TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) WILLIAM J ABRAHAM JR DIRECTOR	1.00	X		0
(2) MICHAEL W ALTSCHAEFL DIRECTOR	1.00	X		0
(3) THOMAS M BOLGER DIRECTOR	1.00	X		0
(4) ELIZABETH BRENNER DIRECTOR	1.00	X		0
(5) CURT S CULVER DIRECTOR	1.00	X		0
(6) DAVID J DRURY DIRECTOR/CHAIR	1.00	X	X	0
(7) DAVID H GILBERT DIRECTOR	1.00	X		0
(8) SUSAN HERMA DIRECTOR	1.00	X		0
(9) MARK R HOGAN DIRECTOR	1.00	X		0
(10) PAUL W JONES DIRECTOR	1.00	X		0
(11) JOSEPH KERSCHNER MD DIRECTOR	1.00	X		0
(12) ROBERT M KLIEGMAN MD DIRECTOR	1.00	X		0
(13) MARLENE MELZER LANGE MD DIRECTOR	1.00	X		35,000
(14) C DAVID MYERS DIRECTOR	1.00	X		0
(15) KEITH T OLDHAM MD DIRECTOR	1.00	X		0
(16) ALBERT S ORR III DIRECTOR	1.00	X		0
(17) MICHAEL T PEPKE DIRECTOR	1.00	X		0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) J JOEL QUADRACCI DIRECTOR	1.00	X					0	0	0
(19) LARRY A RAMBO DIRECTOR	1.00	X					0	0	0
(20) JAY O ROTHMAN DIRECTOR	1.00	X					0	0	0
(21) JOHN E SCHLIFSKE DIRECTOR	1.00	X					0	0	0
(22) JOHN S SHIELY DIRECTOR	1.00	X					0	0	0
(23) PETER M SOMMERHAUSER DIRECTOR/VICE CHAIR	1.00	X	X				0	0	0
(24) OWEN J SULLIVAN DIRECTOR	1.00	X					0	0	0
(25) TIMOTHY W SULLIVAN DIRECTOR	1.00	X					0	0	0
(26) MARK C WITT DIRECTOR	1.00	X					0	0	0
(27) MARGARET TROY DIRECTOR/PRESIDENT	40.00	X	X				0	997,755	247,005
(28) CINTHIA S CHRISTENSEN EXECUTIVE VP	40.00		X				516,425	0	82,730
(29) TIMOTHY L BIRKENSTOCK TREASURER	40.00		X				0	596,957	81,491
(30) SHEILA REYNOLDS SECRETARY	40.00		X				0	353,276	64,317
(31) LAWRENCE DUNCAN VP REGIONAL SVCS (JAN. - JUNE 2010)	40.00		X				0	217,359	12,389
(32) LEE ANNE EDDY VP AMBULATORY & DIAGNOSTIC SERVICES	40.00		X				271,891	0	51,333
(33) MICHAEL GUTZEIT MD VP CHIEF MEDICAL OFFICER	40.00		X				415,980	0	73,069
(34) BARBARA JOERS VP SURGICAL SERVICES	40.00		X				103,870	0	15,700
(35) JULIET KERSTEN VP REGIONAL SVCS (JUNE - DEC. 2010)	40.00		X				0	201,424	57,975
(36) NANCY KOROM VP PATIENT CARE SERVICES	40.00		X				372,098	0	67,646
(37) MARK SHIP VP ACCESS & REFERRAL SERVICES	40.00		X				295,441	0	58,338
(38) DONNA JAMIESON EXECUTIVE DIRECTOR OF PATIENT CARE	40.00			X			191,344	0	44,202
(39) TOM LAUSTEN DIRECTOR OF PHARMACY SERVICES	40.00			X			150,248	0	32,364
(40) MARY O'CONNER DIRECTOR OF SURGICAL SERVICES	40.00			X			159,446	0	25,591
(41) JEFFERY GLASSHEIM MD PEDIATRIC PHYSICIAN	40.00				X		289,913	0	21,503
(42) ANDREW SCHMIDT MD HOSPITALIST	40.00				X		237,260	0	30,808
(43) LORI BARBEAU DDS MEDICAL DIRECTOR DENTAL PROGRAM	40.00				X		231,864	0	37,248
(44) THOMAS NICHOLS MD HOSPITALIST	40.00				X		206,251	0	34,086
(45) A CHARLES POST DDS PROGRAM ADMIN DENTAL RESIDENCY	40.00				X		197,942	0	27,380
(46) RAMESH SACHDEVA MD CORP VP & CHIEF QUALITY OFFICER	40.00					X	0	378,816	58,468
(47) JON E VICE - FORMER DIRECTOR/PRESIDENT	0.00					X	0	5,795,708	39,648

(A) Name and business address	(B) Description of services	(C) Compensation
MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK RD MILWAUKEE,WI53226	HEALTHCARE PROF/ ACAD/ADMIN	26,189,901
MEDICAL COLLEGE OF WI AFFIL HSPTLS 8701 WATERTOWN PLANK RD MILWAUKEE,WI53226	RESIDENT SERVICES	9,888,914
BLOOD CENTER OF SE WISCONSIN INC 638 N 18TH ST MILWAUKEE,WI532332121	BLOOD PRODUCTS/LAB SERVICES	9,463,934
THEDA CARE INC 122 E COLLEGE AVE APPLETON,WI549128025	PATIENT HEALTH SRVCS	4,316,449
FLIGHT FOR LIFE MILWAUKEE 2611 AVIATION RD WAUKESHA,WI53186	AIR TRANSPORT SRVCS	1,634,400
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 48

