2017-11-14T11:16:06-06:00 2016-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2016-01-01 391500074 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2017-11-13 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2017-11-13 12.155.240.66 2017-11-13 10:27:59 CS P 3C5DB9C78CC6D358BEC105BF24F28AE347207F73 3C5DB9C78CC6D358BEC105BF24F28AE347207F73 2016 2017-02-10 21:41:12Z SEE SCHEDULE O MARGARET TROY PO BOX 1997 MS 900 MILWAUKEE WI 532011997 161687916 0 X WWW.CHW.ORG X 1985 WI INTEGRATED AND COORDINATED HEALTH SERVICES NETWORK FOR INFANTS, CHILDREN AND ADOLESCENTS. 25 21 1148 658 17399 19678 14825365 38319338 120488550 121692429 226254 557171 1415139 1118098 136955308 161687036 116250 500 14290626 12269440 73173200 82286327 0 0 0 64451110 65920931 152031186 160477198 -15075878 1209838 77253911 79346910 65178498 66535747 12075413 12811163 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 106271441 89199821 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 OVER $108 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. 12478559 841523 CHILDREN'S RESEARCH INSTITUTE ("CRI") IS A PROGRAM OF CHHS THAT ADVANCES PEDIATRIC MEDICAL RESEARCH IN WISCONSIN AND BEYOND. WITH A FOCUS ON TRANSLATIONAL RESEARCH, CRI IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES AT PATIENTS' BEDSIDES. CHILDREN'S PROVIDES INSTITUTIONAL SUPPORT OF RESEARCH THROUGH INFRASTRUCTURE SUPPORT SUCH AS LABORATORY SPACE, SHARED EQUIPMENT, AND SHARED SERVICES (INCLUDING BIOSTATISTICIANS, GRANT WRITERS, AND CLINICAL RESEARCH NURSES). SEVERAL RESEARCHERS HAVE DEMONSTRATED THEIR RESEARCH SUCCESS THROUGH THE EXTRAMURAL FUNDING THEY HAVE RECEIVED, A FEW EXAMPLES ARE BELOW.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. CRI RESEARCHERS CONTINUE TO MAKE PROGRESS ON THE $3.3 MILLION, FIVE-YEAR GRANT RECEIVED IN 2013 FROM THE NATIONAL INSTITUTE OF HEALTH'S NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO COMPLETE A SIX-CENTER CLINICAL STUDY OF THE NONINVASIVE APPROACH. 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.CRI FOCUSES EFFORTS ON CHILDHOOD CANCER RESEARCH, INCLUDING IMPROVING SURVIVORSHIP AND QUALITY OF LIFE FOR CHILDREN BATTLING SOME OF THE TOUGHEST FORMS OF THE DISEASE. IN 2013, CHILDREN'S HOSPITAL OF WISCONSIN ("CHW") WAS AWARDED A 10-YEAR $10 MILLION GIFT FROM THE MACC FUND (MIDWEST ATHLETES AGAINST CHILDHOOD CANCER). THIS GIFT CONTINUES TO BE USED TO FURTHER CANCER RESEARCH IN THREE AREAS: DISCOVERY AND TESTING OF NEW DRUG THERAPIES, INCREASED USE OF CELLULAR THERAPIES AND FURTHER GENETIC RESEARCH FOR PERSONALIZED CANCER THERAPIES. 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.IN THE AREA OF GENETICS AND RARE DISEASE RESEARCH, CRI INVESTIGATORS CONTINUE TO MAKE PROGRESS ON THE $1 MILLION GRANT RECEIVED FROM THE W.M. KECK FOUNDATION TO SUPPORT GENETIC RESEARCH AND TESTING. A TEAM OF RESEARCHERS AND PHYSICIANS FROM CHW AND THE MEDICAL COLLEGE OF WISCONSIN ARE DEVELOPING TEST SYSTEMS USING GENE EDITING TO GENERATE AND FUNCTIONALLY TEST GENETIC VARIANTS OF INTEREST. THE GOAL OF THE PROJECT IS TO UNDERSTAND MORE ABOUT GENETIC VARIANTS OF UNCERTAIN SIGNIFICANCE, IN ORDER TO END THE DIAGNOSTIC ODYSSEY FOR THESE PATIENTS.A RESEARCHER IN OUR NURSING RESEARCH