TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MICHAEL W ALTSCHAEFL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(2) THOMAS ARENBERG...................................................................... DIRECTOR	1.00 ................. 1.00	X
(3) ELIZABETH BRENNER...................................................................... DIRECTOR/VICE CHAIR	1.00 ................. 1.00	X	X
(4) MATT D'ATTILIO...................................................................... DIRECTOR	1.00 ................. 1.00	X
(5) DAVID J DRURY...................................................................... DIRECTOR	1.00 ................. 1.00	X
(6) JOE GEHRKE...................................................................... DIRECTOR	1.00 ................. 1.00	X
(7) MARK R HOGAN...................................................................... DIRECTOR	1.00 ................. 1.00	X
(8) PAUL W JONES...................................................................... DIRECTOR (THROUGH FEB. 2015)	1.00 ................. 1.00	X
(9) CHRIS KALTENBACH...................................................................... DIRECTOR	1.00 ................. 1.00	X
(10) JOSEPH KERSCHNER MD...................................................................... DIRECTOR	1.00 ................. 1.00	X
(11) PAUL KNOEBEL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(12) MICHAEL LOVELL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(13) KEVIN MANSELL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(14) LINDA T MELLOWES...................................................................... DIRECTOR	1.00 ................. 1.00	X
(15) C DAVID MYERS...................................................................... DIRECTOR	1.00 ................. 1.00	X
(16) ALBERT S ORR III...................................................................... DIRECTOR	1.00 ................. 1.00	X
(17) JAMES POPP...................................................................... DIRECTOR	1.00 ................. 1.00	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) TOM PRECIA........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(19) J JOEL QUADRACCI........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(20) JAY O ROTHMAN........................................................................ DIRECTOR/CHAIR	1.00 .......................1.00	X	X				0	0	0
(21) JOHN E SCHLIFSKE........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(22) PETER M SOMMERHAUSER........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(23) PAUL W SWEENEY........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(24) PHOEBE W WILLIAMS........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(25) MARK C WITT........................................................................ DIRECTOR	1.00 .......................1.00	X					0	0	0
(26) MARGARET TROY........................................................................ DIRECTOR/PRESIDENT & CEO CHHS	0.00 .......................40.00	X	X				0	1,376,051	280,989
(27) WELDON GAGE........................................................................ TREASURER/CFO (THROUGH JAN. 2015)	0.00 .......................40.00		X				0	181,445	951
(28) MARC GORELICK MD........................................................................ COO & EXECUTIVE VP CHHS	40.00 .......................0.00		X				632,707	0	92,151
(29) SHEILA REYNOLDS........................................................................ SECRETARY	0.00 .......................40.00		X				0	437,468	87,457
(30) MARC CADIEUX........................................................................ TREASURER/CFO	0.00 .......................40.00		X				0	443,414	52,167
(31) MICHAEL GUTZEIT MD........................................................................ CHIEF MEDICAL OFFICER/VP, CHW	40.00 .......................0.00			X			541,402	0	98,867
(32) JIM JABLONSKI........................................................................ VP CHW, ENVIRONMENT OF CARE	40.00 .......................0.00			X			215,169	0	49,794
(33) JULIET KERSTEN........................................................................ VICE PRESIDENT, CHW	40.00 .......................0.00			X			338,814	0	52,080
(34) NANCY KOROM........................................................................ CHIEF NURSING OFFICER/VP, CHW	40.00 .......................0.00			X			439,788	0	85,819
(35) THOMAS MILLER........................................................................ VICE PRESIDENT, CHW	40.00 .......................0.00			X			210,730	0	22,480
(36) ANDREW SCHMITT MD........................................................................ HOSPITALIST	40.00 .......................0.00				X		243,761	0	40,311
(37) LORI BARBEAU DDS........................................................................ MEDICAL DIR, DENTAL PROGRAM	40.00 .......................0.00				X		284,986	0	51,326
(38) MARYLYN RANTA MD........................................................................ DIR, CHW PHYSICIAN AFFAIRS	40.00 .......................0.00				X		260,352	0	55,387
(39) THOMAS NICHOLS MD........................................................................ MEDICAL DIRECTOR/HOSPITALIST	40.00 .......................0.00				X		246,966	0	45,194
(40) CARLI DIGIOIA DMD........................................................................ PEDIATRIC DENTIST	40.00 .......................0.00				X		229,251	0	27,903
(41) CINTHIA S CHRISTENSEN........................................................................ FORMER PRESIDENT & COO	0.00 .......................0.00					X	607,683	0	41,268

(A) Name and business address	(B) Description of services	(C) Compensation
MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	HEALTHCARE PROF/ACADEMIC/ADMIN	26,701,343
MEDICAL COLLEGE OF WISCONSIN AFFILIATED 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	RESIDENT SERVICES	11,620,567
THEDA CARE 122 E COLLEGE AVE APPLETON,WI54912	ANCILLIARY SERV/OTHER SERV	6,215,145
BLOOD CENTER OF WISCONSIN INC 638 N 18TH ST MILWAUKEE,WI53233	LAB SERVICES	4,411,932
SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO,IL60674	NUTRITION SERVICES	2,969,238
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 47

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. If the organization did not check a 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the 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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC		Employer identification number 39-0812532

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC			Employer identification number 39-0812532
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2015)

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c	487,016
d	Additions during the year ............................	1d	197,580
e	Distributions during the year ..........................	1e	310,265
f	Ending balance ................................	1f	374,331

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	432,441,515	368,901,399	337,517,064	320,201,015	319,718,349
b	Contributions ...	13,587,207	70,262,985	20,430,025	12,951,629	8,809,809
c	Net investment earnings, gains, and losses	-2,058,549	8,725,963	20,149,400	13,134,597	501,862
d	Grants or scholarships ...	16,494,796	14,003,006	8,024,840	7,676,552	7,914,215
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	1,544,490	1,445,826	1,170,250	1,093,625	914,790
g	End of year balance ......	425,930,887	432,441,515	368,901,399	337,517,064	320,201,015

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

52.300 %

Permanent endowment SchDMd Bullet

34.100 %

Temporarily restricted endowment SchDMd Bullet

13.600 %

The percentages on lines 2a, 2b, and 2c should equal 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" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...
b	Buildings	506,593,997	228,739,666	277,854,331
c	Leasehold improvements	7,411,795	3,332,673	4,079,122
d	Equipment ...	217,866,981	113,109,134	104,757,847
e	Other ...	24,645,731	3,266,430	21,379,301
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				408,070,601

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				54,521,876
(2) BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION				489,821,254
(3) 457 PLAN ASSETS				1,120,670
(4) INVESTMENT IN CATALPA				352,709
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				545,816,509

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
457 PLAN LIABILITY	1,120,670
CAPITAL AND OTHER LEASE OBLIGATIONS	1,685,463
ESTIMATED THIRD PARTY PAYER SETTLEMENTS	4,567,717
FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS	17,163,624
RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS	2,772,625
LT PENSION LIABILITY	33,159,704
LT STRATEGIC FUNDING RESERVE	5,000,000
LT CONTRACT INCENTIVE PAYABLE	1,869,023
MALPRACTICE INSURANCE TAIL LIABILITY	150,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	67,488,826
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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 XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

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.
PART V, LINE 4:	CHILDREN'S HOSPITAL OF WISCONSIN 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.
PART X, LINE 2:	CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014.

