CHILDRENS SERVICE SOCIETY OF WISCONSIN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS SERVICE SOCIETY OF WISCONSIN (EIN 39-0806380)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349304702
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-11-13T16:47:38-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN391214345EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KOLBCO SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1
CityBROOKFIELDCity
StateWIState
ZIP Code53005ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390806380EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S SERVICE SOCIETY OF WISCONSINBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone4142665420Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWELDON GAGEName
TitleTREASURERTitle
Phone4142665420Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRYAN L PAUTSCH CPAName
PTINP00034913PTIN
Phone2627549400Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT DUNCANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47870756GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CSSW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1889YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SOCIAL SERVICES TO WISCONSIN CHILDREN AND FAMILIESActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees717TotalNbrEmployees
Total Nbr Volunteers2000TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year47730051ContributionsGrantsPriorYear
Contributions Grants Current Year46137732ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1660669ProgramServiceRevenuePriorYear
Program Service Revenue CY1617818ProgramServiceRevenueCY
Investment Income Prior Year14618InvestmentIncomePriorYear
Investment Income Current Year4071InvestmentIncomeCurrentYear
Other Revenue Prior Year150937OtherRevenuePriorYear
Other Revenue Current Year111135OtherRevenueCurrentYear
Total Revenue Prior Year49556275TotalRevenuePriorYear
Total Revenue Current Year47870756TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year413367GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY359098GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27871011SalariesEtcPriorYear
Salaries Etc Current Year27810478SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18747274OtherExpensePriorYear
Other Expenses Current Year18766180OtherExpensesCurrentYear
Total Expenses Prior Year47031652TotalExpensesPriorYear
Total Expenses Current Year46935756TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2524623RevenuesLessExpensesPriorYear
Revenues Less Expenses CY935000RevenuesLessExpensesCY
Total Assets BOY15004846TotalAssetsBOY
Total Assets EOY16655182TotalAssetsEOY
Total Liabilities BOY8127662TotalLiabilitiesBOY
Total Liabilities EOY12350283TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6877184NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4304899NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF CHILDREN'S SERVICE SOCIETY OF WISCONSIN ("CSSW") IS TO BUILD, SUSTAIN, AND ENHANCE A NURTURING ENVIRONMENT FOR WISCONSIN CHILDREN.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28331603Expense
Grants253816Grants
Revenue415582Revenue
DescriptionPUBLIC CHILD WELFARE - ENCOMPASSES FOSTER CARE AND ADOPTION, ONGOING CASE MANAGEMENT, AND SAFETY SERVICES PROVIDED TO THE BUREAU OF MILWAUKEE CHILD WELFARE (BMCW).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4910842Expense
Grants74543Grants
DescriptionFOSTER CARE AND ADOPTION - LICENSE, SUPPORT, AND CASE MANAGE FOSTER CARE FAMILIES AS WELL AS PLACE EACH ADOPTIVE CHILD IN A LOVING, NURTURING, PERMANENT, AND STABLE HOME.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3618974Expense
Grants30739Grants
Revenue198195Revenue
DescriptionONGOING CASE MANAGEMENT - PROVIDE CASE MANAGEMENT TO ASSIST CHILDREN AND FAMILIES BY USING A SYSTEMATIC APPROACH TO SOCIAL WORK, FOCUSING ON THE ENVIRONMENT IN WHICH THE FAMILY FUNCTIONS. WORK IS DONE WITH FAMILIES WHERE CHILDREN HAVE BEEN REMOVED FROM THE HOME.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5268041Expense
Revenue1004041Revenue
DescriptionSAFETY SERVICES - SERVE INTACT FAMILIES WHERE CHILDREN HAVE BEEN IDENTIFIED TO BE AT RISK OF ABUSE OR NEGLECT. WORK WITH THE FAMILY TO ACCESS SERVICES THAT WILL REMOVE OR REDUCE FACTORS CONTRIBUTING TO THE RISK.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5268041TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1004041TotalOfOtherProgramServiceRev
Total Program Service Expense42129460TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096329NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees717NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MR JASON PELSISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4142665997TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVENUEAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MICHAEL W ALTSCHAEFL
DIRECTOR1.00X000
HOWARD R BORNSTEIN
DIRECTOR1.00X000
MARLENE KING BURRIS
DIRECTOR1.00X000
TODD M CLEARY
DIRECTOR1.00X000
JOSEPH J GEHRKE
DIRECTOR/VICE CHAIR1.00X000X
DAVID L HEARD
DIRECTOR1.00X000
KAREN R JACKSON
DIRECTOR1.00X000
DAVID A KLANTE
DIRECTOR1.00X000
STEVEN J MARCUS
DIRECTOR1.00X000
MICHELLE SAPP NETTLES
DIRECTOR1.00X000
MICHAEL T PEPKE
DIRECTOR1.00X000
MARY ANN RENZ
DIRECTOR1.00X000
HOLLY A RYAN
DIRECTOR1.00X000
LARRY T SARVER
DIRECTOR1.00X000
KATHY SCHWAB
DIRECTOR1.00X000
KRISTINE NOEL SEYMOUR
DIRECTOR1.00X000
PAUL W SWEENEY
DIRECTOR/CHAIR1.00X000X
PATRICIA L VAN KAMPEN
DIRECTOR1.00X000
CINTHIA CHRISTENSEN
