2018-11-14T10:47:17-06:00 2017-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2017-01-01 271494977 CHILDREN'S COMMUNITY HEALTH PLAN INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2018-10-30 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2018-10-30 209.170.231.5 2018-10-30 09:52:36 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 699AB1B4FFB88DAE42713CB5C2E305607ADB17BA 2017 2019-02-21 02:37:17Z ROBERT DUNCAN PO BOX 1997 MS 900 MILWAUKEE WI 532011997 294027194 0 X HTTPS://CHILDRENSCOMMUNITYHEALTHPLAN.ORG X 2009 WI TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICE TO MEDICAID BENEFICIARIES IN WI. 6 4 139 4 0 0 0 0 235981760 276634483 229657 308714 750 2239 236212167 276945436 31693 95586 207913650 233963902 6492651 8244785 0 0 0 17528751 38361051 231966745 280665324 4245422 -3719888 80486572 87082634 35095146 45451765 45391426 41630869 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. 1 0 235476134 95586 237948409 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, KENOSHA, MILWAUKEE, OUTAGAMIE, OZAUKEE, RACINE, SHEBOYGAN, WALWORTH, WASHINGTON, WAUKESHA, WAUPACA AND WINNEBAGO COUNTIES IN WISCONSIN. AS OF JULY 1, 2017, CCHP WAS APPROVED TO EXPAND ITS SERVICES TO THE BADGERCARE PLUS POPULATION IN JEFFERSON AND MANITOWOC COUNTIES. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2017 WAS 127,228 MEMBERS, AND THERE WERE 12,326 INPATIENT ADMISSIONS, 461,688 AMBULATORY ENCOUNTERS, AND 3,303 DELIVERIES IN 2017. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 7,300 PHYSICIANS, 6,600 NON PHYSICIANS, AND OVER 50 HOSPITALS IN 2017. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS. 19739347 21013289 IN 2017, CCHP STARTED SELLING INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE, DIRECTLY TO CONSUMERS. THERE WERE 2,835 MEMBERS ENROLLED AT THE END OF DECEMBER 2017. APPROXIMATELY 71 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 48 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 37 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR). 17715378 17672785 IN 2017, 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 3,149 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2017. 272930859 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 1534 0 139 1 0 0 0 0 0 0 0 0 0 0 X 6 4 1 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 MARK J BACKE DIRECTOR (THROUGH SEPT 2017) 1.00 0.00 X 0 0 0 DAVID J DRURY DIRECTOR 1.00 0.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 0.00 X 0 0 0 THOMAS PRECIA DIRECTOR 1.00 0.00 X 0 0 0 MARGARET TROY DIRECTOR/CHAIR/CHHS PRESIDENT 0.00 40.00 X X 0 1524413 287590 ROBERT DUNCAN DIRECTOR/PRESIDENT 0.00 40.00 X X 0 681446 101457 MARC CADIEUX TREASURER 0.00 40.00 X 0 621560 94262 MICHELLE METTNER SECRETARY 0.00 40.00 X 0 474174 78555 MARK RAKOWSKI VICE PRESIDENT, CCHP 40.00 0.00 X 0 373578 78881 ERIN KELLY DIRECTOR OF SALES 40.00 0.00 X 161256 0 14828 JULIE ANTHOLINE DIR, HEALTH PLAN OPERATIONS 40.00 0.00 X 106668 0 31089 LYNN KRYFKE EXEC DIR, HEALTH PLAN CLINICAL SVCS 40.00 0.00 X 134136 0 12356 SHEILA REYNOLDS FORMER SECRETARY 0.00 0.00 X 0 241525 21470 402060 3916696 720488 3 1 1 0 DENTAL PROFESSIONALS OF WI 3520 W OKLAHOMA AVE MILWAUKEE WI 53215 CAPITATED DENTAL SERVICES 16286914 DEAN HEALTH PLAN INC 1277 DEMING WAY MADISON WI 53717 CLAIMS ADMINISTRATION/PROCESSOR 12079322 HERSLOF OPTICAL COMPANY INC 12000 W CARMEN AVE MILWAUKEE WI 53225 CAPITATED VISION SERVICES 1138297 UPMC BENEFIT MANAGEMENT SERVICES INC 600 GRANT ST 12TH FLOOR PITTSBURGH PA 15219 CLAIMS ADMINISTRATION/PROCESSOR 562254 MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 MEDICAL LEADERSHIP 454091 14 PREMIUM REVENUE 524114 258892163 258892163 FOSTER CARE MEDICAL HOME PIHP 524298 17672785 17672785 PRENATAL CARE COORDINATION REV 624100 69535 69535 276634483 307780 307780 17082692 17081758 934 934 934 OTHER REVENUE 900099 2239 2239 2239 276945436 276634483 0 310953 95586 95586 233963902 233963902 6398439 3936262 2462177 380425 234034 146391 