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	846,760		846,760	0.140 %
b	Medicaid (from Worksheet 3, column a) . . . . .	269,739,384	201,362,968	68,376,416	11.680 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	270,586,144	201,362,968	69,223,176	11.820 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,813,927	1,178,851	4,635,076	0.790 %
f	Health professions education (from Worksheet 5) . . .	27,315,728	7,751,530	19,564,198	3.340 %
g	Subsidized health services (from Worksheet 6) . . . .	11,364,321	3,616,277	7,748,044	1.320 %
h	Research (from Worksheet 7) .	6,220,300		6,220,300	1.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	453,943		453,943	0.080 %
j	Total. Other Benefits . .	51,168,219	12,546,658	38,621,561	6.590 %
k	Total. Add lines 7d and 7j .	321,754,363	213,909,626	107,844,737	18.410 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2,000		2,000	0 %
2	Economic development	80,900		80,900	0.010 %
3	Community support	597,036	5,405	591,631	0.100 %
4	Environmental improvements
5	Leadership development and training for community members	28,204		28,204	0 %
6	Coalition building	2,069,636	41,399	2,028,237	0.350 %
7	Community health improvement advocacy	6,083		6,083	0 %
8	Workforce development	6,868		6,868	0 %
9	Other
10	Total	2,790,727	46,804	2,743,923	0.460 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,437,381

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

1,969,795

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

1,584,529

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

385,266

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CHILDREN'S HOSPITAL OF WI-MILWAUKEE 9000 W WISCONSIN AVE MILWAUKEE,WI53201 CHW.ORG 135	X	X	X	X	X	X
2	CHILDREN'S HOSPITAL OF WI-FOX VALLEY 130 S 2ND STREET NEENAH,WI54956 CHW.ORG 1005	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	CHILDREN'S HOSPITAL OF WI-MILWAUKEE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CHW.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CHW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHILDREN'S HOSPITAL OF WI-MILWAUKEE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

CHW.ORG

The FAP application form was widely available on a website (list url):

CHW.ORG

A plain language summary of the FAP was widely available on a website (list url):
CHW.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CHILDREN'S HOSPITAL OF WI-MILWAUKEE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CHW.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CHW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

CHW.ORG

The FAP application form was widely available on a website (list url):

