2023-10-30T11:09:38-05:00 2022-12-31 363168081 SIKICH LLP 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2022-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2023-10-26 1 MARC CADIEUX 999009999 0 JILL M BOYLE CPA P01246734 2627549400 2023-10-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHILDREN'S WISCONSIN MARGARET TROY PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 284640190 0 X WWW.CHILDRENSWI.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 28 23 1487 97 0 0 18201650 69319923 176183797 213882720 273256 308193 2174397 1106471 196833100 284617307 0 0 0 0 110957462 123764788 0 0 0 115558232 158224522 226515694 281989310 -29682594 2627997 95520569 109506894 75489316 89514878 20031253 19992016 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 215737665 177718498 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 $171 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. 13510162 1341024 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 RESEARCHERS.A 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 WAYS TO ASSIST FAMILIES IN MANAGING COMPLEX CARE ISSUES AFTER THEY LEAVE THE HOSPITAL, POTENTIALLY IMPROVING ACCESS TO CARE AND POST DISCHARGE OUTCOMES FOR TRANSPLANT PATIENTS. THIS STUDY IS EVALUATING A NOVEL FAMILY CENTERED SELF-MANAGEMENT INTERVENTION THAT INCORPORATES AN INDIVIDUALIZED DAILY POST-DISCHARGE INTERACTIVE COMMUNICATION BETWEEN FAMILIES AND TRANSPLANT NURSES VIA MOBILE TECHNOLOGY. THE TOOL TRACKS DAILY FAMILY COPING, FAMILY SELF-MANAGEMENT BEHAVIORS OF COMPLEX CARE AT HOME, AND PARENT MANAGEMENT OF CHILDREN'S TRANSPLANT SYMPTOMS. THE TOOL MAY RESULT IN A PRE-IDENTIFIED TRIGGER AND ACTIVATE IMMEDIATE NOTIFICATION TO THE TRANSPLANT NURSE. THE ULTIMATE GOAL OF THE PROJECT IS TO IMPROVE ACCESS TO CARE.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 HEART TRANSPLANT PATIENTS, INCLUDING THE DEVELOPMENT OF A NEW METHOD TO MONITOR PEDIATRIC HEART TRANSPLANT RECIPIENTS AND IDENTIFY EARLY SIGNS OF TRANSPLANT REJECTION. 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. THIS NON-INVASIVE TEST IS ALSO BEING STUDIED IN CONJUNCTION WITH CARDIAC MAGNETIC RESONANCE IMAGING TO DETERMINE IF THESE TWO METHODS TOGETHER CAN DETECT CARDIAC ABNORMALITIES CONSISTENT WITH TRANSPLANT REJECTION. 23749023 28239937 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2022, THERE WERE 78,139 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 5,552 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 17393856 6463841 CHHS OFFERS FREE AND INEXPENSIVE HEALTH EDUCATION PROGRAMS AND RESOURCES AT NO CHARGE TO TEACHERS, CHILDREN AND PARENTS. IN ADDITION, CHHS PROVIDES INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES FULL-TIME REGISTERED NURSES FOR HEALTH CARE SERVICES IN 11 K-5 AND K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES, SERVING OVER 4,000 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 NAVIGATORS 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 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 FAIR AND EQUAL 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 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 2022-23 SCHOOL YEAR THE SCHOOL NURSES