2011-11-10T09:51:13-06:00 2010-12-31 KOLBCO SC 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2010-01-01 391500075 CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC CHIL 4142665420 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 MARC CADIEUX 4142665420 2011-10-24 1 BRYAN L PAUTSCH CPA 2627549400 2011-10-24 2010 2016-02-24 21:20:13Z JAMES MILLER 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 129107628 0 X WWW.CHW.ORG X 1984 WI SECURE FINANCIAL SUPPORT FOR CHILDREN'S HOSPITAL AND HEALTH SYSTEM AND ITS TAX EXEMPT AFFILIATES. 32 22 38 788 0 0 18200957 19029223 0 0 3495976 14261575 -203500 -9029 21493433 33281769 19206575 10043995 0 0 3853152 3712866 149878 90747 3035925 1518267 2023214 24727872 15870822 -3234439 17410947 366502791 414801758 30184361 26248566 336318430 388553192 X CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC. IS A 501(C)(3) ORGANIZATION THAT EXISTS TO FUNDRAISE FOR CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. AND ITS NOT-FOR-PROFIT AFFILIATES INCLUDING CHILDREN'S HOSPITAL OF WISCONSIN, INC., CHILDREN'S MEDICAL GROUP, INC., AND CHILDREN'S SERVICE SOCIETY OF WISCONSIN. 0 0 3170530 3170530 IN COLLABORATION WITH CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW" OR "THE HOSPITAL") AND ITS AFFILIATES, CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC. ("CHHSF" OR "THE FOUNDATION") RAISES FUNDS TO SUPPORT FREE OR BELOW-COST COMMUNITY PROGRAMS SUCH AS HEALTH EDUCATION, CHILD ABUSE PREVENTION, PARENTING EDUCATION AND INJURY PREVENTION PROGRAMS. FUNDING ALSO SUPPORTS SCHOOL BASED HEALTH CENTERS IN MILWAUKEE SCHOOLS AND SUPPORTS SOCIAL SERVICES PROVIDED TO WISCONSIN CHILDREN AND FAMILIES. 2017500 2017500 THE FOUNDATION PROVIDES RESOURCES ESSENTIAL TO SUPPORT THE OPERATIONS OF CHW. 1737894 1737894 IN COLLABORATION WITH CHW AND ITS AFFILIATES, THE FOUNDATION RAISES FUNDS TO SUPPORT INNOVATIVE NEW BIOMEDICAL, CLINICAL AND TRANSLATIONAL RESEARCH. 3118071 3118071 PHILANTHROPIC SUPPORT RECEIVED BY THE FOUNDATION SUPPORTS CAPITAL EXPENDITURES SUCH AS FACILITIES EXPANSION, RENOVATION AND EQUIPMENT. 3118071 3118071 10043995 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 24 3 1 38 1 0 0 0 0 0 1 1 0 0 0 0 X 32 22 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI MN AZ FL X MR JASON PELSIS 4142665997 9000 W WISCONSIN AVENUE MILWAUKEE WI 53201 THOMAS E ARENBERG 1.00 X X 0 0 0 ELLIS D AVNER MD 1.00 X 0 0 0 MORRY BIRNBAUM 1.00 X 0 0 0 KELLY J CLEARY-REBHOLZ 1.00 X 0 0 0 THOMAS J ENDERS 1.00 X 0 0 0 MARC H GORELICK MD 1.00 X 0 0 0 SCOTT R HAAG 1.00 X 0 0 0 DAVID P HAMACHER 1.00 X 0 0 0 MARY M HOSMER 1.00 X 0 0 0 TED D KELLNER 1.00 X 0 0 0 BERNARD S KUBALE 1.00 X 0 0 0 JOHN D LUBOTSKY 1.00 X 0 0 0 KARIM J MACLEOD 1.00 X 0 0 0 KIM M MAROTTA 1.00 X 0 0 0 FRANK R MARTIRE JR 1.00 X 0 0 0 JOHN S MCGREGOR 1.00 X 0 0 0 JOHN M NOEL 1.00 X 0 0 0 STEVEN M PALEC 1.00 X 0 0 0 LARRY J POLACHECK MD 1.00 X 0 0 0 LARRY A RAMBO 1.00 X 0 0 0 TODD M REARDON 1.00 X 0 0 0 MARY ANN RENZ 1.00 X 0 0 0 GREG W RENZ 1.00 X 0 0 0 JAY O ROTHMAN 1.00 X X 0 0 0 MARY ELLEN B STANEK 1.00 X 0 0 0 JOHN W STEINER 1.00 X 0 0 0 CURT B TRAU 