CHW.ORG

A plain language summary of the FAP was widely available on a website (list url):
CHW.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	CHILDREN'S HOSPITAL OF WI-FOX VALLEY
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 5: IN 2011, CHILDREN'S HOSPITAL OF WI-MILWAUKEE ("CHW-MILWAUKEE") INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT RECOGNIZES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND THE IMPACT SUCH INFLUENCES MAY HAVE WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE, LIKE CHILDHOOD.CHW-MILWAUKEE SELECTED THREE MILWAUKEE NEIGHBORHOODS WHICH HAVE HISTORICALLY BEEN UNDERSERVED FOR INITIAL ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS - METCALFE PARK, FRANKLIN HEIGHTS/AMANI NEIGHBORHOOD, AND LINDSAY HEIGHTS - WERE IDENTIFIED BECAUSE 1) THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGE RESIDENTS; 2) THERE WERE SIGNIFICANT CHALLENGES TO CHILD HEALTH OUTCOMES; AND 3) THEY HAD AN EXISTING TRUSTED COMMUNITY RESOURCE(S) THAT WAS WILLING TO PARTNER WITH CHW-MILWAUKEE IN ENGAGING THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. THE INITIATIVE BEGAN WITH COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN EACH OF THE THREE NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHW-MILWAUKEE WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY.IN 2013, CHW-MILWAUKEE AND FOUR OTHER HEALTH SYSTEMS IN MILWAUKEE (THE MILWAUKEE HEALTH CARE PARTNERSHIP) COMMISSIONED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS. THE ASSESSMENT CONSISTS OF THREE NARROWER REPORTS MEANT TO PROVIDE A HOLISTIC PICTURE OF HEALTH IN MILWAUKEE:- MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY (MCCHS). THE PURPOSE OF THE MCCHS WAS TO ASSESS THE HEALTH STATUS OF RESIDENTS. PRIMARY OBJECTIVES WERE TO (A) GATHER SPECIFIC DATA ON BEHAVIORAL AND LIFESTYLE HABITS OF THE ADULT POPULATION; (B) GATHER DATA ON THE PREVALENCE OF RISK FACTORS AND DISEASE CONDITIONS EXISTING WITHIN THE ADULT POPULATION; (C) COMPARE, WHERE APPROPRIATE, HEALTH DATA OF RESIDENTS TO PREVIOUS HEALTH STUDIES; AND (D) COMPARE, WHERE APPROPRIATE AND AVAILABLE, HEALTH DATA OF RESIDENTS TO STATE AND NATIONAL MEASUREMENTS. APPROXIMATELY 1,200 MILWAUKEE COUNTY RESIDENTS WERE SAMPLED USING RANDOM LANDLINE AND CELL PHONE-ONLY SAMPLES. COMBINED, POST-STRATIFICATION WAS CONDUCTED BY SEX AND AGE TO REFLECT THE 2010 CENSUS PROPORTION OF THESE CHARACTERISTICS IN THE AREA.- KEY INFORMANT REPORT. THE KEY INFORMANT REPORT IS A SUMMARY OF FINDINGS FROM POLICYMAKERS, HEALTH CARE PROVIDERS, LOCAL EXPERTS AND COMMUNITY MEMBERS CONDUCTED AS A PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ASKED RESPONDENTS TO RANK UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN.- SECONDARY DATA REPORT. THE SECONDARY DATA REPORT IS A SUPPLEMENT TO THE PRIMARY DATA COLLECTION CONDUCTED IN THE MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY AND THE KEY INFORMANT REPORT. THE REPORT SUMMARIZES THE DISTRIBUTION OF HEALTH INDICATORS AMONG SOCIOECONOMIC GROUPS WITHIN THE CITY OF MILWAUKEE AND MILWAUKEE COUNTY. THE REPORT USES PUBLICLY AVAILABLE DATA SOURCES FROM LOCAL, STATE AND NATIONAL LEVELS. WHILE THESE REPORTS PROVIDE RICH DATA AND A HOLISTIC VIEW OF HEALTH IN MILWAUKEE, THE PRIMARY FOCUS WAS THE ADULT POPULATION. GIVEN THIS LIMITATION, THE FOLLOWING DATA SOURCES WERE USED TO SUPPLEMENT THE FINDINGS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT TO ENSURE CHW-MILWAUKEE'S HIGHEST PRIORITY - CHILDREN -ARE WELL REPRESENTED:- KIDS COUNT! DATA. KIDS COUNT IS A NATIONAL AND STATE-BY-STATE EFFORT TO TRACK WELL-BEING INDICATORS FOR CHILDREN IN THE UNITED STATES. FUNDED BY THE ANNIE E. CASEY FOUNDATION, KIDS COUNT OFFERS HIGH-QUALITY DATA AND TRENDS ANALYSIS.- KAISER STATE HEALTH FACTS. KAISER STATE HEALTH FACTS, FUNDED BY THE HENRY J. KAISER FAMILY FOUNDATION, PROVIDES FREE DATA ON MORE THAN 800 HEALTH INDICATORS AT THE STATE, NATIONAL AND COUNTY LEVEL. DATA, COMPILED FROM A VARIETY OF PUBLIC, PRIVATE AND GOVERNMENT SOURCES, ALLOWS USERS TO MAP, RANK, TREND OR DOWNLOAD INFORMATION.- UNITED STATES CENSUS BUREAU. IN ADDITION TO CONDUCTING A CENSUS DECENNIALLY, THE U.S. CENSUS BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. SOURCES FOR THIS INFORMATION INCLUDE THE POPULATION AND HOUSING CENSUS, NATIONAL HEALTH INTERVIEW SURVEY, ECONOMIC CENSUS, THE AMERICAN COMMUNITY SURVEY, CURRENT POPULATION SURVEY AND OTHER RELATED SURVEYS.- OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL PUBLIC AND GOVERNMENT DATA SOURCES INCLUDE THE CENTER FOR DISEASE CONTROL, WISCONSIN INSTITUTE ON POVERTY AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. TOGETHER, THESE SOURCES PROVIDE BOTH EXPERT AND BROAD PUBLIC INPUT INTO THE HEALTH NEEDS OF THE COMMUNITY.