WERE ACTIVE TEAM MEMBERS ON DEVELOPING 26 BEHAVIOR PLANS, 40 INDIVIDUAL EDUCATION PROGRAMS AND FOURTEEN (14) 504 PLANS FOR STUDENTS WITH DISABILITIES. FOR THE 2022-23 SCHOOL YEAR, ALL STUDENTS RETURNED TO THE CLASSROOM FULL-TIME. SCHOOL NURSES WERE ESSENTIAL PARTNERS IN HELPING STUDENTS RE-ACCLIMATE TO ROUTINES AND SOCIAL NORMS IN THE SCHOOL ENVIRONMENT, HELPING SUPPORT STAFF TO MANAGE BEHAVIORS AND SOCIAL-EMOTIONAL CONCERNS TO BE BETTER ABLE TO FOCUS ON LEARNING IN THE CLASSROOM. COLLABORATION AND ADVOCACY FOR STUDENTS AND PARENTS EXPERIENCING CHALLENGES WITH THE NEW ROUTINES WERE CRITICAL DURING THIS SCHOOL YEAR. CHILDREN'S NURSES COMPLETED 9,136 STUDENT ENCOUNTERS FROM 1,760 INDIVIDUAL STUDENTS, SERVING ABOUT 47% OF THE TOTAL STUDENT POPULATION OVER THE COURSE OF THE 2022-23 SCHOOL YEAR. GETTING BACK TO SCHOOL ROUTINES, TRANSPORTATION AND ATTENDANCE REMAINED A CHALLENGE THIS YEAR AND OF THE TOTAL STUDENT POPULATION SERVED BY CHILDREN'S WISCONSIN SCHOOL NURSE PROGRAM, APPROXIMATELY 55% 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 LESSEN THE IMPACT AND IMPROVE THE VACCINATION COMPLIANCE RATES, CHILDREN'S SCHOOL NURSES, IN PARTNERSHIP WITH MPS AND THE MILWAUKEE HEALTH DEPARTMENT, HELD SCHOOL-BASED VACCINE CLINICS. THE NURSES WERE A CRITICAL COMPONENT TO THE SUCCESS OF THE PROGRAM, PLANNING, COORDINATING AND CONDUCTING OUTREACH CALLS TO PARENTS OF THOSE STUDENTS BEHIND SCHEDULE. THE NURSE USED THEIR ESTABLISHED AND TRUSTED RELATIONSHIP WITH THE FAMILIES TO OBTAIN CONSENTS AND ENROLL STUDENTS IN THE ONE-DAY CLINICS AT SIX OF CHILDREN'S PARTNER SCHOOLS. OVERALL, 70 STUDENTS AND 69 STAFF WERE SERVED PROVIDING 249 TOTAL VACCINATIONS INCLUDING FLU AND COVID.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 PLANS ("CCHP") PROVIDER NETWORK AS CCHP PROVIDES ADMINISTRATIVE AND UTILIZATION SERVICES FOR CARE4KIDS PROGRAMMING. THROUGH DECEMBER OF 2022, PROGRAM ENROLLMENT WAS 2,850 WHICH REPRESENTED APPROXIMATELY 40% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN 17393856 6463841 270390706 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 X 0 0 1487 1 0 0 0 0 0 0 0 0 0 0 1 0 X 28 23 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142661887 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARGARET TROY DIRECTOR/PRESIDENT & CEO CHHS 40.00 0.00 X X 1973534 0 58792 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 TODD ADAMS DIRECTOR 1.00 0.00 X 0 0 0 THOMAS ARENBERG DIRECTOR 1.00 0.00 X 0 0 0 LINDA BENFIELD DIRECTOR 1.00 0.00 X 0 0 0 KENNETH BROCKHORST DIRECTOR 1.00 0.00 X 0 0 0 TINA CHANG DIRECTOR 1.00 0.00 X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 0.00 X 0 0 0 TODD ENDRES DIRECTOR 1.00 0.00 X 0 0 0 NANCY AVILA DIRECTOR 1.00 0.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 0.00 X 0 0 0 TIM GEREND DIRECTOR 1.00 0.00 X 0 0 0 KELLY GREBE DIRECTOR 1.00 0.00 X 0 0 0 EVE HALL DIRECTOR 1.00 0.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH KERSCHNER MD DIRECTOR 1.00 0.00 X 0 0 0 PAUL KNOEBEL DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LOVELL DIRECTOR 1.00 0.00 X 0 0 0 DANIELLE MACHATA DIRECTOR 1.00 0.