CHILDRENS SERVICE SOCIETY OF WISCONSIN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS SERVICE SOCIETY OF WISCONSIN (EIN 39-0806380)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349301134
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-10T09:51:13-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KOLBCO SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1
CityBROOKFIELDCity
StateWIState
ZIP Code53005ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390806380EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARC CADIEUXName
TitleCFOTitle
Phone4142665420Phone
Date Signed2011-10-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRYAN L PAUTSCH CPAName
Phone2627549400Phone
Date Prepared2011-10-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19000 W WISCONSIN AVE PO BOX 1997AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts49556275GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CSSW.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1889YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SOCIAL SERVICES TO WISCONSIN CHILDREN AND FAMILIESActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees742TotalNbrEmployees
Total Nbr Volunteers2000TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year23813029ContributionsGrantsPriorYear
Contributions Grants Current Year47730051ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1284670ProgramServiceRevenuePriorYear
Program Service Revenue CY1660669ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year14618InvestmentIncomeCurrentYear
Other Revenue Prior Year114370OtherRevenuePriorYear
Other Revenue Current Year150937OtherRevenueCurrentYear
Total Revenue Prior Year25212069TotalRevenuePriorYear
Total Revenue Current Year49556275TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year408753GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY413367GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16234643SalariesEtcPriorYear
Salaries Etc Current Year27871011SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9189667OtherExpensePriorYear
Other Expenses Current Year18747274OtherExpensesCurrentYear
Total Expenses Prior Year25833063TotalExpensesPriorYear
Total Expenses Current Year47031652TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-620994RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2524623RevenuesLessExpensesCY
Total Assets BOY14743980TotalAssetsBOY
Total Assets EOY15004846TotalAssetsEOY
Total Liabilities BOY9864242TotalLiabilitiesBOY
Total Liabilities EOY8127662TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4879738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6877184NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF CHILDREN'S SERVICE SOCIETY OF WISCONSIN ("CSSW") IS TO BUILD, SUSTAIN, AND ENHANCE A NURTURING ENVIRONMENT FOR WISCONSIN CHILDREN.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense28129679Expense
Grants295439Grants
Revenue450054Revenue
DescriptionPUBLIC CHILD WELFARE - ENCOMPASSES FOSTER CARE AND ADOPTION, ONGOING CASE MANAGEMENT, AND SAFETY SERVICES PROVIDED TO THE BUREAU OF MILWAUKEE CHILD WELFARE (BMCW).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5033846Expense
Grants60707Grants
DescriptionFOSTER CARE AND ADOPTION - LICENSE, SUPPORT, AND CASE MANAGE FOSTER CARE FAMILIES AS WELL AS PLACE EACH ADOPTIVE CHILD IN A LOVING, NURTURING, PERMANENT, AND STABLE HOME.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3646917Expense
Grants57221Grants
Revenue118616Revenue
DescriptionONGOING CASE MANAGEMENT - PROVIDE CASE MANAGEMENT IN ASSISTING CHILDREN AND FAMILIES BY USING A SYSTEMATIC APPROACH TO SOCIAL WORK, FOCUSING ON THE ENVIRONMENT IN WHICH THE FAMILY FUNCTIONS. WORK IS DONE WITH FAMILIES WHERE CHILDREN HAVE BEEN REMOVED FROM THE HOME.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5506414Expense
Revenue1091999Revenue
DescriptionSAFETY SERVICES - SERVE INTACT FAMILIES WHERE CHILDREN HAVE BEEN IDENTIFIED TO BE AT RISK OF ABUSE OR NEGLECT. WORK WITH THE FAMILY TO ACCESS SERVICES THAT WILL REMOVE OR REDUCE FACTORS CONTRIBUTING TO THE RISK.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5506414TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1091999TotalOfOtherProgramServiceRev
Total Program Service Expense42316856TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096347NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees742NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
MICHAEL W ALTSCHAEFL
DIRECTOR/CHAIR (JAN - JUNE 2010)1.00XX000
HOWARD R BORNSTEIN
DIRECTOR1.00X000
TODD M CLEARY
DIRECTOR1.00X000
ROBIN FALL
DIRECTOR1.00X000
GARY W FREELS
DIRECTOR1.00X000
JOSEPH J GEHRKE
DIRECTOR/VICE CHAIR1.00XX000
DAVID L HEARD
DIRECTOR1.00X000
KAREN R JACKSON
DIRECTOR1.00X000
DAVID A KLANTE
DIRECTOR1.00X000
STEVEN J MARCUS
DIRECTOR1.00X000
MICHELLE SAPP NETTLES
DIRECTOR1.00X000
MICHAEL T PEPKE
DIRECTOR1.00X000
MARY ANN RENZ
DIRECTOR1.00X000
HOLLY A RYAN
DIRECTOR1.00X000
LARRY T SARVER
DIRECTOR1.00X000
KATHY SCHWAB
DIRECTOR1.00X000
KRISTINE NOEL SEYMOUR
DIRECTOR1.00X000
KRISTINE SOWE
DIRECTOR1.00X000
PAUL W SWEENEY
DIRECTOR/CHAIR (JUNE - DEC 2010)1.00XX000
PATRICIA L VAN KAMPEN
DIRECTOR1.00X000
THOMAS GAZZANA
DIR./INTERIM PRES (JAN - JUNE 2010)40.00XX032230531340
CINTHIA CHRISTENSEN
DIRECTOR40.00X051642582730
MARGARET TROY
DIRECTOR40.00X0997755247005
ROBERT DUNCAN
DIRECTOR/PRESIDENT (JUNE - DEC 2010)40.00XX018962630641
TIMOTHY BIRKENSTOCK
TREASURER40.00X059695781491
SHEILA REYNOLDS
SECRETARY40.00X035327664317
AMY HERBST
VICE PRESIDENT CSSW40.00X114212034140
KENNETH MUNSON
FORMER DIRECTOR/PRESIDENT0.00029318326908X
FieldValueIRS element (for citing)
