CHILDRENS HOSPITAL OF WISCONSIN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF WISCONSIN INC (EIN 39-0812532)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201243189349304639
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T16:47:38-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	391214345	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KOLBCO SC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	13400 BISHOPS LANE SUITE 300	AddressLine1
City	BROOKFIELD	City
State	WI	State
ZIP Code	53005	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390812532	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL OF WISCONSIN INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	4142665420	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 W WISCONSIN AVE PO BOX 1997 NO	AddressLine1
Address Line2	MS 900	AddressLine2
City	MILWAUKEE	City
State	WI	State
ZIP Code	53201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WELDON GAGE	Name
Title	TREASURER	Title
Phone	4142665420	Phone
Date Signed	2012-11-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRYAN L PAUTSCH	Name
PTIN	P00034913	PTIN
Phone	2627549400	Phone
Date Prepared	2012-11-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CINDY CHRISTENSEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	9000 W WISCONSIN AVE PO BOX 1997 NO	AddressLine1
Address Line2	MS 90	AddressLine2
City	MILWAUKEE	City
State	WI	State
ZIP Code	53201	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	693302938	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHW.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1894	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	PEDIATRIC HEALTH CARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	3653	TotalNbrEmployees
Total Nbr Volunteers	334	TotalNbrVolunteers
Total Gross UBI	150942	TotalGrossUBI
Net Unrelated Business Txbl Income	-58189	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	19245594	ContributionsGrantsPriorYear
Contributions Grants Current Year	22263687	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	524038329	ProgramServiceRevenuePriorYear
Program Service Revenue CY	537023949	ProgramServiceRevenueCY
Investment Income Prior Year	8315179	InvestmentIncomePriorYear
Investment Income Current Year	10609400	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7847097	OtherRevenuePriorYear
Other Revenue Current Year	8803401	OtherRevenueCurrentYear
Total Revenue Prior Year	559446199	TotalRevenuePriorYear
Total Revenue Current Year	578700437	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	495578	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	14355877	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	212227531	SalariesEtcPriorYear
Salaries Etc Current Year	205262259	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	305533639	OtherExpensePriorYear
Other Expenses Current Year	293217191	OtherExpensesCurrentYear
Total Expenses Prior Year	518256748	TotalExpensesPriorYear
Total Expenses Current Year	512835327	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	41189451	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	65865110	RevenuesLessExpensesCY
Total Assets BOY	1153583040	TotalAssetsBOY
Total Assets EOY	1217648841	TotalAssetsEOY
Total Liabilities BOY	403541346	TotalLiabilitiesBOY
Total Liabilities EOY	467244057	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	750041694	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	750404784	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. IS TO PROVIDE A COMPREHENSIVE AND INTEGRATED PEDIATRIC HEALTH CARE MODEL THAT DELIVERS SUPERIOR QUALITY AND VALUE BY OFFERING THE BEST SOLUTION FOR THE TOTAL HEALTH CARE NEEDS OF CHILDREN WITHIN OUR COMMUNITY, STATE AND REGION.AS A PREMIER AND STANDARD-SETTING LEADER IN THE DELIVERY OF PEDIATRIC CLINICAL SERVICE, EDUCATION AND RESEARCH, CHILDREN'S HOSPITAL ADVOCATES FOR CHILDREN AND BRINGS A COMMITMENT TO EXCELLENCE TO OUR PATIENTS AND FAMILIES, MEDICAL STAFF, EMPLOYEES AND COMMUNITIES IN ADDRESSING THE HEALTH AND WELL-BEING OF CHILDREN.OUR MISSION IS OUR CHILDREN (AND IT SPELLS "CARE"):CAREGIVING - OFFERING HIGH QUALITY, COMPREHENSIVE MEDICAL CAREADVOCACY - SPEAKING UP AND PROTECTING CHILDRENRESEARCH - FINDING CURES TO THE ILLNESSES THAT AFFECT CHILDRENEDUCATION - SHARING WHAT WE LEARN AND TEACHING OTHERS TO CARE FOR KIDS	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	416941430	Expense
Grants	882584	Grants
Revenue	537023949	Revenue
Description	INPATIENT SERVICES:CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW" OR "THE HOSPITAL") OPERATES A 296-BED HOSPITAL AT ITS MILWAUKEE CAMPUS, WHICH INCLUDES AN EMERGENCY ROOM OPEN ON A 24/7 BASIS. IT IS A FREESTANDING WISCONSIN HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN AND IS ONE OF THE LEADING CENTERS FOR PEDIATRIC HEALTH CARE IN THE U.S. THE HOSPITAL SERVES CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE, TO CHILDREN FROM WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS AND BEYOND. IN 2011, 23,963 CHILDREN WERE ADMITTED TO THE MILWAUKEE HOSPITAL, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU), A CANCER AND BLOOD DISORDERS CENTER, MEDICAL/SURGICAL UNITS AND A DAY SURGERY SHORT STAY UNIT. THE HOSPITAL ALSO OPERATES A SEPARATELY-LICENSED 42-BED PEDIATRIC HOSPITAL, WHICH INCLUDES A NICU AND A PEDIATRIC MEDICAL/SURGICAL UNIT, LOCATED AT THEDA CLARK MEDICAL CENTER IN NEENAH, WIS., THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AND GREEN BAY AREAS. IN 2011, 1,202 CHILDREN WERE ADMITTED TO THE FOX VALLEY CAMPUS.OUTPATIENT AND AMBULATORY SERVICES:THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS AT MORE THAN 70 SUBSPECIALTY CLINICS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 60,718 VISITS TO THE EMERGENCY DEPARTMENT IN 2011. OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS, AND IN THE FOX VALLEY AND GREEN BAY MARKETS. THE HOSPITAL'S NATIONALLY KNOWN AND RECOGNIZED SPECIALTY PROGRAMS INCLUDE THOSE FOR TREATING CHILDREN WITH AIRWAY, DIGESTIVE AND VOICE CONDITIONS; BURNS; CANCER AND BLOOD DISORDERS; CONGENITAL AND ACQUIRED HEART DEFECTS AND DISEASES; CRANIOFACIAL DISORDERS; DERMATOLOGY, BIRTHMARKS AND VASCULAR ANOMALIES; DIABETES; GASTROINTESTINAL PROBLEMS; GENETIC DISORDERS; HIV; NEUROLOGICAL DISORDERS; ORTHOPEDIC CONDITIONS (INCLUDING SPINE, SPORTS MEDICINE, CONCUSSION); IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; SOLID ORGAN TRANSPLANTATION; SPEECH AND HEARING DISORDERS; AND SPASTICITY AND OTHER TONE AND MOBILITY CONDITIONS. THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT CLINICS IN CENTRAL CITY MILWAUKEE NEIGHBORHOODS. THE HOSPITAL ALSO OFFERS CASE MANAGEMENT SERVICES AND A FULL RANGE OF MEDICAL, PSYCHOLOGICAL, NURSING AND SOCIAL SERVICES FOR CHILDREN WITH DEVELOPMENTAL, BEHAVIORAL AND LEARNING PROBLEMS. IN 2011, THERE WERE A TOTAL OF 325,806 OUTPATIENT VISITS.RESEARCH, EDUCATION AND COMMUNITY OUTREACH:THE HOSPITAL IS INVOLVED IN EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS.RESEARCH: THE HOSPITAL AND CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH, EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; ORGAN TRANSPLANTATION; BIRTH DEFECTS AND FETAL ANOMALIES; IMMUNOLOGICAL CONDITIONS, BLOOD DISORDERS AND VARIOUS CHILDHOOD CANCERS; AND ENVIRONMENTAL HEALTH CONDITIONS. ADDITIONAL RESEARCH IS CONDUCTED IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS. NURSING RESEARCH INCLUDES STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS.EDUCATION: THE HOSPITAL IS A MAJOR TEACHING AFFILIATE OF THE MEDICAL COLLEGE OF WISCONSIN, WITH THIRD- AND FOURTH-YEAR MEDICAL STUDENTS ROTATING THROUGH THE HOSPITAL FOR REQUIRED AND ELECTIVE ROTATIONS. THE HOSPITAL ALSO MAINTAINS A THREE-YEAR PEDIATRIC RESIDENCY PROGRAM, A TWO-YEAR DENTAL TRAINING PROGRAM AND ACADEMIC FELLOWSHIP PROGRAMS IN AN ARRAY OF SPECIALTIES. THE HOSPITAL HAS RELATIONSHIPS WITH MORE THAN TWO DOZEN UNIVERSITIES FOR THE CLINICAL EDUCATION OF PEDIATRIC NURSES AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION AND VARIOUS OTHER DISCIPLINES. THE HOSPITAL'S PEDIATRIC SPECIALISTS ALSO PROVIDE EDUCATION AND TRAINING TO HEALTH CARE PROFESSIONALS AT COMMUNITY HOSPITALS, PRIMARY CARE CLINICS AND SCHOOLS THROUGHOUT WISCONSIN IN CONNECTION WITH THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH AND WELFARE CONDITIONS. COMMUNITY OUTREACH: THE HOSPITAL OFFERS A WIDE VARIETY OF COMMUNITY EDUCATION, OUTREACH AND CHILD HEALTH ADVOCACY PROGRAMS. THROUGH COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS CHILD HEALTH, INJURY PREVENTION, PARENTING, MANAGEMENT OF CHRONIC DISEASES, AND PREVENTIVE HEALTH, THE HOSPITAL REACHES OUT TO THOUSANDS OF FAMILIES. ALONG WITH THE MEDICAL COLLEGE, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF UNDERSERVED CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED CHILDREN. THE HOSPITAL PARTICIPATES IN AND STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THROUGH WHICH PROVIDERS AROUND THE STATE WORK COLLABORATIVELY TO RAISE AWARENESS OF CHILDREN'S HEALTH ISSUES, INCREASE ACCESS TO PEDIATRIC CARE, AND PROMOTE BEST PRACTICES. OTHER COMMUNITY OUTREACH AND ADVOCACY INITIATIVES INCLUDE, FOR EXAMPLE, CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH).	Description
Total Program Service Expense	416941430	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	626	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	3653	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MR JASON PELSIS	NamePerson
Telephone Number	4142665997	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	9000 W WISCONSIN AVE	AddressLine1
City	MILWAUKEE	City
State	WI	State
ZIP Code	53201	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
WILLIAM J ABRAHAM JR
DIRECTOR	1.00	X	0	0	0
MICHAEL W ALTSCHAEFL
DIRECTOR	1.00	X	0	0	0
THOMAS M BOLGER
DIRECTOR	1.00	X	0	0	0
ELIZABETH BRENNER
DIRECTOR	1.00	X	0	0	0
CURT S CULVER
DIRECTOR	1.00	X	0	0	0
DAVID J DRURY
DIRECTOR/CHAIR	1.00	X	0	0	0	X
DAVID H GILBERT
DIRECTOR	1.00	X	0	0	0
SUSAN HERMA
DIRECTOR	1.00	X	0	0	0
MARK R HOGAN
DIRECTOR	1.00	X	0	0	0
PAUL W JONES
DIRECTOR	1.00	X	0	0	0
JOSEPH KERSCHNER MD
DIRECTOR	1.00	X	0	0	0
KEVIN MANSELL
DIRECTOR	1.00	X	0	0	0
C DAVID MYERS
DIRECTOR	1.00	X	0	0	0
ALBERT S ORR III
DIRECTOR	1.00	X	0	0	0
MICHAEL T PEPKE
DIRECTOR	1.00	X	0	0	0
J JOEL QUADRACCI
DIRECTOR	1.00	X	0	0	0
LARRY A RAMBO
DIRECTOR	1.00	X	0	0	0
JAY O ROTHMAN
DIRECTOR	1.00	X	0	0	0
JOHN E SCHLIFSKE
DIRECTOR	1.00	X	0	0	0
JOHN S SHIELY
DIRECTOR	1.00	X	0	0	0
PETER M SOMMERHAUSER
DIRECTOR/VICE CHAIR	1.00	X	0	0	0	X
OWEN J SULLIVAN
DIRECTOR	1.00	X	0	0	0
TIMOTHY W SULLIVAN
DIRECTOR	1.00	X	0	0	0
PAUL SWEENEY
DIRECTOR	1.00	X	0	0	0
MARK C WITT
DIRECTOR	1.00	X	0	0	0
MARGARET TROY
DIRECTOR/CHHS PRESIDENT	40.00	X	0	1179464	273322	X
TIMOTHY L BIRKENSTOCK
TREASURER (JAN - MAR 2011)	40.00		0	758474	35788	X
MARC CADIEUX
INTERIM TREASURER (APR - DEC 2011)	40.00		0	249193	22555	X
CINTHIA S CHRISTENSEN
PRESIDENT	40.00		657222	0	86773	X
LEE ANNE EDDY
VP AMBULATORY & DIAGNOSTIC SERVICES	40.00		238468	0	5064	X
MICHAEL GUTZEIT MD
VP CHIEF MEDICAL OFFICER	40.00		495334	0	77463	X
BARBARA JOERS
VP SURGICAL SERVICES	40.00		225609	0	26848	X
JULIET KERSTEN
VP AMBULATORY & REGIONAL SERVICES	40.00		170402	60533	40442	X
NANCY KOROM
VP PATIENT CARE SERVICES	40.00		401490	0	71110	X
SHEILA REYNOLDS
SECRETARY	40.00		0	386500	71192	X
MARK SHIP
VP ACCESS & REFERRAL SERVICES	40.00		291787	0	33857	X
DONNA JAMIESON
EXECUTIVE DIRECTOR OF PATIENT CARE	40.00		171010	0	42773		X
TOM LAUSTEN
DIRECTOR OF PHARMACY SERVICES	40.00		159097	0	35201		X
LORI BARBEAU DDS
MEDICAL DIRECTOR DENTAL PROGRAM	40.00		260987	0	42867			X