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 0.00 X 0 0 0 JAMES POPP DIRECTOR 1.00 0.00 X 0 0 0 TOM PRECIA DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 0.00 X 0 0 0 JOHN RAYMOND MD DIRECTOR 1.00 0.00 X 0 0 0 ROLANDO RODRIGUEZ DIRECTOR 1.00 0.00 X 0 0 0 DAVE WERNER DIRECTOR 1.00 0.00 X 0 0 0 MARK C WITT DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE GASS END 113022 DIRECTOR 1.00 0.00 X 0 0 0 SCOTT TURNER PRESIDENT, CHW AND EVP CHHS 0.00 40.00 X 0 924229 163152 MARC CADIEUX TREASURER/CORP VP & CFO 40.00 0.00 X 993812 0 126962 ROBERT DUNCAN END 012822 PRES. CSSW & EVP CHHS 40.00 0.00 X 257357 0 20692 SMRITI KHARE SVP & CHIEF MBH OFFICER 40.00 0.00 X 751880 0 139020 MICHELLE METTNER END 123122 SECRETARY/CORP VP GOV & LEGAL AFFAIRS 40.00 0.00 X 703637 0 111779 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 632797 0 116023 THOMAS SHANAHAN VP HUMAN RESOURCES 40.00 0.00 X 599218 0 110785 PATRICIA GERAGHTY VP NETWORK STRATEGY & DEV 40.00 0.00 X 557273 0 113893 MARK RAKOWSKI SVP AND PRESIDENT CCHP 40.00 0.00 X 543242 0 120336 STEVEN BUCARO CHIEF STRATEGY OFFICER 40.00 0.00 X 475692 0 94215 MICHAEL GUTZEIT PRESIDENT CMG & SVP 0.00 40.00 X 259421 470202 61844 JAMES SIMARAS END 101322 VP FINANCE 40.00 0.00 X 310528 0 46913 ANGELA JOHNSON CISO AND VP SUPPLY CHAIN 40.00 0.00 X 336744 0 36100 MONICA RICCA VP REVENUE CYCLE 40.00 0.00 X 307610 0 56152 ELIZABETH BEDWELL VP RESEARCH ADMINISTRATION 40.00 0.00 X 246396 0 43278 AARON KINNEY COO CSG 0.00 40.00 X 100575 141035 52219 ROBERT ROHLOFF DIR, QUALITY & PAT SAFETY, CMG 40.00 0.00 X 413696 0 57919 LESLIE TECTOR VP GENERAL COUNSEL 40.00 0.00 X 397650 0 31219 MATTHEW GRAY CMIO ACIO VP IS CLINICAL APPS 40.00 0.00 X 361628 0 53233 DAVID MEULER PEDIATRIC PHYSICIAN 4.00 36.00 X 32623 314909 44259 AMY HERBST VP BEHAVIORAL & MENTAL HEALTH 40.00 0.00 X 343817 0 61132 10599130 1850375 1719917 252 0 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 52170348 KPMG DEPT 0608 PO BOX 120608 DALLAS TX 75312 CONSULTING 10661963 CRAMER KRASSELT COMPANY 39012 TREASURY CTR CHICAGO IL 60694 ADVERTISING SERVICES 1870605 SYSLOGIC 375 BISHOPS WAY SUITE 105 BROOKFIELD WI 53005 CONSULTING 1008457 SRH MARKETING 1830 N HUBBARD SUITE 700 MILWAUKEE WI 53202 ADVERTISING SERVICES 681493 41 80769 68107331 1126073 5750 69319923 OPERATIONAL SUPPORT SERVICES 541900 177281483 176055592 1225891 OUTPATIENT HEALTH CARE SERVICES 621400 26524625 26524625 OUTPATIENT CASE MANAGEMENT 900099 4868847 4868847 PREMIUM REVENUE 524114 2806732 2806732 RESEARCH ADMINISTRATION FEE 900099 1368717 1368717 1032316 1032316 213882720 331076 331076 22883 -22883 -22883 -22883 EDUCATIONAL SERVICES 611430 110642 110642 995829 995829 1106471 284617307 213763300 0 1534084 X 10289302 9878376 410926 91171388 84615626 6555762 3884018 3701911 182107 11715982 11209750 506232 6704098 6266841 437257 1063113 884034 179079 583586 583586 828444 828444 71886021 69951848 1934173 6568821 6568821 3468794 3405039 63755 30847811 30794450 53361 9845201 9783110 62091 339123 308357 30766 858626 781872 76754 7671634 7276040 395594 452814 388940 63874 EQUITY IN OTHER ENTITIE 12632333 12632333 OTHER EXPENSES 7109967 6477182 632785 MEDICAL SUPPLIES 4068234 4054146 14088 281989310 270390706 11598604 0 2472173 2288123 4346360 