACTURE PAIN TREATMENT FOR CHILDREN IS INCONSISTENT AND OFTEN INADEQUATE. THERE IS NO CLEAR EVIDENCE DEMONSTRATING WHICH OF THE COMMONLY USED MEDICATIONS ARE MOST CLINICALLY EFFECTIVE. CRI RESEARCHERS ARE LEADING A PROSPECTIVE MULTI-CENTER, LONGITUDINAL COMPARATIVE EFFECTIVENESS STUDY THAT CAPITALIZES ON THE KNOWN VARIABILITY IN PAIN TREATMENT TO DETERMINE THE MOST EFFECTIVE RECOMMENDED ANALGESIC REGIMEN FOR CHILDREN WITH FRACTURE PAIN IN THE ED AND AT HOME. IN THIS STUDY, THEY ARE COMPARING PATIENT-SPECIFIC PAIN EXPERIENCE DATA OVER THE CONTINUUM OF CARE FROM THE HOSPITAL TO THE HOME TO DETERMINE BEST PRACTICE. THE OVERALL GOAL OF THIS STUDY IS TO EVALUATE AND PROVIDE EVIDENCE FOR BOTH ED AND POST-ED PAIN TREATMENT FOR ALL CHILDREN WITH ACUTE FRACTURE-RELATED PAIN. 26353968 31871079 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2023, THERE WERE 88,867 REVENUE GENERATING VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 6,405 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 18323776 6314124 CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES FULL-TIME REGISTERED NURSES FOR HEALTH CARE SERVICES IN 8 K-5 AND K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES, SERVING OVER 3,600 STUDENTS ANNUALLY WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE. THE SCHOOL NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL, AND SOCIAL-EMOTIONAL WELLBEING NEEDS OF STUDENTS. THIS WORK INCLUDES ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH BY ASSISTING FAMILIES IN ACCESSING COMMUNITY RESOURCES THROUGH COORDINATION WITH THE COMMUNITY HEALTH ADVOCATES AND COMMUNITY CONNECTORS. THE SCHOOL NURSES BRING TOGETHER PARENTS/CAREGIVERS, SCHOOL SUPPORT STAFF, PRIMARY AND SPECIALTY CARE PROVIDERS, AND MENTAL HEALTH PROVIDERS TO ADDRESS AND IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE STUDENTS THEY CARE FOR. IN ADDITION TO PROVIDING DAILY CARE TO STUDENTS SUCH AS MEDICATION ADMINISTRATION, G-TUBE FEEDINGS AND OTHER COMPLEX HEALTH PROCEDURES ONLY A LICENSED HEALTH CARE PROVIDER CAN ADMINISTER IN THE SCHOOL SETTING, SCHOOL NURSES PROVIDE MANY OTHER ESSENTIAL SERVICES. EXAMPLES OF OTHER SERVICES INCLUDE EDUCATING STUDENTS AND FAMILIES ON THE IMPORTANCE OF PREVENTIVE CARE, CONDUCTING HEALTH SCREENINGS INCLUDING VISION AND BEHAVIORAL HEALTH ASSESSMENTS, ASSISTING FAMILIES WITH ESTABLISHING MEDICAL AND DENTAL HOMES, COMMUNICABLE DISEASE SURVEILLANCE AND REPORTING, CHRONIC DISEASE MANAGEMENT, AND ASSESSING AND DEVELOPING SCHOOL SAFETY AND EMERGENCY PREPAREDNESS PLANS. AS THE HEALTH EXPERT IN THE SCHOOL, THE NURSES ALSO OFFER CLASSROOM EDUCATION ON A VARIETY OF TOPICS SUCH AS MINDFULNESS, HYGIENE, RESTORATIVE PRACTICES, SELF-CARE AND ANTI-BULLYING.AN INCREASING NUMBER OF STUDENTS ARE ENTERING SCHOOLS EACH YEAR WITH SPECIAL NEEDS AND COMPLEX HEALTH CONDITIONS (ATTENTION-DEFICIT/ HYPERACTIVITY DISORDER, DIABETES, LIFE-THREATENING ALLERGIES, ASTHMA, SICKLE CELL DISEASE, AND SEIZURES) THAT REQUIRE EXTENSIVE INTERVENTION AND COORDINATION THROUGHOUT THE SCHOOL