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 5: THE REPORT FOR CHILDREN'S HOSPITAL OF WI-FOX VALLEY ("CHW FOX VALLEY") USED DATA AND INFORMATION FROM THE FOX CITIES LIFE STUDY. CHW FOX VALLEY WORKED WITH UNITED WAY FOX CITIES, THE FOX CITIES CHAMBER OF COMMERCE, THE COMMUNITY FOUNDATION FOR THE FOX VALLEY REGION AND THE FOX CITIES OF WISCONSIN ECONOMIC DEVELOPMENT PARTNERSHIP IN SPONSORING THIS REPORT. CHW FOX VALLEY'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS FOR THE FOX VALLEY COMMUNITY RELIED HEAVILY ON THE LEADING INDICATORS FOR EXCELLENCE STUDY, OR LIFE STUDY. THE LIFE STUDY IS A MULTIFACETED ASSESSMENT OF LIFE IN 10 KEY AREAS IN THE FOX CITIES. IT EXAMINES WHAT "EXCELLENCE" WOULD LOOK LIKE FOR THE FOX CITIES REGION AND IDENTIFIED OPPORTUNITIES FOR THE FOX CITIES IN THE FOLLOWING AREAS:- ARTS AND CULTURE - LEISURE- COMMUNITY - NATURAL ENVIRONMENT- HEALTH - SAFETY- HOME - SELF-SUFFICIENCY- LEARNING - WORKOF PARTICULAR USE WAS THE "HEALTHY LIFE" REPORT, A SECTION OF THE LIFE STUDY FOCUSED ON THE COMPONENTS OF A HEALTHY LIFESTYLE, INCLUDING INDICATORS RELATED TO ACCESS TO MEDICAL CARE, HEALTH STATUS, MENTAL HEALTH STATUS, PREVENTION EFFORTS, QUALITY OF MEDICAL CARE AND RISKY BEHAVIORS. PRIMARY DATA FOR THE REPORT WAS COLLECTED THROUGH A VARIETY OF METHODS. A COMMUNITY SURVEY WAS CONDUCTED OF RANDOMLY SAMPLED RESIDENTS OF THE FOX CITIES METRO AREA AND OF AREA LEADERS REPRESENTING GOVERNMENT, FAITH, BUSINESS, MEDIA, NONPROFITS AND FOUNDATIONS, HEALTH CARE, EDUCATION AND THE COMMUNITY AT LARGE. COMMUNITY FOCUS GROUPS WITH IMPORTANT SUBGROUPS OF THE COMMUNITY - OLDER ADULTS, YOUTH, WORKING PARENTS AND MEMBERS OF THE MULTICULTURAL COMMUNITY - WERE CONVENED TO GAUGE THEIR PERCEPTIONS OF QUALITY OF LIFE. EXPERT SECTOR PANELS WERE CONVENED AND ONE-ON-ONE INTERVIEWS WERE CONDUCTED WITH PROFESSIONALS WITHIN EACH OF THE 10 SECTIONS OF THE LIFE STUDY. IN ADDITION TO THE SURVEYS, FOCUS GROUPS AND INTERVIEWS, A NUMBER OF SECONDARY DATA SOURCES WERE USED TO COMPLETE THE PICTURE. THESE SOURCES INCLUDE:- UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE COUNTY HEALTH RANKINGS- WISCONSIN DEPARTMENT OF HEALTH SERVICES- BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM- YOUTH RISK BEHAVIOR SURVEY- WISCONSIN INTERACTIVE STATISTICS ON HEALTH- U.S. CENSUS BUREAU- ANNIE E. CASEY FOUNDATION "KIDS COUNT"- CHILDREN'S HOSPITAL OF WISCONSIN PROGRAM DATA
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 6A: THE FOLLOWING INSTITUTIONS WERE INTEGRAL TO THE COMPLETION OF THE MILWAUKEE-AREA COMMUNITY HEALTH NEEDS ASSESSMENT: AURORA HEALTH CARE, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, WHEATON FRANCISCAN HEALTHCARE AND PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 11: DURING THE MILWAUKEE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, EIGHT BROAD HEALTH NEEDS WERE IDENTIFIED BY COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS AND OTHER HEALTH STAKEHOLDERS:- HEALTH CARE ACCESS AND COVERAGE- BEHAVIORAL HEALTH- OBESITY, NUTRITION AND PHYSICAL ACTIVITY- CHRONIC DISEASE- INFANT MORTALITY- SEXUAL HEALTH- HEALTH LITERACY- DISPARATE IMPACT: RACE, ETHNICITY, EDUCATION AND INCOMEAFTER THESE NEEDS WERE IDENTIFIED, CHILDREN'S HOSPITAL CREATED A SET OF HIGH PRIORITIES MEANT TO ADDRESS THE COMMUNITY'S MOST PRESSING HEALTH NEEDS. BECAUSE CHILDREN'S HOSPITAL IS A PEDIATRIC SPECIALTY HOSPITAL, IT IS IMPORTANT TO FOCUS OUR ATTENTION AND RESOURCES ON AREAS WHERE WE CAN MAKE THE BIGGEST IMPACT ON THE HEALTH OF CHILDREN. THE FOLLOWING ISSUES WERE IDENTIFIED AS THE HIGHEST HEALTH NEEDS OF THE PEDIATRIC COMMUNITY AND THE HIGHEST PRIORITIES FOR CHILDREN'S HOSPITAL:PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREPRIORITY #2: OBESITY AND WEIGHT MANAGEMENTPRIORITY #3: INFANT MORTALITYPRIORITY #4: SEXUAL HEALTHPRIORITY #5: COMMUNITY AND HOME SAFETYCHILDREN'S HAS ALIGNED ITS PRIORITIES TO BEST MEET EACH OF THE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY. CHILDREN'S HOSPITAL IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS TO LEVERAGE ALL AVAILABLE RESOURCES TO ENSURE THE BEST CARE POSSIBLE FOR THE CHILDREN IN OUR COMMUNITY. CHILDREN'S HOSPITAL WILL ADDRESS THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THROUGH PROGRAMMING, COLLABORATION AND EDUCATION.PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREMENTAL HEALTH CARECHILDREN'S HOSPITAL'S COUNSELING PROGRAMS WORK WITH CHILDREN, PARENTS AND OTHER FAMILY MEMBERS TO ADDRESS PROBLEMS AND IMPROVE SOCIAL AND EMOTIONAL DIFFICULTIES. TRAUMA INFORMED COUNSELING SERVICES REDUCE STRESS AND CONFLICT, IMPROVE PARENTING SKILLS AND STRENGTHEN FAMILY TIES. OUR THERAPISTS WORK PRIMARILY WITH KIDS WHO HAVE BEEN VICTIMS OF CHILD MALTREATMENT OR COMMUNITY-BASED INTERPERSONAL VIOLENCE. WE'VE ALSO PROVIDED SERVICES TO VICTIMS OF MASS CASUALTY. NO ONE IS TURNED AWAY FOR INABILITY TO PAY.CHW'S CHILD AND ADOLESCENT PSYCHIATRY AND BEHAVIORAL MEDICINE CENTER PROVIDES MENTAL HEALTH DIAGNOSTIC AND TREATMENT SERVICES TO CHILDREN AND FAMILIES. STAFF INCLUDES EXPERTS IN THE FIELDS OF CHILD AND ADOLESCENT PSYCHIATRY, PEDIATRIC PSYCHOLOGY, NEUROPSYCHOLOGY AND PSYCHOTHERAPY.CHW'S ADOPTION THERAPY PROGRAM IS AN OUTPATIENT COUNSELING PROGRAM DESIGNED TO MEET THE UNIQUE NEEDS OF PRE- AND POST-ADOPTIVE CHILDREN AND THEIR FAMILIES. THE ADOPTION THERAPIST ALSO MAY CONDUCT BONDING/ATTACHMENT ASSESSMENTS TO FACILITATE DECISION MAKING IN THE ADOPTION PROCESS. ORAL HEALTH CARE:CHILDREN'S HOSPITAL OPERATES FOUR DENTAL CENTERS IN MILWAUKEE DEDICATED TO PROVIDING COMPREHENSIVE ORAL HEALTH SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS AND YOUNG ADULTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2015, CHILDREN'S HOSPITAL DENTAL CENTERS HAD MORE THAN 29,000 VISITS.CHILDREN'S HOSPITAL COMMUNITY HEALTH EDUCATION LEADS COORDINATING FOR BETTER ORAL HEALTH, AN ACTIVE WORKGROUP THAT BRINGS TOGETHER BOTH CHILDREN'S HOSPITAL RESOURCES AND COMMUNITY RESOURCES ALL FOCUSED ON THE GOAL OF IMPROVING STUDENT'S OVERALL ORAL HEALTH. PARTICIPANTS INCLUDE COMMUNITY-BASED ORGANIZATIONS IN ADDITION TO CHILDREN'S HOSPITAL SCHOOL NURSES, COMMUNITY HEALTH EDUCATORS, AS WELL AS CHILDREN'S HOSPITAL CLINICAL MANAGERS AND DENTAL HYGIENISTS. THESE PARTICIPANTS WORK TOGETHER TO BETTER UNDERSTAND PATIENT FAMILIES' NEEDS, BARRIERS AND IDENTIFY WAYS IN WHICH MORE FAMILIES CAN