1.00 X 0 0 0 JAMES S TWEDDELL MD 1.00 X 0 0 0 PATRICIA L VAN KAMPEN 1.00 X 0 0 0 MARGARET TROY 40.00 X 0 997755 247005 JAMES MILLER 40.00 X X 0 412872 58996 PATRICIA ALLISON 40.00 X 0 168890 49380 TIMOTHY L BIRKENSTOCK 40.00 X 0 596957 81491 SHEILA REYNOLDS 40.00 X 0 353276 64317 MARTIN VOGEL 40.00 X 0 201375 57847 JEFFREY STEWART 40.00 X 157873 0 28880 KELLY SACHSE 40.00 X 138122 0 26429 JON E VICE 0.00 X 0 5795708 39648 295995 8526833 653993 2 1 1 0 CHILDREN'S MIRACLE NETWORK 4525 SOUTH 2300 EAST SALT LAKE CITY UT 84117 HOSPITAL AWARENESS NETWORK 198514 M&I BANK 111 EAST KILBOURN AVENUE SUITE 200 MILWAUKEE WI 53202 INVESTMENT FEES 192379 HEARTLAND ADVISORS 789 NORTH WATER STREET SUITE 500 MILWAUKEE WI 53202 INVESTMENT FEES 177578 LAKEFRONT COMMUNICATIONS LLC PO BOX 78755 MILWAUKEE WI 532780755 AIRTIME/RADIOTHON 154697 FIDUCIARY MANAGEMENT INC (FMI) 100 EAST WISCONSIN AVENUE SUITE 22 MILWAUKEE WI 53202 INVESTMENT FEES 151402 7 347548 3145653 15536022 377666 19029223 8169203 8169203 101175156 95082784 6092372 6092372 6092372 719061 3145653 742085 -23024 -23024 14985 990 13995 13995 33281769 0 0 14252546 10043995 10043995 351303 186753 164550 2640733 923545 1717188 105273 36329 68944 431618 149586 282032 183939 56261 127678 673000 673000 210 210 90747 90747 480282 480282 42237 42237 11055 11055 23562 16593 6969 94678 94644 34 28035 9501 18534 56135 5690 50445 4405 603 3802 35976 35976 19719 19719 PURCHASED SERVICES 322941 49698 273243 DUES,POSTAGE,DONOR REL 118858 45713 73145 PRINTING & PUBLICATION 75630 26728 48902 36491 36491 15870822 10043995 2790902 3035925 2083387 2025785 17973382 16847770 242113 255697 251546 167670 95584 83876 344246679 392708622 1861646 2880008 366502791 414801758 865274 899914 29319087 25348652 30184361 26248566 X 198862640 232411896 36445913 40628553 101009877 115512743 336318430 388553192 366502791 414801758 X 17410947 34823815 X 0 1 1 X 0 X 20337024 25191173 25297386 18200957 19029223 108055763 20337024 25191173 25297386 18200957 19029223 108055763 11865591 96190172 15585449 19525055 10393359 9198668 8169203 62871734 170927497 5270292 0.56280 0.54870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 310455790 15473320 14110135 10043995 853953 329141297 254107258 14374062 50354147 8379677 310455790 304292256 22231792 -55658236 16758554 254107258 0.52600 0.35100 0.12300 0 0 251546 167670 83876 83876 PAYABLE TO AFFILIATES 25348652 25348652 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: CHHSF HOLDS ENDOWMENT FUNDS ON BEHALF OF CHHS AND ITS AFFILIATES. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, EDUCATION, CAPITAL PROJECTS, RESEARCH, AND SOCIAL SERVICES TO CHILDREN AND FAMILIES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2010 OR 2009. X X X X X X 1 VITAL DATA MANAGEMENT 591 NORTH AVENUE WAKEFIELD MA 01880 DIRECT MAIL 0 150678 90747 59931 150678 90747 59931 WI FL AZ MN AL'S RUN AND WALK 1053184 660115 393069 30582 22335 1400 243071 MIRACLE MARATHON 1564755 1458594 106161 41828 145 125140 12 1246775 1026944 219831 33187 18162 43614 5350 177271 3864714 3145653 719061 105597 40642 45014 5350 545482 742085 -23024 14985 990 0 14985 990 990 13995 WI 1 0 1 0 0.00000 1.00000 ELISABETH THOMSEN SPECIAL EVENTS M 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 0 ELISABETH THOMSEN SPECIAL EVENTS M 51979 RESPONSIBILITIES AS SPECIAL EVENTS MANAGER INCLUDE OVERSIGHT OF ALL ASPECTS OF FUNDRAISING EVENTS, INCLUDING RAFFLES. HER PERCENTAGE OF TIME SPENT COORDINATING RAFFLES IS ABOUT 4%. X 0 SCHEDULE G, PART I, LINE 2B, COLUMN III, CUSTODY/CONTROL OF CONTRIBUTIONS: VITAL DATA MANAGEMENT, INC. DOES NOT ACCEPT OR PROCESS DONATIONS ON BEHALF OF CHHSF. ALL CONTRIBUTIONS ARE DIRECTED TO AND RECEIVED BY CHHSF. DURING 2010, THE ORGANIZATION PAID VITAL DATA MANAGEMENT, INC. $90,747 FOR SERVICES AND $6,400 FOR DIRECT EXPENSES, FOR A TOTAL OF $97,147. 1 CHILDREN'S HOSPITAL OF WISCONSIN INC 9000 W WISCONSIN AVENUE PO BOX 1997 1997 MILWAUKEE WI 53201 390812532 501(C)(3) 5127017 OPERATION & CAPITAL SUPPORT CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 9000 W WISCONSIN AVENUE PO BOX 1997 1997 MILWAUKEE WI 53201 391500074 501(C)(3) 3125977 MEDICAL RESEARCH & CHILD ABUSE PREVENTION CHILDREN'S SERVICE SOCIETY OF WISCONSIN 9000 W WISCONSIN AVENUE PO BOX 1997 1997 MILWAUKEE WI 53201 390806380 501(C)(3) 1756001 CHILD & FAMILY SOCIAL SERVICES CHILDREN'S MEDICAL GROUP INC 9000 W WISCONSIN AVENUE PO BOX 1997 1997 MILWAUKEE WI 53201 391789197 501(C)(3) 35000 SCHOOL-BASED CLINICS 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: IN COLLABORATION WITH CHW, CHHSF 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. X X 0 1 X X X X X X 1 1 0 0 0 0 0 1 0 MARGARET TROY 0 696337 0 238920 0 62498 0 213436 0 33569 0 1244760 0 0 JAMES MILLER 0 308562 0 64000 0 40310 0 32760 0 26236 0 471868 0 0 PATRICIA ALLISON 0 130907 0 0 0 37983 0 20693 0 28687 0 218270 0 0 TIMOTHY L BIRKENSTOCK 0 413954 0 124887 0 58116 0 52773 0 28718 0 678448 0 20063 SHEILA REYNOLDS 0 234291 0 80785 0 38200 0 35168 0 29149 0 417593 0 9703 MARTIN VOGEL 0 190761 0 0 0 10614 0 29485 0 28362 0 259222 0 0 JEFFREY STEWART 148590 0 0 0 9283 0 8057 0 20823 0 186753 0 0 0 KELLY SACHSE 137483 0 0 0 639 0 9811 0 16618 0 164551 0 0 0 JON E VICE 0 647628 0 0 0 5148080 0 0 0 39648 0 5835356 0 4895003 PART I, LINE 1A THE ORGANIZATION CONTINUED ITS PAST PRACTICE OF PAYING DUES FOR AN EXECUTIVE AT A LOCAL SOCIAL CLUB. BASED UPON PAST DISCUSSIONS WITH THE IRS REGARDING THE TAXABILITY OF SUCH AMOUNTS TO THE EXECUTIVE, THE ORGANIZATION'S PRACTICE IS TO TREAT THE ENTIRE AMOUNT OF THE DUES AND THE CORRESPONDING TAX GROSS-UP PAYMENT AS TAXABLE INCOME. SUCH AMOUNTS, INCLUDING THE ANNUAL GROSS-UP, WERE PRESENTED TO THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S SOLE CORPORATE MEMBER AS PART OF THE OVERALL COMPENSATION PACKAGE FOR THE EXECUTIVE. EFFECTIVE JANUARY 1, 2011, THE ORGANIZATION HAS ELIMINATED PAYMENT OF DUES FOR ALL OF THE MEMBERSHIPS (AND THE CORRESPONDING TAX GROSS-UPS). PART I, LINE 1B THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES RELATED TO SUBSTANTIATION FOR REIMBURSEMENT OF ALL EXPENSES. THE SOCIAL CLUB DUES WERE SUBJECT TO, AND PAID IN COMPLIANCE WITH, THE WRITTEN POLICIES AND PROCEDURES; BOTH THE DUES