CHILDRENS HOSPITAL OF WISCONSIN INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF WISCONSIN INC (EIN 39-0812532)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-07
- IRS object ID
- 201413119349301976
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-07T16:00:24-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363168081 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIKICH LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13400 BISHOPS LANE SUITE 300 | AddressLine1 |
| City | BROOKFIELD | City |
| State | WI | State |
| ZIP Code | 53005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390812532 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL OF WISCONSIN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 4142665420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVE PO BOX 1997 NO | AddressLine1 |
| Address Line2 | MS 900 | AddressLine2 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53201 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WELDON GAGE | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4142665420 | PhoneNum |
| Signature | 2014-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRYAN L PAUTSCH CPA | PreparerPersonNm |
| PTIN | P00034913 | PTIN |
| Phone | 2627549400 | PhoneNum |
| Preparation | 2014-11-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CINDY CHRISTENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVE PO BOX 1997 NO | AddressLine1 |
| Address Line2 | MS 90 | AddressLine2 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $691,596,423 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1894 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | PEDIATRIC HEALTH CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 3634 | TotalEmployeeCnt |
| Total Volunteers | 336 | TotalVolunteersCnt |
| Total Gross UBI | $119,234 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$183,581 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,053,773 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,968,706 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $533,784,943 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $567,199,047 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,239,508 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,454,416 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,031,363 | PYOtherRevenueAmt |
| CY Other Revenue | $9,243,421 | CYOtherRevenueAmt |
| PY Total Revenue | $566,109,587 | PYTotalRevenueAmt |
| CY Total Revenue | $602,865,590 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,557,033 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,816,637 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $213,111,810 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $209,671,517 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $309,688,106 | PYOtherExpensesAmt |
| CY Other Expenses | $325,559,912 | CYOtherExpensesAmt |
| PY Total Expenses | $535,356,949 | PYTotalExpensesAmt |
| CY Total Expenses | $552,048,066 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,752,638 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $50,817,524 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,270,795,904 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,338,956,397 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $456,687,546 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $363,798,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $814,108,358 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $975,157,966 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. IS TO PROVIDE A COMPREHENSIVE AND INTEGRATED PEDIATRIC HEALTH CARE MODEL THAT DELIVERS SUPERIOR QUALITY AND VALUE BY OFFERING THE BEST SOLUTION FOR THE TOTAL HEALTH CARE NEEDS OF CHILDREN WITHIN OUR COMMUNITY, STATE AND REGION.AS A PREMIER AND STANDARD-SETTING LEADER IN DELIVERY OF PEDIATRIC CLINICAL SERVICE, EDUCATION AND RESEARCH, CHILDREN'S HOSPITAL ADVOCATES FOR CHILDREN AND BRINGS A COMMITMENT TO EXCELLENCE TO OUR PATIENTS AND FAMILIES, MEDICAL STAFF, EMPLOYEES AND COMMUNITIES IN ADDRESSING THE HEALTH AND WELL-BEING OF CHILDREN.OUR MISSION IS OUR CHILDREN (AND IT SPELLS "CARE"):CAREGIVING - OFFERING HIGH QUALITY, COMPREHENSIVE MEDICAL CAREADVOCACY - SPEAKING UP AND PROTECTING CHILDRENRESEARCH - FINDING CURES TO THE ILLNESSES THAT AFFECT CHILDRENEDUCATION - SHARE WHAT WE LEARN AND TEACHING OTHERS TO CARE FOR KIDS | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $404,297,234 | ExpenseAmt |
| Grant | $16,816,637 | GrantAmt |
| Revenue | $566,579,003 | RevenueAmt |
| Desc | INPATIENT SERVICES:CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW" OR "THE HOSPITAL") OPERATES A 296-BED HOSPITAL AT ITS MILWAUKEE CAMPUS, WHICH INCLUDES AN EMERGENCY ROOM OPEN ON A 24/7 BASIS. IT IS A FREESTANDING WISCONSIN HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN AND IS ONE OF THE LEADING CENTERS FOR PEDIATRIC HEALTH CARE IN THE U.S. THE HOSPITAL SERVES CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE, TO CHILDREN FROM WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS AND BEYOND. IN 2013, 23,945 CHILDREN WERE ADMITTED TO THE MILWAUKEE HOSPITAL, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNITS (PICU), A CANCER AND BLOOD DISORDERS CENTER, MEDICAL/SURGICAL UNITS AND A DAY SURGERY SHORT STAY UNIT. THE HOSPITAL ALSO OPERATES A SEPARATELY-LICENSED 42-BED PEDIATRIC HOSPITAL, WHICH INCLUDES A NICU AND A PEDIATRIC MEDICAL/SURGICAL UNIT, LOCATED AT THEDA CLARK MEDICAL CENTER IN NEENAH, WIS., THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AND GREEN BAY AREAS. IN 2013, 1,731 CHILDREN WERE ADMITTED TO THE FOX VALLEY CAMPUS.OUTPATIENT AND AMBULATORY SERVICES:THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS AT MORE THAN 70 SUBSPECIALTY CLINICS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 61,863 VISITS TO THE EMERGENCY DEPARTMENT IN 2013. OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS, AND IN THE FOX VALLEY AND GREEN BAY MARKETS. THE HOSPITAL'S NATIONALLY KNOWN AND RECOGNIZED SPECIALTY PROGRAMS INCLUDE THOSE FOR TREATING CHILDREN WITH AIRWAY, DIGESTIVE AND VOICE CONDITIONS; BURNS; CANCER AND BLOOD DISORDERS; CONGENITAL AND ACQUIRED HEART DEFECTS AND DISEASES; CRANIOFACIAL DISORDERS; DERMATOLOGY, BIRTHMARKS AND VASCULAR ANOMALIES; DIABETES; GASTROINTESTINAL PROBLEMS; GENETIC DISORDERS; HIV; NEUROLOGICAL DISORDERS; ORTHOPEDIC CONDITIONS (INCLUDING SPINE, SPORTS MEDICINE, CONCUSSION); IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; SOLID ORGAN TRANSPLANTATION; SPEECH AND HEARING DISORDERS; AND SPASTICITY AND OTHER TONE AND MOBILITY CONDITIONS. THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT CLINICS IN CENTRAL CITY MILWAUKEE NEIGHBORHOODS. THE HOSPITAL ALSO OFFERS CASE MANAGEMENT SERVICES AND A FULL RANGE OF MEDICAL, PSYCHOLOGICAL, NURSING AND SOCIAL SERVICES FOR CHILDREN WITH DEVELOPMENTAL, BEHAVIORAL AND LEARNING PROBLEMS. IN 2013, THERE WERE A TOTAL OF 286,836 OUTPATIENT VISITS.RESEARCH, EDUCATION AND COMMUNITY OUTREACH:THE HOSPITAL IS INVOLVED IN EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS.RESEARCH: THE HOSPITAL AND ITS CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH, EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; ORGAN TRANSPLANTATION; BIRTH DEFECTS AND FETAL ANOMALIES; IMMUNOLOGICAL CONDITIONS, BLOOD DISORDERS AND VARIOUS CHILDHOOD CANCERS; AND ENVIRONMENTAL HEALTH CONDITIONS. ADDITIONAL RESEARCH IS CONDUCTED IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS. NURSING RESEARCH INCLUDES STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS.EDUCATION: THE HOSPITAL IS A MAJOR TEACHING AFFILIATE OF THE MEDICAL COLLEGE OF WISCONSIN, WITH THIRD- AND FOURTH-YEAR MEDICAL STUDENTS ROTATING THROUGH THE HOSPITAL FOR REQUIRED AND ELECTIVE ROTATIONS. THE HOSPITAL ALSO MAINTAINS A THREE-YEAR PEDIATRIC RESIDENCY PROGRAM, A TWO-YEAR DENTAL TRAINING PROGRAM AND ACADEMIC FELLOWSHIP PROGRAMS IN AN ARRAY OF SPECIALTIES. THE HOSPITAL HAS RELATIONSHIPS WITH MORE THAN TWO DOZEN UNIVERSITIES FOR THE CLINICAL EDUCATION OF PEDIATRIC NURSES AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION AND VARIOUS OTHER DISCIPLINES. THE HOSPITAL'S PEDIATRIC SPECIALISTS ALSO PROVIDE EDUCATION AND TRAINING TO HEALTH CARE PROFESSIONALS AT COMMUNITY HOSPITALS, PRIMARY CARE CLINICS AND SCHOOLS THROUGHOUT WISCONSIN IN CONNECTION WITH THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH AND WELFARE CONDITIONS. COMMUNITY OUTREACH: THE HOSPITAL OFFERS A WIDE VARIETY OF COMMUNITY EDUCATION, OUTREACH AND CHILD HEALTH ADVOCACY PROGRAMS. THROUGH COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS CHILD HEALTH, INJURY PREVENTION, PARENTING, MANAGEMENT OF CHRONIC DISEASES, AND PREVENTIVE HEALTH, THE HOSPITAL REACHES THOUSANDS OF FAMILIES. ALONG WITH THE MEDICAL COLLEGE, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF UNDERSERVED CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN THE STATE OF WISCONSIN. THE HOSPITAL PARTICIPATES IN AND STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THROUGH WHICH PROVIDERS AROUND THE STATE WORK COLLABORATIVELY TO RAISE AWARENESS OF CHILDREN'S HEALTH ISSUES, INCREASE ACCESS TO PEDIATRIC CARE, AND PROMOTE BEST PRACTICES. OTHER COMMUNITY OUTREACH AND ADVOCACY INITIATIVES INCLUDE, FOR EXAMPLE, CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH). | Desc |
| Total Program Service Expenses | $404,297,234 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 724 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3634 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MS SARAH KAFKA | PersonNm |
| Phone | 4142661854 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVE | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM J ABRAHAM JR | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL W ALTSCHAEFL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS M BOLGER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH BRENNER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CURT S CULVER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BETH DALEY-ULLEM | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID J DRURY | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DAVID H GILBERT | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK R HOGAN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL W JONES | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH KERSCHNER MD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MANSELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA T MELLOWES | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| C DAVID MYERS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALBERT S ORR III | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL T PEPKE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| J JOEL QUADRACCI | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAY O ROTHMAN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN E SCHLIFSKE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER M SOMMERHAUSER | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PAUL W SWEENEY | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| OWEN J SULLIVAN | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PHOEBE W WILLIAMS | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK C WITT | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET TROY | ||||||||||