DAY TO KEEP KIDS HEALTHY AND IN THE CLASSROOM LEARNING. AS THE ONLY HEALTH CARE EXPERT IN THE SCHOOLS, THE SCHOOL NURSES PLAY A VITAL ROLE ON THE SPECIAL EDUCATION TEAMS TO ADVISE AND ADVOCATE FOR SPECIAL EDUCATION SERVICES NECESSARY FOR STUDENTS WITH MEDICAL CONCERNS TO ACCESS A FREE APPROPRIATE PUBLIC EDUCATION. FOR CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, SEIZURES OR SICKLE CELL ANEMIA, THE SCHOOL NURSES WORK WITH PARENTS AND FAMILIES TO CREATE CARE PLANS HELPING GUIDE THE STUDENTS TO SELF-MANAGEMENT BY THE TIME THEY REACH MIDDLE OR HIGH SCHOOL, WITH A GOAL OF DECREASED URGENT CARE AND EMERGENCY DEPARTMENT VISITS, INCREASED FOCUS ON PREVENTION AND UTILIZATION OF PRIMARY CARE PROVIDERS. DURING THE 2023-24 SCHOOL YEAR THE SCHOOL NURSES WERE ACTIVE TEAM MEMBERS ON DEVELOPING 24 BEHAVIOR PLANS, 64 INDIVIDUAL EDUCATION PROGRAMS AND TWELVE (12) 504 PLANS FOR STUDENTS WITH DISABILITIES. FOR THE 2023-24 SCHOOL YEAR, CHILDREN'S NURSES COMPLETED 6,013 STUDENT ENCOUNTERS FROM 1,610 INDIVIDUAL STUDENTS, SERVING ABOUT 48% OF THE TOTAL STUDENT POPULATION OVER THE COURSE OF THE 2023-24 SCHOOL YEAR. TRANSPORTATION, BEHAVIOR AND ATTENDANCE REMAINED A CHALLENGE THIS YEAR AND OF THE TOTAL STUDENT POPULATION SERVED BY CHILDREN'S WISCONSIN SCHOOL NURSE PROGRAM, APPROXIMATELY 58% MET THE CRITERIA FOR CHRONIC ABSENTEEISM. THE SCHOOL NURSE TEAM WORKED DILIGENTLY TO HELP ENSURE STUDENTS AND FAMILIES HAD WHAT THEY NEEDED TO ATTEND SCHOOL AND BE HEALTHY, SAFE AND READY TO LEARN, INCLUDING MONITORING ATTENDANCE, OUTREACH TO PARENTS, AND ADVOCATING FOR POSITIVE ATTENDANCE INTERVENTIONS TO GET KIDS TO SCHOOL. PRIOR TO THE PANDEMIC, THERE WAS A DECLINING TREND IN THE NUMBER OF STUDENTS WHO WERE UP TO DATE ON VACCINATIONS REQUIRED BY LAW FOR SCHOOL ATTENDANCE. FOLLOWING THE PANDEMIC THAT TREND CONTINUED AND WAS MADE WORSE BY THE PANDEMIC'S REQUIREMENTS FOR QUARANTINE, ISOLATION ALONG WITH DECREASED ACCESS TO IN-PERSON HEALTH CARE VISITS. IN AN ATTEMPT TO PREVENT COMMUNICABLE DISEASES AND IMPROVE THE VACCINATION COMPLIANCE RATES, CHILDREN'S SCHOOL NURSES, PLANNED, COORDINATED AND CONDUCTED OUTREACH CALLS TO PARENTS OF THOSE STUDENTS BEHIND SCHEDULE ON THEIR VACCINES, SPECIFICALLY THOSE REQUIRED FOR SCHOOL. USING THEIR ESTABLISHED AND TRUSTED RELATIONSHIP WITH THE FAMILIES, THE NURSES REFERRED STUDENTS TO LOCAL VACCINE CLINICS OR TO THE STUDENT'S PRIMARY CARE PROVIDERS. OVERALL, THE NURSES HELPED SCHOOLS TO ACHIEVE AN 85% VACCINE COMPLIANCE RATE ACROSS THE SCHOOLS SERVED.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 CHORUS COMMUNITY HEALTH PLAN'S ("CCHP") PROVIDER NETWORK AS CCHP PROVIDES ADMINISTRATIVE AND UTILIZATION SERVICES FOR CARE4KIDS PROGRAMMING. THROUGH DECEMBER OF 2023, PROGRAM ENROLLMENT WAS 2,850 WHICH REPRESENTED APPROXIMATELY 40% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN 18323776 6314124 290139053 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 1 724 0 7635 1 0 0 0 0 0 0 0 0 0 0 1 0 X 24 20 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142668976 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARGARET TROY DIRECTOR/PRESIDENT AND CEO CHHS 40.00 0.00 X X 2192619 0 74552 PATRICK HAMMES DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 JOHN REICHERT DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 BEN MELSON DIRECTOR 1.00 0.