DIRECTOR40.00X065722286773
ROBERT DUNCAN
DIRECTOR/PRESIDENT40.00X032193861407X
MARGARET TROY
DIRECTOR/CHHS PRESIDENT40.00X01179464273322
TIMOTHY BIRKENSTOCK
TREASURER (JAN - MAR 2011)40.00075847435788X
MARC CADIEUX
INTERIM TREASURER (APR - DEC 2011)40.00024919322555X
AMY HERBST
VICE PRESIDENT CSSW40.00131142034490X
GREGORY KURTH
VP CHILD WELFARE (MAY - JUNE 2011)40.0043220153850X
SHEILA REYNOLDS
SECRETARY40.00038650071192X
FieldValueIRS element (for citing)
Total Reportable Comp From Org174362TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3568176TotalReportableCompFrmRltdOrgs
Total Other Compensation585527TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROFESSIONAL SERVICES GROUP
6233 39TH AVENUEKENOSHAWI53142SUPERVISED VISITATION SERVICES1705687
LAD LAKE
PO BOX 158DOUSMANWI53118TRANSPORTATION SERVICES541094
MILWAUKEE TRANSPORT SERVICES INC
1942 N 17TH STREETMILWAUKEEWI532051697TRANSPORTATION SERVICES306568
META HOUSE INC
2625 N WEIL STREETMILWAUKEEWI53212AODA SERVICES299902
LUTHERAN SOCIAL SERVICES
6314 ODANA ROADMADISONWI53719CLIENT SERVICES269621
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Federated Campaigns1708437FederatedCampaigns
Related Organizations2937157RelatedOrganizations
Government Grants40718803GovernmentGrants
All Other Contributions773335AllOtherContributions
Total Contributions46137732TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLIENT SVCS FEES62410013864461386446
SHARED SERVICES541900191025191025
CONF. & TRAINING FEES6241004034740347
FieldValueIRS element (for citing)
Total Program Service Revenue1617818TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4071TotalRevenueColumn
Exclusion$4,071ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column111135TotalRevenueColumn
Related Or Exempt Function Income111135RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue111135TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47870756TotalRevenueColumn
Related Or Exempt Function Income1728953RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,071ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total359098Total
Program Services359098ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total208853Total
Management And General208853ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21030385Total
Program Services20112260ProgramServices
Management And General918125ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1127211Total
Program Services1053340ProgramServices
Management And General73871ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3765386Total
Program Services3580073ProgramServices
Management And General185313ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1678643Total
Program Services1592913ProgramServices
Management And General85730ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3099264Total
Program Services409864ProgramServices
Management And General2689400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1225Total
Management And General1225ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total785028Total
Program Services739081ProgramServices
Management And General45947ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95620Total
Program Services95620ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1215131Total
Program Services1103512ProgramServices
Management And General111619ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total142828Total
Program Services131615ProgramServices
Management And General11213ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1988045Total
Program Services1936544ProgramServices
Management And General51501ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1230507Total
Program Services1194044ProgramServices
Management And General36463ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total165727Total
Program Services116509ProgramServices
Management And General49218ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total648399Total
Program Services359982ProgramServices
Management And General288417ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total137337Total
Program Services131309ProgramServices
Management And General6028ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLIENT SERVICES630800763056582349
FOSTER/RESPITE SVCS27380472738047
MISCELLANEOUS19544216142334019
DUES AND FEES1557385687005

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total46935756Total
Program Services42129460ProgramServices
Management And General4806296ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY724594BOY
EOY2706465EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY314451BOY
EOY753746EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3521935BOY
EOY4249634EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY204871BOY
EOY191790EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4354016LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1788770LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2730333BOY
EOY2565246EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7508662BOY
EOY6188301EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15004846BOY
EOY16655182EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5974386BOY
EOY7386006EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY280391BOY
EOY169436EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1872885BOY
EOY4794841EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8127662BOY
EOY12350283EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6225144BOY
