2020-11-13T12:31:35-06:00 2019-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2019-01-01 271494977 CHILDREN'S COMMUNITY HEALTH PLAN INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2020-11-11 1 JILL M BOYLE CPA P01246734 2627549400 2020-11-11 2019 2022-09-23 18:48:47Z ROBERT DUNCAN PO BOX 1997 MS 900 MILWAUKEE WI 532011997 379518047 0 X HTTPS://CHILDRENSCOMMUNITYHEALTHPLAN.ORG X 2009 WI TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICES TO ITS MEMBERS IN WI. 8 6 138 6 0 0 0 0 459573101 363681065 674367 2044316 675 8750 460248143 365734131 46950 63865 357905823 277870891 9886783 10468898 0 0 0 59682075 48986476 427521631 337390130 32726512 28344001 162028686 196510098 87665067 93621054 74363619 102889044 X CHILDREN'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. 0 0 218847820 63865 237469002 CCHP'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. 88151294 108453833 CCHP 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. 17265040 17766980 CCHP 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. 324264154 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2471 0 138 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MS SARAH KAFKA 4142661887 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARGARET TROY DIRECTOR/CHHS PRESIDENT 0.00 40.00 X 0 3745684 54445 ROBERT DUNCAN DIRECTOR/PRESIDENT 0.00 40.00 X X 0 767768 108916 MARC CADIEUX TREASURER 0.00 40.00 X 0 691979 77788 MICHELLE METTNER SECRETARY 0.00 40.00 X 0 528932 90664 MARK RAKOWSKI VP CCHP 0.00 40.00 X 0 387885 87231 LYNN MASKEL MEDICAL DIR CLINICAL SERVICES 28.00 0.00 X 176551 0 21944 MICHAEL BOEDER EXEC DIR HEALTH PLAN OPS 40.00 0.00 X 123640 46565 23263 JULIE ANTHOLINE DIR HEALTH PLAN OPERATIONS 40.00 0.00 X 132721 0 34087 LYNN KRYFKE EXEC DIR HEALTH PLAN CLIN SVCS 40.00 0.00 X 149847 0 14565 JAMES SLAWSON CHIEF MEDICAL OFFICER CCHP 40.00 0.00 X 137522 0 19728 DAVID DRURY DIRECTOR 1.00 0.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 0.00 X 0 0 0 THOMAS PRECIA DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 CLARK SLIPHER DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL SILVER DIRECTOR 1.00 0.00 X 0 0 0 720281 6168813 532631 10 0 1 0 DENTAL PROFESSIONALS OF WI 3520 W OKLAHOMA AVE MILWAUKEE WI 53215 DENTAL SERVICES 16179216 DEAN HEALTH PLAN INC 1277 DEMING WAY MADISON WI 53717 CLAIMS AND TPA FEES 12073220 UPMC BENEFIT MANAGEMENT SERVICES INC 600 GRANT ST 12TH FLOOR PITTSBURGH PA 15219 CLAIMS ADMINISTRATION/PROCESSOR 4985751 HERSLOF OPTICAL COMPANY INC 12000 W CARMEN AVE MILWAUKEE WI 53225 CAPITATED VISION SERVICES 1248522 LIBERTY INSURANCE 100 N CORPORATE DR STE 100 BROOKFIELD WI 53045 BROKER COMMISSIONS 884826 20 PREMIUM REVENUE 524114 345913553 345913553 FOSTER CARE MEDICAL HOME PIHP 524298 17766980 17766980 PRENATAL CARE COORDINATION REV 624100 532 532 363681065 2040465 2040465 13787767 13783916 3851 3851 3851 OTHER REVENUE 900099 8750 8750 8750 365734131 363689815 0 2044316 63865 63865 277870891 277870891 8062705 5157014 2905691 468295 299528 168767 1352317 864960 487357 585581 374545 211036 1511016 1511016 51953 51953 45932 45932 94137 94137 26410818 22523651 3887167 205414 205414 6706 5574 1132 404053 404053 68111 24526 43585 32108 6295 25813 171413 171413 56310 56310 FOSTER CARE MEDICAL HOM 16668621 16668621 STATE INCOME TAX 2452834 2452834 OTHER EXPENSES 807050 631 806419 337390130 324264154 13125976 0 221476 222189 114353361 120917288 23382034 49260388 425939 388779 1136748 481585 887161 655163 22606176 23333619 152539 1732672 162028686 196510098 85248989 90125895 1867854 1913081 548224 1582078 87665067 93621054 X 74363619 102889044 74363619 102889044 162028686 196510098 28344001 181424 0 X X 0 1 X 1 0 X 237847920 235981760 276634483 459573101 363681065 1573718329 237847920 235981760 276634483 459573101 363681065 1573718329 0 0 0 1573718329 167631 227690 307780 689726 2040465 3433292 167631 227690 307780 689726 2040465 3433292 540 750 2239 675 8750 12954 238016091 236210200 276944502 460263502 365730280 1577164575 0.99780 0.99900 0.00220 0.00100 X SCHEDULE A, PART III, SECTION B, LINE 12, COLUMN E: 2015 OTHER REVENUE $ 540 2016 OTHER REVENUE $ 750 2017 OTHER REVENUE $ 2,239 2018 OTHER REVENUE $ 675 2019 OTHER REVENUE $ 8,750 0 0 0 0 0 0 1 0 1 45932 45932 0 PART II-B, LINE 1: SINCE 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. 