ACCESS ORAL HEALTH SERVICES.CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S SERVICE SOCIETY OF WISCONSIN, PROVIDES CASE MANAGEMENT SERVICES FOR CHILDREN IN THE CHILD WELFARE SYSTEM IN MILWAUKEE COUNTY. ONE TARGET THAT IS CLOSELY MONITORED IS COMPLIANCE WITH GETTING CHILDREN IN FOR DENTAL EXAMS IN A TIMELY MANNER. CHILDREN'S HOSPITAL'S SEAL-A-SMILE PROGRAM TARGETS CHILDREN IN ELEMENTARY SCHOOLS WHERE MORE THAN 35 PERCENT OF STUDENTS RECEIVE FREE OR REDUCED SCHOOL LUNCHES IN THE CITY OF MILWAUKEE. A TOTAL OF 11,380 CHILDREN RECEIVED DENTAL SEALANTS AND 18,500 CHILDREN RECEIVED ORAL HEALTH ASSESSMENTS IN MILWAUKEE COUNTY AS A RESULT OF THIS PROGRAM.CHILDREN'S HOSPITAL'S EARLIER IS BETTER PROGRAM IS AN EARLY ORAL HEALTH EDUCATION PROGRAM THAT TARGETS EARLY HEAD START CHILDREN AT TWO LOCATIONS IN MILWAUKEE: BRUCE GUADALUPE AND NEXT DOOR FOUNDATION.PRIMARY CARE:THE NEED FOR ACCESSIBLE AND AFFORDABLE HEALTH CARE HAS NEVER BEEN GREATER. BY INCREASING ACCESS TO PRIMARY CARE SERVICES, CHRONIC DISEASES LIKE ASTHMA, JUVENILE ARTHRITIS OR CROHN'S DISEASE WILL BE BETTER MANAGED AND DECREASE UTILIZATION FOR SPECIALTY CARE. CHILDREN'S HOSPITAL AND ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, INC., WORK TO PROVIDE EVERY CHILD ACCESS TO THE BEST CARE POSSIBLE AND STRIVES TO MAKE CARE ACCESSIBLE CLOSER TO HOME. OUR PRIMARY CARE CLINICS ARE DEDICATED TO PROVIDING QUALITY PEDIATRIC PRIMARY CARE FOR CHILDREN AND ADOLESCENTS IN MILWAUKEE, REGARDLESS OF THEIR ABILITY TO PAY. CHILDREN'S HOSPITAL OPERATES 27 PRIMARY CARE CLINICS THROUGHOUT SOUTHEAST WISCONSIN, WITH 5 CLINICS IN MILWAUKEE. THREE OF THESE CLINICS, THE DOWNTOWN HEALTH CENTER, NEXT DOOR PEDIATRICS AND DENTAL CENTER, AND GOOD HOPE PEDIATRICS HAVE A LONG HISTORY OF OPERATION IN MILWAUKEE. IN 2015, THESE THREE CLINICS HAD MORE THAN 26,000 VISITS. THE TWO OTHER CLINICS, CHILDREN'S HOSPITAL PRIMARY CARE CLINIC AT COA GOLDIN CENTER AND CHILDREN'S HOSPITAL PRIMARY CARE CLINIC AT THE NORTHSIDE YMCA, WERE OPENED IN PARTNERSHIP WITH MARQUETTE UNIVERSITY COLLEGE OF NURSING TO ADDRESS HEALTH CARE DISPARITIES IDENTIFIED IN HIGH NEED NEIGHBORHOODS.CHILDREN'S HOSPITAL'S COMMUNITY HEALTH NAVIGATORS SERVE FAMILIES LIVING IN THREE NEIGHBORHOODS IN MILWAUKEE'S INNER CITY: AMANI, METCALFE PARK AND LINDSAY HEIGHTS. COMMUNITY HEALTH NAVIGATORS BUILD RELATIONSHIPS WITH FAMILIES AND LINK THEM TO ESTABLISHED RESOURCES WITHIN THEIR COMMUNITIES THAT WORK TO IMPROVE THEIR OVERALL HEALTH AND WELL-BEING. THE NAVIGATORS ALSO SERVE AS NEIGHBORHOOD CAPACITY BUILDERS BRINGING A COMBINATION OF AWARENESS AND EDUCATION ABOUT MORE RESOURCES AVAILABLE FOR RESIDENTS IN UNDERSERVED NEIGHBORHOODS. THE NAVIGATORS SERVE ABOUT 30 FAMILIES EACH MONTH IN EACH NEIGHBORHOOD. THIS MEANS MORE THAN 1,000 FAMILIES HAVE RECEIVED HELP THAT IS TAILORED TO THEIR NEEDS IN NAVIGATING THROUGH HEALTH CARE SYSTEMS.CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S SERVICE OF WISCONSIN, PROVIDES CASE MANAGEMENT SERVICES FOR CHILDREN IN THE CHILD WELFARE SYSTEM IN MILWAUKEE COUNTY. ONE TARGET THAT IS CLOSELY MONITORED IS COMPLIANCE WITH GETTING CHILDREN IN FOR MEDICAL EXAMS IN A TIMELY MANNER. CHILDREN'S HOSPITAL SUPPORTS FULL-TIME SCHOOL NURSES IN NINE SCHOOLS WITHIN THE MILWAUKEE PUBLIC SCHOOLS. THE SCHOOL NURSES ROLE INCLUDES "TRADITIONAL" SCHOOL NURSING SUPPORT FROM STUDENT DAILY CARE, MEDICATION ADMINISTRATION, VISION SCREENING, CHRONIC DISEASE MANAGEMENT AND EDUCATION, SUPPORT AND IMPLEMENTATION OF HEALTH POLICIES. THE SCHOOL NURSES ACCESS AND DOCUMENT IN THE HOSPITAL'S ELECTRONIC HEALTH RECORD ALLOWING THEM TO BE AN ACTIVE PART OF A CHILD'S CARE DELIVERY TEAM. ESSENTIALLY, THE NURSES SERVE AS A CONDUIT BETWEEN PRIMARY AND SPECIALTY CARE AND THE CHILD AND FAMILY.IN ADDITION, THE SCHOOL NURSE ALSO SERVES AS THE COORDINATOR OF THE CENTER FOR DISEASE CONTROL'S COORDINATED SCHOOL HEALTH MODEL IN EACH OF OUR SCHOOLS. AS THE COORDINATOR, THEY BRING TOGETHER EDUCATIONAL, COMMUNITY AND CLINICAL RESOURCES THAT WORK IN CONCERT TO SUPPORT THE ACADEMIC ACHIEVEMENT OF STUDENTS. FOR EXAMPLE, SCHOOL NURSES ARE THE ON-SITE COORDINATOR FOR PARENTAL/GUARDIAN CONSENT FORMS FOR PARTICIPATION IN THE COMMUNITY-BASED ORAL HEALTH PROGRAM THAT PROVIDES STUDENTS WITH DENTAL CLEANING, SEALANTS AND FLUORIDE TREATMENTS AT SCHOOL. WITH THE SUPPORT OF THE CHILDREN'S HOSPITAL SCHOOL NURSES, CONSENTS AT THOSE SCHOOLS ARE SIGNIFICANTLY HIGHER THAN OTHER SITES, SO MORE CHILDREN GET THE DENTAL CARE THAT THEY NEED.PRIORITY #2: OBESITY AND WEIGHT MANAGEMENTCHILDREN'S HOSPITAL IS A MEMBER OF THE MILWAUKEE CHILDHOOD OBESITY PREVENTION PROJECT, A COALITION WITH THE GOAL OF REDUCING CHILDHOOD OBESITY IN MILWAUKEE THROUGH ENVIRONMENTAL AND POLICY IMPROVEMENTS AND CHANGES THAT PROMOTE HEALTHY EATING AND ACTIVE LIVING. MEMBERS INCLUDE LEADERS AND STAFF FROM THE EIGHT UNITED NEIGHBORHOOD CENTERS OF MILWAUKEE; COMMUNITY RESIDENTS; YOUTH-SERVING ORGANIZATIONS; AND SPECIALISTS IN THE FIELDS OF NUTRITION, EXERCISE SCIENCE, PHYSICAL EDUCATION, PUBLIC HEALTH, MEDICINE, URBAN PLANNING AND OTHERS.KEY AREAS OF FOCUS:- HEALTHY FOODS AND BEVERAGES- LAND USE- ACTIVE LIVING- CURRICULUM AND PROFESSIONAL DEVELOPMENTCHILDREN'S HOSPITAL SCHOOL NURSES AND COMMUNITY HEALTH EDUCATORS WORK WITH NINE SCHOOLS WITHIN MILWAUKEE PUBLIC SCHOOLS TO ACTIVELY IMPLEMENT THE CENTERS FOR DISEASE CONTROL'S COORDINATED SCHOOL HEALTH MODEL. TO DATE, IMPLEMENTATION HAS INCLUDED A SCHOOL ASSESSMENT AND D