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	495,578	495,578
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,241,969		4,241,969
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	162,145,806	136,756,331	25,389,475
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,028,216	5,980,730	1,047,486
9	Other employee benefits .......	26,503,160	22,265,001	4,238,159
10	Payroll taxes ...........	12,308,380	10,228,059	2,080,321
11	Fees for services (non-employees):
a	Management ......	47,235,034	1,256,619	45,978,415
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	421,946		421,946
g	Other ..........	22,335,112	22,335,112
12	Advertising and promotion ....	12,312	12,312
13	Office expenses .......	4,711,426	2,703,482	2,007,944
14	Information technology ......	876,457	876,457
15	Royalties ..
16	Occupancy ...........	19,215,311	18,237,575	977,736
17	Travel ............	596,551	278,897	317,654
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	95,323	40,393	54,930
20	Interest ...........	14,730,091	14,730,091
21	Payments to affiliates .......	17,070,336	17,070,336
22	Depreciation, depletion, and amortization .....	37,244,888	37,244,888
23	Insurance ..............	1,779,296	20,751	1,758,545
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	MEDICAL SUPPLIES	58,981,217	58,981,217
b	PURCHASED SERVICES	39,281,909	39,251,073	30,836
c	HOSPITAL ASSESSMENT TAX	12,593,303	12,593,303
d	RESIDENT STIPENDS AND B	9,352,767	9,352,767
e	NON-MEDICAL SUPPLIES	3,559,205	3,012,153	547,052
f	All other expenses	15,441,155	14,432,880	1,008,275
25	Total functional expenses. Add lines 1 through 24f	518,256,748	428,156,005	90,100,743	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	7,639,515	1	14,715,003
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........	2,387,431	3	2,635,976
4	Accounts receivable, net .........	62,158,370	4	58,844,806
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	15,000	5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	499,252	7	555,000
8	Inventories for sale or use ..............	3,236,907	8	3,260,083
9	Prepaid expenses and deferred charges ............	5,418,700	9	5,344,745
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	624,020,445
b	Less: accumulated depreciation. .....	10b	219,180,910	420,668,064	10c	404,839,535
11	Investments—publicly traded securities ..........	227,126,123	11	281,227,397
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	353,344,519	15	382,160,495
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,082,493,881	16	1,153,583,040
	17	Accounts payable and accrued expenses .	52,623,469	17	59,647,371
18	Grants payable ..........		18
19	Deferred revenue ..........	847,522	19	765,066
20	Tax-exempt bond liabilities ..........	280,001,195	20	276,090,977
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	54,033,018	25	67,037,932
26	Total liabilities. Add lines 17 through 25.....	387,505,204	26	403,541,346
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	566,962,678	27	603,323,347
28	Temporarily restricted net assets .....	27,873,778	28	32,280,031
29	Permanently restricted net assets .....	100,152,221	29	114,438,316
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	694,988,677	33	750,041,694
34	Total liabilities and net assets/fund balances .....	1,082,493,881	34	1,153,583,040

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:

			Amount
c	Beginning balance .................................	1c	175,595
d	Additions during the year ..............................	1d	156,253
e	Distributions during the year .............................	1e	114,187
f	Ending balance ...................................	1f	217,661

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	301,025,999	246,110,966	294,258,148
b	Contributions ........	13,508,585	12,400,322	20,363,545
c	Investment earnings or losses ...	13,344,633	48,806,039	-54,457,713
d	Grants or scholarships .....	7,310,168	6,291,328	14,053,014
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....	850,700
g	End of year balance ......	319,718,349	301,025,999	246,110,966

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

54.100 %

Permanent endowment: SchDMd Bullet

35.800 %

Term endowment: SchDMd Bullet

10.100 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................	460,647,151	144,327,495	316,319,656
c	Leasehold improvements ............	6,561,797	2,759,156	3,802,641
d	Equipment ................	145,323,668	70,993,539	74,330,129
e	Other .................	11,487,829	1,100,720	10,387,109
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				404,839,535

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				27,033,950
(2) BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSP & HEALTH SYSTEM FOUND.				354,815,314
(3) 457 PLAN ASSETS				311,231






Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				382,160,495

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS		3,923,015
CAPITAL AND OTHER LEASE OBLIGATIONS		2,463,547
FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS		18,443,873
457 PLAN LIABILITY		311,231
ACCRUED PENSION		40,116,067
ESTIMATED THIRD PARTY PAYER SETTLEMENTS		1,780,199



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		67,037,932
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	559,446,199
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	518,256,748
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	41,189,451
4	Net unrealized gains (losses) on investments ..........................	4	3,609,238
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	10,254,328
9	Total adjustments (net). Add lines 4 - 8 .............................	9	13,863,566
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	55,053,017

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	547,401,830
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	3,609,238
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	-12,331,150
e	Add lines 2a through 2d .....................			2e	-8,721,912
3	Subtract line 2e from line 1.....................			3	556,123,742
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	3,322,457
c	Add lines 4a and 4b.......................			4c	3,322,457
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	559,446,199

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	495,573,512
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	495,573,512
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b	22,683,236
c	Add lines 4a and 4b.......................			4c	22,683,236
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	518,256,748

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
	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.
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 CHILDREN'S HOSPITAL OF WISCONSIN, INC. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, CAPITAL PROJECTS AND RESEARCH.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 2010 OR 2009.
		PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -6,718,250 INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL FOUNDATION 31,146,294 PENSION-RELATED CHANGE OTHER THAN NET PERIODIC PENSION COST -14,173,716 TOTAL PART XI, LINE 8 10,254,328
		PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -6,718,250 NET INTEREST COST - FIXED PAYER INTEREST RATE SWAPS -5,175,462 INVESTMENT FEES -421,945 TAX EXPENSE -15,493 TOTAL PART XII, LINE 2D -12,331,150 PART XII, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS-CAPITAL ACQUISITIONS 3,322,457
		PART XIII, LINE 4B - OTHER ADJUSTMENTS: PAYMENTS TO AFFILIATES 17,070,336 NET INTEREST COST - FIXED PAYER INTEREST RATE SWAPS 5,175,462 INVESTMENT FEES 421,945 TAX EXPENSE 15,493 TOTAL PART XIII, LINE 4B 22,683,236

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	941,479		941,479	0.180 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	222,586,033	173,340,512	49,245,521	9.580 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	223,527,512	173,340,512	50,187,000	9.760 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	5,640,162	22,386	5,617,776	1.090 %
f Health professions education (from Worksheet 5) ..	29,757,992	7,427,498	22,330,494	4.340 %
g Subsidized health services (from Worksheet 6) ..	12,527,758	6,136,079	6,391,679	1.240 %
h Research (from Worksheet 7)	7,811,906		7,811,906	1.520 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	613,937		613,937	0.120 %
jTotal Other Benefits ...	56,351,755	13,585,963	42,765,792	8.320 %
kTotal. Add lines 7d and 7j. ..	279,879,267	186,926,475	92,952,792	18.080 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	178,750		178,750	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1,345,207	43,738	1,301,469	0.250 %
7	Community health improvement advocacy	1,264,746	300	1,264,446	0.240 %
8	Workforce development	1,390		1,390	0 %
9	Other	324		324	0 %
10	Total	2,790,417	44,038	2,746,379	0.520 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

2,078,686

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

130,000

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

653,248

Enter Medicare allowable costs of care relating to payments on line 5.....

