CHILDRENS SERVICE SOCIETY OF WISCONSIN: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS SERVICE SOCIETY OF WISCONSIN (EIN 39-0806380)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349302047
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T09:04:01-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363168081 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIKICH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806380 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S SERVICE SOCIETY OF WISCONSIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 4142665420 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WELDON GAGE | Name |
| Title | TREASURER | Title |
| Phone | 4142665420 | Phone |
| Date Signed | 2013-11-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRYAN L PAUTSCH CPA | Name |
| PTIN | P00034913 | PTIN |
| Phone | 2627549400 | Phone |
| Date Prepared | 2013-11-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL OF WISCONSIN - COMMUNITY SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT DUNCAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 34799458 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHW.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1889 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE SOCIAL SERVICES TO WISCONSIN CHILDREN AND FAMILIES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 679 | TotalNbrEmployees |
| Total Nbr Volunteers | 1000 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 46137732 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 32900385 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1617818 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1731625 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4071 | InvestmentIncomePriorYear |
| Investment Income Current Year | -35346 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 111135 | OtherRevenuePriorYear |
| Other Revenue Current Year | 165927 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 47870756 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34762591 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 359098 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 232067 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 27810478 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23151853 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18766180 | OtherExpensePriorYear |
| Other Expenses Current Year | 11425760 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 46935756 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34809680 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 935000 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -47089 | RevenuesLessExpensesCY |
| Total Assets BOY | 16655182 | TotalAssetsBOY |
| Total Assets EOY | 13012889 | TotalAssetsEOY |
| Total Liabilities BOY | 12350283 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8836993 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4304899 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4175896 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF CHILDREN'S SERVICE SOCIETY OF WISCONSIN ("CSSW") IS TO BUILD, SUSTAIN, AND ENHANCE A NURTURING ENVIRONMENT FOR WISCONSIN CHILDREN.TO HELP PROMOTE CSSW'S ROLE AS PART OF THE CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW") INTEGRATED SYSTEM PROVIDING A FULL RANGE OF SERVICES TO MEET THE HEALTH AND SOICAL NEEDS OF CHILDREN, CSSW BEGAN DOING BUSINESS AS CHILDREN'S HOSPITAL OF WISCONSIN - COMMUNITY SERVICES IN 2012. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17097172 | Expense |
| Revenue | 496315 | Revenue |
| Description | PUBLIC CHILD WELFARE - ENCOMPASSES FOSTER CARE AND ADOPTION, FAMILY CASE MANAGEMENT, AND INTENSIVE IN HOME SERVICES PROVIDED TO THE BUREAU OF MILWAUKEE CHILD WELFARE (BMCW). | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4667160 | Expense |
| Grants | 101803 | Grants |
| Revenue | 1738 | Revenue |
| Description | TREATMENT FOSTER CARE - HOME BASED CARE FOR CHILDREN AND ADOLESCENTS WITH SIGNIFICANT EMOTIONAL, BEHAVIORAL AND/OR MEDICAL CHALLENGES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3879553 | Expense |
| Revenue | 200333 | Revenue |
| Description | PREVENTION SERVICES - DESIGNED TO ENHANCE THE PHYSICAL, SOCIAL, EMOTIONAL, AND INTELLECTUAL DEVELOPMENT OF CHILDREN, PROVIDE SUPPORT TO PARENTS, PROMOTE POSITIVE PARENTING, ENHANCE PARENT-CHILD INTERACTION AND EMPOWER PARENTS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5400701 | Expense |
| Grants | 130264 | Grants |
| Revenue | 1199166 | Revenue |