ANDREW SCHMITT MD
HOSPITALIST	40.00		243629	0	31034			X
SHANE FISHER DDS
PEDIATRIC DENTIST	40.00		226064	0	15773			X
THOMAS NICHOLS MD
MEDICAL DIRECTOR/HOSPITALIST	40.00		213821	0	35026			X
A CHARLES POST DDS
PROGRAM ADMIN DENTAL RESIDENCY	40.00		204950	0	31085			X
RAMESH SACHDEVA MD
CHHS VP/FORMER CHW VP	40.00		0	405469	67050				X
JON E VICE
FORMER DIRECTOR/PRESIDENT	0.00		0	261357	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3959870	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3300990	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1045223	TotalOtherCompensation
Number Individuals GT100 K	115	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MEDICAL COLLEGE OF WISCONSIN INC
8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	HEALTHCARE PROF/ ACAD/ADMIN	24910796
MEDICAL COLLEGE OF WI AFFILATED
8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	RESIDENT SERVICES	10201534
BLOOD CENTER OF SE WISCONSIN INC
638 N 18TH ST	MILWAUKEE	WI	532332121	BLOOD PRODUCTS/LAB SERVICES	9884210
THEDA CARE INC
122 E COLLEGE AVE	APPLETON	WI	549128025	ANCILLARY HEALTH SERVICES	4150310
MIL REG MED CTR - FLIGHT FOR LIFE MILW
2661 AVIATION RD	WAUKESHA	WI	53188	AIR TRANSPORT SRVCS	1935530

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	4826255	RelatedOrganizations
Government Grants	16188715	GovernmentGrants
All Other Contributions	1248717	AllOtherContributions
Total Contributions	22263687	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
NET PATIENT SVC REV	621990	529589121	529589121
RENTAL INCOME	531120	5310772	1068352	$4,242,420
SHARED SERVICES	541900	2124056	2124056

Field	Value	IRS element (for citing)
Total Program Service Revenue	537023949	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10301984	TotalRevenueColumn
Exclusion	$10,301,984	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	114844187	Securities
Other	65730	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	113621271	Securities
Other	981230	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1222916	Securities
Other	-915500	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	307416	TotalRevenueColumn
Exclusion	$307,416	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722210	2496478	$2,496,478
REBATES AND DISCOUNTS	900099	1414198		1414198
PHARMACY SALES TO EMPL	446110	1398172	$1,398,172

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3494553	TotalRevenueColumn
Related Or Exempt Function Income	2692651	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	150942	UnrelatedBusinessRevenue
Exclusion	$650,960	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	8803401	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	578700437	TotalRevenueColumn
Related Or Exempt Function Income	536888378	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	150942	UnrelatedBusinessRevenue
Exclusion	$19,397,430	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	14355877	Total
Program Services	14355877	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4527406	Total
Management And General	4527406	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	153228960	Total
Program Services	129949600	ProgramServices
Management And General	23279360	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7226772	Total
Program Services	6132253	ProgramServices
Management And General	1094519	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	28508460	Total
Program Services	23837300	ProgramServices
Management And General	4671160	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11770661	Total
Program Services	9810768	ProgramServices
Management And General	1959893	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	54733631	Total
Program Services	968186	ProgramServices
Management And General	53765445	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	419159	Total
Management And General	419159	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26422010	Total
Program Services	26422010	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	28538	Total
Program Services	28538	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4057138	Total
Program Services	2385724	ProgramServices
Management And General	1671414	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	844961	Total
Program Services	844961	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19427084	Total
Program Services	18793772	ProgramServices
Management And General	633312	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	608367	Total
Program Services	286649	ProgramServices
Management And General	321718	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	162676	Total
Program Services	43011	ProgramServices
Management And General	119665	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14545935	Total
Program Services	14545935	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36760011	Total
Program Services	36760011	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1509282	Total
Program Services	26071	ProgramServices
Management And General	1483211	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	55978187	55978187
PURCHASED SERVICES	35528953	35499652	29301
HOSPITAL ASSESSMENT TAX	13289760	13289760
RESIDENT STIPENDS AND B	10029413	10029413

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18872086	Total
Program Services	16953752	ProgramServices
Management And General	1918334	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	512835327	Total
Program Services	416941430	ProgramServices
Management And General	95893897	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14715003	BOY
EOY	25844365	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2635976	BOY
EOY	2723265	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	58844806	BOY
EOY	72520526	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	555000	BOY
EOY	542960	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3260083	BOY
EOY	3821990	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5344745	BOY
EOY	5146262	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	657874552	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	241016945	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	404839535	BOY
EOY	416857607	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	281227397	BOY
EOY	302582557	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	382160495	BOY
EOY	387609309	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1153583040	BOY
EOY	1217648841	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	59647371	BOY
EOY	68674395	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	765066	BOY
EOY	749791	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	276090977	BOY
EOY	272942555	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	67037932	BOY
EOY	124877316	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	403541346	BOY
EOY	467244057	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	603323347	BOY
EOY	603203769	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	32280031	BOY
EOY	31037095	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	114438316	BOY
EOY	116163920	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	750041694	BOY
EOY	750404784	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1153583040	BOY
EOY	1217648841	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	65865110	ReconcilationRevenueExpenses
Reconcilation Other Changes	-65502020	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Beginning Balance	217661	BeginningBalance
Additions During Year	267988	AdditionsDuringYear
Distributions During Year	121412	DistributionsDuringYear
Ending Balance	364237	EndingBalance
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	319718349	BeginningOfYearBalance
Contributions	8809809	Contributions
Investment Earnings Or Losses	501862	InvestmentEarningsOrLosses
Grants Or Scholarships	7914215	GrantsOrScholarships
Administrative Expenses	914790	AdministrativeExpenses
End Of Year Balance	320201015	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	301025999	BeginningOfYearBalance
Contributions	13508585	Contributions
Investment Earnings Or Losses	13344633	InvestmentEarningsOrLosses
Grants Or Scholarships	7310168	GrantsOrScholarships
Administrative Expenses	850700	AdministrativeExpenses
End Of Year Balance	319718349	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	246110966	BeginningOfYearBalance
Contributions	12400322	Contributions
Investment Earnings Or Losses	48806039	InvestmentEarningsOrLosses
Grants Or Scholarships	6291328	GrantsOrScholarships
End Of Year Balance	301025999	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	294258148	BeginningOfYearBalance
Contributions	20363545	Contributions
Investment Earnings Or Losses	-54457713	InvestmentEarningsOrLosses
Grants Or Scholarships	14053014	GrantsOrScholarships
End Of Year Balance	246110966	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.54000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.36300	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.09700	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	471951286	OtherCostOrOtherBasis
Depreciation	161134877	Depreciation
Book Value	310816409	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7414508	OtherCostOrOtherBasis
Depreciation	3270504	Depreciation
Book Value	4144004	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	145829694	OtherCostOrOtherBasis
Depreciation	75072587	Depreciation
Book Value	70757107	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32679064	OtherCostOrOtherBasis
Depreciation	1538977	Depreciation
Book Value	31140087	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	416857607	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	31588422
BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSP & HEALTH SYSTEM FOUND.	355546772
457 PLAN ASSETS	474115

Field	Value	IRS element (for citing)
Total Book Value Other Assets	387609309	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS	$3,668,534
CAPITAL AND OTHER LEASE OBLIGATIONS	$2,263,285
FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS	$39,923,558
457 PLAN LIABILITY	$474,115
ACCRUED PENSION	$76,608,101
ESTIMATED THIRD PARTY PAYER SETTLEMENTS	$1,939,723

Field	Value	IRS element (for citing)
Total Of Amounts	124877316	TotalOfAmounts
Total Revenue	578700437	TotalRevenue
Total Expenses	512835327	TotalExpenses
Excess Or Deficit For Year	65865110	ExcessOrDeficitForYear
Net Unrealized GL On Investments	7258155	NetUnrealizedGLOnInvestments
Other	-$72,760,175	OtherAmount
Total Adjustments	-65502020	TotalAdjustments
Excess Or Deficit Per FS	363090	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	556030174	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	7258155	NetUnrealizedGainsInvestments
Other Revenues	-27106301	OtherRevenues
Revenue Not Rptd F990	-19848146	RevenueNotRptdF990
Revenue Subtotal	575878320	RevenueSubtotal
Other Revenues Not Included	2822117	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2822117	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	578700437	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	493735418	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	493735418	ExpensesSubtotal
Other Expenses Not Included	19099909	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	19099909	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	512835327	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 1B:	CERTAIN EMPLOYEES OF THE ORGANIZATION HAVE SIGNING AUTHORITY FOR THE CHILDREN'S HOSPITAL OF WISCONSIN MEDICAL STAFF FUNDS MONEY MARKET AND CHECKING ACCOUNT. AN EMPLOYEE OF THE ORGANIZATION ALSO PROVIDES ALL MONTHLY ACCOUNTING FUNCTIONS.