| DIRECTOR/CHHS PRESIDENT | 0.00 | 40.00 | Yes (X) | $0 | $1,231,779 | $318,154 | Yes (X) | |||
| THOMAS ARENBERG | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL LOVELL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL KNOEBEL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH BEDWELL | ||||||||||
| VP RESEARCH ADMINISTRATION | 0.00 | 40.00 | $0 | $191,296 | $26,422 | Yes (X) | ||||
| CINTHIA S CHRISTENSEN | ||||||||||
| PRESIDENT & COO | 40.00 | 0.00 | $654,973 | $0 | $108,969 | Yes (X) | ||||
| WELDON GAGE | ||||||||||
| TREASURER / CFO | 0.00 | 40.00 | $0 | $510,566 | $69,978 | Yes (X) | ||||
| MICHAEL GUTZEIT MD | ||||||||||
| VP, CHW / CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $458,794 | $0 | $90,086 | Yes (X) | ||||
| BARBARA JOERS | ||||||||||
| VICE PRESIDENT, CHW | 40.00 | 0.00 | $248,347 | $0 | $14,573 | Yes (X) | ||||
| JULIET KERSTEN | ||||||||||
| VICE PRESIDENT, CHW | 40.00 | 0.00 | $297,952 | $0 | $41,797 | Yes (X) | ||||
| NANCY KOROM | ||||||||||
| VP, CHW / CHIEF NURSING OFFICER | 40.00 | 0.00 | $387,890 | $0 | $81,904 | Yes (X) | ||||
| MARGARET NEIMER | ||||||||||
| VP CHW | 14.00 | 26.00 | $260,241 | $49,487 | $73,808 | Yes (X) | ||||
| SHEILA REYNOLDS | ||||||||||
| SECRETARY | 0.00 | 40.00 | $0 | $383,091 | $82,165 | Yes (X) | ||||
| MARK SHIP | ||||||||||
| VP REVENUE CYCLE | 40.00 | 0.00 | $0 | $321,195 | $20,839 | Yes (X) | ||||
| MARC GORELICK MD | ||||||||||
| EXECUTIVE VP CHHS | 40.00 | 0.00 | $96,585 | $0 | $28,234 | Yes (X) | ||||
| DONNA JAMIESON | ||||||||||
| EXECUTIVE DIR, PATIENT CARE | 40.00 | 0.00 | $179,870 | $0 | $44,501 | Yes (X) | ||||
| TOM LAUSTEN | ||||||||||
| DIRECTOR, PHARMACY SVS | 40.00 | 0.00 | $168,232 | $0 | $38,253 | Yes (X) | ||||
| ERIN YALE | ||||||||||
| DIR, DIAG IMAGING & EMERGENCY | 40.00 | 0.00 | $175,377 | $0 | $34,407 | Yes (X) | ||||
| SUZAN BUCHAKLIAN | ||||||||||
| DIR, SURGICAL SERVICES | 40.00 | 0.00 | $186,949 | $0 | $28,356 | Yes (X) | ||||
| LORI BARBEAU DDS | ||||||||||
| MEDICAL DIRECTOR DENTAL PROGRAM | 40.00 | 0.00 | $251,843 | $0 | $45,441 | Yes (X) | ||||
| ANDREW SCHMITT MD | ||||||||||
| HOSPITALIST | 40.00 | 0.00 | $251,256 | $0 | $32,431 | Yes (X) | ||||
| MARYLYN RANTA MD | ||||||||||
| DIR, CHW PHYSICIAN AFFAIRS | 40.00 | 0.00 | $249,582 | $0 | $50,649 | Yes (X) | ||||
| SHANE FISHER DDS | ||||||||||
| PEDIATRIC DENTIST | 40.00 | 0.00 | $239,512 | $0 | $24,399 | Yes (X) | ||||
| A CHARLES POST DDS | ||||||||||
| PROGRAM ADMIN DENTAL RESIDENCY | 40.00 | 0.00 | $217,469 | $0 | $27,732 | Yes (X) | ||||
| MARC CADIEUX | ||||||||||
| FORMER INTERIM TREASURER | 0.00 | 40.00 | $0 | $199,061 | $20,997 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,324,872 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,886,475 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,304,095 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 123 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL COLLEGE OF WISCONSIN INC | |||||
| 8701 WATERTOWN PLANK ROAD | MILWAUKEE | WI | 53226 | HEALTHCARE PROF/ACADEMIC/ADMIN | $28,353,936 |
| MEDICAL COLLEGE OF WISCONSIN AFFILIATED | |||||
| 8701 WATERTOWN PLANK ROAD | MILWAUKEE | WI | 53226 | RESIDENT SERVICES | $10,756,898 |
| BLOOD CENTER OF WISCONSIN INC | |||||
| 638 N 18TH ST | MILWAUKEE | WI | 53233 | BLOOD PRODUCTS/LAB SERVICES | $7,928,693 |
| THEDA CARE | |||||
| 122 E COLLEGE AVE | APPLETON | WI | 54912 | ANCILLIARY SERV/OTHER SERV | $5,109,659 |
| MILWAUKEE REGIONAL MEDICAL CENTER - FFL | |||||
| 2661 AVIATION ROAD | WAUKESHA | WI | 53188 | AIR TRANSPORTATION SERVICES | $1,723,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,504,237 | RelatedOrganizationsAmt |
| Government Grants | $10,640,786 | GovernmentGrantsAmt |
| All Other Contributions | $823,683 | AllOtherContributionsAmt |
| Total Contributions | $14,968,706 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SVC REV | 621990 | $559,643,221 | $559,643,221 | |
| RENTAL INCOME | 531120 | $5,658,183 | $1,114,559 | $4,543,624 |
| OUTSIDE SALARY SUPPORT | 541900 | $1,897,643 | $1,897,643 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $567,199,047 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,171,671 | TotalRevenueColumnAmt |
| Exclusion | $10,171,671 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $87,845,175 | SecuritiesAmt |
| Other | $2,168,403 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $88,195,637 | SecuritiesAmt |
| Other | $535,196 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$350,462 | SecuritiesAmt |
| Other | $1,633,207 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,282,745 | TotalRevenueColumnAmt |
| Exclusion | $1,282,745 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $2,394,215 | $2,394,215 | |
| PHARMACY SALES TO EMPLOYEES | 446110 | $1,892,710 | $1,892,710 | |
| REBATES AND DISCOUNTS | 900099 | $1,144,078 | $1,144,078 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,812,418 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,972,787 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $119,234 | UnrelatedBusinessRevenueAmt |
| Exclusion | $720,397 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,243,421 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $602,865,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $566,772,288 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $119,234 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,005,362 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,816,637 | TotalAmt |
| Program Services | $16,816,637 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,086,062 | TotalAmt |
| Program Services | $1,511,874 | ProgramServicesAmt |
| Management And General | $3,574,188 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,126,728 | TotalAmt |
| Program Services | $133,863,956 | ProgramServicesAmt |
| Management And General | $22,262,772 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,803,452 | TotalAmt |
| Program Services | $8,373,378 | ProgramServicesAmt |
| Management And General | $1,430,074 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,952,626 | TotalAmt |
| Program Services | $22,985,950 | ProgramServicesAmt |
| Management And General | $3,966,676 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,702,649 | TotalAmt |
| Program Services | $10,001,382 | ProgramServicesAmt |
| Management And General | $1,701,267 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,342,000 | TotalAmt |
| Management And General | $82,342,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,022 | TotalAmt |
| Management And General | $921,022 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,178,475 | TotalAmt |
| Program Services | $62,144,715 | ProgramServicesAmt |
| Management And General | $5,033,760 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,156 | TotalAmt |
| Program Services | $2,743 | ProgramServicesAmt |
| Management And General | $5,413 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,714 | TotalAmt |
| Program Services | $373,114 | ProgramServicesAmt |
| Management And General | $51,600 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,915 | TotalAmt |
| Program Services | $153,219 | ProgramServicesAmt |
| Management And General | $41,696 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,151,997 | TotalAmt |
| Program Services | $14,050,345 | ProgramServicesAmt |
| Management And General | $6,101,652 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $643,129 | TotalAmt |
| Program Services | $270,063 | ProgramServicesAmt |
| Management And General | $373,066 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,867 | TotalAmt |
| Program Services | $130,339 | ProgramServicesAmt |
| Management And General | $130,528 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,111,623 | TotalAmt |
| Program Services | $15,115 | ProgramServicesAmt |
| Management And General | $14,096,508 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,442,802 | TotalAmt |
| Program Services | $47,442,802 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,615,800 | TotalAmt |
| Program Services | $20,459 | ProgramServicesAmt |
| Management And General | $1,595,341 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $59,331,243 | $59,331,243 |
| HOSPITAL ASSESSMENT TAX | $11,945,382 | $11,945,382 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,987,787 | TotalAmt |
| Program Services | $14,864,518 | ProgramServicesAmt |
| Management And General | $4,123,269 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,048,066 | TotalAmt |
| Program Services | $404,297,234 | ProgramServicesAmt |
| Management And General | $147,750,832 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,934,534 | BOYAmt |
| EOY | $73,284,774 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,890,349 | BOYAmt |
| EOY | $1,519,728 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,401,999 | BOYAmt |
| EOY | $79,560,551 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,460 | BOYAmt |
| EOY | $613,001 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,089,825 | BOYAmt |
| EOY | $4,627,972 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,162,899 | BOYAmt |
| EOY | $5,096,354 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $713,455,935 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $290,099,745 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,556,620 | BOYAmt |
| EOY | $423,356,190 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,749,648 | BOYAmt |
| EOY | $271,668,117 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,488,570 | BOYAmt |
| EOY | $479,229,710 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270,795,904 | BOYAmt |
| EOY | $1,338,956,397 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,260,669 | BOYAmt |
| EOY | $66,523,306 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,157,530 | BOYAmt |
| EOY | $1,308,172 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,599,134 | BOYAmt |
| EOY | $266,060,711 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,670,213 | BOYAmt |
| EOY | $29,906,242 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,687,546 | BOYAmt |
| EOY | $363,798,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,591,292 | BOYAmt |
| EOY | $779,256,568 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,839,166 | BOYAmt |
| EOY | $51,344,554 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,677,900 | BOYAmt |
| EOY | $144,556,844 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $814,108,358 | BOYAmt |
| EOY | $975,157,966 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270,795,904 | BOYAmt |
| EOY | $1,338,956,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $50,817,524 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,067,775 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $125,299,859 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $379,800 | BeginningBalanceAmt |
| Additions During Year | $201,531 | AdditionsDuringYearAmt |
| Distributions During Year | $148,585 | DistributionsDuringYearAmt |
| Ending Balance | $432,746 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $337,517,064 | BeginningYearBalanceAmt |