| Description | CHILD AND FAMILY COUNSELING SERVICES ARE OFFERED TO HELP STRUGGLING FAMILIES BECOME STRONGER, AND TO CREATE BONDS AND EMPOWER FAMILIES TO THRIVE AND GROW. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 5400701 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 130264 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 1199166 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 31044586 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 220 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 679 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MS SARAH KAFKA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4142661854 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9000 W WISCONSIN AVENUE | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 53201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL W ALTSCHAEFL | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| HOWARD R BORNSTEIN | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MARLENE KING BURRIS | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| TODD M CLEARY | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| JOSEPH J GEHRKE | |||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| DAVID L HEARD | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| KAREN R JACKSON | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| DAVID A KLANTE | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| STEVEN J MARCUS | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MICHELLE SAPP NETTLES | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MICHAEL T PEPKE | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MARY ANN RENZ | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| HOLLY A RYAN | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| LARRY T SARVER | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| KATHY SCHWAB | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| KRISTINE NOEL SEYMOUR | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| PAUL W SWEENEY | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| PATRICIA L VAN KAMPEN | |||||||||
| DIRECTOR (JAN - JUN 2012) | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| CINTHIA CHRISTENSEN | |||||||||
| DIRECTOR (JAN - JUN 2012) | 0.00 | 40.00 | X | 0 | 679101 | 92874 | |||
| ROBERT DUNCAN | |||||||||
| DIRECTOR/PRESIDENT/CHAIR | 0.00 | 40.00 | X | 0 | 400496 | 64825 | X | ||
| MARGARET TROY | |||||||||
| DIRECTOR/CHHS PRESIDENT | 0.00 | 40.00 | X | 0 | 1263624 | 291068 | |||
| MARC CADIEUX | |||||||||
| INTERIM TREASURER (JAN 2012) | 0.00 | 40.00 | 0 | 238911 | 22520 | X | |||
| WELDON GAGE | |||||||||
| TREASURER | 0.00 | 40.00 | 0 | 362086 | 70172 | X | |||
| AMY HERBST | |||||||||
| VICE PRESIDENT CHILD WELFARE | 40.00 | 0.00 | 161868 | 0 | 37820 | X | |||
| SHEILA REYNOLDS | |||||||||
| SECRETARY | 0.00 | 40.00 | 0 | 389028 | 76385 | X | |||
| DEBRA LEMKE | |||||||||
| DIR, BUSINESS OPERATIONS | 40.00 | 0.00 | 101545 | 0 | 12389 | X | |||
| TIMOTHY BIRKENSTOCK | |||||||||
| FORMER TREASURER | 0.00 | 0.00 | 0 | 232256 | 1866 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 263413 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3565502 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 669919 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PROFESSIONAL SERVICES GROUP | |||||
| 6233 39TH AVENUE | KENOSHA | WI | 53142 | SUPERVISED VISITATION SERVICES | 445816 |
| LAD LAKE | |||||
| PO BOX 158 | DOUSMAN | WI | 53118 | TRANSPORTATION SERVICES | 237428 |
| LUTHERAN SOCIAL SERVICES | |||||
| 6314 ODANA ROAD | MADISON | WI | 53719 | CLIENT SERVICES | 154391 |
| LAWSONS TRANSPORTATIONS LLC | |||||
| 8922 W HOPE AVENUE | MILWAUKEE | WI | 53222 | TRANSPORTATION SERVICES | 141911 |
| CHILD TRENDS INC | |||||
| 7315 WISCONSIN AVENUE | BETHESDA | MD | 20814 | PROGRAM EVALUATION | 105198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Federated Campaigns | 1734226 | FederatedCampaigns |
| Related Organizations | 2087953 | RelatedOrganizations |
| Government Grants | 28436665 | GovernmentGrants |
| All Other Contributions | 641541 | AllOtherContributions |
| Total Contributions | 32900385 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CLIENT SERVICE FEES | 624100 | 1469736 | 1469736 |
| SHARED SERVICES | 541900 | 223146 | 223146 |
| CONFERENCE AND TRAINING FEES | 624100 | 38743 | 38743 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1731625 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1521 | TotalRevenueColumn |
| Exclusion | $1,521 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 36867 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -36867 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -36867 | TotalRevenueColumn |
| Exclusion | -$36,867 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 165927 | TotalRevenueColumn |
| Related Or Exempt Function Income | 165927 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 165927 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34762591 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1897552 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$35,346 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232067 | Total |
