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        <Title>VP CHILD WELFARE (MAY - JUNE 2011)</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>43220</ReportableCompFromOrganization>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEILA REYNOLDS</NamePerson>
        <Title>SECRETARY</Title>
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        <OtherCompensation>71192</OtherCompensation>
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      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PROFESSIONAL SERVICES GROUP</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6233 39TH AVENUE</AddressLine1>
            <City>KENOSHA</City>
            <State>WI</State>
            <ZIPCode>53142</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>SUPERVISED VISITATION SERVICES</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LAD LAKE</BusinessNameLine1>
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          <AddressUS>
            <AddressLine1>PO BOX 158</AddressLine1>
            <City>DOUSMAN</City>
            <State>WI</State>
            <ZIPCode>53118</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>TRANSPORTATION SERVICES</DescriptionOfServices>
        <Compensation>541094</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MILWAUKEE TRANSPORT SERVICES INC</BusinessNameLine1>
          </NameBusiness>
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          <AddressUS>
            <AddressLine1>1942 N 17TH STREET</AddressLine1>
            <City>MILWAUKEE</City>
            <State>WI</State>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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            <State>WI</State>
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      <GrantsToDomesticOrgs>
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        <ManagementAndGeneral>49218</ManagementAndGeneral>
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        <Total>648399</Total>
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        <Description>CLIENT SERVICES</Description>
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        <ProgramServices>6305658</ProgramServices>
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      <OtherExpenses>
        <Description>FOSTER/RESPITE SVCS</Description>
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        <ProgramServices>2738047</ProgramServices>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>161423</ProgramServices>
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      <OtherExpenses>
        <Description>DUES AND FEES</Description>
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        <ProgramServices>8568</ProgramServices>
        <ManagementAndGeneral>7005</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>46935756</Total>
        <ProgramServices>42129460</ProgramServices>
        <ManagementAndGeneral>4806296</ManagementAndGeneral>
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      <SavingsAndTempCashInvestments>
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      <TotalAssets>
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      <OtherLiabilities>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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      <PermanentlyRestrictedNetAssets>
        <BOY>650251</BOY>
        <EOY>632553</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>4304899</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>16655182</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>935000</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-3507285</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3Years>22737733</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23813029</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47730051</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>46137732</CurrentTaxYear>
        <Total>158777081</Total>
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      <Total170>
        <CurrentTaxYearMinus4Years>18358536</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22737733</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23813029</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47730051</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>46137732</CurrentTaxYear>
        <Total>158777081</Total>
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      <PublicSupportTotal170>158777081</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYear>4071</CurrentTaxYear>
        <Total>18689</Total>
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      <OtherIncome170>
        <CurrentTaxYearMinus4Years>144130</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>113409</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>114370</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>150937</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>111135</CurrentTaxYear>
        <Total>633981</Total>
      </OtherIncome170>
      <TotalSupport>159429751</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>7906687</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99590</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99520</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>SCHEDULE 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 150,937</GeneralExplanation>
    </IRS990ScheduleA>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <GrantsOrScholarships>548080</GrantsOrScholarships>
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        <EndOfYearBalance>1258981</EndOfYearBalance>
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        <GrantsOrScholarships>29385</GrantsOrScholarships>
        <AdministrativeExpenses>2430</AdministrativeExpenses>
        <EndOfYearBalance>652041</EndOfYearBalance>
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      <CurrentYearMinus2Years>
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        <EndOfYearBalance>580015</EndOfYearBalance>
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      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>540981</BeginningOfYearBalance>
        <Contributions>75525</Contributions>
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        <EndOfYearBalance>580614</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
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        <BookValue>305349</BookValue>
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        <BookValue>21512</BookValue>
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        <BookValue>2238385</BookValue>
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      <OtherAssets>
        <Description>BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSPITAL &amp; HEALTH SYSTEM FOUND., INC</Description>
        <BookValue>6188301</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6188301</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>3775526</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LONG TERM LEASE</Description>
        <Amount>172280</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PAYABLE TO FUNDERS</Description>