PART V, LINE 4:	CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, CAPITAL PROJECTS AND RESEARCH.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:	THE HOSPITAL (CHILDREN'S HOSPITAL OF WISCONSIN, INC.) EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITONS RECORDED IN 2011 OR 2010.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -21,479,685. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL FOUNDATION 731,458. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -52,011,948. TOTAL TO SCHEDULE D, PART XI, LINE 8: -72,760,175.	PART XI, LINE 8 - OTHER ADJUSTMENTS:
	PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -21,479,685 NET INTEREST COST - FIXED PAYER INTEREST RATE SWAPS -5,200,072 INVESTMENT FEES -419,159 TAX EXPENSE -7,385 TOTAL PART XII, LINE 2D -27,106,301 PART XII, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS-CAPITAL ACQUISITIONS 2,822,117
	PART XIII, LINE 4B - OTHER ADJUSTMENTS: PAYMENTS TO AFFILIATES 13,473,293 NET INTEREST COST - FIXED PAYER INTEREST RATE SWAPS 5,200,072 INVESTMENT FEES 419,159 TAX EXPENSE 7,385 TOTAL PART XIII, LINE 4B 19,099,909

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	878055	TotalCommunityBenefitExpense
Net Community Benefit Expense	878055	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	205643325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	171232324	DirectOffsettingRevenue
Net Community Benefit Expense	34411001	NetCommunityBenefitExpense
Percent Of Total Expense	0.06760	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	206521380	TotalCommunityBenefitExpense
Direct Offsetting Revenue	171232324	DirectOffsettingRevenue
Net Community Benefit Expense	35289056	NetCommunityBenefitExpense
Percent Of Total Expense	0.06930	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4841082	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12355	DirectOffsettingRevenue
Net Community Benefit Expense	4828727	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32453250	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6782679	DirectOffsettingRevenue
Net Community Benefit Expense	25670571	NetCommunityBenefitExpense
Percent Of Total Expense	0.05040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7204216	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3152471	DirectOffsettingRevenue
Net Community Benefit Expense	4051745	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7026719	TotalCommunityBenefitExpense
Net Community Benefit Expense	7026719	NetCommunityBenefitExpense
Percent Of Total Expense	0.01380	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1958782	TotalCommunityBenefitExpense
Net Community Benefit Expense	1958782	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53484049	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9947505	DirectOffsettingRevenue
Net Community Benefit Expense	43536544	NetCommunityBenefitExpense
Percent Of Total Expense	0.08550	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	260005429	TotalCommunityBenefitExpense
Direct Offsetting Revenue	181179829	DirectOffsettingRevenue
Net Community Benefit Expense	78825600	NetCommunityBenefitExpense
Percent Of Total Expense	0.15480	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	500	TotalCommunityBuildingExpense
Net Community Building Expense	500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	440083	TotalCommunityBuildingExpense
Net Community Building Expense	440083	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	200	TotalCommunityBuildingExpense
Net Community Building Expense	200	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	458	TotalCommunityBuildingExpense
Net Community Building Expense	458	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1129929	TotalCommunityBuildingExpense
Direct Offsetting Revenue	48224	DirectOffsettingRevenue
Net Community Building Expense	1081705	NetCommunityBuildingExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	3210	TotalCommunityBuildingExpense
Net Community Building Expense	3210	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	37747	TotalCommunityBuildingExpense
Net Community Building Expense	37747	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	8250	TotalCommunityBuildingExpense
Net Community Building Expense	8250	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1620377	TotalCommunityBuildingExpense
Direct Offsetting Revenue	48224	DirectOffsettingRevenue
Net Community Building Expense	1572153	NetCommunityBuildingExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$3,989,958	BadDebtExpenseAmount
Amount Attributable To	40000	AmountAttributableTo
Amount Reimbursed By Medicare	1229102	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2287856	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1058754	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
CHILDREN'S HOSPITAL OF WISCONSIN INC
1	9000 W WISCONSIN AVE	MILWAUKEE	WI	53201	X	X	X	X	X	X
CHILDREN'S HOSPITAL OF WI-FOX VALLEY
2	130 S 2ND STREET	NEENAH	WI	54956	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
CHILDREN'S HOSPITAL OF WISCONSIN INC
1	1	1	200.000000000000	1	350.000000000000	1	X	X	X	1	1	X	1	0	1	X	0	0
CHILDREN'S HOSPITAL OF WI-FOX VALLEY
2	1	1	200.000000000000	1	350.000000000000	1	X	X	X	1	1	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CHILDREN'S HOSPITAL OF WISCONSIN
1020 N 12TH ST 5TH FLOOR	MILWAUKEE	WI	53233	MENTAL HEALTH OUTPATIENT CLINIC
CHW FOX VALLEY BEHAVIORAL HEALTH
1820 N APPLETON RD	MENASHA	WI	54952	PATIENT CARE SERVICES
CHILD ADVOCACY CENTER - FOX VALLEY
325 N COMMERCIAL ST SUITE 400	NEENAH	WI	54956	PATIENT CARE SERVICES
CHILD ADVOCACY CENTER - RACINE
2405 NORTHWESTERN AVE SUITE 2058	RACINE	WI	53404	PATIENT CARE SERVICES
CHILD ADVOCACY CENTER - WAUKESHA
101 W BROADWAY 2ND FLOOR	WAUKESHA	WI	53186	PATIENT CARE SERVICES
DOWNTOWN HEALTH CENTER
1020 N 12TH ST	MILWAUKEE	WI	53233	URBAN HEALTH CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("THE HOSPITAL") USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE HOSPITAL IS DEDICATED TO ENSURING THAT PATIENTS RECEIVE ALL MEDICALLY NECESSARY CARE. IN FURTHERANCE OF THAT OBJECTIVE, THE HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY ("FAP"), PURSUANT TO WHICH THE HOSPITAL PROVIDES DISCOUNTED OR FREE CARE TO PATIENTS WHO ARE UNINSURED OR OTHERWISE UNABLE TO PAY ALL OR A PORTION OF THEIR BILLED CHARGES. THE POLICY GENERALLY PROVIDES THAT ELIGIBILITY IS DETERMINED BASED ON HOUSEHOLD INCOME, FAMILY SIZE AND AVAILABLE ASSETS, AND SPECIFICALLY INCORPORATES CRITERIA SET FORTH UNDER THE WISCONSIN MEDICAID PROGRAM AND THE FEDERAL POVERTY GUIDELINES.
PART I, LINE 6A: CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE SOLE CORPORATE MEMBER OF THE HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST.
PART I, LINE 7: THE HOSPITAL USED A COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A AND 7B FOR CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. FOR LINES 7E, 7F, 7G, 7H, AND 7I, THE HOSPITAL USED COSTS TAKEN FROM ITS ACCOUNTING SYSTEM. FOR LINE 7G, THE COSTS FROM THE ACCOUNTING SYSTEM WERE ADJUSTED FOR MEDICAID, MEDICARE, AND CHARITY CARE PATIENTS, AS THE COST RELATED TO THESE PATIENTS WAS TAKEN INTO ACCOUNT IN LINES 7A AND 7B. THE WISCONSIN MEDICAID PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED OR UNDERINSURED. HOSPITAL REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND THE AVAILABILITY OF STATE AID AND TO ASSIST THEM IN BECOMING ENROLLED IN THE PROGRAM THAT PROVIDES THE PATIENT WITH THE GREATEST BENEFIT. FOR THAT REASON, THE AMOUNT OF TRUE "CHARITY CARE" RENDERED BY THE HOSPITAL IS CONSIDERABLY SMALLER THAN LEVELS EXPERIENCED BY COMMUNITY HOSPITALS OR OTHER FACILITIES SERVING THE ADULT POPULATION.PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE OF $3,989,959 IS INCLUDED IN TOTAL EXPENSES IN PART IX, LINE 25, COLUMN (A), BUT EXCLUDED IN THE CALCULATION OF "PERCENT OF TOTAL EXPENSES" REPORTED IN COLUMN (F).
PART I, LINE 7G: THE HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $650,721 PAID TO CHILDREN'S MEDICAL GROUP, INC. ("CMG"), WHICH IS A SECTION 501(C)(3) ORGANIZATION AND AN AFFILIATE OF THE HOSPITAL THAT PROVIDES PRIMARY CARE PHYSICIAN SERVICES IN SOUTHEASTERN WISCONSIN. THE PAYMENTS WERE MADE TO SUBSIDIZE THE NEXT DOOR PEDIATRIC CLINIC AND OTHER CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED.
PART II: THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS FOR CHILDREN, SUCH AS POVERTY AND ENVIRONMENTAL ISSUES. THESE COMMUNITY-BUILDING ACTIVITIES INCLUDE STAFF PARTICIPATION ON COMMUNITY BOARDS, COALITIONS AND/OR COMMITTEES WHICH ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. THE HOSPITAL PROVIDES SUPPORT TO MANY PROGRAMS THAT HELP COMMUNITY MEMBERS KEEP THEIR CHILDREN AND FAMILIES HEALTHY. EXAMPLES INCLUDE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THE SOUTHEAST AND NORTHEAST REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, AND A FREE GUARDIANSHIP CLINIC. THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO CHHS TO SUPPORT THE SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION.THE HOSPITAL STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A STATEWIDE COALITION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE IS GUIDED BY A STATEWIDE 28 MEMBER ADVISORY BOARD AND PARTNERS WITH HUNDREDS OF ORGANIZATIONS AND INDIVIDUALS TO RAISE AWARENESS OF CHILD HEALTH CONCERNS, MOBILIZE LEADERS, IMPACT PUBLIC HEALTH, AND IMPLEMENT PROGRAMS PROVEN TO WORK. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A WISCONSIN DEPARTMENT OF HEALTH SERVICES MATERNAL CHILD HEALTH GRANT, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER PUBLIC AND PRIVATE FUNDING. THE ALLIANCE IS FINANCIALLY SUPPORTED BY THE HOSPITAL THROUGH STAFF AND OTHER RESOURCES TO CARRY ON THE ALLIANCE'S PROGRAMS. THE ALLIANCE'S KEY INITIATIVES ARE: ASTHMA, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, LEAD POISONING, ORAL HEALTH COALITION, AND REACH OUT AND READ. THE ALLIANCE LEADS AND MANAGES THE INFANT DEATH CENTER, THE REACH OUT AND READ WISCONSIN COALITION, THE WISCONSIN ASTHMA COALITION, AND THE WISCONSIN ORAL HEALTH COALITION. THE HOSPITAL ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS PROGRAM. IT IS ONE OF FIVE REGIONAL CENTERS DEDICATED TO SUPPORTING FAMILIES WITH CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS AND THE PROVIDERS WHO CARE FOR THEM. IT IS FUNDED THROUGH A TITLE 5 MATERNAL AND CHILD HEALTH BLOCK GRANT, EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDING STAFF AND OTHER PROGRAM EXPENSES, AND CHARITABLE DONATIONS. FAMILIES AND PROVIDERS CAN CALL THE CENTER FOR INFORMATION, REFERRAL AND PROBLEM-SOLVING RELATED TO COMMUNITY AND STATE SERVICES, HEALTH BENEFITS ASSISTANCE, TRANSITION PLANNING, AND EMOTIONAL SUPPORT. EACH YEAR THE STAFF OFFERS TRAINING SUCH AS "CARE IN THE COMMUNITY" AS WELL AS OTHER SESSIONS ON YOUTH TRANSITIONS. STAFF ALSO PARTICIPATE IN NUMEROUS COMMUNITY INITIATIVES AND PARTNER WITH AREA PEDIATRICIANS AND OTHER HEALTH CARE PROVIDERS TO INCORPORATE EARLY IDENTIFICATION AND SCREENING METHODS INTO THEIR PRACTICES. IN 2011, STAFF PARTICIPATED ON 17 DIFFERENT COMMUNITY COMMITTEES, WHICH INCLUDE WISCONSIN EARLY CHILDHOOD COLLABORATING PARTNERS, MILWAUKEE COUNTY COMMISSION FOR PERSONS WITH DISABILITIES, PATIENT AT RISK, THE ABC FOR HEALTH COUNCIL, AND MORE. THE SOUTHEAST CENTER SERVES EIGHT COUNTIES. IN THE FOX VALLEY, THE HOSPITAL ALSO SUPPORTS THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, WHICH PROVIDES SIMILAR SERVICES TO THE SOUTHEAST CENTER DESCRIBED ABOVE WITH A FOCUS ON COUNTIES IN WISCONSIN'S FOX VALLEY. THE DANIEL M. SOREF FAMILY RESOURCE CENTER LOCATED ON THE FIRST FLOOR OF THE HOSPITAL'S MILWAUKEE CAMPUS OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO HOSPITAL AND COMMUNITY RESOURCES. THE CENTER OFFERS SPIRITUAL CARE, THE KATIE BECKETT PROGRAM, PATIENT RELATIONS, INTERPRETERS, FAMILY ACCOMMODATIONS AND THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THE CENTER HAS FAMILY COMPUTERS, A CONSULT ROOM, FAMILY BUSINESS CENTER AND OTHER RESOURCES FOR FAMILIES. FAMILIES CAN ALSO CHECK OUT ENTERTAINMENT DVDS, VIDEO GAMES, AS WELL AS LAPTOPS FOR INPATIENT USE. STAFF MEMBERS ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. THE CENTER ALSO HAS A LENDING LIBRARY WITH BOOKS, VIDEOS AND ARTICLES ON A VARIETY OF HEALTH CONDITIONS AND TOPICS.THE HOSPITAL ALSO OPERATES A FREE GUARDIANSHIP CLINIC, WHICH PROVIDES PARENTS IN NEED WITH PRO BONO LEGAL SERVICES TO SECURE GUARDIANSHIP WHEN THEIR SPECIAL NEEDS CHILD TURNS 18.THE HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE HOSPITAL'S MAIN CAMPUS. ADDITIONALLY, IN 2011, THE HOSPITAL PARTNERED WITH EASTER SEALS TO BEGIN PROJECT SEARCH, WHICH IS AN INNOVATIVE WORKFORCE AND CAREER DEVELOPMENT MODEL FOR YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THROUGH PROJECT SEARCH, YOUNG ADULTS WITH DISABILITIES WILL RECEIVE INTERNSHIPS WITHIN THE HOSPITAL TO GAIN ON-THE-JOB TRAINING AND OTHER CAREER DEVELOPMENT SKILLS TO SECURE COMPETITIVE EMPLOYMENT. IN THE FOX VALLEY, THE HOSPITAL AND THEDA CLARK MEDICAL CENTER PARTNER WITH ROOSEVELT ELEMENTARY SCHOOL TO PROMOTE HEALTHY HABITS AND CIVIC RESPONSIBILITY TO STUDENTS.THE HOSPITAL'S PARENT ORGANIZATION, CHHS, ALSO PERFORMS COMMUNITY BUILDING ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WHICH ARE FURTHER DISCUSSED IN SCHEDULE H PART VI, LINE 6.