DEPARTMENT RECEIVED A $400,000 GRANT FROM JOHNSON & JOHNSON TO FURTHER HER WORK IN PREMATURE INFANTS. OVER A PERIOD OF DECADES THIS RESEARCHER'S TEAM HAS WORKED TO DEVELOP AND REFINE INTERVENTIONS THAT SUPPORT THE INFANT'S IN-HOSPITAL EXPERIENCE WITH THE GOAL OF IMPROVING GROWTH AND DEVELOPMENT. THIS IS IMPORTANT BECAUSE OPTIMAL INFANT EXPERIENCE IS KNOWN TO CRITICALLY SHAPE A CHILD'S COGNITIVE DEVELOPMENT, ABILITY TO SELF-REGULATE, AND STRESS REACTIVITY. THERE IS INCREASING EVIDENCE THAT NEUROBIOLOGICAL SYSTEMS ARE INFLUENCED BY REGULATORY NEUROPEPTIDES, INCLUDING THE HORMONE OXYTOCIN, WHICH ARE CRITICAL COMPONENTS OF EARLY DEVELOPMENT. THE PURPOSE OF THIS GRANT IS TO COMPARE NEUROPEPTIDE LEVELS OF HEALTHY NEWLY BORN FULL TERM INFANTS BEFORE AND FOLLOWING TWO MATERNALLY ADMINISTERED MULTISENSORY BEHAVIORAL INTERVENTIONS. THIS STUDY ALSO AIMS TO QUANTIFY MATERNAL PSYCHOLOGICAL WELL-BEING AND INFANT BEHAVIORAL RESPONSES TO THE MATERNALLY ADMINISTERED MULTISENSORY BEHAVIORAL INTERVENTIONS. ADDITIONALLY, IT IS HYPOTHESIZED THAT MOTHERS WILL REPORT IMPROVED PSYCHOLOGICAL WELL-BEING AND INFANTS WILL EXHIBIT AN INCREASED FREQUENCY OF ENGAGEMENT CUES FOLLOWING THE MATERNALLY ADMINISTERED INTERVENTION.FUNDING HAS ALSO BEEN SECURED FOR A COMMUNITY-BASED RESEARCH PROJECT - A $1.25 MILLION GRANT FROM THE GREATER MILWAUKEE FOUNDATION TO STUDY ASTHMA TRIGGERS. A CHILD'S ASTHMA IS MANAGED IN A CLINICAL SETTING, BUT ONE OF THE BIGGEST IMPACTS ON THE DISEASE IS INDOOR AIR QUALITY, WHICH CAN'T BE ASSESSED IN A DOCTOR'S OFFICE. INDOOR AIR QUALITY IS AFFECTED BY GAS RANGES, CLEANING PRODUCTS, DUST, AND MOLD-FACTORS THAT DISPROPORTIONATELY IMPACT POOR, URBAN FAMILIES. IN COLLABORATION WITH A NON-PROFIT ASTHMA COALITION, THIS RESEARCHER IS LEADING THE FIRST STUDY TO DETERMINE WHICH CHEMICALS, PARTICULATES, AND PESTICIDES CAN BE COMMONLY FOUND IN THE HOMES OF ASTHMATIC KIDS AND YOUNG ADULTS IN MILWAUKEE. AT THE SAME TIME, THE RESEARCH TEAM WILL LOOK AT WHETHER AN IN-HOME EDUCATIONAL CURRICULUM GIVES FAMILIES THE KNOWLEDGE TO REDUCE THESE IRRITANTS AND HELP CONTROL ASTHMA AND REDUCE HOSPITALIZATIONS. THE STUDY USES NEW TECHNOLOGIES TO MEASURES AIR POLLUTANTS IN KIDS' HOME-FROM SILICONE BANDS THAT ABSORB PESTICIDES AND OTHER COMPOUNDS TO AIR-QUALITY DEVICES THAT CONTINUOUSLY MEASURE HUMIDITY AND PARTICULATES. COMMUNITY HEALTH WORKERS VISIT HOMES TO CONDUCT INSPECTIONS AND PROVIDE SEVERAL EDUCATION SESSIONS ON ASTHMA AND IRRITANT REDUCTION. THEY ALSO RECOMMEND TACTICS FOR REDUCING IRRITANTS AND PROVIDE SUPPLIES SUCH AS HEPA VACUUM CLEANERS AND "GREEN" CLEANERS. FOUR TO SIX MONTHS LATER, THE COMMUNITY HEALTH WORKERS WILL RETURN TO SEE WHETHER FAMILIES SUSTAINED THE CHANGES AND HOW WELL KIDS' ASTHMA WAS CONTROLLED FOLLOWING THE INTERVENTION. 8948497 11854265 CHHS PROVIDES VARIOUS OUTPATIENT HEALTH CARE SERVICES. IN 2016, THERE WERE 29,314 VISITS TO THE ORGANIZATION'S URGENT CARE CLINICS, AND 4,177 OUTPATIENT SURGICAL CASES PERFORMED AT THE ORGANIZATION'S AMBULATORY SURGICAL CENTER, THE SURGICENTER OF GREATER MILWAUKEE, LLC (A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES). 