CHORUS COMMUNITY HEALTH PLANS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHORUS COMMUNITY HEALTH PLANS INC (EIN 27-1494977)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202023189349306732
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T12:31:35-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363168081PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271494977EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S COMMUNITY HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone4142665420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1997 MS 900AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532011997ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARC A CADIEUXPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4142665420PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL M BOYLE CPAPreparerPersonNm
PTINP01246734PTIN
Phone2627549400PhoneNum
Preparation2020-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT DUNCANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1997 MS 900AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532011997ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$379,518,047GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://CHILDRENSCOMMUNITYHEALTHPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICES TO ITS MEMBERS IN WI.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee138TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$459,573,101PYProgramServiceRevenueAmt
CY Program Service Revenue$363,681,065CYProgramServiceRevenueAmt
PY Investment Income$674,367PYInvestmentIncomeAmt
CY Investment Income$2,044,316CYInvestmentIncomeAmt
PY Other Revenue$675PYOtherRevenueAmt
CY Other Revenue$8,750CYOtherRevenueAmt
PY Total Revenue$460,248,143PYTotalRevenueAmt
CY Total Revenue$365,734,131CYTotalRevenueAmt
PY Grants And Similar Paid$46,950PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$63,865CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$357,905,823PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$277,870,891CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,886,783PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,468,898CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$59,682,075PYOtherExpensesAmt
CY Other Expenses$48,986,476CYOtherExpensesAmt
PY Total Expenses$427,521,631PYTotalExpensesAmt
CY Total Expenses$337,390,130CYTotalExpensesAmt
PY Revenues Less Expenses$32,726,512PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,344,001CYRevenuesLessExpensesAmt
Total Assets BOY$162,028,686TotalAssetsBOYAmt
Total Assets EOY$196,510,098TotalAssetsEOYAmt
Total Liabilities BOY$87,665,067TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,621,054TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,363,619NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$102,889,044NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCHILDREN'S COMMUNITY HEALTH PLAN, INC. ("CCHP"), A SUBSIDIARY OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO PROVIDING ACCESS TO THE HIGHEST QUALITY HEALTH CARE AND SERVICES TO MEMBERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$218,847,820ExpenseAmt
Grant$63,865GrantAmt
Revenue$237,469,002RevenueAmt
DescCCHP'S PURPOSE IS TO PROMOTE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME CHILDREN AND CERTAIN OTHER DISADVANTAGED RESIDENTS OF THE STATE OF WISCONSIN, AND TO PROMOTE OR SPONSOR PROGRAMS FURTHERING THE HEALTH OF ITS MEMBERS AND THE LARGER COMMUNITIES SERVED. CCHP IS AN HMO FOR WISCONSIN MEDICAID-ELIGIBLE INDIVIDUALS AND FAMILIES LIVING IN BROWN, CALUMET, DOOR, FOND DU LAC, FOREST, GREEN LAKE, LINCOLN, JEFFERSON, KENOSHA, KEWAUNEE, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, ONEIDA, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, VILAS, WALWORTH, WAUKESHA, WAUSHARA, WASHINGTON, WAUPACA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2019 WAS 120,827 MEMBERS, AND THERE WERE 10,135 INPATIENT ADMISSIONS, 403,232 AMBULATORY ENCOUNTERS, AND 2,856 DELIVERIES IN 2019. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 9,000 PHYSICIANS, 8,000 NON PHYSICIANS, AND OVER 60 HOSPITALS IN 2019. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$88,151,294ExpenseAmt
Revenue$108,453,833RevenueAmt
DescCCHP SELLS INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE, DIRECTLY TO CONSUMERS. THERE WERE 10,068 MEMBERS ENROLLED AT THE END OF DECEMBER 2019. APPROXIMATELY 75 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 62 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 34 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,265,040ExpenseAmt
Revenue$17,766,980RevenueAmt