Total Reportable Comp From Org114212TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3269527TotalReportableCompFrmRltdOrgs
Total Other Compensation598572TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROFESSIONAL SERVICES GROUP
6233 39TH AVENUEKENOSHAWI53142SUPERVISED VISITATION SERVICES2723624
META HOUSE INC
2625 N WEIL STREETMILWAUKEEWI53212AODA SERVICES407041
LAD LAKE
PO BOX 158DOUSMANWI53118TRANSPORTATION SERVICES391042
MILWAUKEE TRANSPORT SERVICES INC
1942 N 17TH STREETMILWAUKEEWI532051697TRANSPORTATION SERVICES331532
ALTERNATIVE IN PSYCHOLOGY CONSULTATIONS
10045 W LISBON 220WAUWATOSAWI53222PSYCHOLOGY SERVICES294541
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Federated Campaigns1682920FederatedCampaigns
Related Organizations4280754RelatedOrganizations
Government Grants40663229GovernmentGrants
All Other Contributions1103148AllOtherContributions
Total Contributions47730051TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLIENT SVCS FEES62410014668261466826
SHARED SERVICES541900135309135309
CONF. & TRAINING FEES6241005853458534
FieldValueIRS element (for citing)
Total Program Service Revenue1660669TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14618TotalRevenueColumn
Exclusion$14,618ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column150937TotalRevenueColumn
Related Or Exempt Function Income150937RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue150937TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49556275TotalRevenueColumn
Related Or Exempt Function Income1811606RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,618ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total413367Total
Program Services413367ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total148352Total
Management And General148352ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21413677Total
Program Services20257325ProgramServices
Management And General1156352ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1128866Total
Program Services1044092ProgramServices
Management And General84774ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3573449Total
Program Services3381976ProgramServices
Management And General191473ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1606667Total
Program Services1512863ProgramServices
Management And General93804ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2475449Total
Program Services79000ProgramServices
Management And General2396449ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2457Total
Program Services2334ProgramServices
Management And General123ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1132884Total
Program Services1069538ProgramServices
Management And General63346ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total158286Total
Program Services158253ProgramServices
Management And General33ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1082278Total
Program Services940440ProgramServices
Management And General141838ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15561Total
Program Services105ProgramServices
Management And General15456ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1492255Total
Program Services1414440ProgramServices
Management And General77815ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1152161Total
Program Services1106769ProgramServices
Management And General45392ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total202488Total
Program Services154621ProgramServices
Management And General47867ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total474239Total
Program Services251249ProgramServices
Management And General222990ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total171357Total
Program Services163584ProgramServices
Management And General7773ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLIENT SERVICES6073187607316324
FOSTER/RESPITE SVCS414202141400781943
MISCELLANEOUS14331813327510043
DUES AND FEES1600070518949
PROV FOR UNCOLLECTIBLE1333313333

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47031652Total
Program Services42316856ProgramServices
Management And General4714796ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1730966BOY
EOY724594EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY800715BOY
EOY314451EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1896171BOY
EOY3521935EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY193078BOY
EOY204871EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4197771LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1467438LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2307823BOY
EOY2730333EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7815227BOY
EOY7508662EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14743980BOY
EOY15004846EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5502369BOY
EOY5974386EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY182338BOY
EOY280391EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4179535BOY
EOY1872885EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9864242BOY
EOY8127662EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4299723BOY
EOY6225144EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14160BOY
EOY1789EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY565855BOY
EOY650251EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4879738BOY
EOY6877184EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14743980BOY
EOY15004846EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2524623ReconcilationRevenueExpenses
Reconcilation Other Changes-527177ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17041640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18358536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22737733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23813029CurrentTaxYearMinus1Year