PART III, LINE 4: THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS THE HOSPITAL'S ACTUAL BAD DEBT EXPENSE INCLUDED ON THE FINANCIAL STATEMENTS, AND IS THE SUM OF ALL OF THE UNCOLLECTED PATIENT ACCOUNT BALANCES SENT TO THIRD PARTY COLLECTIONS, REDUCED BY ACTUAL COLLECTIONS, REDUCED BY ANY ACCOUNTS RETURNED TO THE HOSPITAL BY THE THIRD PARTY COLLECTION AGENCY, AND INCREASED BY AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS WHEN APPLICABLE. THE AMOUNT DOES NOT INCLUDE DISCOUNTS PROVIDED UNDER THE HOSPITAL'S FAP, INCLUDING DISCOUNTS PROVIDED TO SELF-PAY ACCOUNTS, WHICH ARE REPORTED AS A REDUCTION OF PATIENT REVENUE. THE AMOUNT REPORTED IN PART III, SECTION A, LINE 3 IS AN ESTIMATE BASED ON THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY ANALYZING PAST ACTIVITY FOR ACCOUNTS CLASSIFIED AS BAD DEBT THAT SUBSEQUENTLY QUALIFIED FOR CHARITY CARE WHEN ADDITIONAL ELIGIBILITY INFORMATION WAS RECEIVED. THE HOSPITAL DID NOT INCLUDE BAD DEBT EXPENSE AS A COMMUNITY BENEFIT IN PART III, LINE 7 OR IN THE CALCULATION OF COMMUNITY BENEFIT EXPENSES, WHERE APPLICABLE.
PART III, LINE 8: THE HOSPITAL USED ITS FILED MEDICARE COST REPORT TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED ON PART III, SECTION B. AS A CHILDREN'S HOSPITAL, THE HOSPITAL HAS A SMALL POPULATION OF MEDICARE PATIENTS AND IS PAID SUBSTANTIALLY LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER THE COST TO PROVIDE THESE MEDICALLY NECESSARY SERVICES TO THIS POPULATION.
PART III, LINE 9B: UNDER THE HOSPITAL'S POLICIES AND PROCEDURES, THE HOSPITAL UNDERTAKES EXTENSIVE MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, THE HOSPITAL AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE MEDICAID PROGRAM. IN CASES WHERE MEDICAID COVERAGE IS NOT AVAILABLE, THE HOSPITAL SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, HOSPITAL PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES; SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNTS DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS CANNOT BE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION; IN SUCH CASES, THE HOSPITAL FOLLOWS AN ESTABLISHED MULTI-STEP PROCESS IN AN EFFORT TO REACH THE FAMILY AND PROVIDE THEM WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE PROGRAM. ACCOUNTS ARE SENT TO COLLECTIONS (AN AFFILIATED ORGANIZATION WITH SUBSTANTIAL EXPERIENCE IN COLLECTION OF PATIENT ACCOUNTS) ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN WITHOUT SUCCESS.
PART V, SECTION B, LINE 10: ALTHOUGH THE HOSPITAL'S FAP LIMITS ELIGIBILITY AT 350 PERCENT OF THE FPG, THE HOSPITAL MAY PROVIDE FINANCIAL ASSISTANCE FOR FAMILIES ABOVE 350 PERCENT OF THE FPG SINCE THE HOSPITAL MAKES ADDITIONAL CONSIDERATIONS FOR THE MEDICALLY INDIGENT.	CHILDREN'S HOSPITAL OF WISCONSIN, INC.
PART V, SECTION B, LINE 10: ALTHOUGH THE HOSPITAL'S FAP LIMITS ELIGIBILITY AT 350 PERCENT OF THE FPG, THE HOSPITAL MAY PROVIDE FINANCIAL ASSISTANCE FOR FAMILIES ABOVE 350 PERCENT OF THE FPG SINCE THE HOSPITAL MAKES ADDITIONAL CONSIDERATIONS FOR THE MEDICALLY INDIGENT.	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
PART V, SECTION B, LINE 13G: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE INFORMED OF THE FAP UPON ADMISSION. HOWEVER, THE FULL WRITTEN POLICY WAS NOT POSTED OR PROVIDED ON ADMISSION OR IN BILLING INVOICES.	CHILDREN'S HOSPITAL OF WISCONSIN, INC.
PART V, SECTION B, LINE 13G: THE HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE CHILDREN'S FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE INFORMED OF THE FAP UPON ADMISSION. HOWEVER, THE FULL WRITTEN POLICY WAS NOT POSTED OR PROVIDED ON ADMISSION OR IN BILLING INVOICES.	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT THAT THE HOSPITAL CHARGES TO FAP-ELIGIBLE INDIVIDUALS WHO APPLY FOR FINANCIAL ASSISTANCE IS 75% OF THE HOSPITAL'S GROSS CHARGE. PATIENTS WITH FAMILY INCOME EQUAL TO 200 PERCENT OF THE FPG AND BELOW WILL RECEIVE FREE CARE WHEN THEY APPLY FOR FINANCIAL ASSISTANCE, AND A SLIDING SCALE IS USED WHEN FAMILY INCOME IS BETWEEN 200 AND 350 PERCENT OF THE FPG. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USED THE OVERALL AVERAGE DISCOUNT GIVEN TO COMMERCIAL PAYERS.	CHILDREN'S HOSPITAL OF WISCONSIN, INC.
PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT THAT THE HOSPITAL CHARGES TO FAP-ELIGIBLE INDIVIDUALS WHO APPLY FOR FINANCIAL ASSISTANCE IS 75% OF THE HOSPITAL'S GROSS CHARGE. PATIENTS WITH FAMILY INCOME EQUAL TO 200 PERCENT OF THE FPG AND BELOW WILL RECEIVE FREE CARE WHEN THEY APPLY FOR FINANCIAL ASSISTANCE, AND A SLIDING SCALE IS USED WHEN FAMILY INCOME IS BETWEEN 200 AND 350 PERCENT OF THE FPG. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL USED THE OVERALL AVERAGE DISCOUNT GIVEN TO COMMERCIAL PAYERS.	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
PART VI, LINE 2: THE HOSPITAL, IN COLLABORATION WITH A TEAM OF HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, LOCAL HEALTH DEPARTMENTS, COMMUNITY STAKEHOLDERS AND OTHER HEALTH PROFESSIONALS, HAS DEVELOPED A COMMUNITY NEEDS ASSESSMENT SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, THE HOSPITAL USES SECONDARY DATA SUCH AS THE WISCONSIN FAMILY HEALTH SURVEY, COUNTY HEALTH RANKING REPORT AND THE WISCONSIN HEALTHIEST PEOPLE 2020 TO ASSESS THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3: AS INDICATED ABOVE, THE HOSPITAL WORKS CLOSELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AND ENROLL IN MEDICAL ASSISTANCE PROGRAMS AVAILABLE THROUGH THE STATE OF WISCONSIN, AND WHERE APPROPRIATE, FEDERAL PROGRAMS. WHERE SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER THE HOSPITAL'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON THE HOSPITAL'S WEBSITE AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND THE HOSPITAL'S TRAINED FINANCIAL SERVICES COUNSELORS AND SOCIAL WORKERS. THE HOSPITAL MAKES EXTENSIVE EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED.
PART VI, LINE 4: THE HOSPITAL PROVIDES CARE TO CHILDREN FROM URBAN, RURAL, AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, ETHNICITY, INCOME, DISABILITY, OR COUNTRY OF ORIGIN. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEASTERN WISCONSIN, BUT TREATS PATIENTS FROM THE ENTIRE STATE OF WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS, AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF THE HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2011 APPROXIMATELY 47 PERCENT OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID.