DescCCHP RECORDED REVENUE AND EXPENSES FOR CHHS' FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS. CARE4KIDS IS A NON-RISK PREPAID INPATIENT HEALTH PLAN CONTRACT BETWEEN CHHS AND WISCONSIN MEDICAID THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES FOR QUALIFYING FOSTER CHILDREN IN SOUTHEASTERN WISCONSIN. CCHP PROVIDES UTILIZATION MANAGEMENT AND A PROVIDER NETWORK, AND PROCESSES CLAIMS FOR THE PARTICIPANTS VIA A SUBCONTRACT AGREEMENT WITH CHHS. THERE WERE 3,214 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2019.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$324,264,154TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2471IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee138EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MS SARAH KAFKABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4142661887PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1997 MS 900AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532011997ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARGARET TROY
DIRECTOR/CHHS PRESIDENT0.0040.00Yes (X)$0$3,745,684$54,445
ROBERT DUNCAN
DIRECTOR/PRESIDENT0.0040.00Yes (X)$0$767,768$108,916Yes (X)
MARC CADIEUX
TREASURER0.0040.00$0$691,979$77,788Yes (X)
MICHELLE METTNER
SECRETARY0.0040.00$0$528,932$90,664Yes (X)
MARK RAKOWSKI
VP CCHP0.0040.00$0$387,885$87,231Yes (X)
LYNN MASKEL
MEDICAL DIR CLINICAL SERVICES28.000.00$176,551$0$21,944Yes (X)
MICHAEL BOEDER
EXEC DIR HEALTH PLAN OPS40.000.00$123,640$46,565$23,263Yes (X)
JULIE ANTHOLINE
DIR HEALTH PLAN OPERATIONS40.000.00$132,721$0$34,087Yes (X)
LYNN KRYFKE
EXEC DIR HEALTH PLAN CLIN SVCS40.000.00$149,847$0$14,565Yes (X)
JAMES SLAWSON
CHIEF MEDICAL OFFICER CCHP40.000.00$137,522$0$19,728Yes (X)
DAVID DRURY
DIRECTOR1.000.00Yes (X)$0$0$0
BEN MELSON
DIRECTOR1.000.00Yes (X)$0$0$0
THOMAS PRECIA
DIRECTOR1.000.00Yes (X)$0$0$0
JAMES PURKO
DIRECTOR/CHAIR1.000.00Yes (X)$0$0$0Yes (X)
CLARK SLIPHER
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL SILVER
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$720,281TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,168,813TotReportableCompRltdOrgAmt
Total Other Compensation$532,631TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DENTAL PROFESSIONALS OF WI
3520 W OKLAHOMA AVEMILWAUKEEWI53215DENTAL SERVICES$16,179,216
DEAN HEALTH PLAN INC
1277 DEMING WAYMADISONWI53717CLAIMS AND TPA FEES$12,073,220
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT ST 12TH FLOORPITTSBURGHPA15219CLAIMS ADMINISTRATION/PROCESSOR$4,985,751
HERSLOF OPTICAL COMPANY INC
12000 W CARMEN AVEMILWAUKEEWI53225CAPITATED VISION SERVICES$1,248,522
LIBERTY INSURANCE
100 N CORPORATE DR STE 100BROOKFIELDWI53045BROKER COMMISSIONS$884,826
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM REVENUE524114$345,913,553$345,913,553
FOSTER CARE MEDICAL HOME PIHP524298$17,766,980$17,766,980
PRENATAL CARE COORDINATION REV624100$532$532
FieldValueIRS element (for citing)
Total Program Service Revenue$363,681,065TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,040,465TotalRevenueColumnAmt
Exclusion$2,040,465ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,787,767SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,783,916SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,851SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,851TotalRevenueColumnAmt
Exclusion$3,851ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$8,750TotalRevenueColumnAmt
Related Or Exempt Func Income$8,750RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,750OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$365,734,131TotalRevenueColumnAmt
Related Or Exempt Func Income$363,689,815RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,044,316ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$63,865TotalAmt
Program Services$63,865ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$277,870,891TotalAmt
Program Services$277,870,891ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,062,705TotalAmt
Program Services$5,157,014ProgramServicesAmt
Management And General$2,905,691ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$468,295TotalAmt
Program Services$299,528ProgramServicesAmt
Management And General$168,767ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,352,317TotalAmt
Program Services$864,960ProgramServicesAmt
Management And General$487,357ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$585,581TotalAmt
Program Services$374,545ProgramServicesAmt
Management And General$211,036ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,511,016TotalAmt
Management And General$1,511,016ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,953TotalAmt
Management And General$51,953ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$45,932TotalAmt
Management And General$45,932ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$94,137TotalAmt