AND THE RELATED TAX GROSS-UPS WERE INCLUDED IN AMOUNTS PRESENTED TO THE COMPENSATION COMMITTEE. PART I, LINES 4A-B UNTIL JANUARY 2009, JON VICE SERVED AS PRESIDENT/CEO OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), WHICH IS THE CORPORATE MEMBER OF THE FOUNDATION. BY VIRTUE OF THAT ROLE, MR. VICE ALSO PERIODICALLY SERVED AS A DIRECTOR AND/OR OFFICER OF THE FOUNDATION. IN JANUARY 2009, MR. VICE RETIRED AFTER 30 YEARS OF SERVICE WITH CHHS AND ITS AFFILIATES. CHHS PAID CERTAIN AMOUNTS AS SEVERANCE OR EARLY RETIREMENT INCOME TO MR. VICE, WHO SERVED AS PRESIDENT/CEO THROUGH JANUARY 2009. THESE AMOUNTS WERE PAID PURSUANT TO A WRITTEN AGREEMENT ENTERED INTO IN MAY 2008. CASH PAYMENTS MADE TO MR. VICE IN 2010 TOTALED $650,638. HOWEVER, BECAUSE AMOUNTS PAYABLE UNDER THE ARRANGEMENT WERE DEEMED TO HAVE VESTED IN 2010, THE PRESENT VALUE OF PAYMENTS TO BE MADE IN FUTURE YEARS (BASED ON ACTUARIAL ESTIMATES) WAS REPORTED AS TAXABLE INCOME FOR 2010 ACCORDINGLY. PART I, LINE 4B: IN 2010, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F)). THE ORGANIZATION CONTRIBUTES 7% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2010 WERE AS FOLLOWS: P. ALLISON $11,668; T. BIRKENSTOCK $30,723; S. REYNOLDS $18,018; J. MILLER $22,960; M. VOGEL $13,610; M. TROY $50,820. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2010 WERE: T. BIRKENSTOCK $20,063; S. REYNOLDS $9,703. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2010 WAS $152,816. PART I, LINE 7 CERTAIN EXECUTIVES OF CHHS AND ITS AFFILIATES (INCLUDING THE FOUNDATION) 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 WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES. SUPPLEMENTAL INFORMATION PART III FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS 1. MARGARET TROY, DIRECTOR OF CHHSF 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 CHHSF WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. JAMES MILLER, PRESIDENT AND CEO OF CHHSF - 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 CHHSF. THESE AMOUNTS WERE PAID BY CHHS. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 3. PATRICIA ALLISON, VICE PRESIDENT OF CAMPAIGN DEVELOPMENT FOR CHHSF - 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 CHHSF. THESE AMOUNTS WERE PAID BY CHHS. 4. TIMOTHY L. BIRKENSTOCK, TREASURER OF CHHSF AND TREASURER & CFO 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. 5. SHEILA REYNOLDS, SECRETARY OF CHHSF 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. MARTIN VOGEL, VICE PRESIDENT OF PRINCIPAL GIFTS OF CHHSF - 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 CHHSF. THESE AMOUNTS WERE PAID BY CHHS. 7. JON E. VICE, FORMER PRESIDENT OF CHHSF AND FORMER PRESIDENT & CEO OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID BY CHHS AS DESCRIBED ABOVE. FIDUCIARY MANAGEMENT INC DIRECTOR (KELLNER) 151402 MR. KELLNER IS CHAIRMAN AND CEO OF FIDUCIARY MANAGEMENT, INC. THE ORGANIZATION PAID FIDUCIARY MANAGEMENT, INC. FOR INVESTMENT SERVICES. 0 BAIRD ADVISORS DIRECTOR (STANEK) 114498 MS. STANEK IS MANAGING DIRECTOR AND CHIEF INVESTMENT OFFICER FOR BAIRD ADVISORS. THE ORGANIZATION PAID BAIRD ADVISORS FOR INVESTMENT SERVICES. 