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 0.00 X 0 0 0 DANIELLE MACHATA DIRECTOR 1.00 0.00 X 0 0 0 DAVE WERNER DIRECTOR 1.00 0.00 X 0 0 0 EVE HALL PHD DIRECTOR 1.00 0.00 X 0 0 0 JAMES POPP DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 0.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 0.00 X 0 0 0 JOHN RAYMOND MD DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH 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333784 0 80261 ANGELA JOHNSON FORMER KEY EMP/CISO 40.00 0.00 X 356826 0 47887 ELIZABETH BEDWELL FORMER KEY EMP/VP RESEARCH ADMIN. 40.00 0.00 X 260239 0 64139 12612132 1029634 1955345 275 1 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 68796059 EPIC PO BOX 88314 MILWAUKEE WI 53288 TRAINING, CONSULTING, INSTALL AND TECH S 7435822 KPMG DEPT 0608 PO BOX 120608 DALLAS TX 75312 CONSULTING 5746468 VERSITI 29799 NETWORK PL CHICAGO IL 60673 PHYSICIAN SERVICES/FEES 1440768 CRAMER KRASSELT COMPANY 39012 TREASURY CTR CHICAGO IL 60673 MARKETING SERVICES 1353782 43 43569 57609813 2278802 3608 59935792 OPERATIONAL SUPPORT SERVICES 541900 206670169 205140285 1529884 OUTPATIENT HEALTH CARE SERVICES 621400 30237046 30237046 OUTPATIENT CASE MANAGEMENT 900099 4732595 4732595 PREMIUM REVENUE 524114 2784341 2784341 RESEARCH ADMINISTRATION FEE 900099 1351106 1351106 1140423 1140423 246915680 450220 450220 2254 -2254 -2254 -2254 EDUCATIONAL SERVICES 611430 106364 106364 633304 633304 739668 308039106 246125464 0 1977850 X 13419698 12710623 709075 105302857 97585291 7717566 4422510 4218369 204141 13883567 13299694 583873 8040461 7546303 494158 1303924 1179194 124730 617530 617530 650589 650589 70406591 69075239 1331352 4698974 4696462 2512 2861135 2827214 33921 36064805 35977671 87134 9544678 9472648 72030 439597 408021 31576 947402 801042 146360 9492713 9118713 374000 7220805 7220805 OTHER EXPENSES 7777904 7380077 397827 MEDICAL SUPPLIES 4271778 4263266 8512 EQUITY IN OTHER ENTITIE 1090302 1090302 302457820 290139053 12318767 0 2288123 2671911 5159049 6202423 38750 64720 609765 677302 22127897 34098615 101203726 58258332 50573829 42945394 12395104 13185508 233985 233985 16080392 53685702 109506894 153765560 35805434 115206725 1209868 924988 52499576 13465868 89514878 129597581 X 18962727 23691783 1029289 476196 19992016 24167979 109506894 153765560 X 5581286 347770 -1753093 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 22735 70715 628459 628459 651194 699174 289487859 1770692854 290139053 1771392028 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 836276 838060 866783 699174 3240293 250000 250000 250000 250000 1000000 1500000 69803 67628 71711 70715 279857 1029289 68134 53747 673596 1378 476196 1457517 114298 -67441 473747 1338 