| Contributions | $20,430,025 | ContributionsAmt |
| Investment Earnings Or Losses | $20,149,400 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $8,024,840 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,170,250 | AdministrativeExpensesAmt |
| End Year Balance | $368,901,399 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $320,201,015 | BeginningYearBalanceAmt |
| Contributions | $12,951,629 | ContributionsAmt |
| Investment Earnings Or Losses | $13,134,597 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,676,552 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $1,093,625 | AdministrativeExpensesAmt |
| End Year Balance | $337,517,064 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $319,718,349 | BeginningYearBalanceAmt |
| Contributions | $8,809,809 | ContributionsAmt |
| Investment Earnings Or Losses | $501,862 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,914,215 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $914,790 | AdministrativeExpensesAmt |
| End Year Balance | $320,201,015 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $301,025,999 | BeginningYearBalanceAmt |
| Contributions | $13,508,585 | ContributionsAmt |
| Investment Earnings Or Losses | $13,344,633 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $7,310,168 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $850,700 | AdministrativeExpensesAmt |
| End Year Balance | $319,718,349 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $246,110,966 | BeginningYearBalanceAmt |
| Contributions | $12,400,322 | ContributionsAmt |
| Investment Earnings Or Losses | $48,806,039 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $6,291,328 | GrantsOrScholarshipsAmt |
| End Year Balance | $301,025,999 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.46900 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.39200 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.13900 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $488,171,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $197,359,364 | DepreciationAmt |
| Book Value | $290,812,344 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,637,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,832,707 | DepreciationAmt |
| Book Value | $3,804,906 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,749,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,590,456 | DepreciationAmt |
| Book Value | $115,159,184 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,896,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,317,218 | DepreciationAmt |
| Book Value | $13,579,756 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $423,356,190 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $44,784,177 |
| BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN FOUND. | $428,586,598 |
| 457 PLAN ASSETS | $999,516 |
| INVESTMENT IN CATALPA | $140,879 |
| PENSION ASSET | $4,718,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $479,229,710 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS | $3,073,670 |
| CAPITAL AND OTHER LEASE OBLIGATIONS | $1,356,171 |
| FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS | $21,176,218 |
| 457 PLAN LIABILITY | $999,516 |
| ESTIMATED THIRD PARTY PAYER SETTLEMENTS | $3,300,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,906,242 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | CERTAIN EMPLOYEES OF THE ORGANIZATION HAVE SIGNING AUTHORITY FOR THE CHILDREN'S HOSPITAL OF WISCONSIN MEDICAL STAFF FUNDS MONEY MARKET AND CHECKING ACCOUNT. AN EMPLOYEE OF THE ORGANIZATION ALSO PROVIDES ALL MONTHLY ACCOUNTING FUNCTIONS. |
| PART V, LINE 4: | CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, CAPITAL PROJECTS AND RESEARCH. |
| PART X, LINE 2: | CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $905,333 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $905,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $238,967,029 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $188,150,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,816,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $239,872,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $188,150,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,722,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,816,019 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,065,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,750,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,959,940 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,707,317 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,252,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03850 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,066,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,448,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,618,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,821,162 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,821,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $481,934 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $481,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,145,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,221,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,924,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $288,017,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200,371,570 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,646,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15890 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,034,743 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,030,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,425 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,902,016 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,776 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,887,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,433 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,394 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,042,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,746 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,023,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,551,190 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $986,465 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,282,760 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$296,295 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||||||||||||
| 1 | 9000 W WISCONSIN AVE | MILWAUKEE | WI | 53201 | CHW.ORG | 135 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | ||||||||||||
| 2 | 130 S 2ND STREET | NEENAH | WI | 54956 | CHW.ORG | 1005 | Yes (X) | Yes (X) | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | ResidencyResidencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF WISCONSIN INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.CHW.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 350.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.CHW.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 350.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 3: IN 2011, CHILDREN'S HOSPITAL INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT RECOGNIZES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND THE IMPACT SUCH INFLUENCES MAY HAVE WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE, LIKE CHILDHOOD.CHILDREN'S HOSPITAL SELECTED THREE MILWAUKEE NEIGHBORHOODS WHICH HAVE HISTORICALLY BEEN UNDERSERVED FOR INITIAL ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS - METCALFE PARK, FRANKLIN HEIGHTS/AMANI NEIGHBORHOOD, AND LINDSAY HEIGHTS - WERE IDENTIFIED BECAUSE 1) THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGE RESIDENTS; 2) THERE WERE SIGNIFICANT CHALLENGES TO CHILD HEALTH OUTCOMES; AND 3) THEY HAD AN EXISTING TRUSTED COMMUNITY RESOURCE(S) THAT WAS WILLING TO PARTNER WITH CHILDREN'S HOSPITAL IN ENGAGING THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES.THE INITIATIVE BEGAN WITH COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN EACH OF THE THREE NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHILDREN'S HOSPITAL WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY.IN 2013, CHILDREN'S HOSPITAL AND FOUR OTHER HEALTH SYSTEMS IN MILWAUKEE (THE MILWAUKEE HEALTH CARE PARTNERSHIP) COMMISSIONED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS. THE ASSESSMENT CONSISTS OF THREE NARROWER REPORTS MEANT TO PROVIDE A HOLISTIC PICTURE OF HEALTH IN MILWAUKEE: - MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY. THE PURPOSE OF THE MCCHS IS TO ASSESS THE HEALTH STATUS OF RESIDENTS. PRIMARY OBJECTIVES WERE TO (A) GATHER SPECIFIC DATA ON BEHAVIORAL AND LIFESTYLE HABITS OF THE ADULT POPULATION; (B) GATHER DATA ON THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS EXISTING WITHIN THE ADULT POPULATION; (C) COMPARE, WHERE APPROPRIATE, HEALTH DATA OF RESIDENTS TO PREVIOUS HEALTH STUDIES; AND (D) COMPARE, WHERE APPROPRIATE AND AVAILABLE, HEALTH DATA OF RESIDENTS TO STATE AND NATIONAL MEASUREMENTS. APPROXIMATELY 1,200 MILWAUKEE COUNTY RESIDENTS WERE SAMPLED USING RANDOM LANDLINE AND CELL PHONE-ONLY SAMPLES. COMBINED, POST-STRATIFICATION WAS CONDUCTED BY SEX AND AGE TO REFLECT THE 2010 CENSUS PROPORTION OF THESE CHARACTERISTICS IN THE AREA. - KEY INFORMANT REPORT. THE KEY INFORMANT REPORT IS A SUMMARY OF FINDINGS FROM POLICYMAKERS, HEALTH CARE PROVIDERS, LOCAL EXPERTS AND COMMUNITY MEMBERS CONDUCTED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ASKED RESPONDENTS TO RANK UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN. - SECONDARY DATA REPORT. THE SECONDARY DATA REPORT IS A SUPPLEMENT TO THE PRIMARY DATA COLLECTION CONDUCTED IN THE MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY AND THE KEY INFORMANT REPORT. THE REPORT SUMMARIZES THE DISTRIBUTION OF HEALTH INDICATORS AMONG SOCIOECONOMIC GROUPS WITHIN THE CITY OF MILWAUKEE AND MILWAUKEE COUNTY. THE REPORT USES PUBLICLY AVAILABLE DATA SOURCES FROM LOCAL, STATE AND NATIONAL LEVELS. WHILE THESE REPORTS PROVIDE RICH DATA AND A HOLISTIC VIEW OF HEALTH IN MILWAUKEE, THE PRIMARY FOCUS WAS THE ADULT POPULATION. GIVEN THIS LIMITATION, THE FOLLOWING DATA SOURCES WERE USED TO SUPPLEMENT THE FINDINGS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT TO ENSURE CHILDREN'S HOSPITAL'S HIGHEST PRIORITY - CHILDREN - ARE WELL REPRESENTED: - KIDS COUNT! DATA. KIDS COUNT IS A NATIONAL AND STATE-BY-STATE EFFORT TO TRACK WELL-BEING INDICATORS FOR CHILDREN IN THE UNITED STATES. FUNDED BY THE ANNIE E. CASEY FOUNDATION, KIDS COUNT OFFERS HIGH-QUALITY DATA AND TRENDS ANALYSIS. - KAISER STATE HEALTH FACTS. KAISER STATE HEALTH FACTS, FUNDED BY THE HENRY J. KAISER FAMILY FOUNDATION, PROVIDES FREE DATA ON MORE THAN 800 HEALTH INDICATORS AT THE STATE, NATIONAL AND COUNTY LEVEL. DATA, COMPILED FROM A VARIETY OF PUBLIC, PRIVATE AND GOVERNMENT SOURCES, ALLOWS USERS TO MAP, RANK, TREND OR DOWNLOAD INFORMATION. - UNITED STATES CENSUS BUREAU. IN ADDITION TO CONDUCTING A CENSUS DECENNIALLY, THE U.S. CENSUS BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. SOURCES FOR THIS INFORMATION INCLUDE THE POPULATION AND HOUSING CENSUS, NATIONAL HEALTH INTERVIEW SURVEY, ECONOMIC CENSUS, THE AMERICAN COMMUNITY SURVEY, CURRENT POPULATION SURVEY AND OTHER RELATED SURVEYS. - OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL PUBLIC AND GOVERNMENT DATA SOURCES INCLUDE THE CENTER FOR DISEASE CONTROL, WISCONSIN INSTITUTE ON POVERTY AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. TOGETHER, THESE SOURCES PROVIDE BOTH EXPERT AND BROAD PUBLIC INPUT INTO THE HEALTH NEEDS OF THE COMMUNITY. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 3: THE REPORT FOR CHW FOX VALLEY USED DATA AND INFORMATION FROM THE FOX CITIES LIFE STUDY. CHILDREN'S HOSPITAL WORKED WITH UNITED WAY FOX CITIES, THE FOX CITIES CHAMBER OF COMMERCE, THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION AND THE FOX CITIES OF WISCONSIN ECONOMIC DEVELOPMENT PARTNERSHIP IN SPONSORING THIS REPORT.CHILDREN'S HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE FOX VALLEY COMMUNITY RELIED HEAVILY ON THE LEADING INDICATORS FOR EXCELLENCE STUDY, OR LIFE STUDY. THE LIFE STUDY IS A MULTIFACETED ASSESSMENT OF LIFE IN 10 KEY AREAS IN THE FOX CITIES. IT EXAMINES WHAT "EXCELLENCE" WOULD LOOK LIKE FOR THE FOX CITIES REGION AND IDENTIFIED OPPORTUNITIES FOR THE FOX CITIES IN THE FOLLOWING AREAS:- ARTS AND CULTURE - LEISURE- COMMUNITY - NATURAL ENVIRONMENT- HEALTH - SAFETY- HOME - SELF-SUFFICIENCY- LEARNING - WORKOF PARTICULAR USE WAS THE "HEALTHY LIFE" REPORT, A SECTION OF THE LIFE STUDY FOCUSED ON THE COMPONENTS OF A HEALTHY LIFESTYLE, INCLUDING INDICATORS RELATED TO ACCESS TO MEDICAL CARE, HEALTH STATUS, MENTAL HEALTH STATUS, PREVENTION EFFORTS, QUALITY OF MEDICAL CARE AND RISKY BEHAVIORS. PRIMARY DATA FOR THE REPORT WAS COLLECTED THROUGH A VARIETY OF METHODS. A COMMUNITY SURVEY WAS CONDUCTED OF RANDOMLY SAMPLED RESIDENTS OF THE FOX CITIES METRO AREA AND OF AREA LEADERS REPRESENTING GOVERNMENT, FAITH, BUSINESS, MEDIA, NONPROFITS AND FOUNDATIONS, HEALTH CARE, EDUCATION AND THE COMMUNITY AT LARGE. COMMUNITY FOCUS GROUPS WITH IMPORTANT SUBGROUPS OF THE COMMUNITY - OLDER ADULTS, YOUTH, WORKING PARENTS AND MEMBERS OF THE MULTICULTURAL COMMUNITY - WERE CONVENED TO GAUGE THEIR PERCEPTIONS OF QUALITY OF LIFE. EXPERT SECTOR PANELS WERE CONVENED AND ONE-ON-ONE INTERVIEWS WERE CONDUCTED WITH PROFESSIONALS WITHIN EACH OF THE 10 SECTIONS OF THE LIFE STUDY.IN ADDITION TO THE SURVEYS, FOCUS GROUPS AND INTERVIEWS, A NUMBER OF SECONDARY DATA SOURCES WERE USED TO COMPLETE THE PICTURE. THESE SOURCES INCLUDE:- UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANKINGS- WISCONSIN DEPARTMENT OF HEALTH SERVICES- BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM- YOUTH RISK BEHAVIOR SURVEY- WISCONSIN INTERACTIVE STATISTICS ON HEALTH- U.S. CENSUS BUREAU- ANNIE E. CASEY FOUNDATION "KIDS COUNT"- CHILDREN'S HOSPITAL OF WISCONSIN PROGRAM DATA |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 4: THE FOLLOWING INSTITUTIONS WERE INTEGRAL TO THE COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: AURORA HEALTH CARE, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, WHEATON FRANCISCAN HEALTHCARE AND PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 7: BECAUSE CHILDREN'S HOSPITAL IS A PEDIATRIC SPECIALTY HOSPITAL, OUR ATTENTION AND RESOURCES ARE FOCUSED ON AREAS IDENTIFIED IN THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT WHERE WE CAN MAKE THE BIGGEST IMPACT ON THE HEALTH OF CHILDREN.THE FOLLOWING ISSUES WERE IDENTIFIED AS THE HIGHEST HEALTH NEEDS OF THE PEDIATRIC COMMUNITY AND THEREFORE, THE HIGHEST PRIORITIES FOR CHILDREN'S HOSPITAL OF MILWAUKEE:- ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CARE- OBESITY AND WEIGHT MANAGEMENT- INFANT MORTALITY- SEXUAL HEALTH- COMMUNITY AND HOME SAFETYTHE NEEDS IDENTIFIED BY THE CHNA WHICH MORE DIRECTLY IMPACT ADULT HEALTH AND THEREFORE WERE NOT ADDRESSED BY CHILDREN'S WERE BEHAVIORAL HEALTH, CHRONIC DISEASE, HEALTH ILLITERACY, AND DISPARATE IMPACT. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 7: BECAUSE CHILDREN'S HOSPITAL FOX VALLEY IS A PEDIATRIC SPECIALTY HOSPITAL, ITS ATTENTION AND RESOURCES ARE FOCUSED ON AREAS IDENTIFIED IN THE LIFE STUDY WHERE WE COULD MAKE THE BIGGEST IMPACT FOR THE HEALTH OF CHILDREN. THE FOLLOWING ISSUES WERE ESTABLISHED AS THE HIGHEST HEALTH PRIORITIES FOR CHILDREN'S HOSPITAL IN FOX VALLEY:- ACCESS TO MENTAL HEALTH CARE SERVICES- LIFESTYLE AND HEALTH- HEALTHY DEVELOPMENT OF ALL YOUTH- SUPPORT FOR CHILDRENTHE NEEDS THAT WERE NOT ADDRESSED BY CHILDREN'S BECAUSE THEY MORE DIRECTLY IMPACT ADULTS WERE AFFORDABLE HOUSING, CARE FOR ELDERLY AND PERSONS WITH A DISABILITY, FINANCIAL AND OTHER SUPPORT FOR QUALITY-OF-LIFE ACTIVITIES, INVESTMENT IN ENVIRONMENT, NEED FOR BETTER PAYING JOBS, PERSONAL SAFETY OF ADULTS, SELF-SUFFICIENCY CHALLENGES, AND SUPPORT FOR EDUCATION. |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 11: ALTHOUGH THE HOSPITAL'S FAP LIMITS ELIGIBILITY AT 350 PERCENT OF THE FPG, THE HOSPITAL MAY PROVIDE FINANCIAL ASSISTANCE FOR FAMILIES ABOVE 350 PERCENT OF THE FPG SINCE THE HOSPITAL MAKES ADDITIONAL CONSIDERATIONS FOR THE MEDICALLY INDIGENT. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 11: ALTHOUGH THE HOSPITAL'S FAP LIMITS ELIGIBILITY AT 350 PERCENT OF THE FPG, THE HOSPITAL MAY PROVIDE FINANCIAL ASSISTANCE FOR FAMILIES ABOVE 350 PERCENT OF THE FPG SINCE THE HOSPITAL MAKES ADDITIONAL CONSIDERATIONS FOR THE MEDICALLY INDIGENT. |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 14G: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS INCLUDED IN BILLING INVOICES AND AVAILABLE IN WAITING AREAS. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 14G: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS INCLUDED IN BILLING INVOICES AND AVAILABLE IN WAITING AREAS. |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 18E: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER CHILDREN'S FAP. AT LEAST 3 BILLING STATEMENTS INCLUDING A PLAIN LANGUAGE SUMMARY OF THE FAP ARE SENT OVER A PERIOD OF 120 DAYS. THE HOSPITAL MAKES EXTENSIVE EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 18E: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER CHILDREN'S FAP. AT LEAST 3 BILLING STATEMENTS INCLUDING A PLAIN LANGUAGE SUMMARY OF THE FAP ARE SENT OVER A PERIOD OF 120 DAYS. THE HOSPITAL MAKES EXTENSIVE EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. |
| CHILDREN'S HOSPITAL OF WISCONSIN, INC. | PART V, SECTION B, LINE 20D: THE MAXIMUM AMOUNT THE HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO CHILDREN'S GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) BY CHILDREN'S TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS REGULATIONS AND IS BASED ON CHW'S OVERALL MEDICARE AND COMMERCIAL REIMBURSEMENT RATE. |
| CHILDREN'S HOSPITAL OF WI-FOX VALLEY | PART V, SECTION B, LINE 20D: THE MAXIMUM AMOUNT THE HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO CHILDREN'S GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) BY CHILDREN'S TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS REGULATIONS AND IS BASED ON CHW'S OVERALL MEDICARE AND COMMERCIAL REIMBURSEMENT RATE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| CHW FOX VALLEY BEHAVIORAL HEALTH | ||||
| 1820 N APPLETON RD | MENASHA | WI | 54952 | PATIENT CARE SERVICES |
| CHILD ADVOCACY CENTER - FOX VALLEY | ||||
| 325 N COMMERCIAL ST SUITE 400 | NEENAH | WI | 54956 | PATIENT CARE SERVICES |
| CHILD ADVOCACY CENTER - RACINE | ||||
| 2405 NORTHWESTERN AVE SUITE 2058 | RACINE | WI | 53404 | PATIENT CARE SERVICES |
| CHILD ADVOCACY CENTER - WAUKESHA | ||||
| 101 W BROADWAY 2ND FLOOR | WAUKESHA | WI | 53186 | PATIENT CARE SERVICES |
| DOWNTOWN HEALTH CENTER | ||||
| 1020 N 12TH ST | MILWAUKEE | WI | 53233 | URBAN HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("THE HOSPITAL") USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE HOSPITAL IS DEDICATED TO ENSURING THAT PATIENTS RECEIVE ALL MEDICALLY NECESSARY CARE. IN FURTHERANCE OF THAT OBJECTIVE, THE HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY ("FAP"), PURSUANT TO WHICH THE HOSPITAL PROVIDES DISCOUNTED OR FREE CARE TO PATIENTS WHO ARE UNINSURED OR OTHERWISE UNABLE TO PAY ALL OR A PORTION OF THEIR BILLED CHARGES. THE POLICY GENERALLY PROVIDES THAT ELIGIBILITY IS DETERMINED BASED ON HOUSEHOLD INCOME, FAMILY SIZE AND AVAILABLE ASSETS, AND SPECIFICALLY INCORPORATES CRITERIA SET FORTH UNDER THE WISCONSIN MEDICAID PROGRAM AND THE FEDERAL POVERTY GUIDELINES. EVEN IF A FAMILY EXCEEDS THE FPG STANDARDS, THEY MAY BE ELIGIBLE FOR FREE OR REDUCED CARE IF THE MAGNITUDE OF THEIR MEDICAL EXPENSES RENDERS THE FAMILY MEDICALLY INDIGENT. |
| PART I, LINE 6A: | CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE SOLE CORPORATE MEMBER OF THE HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST. |
| PART I, LINE 7: | THE HOSPITAL USED A COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A AND 7B FOR CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. FOR LINES 7E, 7F, 7G, 7H, AND 7I, THE HOSPITAL USED COSTS TAKEN FROM ITS ACCOUNTING SYSTEM. FOR LINE 7G, THE COSTS FROM THE ACCOUNTING SYSTEM WERE ADJUSTED FOR MEDICAID, MEDICARE, AND CHARITY CARE PATIENTS, AS THE COST RELATED TO THESE PATIENTS WAS TAKEN INTO ACCOUNT IN LINES 7A AND 7B. THE WISCONSIN MEDICAID PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED OR UNDERINSURED. HOSPITAL REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND THE AVAILABILITY OF STATE AID AND TO ASSIST THEM IN BECOMING ENROLLED IN THE PROGRAM THAT PROVIDES THE PATIENT WITH THE GREATEST BENEFIT. FOR THAT REASON, THE AMOUNT OF TRUE "CHARITY CARE" RENDERED BY THE HOSPITAL IS CONSIDERABLY SMALLER THAN LEVELS EXPERIENCED BY COMMUNITY HOSPITALS OR OTHER FACILITIES SERVING THE ADULT POPULATION. |
| PART I, LINE 7G: | THE HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $375,000 PAID TO CHILDREN'S MEDICAL GROUP, INC. ("CMG"), WHICH IS A SECTION 501(C)(3) ORGANIZATION AND AN AFFILIATE OF THE HOSPITAL THAT PROVIDES PRIMARY CARE PHYSICIAN SERVICES IN SOUTHEASTERN WISCONSIN. THE PAYMENTS WERE MADE TO SUBSIDIZE THE NEXT DOOR PEDIATRIC CLINIC AND OTHER CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED.IN THE FOX VALLEY, THE HOSPITAL INCLUDED $250,000 PAID TO CATALPA TO SUBSIDIZE MENTAL HEALTH SERVICES. CATALPA IS A NON-PROFIT MENTAL HEALTH PROVIDER THE HOSPITAL OWNS JOINTLY WITH TWO AREA ADULT HOSPITAL SYSTEMS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS FOR CHILDREN, SUCH AS POVERTY AND ENVIRONMENTAL ISSUES. THESE COMMUNITY-BUILDING ACTIVITIES INCLUDE STAFF PARTICIPATION ON COMMUNITY BOARDS, COALITIONS AND/OR COMMITTEES WHICH ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. THE HOSPITAL PROVIDES SUPPORT TO MANY PROGRAMS THAT HELP COMMUNITY MEMBERS KEEP THEIR CHILDREN AND FAMILIES HEALTHY. EXAMPLES INCLUDE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THE SOUTHEAST AND NORTHEAST REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, AND A FREE GUARDIANSHIP CLINIC. THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO ITS PARENT, CHILDREN'S HOSPITAL AND HEALTH SYSTEM ("CHHS") TO SUPPORT THE SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION.THE HOSPITAL STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A STATEWIDE COALITION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE IS GUIDED BY A STATEWIDE 28 MEMBER ADVISORY BOARD AND PARTNERS WITH HUNDREDS OF ORGANIZATIONS AND INDIVIDUALS TO RAISE AWARENESS OF CHILD HEALTH CONCERNS, MOBILIZE LEADERS, IMPACT PUBLIC HEALTH, AND IMPLEMENT PROGRAMS PROVEN TO WORK. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A WISCONSIN DEPARTMENT OF HEALTH SERVICES MATERNAL CHILD HEALTH GRANT, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER PUBLIC AND PRIVATE FUNDING. THE ALLIANCE IS FINANCIALLY SUPPORTED BY THE HOSPITAL THROUGH STAFF AND OTHER RESOURCES TO CARRY ON THE ALLIANCE'S PROGRAMS. THE ALLIANCE'S KEY INITIATIVES ARE: ASTHMA, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, LEAD POISONING, ORAL HEALTH COALITION, AND REACH OUT AND READ PROGRAM. THE ALLIANCE LEADS AND MANAGES THE INFANT DEATH CENTER, REACH OUT AND READ WISCONSIN COALITION, WISCONSIN ASTHMA COALITION, AND THE WISCONSIN ORAL HEALTH COALITION. THE HOSPITAL ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. IT IS 1 OF 5 REGIONAL CENTERS DEDICATED TO SUPPORTING FAMILIES WITH CHILDREN WHO HAVE SPECIAL HEALTH CARE NEEDS AND THE PROVIDERS WHO CARE FOR THEM. IT IS FUNDED THROUGH A TITLE 5 MATERNAL AND CHILD HEALTH BLOCK GRANT, EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDING STAFF AND OTHER PROGRAM EXPENSES, AND CHARITABLE DONATIONS. FAMILIES AND PROVIDERS CAN CALL THE CENTER FOR INFORMATION, REFERRAL AND PROBLEM-SOLVING RELATED TO COMMUNITY AND STATE SERVICES, HEALTH BENEFITS ASSISTANCE, TRANSITION PLANNING, AND EMOTIONAL SUPPORT. EACH YEAR THE STAFF OFFERS TRAINING SUCH AS "CARE IN THE COMMUNITY" AND OTHER SESSIONS THAT FOCUS ON YOUTH TRANSITIONS. STAFF ALSO PARTICIPATE IN NUMEROUS COMMUNITY INITIATIVES AND PARTNER WITH AREA PEDIATRICIANS AND OTHER HEALTH CARE PROVIDERS TO INCORPORATE EARLY IDENTIFICATION AND SCREENING METHODS INTO THEIR PRACTICES. IN 2013, STAFF SHARED THEIR EXPERTISE, LEADERSHIP AND TECHNICAL ASSISTANCE WITH MORE THAN 18 COMMUNITY AGENCIES AND COMMITTEES, WHICH INCLUDE SOUTHEAST REGION AUTISM CORE TEAM, MILWAUKEE COUNTY COMMISSION FOR PERSONS WITH DISABILITIES, PATIENT AT RISK, WISCONSIN CHILDREN'S LONG TERM CARE ADVISORY COMMITTEE AND MANY MORE. THE CENTER SERVES EIGHT COUNTIES. IN THE FOX VALLEY, THE HOSPITAL ALSO SUPPORTS THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, WHICH PROVIDES SIMILAR SERVICES TO THE SOUTHEAST CENTER DESCRIBED ABOVE WITH A FOCUS ON COUNTIES IN WISCONSIN'S FOX VALLEY. ADDITIONALLY, ONE OF THE NEEDS IDENTIFIED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE FOX VALLEY WAS ACCESS TO MENTAL HEALTH CARE SERVICES. THEREFORE, THE HOSPITAL, ALONG WITH AFFINITY HEALTH SYSTEM AND THEDACARE, CREATED AN ORGANIZATION CALLED CATALPA HEALTH TO PROVIDE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES IN THE FOX VALLEY. THROUGH FUNDRAISING EFFORTS BY CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., AN AFFILIATE OF THE HOSPITAL, OVER $1 MILLION WAS RAISED FOR CATALPA IN 2013. THE DANIEL M. SOREF FAMILY RESOURCE CENTER LOCATED ON THE FIRST FLOOR OF THE HOSPITAL'S MILWAUKEE CAMPUS OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO HOSPITAL AND COMMUNITY RESOURCES. THE CENTER OFFERS SPIRITUAL CARE, THE KATIE BECKETT PROGRAM, PATIENT RELATIONS, INTERPRETERS, FAMILY ACCOMMODATIONS AND THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. STAFF MEMBERS ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. THE RESOURCE CENTER HAS COMPUTERS, A CONSULT ROOM, BUSINESS CENTER AND OTHER RESOURCES FOR FAMILIES. THE RESOURCE CENTER ALSO HAS A LENDING LIBRARY WITH BOOKS, VIDEOS AND ARTICLES ON A VARIETY OF HEALTH CONDITIONS AND TOPICS. IN 2013, THE FAMILY RESOURCE CENTER SERVED MORE THAN 22,700 VISITORS. THE HOSPITAL ALSO OPERATES A FREE GUARDIANSHIP CLINIC, WHICH PROVIDES PARENTS IN NEED WITH PRO BONO LEGAL SERVICES TO SECURE GUARDIANSHIP WHEN THEIR SPECIAL NEEDS CHILD TURNS 18.THE HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE MILWAUKEE HOSPITAL CAMPUS. ADDITIONALLY, THE HOSPITAL CONTINUES TO PARTNER WITH EASTER SEALS ON A PROGRAM CALLED PROJECT SEARCH, AN INNOVATIVE WORKFORCE AND CAREER DEVELOPMENT MODEL FOR YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THROUGH PROJECT SEARCH, YOUNG ADULTS WITH DISABILITIES RECEIVE INTERNSHIPS WITHIN THE HOSPITAL TO GAIN ON-THE-JOB TRAINING AND OTHER CAREER DEVELOPMENT SKILLS TO SECURE COMPETITIVE EMPLOYMENT. LAST YEAR, 12 INTERNS GRADUATED FROM THE PROGRAM. IN THE FOX VALLEY, THE HOSPITAL AND THEDA CLARK MEDICAL CENTER PARTNERED WITH ROOSEVELT ELEMENTARY SCHOOL TO PROMOTE HEALTHY HABITS AND CIVIC RESPONSIBILITY TO STUDENTS.THE HOSPITAL'S PARENT ORGANIZATION, CHHS, ALSO PERFORMS COMMUNITY BUILDING ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WHICH ARE FURTHER DISCUSSED IN SCHEDULE H PART VI, LINE 6. |
| PART III, LINE 2: | THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS THE HOSPITAL'S ACTUAL BAD DEBT EXPENSE INCLUDED AS A REDUCTION OF PATIENT REVENUE, AND IS THE SUM OF ALL OF THE UNCOLLECTED PATIENT ACCOUNT BALANCES SENT TO THIRD PARTY COLLECTIONS, REDUCED BY ACTUAL COLLECTIONS, REDUCED BY ANY ACCOUNTS RETURNED TO THE HOSPITAL BY THE THIRD PARTY COLLECTION AGENCY, AND INCREASED BY AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS WHEN APPLICABLE. THE AMOUNT DOES NOT INCLUDE DISCOUNTS PROVIDED UNDER THE HOSPITAL'S FAP, INCLUDING DISCOUNTS PROVIDED TO SELF-PAY ACCOUNTS, WHICH ARE ALSO REPORTED AS A REDUCTION OF PATIENT REVENUE. |
| PART III, LINE 4: | THE HOSPITAL'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. SEE PAGES 24-25 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE HOSPITAL USED ITS FILED MEDICARE COST REPORT TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED ON PART III, SECTION B. AS A CHILDREN'S HOSPITAL, THE HOSPITAL HAS A SMALL POPULATION OF MEDICARE PATIENTS AND IS PAID SUBSTANTIALLY LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER THE COST TO PROVIDE THESE MEDICALLY NECESSARY SERVICES TO THIS POPULATION. |
| PART III, LINE 9B: | UNDER THE HOSPITAL'S POLICIES AND PROCEDURES, THE HOSPITAL UNDERTAKES EXTENSIVE MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, THE HOSPITAL AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE MEDICAID PROGRAM. IN CASES WHERE MEDICAID COVERAGE IS NOT AVAILABLE, THE HOSPITAL SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, HOSPITAL PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES; SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNTS DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS CANNOT BE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION; IN SUCH CASES, THE HOSPITAL FOLLOWS AN ESTABLISHED MULTI-STEP PROCESS IN AN EFFORT TO REACH THE FAMILY AND PROVIDE THEM WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE PROGRAM. ACCOUNTS ARE SENT TO COLLECTIONS (AN AFFILIATED ORGANIZATION WITH SUBSTANTIAL EXPERIENCE IN COLLECTION OF PATIENT ACCOUNTS) ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN WITHOUT SUCCESS. |
| PART VI, LINE 2: | THE HOSPITAL, IN COLLABORATION WITH A TEAM OF OTHER HOSPITAL SYSTEMS, HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY STAKEHOLDERS AND OTHER HEALTH PROFESSIONALS, HAS DEVELOPED A COMMUNITY NEEDS ASSESSMENT SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, THE HOSPITAL CONDUCTED COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN CERTAIN HISTORICALLY UNDERSERVED NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHILDREN'S HOSPITAL WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY. IN ADDITION, THE HOSPITAL USES SECONDARY DATA SUCH AS THE WISCONSIN FAMILY HEALTH SURVEY, COUNTY HEALTH RANKING REPORT AND THE WISCONSIN HEALTHIEST PEOPLE 2020 TO ASSESS THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | AS INDICATED ABOVE, THE HOSPITAL WORKS CLOSELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AND ENROLL IN MEDICAL ASSISTANCE PROGRAMS AVAILABLE THROUGH THE STATE OF WISCONSIN, AND WHERE APPROPRIATE, FEDERAL PROGRAMS. WHERE SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER THE HOSPITAL'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON THE HOSPITAL'S WEBSITE AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. A PLAIN LANGUAGE SUMMARY IS INCLUDED IN BILLING INVOICES AND AVAILABLE IN WAITING AREAS. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND THE HOSPITAL'S TRAINED FINANCIAL SERVICES COUNSELORS AND SOCIAL WORKERS. THE HOSPITAL MAKES EXTENSIVE EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. |
| PART VI, LINE 4: | THE HOSPITAL PROVIDES CARE TO CHILDREN FROM URBAN, RURAL, AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, ETHNICITY, INCOME, DISABILITY, OR COUNTRY OF ORIGIN. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEASTERN WISCONSIN, BUT TREATS PATIENTS FROM THE ENTIRE STATE OF WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS, AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF THE HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2013 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID. |
| PART VI, LINE 5: | THE HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, THE HOSPITAL OFFERS CLINICS IN THE CENTRAL, DOWNTOWN AND SOUTHWEST PART OF THE CITY. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY AND KENOSHA AREAS. IN 2013, IN RESPONSE TO FEEDBACK FROM THE COMMUNITY GAINED THROUGH LISTENING SESSIONS, THE HOSPITAL, THROUGH ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, OPENED TWO NEW CLINICS IN AREAS OF THE CENTRAL CITY PREVIOUSLY LACKING PRIMARY CARE THAT NOW SERVE CHILDREN AND THEIR CAREGIVERS.THE HOSPITAL FUNDS SCHOOL-BASED HEALTH CENTERS IN 10 MILWAUKEE PUBLIC SCHOOLS IN UNDERSERVED AREAS. THESE CENTERS PROVIDE PREVENTATIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AREAS THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2013, THERE WERE 18,888 SCHOOL-BASED NURSE ENCOUNTERS WHICH INCLUDED 946 VISION AND HEARING SCREENINGS.CHILDREN'S HOSPITAL OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TOMENTAL HEALTH PROVIDERS. WE HAVE PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. OUR COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES.CHILDREN'S HOSPITAL OF WISCONSIN'S EDUCATION ARM, COMMUNITY HEALTH, EDUCATES CHILDREN AND FAMILIES REGARDING A WIDE RANGE OF ISSUES IMPACTING THE HEALTH AND SAFETY OF CHILDREN. RESOURCES AND PROGRAMS ARE AVAILABLE FOR CHILDREN, PARENTS, TEACHERS, AND CAREGIVERS TO HELP KEEP WISCONSIN'S CHILDREN HEALTHY AND SAFE. ONLINE LEARNING PROGRAMS ARE A RESOURCE FOR TEACHERS TO USE IN THEIR CLASSROOMS TO DELIVER AN OUTCOMES-BASED HEALTH CURRICULUM TO STUDENTS IN GRADE K5-8. COMMUNITY HEALTH'S INJURY PREVENTION TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS. THEY ALSO DELIVER IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. IN 2013, COMMUNITY HEALTH PARTNERED WITH KOHL'S CORPORATION ON A WEBSITE/MOBILE APP/TOUR RELATED TO INJURY PREVENTION IN THE HOME CALLED KOHL'S CARES GROW SAFE AND HEALTHY PROGRAM. THE PROGRAM IS DESIGNED TO MAKE WISCONSIN KIDS AND FAMILIES AWARE OF SAFETY RISKS IN AND OUT OF THEIR HOMES, AND THE NECESSARY STEPS TO HELP AVOID INJURY. THE HOSPITAL'S CAR SEAT CLINIC IS A COLLABORATION BETWEEN THE HOSPITAL, ITS INJURY PREVENTION PROGRAM, SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION. IT OFFERS CAR SEAT CLINICS IN TWO LOCATIONS NEAR THE MILWAUKEE HOSPITAL CAMPUS AND DOWNTOWN MILWAUKEE. TRAINED CHILD PASSENGER SAFETY TECHNICIANS MAKE CERTAIN THAT INFANT AND TODDLER CAR SEATS AND BOOSTER SEATS ARE INSTALLED CORRECTLY AND ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILDREN USING