| Program Services | 232067 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313622 | Total |
| Management And General | 313622 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17523136 | Total |
| Program Services | 16931143 | ProgramServices |
| Management And General | 591993 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1089318 | Total |
| Program Services | 1057079 | ProgramServices |
| Management And General | 32239 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2817322 | Total |
| Program Services | 2696846 | ProgramServices |
| Management And General | 120476 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1408455 | Total |
| Program Services | 1346367 | ProgramServices |
| Management And General | 62088 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2015000 | Total |
| Management And General | 2015000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4297 | Total |
| Program Services | 4297 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 662014 | Total |
| Program Services | 611528 | ProgramServices |
| Management And General | 50486 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196611 | Total |
| Program Services | 195189 | ProgramServices |
| Management And General | 1422 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298376 | Total |
| Program Services | 214077 | ProgramServices |
| Management And General | 84299 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320872 | Total |
| Program Services | 320872 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1495687 | Total |
| Program Services | 1412081 | ProgramServices |
| Management And General | 83606 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1050304 | Total |
| Program Services | 1024315 | ProgramServices |
| Management And General | 25989 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580462 | Total |
| Program Services | 238638 | ProgramServices |
| Management And General | 341824 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139514 | Total |
| Program Services | 135035 | ProgramServices |
| Management And General | 4479 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CLIENT SERVICES | 2611601 | 2611601 | |
| PURCHASED SRVS (CLIENT) | 1275367 | 1273304 | 2063 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 775655 | Total |
| Program Services | 740147 | ProgramServices |
| Management And General | 35508 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34809680 | Total |
| Program Services | 31044586 | ProgramServices |
| Management And General | 3765094 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2706465 | BOY |
| EOY | 192799 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 753746 | BOY |
| EOY | 755260 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4249634 | BOY |
| EOY | 4542699 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191790 | BOY |
| EOY | 135090 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4163474 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1982515 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2565246 | BOY |
| EOY | 2180959 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6188301 | BOY |
| EOY | 5206082 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16655182 | BOY |
| EOY | 13012889 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7386006 | BOY |
| EOY | 5451622 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169436 | BOY |
| EOY | 272047 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4794841 | BOY |
| EOY | 3113324 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12350283 | BOY |
| EOY | 8836993 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3045919 | BOY |
| EOY | 2848690 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626427 | BOY |
| EOY | 623082 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 632553 | BOY |
| EOY | 704124 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4304899 | BOY |
| EOY | 4175896 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16655182 | BOY |
| EOY | 13012889 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -47089 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -81914 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22737733 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23813029 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 47730051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46137732 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32900385 | CurrentTaxYear |
| Total | 173318930 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22737733 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23813029 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 47730051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46137732 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32900385 | CurrentTaxYear |