EOY3045919EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1789BOY
EOY626427EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY650251BOY
EOY632553EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6877184BOY
EOY4304899EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15004846BOY
EOY16655182EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses935000ReconcilationRevenueExpenses
Reconcilation Other Changes-3507285ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18358536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22737733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23813029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47730051CurrentTaxYearMinus1Year
Current Tax Year46137732CurrentTaxYear
Total158777081Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18358536CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22737733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23813029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47730051CurrentTaxYearMinus1Year
Current Tax Year46137732CurrentTaxYear
Total158777081Total
FieldValueIRS element (for citing)
Public Support Total170158777081PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year14618CurrentTaxYearMinus1Year
Current Tax Year4071CurrentTaxYear
Total18689Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years144130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years113409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years114370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year150937CurrentTaxYearMinus1Year
Current Tax Year111135CurrentTaxYear
Total633981Total
FieldValueIRS element (for citing)
Total Support159429751TotalSupport
Gross Receipts From Admissions Etc7906687GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99590PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99520PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART II, SECTION B, LINE 10: 2011 MISCELLANEOUS INCOME 111,135 2007 MISCELLANEOUS INCOME 144,130 2008 MISCELLANEOUS INCOME 113,409 2009 MISCELLANEOUS INCOME 114,370 2010 MISCELLANEOUS INCOME 150,937GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance652041BeginningOfYearBalance
Contributions1169108Contributions
Investment Earnings Or Losses6762InvestmentEarningsOrLosses
Grants Or Scholarships548080GrantsOrScholarships
Administrative Expenses20850AdministrativeExpenses
End Of Year Balance1258981EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance580015BeginningOfYearBalance
Contributions30475Contributions
Investment Earnings Or Losses73366InvestmentEarningsOrLosses
Grants Or Scholarships29385GrantsOrScholarships
Administrative Expenses2430AdministrativeExpenses
End Of Year Balance652041EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance580614BeginningOfYearBalance
Contributions1068Contributions
Other Expenditures1667OtherExpenditures
End Of Year Balance580015EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance540981BeginningOfYearBalance
Contributions75525Contributions
Other Expenditures35892OtherExpenditures
End Of Year Balance580614EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.50200PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.49800TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis638043OtherCostOrOtherBasis
Depreciation332694Depreciation
Book Value305349BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1473682OtherCostOrOtherBasis
Depreciation1452170Depreciation
Book Value21512BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2242291OtherCostOrOtherBasis
Depreciation3906Depreciation
Book Value2238385BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2565246TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEF. INT. IN NET ASSETS OF CHILDREN'S HOSPITAL & HEALTH SYSTEM FOUND., INCDescription
Book Value6188301BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets6188301TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$3,775,526
LONG TERM LEASE$172,280
PAYABLE TO FUNDERS$842,938
UNCASHED ACCOUNTS PAYABLE CHECK-ABANDONED$4,097
FieldValueIRS element (for citing)
Total Of Amounts4794841TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:CHILDREN'S HOSPITAL AND HEALTH SYSTEM 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:FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2011 OR 2010.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LUTHERAN SOCIAL SERVICES
PO BOX 88738MILWAUKEEWI53288390816846501(C)(3)253816FOSTER CARE AND ADOPTION SERVICES
MARATHON COUNTY DEPT OF SOCIAL SERVICES
400 E THOMAS STREETWAUSAUWI54403396005716MARATHON COUNTY DSS30739COMMUNITY RESPONSE
CHILD TRENDS INC
4301 CONNECTICUT AVENUE NW 350WASHINGTONDC20008132982969501(C)(3)74543FAMILY FINDING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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. IN SOME CASES, 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

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CINTHIA CHRISTENSEN
0389948011895601483180585660282070743995042557
ROBERT DUNCAN
0256603035930029405035790025617038334500
MARGARET TROY
073676203362290106473024130103202101452786070103
TIMOTHY BIRKENSTOCK
01632220130024046522802050001528807942620118537
MARC CADIEUX
016938706600001380601560006955027174800
AMY HERBST
11863106500060110110410234490165632000
SHEILA REYNOLDS
02372630683720808650443050268870457692021941

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 3CSSW 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 WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.