1011945 622539 389406 453976 279282 174694 1377581 1377581 34528 34528 81430 81430 18872267 16357474 2514793 241061 241061 14163 9633 4530 407465 407465 61551 20821 40730 9276 2146 7130 107285 107285 52213 52213 FOSTER CARE MEDICAL HOM 16932437 16932437 OTHER EXPENSES 169794 69278 100516 280665324 272930859 7734465 0 43984498 39978413 13221830 23810838 711389 246290 878990 325432 593972 553558 21974883 22200213 0 293322 80486572 87082634 32123099 40721786 639144 4152584 2332903 577395 35095146 45451765 X 45391426 41630869 45391426 41630869 80486572 87082634 -3719888 -40669 0 X X 0 1 X 1 0 X 200793464 228470477 237847920 235981760 276634483 1179728104 200793464 228470477 237847920 235981760 276634483 1179728104 0 0 0 1179728104 83640 106229 167631 227690 307780 892970 83640 106229 167631 227690 307780 892970 450 4180 540 750 2239 8159 200877554 228580886 238016091 236210200 276944502 1180629233 0.99920 0.99930 0.00080 0.00070 X SCHEDULE A, PART III, SECTION B, LINE 12, COLUMN E: 2013 OTHER REVENUE $ 450 2014 OTHER REVENUE $ 4,180 2015 OTHER REVENUE $ 540 2016 OTHER REVENUE $ 750 2017 OTHER REVENUE $ 2,239 0 0 0 0 0 0 1 0 1 34528 34528 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 $22,000 PAID TO AN OUTSIDE CONSULTANT WHO IS A REGISTERED LOBBYIST WHO ADVISES CCHP MANAGEMENT. THE REMAINING $12,528 IS THE PORTION OF FEES PAID TO NATIONAL TRADE ASSOCIATIONS THAT WERE ATTRIBUTED TO NON DEDUCTIBLE LOBBYING ACTIVITIES BY THE TRADE ASSOCIATIONS. 148081 118775 29306 152680 65429 87251 578229 141228 437001 553558 DUE TO AFFILIATES 435487 MEDICAL HOME PILOT OUTCOME INCENTIVE PROGRAM 137668 OTHER LIABILITIES 4240 577395 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, 2017 AND 2016. 1 COLUMBIA ST MARY'S FOUNDATION 2320 N LAKE DR MILWAUKEE WI 53211 391494981 501(C)(3) 50000 SMART SMILES MOBILE DENTAL CLINIC CITY OF MILWAUKEE HEALTH DEPARTMENT 841 N BROADWAY MILWAUKEE WI 53202 396005532 10000 BACK TO SCHOOL HEALTH FAIR UNITED COMMUNITY CENTER 1028 S 9TH MILWAUKEE WI 53204 391146191 501(C)(3) 7500 GENERAL SUPPORT 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. 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/CHAIR/CHHS PRESIDENT 0 862613 0 525000 0 136800 0 255100 0 32490 0 1812003 0 62628 ROBERT DUNCAN DIRECTOR/PRESIDENT 0 446225 0 163334 0 71887 0 67100 0 34357 0 782903 0 30814 MARC CADIEUX TREASURER 0 455161 0 144434 0 21965 0 68100 0 26162 0 715822 0 0 MICHELLE METTNER SECRETARY 0 330369 0 97436 0 46369 0 53140 0 25415 0 552729 0 0 MARK RAKOWSKI VICE PRESIDENT, CCHP 0 263309 0 105921 0 4348 0 47389 0 31492 0 452459 0 0 ERIN KELLY DIRECTOR OF SALES 136438 0 0 0 24818 0 6302 0 8526 0 176084 0 0 0 SHEILA REYNOLDS FORMER SECRETARY 0 0 0 0 0 241525 0 0 0 21470 0 262995 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, LINES 4A-B PART I, LINE 4A: UNTIL JUNE 2016, SHEILA REYNOLDS SERVED AS CHHS CORPORATE VP & GENERAL COUNSEL. BY VIRTUE OF THAT ROLE, MS. REYNOLDS SERVED AS THE SECRETARY OF CCHP. IN 2017, CHHS PAID $241,525 AS SEVERANCE TO MS. REYNOLDS PURSUANT TO A WRITTEN AGREEMENT. PART I, LINE 4B: IN 2017, 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 2017 WERE AS FOLLOWS: R. DUNCAN, $50,000; M. CADIEUX, $48,300; AND M. METTNER, $36,040. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2017 WERE: R. DUNCAN, $30,814. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2017 WAS $238,000 AND OF THAT, $62,628 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: 1. 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 III, LINE 2 PLEASE REFERENCE THE DETAILED DESCRIPTION ON LINE 4 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: DRURY AND BACKE. 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, CHAIR, 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 VICE PRESIDENT 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: 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 FIVE EXTERNAL DIRECTORS. THESE EMPLOYED DIRECTORS MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0