PART VI, LINE 5: THE HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS PRIMARILY OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, THE HOSPITAL OFFERS CLINICS IN THE CENTRAL, DOWNTOWN AND SOUTHWEST PART OF THE CITY. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY AND KENOSHA AREAS. THE HOSPITAL FUNDS SCHOOL-BASED HEALTH CENTERS IN MILWAUKEE SCHOOLS. THESE CENTERS PROVIDE PREVENTATIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2011, THERE WERE 14,574 SCHOOL-BASED NURSE ENCOUNTERS WHICH INCLUDED 1,001 VISION AND HEARING SCREENINGS.THE HOSPITAL, IN COLLABORATION WITH THE MEDICAL COLLEGE OF WISCONSIN, SPONSORS THE DOWNTOWN HEALTH CENTER. LOCATED IN DOWNTOWN MILWAUKEE, THE MISSION OF THIS CLINIC IS TO IMPROVE HEALTH AND ADVANCE HEALTH EQUITY FOR THE MOST VULNERABLE CHILDREN IN MILWAUKEE THROUGH AN ACADEMIC PRIMARY CARE MEDICAL HOME. ON-SITE SERVICES INCLUDE ACUTE AND CHRONIC CARE, WELL-CHILD EXAMINATIONS, LABORATORY STUDIES, AND VISION AND HEARING SCREENINGS. CRIB, CAR SEAT AND BIKE HELMET DISTRIBUTION AND FITTINGS, SAFE-SLEEPING TECHNIQUES, AND GUN-LOCK EDUCATION ARE OTHER SPECIAL CLINIC ACTIVITIES THAT ARE AVAILABLE AT THIS SITE, MOSTLY FREE OF CHARGE. APPROXIMATELY 6,500 CHILDREN, INCLUDING 500 CHILDREN IN FOSTER CARE, WERE SEEN AT THE CENTER IN 2011, AND 94 PERCENT OF THEM WERE INSURED BY MEDICAID/BADGERCARE PLUS. ADOLESCENTS HAVE ACCESS TO SOCIAL SERVICES, CONTRACEPTIVE MANAGEMENT, FAMILY PLANNING, AND ALCOHOL AND DRUG ABUSE COUNSELING SERVICES. IN ADDITION, CHILDREN'S HOSPITAL PROVIDES SPECIALTY CARE SERVICES INCLUDING DENTAL, PSYCHOLOGICAL AND CHILD PROTECTIVE SERVICES AT THIS DOWNTOWN LOCATION. THE DOWNTOWN HEALTH CENTER ALSO OFFERS FREE LEGAL CONSULTATIONS TO FAMILIES IN COLLABORATION WITH MARQUETTE LAW SCHOOL TO HELP FAMILIES ADDRESS HOUSING, UTILITY, AND OTHER ISSUES THAT IMPACT THEIR CHILD'S HEALTH.THE HOSPITAL FUNDS CHILDREN'S HEALTH EDUCATION CENTER ("CHEC"), WHICH SEEKS TO EDUCATE THE PUBLIC REGARDING A WIDE RANGE OF ISSUES IMPACTING THE HEALTH AND SAFETY OF CHILDREN. THE CENTER OFFERS RESOURCES AND PROGRAMS FOR CHILDREN, PARENTS, TEACHERS, AND CAREGIVERS TO HELP KEEP WISCONSIN'S CHILDREN HEALTHY AND SAFE. ONLINE LEARNING PROGRAMS, OFFERED THROUGH CHEC, ARE A RESOURCE FOR TEACHERS TO USE IN THEIR CLASSROOMS TO DELIVER AN OUTCOMES-BASED HEALTH CURRICULUM TO STUDENTS IN GRADE K5-8. CHEC'S INJURY PREVENTION TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS, AND DELIVERS IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. IN 2011, CHEC COMPLETED A SUCCESSFUL TOUR OF THE KOHL'S CARES: GREAT SAFETY ADVENTURE TO SCHOOLS AND COMMUNITY EVENTS THROUGHOUT EASTERN WISCONSIN TO TEACH KIDS AND PARENTS HOW TO BE SAFE AT HOME.THE HOSPITAL'S CAR SEAT CLINIC IS A COLLABORATION BETWEEN THE HOSPITAL, CHEC, SAFE KIDS WISCONSIN AND SAFE KIDS SOUTHEAST WISCONSIN TO OFFER CAR SEAT CLINICS IN TWO LOCATIONS NEAR THE MILWAUKEE HOSPITAL CAMPUS. TRAINED CHILD PASSENGER SAFETY SPECIALISTS MAKE CERTAIN THAT INFANT, TODDLER CAR SEATS AND/OR BOOSTER SEATS ARE INSTALLED CORRECTLY AND ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILD USING THEM. THE PROGRAM ALSO PROVIDES LOW-COST OR FREE CAR AND/OR BOOSTER SEATS FOR FAMILIES IN NEED.THE WISCONSIN POISON CENTER, WHICH IS STAFFED BY REGISTERED NURSES 24 HOURS A DAY, 365 DAYS A YEAR, PROVIDES IMMEDIATE AND AUTHORITATIVE PHONE CONSULTATION IN CASES OF ACCIDENTAL OR INTENTIONAL POISONING IN ADULTS AND CHILDREN FOR PATIENTS AND HOSPITALS ACROSS WISCONSIN. THE CENTER ALSO HAS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS ALERTING PEOPLE TO SPECIFIC TOXIC DANGERS. THESE INCLUDE HOSPITAL GRAND ROUNDS LECTURES FOR PHYSICIANS, TRAINING FOR EMERGENCY MEDICAL TECHNICIANS, BABY SITTER WORKSHOPS, AND PRESCHOOL POISON PREVENTION EDUCATION. THE POISON CENTER ALSO TRIAGES CALLS FOR MPOWER, AN ALCOHOL AND DRUG CRISIS LINE FOR TEENS. PROJECT ADAM (AUTOMATIC DEFIBRILLATORS IN ADAM'S MEMORY) IS A PROGRAM OF THE HOSPITAL COMMITTED TO MAKING AUTOMATED EXTERNAL DEFIBRILLATORS UNIVERSALLY AVAILABLE TO ALL CHILDREN AND ADOLESCENTS BY BEING A NATIONAL RESOURCE FOR IMPLEMENTING PEDIATRIC PUBLIC ACCESS DEFIBRILLATION PROGRAMS IN SCHOOLS. IT IS ALSO WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. IN 2011, THE HOSPITAL CELEBRATED 50 LIVES SAVED THROUGH PROJECT ADAM.ADDITIONALLY, THE HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, CENTRAL WISCONSIN (WAUSAU), THE FOX VALLEY, AND CHIPPEWA VALLEY (EAU CLAIRE). EACH CENTER IS A SAFE PLACE FOR KIDS WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THE CENTERS BRING TOGETHER A TEAM OF SPECIALLY TRAINED PROFESSIONALS WHO EVALUATE AND INVESTIGATE CASES OF CHILD ABUSE, PROVIDE MEDICAL CARE AND HELP CHILDREN AND THEIR FAMILIES TO HEAL. THE CENTERS ARE A COLLABORATION OF THE HOSPITAL AND DOZENS OF LAW ENFORCEMENT, JUDICIAL AND LOCAL AND SOCIAL SERVICE ORGANIZATIONS.THE HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS. THE GOAL IS TO ENSURE FAMILIES HAVE THE BEST POSSIBLE CARE IN AND OUT OF THE HOSPITAL. THE HOSPITAL PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE, WHICH IS LED AND SUPPORTED BY MEDICAL STAFF AT THE HOSPITAL, IS A COALITION THAT WORKS TO REDUCE AND ELIMINATE DISPARITIES IN ASTHMA CARE AND DEVELOP A SUSTAINABLE STRATEGY FOR ASTHMA CONTROL IN THE COMMUNITY. FIGHT ASTHMA MILWAUKEE PROVIDES COMMUNITY-WIDE ASTHMA EDUCATION FOR PARENTS, CAREGIVERS, HEALTH CARE PROFESSIONALS AND SCHOOL STAFF.THE INFANT DEATH CENTER ("IDC") IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A HOSPITAL LED AND STAFFED COALITION. THE CENTER PROVIDES INFORMATION AND SUPPORT TO WISCONSIN FAMILIES AND OTHERS AFFECTED BY THE SUDDEN AND UNEXPECTED DEATH OF AN INFANT. THE IDC STRIVES TO INCREASE HEALTHY BIRTH OUTCOMES AND REDUCE INFANT DEATHS. THE CENTER WORKS TOGETHER WITH OTHER PROFESSIONALS IN OUTREACH, EDUCATION AND INFANT MORTALITY REVIEW PROGRAMS. IN PARTNERSHIP WITH PUBLIC HEALTH SYSTEMS AND NATIONAL INFANT MORTALITY PROGRAMS, THE IDC MAINTAINS INFORMATION THAT ASSISTS IN THE STUDY AND UNDERSTANDING OF THE CAUSES OF INFANT DEATHS. THE INFORMATION IS USED FOR STATISTICAL REPORTING.IN 2010, THE HOSPITAL LAUNCHED A MULTIYEAR, SYSTEM WIDE EFFORT TO INCREASE IMMUNIZATION RATES FOR ALL CHILDREN IN THE HOSPITAL'S SERVICE AREA. THIS INITIATIVE IS KEY TO ACHIEVING THE HEALTH SYSTEM'S VISION OF HELPING WISCONSIN'S CHILDREN TO BE THE HEALTHIEST IN THE NATION. DURING 2011, THE HOSPITAL PARTNERED WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT TO OFFER AN IMMUNIZATION CLINIC WHERE FAMILIES COULD ENSURE THEIR CHILDREN'S IMMUNIZATIONS WERE UP TO DATE. ADDITIONALY, THE HOSPITAL WORKED WITH THE STATE OF WISCONSIN TO CREATE AN IMMUNIZATION VERIFICATION PROCESS TO MEASURE SUCCESS OF THE INITIATIVE. DATA SHOWED A SIGNIFICANT INCREASE IN CHILDREN WHO WERE UP TO DATE ON THEIR IMMUNIZATIONS.IN 2011, THE HOSPITAL ALSO FOCUSED ON EDUCATING ALL WHO CARE FOR CHILDREN ABOUT SAFE INFANT SLEEP PRACTICES. A MULTIYEAR INITIATIVE FOCUSES ON REDUCING THE RISK FACTORS FOR SUDDEN INFANT DEATH SYNDROME AND OTHER SLEEP-RELATED DEATHS IN CHILDREN UNDER AGE 1. THE HOSPITAL CONDUCTED TRAINING ABOUT SAFE SLEEP PRACTICES FOR HEALTH CARE PROVIDERS AND OTHER STAFF, CREATED INFORMATION ON ITS WEBSITE AND DEVELOPED AND DISTRIBUTED FLIERS IN THE COMMUNITY AND TO PRIMARY CARE PROVIDERS.