Management And General$94,137ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,410,818TotalAmt
Program Services$22,523,651ProgramServicesAmt
Management And General$3,887,167ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$205,414TotalAmt
Management And General$205,414ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,706TotalAmt
Program Services$5,574ProgramServicesAmt
Management And General$1,132ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$404,053TotalAmt
Program Services$404,053ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,111TotalAmt
Program Services$24,526ProgramServicesAmt
Management And General$43,585ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,108TotalAmt
Program Services$6,295ProgramServicesAmt
Management And General$25,813ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$171,413TotalAmt
Management And General$171,413ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$56,310TotalAmt
Management And General$56,310ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOSTER CARE MEDICAL HOM$16,668,621$16,668,621
STATE INCOME TAX$2,452,834$2,452,834
OTHER EXPENSES$807,050$631$806,419

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$337,390,130TotalAmt
Program Services$324,264,154ProgramServicesAmt
Management And General$13,125,976ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$221,476BOYAmt
EOY$222,189EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$114,353,361BOYAmt
EOY$120,917,288EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,382,034BOYAmt
EOY$49,260,388EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$425,939BOYAmt
EOY$388,779EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,136,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$481,585LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$887,161BOYAmt
EOY$655,163EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$22,606,176BOYAmt
EOY$23,333,619EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$152,539BOYAmt
EOY$1,732,672EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$162,028,686BOYAmt
EOY$196,510,098EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$85,248,989BOYAmt
EOY$90,125,895EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,867,854BOYAmt
EOY$1,913,081EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$548,224BOYAmt
EOY$1,582,078EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,665,067BOYAmt
EOY$93,621,054EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,363,619BOYAmt
EOY$102,889,044EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,363,619BOYAmt
EOY$102,889,044EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$162,028,686BOYAmt
EOY$196,510,098EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$28,344,001ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$181,424NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$237,847,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$235,981,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,634,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$459,573,101CurrentTaxYearMinus1YearAmt
Current Tax Year$363,681,065CurrentTaxYearAmt
Total$1,573,718,329TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$237,847,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$235,981,760CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,634,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$459,573,101CurrentTaxYearMinus1YearAmt
Current Tax Year$363,681,065CurrentTaxYearAmt
Total$1,573,718,329TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,573,718,329PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$167,631CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$227,690CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$307,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$689,726CurrentTaxYearMinus1YearAmt
Current Tax Year$2,040,465CurrentTaxYearAmt
Total$3,433,292TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$167,631CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$227,690CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$307,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$689,726CurrentTaxYearMinus1YearAmt
Current Tax Year$2,040,465CurrentTaxYearAmt
Total$3,433,292TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,239CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$675CurrentTaxYearMinus1YearAmt
Current Tax Year$8,750CurrentTaxYearAmt
Total$12,954TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$238,016,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$236,210,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,944,502CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$460,263,502CurrentTaxYearMinus1YearAmt
Current Tax Year$365,730,280CurrentTaxYearAmt