1,184,031

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-530,783

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?11 Name and address					Other (Describe)
1	CHILDREN'S HOSPITAL OF WISCONSIN INC 9000 W WISCONSIN AVE MILWAUKEE,WI53201				X	X	X	X	X	X
2	CHILDREN'S HOSPITAL OF WI-FOX VALLEY 130 S 2ND STREET NEENAH,WI54956				X	X	X
3	CHW CLINICS - NEW BERLIN 4855 S MOORELAND ROAD NEW BERLIN,WI53151				X		X	X	X		HOSPITAL OUTPATIENT SERVICES
4	CHW CLINICS - GREENWAY 3365 S 103RD ST GREENFIELD,WI53227				X		X	X	X		HOSPITAL OUTPATIENT SERVICES
5	CHILDREN'S DENTAL CENTER 1020 N 12TH ST MILWAUKEE,WI53233				X		X	X			HOSPITAL OUTPATIENT SERVICES
6	CHILD PROTECTION CENTER 1020 N 12TH ST MILWAUKEE,WI53233				X		X	X			HOSPITAL OUTPATIENT SERVICES
7	GENETICS CENTER 1092 N 92ND ST WAUWATOSA,WI53226				X		X	X	X		HOSPITAL OUTPATIENT SERVICES
8	CHILD DEVELOPMENT CENTER 13800 W NORTH AVE SUITE 120 BROOKFIELD,WI53005				X		X	X			HOSPITAL OUTPATIENT SERVICES
9	CHW CLINICS - KENOSHA 6308 8TH AVE SUITE 3090 KENOSHA,WI53143				X		X	X			HOSPITAL OUTPATIENT SERVICES
10	KENOSHA CHILD ADVOCACY CENTER 6308 8TH AVE SUITE 3090 KENOSHA,WI53143	X	X	X	HOSPITAL OUTPATIENT SERVICES
11	CHW CLINICS - GREEN BAY 555 REDBIRD CIRCLE DE PERE,WI54115	X	X		HOSPITAL OUTPATIENT SERVICES