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 11: PRIORITY AREASAS A PART OF THE LIFE STUDY PROCESS, INTERVIEWS, SURVEYS AND PANELS WITH COMMUNITY MEMBERS, EXPERTS AND OTHER PROFESSIONALS WERE CONDUCTED TO PAINT A FULL PICTURE OF THE NEEDS OF THE COMMUNITY. A BROAD LIST OF ISSUES RANGING FROM HOUSING TO EDUCATION WERE IDENTIFIED. AS A PART OF THIS PROCESS, STAKEHOLDERS WERE ASKED TO DEFINE "EXCELLENCE" IN THE COMMUNITY ACROSS ISSUES. HEALTH "EXCELLENCE," AS DEFINED BY THE COMMUNITY, FOR THE FOX CITIES MEANS THAT COMMUNITY MEMBERS PRACTICE HEALTHY LIFESTYLES AND:- EAT A BALANCED DIET- EXERCISE ROUTINELY- ENGAGE IN ACTIVITIES THAT SUPPORT GOOD MENTAL HEALTH- DO NOT ABUSE SUBSTANCES THAT ARE HARMFUL- HAVE ROUTINE HEALTH SCREENINGS SUCH AS BLOOD PRESSURE CHECKS- IN THE EVENT OF AN ILLNESS, GET TREATMENT EARLY BY WELL-PREPARED HEALTH PROVIDERSCOMMUNITY STAKEHOLDERS, SUCH AS CHILDREN'S HOSPITAL, MUST DO THEIR BEST TO CREATE OPPORTUNITIES AND THE RIGHT ENVIRONMENT FOR THE COMMUNITY TO ACHIEVE HEALTH "EXCELLENCE." BECAUSE CHILDREN'S HOSPITAL IS A PEDIATRIC SPECIALTY HOSPITAL, IT IS IMPORTANT TO FOCUS OUR ATTENTION AND RESOURCES TO AREAS WHERE WE CAN MAKE THE BIGGEST IMPACT ON THE HEALTH OF CHILDREN AND YOUTH. WE CONVENED SEVERAL MEETINGS OF CROSS-SECTOR STAFF MEMBERS TO PRIORITIZE THE FINDINGS FROM THE LIFE STUDY AND TO SELECT THE HIGHEST HEALTH PRIORITIES FOR CHILDREN'S HOSPITAL. DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, A NUMBER OF NEEDS WERE IDENTIFIED BY COMMUNITY RESIDENTS, PUBLIC HEALTH OFFICIALS AND OTHER HEALTH STAKEHOLDERS. THE WORK OF CHILDREN'S HOSPITAL FOX VALLEY DIRECTLY ADDRESSES MANY OF THE TOP NEEDS IDENTIFIED, INCLUDING ACCESS TO MEDICAL AND MENTAL HEALTH CARE, HEALTHY DEVELOPMENT OF YOUTH, LIFESTYLE AND HEALTH, AND SUPPORT FOR CHILDREN. WHILE CHILDREN'S HOSPITAL PROVIDES SERVICES IN MANY OF THE AREAS IDENTIFIED AS HIGH-NEED, THERE ARE SOME ISSUES THAT WOULD BE BETTER ADDRESSED BY OTHER INSTITUTIONS, EITHER BECAUSE THEY ARE SPECIFIC TO AN ADULT POPULATION OR NOT HEALTH CARE SPECIFIC. THESE NEEDS INCLUDE: AFFORDABLE HOUSING, CARE FOR ELDERLY AND ADULTS WITH A DISABILITY, INVESTMENT IN ENVIRONMENT, NEED FOR BETTER PAYING JOBS, PERSONAL SAFETY OF ADULTS, AND ADULT SELF-SUFFICIENCY CHALLENGES. AFTER THE REVIEW PROCESS, THE FOLLOWING AREAS WERE ESTABLISHED AS THE HIGHEST PRIORITIES FOR CHILDREN'S HOSPITAL:PRIORITY #1: ACCESS TO MENTAL, ORAL AND PRIMARY HEALTH CAREPRIORITY #2: HEALTHY DEVELOPMENT OF ALL YOUTHPRIORITY #3: LIFESTYLE AND HEALTHPRIORITY #4: SUPPORT FOR CHILDRENCHILDREN'S HOSPITAL RECOGNIZES THE SCOPE AND MAGNITUDE OF THESE ISSUES REQUIRE "ALL HANDS ON DECK." NO SINGLE ORGANIZATION HAS THE RESOURCES NECESSARY TO ADDRESS EVERY ISSUE IDENTIFIED BY THE COMMUNITY. HOWEVER, CHILDREN'S HOSPITAL IS COMMITTED TO WORKING WITH COMMUNITY PARTNERS TO LEVERAGE ALL RESOURCES TO ENSURE THE BEST CARE POSSIBLE FOR OUR COMMUNITY'S CHILDREN. CHILDREN'S HOSPITAL WILL ADDRESS THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THROUGH PROGRAMMING, COLLABORATION AND EDUCATION.THE FOLLOWING SECTIONS PROVIDE MORE INFORMATION ON THE WORK CHILDREN'S HOSPITAL IS UNDERTAKING IN THE PRIORITY AREAS.PRIORITY #1ACCESS TO MENTAL, ORAL AND PRIMARY HEALTHCARECHILDREN'S HOSPITAL OPERATED THE FOX VALLEY CHILDREN'S MENTAL HEALTH CENTER UNTIL OCTOBER 2012 WHEN CATALPA HEALTH WAS FORMED AS A NEW JOINT VENTURE AND PARTNERSHIP BETWEEN CHILDREN'S HOSPITAL, AFFINITY HEALTH SYSTEM AND THEDACARE. CATALPA HEALTH IS THE EXCLUSIVE PROVIDER OF OUTPATIENT PEDIATRIC MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS AGES 2-19 IN THE FOX VALLEY. CHILDREN'S HOSPITAL PROVIDES FUNDRAISING SERVICES AND DIRECT FINANCIAL SUPPORT TO CATALPA AND WORKS CLOSELY WITH CATALPA TO ASSURE THAT AGE-APPROPRIATE MENTAL HEALTH CARE IS AVAILABLE IN THE COMMUNITY. SINCE OPENING IN 2012, CATALPA HEALTH HAS HAD MORE THAN 112,000 PATIENT VISITS AND HAS REDUCED FOX VALLEY'S WAIT TIME FROM 54 DAYS TO 5 DAYS FOR MENTAL HEALTH THERAPY AND INITIAL ASSESSMENTS.THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS (NERC) PROVIDES INFORMATION AND REFERRAL TO PARENTS AND PROVIDERS OF CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THE NERC TEAM PARTICIPATES IN ON-GOING TRAINING AND SERVES ON SEVERAL COMMITTEES THAT ADDRESS BEHAVIORAL AND MENTAL HEALTH ISSUES IN THE FOX VALLEY REGION. STAFF FROM THE NERC WORKS WITH THE NATIONAL ASSOCIATION OF MENTAL ILLNESS IN WISCONSIN TO PROVIDE ADVOCACY TRAINING TO GUARDIANS AND PROVIDERS THROUGH THE COURSE MENTAL ILLNESS IN CHILDREN & ADOLESCENTS. COMMITTEE PARTICIPATION INCLUDES: THE FOX VALLEY EARLY CHILDHOOD COALITION, MENTAL HEALTH SHARE SHOP AND THE N.E.W. MENTAL HEALTH CONNECTION.THE FOX VALLEY EARLY CHILDHOOD COALITION, WHICH INCLUDES MEMBERS FROM CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES, FOCUSES ON ADDRESSING OVERALL SERVICE GAPS FOR CHILDREN IN THOSE AREAS. NERC SERVES ALL THREE OF THESE COUNTIES. OTHER MEMBERS CONSIST OF LOCAL PUBLIC HEALTH DEPARTMENTS (THREE FROM COUNTIES AND TWO FROM CITIES), EARLY INTERVENTION, CHILD CARE RESOURCE AND REFERRAL, LIBRARY SYSTEMS, UNITED WAY, ONEIDA TRIBE, COMMUNITY HEALTH CLINIC, MEDICAL SYSTEMS AND VARIOUS OTHER ORGANIZATIONS. NERC SERVES AS A MEMBER ON THE MAIN COMMITTEE, AND NERC STAFF HAVE SERVED AS COMMITTEE CHAIRS.THE MENTAL HEALTH SHARE SHOP IS A PROGRAM OF THE WINNEBAGO COUNTY THINK PROJECT, A GROUP DEDICATED TO IDENTIFYING AND SOLVING ACCESS ISSUES TO BEHAVIORAL HEALTH CARE. THE WORK CONTINUES TO FOCUS ON "NO WRONG DOOR" TO ENSURE MENTAL HEALTH SERVICES ARE RECEIVED IN A TIMELY MANNER REGARDLESS OF WHERE A CONSUMER ACCESSES THE SYSTEM. THE COMMITTEE IS ALSO WORKING