PART I, LINES 4A-BUNTIL 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 2011 TOTALED $329,655. GREGORY KURTH SERVED AS VP CHILD WELFARE FROM MAY 2011 TO JUNE 2011. CSSW PAID CERTAIN AMOUNTS AS SEVERANCE TO MR. KURTH PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MR. KURTH IN 2011 TOTALED $28,923. PART I, LINE 4B: IN 2011, 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 2011 WERE AS FOLLOWS: C. CHRISTENSEN $38,066; R. DUNCAN $27,540; M. TROY $52,472; AND S. REYNOLDS $26,255. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2011 WERE: C. CHRISTENSEN $42,557; M. TROY, $70,103; T. BIRKENSTOCK $118,537; AND S. REYNOLDS $21,941. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2011 WAS $180,579.
PART IIIFORM 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 - 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 AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 3. MARGARET TROY, DIRECTOR OF CSSW AND PRESIDENT & CEO 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 AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 4. TIMOTHY L. BIRKENSTOCK, TREASURER OF CSSW (THROUGH MARCH 2011) AND TREASURER & CFO OF CHHS (THROUGH MARCH 2011) - 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. 5. MARC CADIEUX, INTERIM TREASURER OF CSSW (APRIL - DECEMBER 2011) AND INTERIM TREASURER & CFO OF CHHS (APRIL - DECEMBER 2011) - 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. 6. 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ALTSCHAEFL AND PEPKE; AND SWEENEY AND PEPKE.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS.
FORM 990, PART VI, SECTION A, LINE 7ACHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE 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 12CANNUALLY, ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED 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 15THE 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 INVOLVED REVIEW BY INDEPENDENT PERSONS WHO 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 19THE 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 5:PENSION - RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -2,186,924. CHANGE IN BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSP. & HLTH SYSTEM FOUND -1,320,361. TOTAL TO FORM 990, PART XI, LINE 5: -3,507,285.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201391500074OPERATIONAL SUPPORT SERVICESWI501(C)(3)LINE 3N/A0
CHILDREN'S HOSPITAL OF WISCONSIN INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201390812532PEDIATRIC HOSPITALWI501(C)(3)LINE 30CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201391500075FUND DEVELOPMENTWI501(C)(3)LINE 70CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
CHILDREN'S MEDICAL GROUP INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201391789197PEDIATRIC PHYSICIAN SERVICESWI501(C)(3)LINE 30CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
CHILDREN'S PHYSICIAN GROUP PC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201364303682PEDIATRIC PHYSICIAN SERVICESIL501(C)(3)LINE 90CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
CHILDREN'S COMMUNITY HEALTH PLAN INC
9000 W WISCONSIN AVE PO BOX 1997MILWAUKEEWI53201271494977WISCONSIN MEDICAID HMOWI501(C)(3)LINE 90CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1VIRTUAL PICU SYSTEMS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 WYTHE STREET SUITE 101AddressLine1
CityALEXANDRIACity
StateVAState
ZIP Code22314ZIPCode
FieldValueIRS element (for citing)
EIN201414664EIN
Primary ActivityQUALITY/OUTCOMES ANALYSISPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL AND HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MED-HEALTH FINANCIAL SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
EIN391547907EIN
Primary ActivityCOLLECTION SERVICESPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL AND HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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