THEM. THE PROGRAM ALSO PROVIDES LOW-COST OR FREE CAR OR BOOSTER SEATS FOR FAMILIES IN NEED.THE WISCONSIN POISON CENTER, WHICH IS STAFFED BY REGISTERED NURSES SUPPORTED BY M.D. TOXICOLOGISTS 24 HOURS A DAY, 365 DAYS A YEAR, PROVIDES IMMEDIATE AND AUTHORITATIVE PHONE CONSULTATION IN CASES OF ACCIDENTAL OR INTENTIONAL POISONING IN ADULTS AND CHILDREN FOR PATIENTS AND HOSPITALS ACROSS WISCONSIN. THE CENTER ALSO HAS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS ALERTING PEOPLE TO SPECIFIC TOXIC DANGERS. THESE INCLUDE HOSPITAL GRAND ROUNDS LECTURES FOR PHYSICIANS, TRAINING FOR EMERGENCY MEDICAL TECHNICIANS, BABY SITTER WORKSHOPS, AND PRESCHOOL POISON PREVENTION EDUCATION. THE POISON CENTER ALSO TRIAGES CALLS FOR MPOWER, AN ALCOHOL AND DRUG CRISIS LINE FOR TEENS. PROJECT ADAM (AUTOMATIC DEFIBRILLATORS IN ADAM'S MEMORY) IS A PROGRAM OF THE HOSPITAL COMMITTED TO MAKING AUTOMATED EXTERNAL DEFIBRILLATORS UNIVERSALLY AVAILABLE TO ALL CHILDREN AND ADOLESCENTS BY BEING A NATIONAL RESOURCE FOR IMPLEMENTING PEDIATRIC PUBLIC ACCESS DEFIBRILLATION PROGRAMS IN SCHOOLS. IT IS ALSO WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. SINCE THE PROGRAM BEGAN, THE HOSPITAL HAS CELEBRATED 80 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, THE HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, CENTRAL WISCONSIN (WAUSAU), THE FOX VALLEY, AND CHIPPEWA VALLEY (EAU CLAIRE). EACH CENTER IS A SAFE PLACE FOR KIDS WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THE CENTERS BRING TOGETHER A TEAM OF SPECIALLY TRAINED PROFESSIONALS WHO EVALUATE AND INVESTIGATE CASES OF CHILD ABUSE, PROVIDE MEDICAL CARE AND HELP CHILDREN AND THEIR FAMILIES TO HEAL. THE CENTERS ARE A COLLABORATION OF THE HOSPITAL AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS.THE HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS. THE GOAL IS TO ENSURE FAMILIES HAVE THE BEST POSSIBLE CARE IN AND OUT OF THE HOSPITAL. THE HOSPITAL PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE, WHICH IS LED AND SUPPORTED BY MEDICAL STAFF AT THE HOSPITAL, IS A COALITION THAT WORKS TO REDUCE AND ELIMINATE DISPARITIES IN ASTHMA CARE AND DEVELOP A SUSTAINABLE STRATEGY FOR ASTHMA CONTROL IN THE COMMUNITY. FIGHT ASTHMA MILWAUKEE PROVIDES COMMUNITY-WIDE ASTHMA EDUCATION FOR PARENTS, CAREGIVERS, HEALTH CARE PROFESSIONALS AND SCHOOL STAFF.THE INFANT DEATH CENTER ("IDC") IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A HOSPITAL LED AND STAFFED COALITION. THE CENTER PROVIDES INFORMATION AND SUPPORT TO WISCONSIN FAMILIES AND OTHERS AFFECTED BY THE SUDDEN AND UNEXPECTED DEATH OF AN INFANT. THE IDC STRIVES TO INCREASE HEALTHY BIRTH OUTCOMES AND REDUCE INFANT DEATHS. THE CENTER WORKS TOGETHER WITH OTHER PROFESSIONALS IN OUTREACH, EDUCATION AND INFANT MORTALITY REVIEW PROGRAMS. IN PARTNERSHIP WITH PUBLIC HEALTH SYSTEMS AND NATIONAL INFANT MORTALITY PROGRAMS, THE IDC MAINTAINS INFORMATION THAT ASSISTS IN THE STUDY AND UNDERSTANDING OF THE CAUSES OF INFANT DEATHS. THE INFORMATION IS USED FOR STATISTICAL REPORTING. (CONTINUED ON PAGE 69) |
| PART VI, LINE 6: | THE HOSPITAL IS PART OF AN AFFILIATED GROUP OF ORGANIZATIONS UNDER THE CONTROL OF CHHS, WHICH PROVIDES VARIOUS CENTRALIZED ADMINISTRATIVE AND SUPPORTING SERVICES FOR THE HOSPITAL AND ITS AFFILIATES. AMONG THE AFFILIATED ENTITIES, THE HOSPITAL AND CERTAIN OTHER ENTITIES (INCLUDING CHILDREN'S MEDICAL GROUP, INC. AND CHILDREN'S PHYSICIAN GROUP, P.C.) DIRECTLY PROVIDE PROFESSIONAL PEDIATRIC HEALTHCARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN AND NORTHERN ILLINOIS.CHILDREN'S MEDICAL GROUP ("CMG") PARTNERED WITH LOCAL AGENCIES TO OPEN TWO COMMUNITY CLINICS IN THE SUMMER OF 2013, LOCATED IN CENTRAL MILWAUKEE. BOTH CLINICS SERVE PEDIATRIC PATIENTS FROM BIRTH TO 19 YEARS OF AGE AND THEIR ADULT CAREGIVERS. THE CLINICS ARE STAFFED BY ADULT AND FAMILY NURSE PRACTITIONERS AND ARE LOCATED IN AREAS THAT HISTORICALLY HAVE LARGE HEALTH CARE DISPARITIES AND FEW HEALTH CARE OPTIONS. THE CLINICS PROVIDE EASIER ACCESS TO HEALTH CARE FOR PATIENTS IN THESE NEIGHBORHOODS, ENSURING ALL CHILDREN HAVE THENECESSARY SERVICES TO BE HEALTHY AND SAFE. THE CLINICS HAD APPROXIMATELY 700 VISITS IN 2013, AND 90 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. A THIRD CLINIC IS LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY. IT PROVIDES BOTH PRIMARY CARE AND DENTAL CARE IN AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. THIS CLINIC HAD APPROXIMATELY 5,100 VISITS IN 2013. ADDITIONALLY, CMG RUNS THE DOWNTOWN HEALTH CENTER. LOCATED IN DOWNTOWN MILWAUKEE, THE MISSION OF THIS CLINIC IS TO IMPROVE HEALTH AND ADVANCE HEALTH EQUITY FOR THE MOST VULNERABLE CHILDREN IN MILWAUKEE THROUGH AN ACADEMIC PRIMARY CARE MEDICAL HOME. ON-SITE SERVICES INCLUDE ACUTE AND CHRONIC CARE, WELL-CHILD EXAMINATIONS, LABORATORY TESTING, AND VISION AND HEARING SCREENINGS. CRIB, CAR SEAT AND BIKE HELMENT DISTRIBUTION AND FITTINGS, SAFE-SLEEPING TECHNIQUES, AND GUN-LOCK EDUCATION ARE OTHER SPECIAL CLINIC ACTIVITIES THAT ARE AVAILABLE AT THIS SITE, MOSTLY FREE OF CHARGE. THE CENTER HAD APPROXIMATELY 17,600 VISITS IN 2013 AND 92 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. ADOLESCENTS HAVE ACCESS TO SOCIAL SERVICES, CONTRACEPTIVE MANAGEMENT, FAMILY PLANNING, AND ALCOHOL AND DRUG ABUSE COUNSELING SERVICES. IN ADDITION, CHILDREN'S HOSPITAL PROVIDES SPECIALTY CARE SERVICES INCLUDING DENTAL, PSYCHOLOGICAL AND CHILD PROTECTIVE SERVICES AT THIS DOWNTOWN LOCATION. THE DOWNTOWN HEALTH CENTER ALSO OFFERS FREE LEGAL CONSULTATIONS TO FAMILIES IN COLLABORATION WITH MARQUETTE LAW SCHOOL TO HELP FAMILIES ADDRESS HOUSING, UTILITY, AND OTHER ISSUES THAT IMPACT THEIR CHILD'S HEALTH. ANOTHER HOSPITAL AFFILIATE IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN, DOING BUSINESS AS CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES ("CHW COMMUNITY SERVICES"). THIS SOCIAL SERVICE ORGANIZATION ADDRESSES THE CHALLENGES FACED BY CHILDREN, WHICH OFTEN DIRECTLY IMPACT THEIR PHYSICAL AND MENTAL HEALTH AND WELLBEING. CHW COMMUNITY SERVICES OFFERS CHILD WELFARE SERVICES IN FOUR CORE AREAS (PUBLIC CHILD WELFARE, CHILD AND FAMILY COUNSELING, OUT-OF-HOME CARE AND PREVENTION SERVICES) FROM LOCATIONS THROUGHOUT WISCONSIN. SERVICES INCLUDE: FINDING LOVING, STABLE HOMES FOR CHILDREN IN NEED OF A FAMILY THROUGH FOSTER CARE AND ADOPTION; REDUCING STRESS AND CONFLICT, ENHANCING PARENTING SKILLS AND STRENGTHENING FAMILY TIES THROUGH TRAUMA-INFORMED MENTAL HEALTH SERVICES COUNSELING; PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE; PROVIDING FOSTER PARENTS WHO ARE CARING FOR CHILDREN WITH SPECIAL MEDICAL OR EMOTIONAL NEEDS WITH A MUCH NEEDED BREAK THROUGH OUR RESPITE CARE PROGRAM; OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP PARENTS DEALING WITH AN UNPLANNED PREGNANCY; PROVIDING INTENSIVE IN-HOME THERAPY TO KEEP CHILDREN SAFE IN THEIR HOMES AND PREVENT OUT-OF-HOME PLACEMENT; ASSISTING YOUNG ADULTS TRANSITIONING OUT OF FOSTER CARE BY GIVING THEM THE SKILLS, TRAINING, GUIDANCE AND SUPPORT ENABLING THEM TO MAKE IT ON THEIR OWN; PROVIDING PARENTS WITH SUPPORT AND GUIDANCE TO HELP THEM BE THE BEST PARENTS THEY CAN BE; AND PROVIDING CHILDREN WHO HAVE BEEN HARMED OR HURT A SAFE PLACE TO GO TO BE INTERVIEWED AND PROVIDING THEM RESOURCES TO HELP THEM HEAL.CHW COMMUNITY SERVICES ALSO RUNS PROJECT UJIMA, A PROGRAM THAT PROVIDES CASE MANAGEMENT, EMOTIONAL SUPPORT AND RESOURCES TO FAMILIES WHOSE CHILDREN HAVE EXPERIENCED INTERPERSONAL COMMUNITY-BASED VIOLENCE OR WHO HAVE LOST A FAMILY MEMBER (OF ANY AGE) TO HOMICIDE IN MILWAUKEE COUNTY.CHHS HAS TWO KEY PROGRAMS TO PROMOTE HIGH QUALITY CARE. CHILDREN'S RESEARCH INSTITUTE CARRIES ON RESEARCH INITIATIVES AIMED AT IMPROVING THE DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH CONDITIONS, AND THE NATIONAL OUTCOMES CENTER GATHERS AND PUBLICIZES DATA TO ASSIST PEDIATRIC HEALTHCARE PROVIDERS IN IDENTIFYING THE MOST EFFECTIVE TREATMENT METHODS. CHHS PERFORMS COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. IN 2013, CHHS ACTIVELY ADVOCATED BEFORE THE STATE LEGISLATURE FOR ADEQUATE COVERAGE AND ACCESS TO HEALTH SERVICES FOR PREGNANT WOMEN AND CHILDREN AND WAS SUCCESSFUL IN SECURING STATE FUNDING FOR THE STATE'S MEDICAID PROGRAM AND MAINTAINING PROGRAM ELIGIBILITY. IN ADDITION, CHHS AND SOJOURNER FAMILY PEACE CENTER SECURED STATE BUILDING COMMISSION FINANCIAL SUPPORT TO BUILD THE FAMILY JUSTICE CENTER, A FIRST-OF-ITS-KIND MODEL TO DELIVER ADULT AND CHILD FOCUSED SERVICES ADDRESSING FAMILY VIOLENCE, ABUSE AND NEGLECT IN ONE COORDINATED, CENTRALLY LOCATED FACILITY WHICH WILL OPEN IN LATE 2015. CHHS ALSO PARTNERED WITH OTHER ORGANIZATIONS TO EDUCATE POLICY MAKERS AND THE PUBLIC ABOUT THE IMPORTANCE OF PULSE OXIMETRY SCREENING FOR ALL NEWBORNS IN WISCONSIN AND TO FIGHT EFFORTS TO LEGALIZE RAW (UNPASTEURIZED) MILK. ON THE FEDERAL LEVEL, CHHS ADVOCATED TO PROTECT MEDICAID PROGRAMS AND EDUCATED OUR DELEGATION ABOUT THE IMPORTANCE OF ACCESS AND COVERAGE OF MEDICAL SERVICES FOR PREGNANT WOMEN AND CHILDREN. CHHS ALSO ADVOCATED FOR AND EDUCATED CONGRESSIONAL MEMBERS ABOUT THE IMPORTANCE OF TRAINING FOR PEDIATRIC PHYSICIANS AND PEDIATRIC SPECIALISTS. IN MAY 2013, THE WISCONSIN DEPARTMENT OF HEALTH SERVICES CERTIFIED CHILDREN'S AS A "HEALTH HOME" FOR ITS INNOVATIVE FOSTER CARE MEDICAL HOME. NEW LEGISLATION PROMOTED BY CHHS ESTABLISHES A RECOGNIZED CHILD DEATH REVIEW (CDR) PROGRAM FOR WISCONSIN AND AFFIRMS THE EXISTING STATE CDR COUNCIL. CHILDREN'S ALSO SUPPORTED LEGISLATION TO CREATE A WISCONSIN CHILD PSYCHIATRY CONSULTATION PROGRAM TO ASSIST FRONT-LINE PROVIDERS IN PROVIDING ENHANCED CARE TO CHILDREN AND ADOLESCENTS WITH MILD OR MODERATE MENTAL HEALTH CARE NEEDS. IN ADDITION TO ADVOCACY, CHHS'S COMMUNITY SERVICES DIVISION HAS INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT ACKNOWLEDGES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND RECOGNIZES THAT SUCH INFLUENCES MAY HAVE PARTICULARLY DELETERIOUS EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHHS IS BRINGING THE FULL SPECTRUM OF THE SYSTEM'S RESOURCES TO BEAR IN THE COMMUNITY ENGAGEMENT EFFORT. BY CONNECTING OUR VAST CLINICAL AND COMMUNITY-BASED RESOURCES - SCHOOL NURSES, COMMUNITY PEDIATRICIANS, SOCIAL WORKERS, HEALTH EDUCATORS, FOSTER CARE PARENTS, HOSPITALISTS, EMERGENCY DEPARTMENT STAFF, RESEARCHERS AND POLICY MAKERS - CHHS IS FACILITATING COMMUNITY HEALTH IMPROVEMENT BOTH DIRECTLY (E.G. EXPANDING MENTAL HEALTH AND DENTAL CARE IN UNDERSERVED AREAS), AND INDIRECTLY (E.G. BRINGING LAW ENFORCEMENT TO THE COMMUNITY CONVERSATION RE: CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). CHHS HAS SELECTED THREE NEIGHBORHOODS FOR INITIAL ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS - METCALFE PARK, FRANKLIN HEIGHTS/AMANI NEIGHBORHOOD AND LINDSAY HEIGHTS - WERE IDENTIFIED BECAUSE THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGED RESIDENTS; THERE WERE SIGNIFICANT, BUT MODIFIABLE, CHALLENGES TO CHILD HEALTH OUTCOMES; AND THEY HAD EXISTING TRUSTED COMMUNITY RESOURCES THAT WERE WILLING TO PARTNER WITH CHHS TO ENGAGE THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES.(CONTINUED ON PAGE 70)PART VI, LINE 7: CHHS, THE SOLE CORPORATE MEMBER OF THE HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST. |