| Total | 173318930 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 173318930 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 14618 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4071 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1521 | CurrentTaxYear |
| Total | 20210 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 113409 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 114370 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 150937 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 111135 | CurrentTaxYearMinus1Year |
| Current Tax Year | 165927 | CurrentTaxYear |
| Total | 655778 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 173994918 | TotalSupport |
| Gross Receipts From Admissions Etc | 7225862 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99610 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99590 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART II, SECTION B, LINE 10: MISCELLANEOUS INCOME 2008 113,409 2009 114,370 2010 150,937 2011 111,135 2012 165,927 | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1258981 | BeginningOfYearBalance |
| Contributions | 441464 | Contributions |
| Investment Earnings Or Losses | 125420 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 472727 | GrantsOrScholarships |
| Administrative Expenses | 25932 | AdministrativeExpenses |
| End Of Year Balance | 1327206 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 652041 | BeginningOfYearBalance |
| Contributions | 1169108 | Contributions |
| Investment Earnings Or Losses | 6762 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 548080 | GrantsOrScholarships |
| Administrative Expenses | 20850 | AdministrativeExpenses |
| End Of Year Balance | 1258981 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 580015 | BeginningOfYearBalance |
| Contributions | 30475 | Contributions |
| Investment Earnings Or Losses | 73366 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 29385 | GrantsOrScholarships |
| Administrative Expenses | 2430 | AdministrativeExpenses |
| End Of Year Balance | 652041 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 580614 | BeginningOfYearBalance |
| Contributions | 1068 | Contributions |
| Other Expenditures | 1667 | OtherExpenditures |
| End Of Year Balance | 580015 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 540981 | BeginningOfYearBalance |
| Contributions | 75525 | Contributions |
| Other Expenditures | 35892 | OtherExpenditures |
| End Of Year Balance | 580614 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.53100 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.46900 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 619998 | OtherCostOrOtherBasis |
| Depreciation | 335463 | Depreciation |
| Book Value | 284535 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1259292 | OtherCostOrOtherBasis |
| Depreciation | 659139 | Depreciation |
| Book Value | 600153 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2284184 | OtherCostOrOtherBasis |
| Depreciation | 987913 | Depreciation |
| Book Value | 1296271 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2180959 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION, INC. | Description |
| Book Value | 5206082 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5206082 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $2,192,355 |
| LONG TERM LEASE | $154,348 |
| PAYABLE TO FUNDERS | $762,524 |
| UNCASHED ACCOUNTS PAYABLE CHECK-ABANDONED | $4,097 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3113324 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CSSW. INTENDED USES OF THE FUNDS INCLUDE VARIOUS SOCIAL SERVICES TO CHILDREN AND FAMILIES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| LUTHERAN SOCIAL SERVICES | |||||||
| PO BOX 88738 | MILWAUKEE | WI | 53288 | 390816846 | 501(C)(3) | 130264 | FOSTER CARE AND ADOPTION SERVICES |
| CHILD TRENDS INC | |||||||
| 4301 CONNECTICUT AVENUE NW 350 | WASHINGTON | DC | 20008 | 132982969 | 501(C)(3) | 101803 | FAMILY FINDING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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 AGENCIES, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CINTHIA CHRISTENSEN | ||||||||||||||
| DIRECTOR (JAN - JUN 2012) | 0 | 424640 | 0 | 152683 | 0 | 101778 | 0 | 65020 | 0 | 27854 | 0 | 771975 | 0 | 33569 |
| ROBERT DUNCAN | ||||||||||||||
| DIRECTOR/PRESIDENT/CHAIR | 0 | 267931 | 0 | 82190 | 0 | 50375 | 0 | 37420 | 0 | 27405 | 0 | 465321 | 0 | 20329 |
| MARGARET TROY | ||||||||||||||
| DIRECTOR/CHHS PRESIDENT | 0 | 759976 | 0 | 376671 | 0 | 126977 | 0 | 259150 | 0 | 31918 | 0 | 1554692 | 0 | 50833 |