Current Tax Year47730051CurrentTaxYear
Total129680989Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17041640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18358536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22737733CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23813029CurrentTaxYearMinus1Year
Current Tax Year47730051CurrentTaxYear
Total129680989Total
FieldValueIRS element (for citing)
Public Support Total170129680989PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year14618CurrentTaxYear
Total14618Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years144130CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years113409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year114370CurrentTaxYearMinus1Year
Current Tax Year150937CurrentTaxYear
Total609565Total
FieldValueIRS element (for citing)
Total Support130305172TotalSupport
Gross Receipts From Admissions Etc7459805GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99520PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99120PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART II, SECTION B, LINE 10: 2010 MISCELLANEOUS INCOME 150,937 2006 MISCELLANEOUS INCOME 86,719 2007 MISCELLANEOUS INCOME 144,130 2008 MISCELLANEOUS INCOME 113,409 2009 MISCELLANEOUS INCOME 114,370GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance540981BeginningOfYearBalance
Contributions75525Contributions
Other Expenditures35892OtherExpenditures
End Of Year Balance580614EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.99700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00300TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis612996OtherCostOrOtherBasis
Depreciation221042Depreciation
Book Value391954BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1435055OtherCostOrOtherBasis
Depreciation1243241Depreciation
Book Value191814BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2149720OtherCostOrOtherBasis
Depreciation3155Depreciation
Book Value2146565BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2730333TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEF. INT. IN NET ASSETS OF CHILDREN'S HOSPITAL & HEALTH SYSTEM FOUND., INCDescription
Book Value7508662BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets7508662TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$806,188
LONG TERM LEASE$179,785
PAYABLE TO FUNDERS$882,815
UNCASHED ACCOUNTS PAYABLE CHECK-ABANDONED$4,097
FieldValueIRS element (for citing)
Total Of Amounts1872885TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CSSW. INTENDED USES OF THE FUNDS INCLUDE VARIOUS SOCIAL SERVICES TO CHILDREN AND FAMILIES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FOOTNOTE 2 INCOME TAXES: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2010 OR 2009.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LUTHERAN SOCIAL SERVICES
PO BOX 88738MILWAUKEEWI53288390816846501(C)(3)279989FOSTER CARE AND ADOPTION SERVICES
FAITH PARTNERSHIP NETWORK INC
PO BOX 171001MILWAUKEEWI53217270002539501(C)(3)7725FOSTER CARE AND ADOPTION RECRUITING
LIBERTY & TRUTH MINISTRIES INC
6119 W FOND DU LAC AVENUEMILWAUKEEWI53216391974174501(C)(3)7725FOSTER CARE AND ADOPTION RECRUITING
MARATHON COUNTY DEPT OF SOCIAL SERVICES
400 E THOMAS STREETWAUSAUWI54403396005716MARATHON COUNTY DSS57221COMMUNITY RESPONSE
CHILD TRENDS INC
4301 CONNECTICUT AVENUE NW 350WASHINGTONDC20008132982969501(C)(3)60707FAMILY FINDING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MONITORING PROCEDURES - THE ORGANIZATION RECEIVES GRANT FUNDING FROM VARIOUS STATE AND FEDERAL AGENCIES. SOME OF THE GRANT AWARDS ARE SUB-AWARDED TO OTHER AGENCIES BASED ON THE REQUIREMENTS OF THE INDIVIDUAL GRANT AGREEMENTS. IN ORDER TO MONITOR THE USE OF THE FUNDS, THE ORGANIZATION ENTERS INTO SIGNED AGREEMENTS WITH THE SUB-GRANTEE AGENCIES TO OUTLINE THE TERMS OF THE ARRANGEMENTS INCLUDING THE PROPER USE OF FUNDS. THESE AGREEMENTS REQUIRE AGENCIES TO PROVIDE CERTIFICATIONS OF EXPENSES SUBMITTED FOR REIMBURSEMENT ALONG WITH DESCRIPTIONS OF THE ACTUAL EXPENSES INCURRED COMPARED TO THE BUDGETED AWARD TOTAL. EACH AWARD IS MONITORED BY A DESIGNATED EMPLOYEE OF THE ORGANIZATION WHO VERIFIES THAT ALL SERVICES ARE PROVIDED ACCORDING TO THE CONTRACT, APPROVES PAYMENTS TO THE AGENCIES, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. IN SOME CASES, THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS GAZZANA
01355340823490104422019600011740035364500
CINTHIA CHRISTENSEN
035095301112480542240481740345560599155031657
MARGARET TROY
0696337023892006249802134360335690124476000
ROBERT DUNCAN
014932603500005300018341012300022026700
TIMOTHY BIRKENSTOCK
041395401248870581160527730287180678448020063
SHEILA REYNOLDS
0234291080785038200035168029149041759309703
KENNETH MUNSON
02752370001794600026908032009100

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BCHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS") PAID SEVERANCE AMOUNTS TO KENNETH MUNSON, WHO SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CSSW THROUGH 2009. PURSUANT TO A WRITTEN SEVERANCE AGREEMENT, MR. MUNSON RECEIVED SEVERANCE PAYMENTS FOR 2010. THE SEVERANCE PAYMENTS MADE IN 2010 WERE $274,985. PART I, LINE 4B: IN 2010, 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 2010 WERE AS FOLLOWS: C. CHRISTENSEN $26,124; T. BIRKENSTOCK $30,723; R. DUNCAN $15,741; S. REYNOLDS $18,018; 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: C. CHRISTENSEN $31,657; 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 & CEO. THE AMOUNT SET ASIDE IN 2010 WAS $152,816.