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8		No
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9		No
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11		No
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12		No
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14		No
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16		No
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18		No
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?6
Name and address		Type of Facility (Describe)
1	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
2	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
3	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
4	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
5	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
6	CHILDREN'S HOSPITAL OF WISCONSIN 1020 N 12TH ST 5TH FLOOR MILWAUKEE,WI53233	MENTAL HEALTH OUTPATIENT CLINIC
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		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 AND IMPLEMENTS VARIOUS POLICIES (INCLUDING A CHARITY CARE POLICY AND SELF-PAY POLICY), 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 POLICIES GENERALLY PROVIDE 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 WEB SITE OR UPON REQUEST.
		PART I, LINE 7: 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 $4,218,627 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 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. IN ADDITION, THE HOSPITAL HOSTED LISTENING SESSIONS WITH COMMUNITY LEADERS AND ORGANIZERS IN THREE AT-RISK NEIGHBORHOODS TO LEARN MORE ABOUT COMMUNITY NEEDS AND HOW BEST TO ADDRESS THOSE NEEDS. THE HOSPITAL CONDUCTS OR PARTICIPATES IN MANY PROGRAMS THAT HELP COMMUNITY MEMBERS KEEP THEIR CHILDREN AND FAMILIES HEALTHY. EXAMPLES INCLUDE:CHILDREN'S HEALTH ALLIANCE OF WISCONSIN IS A STATEWIDE ORGANIZATION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE BRINGS PEOPLE TOGETHER TO RAISE AWARENESS, INCREASE ACCESS TO QUALITY CARE AND PROMOTE BEST PRACTICES. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A MATERNAL AND CHILD HEALTH, WISCONSIN DEPARTMENT OF HEALTH SERVICES GRANT 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 LEADS AND MANAGES THE FOLLOWING KEY INITIATIVES: ASTHMA, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, LEAD POISONING, ORAL HEALTH COALITION, AND REACH OUT AND READ.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 ALSO CAN 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 INFANT DEATH CENTER ("IDC") IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN. 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.THE HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS WHO DO NOT HAVE EXISTING CARE COORDINATION SERVICES. 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.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, CHILDREN'S HOSPITAL 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. THE SOUTHEAST CENTER SERVES EIGHT COUNTIES. 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.FIGHT ASTHMA MILWAUKEE, WHICH IS LED AND SUPPORTED BY MEDICAL STAFF AT THE HOSPITAL, 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.IN THE FOX VALLEY, THE HOSPITAL AND THEDA CLARK MEDICAL CENTER PARTNER WITH ROOSEVELT ELEMENTARY SCHOOL TO PROMOTE TO STUDENTS HEALTHY HABITS AND CIVIC RESPONSIBILITY. STAFF MEMBERS FROM BOTH HOSPITALS MENTOR STUDENTS THROUGH THE BACKYARD BUDDIES PROGRAM. THE HOSPITAL ALSO PARTNERS WITH LOCAL ORGANIZATIONS IN THE FOX VALLEY TO IMPROVE THE HEALTH OF THE CHILDREN IN THE COMMUNITY THROUGH NUMEROUS EVENTS SUCH AS A BIKE HELMET SAFETY EVENT AT THE YMCA, HEALTHY KIDS DAY, AND THE APPLETON AREA SCHOOL DISTRICT'S EDUCATION FOR HEALTHY KIDS SUMMER INSTITUTE. EACH SPRING, THE HOSPITAL AND THEDA CLARK MEDICAL CENTER COLLABORATE TO OFFER FREE HOSPITAL TOURS TO FIRST-GRADE STUDENTS FROM LOCAL PUBLIC AND PRIVATE SCHOOLS. STAFF ALSO PROVIDE EDUCATION TO OTHER HEALTH CARE PROVIDERS AND PROFESSIONALS IN THE COMMUNITY ON TOPICS SUCH AS CHILD ABUSE, NEONATAL RESUSCITATION, CHILD AND ADOLESCENT MENTAL HEALTH AND DIABETES. 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.VOLUNTEERS FROM THE HOSPITAL ANNUALLY STAFF THE SUMMER CAMP FOR BURN INJURED YOUTH, SPONSORED BY THE WISCONSIN ALLIANCE FOR FIRE SAFETY. THE CAMP IS A STATEWIDE EFFORT TO OFFER A SUMMER CAMPING EXPERIENCE FOR YOUTH WHO HAVE ENDURED SIGNIFICANT BURN INJURIES, PROVIDING THEM AN OPPORTUNITY TO HAVE FUN, MAKE FRIENDS AND IMPROVE SELF-ESTEEM. PART III, LINE 3: THE HOSPITAL ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE (AT COST) 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.
		PART III, LINE 4: THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. BAD DEBT REPORTED IN PART III, SECTION A IS CALCULATED BASED ON THE HOSPITAL'S OVERALL RATIO OF PATIENT CARE COST TO CHARGES CALCULATED USING THE METHODOLOGY IN WORKSHEET 2 OF SCHEDULE H INSTRUCTIONS.
		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.
		PART III, LINE 9B: UNDER THE HOSPITAL'S POLICIES AND PROCEDURES, THE HOSPITAL UNDERTAKES 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 CHARITY CARE PROGRAM. 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 VI, LINE 2: IN ADDITION TO LOCAL LISTENING SESSIONS AND OTHER EFFORTS DESCRIBED WITHIN SCHEDULE H, THE HOSPITAL USES SECONDARY DATA SUCH AS THE WISCONSIN HEALTHIEST PEOPLE 2010 TO ASSESS THE NEEDS OF THE COMMUNITY. THE HOSPITAL IS CURRENTLY WORKING ON THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT WITH A TEAM OF HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, CLINICS, LOCAL HEALTH DEPARTMENTS AND OTHER PUBLIC HEALTH PROFESSIONALS WHO WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT IN 2012.
		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 TO CHILDREN FROM WISCONSIN, UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS AND THROUGHOUT THE UNITED STATES. APPROXIMATELY 49 PERCENT OF GROSS CHARGES FOR PATIENT SERVICES WERE GENERATED FROM SERVICES TO MEDICAID BENEFICIARIES IN 2010.
		PART VI, LINE 6: 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 ALSO MAY ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY AND KENOSHA AREAS. IN 2009, THE HOSPITAL OPENED A MULTISPECIALTY AMBULATORY CENTER IN NEW BERLIN, WIS., TO PROVIDE FAMILIES WITH EASY ACCESS TO CARE. THE HOSPITAL FUNDS SCHOOL-BASED HEALTH CENTERS IN MILWAUKEE SCHOOLS AND AT A SITE LOCATED IN THE NEXT DOOR FOUNDATION. THESE CENTERS PROVIDE PREVENTATIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRICIAN PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2010, THERE WERE 15,750 SCHOOL-BASED NURSE ENCOUNTERS AND 5,071 PHYSICIAN OFFICE VISITS AT THE NEXT DOOR FOUNDATION SITE.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 7,200 CHILDREN, INCLUDING 500 CHILDREN IN FOSTER CARE, ARE SEEN ANNUALLY AT THE CENTER, AND 92 PERCENT OF THEM ARE 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 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. BLUEKIDS.ORG E-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.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 THAT THEY ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILD USING THEM. IN SOME CASES, 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. THE CENTER 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 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 ALSO IS WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. IN 2010, THE HOSPITAL LAUNCHED A MULTI-YEAR, SYSTEM-WIDE EFFORT TO INCREASE IMMUNIZATION RATES AMONG CHILDREN. THIS INITIATIVE IS KEY TO ACHIEVING THE HEALTH SYSTEM'S VISION OF HELPING WISCONSIN'S CHILDREN TO BE THE HEALTHIEST IN THE NATION. AS PART OF THE INITIATIVE: -THE HOSPITAL HAS PARTNERED WITH THE MILWAUKEE HEALTH DEPARTMENT AND COMMUNITY ORGANIZATIONS TO SPREAD THE WORD THAT VACCINES ARE SAFE AND NECESSARY. -HEALTH CARE PROVIDERS DISCUSS THE IMPORTANCE AND SAFETY OF IMMUNIZATIONS WITH PARENTS DURING VISITS TO OUR HOSPITAL AND CLINICS. -AT EACH VISIT, HEALTH CARE PROVIDERS USE THE WISCONSIN IMMUNIZATION REGISTRY ("WIR") TO CHECK THE IMMUNIZATION STATUS OF PATIENTS YOUNGER THAN 25 MONTHS AND UPDATE INFORMATION IN THE WIR DATABASE, IF NEEDED. -IF A CHILD IS NOT UP TO DATE ON IMMUNIZATIONS, PARENTS AND STAFF PARTNER TO IDENTIFY WHERE THE RECOMMENDED IMMUNIZATIONS CAN BE ADMINISTERED. -IF NECESSARY, HOSPITAL STAFF HELP CONNECT PARENTS WITH A "MEDICAL HOME," A PLACE WHERE CHILDREN CAN RECEIVE PRIMARY CARE ON A REGULAR BASIS.
		PART VI, LINE 7: 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: -LOCATING 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 COUNSELING. -PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE. -OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP BIRTHPARENTS DEALING WITH AN UNPLANNED PREGNANCY. -PROVIDING INTENSIVE IN-HOME SERVICES 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, INCLUDING: -ONGOING REASSESSMENT OF CHILD SAFETY; -FAMILY ASSESSMENT; -DEVELOPMENT OF CASE PLANS; -COORDINATION OF SERVICE; -IMPLEMENTATION OF SAFETY SERVICES THAT ENSURE A FAMILY CAN STAY TOGETHER. CHHS HAS TWO KEY PROGRAMS TO PROMOTE CUTTING EDGE, HIGH QUALITY CARE. CHILDREN'S RESEARCH INSTITUTE CARRIES ON RESEARCH INITIATIVES AIMED AT IMPROVING THE DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH CONDITIONS, AND NATIONAL OUTCOMES CENTER GATHERS AND PUBLICIZES DATA TO ASSIST PEDIATRIC HEALTHCARE PROVIDERS IN IDENTIFYING THE MOST EFFECTIVE TREATMENT METHODS. THESE AFFILIATED PROGRAMS 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 SYSTEM'S WEB SITE OR UPON REQUEST.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number
39-0812532