28235376 500 19599187 CHHS OFFERS FREE AND INEXPENSIVE HEALTH EDUCATION PROGRAMS AND RESOURCES TO TEACHERS, CHILDREN AND PARENTS. PROGRAMS OFFERED INCLUDE IN-CLASSROOM PROGRAMS ON HEALTHY EATING AND EXERCISE, BULLYING AND TEEN DEPRESSION. IN ADDITION, CHHS HAS INJURY PREVENTION PROGRAMS WHICH FOCUS ON CAR SEAT AND BIKE HELMET FITTINGS, TO KEEP CHILDREN SAFE AND HEALTHY. CHHS ALSO OFFERS HEALTH-BASED E-LEARNING PROGRAMS THROUGH BLUEKIDS.ORG WHICH HELPS STUDENTS MAKE MORE POSITIVE HEALTH CHOICES.CHHS ALSO PROVIDES FULL TIME SCHOOL NURSES IN 10 PARTNER MILWAUKEE PUBLIC SCHOOLS AND PART TIME NURSING SERVICES IN AN ADDITIONAL TWO MPS SCHOOLS AT NO COST TO THE STUDENTS, FAMILIES OR SCHOOLS. THE NURSES PROVIDE CHRONIC DISEASE MANAGEMENT, ACUTE CARE FOR MINOR ILLNESS AND INJURIES, HEALTH MAINTENANCE AND PROMOTION, PREVENTIVE CARE, RISK REDUCTION, SCREENINGS INCLUDING REFERRALS AND FOLLOW UP, TRAUMA INFORMED CARE, AND CARE COORDINATION IN AN AREA WITH HIGH-RISK POPULATIONS AND LIMITED SERVICES. IN 2016, THERE WERE 19,532 SCHOOL NURSE ENCOUNTERS WITH A 94% RETURN TO CLASS RATE. VISION SCREENINGS WERE COMPLETED ON 589 STUDENTS AND OVER 600 REFERRALS WERE MADE FOR ADDITIONAL CARE NEEDS DISCOVERED DURING A SCHOOL NURSE OFFICE VISIT. THE SCHOOL NURSES ALSO PROVIDE CLASSROOM EDUCATION TO STUDENTS AND FACULTY ON A VARIETY OF HEALTH RELATED TOPICS ACCORDING TO THE NEEDS OF THE SCHOOL, AND WORK CLOSELY WITH THE COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS ON POPULATION-BASED CARE, OUTREACH, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.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 CHILDREN'S COMMUNITY HEALTH PLAN'S ("CCHP") PROVIDER NETWORK AS CCHP PROVIDES ADMINISTRATIVE AND UTILIZATION SERVICES FOR CARE4KIDS PROGRAMMING. THROUGH DECEMBER OF 2016, PROGRAM ENROLLMENT WAS 2,978 WHICH REPRESENTED APPROXIMATELY 42% OF THE TOTAL OUT OF HOME CARE POPULATION IN THE STATE OF WISCONSIN. 28235376 500 19599187 155933873 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 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 5 0 1148 1 1 1 0 0 0 0 0 0 0 0 0 X 25 21 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X MS SARAH KAFKA 4142661887 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 X MICHAEL W ALTSCHAEFL DIRECTOR 1.00 1.00 X 0 0 0 THOMAS ARENBERG DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH BRENNER DIRECTOR/VICE CHAIR 1.00 1.00 X X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 1.00 X 0 0 0 DAVID J DRURY DIRECTOR 1.00 1.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 1.00 X 0 0 0 MARK R HOGAN DIRECTOR 1.00 1.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH KERSCHNER MD DIRECTOR 1.00 1.00 X 0 0 0 PAUL KNOEBEL DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL LOVELL DIRECTOR 1.00 1.00 X 0 0 0 KEVIN MANSELL DIRECTOR 1.00 1.00 X 0 0 0 LINDA T MELLOWES DIRECTOR 1.00 1.00 X 0 0 0 C DAVID MYERS DIRECTOR 1.00 1.00 X 0 0 0 ALBERT S ORR III DIRECTOR 1.00 1.00 X 0 0 0 JAMES POPP DIRECTOR 1.00 1.00 X 0 0 0 TOM PRECIA DIRECTOR 1.00 1.00 X 0 0 0 J JOEL QUADRACCI DIRECTOR 1.00 1.00 X 0 0 0 JAY O ROTHMAN DIRECTOR/CHAIR 1.00 1.00 X X 0 0 0 JOHN E SCHLIFSKE DIRECTOR 1.00 1.00 X 0 0 0 PETER M SOMMERHAUSER DIRECTOR 1.00 1.00 X 0 0 0 PAUL W SWEENEY DIRECTOR 1.00 1.00 X 0 0 0 PHOEBE W WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 TODD ADAMS DIRECTOR 1.00 1.