| SCHEDULE H, PART VI, LINE 5 | IN 2013, SAFE SLEEP PRACTICES CONTINUED TO BE A FOCUS OF EDUCATION TO ALL WHO CARE FOR CHILDREN. THIS MULTIYEAR INITIATIVE FOCUSES ON REDUCING THE RISK FACTORS FOR SUDDEN INFANT DEATH SYNDROME AND OTHER SLEEP-RELATED DEATHS IN CHILDREN UNDER AGE 1. DOOR HANGERS WERE CREATED TO EDUCATE AND REMIND CAREGIVERS ABOUT THE ABC'S OF SAFE INFANT SLEEP. MORE THAN 10,000 HANGERS WERE DISTRIBUTED AT COMMUNITY EVENTS. WINDOW CLINGS ALSO WERE CREATED AND DISPLAYED IN PATIENT ROOMS AT THE HOSPITAL. SAFE SLEEP MESSAGES WERE PRINTED IN ENGLISH AND SPANISH. THE HOSPITAL ALSO DISTRIBUTED 1,000 "NEW BABY KITS" WITH SAFE SLEEP AND IMMUNIZATION MESSAGING, A NEW BABY INFORMATIONAL BOOKLET, SLEEP SACKS, BIBS, AND WIPES. THE HOSPITAL ALSO COMPLETED A SURVEY WITH FAMILIES IN THE EMERGENCY DEPARTMENT/TRAUMA CENTER ABOUT SAFE SLEEP KNOWLEDGE AND PRACTICES. CHILDREN'S HOSPITAL WAS REPRESENTED AT THE NATIONAL CRIBS FOR KIDS CONFERENCE WITH TWO STAFF MEMBERS PRESENTING. THE HOSPITAL ALSO ADVOCATED FOR SAFE SLEEP MEASURES RELATED TO PROPOSED SAFE SLEEP LEGISLATION, TO ADDRESS THE HIGH NUMBER OF CO-SLEEPING INFANT DEATHS IN MILWAUKEE. |
| SCHEDULE H, PART VI, LINE 6 | AS A PARTNER AND FACILITATOR, CHHS'S STAFF HAS ENCOURAGED LEADERS FROM THE PRIORITY NEIGHBORHOODS TO IDENTIFY KEY AREAS FOR STRATEGIC INTERVENTION. AS A RESULT OF SEVERAL FACILITATED LISTENING SESSIONS, TWO OF THE THREE NEIGHBORHOODS HAVE ARTICULATED HEALTH AS A KEY AREA FOR STRATEGIC INTERVENTION AND THE COMMUNITIES NOW ARE IDENTIFYING SPECIFIC CATEGORIES WITHIN THE LARGER RUBRIC OF "HEALTH" ON WHICH TO CONCENTRATE IMPROVEMENT EFFORTS. ONE STRATEGY BEING IMPLEMENTED IS USING COMMUNITY "NAVIGATORS" - TRUSTED LOCAL RESIDENTS WHO EDUCATE NEIGHBORS ABOUT A SPECIFIC BEHAVIOR CHANGE OR RESOURCE UTILIZATION THAT WILL RESULT IN IMPROVED HEALTH OUTCOMES. CHHS'S FOCUS IS TO HAVE RELEVANT, ACCURATE, RESIDENT-LEVEL INFORMATION REGARDING TRUSTED SOURCES OF INFORMATION AND DIRECT INFLUENCES ON RESIDENT'S BEHAVIORS. CHHS IS PARTNERING WITH THE COMPREHENSIVE CENTER OF EXCELLENCE FOR HEALTH EQUITY IN WISCONSIN TO UTILIZE COMMUNITY-MAPPED "WAYS OF KNOWING" TO BEST UNDERSTAND DIRECT INFLUENCES ON HEALTH BEHAVIORS IN THE SELECTED COMMUNITIES. THE COMMUNITY NAVIGATORS ARE WORKING COLLABORATIVELY WITH THE CENTER'S COMMUNITY HEALTH EDUCATOR TO FOSTER KEY RELATIONSHIPS WITHIN THE COMMUNITY. CHHS WILL FACILITATE THE DEVELOPMENT OF CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL MATERIALS FOR THE COMMUNITY NAVIGATORS AND WILL LEAD THE TRAINING OF BOTH THE COMMUNITY NAVIGATORS AND THE CENTER'S COMMUNITY HEALTH EDUCATOR. THIS COORDINATED APPROACH WILL ALLOW CHHS AND THE CENTER TO FACILITATE EFFECTIVE COMMUNITY TRANSFORMATION THAT IS RESPECTFUL OF THE LOCAL CULTURE. IN ADDITION, THE COLLABORATION ALLOWS FOR COMMUNITY-LED MEASUREMENT OF IDENTIFIED OUTCOMES - FACILITATING COMMUNITY EMPOWERMENT AND CONTRIBUTING TO SUSTAINABLE CHANGES.THESE AFFILIATED PROGRAMS AND ACTIVITIES SEEK TO ENSURE THAT CHILDREN HAVE ACCESS TO HIGH-QUALITY HEALTH AND SOCIAL SERVICES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (30 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BROWN COUNTY ORAL HLTH PARTNERSHIP | |||||||
| 331 N BROADWAY | GREEN BAY | WI | 54303 | 208969896 | 501(C)(3) | $43,047 | DENTAL SEALANT |
| CESA #11 | |||||||
| 225 OSTERMANN DR | TURTLE LAKE | WI | 54889 | 391483818 | $32,000 | DENTAL SEALANT | |
| CHIPPEWA VALLEY TECHNICAL COLLEGE | |||||||
| 620 W CLAIREMONT AVE | EAU CLAIRE | WI | 54701 | 391096972 | CHIPPEWA COUNTY | $9,453 | DENTAL SEALANT |
| CITY OF WATERTOWN | |||||||
| 106 JONES ST | WATERTOWN | WI | 53094 | 396005640 | GOVERNMENT | $13,973 | DENTAL SEALANT |
| CLARK COUNTY HEALTH DEPT | |||||||
| 517 COURT STREET | NEILSVILLE | WI | 54456 | 396005679 | CLARK COUNTY | $5,305 | DENTAL SEALANT |
| COLUMBIA COUNTY | |||||||
| PO BOX 132 | PORTAGE | WI | 53901 | 396005681 | COLUMBIA COUNTY | $18,000 | DENTAL SEALANT |
| COLUMBIA ST MARY'S FOUNDATION | |||||||
| 2320 N LAKE DRIVE | MILWAUKEE | WI | 53211 | 391494981 | 501(C)(3) | $25,000 | DENTAL SEALANT |
| CITY OF WEST ALLIS | |||||||
| 7525 W GREENFIELD AVENUE | WEST ALLIS | WI | 53211 | 396005651 | CITY OF WEST ALLIS | $5,000 | CDC ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE |
| FOND DU LAC COUNTY ASTHMA COALITION | |||||||
| 160 S MACY ST | FOND DU LAC | WI | 54935 | 396005696 | FOND DU LAC COUNTY | $5,000 | CDC ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE |
| HOLT DENTAL | |||||||
| N30 W22383 GREEN RD | WAUKESHA | WI | 53186 | 391939853 | $5,000 | DENTAL SEALANT | |
| IN HEALTH COMMUNITY WELLNESS FREE CLINIC | |||||||
| 109 E BLUFF ST | BOSCOBEL | WI | 53805 | 331170597 | 501(C)(3) | $7,088 | DENTAL SEALANT |
| JUNEAU COUNTY | |||||||
| 220 E STATE ST | MAUSTON | WI | 53948 | 396005706 | JUNEAU COUNTY | $8,965 | DENTAL SEALANT |
| JUST KIDS DENTAL INC | |||||||
| PO BOX 146 | TWO HARBORS | MN | 55616 | 272311353 | 501(C)(3) | $5,723 | DENTAL SEALANT |
| KENOSHA COMMUNITY HEALTH CENTER | |||||||
| 625 57TH STE 700 | KENOSHA | WI | 55616 | 391789874 | KENOSHA COUNTY | $7,192 | DENTAL SEALANT |
| MARATHON COUNTY ASTHMA COALITION | |||||||
| 1000 LAKE VIEW DRIVE ROOM 100 | WAUSAU | WI | 54403 | 396005716 | MARATHON COUNTY | $5,000 | CDC ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE |
| MARQUETTE UNIVERSITY | |||||||
| PO BOX 1881 | MILWAUKEE | WI | 53201 | 390806251 | 501(C)(3) | $95,042 | DENTAL SEALANT |
| MEDICAL COLLEGE OF WISCONSIN | |||||||
| 1155 N MAYFAIR RD | MILWAUKEE | WI | 53226 | 390806261 | 501(C)(3) | $14,799 | COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS |
| PORTAGE COUNTY HEALTH AND HUMAN SERVICES | |||||||
| 817 WHITING AVENUE | STEVENS POINT | WI | 54481 | 396005731 | PORTAGE COUNTY | $18,557 | DENTAL SEALANT |
| PREFERRED DENTISTRY ASSOCIATION OF WISCONSIN LLC | |||||||
| 1029 HOWARD ST | EVANSTON | IL | 60202 | 272634563 | $50,000 | DENTAL SEALANT | |
| PRICE COUNTY HEALTH DEPARTMENT | |||||||
| 104 S EYDER AVENUE | PHILLIPS | WI | 54555 | 396005733 | PRICE COUNTY | $14,926 | DENTAL SEALANT |
| PROFESSIONAL DENTAL HYGIENE EXPRESS | |||||||
| 5388 STATE HWY 64 | BLOOMER | WI | 54724 | 274969600 | $25,000 | DENTAL SEALANT | |
| SAUK COUNTY | |||||||
| 505 BROADWAY | BARABOO | WI | 53913 | 396005740 | SAUK COUNTY | $23,270 | DENTAL SEALANT |
| SEALS ON WHEELS | |||||||
| 1710 GOLDEN OAK LN | MADISON | WI | 53711 | 388086637 | $12,846 | DENTAL SEALANT | |
| SHEBOYGAN COUNTY | |||||||
| 1011 N 8TH ST | SHEBOYGAN | WI | 53081 | 396005744 | SHEBOYGAN COUNTY | $7,649 | DENTAL SEALANT |
| TREMPELEAU COUNTY | |||||||
| 36245 MAIN STREET | WHITEHALL | WI | 54773 | 396005747 | TREMPELEAU COUNTY | $7,100 | DENTAL SEALANT |
| VILAS COUNTY PUBLIC HEALTH | |||||||
| 330 COURT STREET | EAGLE RIVER | WI | 54521 | 396005751 | VILAS COUNTY | $27,369 | DENTAL SEALANT |
| WALWORTH COUNTY HEALTH DEPARTMENT | |||||||
| W4051 COUNTY ROAD NN | ELKHORN | WI | 53121 | 396005752 | WALWORTH COUNTY | $58,349 | DENTAL SEALANT |
| WAUPACA COUNTY | |||||||
| 811 HARDING ST | WAUPACA | WI | 54981 | 396005758 | WAUPACA COUNTY | $18,070 | DENTAL SEALANT |
| WAUSHARA COUNTY | |||||||
| PO BOX 837 | WAUTOMA | WI | 54982 | 396005759 | WAUSHARA COUNTY | $12,604 | DENTAL SEALANT |
| WOOD COUNTY | |||||||
| 400 MARKET STREET | WISCONSIN RAPIDS | WI | 54494 | 396005763 | WOOD COUNTY | $24,903 | DENTAL SEALANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MONITORING PROCEDURES - THE ORGANIZATION RECEIVES GRANT FUNDING FROM VARIOUS STATE AND FEDERAL AGENCIES. SOME OF THE GRANT AWARDS ARE SUB-AWARDED TO OTHER AGENCIES BASED ON THE REQUIREMENTS OF THE INDIVIDUAL GRANT AGREEMENTS. IN ORDER TO MONITOR THE USE OF THE FUNDS, THE ORGANIZATION ENTERS INTO SIGNED AGREEMENTS WITH THE SUB-GRANTEE AGENCIES TO OUTLINE THE TERMS OF THE ARRANGEMENTS INCLUDING THE PROPER USE OF FUNDS. THESE AGREEMENTS REQUIRE AGENCIES TO PROVIDE CERTIFICATIONS OF EXPENSES SUBMITTED FOR REIMBURSEMENT ALONG WITH DESCRIPTIONS OF THE ACTUAL EXPENSES INCURRED COMPARED TO THE BUDGETED AWARD TOTAL. EACH AWARD IS MONITORED BY A DESIGNATED EMPLOYEE OF THE ORGANIZATION WHO VERIFIES THAT ALL SERVICES ARE PROVIDED ACCORDING TO THE CONTRACT, APPROVES PAYMENTS TO THE AGENCY, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. IN SOME CASES, THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. ADDITIONALLY, CHW AWARDS GRANTS TO ITS TAX-EXEMPT AFFILIATES. GRANTS ARE AWARDED BASED ON THE STRATEGIC INITIATIVES OF THE HEALTH SYSTEM, THE NEEDS OF THE AFFILIATES, AND ANY PURPOSE RESTRICTIONS SET BY THE DONORS. THE NEEDS OF THE AFFILIATES ARE EVALUATED IN THE ANNUAL BUDGET PROCESS. FINAL BUDGETS REQUIRE APPROVAL FROM MANAGEMENT, THE ENTITY'S BOARD OF DIRECTORS AND THE CHHS BOARD OF DIRECTORS AND SENIOR MANAGEMENT. IN ADDITION, THE OPERATIONS OF ALL AFFILIATES ARE SUBJECT TO SYSTEM CONTROLS, POLICIES AND PROCEDURES, AND ARE REFLECTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF CHHS AND ITS AFFILIATES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARGARET TROY | ||||||||||||||
| DIRECTOR/CHHS PRESIDENT | $0 | $766,613 | $0 | $410,197 | $0 | $54,969 | $0 | $270,958 | $0 | $47,196 | $0 | $1,549,933 | $0 | $0 |
| ELIZABETH BEDWELL | ||||||||||||||
| VP RESEARCH ADMINISTRATION | $0 | $167,941 | $0 | $22,825 | $0 | $530 | $0 | $7,790 | $0 | $18,632 | $0 | $217,718 | $0 | $0 |
| CINTHIA S CHRISTENSEN | ||||||||||||||
| PRESIDENT & COO | $418,624 | $0 | $169,200 | $0 | $67,149 | $0 | $66,840 | $0 | $42,129 | $0 | $763,942 | $0 | $0 | $0 |
| WELDON GAGE | ||||||||||||||
| TREASURER / CFO | $0 | $377,897 | $0 | $132,129 | $0 | $540 | $0 | $47,434 | $0 | $22,544 | $0 | $580,544 | $0 | $0 |
| MICHAEL GUTZEIT MD | ||||||||||||||
| VP, CHW / CHIEF MEDICAL OFFICER | $328,328 | $0 | $108,725 | $0 | $21,741 | $0 | $57,371 | $0 | $32,715 | $0 | $548,880 | $0 | $0 | $0 |
| BARBARA JOERS | ||||||||||||||
| VICE PRESIDENT, CHW | $158,884 | $0 | $71,638 | $0 | $17,825 | $0 | $0 | $0 | $14,573 | $0 | $262,920 | $0 | $0 | $0 |
| JULIET KERSTEN | ||||||||||||||
| VICE PRESIDENT, CHW | $219,633 | $0 | $69,932 | $0 | $8,387 | $0 | $18,950 | $0 | $22,847 | $0 | $339,749 | $0 | $7,671 | $0 |
| NANCY KOROM | ||||||||||||||
| VP, CHW / CHIEF NURSING OFFICER | $292,693 | $0 | $92,915 | $0 | $2,282 | $0 | $51,378 | $0 | $30,526 | $0 | $469,794 | $0 | $0 | $0 |
| MARGARET NEIMER | ||||||||||||||
| VP CHW | $146,015 | $46,040 | $83,829 | $0 | $30,397 | $3,447 | $48,727 | $0 | $20,732 | $4,349 | $329,700 | $53,836 | $0 | $0 |
| SHEILA REYNOLDS | ||||||||||||||
| SECRETARY | $0 | $270,873 | $0 | $92,602 | $0 | $19,616 | $0 | $48,727 | $0 | $33,438 | $0 | $465,256 | $0 | $0 |
| MARK SHIP | ||||||||||||||
| VP REVENUE CYCLE | $0 | $248,850 | $0 | $71,920 | $0 | $425 | $0 | $0 | $0 | $20,839 | $0 | $342,034 | $0 | $0 |
| DONNA JAMIESON | ||||||||||||||
| EXECUTIVE DIR, PATIENT CARE | $178,976 | $0 | $0 | $0 | $894 | $0 | $14,953 | $0 | $29,548 | $0 | $224,371 | $0 | $0 | $0 |
| TOM LAUSTEN | ||||||||||||||
| DIRECTOR, PHARMACY SVS | $165,903 | $0 | $0 | $0 | $2,329 | $0 | $13,740 | $0 | $24,513 | $0 | $206,485 | $0 | $0 | $0 |
| ERIN YALE | ||||||||||||||
| DIR, DIAG IMAGING & EMERGENCY | $166,510 | $0 | $0 | $0 | $8,867 | $0 | $11,109 | $0 | $23,298 | $0 | $209,784 | $0 | $0 | $0 |
| SUZAN BUCHAKLIAN | ||||||||||||||
| DIR, SURGICAL SERVICES | $161,911 | $0 | $0 | $0 | $25,038 | $0 | $7,142 | $0 | $21,214 | $0 | $215,305 | $0 | $0 | $0 |