PART I, LINE 7THE PRESIDENT PARTICIPATES IN AN ANNUAL BONUS PLAN OF CHHS AND ITS AFFILIATES 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.
PART IIIFORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. THOMAS GAZZANA, INTERIM PRESIDENT (THROUGH JUNE 2010) AND DIRECTOR OF CSSW AND CORPORATE VICE PRESIDENT OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. CINTHIA CHRISTENSEN, DIRECTOR OF CSSW AND EXECUTIVE VICE PRESIDENT OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW") - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHW AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHW. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 3. MARGARET TROY, DIRECTOR OF CSSW AND PRESIDENT & CEO OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 4. ROBERT DUNCAN, PRESIDENT AND DIRECTOR OF CSSW AND EXECUTIVE VICE PRESIDENT - COMMUNITY SERVICES OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 5. TIMOTHY L. BIRKENSTOCK, TREASURER OF CSSW 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. 6. SHEILA REYNOLDS, SECRETARY OF CSSW AND CORPORATE VICE PRESIDENT & GENERAL COUNSEL OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF CSSW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 7. KENNETH MUNSON, FORMER PRESIDENT & CEO OF CSSW - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID BY CHHS AS DESCRIBED IN THE ABOVE NARRATIVE FOR PART I, LINES 4A AND 4B.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2CHILDREN'S FAMILY AND COMMUNITY PARTNERSHIPS, INC. ("CFCP") WAS DISSOLVED EFFECTIVE 12/31/09, WITH ITS ASSETS DISTRIBUTED TO ITS SOLE CORPORATE MEMBER, CSSW. IN 2010, CSSW CONTINUED TO PROVIDE THE CASE MANAGEMENT SERVICES THAT WERE PROVIDED BY CFCP UNDER CONTRACT WITH THE STATE OF WISCONSIN DEPARTMENT OF HEALTH AND FAMILY SERVICES, BUREAU OF MILWAUKEE CHILD WELFARE. THESE SERVICES ARE INCLUDED IN THE PROGRAMS LISTED IN FORM 990, PART III, LINE 4A ALONG WITH THE FOSTER CARE AND ADOPTION SERVICES PREVIOUSLY REPORTED AS A MAJOR PROGRAM BY CSSW.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES OF INCORPORATION AND BYLAWS OF CSSW WERE AMENDED IN 2010 AS PART OF A SYSTEM-WIDE RESTRUCTURING.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS.
FORM 990, PART VI, SECTION A, LINE 7ACHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 OF CSSW WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF CHHS AND PRIOR TO FILING, A COPY WAS MADE AVAILABLE TO ALL DIRECTORS OF CSSW.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE CORPORATE VICE PRESIDENT AND GENERAL COUNSEL OF CHHS. A LIST OF POTENTIAL CONFLICTS IS PREPARED AND IS AVAILABLE AT EACH BOARD AND COMMITTEE MEETING. THE COMPLIANCE DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, TREASURER, SECRETARY, AND INTERIM PRESIDENT WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF CHHS (THE ORGANIZATION'S CORPORATE MEMBER). WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE VICE PRESIDENT WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INVOLVED REVIEW BY INDEPENDENT PERSONS WHO CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CSSW ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:PENSION - RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -306,565. CHANGE IN BENEF. INT. IN NET ASSETS OF CHILDREN'S HOSP. & HLTH SYSTEM FOUND -220,612. TOTAL TO FORM 990, PART XI, LINE 5: -527,177.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL AND HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL AND HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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