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MEDICAL COLLEGE OF WISCONSIN8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	39-0806261	501(C)(3)	4,878	ADDRESSING ASTHMA FROM A PUBLIC HEALTH PERSPECTIVE
(2) ADAMS COUNTY PUBLIC HEALTH DEPARTMENT108 E NORTH STREET FRIENDSHIP,WI53934	39-6005665	ADAMS COUNTY	5,000	DENTAL SEALANT EXPANSION GRANT
(3) JANESVILLE SCHOOL DISTRICT2921 MOHICAN ROAD JANESVILLE,WI535452285	39-6002726	501(C)(3)	14,303	DENTAL SEALANT EXPANSION GRANT
(4) JUNEAU COUNTY HEALTH DEPARTMENT220 E STATE STREET MAUSTON,WI53948	39-6005706	JUNEAU COUNTY	11,689	DENTAL SEALANT EXPANSION GRANT
(5) KENOSHA COUNTY DIVISION OF HEALTH8600 SHERIDAN ROAD 600 KENOSHA,WI53143	39-6005707	KENOSHA COUNTY	23,045	DENTAL SEALANT EXPANSION GRANT
(6) MERITER FOUNDATION202 S PARK STREET MADISON,WI53715	23-7098688	501(C)(3)	5,000	DENTAL SEALANT EXPANSION GRANT
(7) NEENAH MENASHA DENTAL CLINIC INC316 E 20TH STREET KAUKAUNA,WI54130	39-1471332	501(C)(3)	11,204	DENTAL SEALANT EXPANSION GRANT
(8) PORTAGE COUNTY HEALTH & HUMAN SERVICES817 WHITING AVENUE STEVENS POINT,WI54481	39-6005731	PORTAGE COUNTY	10,000	DENTAL SEALANT EXPANSION GRANT
(9) SCHOOL DISTRICT OF SUPERIORPO BOX 146 TWO HARBORS,MN55616	39-6004736	SCHOOL DISTRICT	10,463	DENTAL SEALANT EXPANSION GRANT
(10) WALWORTH COUNTY HEALTH & HUMAN SERVICESW4051 COUNTY ROAD NN ELKHORN,WI53121	39-6005752	WALWORTH COUNTY	9,621	DENTAL SEALANT EXPANSION GRANT
(11) BAYFIELD COUNTY PUBLIC HEALTH DEPARTMENT117 E 5TH STREET BAYFIELD,WI54891	39-6005670	BAYFIELD COUNTY	5,000	DENTAL SEALANT GRANT
(12) BROWN COUNTY HEALTH DEPARTMENT610 SOUTH BROADWAY GREEN BAY,WI54305	39-6005671	BROWN COUNTY	64,371	DENTAL SEALANT GRANT
(13) COLUMBIA ST MARY'S FOUNDATION2320 N LAKE DRIVE MILWAUKEE,WI53211	39-1494981	501(C)(3)	19,893	DENTAL SEALANT GRANT
(14) COLUMBIA ST MARY'S MADRE ANGEAL1730 S 13TH STREET MILWAUKEE,WI53204	39-1494981	501(C)(3)	45,673	DENTAL SEALANT GRAMT
(15) PRICE COUNTY HEALTH DEPARTMENT104 S EYDER AVENUE PHILLIPS,WI54555	39-6005733	PRICE COUNTY	22,075	DENTAL SEALANT GRANT
(16) SAUK COUNTY HEALTH DEPARTMENT505 BROADWAY 372 BARABOO,WI53913	39-6005740	SAUK COUNTY	27,136	DENTAL SEALANT GRANT
(17) VILAS COUNTY PUBLIC HEALTH330 COURT STREET EAGLE RIVER,WI54521	39-6005751	VILAS COUNTY	15,000	DENTAL SEALANT GRANT
(18) WAUSHERA COUNTY HEALTH DEPARTMENTPO BOX 837 WAUTOMA,WI54982	39-6005759	WAUSHERA COUNTY	6,918	DENTAL SEALANT GRANT
(19) WOOD COUNTY HEALTH DEPARTMENT400 MARKET STREET WISCONSIN RAPIDS,WI54494	39-6005763	WOOD COUNTY	10,000	DENTAL SEALANT GRANT
(20) JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENTN3995 ANNEX ROAD JEFFERSON,WI53549	39-6005705	JEFFERSON COUNTY	6,290	MCH BLOCK GRANT - CHILDREN WITH SPECIAL NEEDS
(21) KENOSHA COUNTY DIVISION OF HEALTH8600 SHERIDAN ROAD 600 KENOSHA,WI53143	39-6005707	KENOSHA COUNTY	7,400	MCH BLOCK GRANT - CHILDREN WITH SPECIAL NEEDS
(22) SET MINISTRY2977 N 50TH STREET MILWAUKEE,WI53210	39-1618277	501(C)(3)	15,700	MCH BLOCK GRANT - CHILDREN WITH SPECIAL NEEDS
(23) UNITED CEREBRAL PALSY7519 W OKLAHOMA AVENUE MILWAUKEE,WI53219	39-1143353	501(C)(3)	36,133	MCH BLOCK GRANT - CHILDREN WITH SPECIAL NEEDS
(24) MARSHFIELD CLINIC1000 NORTH OAK AVENUE MARSHFIELD,WI54449	39-0452970	501(C)(3)	25,121	STATE OF WI - GENETICS SYSTEM GRANT
(25) MEDICAL COLLEGE OF WISCONSIN8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	39-0806261	501(C)(3)	14,165	STATE OF WI - GENETICS SYSTEM GRANT
(26) UNIVERSITY OF WISCONSIN - MADISONDRAWER 538 MILWAUKEE,WI53278	39-6006492	501(C)(3)	69,500	STATE OF WI - GENETICS SYSTEM GRANT