        <Amount>842938</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>UNCASHED ACCOUNTS PAYABLE CHECK-ABANDONED</Description>
        <Amount>4097</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4794841</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>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.</Explanation>
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          <BusinessNameLine1>LUTHERAN SOCIAL SERVICES</BusinessNameLine1>
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          <AddressLine1>PO BOX 88738</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53288</ZIPCode>
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        <EINOfRecipient>390816846</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>FOSTER CARE AND ADOPTION SERVICES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MARATHON COUNTY DEPT OF SOCIAL SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>400 E THOMAS STREET</AddressLine1>
          <City>WAUSAU</City>
          <State>WI</State>
          <ZIPCode>54403</ZIPCode>
        </AddressUS>
        <EINOfRecipient>396005716</EINOfRecipient>
        <IRCSection>MARATHON COUNTY DSS</IRCSection>
        <AmountOfCashGrant>30739</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY RESPONSE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHILD TRENDS INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4301 CONNECTICUT AVENUE NW 350</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20008</ZIPCode>
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        <EINOfRecipient>132982969</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>74543</AmountOfCashGrant>
        <PurposeOfGrant>FAMILY FINDING</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>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. 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>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>CINTHIA CHRISTENSEN</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>42557</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT DUNCAN</NamePerson>
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        <CompBasedOnRelatedOrgs>256603</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>35930</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>29405</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARGARET TROY</NamePerson>
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        <CompBasedOnRelatedOrgs>736762</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>70103</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY BIRKENSTOCK</NamePerson>
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        <CompBasedOnRelatedOrgs>163222</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>130024</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>465228</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>794262</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>118537</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARC CADIEUX</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>169387</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>66000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>13806</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6955</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>271748</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>AMY HERBST</NamePerson>
        <BaseCompensationFilingOrg>118631</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>6500</BonusFilingOrg>
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        <OtherCompensationFilingOrg>6011</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11041</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHEILA REYNOLDS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>237263</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>68372</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>80865</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>26887</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
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        <CompReportPrior990RelatedOrgs>21941</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 3</ReturnReference>
        <Explanation>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 WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>UNTIL MARCH 2011, TIMOTHY BIRKENSTOCK SERVED AS TREASURER &amp; 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 &amp; CEO. THE AMOUNT SET ASIDE IN 2011 WAS $180,579.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>FORM 990, PART VII, COLUMN E &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ALTSCHAEFL AND PEPKE; AND SWEENEY AND PEPKE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>PENSION - RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -2,186,924. CHANGE IN BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSP. &amp; HLTH SYSTEM FOUND -1,320,361. TOTAL TO FORM 990, PART XI, LINE 5: -3,507,285.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>391500074</EIN>
        <PrimaryActivities>OPERATIONAL SUPPORT SERVICES</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CHILDREN'S HOSPITAL OF WISCONSIN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>PEDIATRIC HOSPITAL</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
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          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC</BusinessNameLine1>
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          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>391500075</EIN>
        <PrimaryActivities>FUND DEVELOPMENT</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
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          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
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          <BusinessNameLine1>CHILDREN'S MEDICAL GROUP INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>391789197</EIN>
        <PrimaryActivities>PEDIATRIC PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHILDREN'S PHYSICIAN GROUP PC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>364303682</EIN>
        <PrimaryActivities>PEDIATRIC PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHILDREN'S COMMUNITY HEALTH PLAN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>271494977</EIN>
        <PrimaryActivities>WISCONSIN MEDICAID HMO</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VIRTUAL PICU SYSTEMS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>401 WYTHE STREET SUITE 101</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
        <EIN>201414664</EIN>
        <PrimaryActivity>QUALITY/OUTCOMES ANALYSIS</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MED-HEALTH FINANCIAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>9000 W WISCONSIN AVE PO BOX 1997</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53201</ZIPCode>
        </AddressUS>
        <EIN>391547907</EIN>
        <PrimaryActivity>COLLECTION SERVICES</PrimaryActivity>
        <LegalDomicileState>WI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>