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 1.00 X 0 0 0 PATRICK HAMMES DIRECTOR 1.00 1.00 X 0 0 0 MARK C WITT DIRECTOR 1.00 1.00 X 0 0 0 MARGARET TROY DIRECTOR / PRESIDENT & CEO 40.00 0.00 X X 1397228 0 284889 MARC CADIEUX TREASURER/CFO 40.00 0.00 X 561468 0 88059 ROBERT DUNCAN EVP COMMUNITY SERVICES 40.00 0.00 X 574503 0 96790 TRICIA GERAGHTY CORP VP MARKETING AND COMM 40.00 0.00 X 328216 0 76347 MARC GORELICK MD EXECUTIVE VP CHHS 0.00 40.00 X 0 641608 104738 MICHELLE METTNER SECRETARY / VP GOVERNMENT RELATIONS 40.00 0.00 X 389688 0 75949 MICHAEL NAUMAN ENTERPRISE PERF MGMT & CIO 40.00 0.00 X 629151 0 90880 SHEILA REYNOLDS SECRETARY / CORPORATE VP & GENERAL COUNSEL 40.00 0.00 X 431489 0 52139 ROBERT SANDERS CHIEF ADMINSTRATION OFFICER 40.00 0.00 X 462690 0 87780 ADAM COOK DIR, ENTERPRISE PERFORMANCE MANAGEMENT 40.00 0.00 X 190061 0 21734 SMRITI KHARE MD PRESIDENT, CMG 0.00 40.00 X 499206 0 76613 THOMAS MILLER VP CHW 0.00 40.00 X 0 240372 28413 VERONICA GUNN VP POP HEALTH MGMT AND PI 40.00 0.00 X 400243 0 78391 ROBERT ROHLOFF PEDIATRICIAN/DIR CMG QUALITY & PAT SAFETY 40.00 0.00 X 336965 0 50981 MEG BRYZSKI NELSON CDO FOUNDATION 0.00 40.00 X 304107 48833 72229 THOMAS SHANAHAN VP, HUMAN RESOURCES 40.00 0.00 X 319625 0 76412 MARK RAKOWSKI VICE PRESIDENT, CCHP 0.00 40.00 X 319592 0 76998 CINTHIA S CHRISTENSEN COO CHW AND EVP CHHS 0.00 0.00 X 0 294842 13041 7144232 1225655 1452383 126 1 1 0 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 RESEARCH, EDUCATION, MEDICAL LEADERSHIP 10196649 CDW GOVERNMENT PO BOX 91150 CHICAGO IL 60675 SOFTWARE LICENSING AND MAINTENANCE 2494712 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE LICENSING AND MAINTENANCE 2298096 MICROSOFT LICENSING GP 1401 ELM ST 5TH FLR DEPT 842467 DALLAS TX 75202 SOFTWARE LICENSING AND MAINTENANCE 1628121 CITRIX SYSTEMS INC PO BOX 931686 ATLANTA GA 31193 SOFTWARE LICENSING AND MAINTENANCE 1184748 107 37868066 310950 140322 38319338 OPERATIONAL SUPPORT SERVICES 541900 91935246 90636914 1298332 PREMIUM REVENUE 524114 16750672 16750672 OUTPATIENT HEALTH CARE SERVICES 621400 11849423 11849423 RESEARCH ADMINISTRATION FEE 900099 663465 663465 SCHOOL BASED NURSING 900099 414080 414080 79543 79543 121692429 558051 558051 880 -880 -880 -880 EQUITY IN NSSC 900099 657079 657079 EDUCATIONAL SERVICES 611430 180064 180064 LICENSING REVENUE 900099 34334 34334 246621 229222 17399 1118098 161687036 121494796 17399 1855503 X 500 500 12269440 12269440 8356195 8356195 59029690 57611908 1417782 2882524 2817977 64547 7619826 7491949 127877 4398092 4302564 95528 712397 703586 8811 385080 385080 578477 578477 43509 37977 5532 22261541 21409278 852263 4828870 4828870 1318113 1310356 7757 13859496 13828071 31425 5362207 4410733 951474 733019 717554 15465 525607 475425 50182 5644 5644 4088781 3537184 551597 1693065 1610227 82838 OTHER EXPENSES 7425419 7150833 274586 MEDICAL SUPPLIES 2099706 2099689 17 160477198 155933873 4543325 0 2571815 3136741 116245 160201 7082114 2392084 18666 0 59720 74720 608900 579256 4395574 11308911 73306617 32185393 44043025 41121224 9386998 9713060 8970854 10860713 77253911 79346910 18904575 21717241 248592 596133 46025331 44222373 65178498 