5159049 37500 38750 575937 609765 20754342 22127897 98824559 48250730 32235800 50573829 14308350 12395104 233985 233985 20556122 16080392 95520569 109506894 30882549 35805434 1501368 1209868 43105399 52499576 75489316 89514878 X 18573736 18962727 1457517 1029289 20031253 19992016 95520569 109506894 X 2627997 -2239006 -428228 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 34082 71711 795072 795072 829154 866783 269561552 1723444592 270390706 1724311375 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 766345 836276 838060 866783 3307464 250000 250000 250000 250000 1000000 1500000 23054 69803 67628 71711 232196 1457517 114298 -67441 473747 1338 1029289 2033214 143868 52209 770553 1221 1457517 2467811 456350 52820 942579 1188 2033214 2460260 505958 57650 554905 1152 2467811 2851042 240738 -15017 615373 1130 2460260 0.00000 0.30200 0.69800 0 1 1 1457978 1457978 48937211 28200989 20736222 4283810 3298379 985431 28482427 16621475 11860952 15663133 129887 15533246 50573829 DEFERRED COMPENSATION PLAN ASSETS 6293328 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION 1029289 INVESTMENT IN MHEC 1486212 INVESTMENT IN SKYWALK 1248743 LEASE ASSET 6022820 16080392 DEFERRED COMPENSATION PLAN LIABILITY 6293328 RETIREMENT PLAN LIABILITY 1924568 DUE TO AFFILIATES 36999607 LEASE LIABILITY 7276746 OTHER LIABILITIES 5327 52499576 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, 2022 AND 2021. X X X X X X 0 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO CHHS 1134014 0 410825 0 428695 0 22450 0 36342 0 2032326 0 0 0 MARC CADIEUX TREASURER/CORP VP & CFO 635957 0 162297 0 195558 0 123257 0 3705 0 1120774 0 133747 0 SCOTT TURNER PRESIDENT, CHW AND EVP CHHS 0 680620 0 182025 0 61584 0 125052 0 38100 0 1087381 0 13940 SMRITI KHARE SVP & CHIEF MBH OFFICER 520477 0 117964 0 113439 0 105475 0 33545 0 890900 0 93159 0 MICHELLE METTNER END 123122 SECRETARY/CORP VP GOV & LEGAL AFFAIR 469771 0 92214 0 141652 0 82467 0 29312 0 815416 0 93242 0 MICHAEL GUTZEIT PRESIDENT CMG & SVP 210568 286454 0 107937 48853 75811 10277 15224 13687 22656 283385 508082 0 0 MARGARET NELSON CHIEF DEVELOPMENT OFFICER 463642 0 101355 0 67800 0 77506 0 38517 0 748820 0 34233 0 THOMAS SHANAHAN VP HUMAN RESOURCES 387894 0 89360 0 121964 0 76729 0 34056 0 710003 0 71480 0 PATRICIA GERAGHTY VP NETWORK STRATEGY & DEV 382277 0 79103 0 95893 0 75094 0 38799 0 671166 0 72683 0 MARK RAKOWSKI SVP AND PRESIDENT CCHP 356478 0 71615 0 115149 0 83250 0 37086 0 663578 0 82132 0 STEVEN BUCARO CHIEF STRATEGY OFFICER 380523 0 66562 0 28607 0 60170 0 34045 0 569907 0 0 0 ROBERT ROHLOFF DIR, QUALITY & PAT SAFETY, CMG 369193 0 22045 0 22458 0 25500 0 32419 0 471615 0 0 0 LESLIE TECTOR VP GENERAL COUNSEL 334878 0 48945 0 13827 0 19400 0 11819 0 428869 0 0 0 MATTHEW GRAY CMIO ACIO VP IS CLINICAL APPS 322113 0 38975 0 540 0 16350 0 36883 0 414861 0 0 0 AMY HERBST VP BEHAVIORAL & MENTAL HEALTH 282425 0 42330 0 19062 0 25500 0 35632 0 404949 0 0 0 DAVID MEULER PEDIATRIC PHYSICIAN 32623 304799 0 9300 0 810 0 11229 0 33030 32623 359168 0 0 ANGELA JOHNSON CISO AND VP SUPPLY CHAIN 289179 0 34618 0 12947 0 19400 0 16700 0 372844 0 0 0 MONICA RICCA VP REVENUE CYCLE 271494 0 33194 0 2922 