PART VI, LINE 6: THE HOSPITAL IS PART OF AN AFFILIATED GROUP OF ORGANIZATIONS UNDER THE CONTROL OF CHHS, WHICH PROVIDES VARIOUS CENTRALIZED ADMINISTRATIVE AND SUPPORTING SERVICES FOR THE HOSPITAL AND ITS AFFILIATES. AMONG THE AFFILIATED ENTITIES, THE HOSPITAL AND CERTAIN OTHER ENTITIES (INCLUDING CHILDREN'S MEDICAL GROUP, INC. AND CHILDREN'S PHYSICIAN GROUP, P.C.) DIRECTLY PROVIDE INSTITUTIONAL AND PROFESSIONAL PEDIATRIC HEALTHCARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN AND NORTHERN ILLINOIS. ANOTHER HOSPITAL AFFILIATE IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN ("CSSW"). THIS SOCIAL SERVICE ORGANIZATION ADDRESSES THE CHALLENGES FACED BY CHILDREN, WHICH OFTEN DIRECTLY IMPACT THEIR PHYSICAL AND MENTAL HEALTH AND WELLBEING. CSSW OFFERS CHILD WELFARE SERVICES IN FOUR CORE AREAS (PUBLIC CHILD WELFARE, CHILD AND FAMILY COUNSELING, OUT-OF-HOME CARE AND PREVENTION SERVICES) FROM LOCATIONS THROUGHOUT WISCONSIN. SERVICES INCLUDE: FINDING LOVING, STABLE HOMES FOR CHILDREN IN NEED OF A FAMILY THROUGH FOSTER CARE AND ADOPTION; REDUCING STRESS AND CONFLICT, ENHANCING PARENTING SKILLS AND STRENGTHENING FAMILY TIES THROUGH TRAUMA-INFORMED MENTAL HEALTH SERVICES COUNSELING; PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE; PROVIDING FOSTER PARENTS WHO ARE CARING FOR CHILDREN WITH SPECIAL MEDICAL OR EMOTIONAL NEEDS WITH A MUCH NEEDED BREAK THROUGH OUR RESPITE CARE PROGRAM; OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP PARENTS DEALING WITH AN UNPLANNED PREGNANCY; PROVIDING INTENSIVE IN-HOME THERAPY TO KEEP CHILDREN SAFE IN THEIR HOMES AND PREVENT OUT-OF-HOME PLACEMENT; ASSISTING YOUNG ADULTS TRANSITIONING OUT OF FOSTER CARE BY GIVING THEM THE SKILLS, TRAINING, GUIDANCE AND SUPPORT ENABLING THEM TO MAKE IT ON THEIR OWN; PROVIDING PARENTS WITH SUPPORT AND GUIDANCE TO HELP THEM BE THE BEST PARENTS THEY CAN BE; AND PROVIDING CHILDREN WHO HAVE BEEN HARMED OR HURT A SAFE PLACE TO GO TO BE INTERVIEWED AND PROVIDING THEM RESOURCES TO HELP THEM HEAL.CSSW ALSO RUNS PROJECT UJIMA, A PROGRAM THAT PROVIDES CASE MANAGEMENT, EMOTIONAL SUPPORT AND RESOURCES TO FAMILIES WHOSE CHILDREN HAVE EXPERIENCED INTERPERSONAL COMMUNITY-BASED VIOLENCE OR WHO HAVE LOST A FAMILY MEMBER (OF ANY AGE) TO HOMICIDE IN MILWAUKEE COUNTY.CHHS HAS TWO KEY PROGRAMS TO PROMOTE HIGH QUALITY CARE. CHILDREN'S RESEARCH INSTITUTE CARRIES ON RESEARCH INITIATIVES AIMED AT IMPROVING THE DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH CONDITIONS, AND THE NATIONAL OUTCOMES CENTER PROGRAM GATHERS AND PUBLICIZES DATA TO ASSIST PEDIATRIC HEALTHCARE PROVIDERS IN IDENTIFYING THE MOST EFFECTIVE TREATMENT METHODS. CHHS PERFORMS COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. IN 2011, CHHS ACTIVELY ADVOCATED BEFORE THE STATE LEGISLATURE FOR ADEQUATE COVERAGE AND ACCESS TO HEALTH SERVICES FOR PREGNANT WOMEN AND CHILDREN AND WAS SUCCESSFUL IN SECURING STATE FUNDING FOR THE STATE'S MEDICAID PROGRAM AND MAINTAINING PROGRAM ELIGIBILITY. CHHS ALSO WORKED ON A NUMBER OF INJURY PREVENTION AND DETECTION POLICIES, AND LED THE ADVOCACY FOR THE PASSAGE OF YOUTH SPORTS CONCUSSION LEGISLATION WHICH NOW ENSURES THAT ALL YOUTH PLAYING SCHOOL AND CLUB SPORTS WILL BE EDUCATED ABOUT CONCUSSIONS AND THAT SAFE CRITERIA ARE IN PLACE FOR REMOVAL FROM AND RETURN TO PLAY. CHHS ALSO PARTNERED WITH OTHER ORGANIZATIONS TO EDUCATE POLICY MAKERS AND THE PUBLIC ABOUT THE IMPORTANCE OF PULSE OXIMETRY SCREENING FOR ALL NEWBORNS IN WISCONSIN. ON THE FEDERAL LEVEL, CHHS ADVOCATED TO PROTECT MEDICAID PROGRAMS AND EDUCATED OUR DELEGATION ABOUT THE IMPORTANCE OF ACCESS AND COVERAGE OF MEDICAL SERVICES FOR PREGNANT WOMEN AND CHILDREN. CHHS ALSO ADVOCATED FOR AND EDUCATED CONGRESSIONAL MEMBERS ABOUT THE IMPORTANCE OF TRAINING FOR PEDIATRIC PHYSICIANS AND THE ROLE CHILDREN'S HOSPITALS PLAY IN TRAINING FUTURE PRIMARY CARE PEDIATRICIANS AND PEDIATRIC SPECIALISTS.IN ADDITION TO ADVOCACY, CHHS'S COMMUNITY SERVICES DIVISION HAS INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT ACKNOWLEDGES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND RECOGNIZES THAT SUCH INFLUENCES MAY HAVE PARTICULARLY DELETERIOUS EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHHS IS BRINGING THE FULL SPECTRUM OF THE SYSTEM'S RESOURCES TO BEAR IN THE COMMUNITY ENGAGEMENT EFFORT. BY CONNECTING OUR VAST CLINICAL AND COMMUNITY-BASED RESOURCES - SCHOOL NURSES, COMMUNITY PEDIATRICIANS, SOCIAL WORKERS, HEALTH EDUCATORS, FOSTER CARE PARENTS, HOSPITALISTS, EMERGENCY DEPARTMENT STAFF, RESEARCHERS AND POLICY MAKERS - CHHS IS FACILITATING COMMUNITY HEALTH IMPROVEMENT BOTH DIRECTLY (E.G. EXPANDING MENTAL HEALTH AND DENTAL CARE IN UNDERSERVED AREAS), AND INDIRECTLY (E.G. BRINGING LAW ENFORCEMENT TO THE COMMUNITY CONVERSATION RE: CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). AS A PARTNER AND FACILITATOR, CHHS'S STAFF HAS ENCOURAGED LEADERS FROM THE PRIORITY COMMUNITIES TO IDENTIFY KEY AREAS FOR STRATEGIC INTERVENTION. AS A RESULT OF SEVERAL FACILITATED LISTENING SESSIONS, TWO OF THE THREE COMMUNITIES HAVE ARTICULATED HEALTH AS A KEY AREA FOR STRATEGIC INTERVENTION AND THE COMMUNITIES NOW ARE IDENTIFYING SPECIFIC CATEGORIES WITHIN THE LARGER RUBRIC OF "HEALTH" ON WHICH TO CONCENTRATE IMPROVEMENT EFFORTS. CHHS HAS SELECTED THREE NEIGHBORHOODS FOR INITIAL ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS - METCALFE PARK, FRANKLIN HEIGHTS/AMANI NEIGHBORHOOD AND LINDSAY HEIGHTS - WERE IDENTIFIED BECAUSE THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGED RESIDENTS; THERE WERE SIGNIFICANT, BUT MODIFIABLE, CHALLENGES TO CHILD HEALTH OUTCOMES; AND THEY HAD EXISTING TRUSTED COMMUNITY RESOURCES THAT WERE WILLING TO PARTNER WITH CHHS TO ENGAGE THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. ONE STRATEGY BEING IMPLEMENTED IS USING COMMUNITY "NAVIGATORS" - TRUSTED LOCAL RESIDENTS WHO EDUCATE NEIGHBORS ABOUT A SPECIFIC BEHAVIOR CHANGE OR RESOURCE UTILIZATION THAT WILL RESULT IN IMPROVED HEALTH OUTCOMES. CHHS'S FOCUS IS TO HAVE RELEVANT, ACCURATE, RESIDENT-LEVEL INFORMATION REGARDING TRUSTED SOURCES OF INFORMATION AND DIRECT INFLUENCES ON RESIDENT'S BEHAVIORS. CHHS IS PARTNERING WITH THE COMPREHENSIVE CENTER OF EXCELLENCE FOR HEALTH EQUITY IN WISCONSIN TO UTILIZE COMMUNITY-MAPPED "WAYS OF KNOWING" TO BEST UNDERSTAND DIRECT INFLUENCES ON HEALTH BEHAVIORS IN THE SELECTED COMMUNITIES. THE COMMUNITY NAVIGATORS ARE WORKING COLLABORATIVELY WITH THE CENTER'S COMMUNITY HEALTH EDUCATOR TO FOSTER KEY RELATIONSHIPS WITHIN THE COMMUNITY. CHHS WILL FACILITATE THE DEVELOPMENT OF CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL MATERIALS FOR THE COMMUNITY NAVIGATORS AND WILL LEAD THE TRAINING OF BOTH THE COMMUNITY NAVIGATORS AND THE CENTER'S COMMUNITY HEALTH EDUCATOR. THIS COORDINATED APPROACH WILL ALLOW CHHS AND THE CENTER TO FACILITATE EFFECTIVE COMMUNITY TRANSFORMATION THAT IS RESPECTFUL OF THE LOCAL CULTURE. IN ADDITION, THE COLLABORATION ALLOWS FOR COMMUNITY-LED MEASUREMENT OF IDENTIFIED OUTCOMES - FACILITATING COMMUNITY EMPOWERMENT AND CONTRIBUTING TO SUSTAINABLE CHANGES.THESE AFFILIATED PROGRAMS AND ACTIVITIES SEEK TO ENSURE THAT CHILDREN HAVE ACCESS TO HIGH-QUALITY HEALTH AND SOCIAL SERVICES.PART VI, LINE 7: CHHS, THE SOLE CORPORATE MEMBER OF THE HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF THE HOSPITAL AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (49 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ALIANZA LATINA APLICANDO SOLUCIONES
1615 S 22ND STREET	MILWAUKEE	WI	53204	205974351	501(C)(3)	18500	MCH BLOCK GRANT - CHILDREN WITH SPECIAL NEEDS
AMERICAN FAMILY CHILDREN'S HOSPITAL
600 HIGHLAND AVENUE	MADISON	WI	53792	391835630	501(C)(3)	5000	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
BAYFIELD COUNTY PUBLIC HEALTH DEPARTMENT
117 E 5TH STREET	WASHBURN	WI	54891	396005670	BAYFIELD COUNTY	8006	DENTAL SEALANT EXPANSION GRANT
BELOIT AREA COMMUNITY HEALTH CENTER
74 ECLIPSE CENTER	BELOIT	WI	53511	391919806	501(C)(3)	20115	DENTAL SEALANT EXPANSION GRANT
BROWN COUNTY ORAL HEALTH PARTNERSHIP
331 N BROADWAY	GREEN BAY	WI	54303	208969896	501(C)(3)	26425	DENTAL SEALANT EXPANSION GRANT
PROFESSIONAL DENTAL HYGIENE EXPRESS
5388 STATE HWY 64	BLOOMER	WI	54724	389808600		11097	DENTAL SEALANT EXPANSION GRANT
CLARK COUNTY HEALTH DEPARTMENT
517 COURT STREET	NIELSVILLE	WI	54456	396005679	CLARK COUNTY	11509	DENTAL SEALANT EXPANSION GRANT
COLUMBIA CO
PO BOX 132	PORTAGE	WI	53901	396005681	COLUMBIA COUNTY	19559	DENTAL SEALANT EXPANSION GRANT
COLUMBIA ST MARY'S FOUNDATION
2320 N LAKE DRIVE	MILWAUKEE	WI	53211	391494981	501(C)(3)	85134	DENTAL SEALANT EXPANSION GRANT
COMMUNITY DENTAL CLINIC