1029289 2033214 143868 52209 770553 1221 1457517 2467811 456350 52820 942579 1188 2033214 2460260 505958 57650 554905 1152 2467811 0.00000 0.72300 0.27700 0 1 1 1457978 1457978 48964061 30065131 18898930 4283810 3553299 730511 40711326 24340675 16370651 5786551 299227 5487324 42945394 DEFERRED COMPENSATION PLAN ASSETS 6490710 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION 476196 LEASE ASSET 4873774 INVESTMENT IN OTHER ENTITIES 3015246 DUE FROM AFFILIATES 38829776 53685702 DEFERRED COMPENSATION PLAN LIABILITY 6490710 RETIREMENT PLAN LIABILITY 1762225 LEASE LIABILITY 5055144 OTHER LIABILITIES 157789 13465868 X PART V, LINE 4: CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHHS. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED EDUCATIONAL SERVICES. PART X, LINE 2: FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT AND CEO CHHS 1284168 0 476756 0 431695 0 24450 0 50102 0 2267171 0 0 0 SCOTT TURNER PRESIDENT, CHW AND EVP CHHS 0 721176 0 195229 0 113229 0 136374 0 62897 0 1228905 0 67522 MARC CADIEUX TREASURER/CORP VP & CFO 677156 0 181050 0 177799 0 130298 0 1837 0 1168140 0 126916 0 MICHAEL GUTZEIT PRESIDENT CMG AND SVP 560408 0 129933 0 151128 0 27750 0 56862 0 926081 0 0 0 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 476610 0 130449 0 64252 0 83905 0 63546 0 818762 0 38790 0 MARK RAKOWSKI SVP AND PRESIDENT CCHP 424708 0 86394 0 129007 0 99938 0 63826 0 803873 0 81612 0 THOMAS SHANAHAN VP HUMAN RESOURCES 418845 0 95842 0 133594 0 83436 0 52926 0 784643 0 78925 0 LESLIE TECTOR SECRETARY/VP GENERAL COUNSEL 533754 0 76396 0 1242 0 81150 0 22431 0 714973 0 0 0 PATRICIA GERAGHTY END 9223 SVP & CHIEF MKTG/EXP OFFICER 307988 0 98488 0 218115 0 0 0 37759 0 662350 0 78674 0 SMRITI KHARE END 6123 SVP AND CHIEF MBH OFFICER 231795 0 119643 0 216331 0 27750 0 25572 0 621091 0 127542 0 MATTHEW GRAY CMIO ACIO VP IS CLINICAL APPS 330537 0 48138 0 23040 0 21150 0 64844 0 487709 0 0 0 AMY ROMASHKO URGENT CARE MED/PROGRAM DIR 327075 0 29644 0 17412 0 24450 0 62114 0 460695 0 0 0 AMY HERBST VP BEHAVIORAL & MENTAL HEALTH 299844 0 42445 0 19923 0 27750 0 61996 0 451958 0 0 0 STEVEN BUCARO END 9123 CHIEF STRATEGY OFFICER 264294 0 77792 0 65297 0 0 0 39813 0 447196 0 0 0 CATHERINE BURNS VP NETWORK STRATEGY & DEV 302049 0 34267 0 2922 0 21150 0 63377 0 423765 0 0 0 MICHELLE METTNER FORMER SEC/CORP VP GOV & LEGAL AFF. 316519 0 93526 0 1848 0 0 0 7319 0 419212 0 0 0 MONICA RICCA FORMER KEY EMP/VP REVENUE CYCLE 290006 0 40856 0 2922 0 21150 0 59111 0 414045 0 0 0 ANGELA JOHNSON FORMER KEY EMP/CISO 300430 0 42654 0 13742 0 21150 0 26737 0 404713 0 0 0 AARON KINNEY COO CSG 264388 0 37967 0 1440 0 20647 0 60254 0 384696 0 0 0 CRAIG ADAMS ACIO VP IS INFRASTRUCTURE 252223 0 35660 0 11830 0 20379 0 42722 0 362814 0 0 0 MEGAN LYNCH ASSOC MED DIRECTOR UC 312861 0 26962 0 810 0 11250 0 1405 0 353288 0 0 0 KAREN TIMBERLAKE SVP & PRESIDENT CHILD WELL BEING 267506 0 0 0 20950 0 54492 0 1915 0 344863 0 0 0 ELIZABETH BEDWELL FORMER KEY EMP/VP RESEARCH ADMIN. 