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MARGARET TROY	(i) (ii)	0 696,337	0 238,920	0 62,498	0 213,436	0 33,569	0 1,244,760	0 0
(2) CINTHIA S CHRISTENSEN	(i) (ii)	350,953 0	111,248 0	54,224 0	48,174 0	34,556 0	599,155 0	31,657 0
(3) TIMOTHY L BIRKENSTOCK	(i) (ii)	0 413,954	0 124,887	0 58,116	0 52,773	0 28,718	0 678,448	0 20,063
(4) SHEILA REYNOLDS	(i) (ii)	0 234,291	0 80,785	0 38,200	0 35,168	0 29,149	0 417,593	0 9,703
(5) LAWRENCE DUNCAN	(i) (ii)	0 105,794	0 52,668	0 58,897	0 0	0 12,389	0 229,748	0 9,361
(6) LEE ANNE EDDY	(i) (ii)	190,049 0	53,726 0	28,116 0	33,932 0	17,401 0	323,224 0	9,421 0
(7) MICHAEL GUTZEIT MD	(i) (ii)	278,910 0	79,359 0	57,711 0	42,983 0	30,086 0	489,049 0	12,402 0
(8) JULIET KERSTEN	(i) (ii)	0 152,005	0 39,319	0 10,100	0 26,735	0 31,240	0 259,399	0 7,380
(9) NANCY KOROM	(i) (ii)	263,553 0	78,965 0	29,580 0	38,480 0	29,166 0	439,744 0	6,784 0
(10) MARK SHIP	(i) (ii)	209,391 0	57,200 0	28,850 0	29,624 0	28,714 0	353,779 0	16,160 0
(11) DONNA JAMIESON	(i) (ii)	165,531 0	25,000 0	813 0	15,739 0	28,463 0	235,546 0	0 0
(12) TOM LAUSTEN	(i) (ii)	148,872 0	0 0	1,376 0	10,676 0	21,688 0	182,612 0	0 0
(13) MARY O'CONNER	(i) (ii)	147,064 0	0 0	12,382 0	14,284 0	11,307 0	185,037 0	0 0
(14) JEFFERY GLASSHEIM MD	(i) (ii)	257,038 0	0 0	32,875 0	0 0	21,503 0	311,416 0	0 0
(15) ANDREW SCHMIDT MD	(i) (ii)	229,177 0	0 0	8,083 0	7,268 0	23,540 0	268,068 0	0 0
(16) LORI BARBEAU DDS	(i) (ii)	231,128 0	0 0	736 0	15,231 0	22,017 0	269,112 0	0 0
(17) THOMAS NICHOLS MD	(i) (ii)	185,035 0	0 0	21,216 0	13,558 0	20,528 0	240,337 0	0 0
(18) A CHARLES POST DDS	(i) (ii)	195,223 0	0 0	2,719 0	17,667 0	9,713 0	225,322 0	0 0
(19) RAMESH SACHDEVA MD	(i) (ii)	0 285,632	0 86,213	0 6,971	0 29,577	0 28,891	0 437,284	0 5,274
(20) JON E VICE - FORMER	(i) (ii)	0 647,628	0 0	0 5,148,080	0 0	0 39,648	0 5,835,356	0 4,895,003

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	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 CHW. BY VIRTUE OF THAT ROLE, MR. VICE ALSO SERVED AS A DIRECTOR AND PRESIDENT OF CHW. 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) 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: T. BIRKENSTOCK $30,723; M. TROY $50,820; L. EDDY $13,432; M. GUTZEIT, M.D. $20,933; N. KOROM $18,730; R. SACHDEVA, M.D. $20,251; M. SHIP $14,924; C. CHRISTENSEN $26,124; J. KERSTEN $11,028; S. REYNOLDS $18,018. 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; L. DUNCAN $9,361; L. EDDY $9,421; M. GUTZEIT, M.D. $12,402; N. KOROM $6,784; R. SACHDEVA, M.D. $5,274; C. CHRISTENSEN $31,657; M. SHIP $16,160; J. KERSTEN $7,380; 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 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.
SUPPLEMENTAL INFORMATION	PART III	FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: 1. MARGARET TROY, DIRECTOR & PRESIDENT OF CHW 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 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. 3. 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. 4. LAWRENCE DUNCAN, VICE PRESIDENT OF REGIONAL SERVICES OF CHHS THROUGH JUNE 2010 - 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. JULIET KERSTEN, VICE PRESIDENT OF REGIONAL SERVICES OF CHHS BEGINNING JUNE 2010 - 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., CORPORATE 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. 7. JON E. VICE, FORMER DIRECTOR & PRESIDENT OF CHW 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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number
39-0812532