520 HANDEYSIDE LANE 4	FORT ATKINSON	WI	53538	205297560	501(C)(3)	6286	DENTAL SEALANT EXPANSION GRANT
COOPERATIVE EDUCATION SERVICE AGENCY #11
225 OSTERMANN DRIVE	TURTLE LAKE	WI	54889	391483818		17476	DENTAL SEALANT GRANT
COOPERATIVE EDUCATION SERVICE AGENCY #11
225 OSTERMANN DRIVE	TURTLE LAKE	WI	54889	391483818		27080	DENTAL SEALANT EXPANSION GRANT
FOND DU LAC SCHOOL DISTRICT
72 W 9TH STREET	FOND DU LAC	WI	54935	391411371		5000	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
GUNDERSEN LUTHERAN
1836 SOUTH AVENUE	LACROSSE	WI	54601	390813416	501(C)(3)	5000	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
IN HEALTH COMMUNITY WELLNESS FREE CLINIC
109 E BLUFF STREET	BOSCOBEL	WI	53805	331170597	501(C)(3)	6400	DENTAL SEALANT EXPANSION GRANT
JANESVILLE SCHOOL DISTRICT
527 S FRANKLIN STREET	JANESVILLE	WI	53548	396002726	501(C)(3)	8589	DENTAL SEALANT EXPANSION GRANT
SOUTHERN WI BRIGHT SMILES
2253 16TH STREET	MONROE	WI	53566	388827033		9772	DENTAL SEALANT EXPANSION GRANT
JUNEAU COUNTY HEALTH DEPARTMENT
220 E STATE STREET ROOM 104	MAUSTON	WI	53948	396005706	JUNEAU COUNTY	6689	DENTAL SEALANT EXPANSION GRANT
KENOSHA COUNTY DIVISION OF HEALTH
8600 SHERIDAN ROAD 600	KENOSHA	WI	53143	396005707	KENOSHA COUNTY	31525	DENTAL SEALANT EXPANSION GRANT
LINCOLN COUNTY HEALTH DEPARTMENT
607 N SALES STREET 101	MERRILL	WI	54452	396005714	LINCOLN COUNTY	2640	DENTAL SEALANT GRANT
LINCOLN COUNTY HEALTH DEPARTMENT
607 N SALES STREET 101	MERRILL	WI	54452	396005714	LINCOLN COUNTY	12754	DENTAL SEALANT EXPANSION GRANT
MARQUETTE UNIVERSITY
PO BOX 1881	MILWAUKEE	WI	53201	390806251	501(C)(3)	93477	DENTAL SEALANT EXPANSION GRANT
MARSHFIELD CLINIC
1000 NORTH OAK AVENUE	MARSHFIELD	WI	54449	390452970	501(C)(3)	20727	STATE OF WI - GENETICS SYSTEM GRANT
MEDICAL COLLEGE OF WISCONSIN
8701 WATERTOWN PLANK ROAD	MILWAUKEE	WI	53226	390806261	501(C)(3)	11975	STATE OF WI - GENETICS SYSTEM GRANT
MENASHA HEALTH DEPARTMENT
316 RACINE STREET	MENASHA	WI	54952	396005525	CITY OF MENASHA	7611	DENTAL SEALANT EXPANSION GRANT
NORTHERN HEALTH CENTERS
PO BOX 179	LAKEWOOD	WI	54138	391550213	501(C)(3)	10489	DENTAL SEALANT EXPANSION GRANT
NORTHERN HILLS
511 SPRUCE STREET	ONALASKA	WI	54650	391411237		6656	DENTAL SEALANT EXPANSION GRANT
PORTAGE COUNTY HEALTH & HUMAN SERVICES
817 WHITING AVENUE	STEVENS POINT	WI	54481	396005731	PORTAGE COUNTY	7909	DENTAL SEALANT GRANT
PORTAGE COUNTY HEALTH & HUMAN SERVICES
817 WHITING AVENUE	STEVENS POINT	WI	54481	396005731	PORTAGE COUNTY	25024	DENTAL SEALANT EXPANSION GRANT
PREFERRED DENISTRY ASSOC OF WI LLC
1029 HOWARD STREET	EVANSTON	IL	60202	272634563		50000	DENTAL SEALANT EXPANSION GRANT
PRICE COUNTY HEALTH DEPARTMENT
104 S EYDER AVENUE	PHILLIPS	WI	54555	396005733	PRICE COUNTY	17926	DENTAL SEALANT EXPANSION GRANT
PROFESSIONAL DENTAL HYGIENE EXPRESS
5388 STATE HWY 64	BLOOMER	WI	54724	274969600		16437	DENTAL SEALANT EXPANSION GRANT
SAUK COUNTY HEALTH DEPARTMENT
505 BROADWAY 372	BARABOO	WI	53913	396005740	SAUK COUNTY	9637	DENTAL SEALANT EXPANSION GRANT
SHEBOYGAN COUNTY
1011 N 8TH STREET	SHEBOYGAN	WI	53081	396005744	SHEBOYGAN COUNTY	17159	DENTAL SEALANT EXPANSION GRANT
TREMPEALEAU COUNTY HUMAN SERVICES
36245 MAIN STREET	WHITEHALL	WI	54773	396005747	TREMPELEAU COUNTY	26619	DENTAL SEALANT EXPANSION GRANT
TREMPEALEAU COUNTY HUMAN SERVICES
36245 MAIN STREET	WHITEHALL	WI	54773	396005747	TREMPELEAU COUNTY	6691	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
UNIVERSITY OF WISCONSIN - MADISON
DRAWER 538	MILWAUKEE	WI	53278	396006492	501(C)(3)	61060	STATE OF WI - GENETICS SYSTEM GRANT
VILAS COUNTY HEALTH DEPARTMENT
330 COURT STREET	EAGLE RIVER	WI	54521	396005751	VILAS COUNTY	20728	DENTAL SEALANT EXPANSION GRANT
WALWORTH COUNTY
W4051 COUNTY ROAD NN	ELKHORN	WI	53121	396005752	WALWORTH COUNTY	30967	DENTAL SEALANT EXPANSION GRANT
WAUKESHA COUNTY COMMUNITY DENTAL CENTER
210 NW BARSTOW STREET 305	WAUKESHA	WI	53188	391355301	WAUKESHA COUNTY	20219	DENTAL SEALANT EXPANSION GRANT
WAUPACA CO DEPT OF HEALTH & HUMAN SERVICES
811 HARDING STREET	WAUPACA	WI	54981	396005758	WAUPACA COUNTY	16704	DENTAL SEALANT GRANT
WAUPACA CO DEPT OF HEALTH & HUMAN SERVICES
811 HARDING STREET	WAUPACA	WI	54981	396005758	WAUPACA COUNTY	21329	DENTAL SEALANT EXPANSION GRANT
WAUSHARA COUNTY HEALTH DEPARTMENT
PO BOX 837	WAUTOMA	WI	54982	396005759	WAUSHARA COUNTY	14684	DENTAL SEALANT EXPANSION GRANT
WEST ALLIS HEALTH DEPARTMENT
7120 W NATIONAL AVENUE	WEST ALLIS	WI	53214	396005651	CITY OF WEST ALLIS	5000	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
WOOD COUNTY HEALTH DEPARTMENT
400 MARKET STREET	WISCONSIN RAPIDS	WI	54494	396005763	WOOD COUNTY	19000	DENTAL SEALANT EXPANSION GRANT
CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	391500074	501(C)(3)	9387572	RESEARCH, HEALTH EDUCATION, AND OTHER GRANTS TO AFFILIATE
CHILDREN'S PHYSICIAN GROUP PC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	364303682	501(C)(3)	2500000	GRANTS TO AFFILIATE
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	390806380	501(C)(3)	935000	GRANTS TO AFFILIATE
CHILDREN'S MEDICAL GROUP INC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	391789197	501(C)(3)	650721	GRANTS TO AFFILIATE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	41	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	8	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: MONITORING PROCEDURES - THE ORGANIZATION RECEIVES GRANT FUNDING FROM VARIOUS STATE AND FEDERAL AGENCIES. SOME OF THE GRANT AWARDS ARE SUB-AWARDED TO OTHER AGENCIES BASED ON THE REQUIREMENTS OF THE INDIVIDUAL GRANT AGREEMENTS. IN ORDER TO MONITOR THE USE OF THE FUNDS, THE ORGANIZATION ENTERS INTO SIGNED AGREEMENTS WITH THE SUB-GRANTEE AGENCIES TO OUTLINE THE TERMS OF THE ARRANGEMENTS INCLUDING THE PROPER USE OF FUNDS. THESE AGREEMENTS REQUIRE AGENCIES TO PROVIDE CERTIFICATIONS OF EXPENSES SUBMITTED FOR REIMBURSEMENT ALONG WITH DESCRIPTIONS OF THE ACTUAL EXPENSES INCURRED COMPARED TO THE BUDGETED AWARD TOTAL. EACH AWARD IS MONITORED BY A DESIGNATED EMPLOYEE OF THE ORGANIZATION WHO VERIFIES THAT ALL SERVICES ARE PROVIDED ACCORDING TO THE CONTRACT, APPROVES PAYMENTS TO THE AGENCY, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. IN SOME CASES, THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. ADDITIONALLY, CHW AWARDS GRANTS TO ITS TAX-EXEMPT AFFILIATES. GRANTS ARE AWARDED BASED ON THE STRATEGIC INITIATIVES OF THE HEALTH SYSTEM, THE NEEDS OF THE AFFILIATES, AND ANY PURPOSE RESTRICTIONS SET BY THE DONORS. THE NEEDS OF THE AFFILIATES ARE EVALUATED IN THE ANNUAL BUDGET PROCESS. FINAL BUDGETS REQUIRE APPROVAL FROM MANAGEMENT, THE ENTITY'S BOARD OF DIRECTORS AND THE CHHS BOARD OF DIRECTORS AND SENIOR MANAGEMENT. IN ADDITION, THE OPERATIONS OF ALL AFFILIATES ARE SUBJECT TO SYSTEM CONTROLS, POLICIES AND PROCEDURES, AND ARE REFLECTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF CHHS AND ITS AFFILIATES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARGARET TROY
0	736762	0	336229	0	106473	0	241301	0	32021	0	1452786	0	70103
TIMOTHY L BIRKENSTOCK
0	163222	0	130024	0	465228	0	20500	0	15288	0	794262	0	118537
MARC CADIEUX
0	169387	0	66000	0	13806	0	15600	0	6955	0	271748	0	0
CINTHIA S CHRISTENSEN
389948	0	118956	0	148318	0	58566	0	28207	0	743995	0	42557	0
LEE ANNE EDDY
75358	0	38976	0	124134	0	0	0	5064	0	243532	0	26566	0
MICHAEL GUTZEIT MD
280824	0	107484	0	107026	0	51002	0	26461	0	572797	0	17287	0
BARBARA JOERS
185856	0	22813	0	16940	0	8250	0	18598	0	252457	0	0	0
JULIET KERSTEN
157813	37441	0	22974	12589	118	13768	3278	18897	4499	203067	68310	12066	0
NANCY KOROM
274497	0	54349	0	72644	0	47844	0	23266	0	472600	0	25878	0
SHEILA REYNOLDS
0	237263	0	68372	0	80865	0	44305	0	26887	0	457692	0	21941
MARK SHIP
213519	0	53966	0	24302	0	13150	0	20707	0	325644	0	18015	0
DONNA JAMIESON
169675	0	500	0	835	0	14120	0	28653	0	213783	0	0	0
TOM LAUSTEN
157185	0	500	0	1412	0	12977	0	22224	0	194298	0	0	0
LORI BARBEAU DDS
236490	0	0	0	24497	0	20246	0	22621	0	303854	0	0	0
ANDREW SCHMITT MD
227680	0	0	0	15949	0	7350	0	23684	0	274663	0	0	0
SHANE FISHER DDS
201393	0	0	0	24671	0	7920	0	7853	0	241837	0	0	0
THOMAS NICHOLS MD
199044	0	0	0	14777	0	14755	0	20271	0	248847	0	0	0
A CHARLES POST DDS
196093	0	0	0	8857	0	18064	0	13021	0	236035	0	0	0
RAMESH SACHDEVA MD
0	287819	0	65997	0	51653	0	42150	0	24900	0	472519	0	15854
JON E VICE
0	0	0	0	0	261357	0	0	0	0	0	261357	0	259360

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3	CHW AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CHW, SHARE A BOARD OF DIRECTORS WHICH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE. THIS COMMITTEE IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF CHW'S PRESIDENT, AND USED THE METHODS LISTED AND CHECKED IN SCHEDULE J LINE 3.