66535747 X 8341260 9626791 3465788 2908567 268365 275805 12075413 12811163 77253911 79346910 X 1209838 75692 -549780 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18808 559669 578477 155355396 155933873 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 547155 477926 478527 578477 2082085 250000 250000 250000 250000 1000000 1500000 10000 10000 18480 18808 57288 3734153 961396 21259 1531341 1095 3184372 5256577 264438 -3925 1781897 1040 3734153 5879110 1026698 17133 1665379 985 5256577 2908864 4237509 40865 1307189 940 5879110 2013572 1748443 27616 879862 905 2908864 0.00000 0.08700 0.91300 0 1 1 1457978 1457978 51010500 19928169 31082331 2808184 860106 1948078 17611185 11223463 6387722 418770 173655 245115 41121224 DEFERRED COMPENSATION PLAN ASSETS 4766518 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND 3184372 INVESTMENT IN NORTH SHORE SURGERY CENTER 1772098 ORGANIZATIONAL COSTS 1992 OTHER ASSETS 200000 DUE FROM AFFILIATES 935733 10860713 DEFERRED COMPENSATION PLAN LIABILITY 4766519 RETIREMENT PLAN LIABILITY 2836065 DUE TO AFFILIATES 20224548 LEASE LIABILITY 5792875 PAYABLE TO WISCONSIN (CCHP) 10602119 OTHER LIABILITIES 247 44222373 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, 2016 AND 2015. X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR / PRESIDENT & CEO 838507 0 439809 0 118912 0 235640 0 49249 0 1682117 0 0 0 MARC CADIEUX TREASURER/CFO 382267 0 122655 0 56546 0 61600 0 26459 0 649527 0 0 0 ROBERT DUNCAN EVP COMMUNITY SERVICES 386845 0 120128 0 67530 0 58950 0 37840 0 671293 0 29832 0 TRICIA GERAGHTY CORP VP MARKETING AND COMM 238470 0 71461 0 18285 0 40944 0 35403 0 404563 0 0 0 MARC GORELICK MD EXECUTIVE VP CHHS 0 482537 0 153153 0 5918 0 64300 0 40438 0 746346 0 0 MICHELLE METTNER SECRETARY / VP GOVERNMENT RELATIONS 333471 0 53406 0 2811 0 50950 0 24999 0 465637 0 0 0 MICHAEL NAUMAN ENTERPRISE PERF MGMT & CIO 402446 0 155122 0 71583 0 59873 0 31007 0 720031 0 39303 0 SHEILA REYNOLDS SECRETARY / CORPORATE VP & GENERAL C 151949 0 87360 0 192180 0 19600 0 32539 0 483628 0 29825 0 ROBERT SANDERS CHIEF ADMINSTRATION OFFICER 325395 0 94251 0 43044 0 52092 0 35688 0 550470 0 27544 0 ADAM COOK DIR, ENTERPRISE PERFORMANCE MANAGEME 189744 0 0 0 317 0 11443 0 10291 0 211795 0 0 0 SMRITI KHARE MD PRESIDENT, CMG 367966 0 108065 0 23175 0 57600 0 19013 0 575819 0 9948 0 THOMAS MILLER VP CHW 0 200731 0 31350 0 8291 0 15528 0 12885 0 268785 0 0 VERONICA GUNN VP POP HEALTH MGMT AND PI 313045 0 66758 0 20440 0 49087 0 29304 0 478634 0 0 0 ROBERT ROHLOFF PEDIATRICIAN/DIR CMG QUALITY & PAT S 301055 0 22627 0 13283 0 22250 0 28731 0 387946 0 0 0 MEG BRYZSKI NELSON CDO FOUNDATION 213689 48410 82029 0 8389 423 36500 0 21437 14292 362044 63125 0 0 THOMAS SHANAHAN VP, HUMAN RESOURCES 256089 0 41961 0 21575 0 50516 0 25896 0 396037 0 0 0 MARK RAKOWSKI VICE PRESIDENT, CCHP 242445 0 50274 0 26873 0 46113 0 30885 0 396590 0 0 0 CINTHIA S CHRISTENSEN COO CHW AND EVP CHHS 0 0 0 0 0 294842 0 0 0 13041 0 307883 0 0 PART I, LINES 4A-B PART I, LINE 4A: UNTIL JUNE 2016, SHEILA REYNOLDS SERVED AS CHHS CORPORATE VP & GENERAL COUNSEL. CHHS PAID CERTAIN AMOUNTS AS SEVERANCE TO MS. REYNOLDS PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MS. REYNOLDS IN 2016 TOTALED $142,931. PART I, LINE 4B: IN 2016, 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 2016 WERE AS FOLLOWS: M. CADIEUX, $42,000; R. DUNCAN, $42,000; T. GERAGHTY, $26,644; M. GORELICK, M.D., $50,000; V. GUNN, M.D., $32,137; S. KHARE, $38,000; M. METTNER, $34,000; M. NAUMAN, $42,923; M. NELSON,$22,917; M. RAKOWSKI, $26,513; T. SHANAHAN, $28,266 AND R. SANDERS, $35,142. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2016 WERE: R. DUNCAN, $29,832; S. KHARE, $9,948; M. NAUMAN, $39,303; S. REYNOLDS, $29,825; AND R. SANDERS, $27,544. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2016 WAS $218,690. IN ADDITION, THE PRESIDENT & CEO WAS PAID $60,753 AS A VESTED CONTRIBUTION UNDER THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN) MENTIONED ABOVE. 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: PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. CINTHIA CHRISTENSEN, FORMER PRESIDENT OF CHW AND EXECUTIVE VICE PRESIDENT OF CHHS, MARC GORELICK, M.D., EXECUTIVE VP CHHS, AND THOMAS MILLER, VP CHW - 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. 2. MEG BRYZSKI NELSON, CHF DIRECTOR/CDO & PRESIDENT - 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 CHF. THESE AMOUNTS WERE PAID BY CHF. JENNIFER MANCE DIRECTOR (K. MANSELL) 60643 JENNIFER MANCE IS THE DAUGHTER OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $60,643 IN COMPENSATION. 0 KELLY REILLY DIRECTOR (M. WITT) 116512 KELLY REILLY IS THE SPOUSE OF A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE ORGANIZATION PAID HER $116,512 IN COMPENSATION. 0 FORM 990, BOX C, DOING BUSINESS AS: CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES 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, 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. THE 1099 FORMS LISTED IN PART V ARE THE FORMS FILED BY THE ORGANIZATION'S DISREGARDED ENTITY. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: DRURY AND SCHLIFSKE, DRURY AND SOMMERHAUSER, SCHLIFSKE AND MANSELL, WITT AND SOMMERHAUSER, KERSCHNER AND BRENNER, WILLIAMS AND LOVELL, TROY AND LOVELL AND WILLIAMS AND TROY. 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 EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. FORM 990, PART VII, LINE 39 THOMAS MILLER OVERSEES THE ORGANIZATION'S DISREGARDED ENTITY, SURGICENTER OF GREATER MILWAUKEE, LLC, AND ALSO IS A VICE PRESIDENT OF THE ORGANIZATION'S WHOLLY-OWNED SUBSIDIARY, CHILDREN'S HOSPITAL OF WISCONSIN, INC. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 6,710,487. MANAGEMENT AND GENERAL EXPENSES 300,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,010,999. MEDICAL COLLEGE OF WISCONSIN: PROGRAM SERVICE EXPENSES 1,404,987. MANAGEMENT AND GENERAL EXPENSES 348,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,753,699. OTHER FEES: PROGRAM SERVICE EXPENSES 6,659,419. MANAGEMENT AND GENERAL EXPENSES 203,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,862,458. GRANT EXPENDITURES: PROGRAM SERVICE EXPENSES 6,634,385. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,634,385. FORM 990, PART XI, LINE 9: INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHW FOUNDATION -549,780. 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