| LORI BARBEAU DDS | ||||||||||||||
| MEDICAL DIRECTOR DENTAL PROGRAM | $250,601 | $0 | $0 | $0 | $1,242 | $0 | $21,500 | $0 | $23,941 | $0 | $297,284 | $0 | $0 | $0 |
| ANDREW SCHMITT MD | ||||||||||||||
| HOSPITALIST | $234,387 | $0 | $0 | $0 | $16,869 | $0 | $7,650 | $0 | $24,781 | $0 | $283,687 | $0 | $0 | $0 |
| MARYLYN RANTA MD | ||||||||||||||
| DIR, CHW PHYSICIAN AFFAIRS | $231,389 | $0 | $0 | $0 | $18,193 | $0 | $21,500 | $0 | $29,149 | $0 | $300,231 | $0 | $0 | $0 |
| SHANE FISHER DDS | ||||||||||||||
| PEDIATRIC DENTIST | $209,975 | $0 | $0 | $0 | $29,537 | $0 | $12,817 | $0 | $11,582 | $0 | $263,911 | $0 | $0 | $0 |
| A CHARLES POST DDS | ||||||||||||||
| PROGRAM ADMIN DENTAL RESIDENCY | $201,070 | $0 | $0 | $0 | $16,399 | $0 | $19,184 | $0 | $8,548 | $0 | $245,201 | $0 | $0 | $0 |
| MARC CADIEUX | ||||||||||||||
| FORMER INTERIM TREASURER | $0 | $198,631 | $0 | $0 | $0 | $430 | $0 | $14,272 | $0 | $6,725 | $0 | $220,058 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CHW AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CHW, SHARE A BOARD OF DIRECTORS WHICH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE. THIS COMMITTEE IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF CHW'S PRESIDENT, AND USED THE METHODS LISTED AND CHECKED IN SCHEDULE J LINE 3. |
| PART I, LINE 4B | IN 2013, THERE WAS A CHHS 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 2013 WERE AS FOLLOWS: M. TROY, $55,802; C. CHRISTENSEN, $45,340; W. GAGE, $38,684; M. GUTZEIT, M.D., $35,871; N. KOROM, $29,878; AND S. REYNOLDS, $29,777. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2013 WERE: J. KERSTEN, $7,671. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2013 WAS $201,306. |
| 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: MARGARET TROY, PRESIDENT & CEO OF CHHS, ELIZABETH BEDWELL, VP RESEARCH ADMINISTRATION, WELDON GAGE, TREASURER OF CHW AND TREASURER & CFO OF CHHS, MARGARET NIEMER, VP CHW, SHEILA REYNOLDS, SECRETARY OF CHW AND CORPORATE VICE PRESIDENT & GENERAL COUNSEL OF CHHS, AND MARK SHIP, VP REVENUE CYCLE, AND MARC CADIEUX, FORMER INTERIM TREASURER OF CHW AND FORMER INTERIM TREASURER & CFO OF CHHS - 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 AS A MEMBER OF THE BOARD OF DIRECTORS OF CHW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 391337855 | 97710BCS9 | 2008-07-29 | $152,300,000 | SEE PART VI | 0 | 0 | 0 |
| WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| B | 391337855 | 97710BCC4 | 2008-06-25 | $100,771,610 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $152,300,953 | $149,225,000 | $1,000,301 | $2,075,652 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $113,903,904 | $100,000,000 | $771,611 | $13,132,293 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.00200 | 0.00000 | 0.00200 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K SUPPLENTAL INFORMATION | CONSIDER THE FOLLOWING FOR PART VI: SCHEDULE K, PART I, LINE A, COLUMN (F): THE SERIES 2008B BONDS WERE ISSUED TO REFUND SEVERAL SERIES OF PRIOR BONDS, INCLUDING: (1) THE ISSUER'S SERIES 2007-3 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 TO REFUND A PORTION OF THE ISSUER'S SERIES 1998 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON JUNE 2, 1998. (2) THE ISSUER'S SERIES 2004B BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON MAY 6, 2004 TO CONSTRUCT AND EQUIP CERTAIN HEALTH CARE FACILITIES (INCLUDING A MEDICAL OFFICE BUILDING/CHILDREN'S CORPORATE CENTER, PARKING STRUCTURE, TUNNEL, UTILITIES AND A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. THE SERIES 2008 BONDS ALSO FUNDED CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART I, LINE B, COLUMN (F): THE SERIES 2008A BONDS WERE ISSUED TO REFUND THE ISSUER'S SERIES 2007-1 AND SERIES 2007-2 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 FOR THE CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART II, LINE 3, COLUMN (A): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $953. SCHEDULE K, PART II, LINE 3, COLUMN (B): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $48,153 AND TRANSFERRED PROCEEDS FROM THE SERIES 2007-1 AND SERIES 2007-2 BONDS OF $13,084,140. SCHEDULE K, PART III, COLUMN B, LINE 3A: THE ORGANIZATION HAS DETERMINED BASED ON A LEGAL REVIEW THAT A MANAGEMENT CONTRACT WITH RESPECT TO THE PROPERTY FINANCED BY THE BOND ISSUE LISTED IN COLUMN B DOES NOT RESULT IN PRIVATE BUSINESS USE. |
| PART IV, LINE 7 | THE ORGANIZATION MONITORS THE PRIVATE USE OF ITS BOND-FINANCED ASSETS AND ROUTINELY TAKES STEPS TO LIMIT PRIVATE USE. THE ORGANIZATION DOES NOT SEPARATELY TRACK PRIVATE PAYMENTS AND PRIVATE SECURITIES, RATHER IT ASSUMES SUCH TESTS WILL BE MET AND MANAGES COMPLIANCE THROUGH THIS PRIVATE USE MONITORING. BASED SOLEY ON THIS ASSUMPTION, THE ORGANIZATION HAS RESPONDED YES TO THIS QUESTION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOHNSON CONTROLS INC | |||
| DIRECTOR (CD MYERS) | $808,250 | MR. MYERS IS VICE PRESIDENT AND PRESIDENT, BUILDING EFFICIENCY AT JOHNSON CONTROLS, INC. THE ORGANIZATION PAID $808,250 TO JOHNSON CONTROLS, INC. IN MAINTENANCE FEES FOR HEATING, VENTILATION, AND AIR CONDITIONING INSTALLATION AND REPAIR. | 0 |
| BAIRD ADVISORS | |||
| DIRECTOR (T BOLGER) | $287,362 | MR. BOLGER, WHO IS ON THE ORGANIZATION'S BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH MARY ELLEN STANEK, THE MANAGING DIRECTOR AND CHIEF INVESTMENT OFFICER FOR BAIRD ADVISORS. THE ORGANIZATION PAID BAIRD ADVISORS $287,362 FOR INVESTMENT SERVICES. | 0 |
| WE ENERGIES | |||
| DIRECTOR (C CULVER) | $6,088,406 | MR. CULVER IS ON THE BOARD OF DIRECTORS AT WE ENERGIES. THE ORGANIZATION PAID WE ENERGIES $6,088,406 FOR UTILITIES. | 0 |
| WE ENERGIES | |||
| DIRECTOR (T BOLGER) | $6,088,406 | MR. BOLGER, WHO IS ON THE ORGANIZATIONS BOARD OF DIRECTORS, HAS A FAMILY RELATIONSHIP WITH MARY ELLEN STARIEK, WHO IS ON THE BOARD OF DIRECTORS AT WE ENERGIES. THE ORGANIZATION PAID WE ENERGIES $6,088,406 FOR UTILITIES. | 0 |
| POBLOCKI SIGN COMPANY | |||
| DIRECTOR (D DRURY) | $122,437 | MR. DRURY IS THE CHIEF EXECUTIVE OFFICER AT POBLOCKI SIGN COMPANY. THE ORGANIZATION PAID $122,437 TO POBLOCKI SIGN COMPANY FOR SIGNAGE. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ORR AND PEPKE, DRURY AND SCHLIFSKE, DRURY AND SOMMERHAUSER, DRURY AND BRENNER, DRURY AND SULLIVAN, BRENNER AND SULLIVAN, ROTHMAN AND ABRAHAM, SCHLIFSKE AND SOMMERHAUSER, SCHLIFSKE AND MANSELL, MANSELL AND SOMMERHAUSER, ABRAHAM AND QUADRACCI, WITT AND SOMMERHAUSER, KERSCHNER AND BRENNER, KERSCHNER AND CULVER, KERSCHNER AND MELLOWES, KERSCHNER AND SULLIVAN, BOLGER AND SULLIVAN, CULVER AND GORELICK, BRENNER AND GORELICK, KERSCHNER AND GORELICK, MELLOWES AND GORELICK, WILLIAMS AND TROY, WITT AND ABRAHAM, AND SULLIVAN AND GORELICK. |
| 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 11 | THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS/CHW BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHW. |
| 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 CORPORATE VICE PRESIDENT AND GENERAL COUNSEL OF CHHS. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE AT EACH BOARD AND COMMITTEE MEETING. 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, SECRETARY, CHHS PRESIDENT, VP CHIEF MEDICAL OFFICER, AND VP CHIEF NURSING OFFICER 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 OTHER OFFICERS AND 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 THROUGH THE CHHS MARKETING AND COMMUNICATION DEPARTMENT. |
| FORM 990, PART IX, LINE 11G | MEDICAL COLLEGE OF WISCONSIN FEES: PROGRAM SERVICE EXPENSES 23,781,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,781,894. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 10,406,644. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,406,644. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 27,956,177. MANAGEMENT AND GENERAL EXPENSES 5,033,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,989,937. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 17,957,119. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL FOUNDATION 45,568,744. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 61,773,996. |
| FORM 990, SCHEDULE R, PART V, LINE 1E: | PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 391500074 | OPERATIONAL SUPPORT SERVICES | WI | 501(C)(3) | LINE 3 | N/A | 0 | |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 391500075 | FUND DEVELOPMENT | WI | 501(C)(3) | LINE 7 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S MEDICAL GROUP INC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 391789197 | PEDIATRIC PHYSICIAN SERVICES | WI | 501(C)(3) | LINE 3 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S PHYSICIAN GROUP PC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 364303682 | PEDIATRIC PHYSICIAN SERVICES | IL | 501(C)(3) | LINE 9 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S SERVICE SOCIETY OF WISCONSIN | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 390806380 | CHILD WELFARE SERVICES | WI | 501(C)(3) | LINE 7 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| CHILDREN'S COMMUNITY HEALTH PLAN INC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 271494977 | WISCONSIN MEDICAID HMO | WI | 501(C)(3) | LINE 9 | Yes (1) | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | |
| MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC | |||||||||||
| 8701 WATERTOWN PLANK ROAD | MILWAUKEE | WI | 53226 | 391341366 | GRADUATE MEDICAL EDUCATION SUPPORT | WI | 501(C)(3) | LINE 11 TYPE 1 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRTUAL PICU SYSTEMS LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 WYTHE STREET SUITE 101 | AddressLine1 |
| City | ALEXANDRIA | City |
| State | VA | State |
| ZIP Code | 22314 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201414664 | EIN |
| Primary Activities | QUALITY/OUTCOMES ANALYSIS | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MED-HEALTH FINANCIAL SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVE PO BOX 1997 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391547907 | EIN |
| Primary Activities | COLLECTION SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A (IV) ABOVE) | ||
| A | $365,178 | CASH PAID/RECEIVED |
| CHILDREN'S SERVICE SOCIETY OF WISCONSIN - RENT (LINE 1A (IV) ABOVE) | ||
| A | $1,956 | CASH PAID/RECEIVED |
| CHILDREN'S PHYSICIAN GROUP PC | ||
| B | $6,800,961 | CASH PAID/RECEIVED |
| CHILDREN'S MEDICAL GROUP INC | ||
| B | $375,000 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | ||
| C | $3,504,237 | CASH PAID/RECEIVED |
| CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC | ||
| E | $253,655,712 | NET BOOK VALUE |
| CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT | ||
| L | $19,413,572 | CASH PAID/RECEIVED |
| CHILDREN'S SERVICE SOCIETY OF WISCONSIN | ||
| M | $50,186 | CASH PAID/RECEIVED |
| CHILDREN'S MEDICAL GROUP INC | ||
| Q | $153,291 | CASH PAID/RECEIVED |
| CHILDREN'S COMMUNITY HEALTH PLAN INC - WI MEDICAID PASS THROUGH PAYMENTS | ||
| S | $13,269,137 | CASH PAID/RECEIVED |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1E | FormAndLineReferenceDesc |
| Explanation | PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS. | ExplanationTxt |
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