2017-11-10T13:17:54-06:00 2016-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2016-01-01 271494977 CHILDREN'S COMMUNITY HEALTH PLAN INC CHIL 4142665420 PO BOX 1997 MS 900 MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2017-10-25 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2017-09-21 12.155.240.66 2017-10-25 14:10:44 CD P 3C5DB9C78CC6D358BEC105BF24F28AE347207F73 3C5DB9C78CC6D358BEC105BF24F28AE347207F73 2016 2017-02-10 21:41:12Z ROBERT DUNCAN PO BOX 1997 MS 900 MILWAUKEE WI 532011997 245323719 0 X HTTPS://CHILDRENSCOMMUNITYHEALTHPLAN.ORG X 2009 WI TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICE TO MEDICAID BENEFICIARIES IN WI. 7 5 111 5 0 0 0 0 237847920 235981760 159557 229657 540 750 238008017 236212167 31175 31693 207190673 207913650 4340909 6492651 0 0 0 16239132 17528751 227801889 231966745 10206128 4245422 73877192 80486572 32765840 35095146 41111352 45391426 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 MEDICAID BENEFICIARIES. 0 0 223942664 31693 235981760 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. THE ENROLLMENT AT THE END OF DECEMBER 2016 WAS 130,430 MEMBERS, AND THERE WERE 12,420 INPATIENT ADMISSIONS, 480,693 AMBULATORY ENCOUNTERS, AND 3,965 DELIVERIES IN 2016. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 7,200 PHYSICIANS, 5,900 NON PHYSICIANS AND 55 HOSPITALS IN 2016. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR MEMBERS. 223942664 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1601 0 111 1 0 0 0 0 0 0 0 0 0 0 X 7 5 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 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 1397228 284889 ROBERT DUNCAN DIRECTOR/PRESIDENT 0.00 40.00 X X 0 574503 96790 MARC CADIEUX TREASURER 0.00 40.00 X 0 561468 88059 SHEILA REYNOLDS SECRETARY (THROUGH JUNE 2016) 0.00 40.00 X 0 431489 52139 MICHELLE METTNER SECRETARY (BEGINNING JUNE 2016) 0.00 40.00 X 0 389688 75949 MARK RAKOWSKI VICE PRESIDENT, CCHP 40.00 0.00 X 0 319592 76998 LYNN KRYFKE DIR, HEALTH PLAN CLINICAL SVCS 40.00 0.00 X 125631 0 10913 125631 3673968 685737 1 0 1 0 DENTAL PROFESSIONALS OF WI 3520 W OKLAHOMA AVE MILWAUKEE WI 53215 CAPITATED DENTAL SERVICES 14098101 DEAN HEALTH PLAN INC 1277 DEMING WAY MADISON WI 53717 CLAIMS ADMINISTRATION/PROCESSOR 11327975 HERSLOF OPTICAL COMPANY INC 12000 W CARMEN AVE MILWAUKEE WI 53225 CAPITATED VISION SERVICES 1145943 MCG HEALTH LLC PO BOX 742350 ATLANTA GA 303742350 LICENSING FEES 534325 MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 MEDICAL LEADERSHIP 413422 13 PREMIUM REVENUE 524114 235885205 235885205 PRENATAL CARE COORDINATION REV 624100 96555 96555 235981760 227690 227690 9113519 9111552 1967 1967 1967 OTHER REVENUE 900099 750 750 750 236212167 235981760 0 230407 31693 31693 207913650 207913650 136544 136544 4859287 2626506 2232781 303964 163878 140086 832725 458559 374166 360131 198812 161319 1378000 1378000 27978 27978 45433 45433 14290103 11862333 2427770 231500 231500 23607 752 22855 439572 439572 89906 21269 68637 29235 12317 16918 102894 102894 50651 50651 OTHER EXPENSES 448075 76779 371296 STATE INCOME TAX 371797 371797 231966745 223942664 8024081 0 39042757 43984498 11880758 13221830 689536 711389 916250 322278 394287 593972 21750689 21974883 119165 0 73877192 80486572 32209413 32123099 0 639144 556427 2332903 32765840 35095146 X 41111352 45391426 41111352 45391426 73877192 80486572 4245422 34652 0 X X 0 1 X 1 0 X 74613944 200793464 228470477 237847920 235981760 977707565 74613944 200793464 228470477 237847920 235981760 977707565 0 0 0 977707565 97999 83640 106229 167631 227690 683189 97999 83640 106229 167631 227690 683189 540 450 4180 540 750 6460 74712483 200877554 228580886 238016091 236210200 978397214 0.99930 0.99940 0.00070 0.00050 X SCHEDULE A, PART III, SECTION B, LINE 12, COLUMN E: 2012 OTHER REVENUE $ 540 2013 OTHER REVENUE $ 450 2014 OTHER REVENUE $4,180 2015 OTHER REVENUE $ 540 2016 OTHER REVENUE $ 750 0 0 0 0 0 0 1 0 1 27978 27978 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 $3,978 IS THE PORTION OF FEES PAID TO A NATIONAL TRADE ASSOCIATION THAT WERE ATTRIBUTED TO NON DEDUCTIBLE LOBBYING ACTIVITIES BY THE TRADE ASSOCIATION. 238954 182904 56050 113528 37341 76187 563768 102033 461735 593972 DUE TO AFFILIATES 2148720 MEDICAL HOME PILOT OUTCOME INCENTIVE PROGRAM 180000 UNCASHED CHECKS 4183 2332903 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, 2016 AND 2015. 1 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/CHAIR/CHHS PRESIDENT 0 838507 0 439809 0 118912 0 235640 0 49249 0 1682117 0 0 ROBERT DUNCAN DIRECTOR/PRESIDENT 0 386845 0 120128 0 67530 0 58950 0 37840 0 671293 0 29832 MARC CADIEUX TREASURER 0 382267 0 122655 0 56546 0 61600 0 26459 0 649527 0 0 SHEILA REYNOLDS SECRETARY (THROUGH JUNE 2016) 0 151949 0 87360 0 192180 0 19600 0 32539 0 483628 0 29825 MICHELLE METTNER SECRETARY (BEGINNING JUNE 2016) 0 333471 0 53406 0 2811 0 50950 0 24999 0 465637 0 0 MARK RAKOWSKI VICE PRESIDENT, CCHP 0 242445 0 50274 0 26873 0 46113 0 30885 0 396590 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. 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: 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: R. DUNCAN, $42,000; M. CADIEUX, $42,000; AND M. METTNER, $34,000. 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; AND S. REYNOLDS, $29,825. 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 $279,443 AND OF THAT, $60,753 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, SHEILA REYNOLDS, SECRETARY OF CCHP (THROUGH JUNE 2016) AND CORPORATE VICE PRESIDENT & GENERAL COUNSEL OF CHHS (THROUGH JUNE 2016), MICHELLE METTNER, SECRETARY OF CCHP (BEGINNING JUNE 2016) AND CORP VP GOVT & 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 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