Total$1,577,164,575TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99780PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00220InvestmentIncomeCYPct
Investment Income PY0.00100InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, SECTION B, LINE 12, COLUMN E:FormAndLineReferenceDesc
Explanation2015 OTHER REVENUE $ 540 2016 OTHER REVENUE $ 750 2017 OTHER REVENUE $ 2,239 2018 OTHER REVENUE $ 675 2019 OTHER REVENUE $ 8,750ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$45,932OtherActivitiesAmt
Total Lobbying Expenditures$45,932TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSINCE CHILDREN'S COMMUNITY HEALTH PLAN IS A WISCONSIN MEDICAID HMO, CERTAIN OFFICERS OF CCHP AND CCHP'S PARENT, CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC., MEET WITH OFFICIALS FROM THE STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES TO DISCUSS THE MEDICAID PROGRAM IN WISCONSIN. THESE OFFICERS ARE EMPLOYEES OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM AND THUS WERE NOT REPORTED AS EXPENSES ON CCHP'S PART IX. THE AMOUNT REPORTED ON SCHEDULE C PART II-B LINE 1I CONSISTS OF $24,000 PAID TO AN OUTSIDE CONSULTANT WHO IS A REGISTERED LOBBYIST WHO ADVISES CCHP MANAGEMENT. THE REMAINING $21,932 IS THE PORTION OF FEES PAID TO NATIONAL TRADE ASSOCIATIONS THAT WERE ATTRIBUTED TO NON-DEDUCTIBLE LOBBYING ACTIVITIES BY THE TRADE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,814OtherCostOrOtherBasisAmt
Depreciation$64,508DepreciationAmt
Book Value$4,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$491,818OtherCostOrOtherBasisAmt
Depreciation$199,315DepreciationAmt
Book Value$292,503BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$576,116OtherCostOrOtherBasisAmt
Depreciation$217,762DepreciationAmt
Book Value$358,354BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$655,163TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$696,846
OTHER LIABILITIES$1,343
LEASE LIABILTIY$883,889
FieldValueIRS element (for citing)
Total Liability$1,582,078TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOOTNOTE 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, 2019 AND 2018.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED COMMUNITY CENTER
1028 S 9THMILWAUKEEWI53204391146191501(C)(3)$10,000GENERAL SUPPORT
MILWAUKEE HEALTH CARE PARTNERSHIP
400 W RIVER WOODS PARKWAYMILWAUKEEWI53212391494981$10,000TO SUPPORT MILWAUKEE ENROLLMENT NETWORK
CITY OF MILWAUKEE HEALTH DEPARTMENT
841 N BROADWAYMILWAUKEEWI53202396005532CITY GOVERNMENT$10,000BACK TO SCHOOL HEALTH FAIR
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationOCCASIONALLY, CCHP WILL MAKE CONTRIBUTIONS TO OTHER NOT-FOR-PROFIT OR GOVERNMENT ORGANIZATIONS. IN ORDER TO MONITOR THE USE OF THE FUNDS, CCHP LEADERSHIP WILL PERIODICALLY TOUCH BASE WITH THESE ORGANIZATIONS AND INQUIRE OR RECEIVE REPORTS ON HOW THE FUNDS WERE UTILIZED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (10 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/CHHS PRESIDENT$0$952,714$0$368,600$0$2,424,370$0$20,700$0$33,745$0$3,800,129$0$2,291,633
ROBERT DUNCAN
DIRECTOR/PRESIDENT$0$510,922$0$157,560$0$99,286$0$73,020$0$35,896$0$876,684$0$54,164
MARC CADIEUX
TREASURER$0$533,247$0$155,180$0$3,552$0$74,970$0$2,818$0$769,767$0$0
MICHELLE METTNER
SECRETARY$0$401,710$0$104,788$0$22,434$0$64,275$0$26,389$0$619,596$0$0
MARK RAKOWSKI
VP CCHP$0$292,952$0$74,443$0$20,490$0$54,132$0$33,099$0$475,116$0$0
LYNN MASKEL
MEDICAL DIR CLINICAL SERVICES$151,878$0$1,027$0$23,646$0$7,127$0$14,817$0$198,495$0$0$0
MICHAEL BOEDER
EXEC DIR HEALTH PLAN OPS$121,179$46,230$1,650$15$811$320$6,521$2,388$10,022$4,332$140,183$53,285$0$0
JULIE ANTHOLINE
DIR HEALTH PLAN OPERATIONS$129,317$0$2,400$0$1,004$0$11,143$0$22,944$0$166,808$0$0$0
LYNN KRYFKE
EXEC DIR HEALTH PLAN CLIN SVCS$145,413$0$2,500$0$1,934$0$11,941$0$2,624$0$164,412$0$0$0
JAMES SLAWSON
CHIEF MEDICAL OFFICER CCHP$136,029$0$600$0$893$0$5,148$0$14,580$0$157,250$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CCHP RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CCHP, TO ESTABLISH THE COMPENSATION OF CCHP'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.
PART I, LINE 4BIN 2019, 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 2019 WERE AS FOLLOWS: R. DUNCAN, $55,120; M. CADIEUX, $54,270; M. METTNER, $43,575; AND M. RAKOWSKI $30,632. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2019 WERE: R. DUNCAN, $54,164. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. IN 2019, THE PLAN VESTED AND $2,291,633 WAS DISTRIBUTED AND IS INCLUDED IN PART II, COLUMN(B)(III). ADDITIONALLY, $68,262 WAS PAID AS A VESTED CONTRIBUTION UNDER THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN) MENTIONED ABOVE AND IS INCLUDED IN PART II, COLUMN (B)(III).