225394 0 32107 0 2738 0 21111 0 43028 0 324378 0 0 0 CHRISTOPHER NEUHARTH VP EXP & DIGITAL INNOVATION 252485 0 36584 0 9499 0 20208 0 3014 0 321790 0 0 0 PART I, LINE 3 IN 2023, 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 2023 WERE AS FOLLOWS: M. CADIEUX, $105,848; M. BRZYSKI NELSON, $62,755; M. RAKOWSKI, $72,188; S TURNER, $115,224; K. TIMBERLAKE, $46,200, L. TECTOR, $60,000, AND T. SHANAHAN, $55,686. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2023 WERE: M. CADIEUX, $126,916; T. GERAGHTY $78,674, S. KHARE, M.D., $127,542; M RAKOWSKI, $81,612; T. SHANAHAN, $78,925; S. TURNER, $67,522; AND M. BRZYSKI NELSON $38,790. PART I, LINES 4A-B PATRICIA GERAGHTY SERVED AS SVP & CHIEF MKTG/EXP OFFICER UNTIL SEPTEMBER 2023. CHHS PAID $70,913 AS SEVERANCE TO MS. GERAGHTY PURSUANT TO A WRITTEN AGREEMENT. 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: SCOTT TURNER - PRESIDENT, CHW AND EVP CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHW AND AFFILIATES. THESE AMOUNTS WERE PAID BY CHW. TINA CHANG DIRECTOR 1282645 TINA CHANG IS SOLE OWNER OF SYSLOGIC. CHHS MADE PAYMENTS TOTALING $1,282,645 TO SYSLOGIC IN 2023. 0 ROSE RICCA FAMILY MEMBER OF KEY EMPLOYEE (FORMER), M. RICCA 80714 ROSE RICCA, DAUGHTER OF KEY EMPLOYEE (FORMER) MONICA RICCA, WAS PAID $80,714 IN COMPENSATION BY CHHS DURING 2023. 0 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: RAYMOND AND KERSCHNER, TROY AND ADAMS, ADAMS AND BOCKHORST, LIU AND BOCKHORST, AND ADAMS AND LIU. FORM 990, PART VI, SECTION A, LINE 4 AMEND THE CORPORATE ENTITIES REFLECTED IN ARTICLE II OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION TO INCLUDE CHORUS COMMUNITY HEALTH PLANS, INC. (FORMERLY CHILDREN'S COMMUNITY HEALTH PLAN, INC.) AND REMOVAL OF CHILDREN'S PHYSICIAN GROUP, P.C. WHICH WAS DISSOLVED IN NOVEMBER 2020. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHHS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE DIRECTOR OF CORPORATE COMPLIANCE. THE COMPLIANCE DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO AND OFFICERS WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE KEY EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,565,848. MANAGEMENT AND GENERAL EXPENSES 58,920. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,624,768. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 43,432,848. MANAGEMENT AND GENERAL EXPENSES 534,227. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,967,075. OTHER FEES: PROGRAM SERVICE EXPENSES 4,954,655. MANAGEMENT AND GENERAL EXPENSES 73,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,028,557. RESEARCH EXPENDITURES: PROGRAM SERVICE EXPENSES 5,811,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,811,108. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,310,780. MANAGEMENT AND GENERAL EXPENSES 664,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,975,083. FORM 990, PART XI, LINE 9: DECREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -553,093. OTHER NET ASSET TRANSFERS -1,200,000. 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