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY	39-1337855	97710BCS9	07-29-2008	152,300,000	SEE PART V		X		X		X
B	WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY	39-1337855	97710BCC4	06-25-2008	100,771,610	SEE PART V		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	152,300,953		113,903,904
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	1,000,301		771,610
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	2,075,652		13,132,293
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2009		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .	X			X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?	X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0.200 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.100 %		0 %
6 Total of lines 4 and 5 . . .. . . . . .	0.300 %		0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .	X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K SUPPLENTAL INFORMATION		SCHEDULE K, PART I, LINE A, DESCRIPTION OF PURPOSE, WHEFA SERIES 2008B: - $49,225,000 WAS ISSUED TO REFUND SERIES 2007-3 BONDS. THE 2007-3 BONDS WERE ISSUED NOVEMBER 20, 2007 TO REFUND A PORTION ($47,110,000) OF THE WHEFA SERIES 1998 BONDS. THE 1998 BONDS WERE ISSUED JUNE 2, 1998. - $100,000,000 WAS ISSUED TO REFUND SERIES 2004B BONDS. THE 2004B BONDS WERE ISSUED MAY 6, 2004 TO CONSTRUCT AND EQUIP CERTAIN HEALTH CARE FACILITIES (CORPORATE CENTER, PARKING STRUCTURE, TUNNEL, UTILITIES, AND NEW PATIENT TOWER) AND TO PAY ISSUANCE COSTS INCLUDING THE BOND INSURANCE POLICY PREMIUM. - $2,060,980 WAS ISSUED TO CONSTRUCT, RENOVATE, AND EQUIP CERTAIN HEALTH CARE FACILITIES (NEW PATIENT TOWER). - $1,014,020 WAS ISSUED TO PAY 2008B BOND ISSUE COSTS. - TOTAL ISSUE FROM 2008B BONDS = $152,300,000 SCHEDULE K, PART I, LINE B, DESCRIPTION OF PURPOSE, WHEFA SERIES 2008A: - $100,000,000 WAS ISSUED TO REFUND SERIES 2007-1 AND 2007-2 BONDS. THE 2007-1 AND 2007-2 BONDS WERE ISSUED NOVEMBER 20, 2007 TO CONSTRUCT, RENOVATE, AND EQUIP CERTAIN HEALTH CARE FACILITIES (NEW PATIENT TOWER) AND TO PAY ISSUANCE COSTS INCLUDING THE BOND INSURANCE POLICY PREMIUM. - $771,610 WAS ISSUED TO PAY 2008A BOND ISSUE COSTS. - TOTAL ISSUE FROM 2008A BONDS = $100,771,610 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. SCHEDULE K, ADDITIONAL INFORMATION: THE ORGANIZATION HAS $22,890,000 OF WHEFA SERIES 1998 BONDS OUTSTANDING AS OF DECEMBER 31, 2010 WHICH ARE NOT INCLUDED ON SCHEDULE K PART I AS THEY WERE ISSUED PRIOR TO DECEMBER 31, 2002.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) UNIVERSITY OF WI-MILWAUKEE	DIRECTOR(D GILBERT)	169,897	MR. GILBERT IS PRESIDENT OF THE UNIVERSITY OF WISCONSIN-MILWAUKEE FOUNDATION, WHICH IS PART OF THE UNIVERSITY OF WISCONSIN-MILWAUKEE SYSTEM. THE ORGANIZATION PAID $169,897 TO THE UNIVERSITY OF WISCONSIN-MILWAUKEE FOUNDATION FOR EDUCATIONAL PROGRAMS.		No
(2) MI BANK	DIRECTOR (M HOGAN)	136,577	MR. HOGAN IS EXECUTIVE VICE PRESIDENT & CHIEF CREDIT OFFICER OF M&I MARSHALL & ILSLEY BANK, INC. THE ORGANIZATION PAID $136,577 TO MARSHALL & ILSLEY TRUST COMPANY N.A., AN AFFILIATE OF M&I MARSHALL & ILSLEY BANK, INC., FOR INVESTMENT SERVICES.		No
(3) JOHNSON CONTROLS INC	DIRECTOR (CD MYERS)	301,911	MR. MYERS IS PRESIDENT-BUILDING EFFICIENCY DIVISION OF JOHNSON CONTROLS, INC. THE ORGANIZATION PAID $301,911 TO JOHNSON CONTROLS, INC. FOR HEATING, VENTILATION, AND AIR CONDITIONING INSTALLATION AND REPAIR.		No
(4) HUMANA	DIRECTOR (L RAMBO)	661,498	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 $661,498.		No
(5) HUMANA	DIRECTOR (L RAMBO)	30,495,545	MR. RAMBO IS THE REGIONAL CHIEF EXECUTIVE OFFICER OF HUMANA, INC. THE ORGANIZATION RECEIVED APPROXIMATELY $30,495,545 FROM HUMANA FOR HEALTH CARE SERVICES PROVIDED TO HUMANA ENROLLEES.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPMENT )	X	1	212,940	REPLACEMENT COST
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2010

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	PART I, COLUMN (B):	CHILDREN'S HOSPITAL OF WISCONSIN, INC. RECEIVED AN ULTRASOUND MACHINE VALUED AT $212,940, BASED ON WHAT IT WOULD HAVE COST THE HOSPITAL TO BUY A SIMILAR MACHINE.

Schedule M (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2		BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: ABRAHAM AND ROTHMAN; BRENNER AND DRURY; BRENNER AND O. SULLIVAN; DRURY AND SOMMERHAUSER; DRURY AND SCHLIFSKE; DRURY AND O. SULLIVAN; SCHLIFSKE AND SOMMERHAUSER; SOMMERHAUSER AND HERMA; AND O. SULLIVAN AND KLIEGMAN.
FORM 990, PART VI, SECTION A, LINE 4		THE ARTICLES OF INCORPORATION AND BYLAWS OF THE HOSPITAL WERE AMENDED IN 2010 AS PART OF A SYSTEM-WIDE RESTRUCTURING. THE COMPOSITION OF THE BOARD OF DIRECTORS WAS CHANGED TO CREATE A SHARED BOARD OF DIRECTORS WITH CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE HOSPITAL'S SOLE CORPORATE MEMBER.
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 PRESIDENT, EXECUTIVE VP, TREASURER, SECRETARY, VP OF REGIONAL SERVICES (DUNCAN), VP CHIEF MEDICAL OFFICER, AND VP OF PATIENT CARE SERVICES WAS REVIEWED AND APPROVED BY THE 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 3,609,238. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -6,718,250. INCREASE IN BENEF. INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL FOUNDATION 31,146,294. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -14,173,716. TOTAL TO FORM 990, PART XI, LINE 5: 13,863,566.
	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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 39-1500074	OPERATIONAL SUPPORT SERVICES	WI	501(C)(3)	LINE 3	N/A		No
(2) CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 39-1500075	FUND DEVELOPMENT	WI	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	Yes
(3) CHILDREN'S MEDICAL GROUP INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 39-1789197	PEDIATRIC PHYSICIAN SERVICES	WI	501(C)(3)	LINE 3	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	Yes
(4) CHILDREN'S PHYSICIAN GROUP PC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 36-4303682	PEDIATRIC PHYSICIAN SERVICES	IL	501(C)(3)	LINE 9	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	Yes
(5) CHILDREN'S SERVICE SOCIETY OF WISCONSIN 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 39-0806380	CHILD WELFARE SERVICES	WI	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	Yes
(6) CHILDREN'S COMMUNITY HEALTH PLAN INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 27-1494977	WISCONSIN MEDICAID HMO	WI	501(C)(3)	LINE 9	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	Yes
(7) MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS INC 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226 39-1341366	GRADUATE MEDICAL EDUCATION SUPPORT	WI	501(C)(3)	LINE 11 TYPE 1	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) VIRTUAL PICU SYSTEMS LLC 401 WYTHE STREET SUITE 101 ALEXANDRIA,VA22314 20-1414664	QUALITY/OUTCOMES ANALYSIS	DE	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	RELATED				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) MED-HEALTH FINANCIAL SERVICES INC 9000 W WISCONSIN AVE PO BOX 1997 MILWAUKEE,WI53201 39-1547907	COLLECTION SERVICES	WI	CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A (IV) ABOVE)	A	331,667	CASH PAID/RECEIVED
(2) CHILDREN'S SERVICE SOCIETY OF WISCONSIN - RENT (LINE 1A (IV) ABOVE)	A	6,358	CASH PAID/RECEIVED
(3) CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC - RENT (LINE 1A (IV) ABOVE)	A	30,359	CASH PAID/RECEIVED
(4) CHILDREN'S PHYSICIAN GROUP PC	B	3,700,000	CASH PAID/RECEIVED
(5) CHILDREN'S MEDICAL GROUP INC	B	883,130	CASH PAID/RECEIVED
(6) CHILDREN'S SERVICE SOCIETY OF WISCONSIN	B	2,524,754	CASH PAID/RECEIVED
(7) CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC	C	5,127,017	CASH PAID/RECEIVED
(8) CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION INC	E	253,200,977	NET BOOK VALUE
(9) CHILDREN'S MEDICAL GROUP INC	K	78,234	CASH PAID/RECEIVED
(10) CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT	K	10,042,213	CASH PAID/RECEIVED
(11) CHILDREN'S SERVICE SOCIETY OF WISCONSIN	K	358,505	CASH PAID/RECEIVED
(12) MED-HEALTH FINANCIAL SERVICES INC	L	978,096	CASH PAID/RECEIVED
(13) CHILDREN'S COMMUNITY HEALTH PLAN INC - ASSESSMENT PASS THROUGH PAYMENTS	R	4,464,323	CASH PAID/RECEIVED