PART I, 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 CHW UNTIL HIS SEPARATION FROM CHHS IN 2011. 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. UNTIL FEBRUARY 2011, LEE ANNE EDDY SERVED AS VP AMBULATORY & DIAGNOSTIC SERVICES. CHW PAID CERTAIN AMOUNTS AS SEVERANCE TO MS. EDDY PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MS. EDDY IN 2011 TOTALED $97,499. 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: M. TROY $52,472; C. CHRISTENSEN $38,066; M. GUTZEIT, M.D. $30,502; N. KOROM $28,094; S. REYNOLDS $26,255; R. SACHDEVA, M.D. $29,509. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2011 WERE: M. TROY $70,103; T. BIRKENSTOCK $118,357; C. CHRISTENSEN $42,557; L. EDDY $26,566; M. GUTZEIT, M.D. $17,287; J. KERSTEN $12,066; N. KOROM $25,878; S. REYNOLDS $21,941; M. SHIP $18,015; R. SACHDEVA, M.D. $15,854; J. VICE $259,360. 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 I, LINE 7	CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE ESTABLISHED ON AN EXECUTIVE BY EXECUTIVE BASIS. SUCH CRITERIA PERTAIN TO MATTERS IN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF CHHS AND ITS AFFILIATES.
PART III	FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. MARGARET TROY, DIRECTOR & PRESIDENT OF CHW (JANUARY - SEPTEMBER 2011) 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 CHW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. TIMOTHY L. BIRKENSTOCK, TREASURER OF CHW (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. 3. MARC CADIEUX, INTERIM TREASURER OF CHW (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. 4. JULIET KERSTEN, VICE PRESIDENT OF AMBULATORY & REGIONAL SERVICES - 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 CHHS. 5. SHEILA REYNOLDS, SECRETARY OF CHW 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. 6. RAMESH SACHDEVA, M.D., CHHS VP AND CHIEF QUALITY OFFICER 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. DR. SACHDEVA IS LISTED AS A FORMER OFFICER OF CHW AS HE PREVIOUSLY SERVED AS VICE PRESIDENT OF QUALITY & OUTCOMES PRIOR TO HIS TRANSFER TO CHHS. 7. JON E. VICE, FORMER DIRECTOR & PRESIDENT OF CHW AND FORMER PRESIDENT & CEO OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS LISTED IN PART VII AND SCHEDULE J WERE PAID BY CHHS AS PART OF THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED ABOVE FOR PREVIOUS SERVICE AS THE PRESIDENT & CEO OF CHHS AND CHW.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY
391337855	97710BCS9	2008-07-29	152300000	SEE PART VI	0	0	0
WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY
391337855	97710BCC4	2008-06-25	100771610	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
152300953	1000301	2075652	2009	1	0	0	1
113903904	771610	13132293	2009	1	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	1	0	0.00200	0.00100	0.00300	1
0	0	1	1	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	1
0	0	0	0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	CONSIDER THE FOLLOWING FOR PART VI: SCHEDULE K, PART I, LINE A, COLUMN (F): THE SERIES 2008B BONDS WERE ISSUED TO REFUND SEVERAL SERIES OF PRIOR BONDS, INCLUDING: (1) THE ISSUER'S SERIES 2007-3 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 TO REFUND A PORTION OF THE ISSUER'S SERIES 1998 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON JUNE 2, 1998. (2) THE ISSUER'S SERIES 2004B BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON MAY 6, 2004 TO CONSTRUCT AND EQUIP CERTAIN HEALTH CARE FACILITIES (INCLUDING A MEDICAL OFFICE BUILDING/CHILDREN'S CORPORATE CENTER, PARKING STRUCTURE, TUNNEL, UTILITIES AND A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. THE SERIES 2008 BONDS ALSO FUNDED CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART I, LINE B, COLUMN (F): THE SERIES 2008A BONDS WERE ISSUED TO REFUND THE ISSUER'S SERIES 2007-1 AND SERIES 2007-2 BONDS (CHILDREN'S HOSPITAL OF WISCONSIN), WHICH WERE ISSUED ON NOVEMBER 20, 2007 FOR THE CONSTRUCTION, RENOVATION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES (A NEW PATIENT TOWER) AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART II, LINE 3, COLUMN (A): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $953. SCHEDULE K, PART II, LINE 3, COLUMN (B): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $48,153 AND TRANSFERRED PROCEEDS FROM THE SERIES 2007-1 AND SERIES 2007-2 BONDS OF $13,084,140. SCHEDULE K, PART III, COLUMN B, LINE 3A: THE ORGANIZATION HAS DETERMINED BASED ON A LEGAL REVIEW THAT A MANAGEMENT CONTRACT WITH RESPECT TO THE PROPERTY FINANCED BY THE BOND ISSUE LISTED IN COLUMN B DOES NOT RESULT IN PRIVATE BUSINESS USE.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
UNIVERSITY OF WI-MILWAUKEE
DIRECTOR(D GILBERT)	157241	MR. GILBERT IS PRESIDENT OF THE UNIVERSITY OF WISCONSIN-MILWAUKEE FOUNDATION, WHICH IS PART OF THE UNIVERSITY OF WISCONSIN-MILWAUKEE SYSTEM. THE ORGANIZATION PAID $157,241 TO THE UNIVERSITY OF WISCONSIN-MILWAUKEE FOUNDATION FOR EDUCATIONAL PROGRAMS.	0
JOHNSON CONTROLS INC
DIRECTOR (CD MYERS)	994929	MR. MYERS IS PRESIDENT-BUILDING EFFICIENCY DIVISION OF JOHNSON CONTROLS, INC. THE ORGANIZATION PAID $994,929 TO JOHNSON CONTROLS, INC. FOR HEATING, VENTILATION, AND AIR CONDITIONING INSTALLATION AND REPAIR.	0
HUMANA
DIRECTOR (L RAMBO)	630368	MR. RAMBO IS THE REGIONAL CHIEF EXECUTIVE OFFICER OF HUMANA, INC. THE ORGANIZATION PAID HUMANA FOR TPA SERVICES FOR ITS SELF-INSURED HEALTH PLAN IN THE AMOUNT OF $630,368.	0
HUMANA
DIRECTOR (L RAMBO)	44030912	MR. RAMBO IS THE REGIONAL CHIEF EXECUTIVE OFFICER OF HUMANA, INC. THE ORGANIZATION RECEIVED APPROXIMATELY $44,030,912 FROM HUMANA FOR HEALTH CARE SERVICES PROVIDED TO HUMANA ENROLLEES.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ABRAHAM AND QUADRACCI; ABRAHAM AND ROTHMAN; ALTSCHAEFL AND PEPKE; BRENNER AND DRURY; BRENNER AND O. SULLIVAN; DRURY AND SOMMERHAUSER; DRURY AND SCHLIFSKE; DRURY AND O. SULLIVAN; SCHLIFSKE AND SOMMERHAUSER; SOMMERHAUSER AND HERMA; O. SULLIVAN AND KERSCHNER; BRENNER AND KERSCHNER; CULVER AND KERSCHNER; AND BRENNER AND CULVER.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS.
FORM 990, PART VI, SECTION A, LINE 7A	CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHW.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE 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 15	THE COMPENSATION OF THE ORGANIZATION'S PRESIDENTS, TREASURER, SECRETARY, VP CHIEF MEDICAL OFFICER, AND VP OF PATIENT CARE SERVICES WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS 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 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 7,258,155. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -21,479,685. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL FOUNDATION 731,458. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -52,011,948. TOTAL TO FORM 990, PART XI, LINE 5: -65,502,020.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, SCHEDULE R, PART V, LINE 1E:	PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S HOSPITAL & 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 & HEALTH SYSTEM FOUNDATION INC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	391500075	FUND DEVELOPMENT	WI	501(C)(3)	LINE 7		1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S MEDICAL GROUP INC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	391789197	PEDIATRIC PHYSICIAN SERVICES	WI	501(C)(3)	LINE 3		1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S PHYSICIAN GROUP PC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	364303682	PEDIATRIC PHYSICIAN SERVICES	IL	501(C)(3)	LINE 9		1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	390806380	CHILD WELFARE SERVICES	WI	501(C)(3)	LINE 7		1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
CHILDREN'S COMMUNITY HEALTH PLAN INC
9000 W WISCONSIN AVE PO BOX 1997	MILWAUKEE	WI	53201	271494977	WISCONSIN MEDICAID HMO	WI	501(C)(3)	LINE 9		1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC
8701 WATERTOWN PLANK ROAD	MILWAUKEE	WI	53226	391341366	GRADUATE MEDICAL EDUCATION SUPPORT	WI	501(C)(3)	LINE 11 TYPE 1	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	VIRTUAL PICU SYSTEMS LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 WYTHE STREET SUITE 101	AddressLine1
City	ALEXANDRIA	City
State	VA	State
ZIP Code	22314	ZIPCode

Field	Value	IRS element (for citing)
EIN	201414664	EIN
Primary Activity	QUALITY/OUTCOMES ANALYSIS	PrimaryActivity
Legal Domicile State	DE	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MED-HEALTH FINANCIAL SERVICES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	9000 W WISCONSIN AVE PO BOX 1997	AddressLine1
City	MILWAUKEE	City
State	WI	State
ZIP Code	53201	ZIPCode

Field	Value	IRS element (for citing)
EIN	391547907	EIN
Primary Activity	COLLECTION SERVICES	PrimaryActivity
Legal Domicile State	WI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A (IV) ABOVE)
A	339868	CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN - RENT (LINE 1A (IV) ABOVE)
A	11968	CASH PAID/RECEIVED
CHILDREN'S PHYSICIAN GROUP PC
B	2500000	CASH PAID/RECEIVED
CHILDREN'S MEDICAL GROUP INC
B	650721	CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
B	935000	CASH PAID/RECEIVED
CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC
C	4826255	CASH PAID/RECEIVED
CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC
E	253352555	NET BOOK VALUE
CHILDREN'S MEDICAL GROUP INC
K	76685	CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT
K	8583172	CASH PAID/RECEIVED
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
K	315929	CASH PAID/RECEIVED
MED-HEALTH FINANCIAL SERVICES INC
L	1030931	CASH PAID/RECEIVED
CHILDREN'S COMMUNITY HEALTH PLAN INC - WI MEDICAID PASS THROUGH PAYMENTS
R	5816414	CASH PAID/RECEIVED