68814 64508 4306 491818 199315 292503 576116 217762 358354 655163 DUE TO AFFILIATES 696846 OTHER LIABILITIES 1343 LEASE LIABILTIY 883889 1582078 X 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, 2019 AND 2018. 1 UNITED COMMUNITY CENTER 1028 S 9TH MILWAUKEE WI 53204 391146191 501(C)(3) 10000 GENERAL SUPPORT MILWAUKEE HEALTH CARE PARTNERSHIP 400 W RIVER WOODS PARKWAY MILWAUKEE WI 53212 391494981 10000 TO SUPPORT MILWAUKEE ENROLLMENT NETWORK CITY OF MILWAUKEE HEALTH DEPARTMENT 841 N BROADWAY MILWAUKEE WI 53202 396005532 CITY GOVERNMENT 10000 BACK TO SCHOOL HEALTH FAIR 2 1 PART I, LINE 2: OCCASIONALLY, 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. 0 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/CHHS PRESIDENT 0 952714 0 368600 0 2424370 0 20700 0 33745 0 3800129 0 2291633 ROBERT DUNCAN DIRECTOR/PRESIDENT 0 510922 0 157560 0 99286 0 73020 0 35896 0 876684 0 54164 MARC CADIEUX TREASURER 0 533247 0 155180 0 3552 0 74970 0 2818 0 769767 0 0 MICHELLE METTNER SECRETARY 0 401710 0 104788 0 22434 0 64275 0 26389 0 619596 0 0 MARK RAKOWSKI VP CCHP 0 292952 0 74443 0 20490 0 54132 0 33099 0 475116 0 0 LYNN MASKEL MEDICAL DIR CLINICAL SERVICES 151878 0 1027 0 23646 0 7127 0 14817 0 198495 0 0 0 MICHAEL BOEDER EXEC DIR HEALTH PLAN OPS 121179 46230 1650 15 811 320 6521 2388 10022 4332 140183 53285 0 0 JULIE ANTHOLINE DIR HEALTH PLAN OPERATIONS 129317 0 2400 0 1004 0 11143 0 22944 0 166808 0 0 0 LYNN KRYFKE EXEC DIR HEALTH PLAN CLIN SVCS 145413 0 2500 0 1934 0 11941 0 2624 0 164412 0 0 0 JAMES SLAWSON CHIEF MEDICAL OFFICER CCHP 136029 0 600 0 893 0 5148 0 14580 0 157250 0 0 0 PART I, LINE 3 CCHP 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 4B IN 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 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 & 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. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS. FORM 990, PART VI, SECTION A, LINE 7A CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE 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 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 CCHP. 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 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 19 THE 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. CHILDREN'S HOSPITAL & HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391500074 AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SPPT SVCS WI 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 390812532 PEDIATRIC HOSPITAL WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391500075 FUND DEVELOPMENT WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 391789197 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S PHYSICIAN GROUP PC PO BOX 1997 MS 900 MILWAUKEE WI 532011997 364303682 PEDIATRIC PHYSICIAN SERVICES IL 501(C)(3) LINE 10 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 MS 900 MILWAUKEE WI 532011997 390806380 CHILD WELLBEING SERVICES WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SPECIALTY GROUP INC 999 N 92ND ST SUITE C740 MILWAUKEE WI 53226 391990012 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 12A, I N/A 0 WEST ALLIS PRESCRIPTION CENTER INC 6737 W WASHINGTON ST STE 1100 WEST ALLIS WI 53214 463421597 PHARMACY WI N/A C 0 WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY 9000 W WISCONSIN AVE WAUWATOSA WI 53226 061654484 PHARMACY WI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0