ON AN ANTI-STIGMA CAMPAIGN IN WHICH MEDIA AND MESSAGING IS DISTRIBUTED THROUGH THE COMMUNITY.THE MISSION OF N.E.W. MENTAL HEALTH CONNECTION (NEWMHC) IS TO CONNECT COMMUNITY STAKEHOLDERS AND RESOURCES TO IMPROVE THE MENTAL HEALTH OF OUR COMMUNITY. THE NEWMHC HAS SEVERAL COMMITTEES WORKING TO INCREASE ACCESS AND NAVIGATION OF MENTAL HEALTH SERVICES IN THE FOX CITIES FOR CONSUMERS AND THEIR FAMILIES.THE WISCONSIN STATEWIDE MEDICAL HOME INITIATIVE (WISMHI) IS FUNDED BY CHILDREN'S HOSPITAL AND THE WISCONSIN DEPARTMENT OF HEALTH SERVICES, DIVISION OF PUBLIC HEALTH, CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS PROGRAM THROUGH THE MATERNAL AND CHILD HEALTHTITLE V SERVICES BLOCK GRANT. THE PURPOSE OF WISMHI IS TO PROMOTE THE CONCEPTS OF MEDICAL HOME FOR PRIMARY CARE PROVIDERS, FAMILIES AND SERVICE PROVIDERS THROUGHOUT WISCONSIN. THE MEDICAL HOME CONCEPT IS A TEAM-BASED APPROACH TO HEALTH CARE. THE TEAM IS LED BY A PHYSICIAN, PHYSICIAN ASSISTANT OR NURSE PRACTITIONER WHO PROVIDES COMPREHENSIVE AND CONSISTENT MEDICAL CARE TO PATIENTS WITH THE GOAL OF OBTAINING THE BEST HEALTH OUTCOMES. TRAINING, TECHNICAL ASSISTANCE AND RESOURCES ARE PROVIDED TO SUPPORT MEDICAL HOME IMPLEMENTATION WITH A FOCUS IN THE AREAS OF EARLY IDENTIFICATION OF DEVELOPMENTAL CONCERNS IN THE PRIMARY CARE PRACTICE AND COORDINATION OF CARE AND SERVICES, INCLUDING THOSE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS.PRIORITY #2HEALTHY DEVELOPMENT OF ALL YOUTHCHW-FOX VALLEY PARTICIPATES IN THE WEIGHT OF THE FOX VALLEY SUMMIT TO ENGAGE COMMUNITY STAKEHOLDERS IN UNDERSTANDING THE CAUSES AND CONSEQUENCES OF OBESITY. THOSE INVITED TO THIS SUMMIT INCLUDE COMMUNITY LEADERS FROM ALL SEGMENTS OF THE COMMUNITY, INCLUDING SCHOOLS, MEDICAL CLINICS, DENTAL CLINICS, HEALTH CARE SYSTEMS, INSURANCE PROVIDERS, RESTAURANTS, GROCERY STORIES AND COMMUNITY ORGANIZATIONS.THE GOALS OF THE SUMMIT ARE TO EDUCATE THE COMMUNITY ON THE CAUSES, IMPACT AND COMPLEXITY OF OBESITY IN THE FOX VALLEY, BUILD AND ENHANCE CAPACITY TO DEAL WITH THE ISSUE OF OBESITY BY BRINGING PEOPLE TOGETHER, AND DEFINE INITIAL STEPS TO ADDRESS THE ISSUE OF OBESITY IN THE FOX VALLEY.CHILDREN'S HOSPITAL OPERATES THE TREATMENT FOSTER CARE (TFC) PROGRAM STATEWIDE. THE GOAL OF THIS PROGRAM IS TO RECRUIT, SCREEN, LICENSE AND TRAIN FOSTER PARENTS TO PROVIDE HOME-BASED CARE FOR CHILDREN AND ADOLESCENTS WITH MORE SIGNIFICANT EMOTIONAL, BEHAVIORAL, PHYSICAL OR MEDICAL NEEDS. CHILDREN AND YOUTH OF ALL AGES ARE REFERRED TO TFC, ALTHOUGH MOST CHILDREN ARE 10 YEARS OF AGE OR OLDER. MANY OF THE CHILDREN HAVE HAD MULTIPLE PLACEMENTS, ARE LEAVING THEIR CURRENT PLACEMENT, OR ARE AT RISK OF ENTERING A MORE RESTRICTIVE SETTING SUCH AS A GROUP HOME OR INSTITUTION.IN 2015, CHILDREN'S HOSPITAL HAD 12 LICENSED TREATMENT FOSTER CARE HOMES IN THE FOX VALLEY REGION AND HAD 9 PLACEMENTS.PRIORITY #3LIFESTYLE AND HEALTHCHILDREN'S HOSPITAL PARTICIPATES ON THEDACARE'S COMMUNITY HEALTH ACTION TEAM (CHAT), A DIVERSE GROUP OF 25 LEADERS FROM ALL SECTORS OF THE COMMUNITY - INCLUDING EDUCATION, GOVERNMENT, BUSINESS AND NONPROFITS AND HEALTH CARE ORGANIZATIONS - THAT COMES TOGETHER TO UNDERSTAND LOCAL HEALTH ISSUES. CHAT BRINGS TOGETHER DIVERSE GROUPS OF PEOPLE TO STUDY PROBLEMS FIRSTHAND THROUGH "PLUNGES," WHICH ARE DAYLONG EVENTS THAT GATHER PEOPLE MOST AFFECTED BY OR INVOLVED IN SOLVING AN ISSUE. WHETHER ATTEMPTING
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 16I: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO CHILDREN'S HOSPITAL. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 16I: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES HAVE ACCESS TO THE FAP IN THE PATIENT HANDBOOK UPON ADMISSION. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AT LEAST 3 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES 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.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING INVOICES, AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AT LEAST 3 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES 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.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT CHILDREN'S HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS'S REGULATIONS AND IS BASED ON CHILDREN'S HOSPITAL'S OVERALL MEDICARE, MEDICAID, AND COMMERCIAL REIMBURSEMENT RATE.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 22D: THE MAXIMUM AMOUNT CHILDREN'S HOSPITAL CHARGES PATIENTS IS DETERMINED BY APPLYING FINANCIAL ASSISTANCE DISCOUNTS TO GROSS CHARGES, BUT IN NO EVENT WILL THE AMOUNT BILLED TO A FAMILY QUALIFIED FOR FINANCIAL ASSISTANCE EXCEED THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS. THE AGB IS CALCULATED ANNUALLY BASED ON THE LOOK-BACK METHOD AS PRESCRIBED UNDER THE IRS REGULATIONS AND IS BASED ON CHILDREN'S HOSPITAL'S OVERALL MEDICARE, MEDICAID, AND COMMERCIAL REIMBURSEMENT RATE.