PART I, LINE 7CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II:SALARIES PAID BY RELATED ORGANIZATIONS: ROBERT DUNCAN, PRESIDENT AND DIRECTOR OF CCHP AND EXECUTIVE VICE PRESIDENT - COMMUNITY SERVICES OF CHHS, MARGARET TROY, DIRECTOR OF CCHP AND PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CCHP AND TREASURER & CFO OF CHHS, MICHELLE METTNER, SECRETARY OF CCHP AND CORP VP GOV & LEGAL AFFAIRS, AND MARK RAKOWSKI, VICE PRESIDENT, CCHP - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY AND MR. DUNCAN AS MEMBERS OF THE BOARD OF DIRECTORS OF CCHP WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS.
FORM 990, PART VI, SECTION A, LINE 7ACHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 CCHP.
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 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 15THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, TREASURER, AND SECRETARY WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF CHHS (THE ORGANIZATION'S CORPORATE MEMBER). 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 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 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 CCHP ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE CHHS MARKETING AND COMMUNICATION DEPARTMENT.
FORM 990, PART XII LINE 2 & PART IV, LINE 12A:CCHP WAS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHHS. THE CONSOLIDATED FINANCIAL STATEMENTS OF CHHS WERE PREPARED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA AND WERE AUDITED BY AN INDEPENDENT ACCOUNTANT. ADDITIONALLY, CCHP WAS REQUIRED TO PREPARE STATUTORY FINANCIAL STATEMENTS IN ACCORDANCE WITH ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE OFFICE OF THE COMMISSIONER OF INSURANCE OF THE STATE OF WISCONSIN, WHICH IS A BASIS OF ACCOUNTING OTHER THAN ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. THE STATUTORY FINANCIAL STATEMENTS WERE ALSO AUDITED BY AN INDEPENDENT ACCOUNTANT, BUT WERE NOT USED TO PREPARE THE FORM 990 SINCE THE STATUTORY STATEMENTS WERE PREPARED USING A BASIS OF ACCOUNTING OTHER THAN ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA.
FORM 990, PART I LINE 4 & PART VI LINE 1B:CCHP IS A WISCONSIN NONSTOCK CORPORATION AND IS AN AFFILIATE OF CHHS, A TAX-EXEMPT WISCONSIN CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH CARE NEEDS OF CHILDREN IN SOUTHEASTERN WISCONSIN, NORTHERN ILLINOIS AND SURROUNDING AREAS. AS THE CORPORATE MEMBER OF CCHP, CHHS HOLDS VARIOUS RESERVE POWERS IN RELATION TO CCHP, INCLUDING AUTHORITY TO APPOINT CCHP'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF CCHP CONSISTS OF REPRESENTATIVES OF CHHS'S EXECUTIVE LEADERSHIP IN ADDITION TO SIX EXTERNAL DIRECTORS. THESE EMPLOYED DIRECTORS MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. FURTHERMORE, AS ACKNOWLEDGED BY THE IRS IN ITS CPE TEXT FOR FISCAL YEAR 1997, IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. CCHP MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF CHHS, AND CHHS'S GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
PO BOX 1997 MS 900MILWAUKEEWI532011997391500074AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SPPT SVCSWI501(C)(3)LINE 3N/A0
CHILDREN'S HOSPITAL OF WISCONSIN INC
PO BOX 1997 MS 900MILWAUKEEWI532011997390812532PEDIATRIC HOSPITALWI501(C)(3)LINE 30CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC
PO BOX 1997 MS 900MILWAUKEEWI532011997391500075FUND DEVELOPMENTWI501(C)(3)LINE 70CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S MEDICAL GROUP INC
PO BOX 1997 MS 900MILWAUKEEWI532011997391789197PEDIATRIC PHYSICIAN SERVICESWI501(C)(3)LINE 30CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S PHYSICIAN GROUP PC
PO BOX 1997 MS 900MILWAUKEEWI532011997364303682PEDIATRIC PHYSICIAN SERVICESIL501(C)(3)LINE 100CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
PO BOX 1997 MS 900MILWAUKEEWI532011997390806380CHILD WELLBEING SERVICESWI501(C)(3)LINE 70CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S SPECIALTY GROUP INC
999 N 92ND ST SUITE C740MILWAUKEEWI53226391990012PEDIATRIC PHYSICIAN SERVICESWI501(C)(3)LINE 12A, IN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
WEST ALLIS PRESCRIPTION CENTER INC
6737 W WASHINGTON ST STE 1100WEST ALLISWI53214463421597PHARMACYWIN/AC0
WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY
9000 W WISCONSIN AVEWAUWATOSAWI53226061654484PHARMACYWIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
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 Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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