0 SCHEDULE L, PART IV, COLUMN B, RELATIONSHIP: X 27 159870 SELLING PRICE X AUCTION/PRIZES 381 154884 FMV X FOOD/BEVERAGES 46 25613 FMV X SUPPLIES 2 2000 FMV X RAFFLES 23 3299 FMV X OTHER 1 32000 FMV 0 1 1 THIRD PARTY USE: PART I, LINE 32B: SCHEDULE M, LINE 32B: THE ORGANIZATION USES VARIOUS BROKERAGE FIRMS TO SELL DONATED SECURITIES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ALLEN AND ROTHMAN; AND G. RENZ AND ROTHMAN. FAMILY RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: G. RENZ AND M.A. RENZ. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FOUNDATION WERE AMENDED IN 2010 AS PART OF A SYSTEM-WIDE RESTRUCTURING. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS. FORM 990, PART VI, SECTION A, LINE 7A CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 OF CHHSF WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF CHHS AND PRIOR TO FILING, A COPY WAS MADE AVAILABLE TO ALL DIRECTORS OF CHHSF. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CORPORATE VICE PRESIDENT AND GENERAL COUNSEL OF CHHS. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE AT EACH BOARD AND COMMITTEE MEETING. THE COMPLIANCE DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT, TREASURER, AND SECRETARY OF CHHSF WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF CHHS. 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 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 CHHSF ARE AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 34,823,815. FORM 990, SCHEDULE R, PART V, LINE 1D PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHW AND CHHSF ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEES 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. CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 391500074 OPERATIONAL SUPPORT SERVICES WI 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 390812532 PEDIATRIC HOSPITAL WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 CHILDREN'S MEDICAL GROUP INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 391789197 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 CHILDREN'S PHYSICIAN GROUP PC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 364303682 PEDIATRIC PHYSICIAN SERVICES IL 501(C)(3) LINE 9 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 CHILDREN'S SERVICE SOCIETY OF WISCONSIN 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 390806380 CHILD WELFARE SERVICES WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 CHILDREN'S COMMUNITY HEALTH PLAN INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 271494977 WISCONSIN MEDICAID HMO WI 501(C)(3) LINE 9 CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 0 VIRTUAL PICU SYSTEMS LLC 401 WYTHE STREET SUITE 101 ALEXANDRIA VA 22314 201414664 QUALITY/OUTCOMES ANALYSIS DE CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC RELATED 0 0 MED-HEALTH FINANCIAL SERVICES INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE WI 53201 391547907 COLLECTION SERVICES WI CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC C 0 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0