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PEDIATRIC HEALTH CARE SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	17
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	3,774
6	Total number of volunteers (estimate if necessary) ....	6	375
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	183,349
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-17,738

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	17,287,587	19,245,594
9	Program service revenue (Part VIII, line 2g) .........	557,886,987	524,038,329
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,879,898	8,315,179
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,672,860	7,847,097
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	588,727,332	559,446,199
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	466,781	495,578
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	221,114,802	212,227,531
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	292,652,523	305,533,639
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	514,234,106	518,256,748
19	Revenue less expenses. Subtract line 18 from line 12......	74,493,226	41,189,451
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	1,082,493,881	1,153,583,040
21	Total liabilities (Part X, line 26)............	387,505,204	403,541,346
22	Net assets or fund balances. Subtract line 21 from line 20 .....	694,988,677	750,041,694

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 428,156,005 including grants of $ 495,578 ) (Revenue $ 524,038,329 )
	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 2010, 24,615 CHILDREN WERE ADMITTED TO THE MILWAUKEE CAMPUS, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU), A HEMATOLOGY, ONCOLOGY, AND TRANSPLANT UNIT, 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 ON THE CAMPUS OF THEDA CLARK MEDICAL CENTER IN NEENAH, WIS., THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AREA.OUTPATIENT AND AMBULATORY SERVICES:THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT SURGICAL, DIAGNOSTIC AND AMBULATORY SERVICES, INCLUDING MORE THAN 70 SUBSPECIALTY CLINICS PROVIDING OUTPATIENT DIAGNOSIS AND TREATMENT FOR A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 61,928 VISITS DURING 2010. OTHER OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS, AND IN WISCONSIN'S FOX VALLEY. 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; IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; 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 DISADVANTAGED AND UNDERPRIVILEGED CHILDREN THROUGH CLINICS IN DOWNTOWN MILWAUKEE. 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.RESEARCH, EDUCATION AND COMMUNITY OUTREACH:THE HOSPITAL CARRIES ON EXTENSIVE RESEARCH, EDUCATION AND COMMUNITY OUTREACH PROGRAMS.IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS, 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, FOR EXAMPLE, 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. NURSING RESEARCH ALSO IS CARRIED ON AT THE HOSPITAL, INCLUDING, FOR EXAMPLE, STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS.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 HAS 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 OVER TWO DOZEN UNIVERSITIES FOR THE CLINICAL PEDIATRIC EDUCATION OF NURSING AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION STUDENTS 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. THE HOSPITAL PARTICIPATES IN 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 THROUGHOUT THE GEOGRAPHIC REGION. ALONG WITH THE MEDICAL COLLEGE, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF URBAN CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF URBAN CHILDREN. THE HOSPITAL PARTICIPATES IN 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, A FETAL CONCERNS PROGRAM, AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH).

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 428,156,005

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,674,973	8,541,295	1,163,291

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		5,127,015
e	Government grants (contributions)1e		12,926,860

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,191,719
g	Noncash contributions included in lines 1a-1f:$ 212,940
h	Total. Add lines 1a-1f.......			19,245,594
			Business Code
2a	NET PATIENT SVC REV		621,990	517,028,418	517,028,418
b	RENTAL INCOME		531,120	5,295,662	1,051,525		4,244,137
c	SHARED SERVICES		541,900	1,714,249	1,714,249
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			524,038,329
3	Investment income (including dividends, interest
	and other similar amounts).....			8,325,562			8,325,562
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	75,554,392	17,235
b	Less: cost or other basis and sales expenses	75,077,658	504,352
c	Gain or (loss)	476,734	-487,117
d	Net gain or (loss)..........			-10,383			-10,383
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722,210	2,255,595			2,255,595
b	PHARMACY SALES TO EMPL		446,110	1,524,996			1,524,996
c	REBATES AND DISCOUNTS		900,099	1,304,299	1,304,299
d	All other revenue ....			2,762,207	2,027,310	183,349	551,548
e	Total. Add lines 11a–11d ......			7,847,097
12	Total revenue. See Instructions....			559,446,199	523,125,801	183,349	16,891,455


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			7,639,515	1	14,715,003
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........			2,387,431	3	2,635,976
4	Accounts receivable, net .........			62,158,370	4	58,844,806
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			15,000	5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			499,252	7	555,000
8	Inventories for sale or use ..............			3,236,907	8	3,260,083
9	Prepaid expenses and deferred charges ............			5,418,700	9	5,344,745
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	624,020,445
b	Less: accumulated depreciation. .....	10b	219,180,910	420,668,064	10c	404,839,535
11	Investments—publicly traded securities ..........			227,126,123	11	281,227,397
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			353,344,519	15	382,160,495
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,082,493,881	16	1,153,583,040
17	Accounts payable and accrued expenses .			52,623,469	17	59,647,371
18	Grants payable ..........				18
19	Deferred revenue ..........			847,522	19	765,066
20	Tax-exempt bond liabilities ..........			280,001,195	20	276,090,977
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			54,033,018	25	67,037,932
26	Total liabilities. Add lines 17 through 25.....			387,505,204	26	403,541,346
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			566,962,678	27	603,323,347
28	Temporarily restricted net assets .....			27,873,778	28	32,280,031
29	Permanently restricted net assets .....			100,152,221	29	114,438,316
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			694,988,677	33	750,041,694
34	Total liabilities and net assets/fund balances .....			1,082,493,881	34	1,153,583,040