2013-11-15T09:04:01-06:00 2012-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2012-01-01 390806380 CHILDREN'S SERVICE SOCIETY OF WISCONSIN CHIL 4142665420 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 WELDON GAGE 4142665420 2013-11-03 1 BRYAN L PAUTSCH CPA P00034913 2627549400 2013-11-03 2012 2016-03-07 17:11:31Z CHILDREN'S HOSPITAL OF WISCONSIN - COMMUNITY SERVICES ROBERT DUNCAN 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 34799458 0 X WWW.CHW.ORG X 1889 WI PROVIDE SOCIAL SERVICES TO WISCONSIN CHILDREN AND FAMILIES 4 2 679 1000 0 0 46137732 32900385 1617818 1731625 4071 -35346 111135 165927 47870756 34762591 359098 232067 0 0 27810478 23151853 0 0 0 18766180 11425760 46935756 34809680 935000 -47089 16655182 13012889 12350283 8836993 4304899 4175896 X 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. 0 0 17097172 496315 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). 4667160 101803 1738 TREATMENT FOSTER CARE - HOME BASED CARE FOR CHILDREN AND ADOLESCENTS WITH SIGNIFICANT EMOTIONAL, BEHAVIORAL AND/OR MEDICAL CHALLENGES. 3879553 200333 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. 5400701 130264 1199166 CHILD AND FAMILY COUNSELING SERVICES ARE OFFERED TO HELP STRUGGLING FAMILIES BECOME STRONGER, AND TO CREATE BONDS AND EMPOWER FAMILIES TO THRIVE AND GROW. 5400701 130264 1199166 31044586 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 220 0 679 1 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142661854 9000 W WISCONSIN AVENUE MILWAUKEE WI 53201 MICHAEL W ALTSCHAEFL 1.00 0.00 X 0 0 0 HOWARD R BORNSTEIN 1.00 0.00 X 0 0 0 MARLENE KING BURRIS 1.00 0.00 X 0 0 0 TODD M CLEARY 1.00 0.00 X 0 0 0 JOSEPH J GEHRKE 1.00 0.00 X X 0 0 0 DAVID L HEARD 1.00 0.00 X 0 0 0 KAREN R JACKSON 1.00 0.00 X 0 0 0 DAVID A KLANTE 1.00 0.00 X 0 0 0 STEVEN J MARCUS 1.00 0.00 X 0 0 0 MICHELLE SAPP NETTLES 1.00 0.00 X 0 0 0 MICHAEL T PEPKE 1.00 0.00 X 0 0 0 MARY ANN RENZ 1.00 0.00 X 0 0 0 HOLLY A RYAN 1.00 0.00 X 0 0 0 LARRY T SARVER 1.00 0.00 X 0 0 0 KATHY SCHWAB 1.00 0.00 X 0 0 0 KRISTINE NOEL SEYMOUR 1.00 0.00 X 0 0 0 PAUL W SWEENEY 1.00 0.00 X 0 0 0 PATRICIA L VAN KAMPEN 1.00 0.00 X 0 0 0 CINTHIA CHRISTENSEN 0.00 40.00 X 0 679101 92874 ROBERT DUNCAN 0.00 40.00 X X 0 400496 64825 MARGARET TROY 0.00 40.00 X 0 1263624 291068 MARC CADIEUX 0.00 40.00 X 0 238911 22520 WELDON GAGE 0.00 40.00 X 0 362086 70172 AMY HERBST 40.00 0.00 X 161868 0 37820 SHEILA REYNOLDS 0.00 40.00 X 0 389028 76385 DEBRA LEMKE 40.00 0.00 X 101545 0 12389 TIMOTHY BIRKENSTOCK 0.00 0.00 X 0 232256 1866 263413 3565502 669919 2 1 1 0 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 6 1734226 2087953 28436665 641541 32900385 CLIENT SERVICE FEES 624100 1469736 1469736 SHARED SERVICES 541900 223146 223146 CONFERENCE AND TRAINING FEES 624100 38743 38743 1731625 1521 1521 36867 -36867 -36867 -36867 MISCELLANEOUS 900099 165927 165927 165927 34762591 1897552 0 -35346 232067 232067 313622 313622 17523136 16931143 591993 1089318 1057079 32239 2817322 2696846 120476 1408455 1346367 62088 2015000 2015000 4297 4297 662014 611528 50486 196611 195189 1422 298376 214077 84299 320872 320872 1495687 1412081 83606 1050304 1024315 25989 580462 238638 341824 139514 135035 4479 CLIENT SERVICES 2611601 2611601 PURCHASED SRVS (CLIENT) 1275367 1273304 2063 775655 740147 35508 34809680 31044586 3765094 0 2706465 192799 753746 755260 4249634 4542699 191790 135090 4163474 1982515 2565246 2180959 6188301 5206082 16655182 13012889 7386006 5451622 169436 272047 4794841 3113324 12350283 8836993 X 3045919 2848690 626427 623082 632553 704124 4304899 4175896 16655182 13012889 X -47089 -81914 X 0 1 X 1 1 1 X 22737733 23813029 47730051 46137732 32900385 173318930 22737733 23813029 47730051 46137732 32900385 173318930 173318930 14618 4071 1521 20210 113409 114370 150937 111135 165927 655778 173994918 7225862 0.99610 0.99590 X 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 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1258981 441464 125420 472727 25932 1327206 652041 1169108 6762 548080 20850 1258981 580015 30475 73366 29385 2430 652041 580614 1068 1667 580015 540981 75525 35892 580614 0.00000 0.53100 0.46900 0 1 1 619998 335463 284535 1259292 659139 600153 2284184 987913 1296271 2180959 BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION, INC. 5206082 5206082 DUE TO AFFILIATES 2192355 LONG TERM LEASE 154348 PAYABLE TO FUNDERS 762524 UNCASHED ACCOUNTS PAYABLE CHECK-ABANDONED 4097 3113324 X 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. 1 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 2 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. 1 1 0 0 0 0 0 0 0 CINTHIA CHRISTENSEN 0 424640 0 152683 0 101778 0 65020 0 27854 0 771975 0 33569 ROBERT DUNCAN 0 267931 0 82190 0 50375 0 37420 0 27405 0 465321 0 20329 MARGARET TROY 0 759976 0 376671 0 126977 0 259150 0 31918 0 1554692 0 50833 MARC CADIEUX 0 189232 0 34000 0 15679 0 15814 0 6706 0 261431 0 0 WELDON GAGE 0 336629 0 25000 0 457 0 51785 0 18387 0 432258 0 0 AMY HERBST 146921 0 0 0 14947 0 13461 0 24359 0 199688 0 0 0 SHEILA REYNOLDS 0 259682 0 78354 0 50992 0 48690 0 27695 0 465413 0 18023 TIMOTHY BIRKENSTOCK 0 0 0 0 0 232256 0 0 0 1866 0 234122 0 0 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. SUPPLEMENTAL INFORMATION 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 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 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 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 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 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 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 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 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 VIRTUAL PICU SYSTEMS LLC 401 WYTHE STREET SUITE 101 ALEXANDRIA VA 22314 201414664 QUALITY/OUTCOME ANALYSIS DE CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC RELATED 0 0 MED-HEALTH FINANCIAL SERVICES INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 391547907 COLLECTION SERVICES WI CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC C 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0