| MARC CADIEUX | ||||||||||||||
| INTERIM TREASURER (JAN 2012) | 0 | 189232 | 0 | 34000 | 0 | 15679 | 0 | 15814 | 0 | 6706 | 0 | 261431 | 0 | 0 |
| WELDON GAGE | ||||||||||||||
| TREASURER | 0 | 336629 | 0 | 25000 | 0 | 457 | 0 | 51785 | 0 | 18387 | 0 | 432258 | 0 | 0 |
| AMY HERBST | ||||||||||||||
| VICE PRESIDENT CHILD WELFARE | 146921 | 0 | 0 | 0 | 14947 | 0 | 13461 | 0 | 24359 | 0 | 199688 | 0 | 0 | 0 |
| SHEILA REYNOLDS | ||||||||||||||
| SECRETARY | 0 | 259682 | 0 | 78354 | 0 | 50992 | 0 | 48690 | 0 | 27695 | 0 | 465413 | 0 | 18023 |
| TIMOTHY BIRKENSTOCK | ||||||||||||||
| FORMER TREASURER | 0 | 0 | 0 | 0 | 0 | 232256 | 0 | 0 | 0 | 1866 | 0 | 234122 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3 | CSSW RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CSSW, TO ESTABLISH THE COMPENSATION OF CSSW'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION. | |
| PART I, LINES 4A-B | UNTIL MARCH 2011, TIMOTHY BIRKENSTOCK SERVED AS TREASURER & CFO OF CHHS. BY VIRTUE OF THAT ROLE, MR. BIRKENSTOCK SERVED AS THE TREASURER OF CSSW IN 2010 AND IN 2011 UNTIL HIS SEPARATION FROM CHHS. CHHS PAID CERTAIN AMOUNTS AS SEVERANCE TO MR. BIRKENSTOCK PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MR. BIRKENSTOCK IN 2012 TOTALED $234,122. PART I, LINE 4B: IN 2012, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 7% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2012 WERE AS FOLLOWS: C. CHRISTENSEN, $44,020; R. DUNCAN, $28,920; W. GAGE, $43,852; M. TROY, $54,180; AND S. REYNOLDS, $30,190. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2012 WERE: C. CHRISTENSEN, $33,569; R. DUNCAN, $20,329; M. TROY, $50,833; AND S. REYNOLDS $18,023. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2012 WAS $191,470. | |
| PART III | FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. CINTHIA CHRISTENSEN, DIRECTOR OF CSSW AND PRESIDENT OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW") - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHW AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHW. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. ROBERT DUNCAN, PRESIDENT AND DIRECTOR OF CSSW AND EXECUTIVE VICE PRESIDENT - COMMUNITY SERVICES OF CHHS, MARGARET TROY, DIRECTOR OF CSSW AND PRESIDENT & CEO OF CHHS, MARC CADIEUX, INTERIM TREASURER OF CSSW (JANUARY 2012) AND INTERIM TREASURER & CFO OF CHHS (JANUARY 2012), WELDON GAGE, TREASURER OF CSSW AND TREASURER & CFO OF CHHS, AND SHEILA REYNOLDS, SECRETARY OF CSSW AND CORPORATE VICE PRESIDENT & GENERAL COUNSEL 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 CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 3. TIMOTHY L. BIRKENSTOCK, FORMER TREASURER OF CSSW AND FORMER TREASURER & CFO OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID BY CHHS AS SEVERANCE FOR PREVIOUS SERVICES PROVIDED AS TREASURER & CFO OF CHHS. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ALTSCHAEFL AND PEPKE. | |
| 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 OF CSSW WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF CHHS AND PRIOR TO FILING, A COPY WAS MADE AVAILABLE TO ALL DIRECTORS OF CSSW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, ALL 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, AND SECRETARY WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF CHHS (THE ORGANIZATION'S CORPORATE MEMBER). WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE OTHER OFFICERS 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 CSSW ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEF. INT. OF CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. -982,219. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 900,305. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL AND 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 INC | |||||||||||
| 9000 W WISCONSIN AVE PO BOX 1997 | MILWAUKEE | WI | 53201 | 390812532 | PEDIATRIC HOSPITAL | WI | 501(C)(3) | LINE 3 | 0 | CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC | |
| 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 | 0 | CHILDREN'S HOSPITAL AND 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 | 0 | CHILDREN'S HOSPITAL AND 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 | 0 | CHILDREN'S HOSPITAL AND 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 | 0 | CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRTUAL PICU SYSTEMS LLC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | QUALITY/OUTCOME ANALYSIS | PrimaryActivity |
| Legal Domicile State | DE | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MED-HEALTH FINANCIAL SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | COLLECTION SERVICES | PrimaryActivity |
| Legal Domicile State | WI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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