0 19400 0 36752 0 363762 0 0 0 JAMES SIMARAS END 101322 VP FINANCE 237929 0 43842 0 28757 0 15646 0 31267 0 357441 0 0 0 AARON KINNEY COO CSG 98551 103307 1500 36962 524 766 7698 9878 12978 21665 121251 172578 0 0 ELIZABETH BEDWELL VP RESEARCH ADMINISTRATION 217279 0 26467 0 2650 0 19993 0 23285 0 289674 0 0 0 ROBERT DUNCAN END 012822 PRES. CSSW & EVP CHHS 44161 0 131892 0 81304 0 17251 0 3441 0 278049 0 0 0 PART I, LINE 4B IN 2022, 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 2022 WERE AS FOLLOWS: M. CADIEUX, $100,807; T. GERAGHTY, $52,644; S. KHARE, M.D., $79,975; M. METTNER, $60,017; M. BRZYSKI NELSON,$58,106; M. RAKOWSKI, $57,750; S. BUCARO, $49,920; S TURNER , $108,702; AND T. SHANAHAN, $51,229. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2022 WERE: M. CADIEUX, $133,747; T. GERAGHTY $72,683, S. KHARE, M.D., $93,159, M. METTNER, $93,242; M RAKOWSKI, $82,132; T. SHANAHAN, $71,480; S. TURNER, $13,940; AND M. BRZYSKI NELSON $34,233. 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. MICHAEL GUTZEIT - PRESIDENT CMG & SVP - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS AND CHILDREN'S HOSPITAL OF WISCONSIN, INC. AARON KINNEY - COO CSG - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS AND CHILDREN'S HOSPITAL OF WISCONSIN, INC. KELLY REILLY FAMILY MEMBER OF DIRECTOR M. WITT 192525 KELLY REILLY, SPOUSE OF DIRECTOR MARK WITT, WAS PAID $192,525 IN COMPENSATION BY CHHS DURING 2022. 0 TINA CHANG DIRECTOR 1023089 TINA CHANG IS SOLE OWNER OF SYSLOGIC. CHHS MADE PAYMENTS TOTALING $1,023,089 TO SYSLOGIC IN 2022. 0 ROSE RICCA FAMILY MEMBER OF KEY EMPLOYEE (FORMER), M. RICCA 74586 ROSE RICCA, DAUGHTER OF KEY EMPLOYEE (FORMER) MONICA RICCA, WAS PAID $74,586 IN COMPENSATION BY CHHS DURING 2022. 0 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, CHILDREN'S HOSPITAL OF WISCONSIN, INC. (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. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: RAYMOND AND KERSCHNER, LOVELL AND ADAMS, TROY AND LOVELL, TROY AND ADAMS, ADAMS AND BOCKHORST, AND WITT AND MACHATA. 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, ALONG WITH THE PRESIDENT, CMG, WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE OTHER KEY EMPLOYEE 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 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 8,265,260. MANAGEMENT AND GENERAL EXPENSES 287,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,553,123. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 46,334,998. MANAGEMENT AND GENERAL EXPENSES 432,825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,767,823. OTHER FEES: PROGRAM SERVICE EXPENSES 4,196,290. MANAGEMENT AND GENERAL EXPENSES 91,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,287,886. RESEARCH EXPENDITURES: PROGRAM SERVICE EXPENSES 5,889,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,889,838. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,265,462. MANAGEMENT AND GENERAL EXPENSES 1,121,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,387,351. FORM 990, PART XI, LINE 9: DECREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -428,228. 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