PART V, SECTION B, LINE 11:	PRIORITY #3: INFANT MORTALITYCHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE CHILDREN'S COMMUNITY HEALTH PLAN, INC., OFFERS A HEALTHY MOM HEALTHY BABY PROGRAM WHICH PROVIDES CARE COORDINATION SERVICES TO PREGNANT MEMBERS OF CHILDREN'S COMMUNITY HEALTH PLAN. AN OUTREACH ATTEMPT IS MADE TO EVERY PREGNANT WOMAN, AND PRENATAL CARE COORDINATION IS OFFERED IN MILWAUKEE COUNTY. AS A PART OF THE PROGRAM, INCENTIVES ARE USED TO KEEP MEMBERS ENGAGED IN THEIR MEDICAL CARE. MEMBERS ARE FOLLOWED IN THE PROGRAM THROUGH THE POSTPARTUM PERIOD. OTHER AREAS OF FOCUS INCLUDE BREASTFEEDING, SMOKING CESSATION, SAFE HOME ENVIRONMENT AND SAFE SLEEP PRACTICES FOR BABY, COUNSELING FOR ALCOHOL AND DRUG USE AND CREATING ACCESS FOR DENTAL CARE. THE HEALTHY MOM HEALTHY BABY PROGRAM HAS AN INCREASED FOCUS ON THE PERIOD OF TIME BETWEEN PREGNANCIES FOR WOMEN TO PROVIDE EDUCATION TO WOMEN ON THE IMPORTANCE OF PREGNANCY SPACING, KEEPING CURRENT WITH MEDICAL AND DENTAL CHECKUPS, HEALTHY EATING AND GETTING REGULAR EXERCISE.THE MEDICAL HOME PILOT IS A COLLABORATIVE EFFORT WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES TO DETERMINE IF PREGNANT WOMEN ENROLLED IN THE PILOT WILL HAVE IMPROVED BIRTH OUTCOMES. CHILDREN'S HOSPITAL RECRUITED SEVERAL HEALTH CARE PROVIDERS TO PARTICIPATE IN THE MEDICAL HOME PILOT:- COLUMBIA/ST. MARY'S FAMILY PRACTICE CLINIC- LIFE TIME OB/GYN- ST. JOSEPH'S FAMILY PRACTICE CLINIC- WAUKESHA FAMILY PRACTICE CLINIC- SIXTEENTH STREET COMMUNITY HEALTH CENTER- ST. JOSEPH'S OUTPATIENT CENTER- FROEDTERT EAST OB RESIDENCY CLINIC- AURORA MIDWIFERY CLINIC- PROGRESSIVE- MILWAUKEE HEALTH SERVICES- MARQUETTE NEIGHBORHOOD HEALTH CENTERREFERRALS TO THE MEDICAL HOME PILOT PROGRAM ARE MADE BY THE "MEDICAL HOME" SITE OR FROM CHILDREN'S COMMUNITY HEALTH PLAN.CARE COORDINATORS HAVE BEEN ASSIGNED AS LIAISONS TO EACH MEDICAL HOME SITE. LIAISONS ARE SOCIAL WORKERS OR NURSES THAT ASSIST THE STAFF AT THE MEDICAL HOME SITES TO MEET THE NEEDS OF THE MEMBERS AND THE MEDICAL HOME SITE. THE CARE COORDINATORS CAN ALSO PROVIDE PRENATAL CARE COORDINATION SERVICES TO THE MEMBERS IF THE SERVICES ARE NOT AVAILABLE AT THE MEDICAL HOME SITE. THE PROGRAM HAS ACHIEVED AN 83% RATE OF FULL TERM BIRTHS WITH 94% SUCCESS IN ENROLLING THE FAMILY IN THE WIC PROGRAM AND 96% IMMUNIZATION COMPLIANCE.PRIORITY #4: SEXUAL HEALTHCHILDREN'S HOSPITAL'S PREGNANCY COUNSELING AND RESOURCES SPECIALIZE IN PROVIDING FREE QUALITY PREGNANCY COUNSELING FOR ADOLESCENTS AND YOUNG ADULTS UP TO 24 YEARS OF AGE. THE PROGRAM EXTENDS TO PARTNERS, PARENTS, OTHER FAMILY MEMBERS AND SOCIAL SUPPORTS. THE PROGRAM PROVIDES ACCURATE AND AGE-APPROPRIATE EDUCATION ON TEENAGE PREGNANCY AND PROMOTES HONEST COMMUNICATION BETWEEN ADULTS AND ADOLESCENTS.CHILDREN'S HOSPITAL OPERATES THE HEALTHY KIDS, HEALTHY CHOICES PROGRAM TO EDUCATE YOUTH IN OUT-OF-HOME CARE AND FOSTER AND CHILD WELFARE STAFF ABOUT TEEN PREGNANCY PREVENTION. THIS PROGRAM HELPS TO INCREASE THE CHOICES AVAILABLE TO TEENS AND HELPS THEM RECOGNIZE THE BENEFITS OF MAKING CHOICES THAT ARE MORE LIKELY TO LEAD TO POSITIVE OUTCOMES. YOUTH, AGES 11 TO 18, ARE PROVIDED COMPREHENSIVE REPRODUCTIVE HEALTH EDUCATION INCLUDING INFORMATION ON SEXUALLY TRANSMITTED INFECTIONS, CONTRACEPTION AND HIV PREVENTION. ADDITIONALLY, CAREGIVERS, CASEWORKERS, CHILD WELFARE STAFF AND FOSTER PARENTS ARE EQUIPPED WITH EVIDENCE-BASED CURRICULUM THAT ASSIST THEM WITH ADDRESSING SEXUAL AND REPRODUCTIVE HEALTH WITH YOUTH IN THEIR CARE.PRIORITY #5: COMMUNITY AND HOME SAFETYCHILDREN'S HOSPITAL'S CHILD PROTECTION CENTER PROVIDES ASSESSMENTS TO CHILDREN WHO MAY HAVE BEEN HARMED. THE GOAL OF THE CENTER IS TO PROTECT CHILDREN FROM ABUSE AND PROVIDE RESOURCES TO HELP THEM HEAL. IN ADDITION TO PROVIDING CASE REVIEWS, EXPERT COURT TESTIMONY AND PROFESSIONAL CONSULTATIONS, THE CHILD PROTECTION CENTER PROVIDES CHILD ABUSE ASSESSMENT, INCLUDING A COMPLETE MEDICAL EXAMINATION AND AN INTERVIEW WITH A SOCIAL WORKER SPECIALLY TRAINED TO WORK WITH TRAUMATIZED KIDS. ALL WORK IS CAREFULLY DOCUMENTED ON VIDEOTAPE OR DVD TO MEET JUDICIAL STANDARDS. FOLLOWING ASSESSMENT, CENTER STAFF MEMBERS REFER SUSPECTED VICTIMS OF ABUSE TO COUNSELORS, MEDICAL DOCTORS AND PSYCHIATRIC AND DEVELOPMENTAL REHABILITATION SPECIALISTS WHO CAN HELP THEM RECOVER. THE CENTER PROVIDES ONGOING TRAINING TO LAW ENFORCEMENT OFFICERS, SOCIAL WORKERS, PHYSICIANS, NURSE AND OTHER PROFESSIONALS IN THE MILWAUKEE AREA, AND FACILITATES THE SHARING OF RESEARCH IN INVESTIGATIVE TECHNIQUES.THE GOAL OF CHILDREN'S HOSPITAL'S ACT NOW! PROGRAM IS TO REDUCE BULLYING IN SCHOOLS THROUGH PREVENTION EDUCATION FOCUSED ON THE BYSTANDER, INCLUDING STUDENTS, TEACHERS, STAFF AND SCHOOL ADMINISTRATORS. THE ANTICIPATED IMPACT OF THIS PROGRAM INCLUDES LONG-TERM REDUCTION IN BULLYING AND VIOLENCE; MORE TIME SPENT ON LEARNING, RESULTING IN INCREASED ACHIEVEMENT; IMPROVED STUDENT ATTENDANCE; AND AN INCREASE IN THE NUMBER OF SCHOOLS PARTICIPATING IN BULLYING PREVENTION. AFTER PARTICIPATING IN ACT NOW!, ONE MILWAUKEE PUBLIC SCHOOL HAD A 57.2 PERCENT REDUCTION IN STUDENTS WHO REPORTED BULLYING ANOTHER STUDENT AND A 31.4 PERCENT REDUCTION IN STUDENTS WHO REPORTED BEING BULLIED. DURING THE 2015-16 SCHOOL, ACT NOW! REACHED OVER 45,000 STUDENTS IN MILWAUKEE.CHILDREN'S HOSPITAL'S VISITATION CENTER IS A PROGRAM DESIGNED TO ENSURE SAFE CONTACT BETWEEN PARENTS AND THEIR CHILDREN AND TO MEET THE NEEDS OF CHILDREN AND THEIR SEPARATED OR DIVORCED PARENTS. THE CENTER IS DESIGNED FOR PARENTS WHO NEED A NEUTRAL, COMFORTABLE PLACE TO VISIT OR TRANSFER THEIR CHILDREN, WITH THE GOAL OF ELIMINATING OR REDUCING TRAUMA AND HARM TO THE CHILDREN. A COMPLETE PHYSICAL IS PROVIDED FOR ALL CHILDREN ENTERING A FOSTER-CARE ENVIRONMENT IN MILWAUKEE COUNTY. FOSTER CARE HEALTH SCREENING AIMS TO DOCUMENT RECENT SIGNS OF ABUSE/NEGLECT, ENSURE CHILDREN RECEIVE QUALITY, CONSISTENT AND TIMELY HEALTH EVALUATIONS, ENCOURAGE AND SUPPORT CHILDREN RECEIVING ONGOING QUALITY HEALTH CARE, AND IMPROVE THE HEALTH OF CHILDREN IN FOSTER CARE.PROJECT UJIMA WORKS TO STOP THE CYCLE OF VIOLENT CRIMES BY REDUCING THE NUMBER OF REPEAT VICTIMS OF VIOLENCE THROUGH INDIVIDUAL, FAMILY AND COMMUNITY INTERVENTIONS AND PREVENTION STRATEGIES. THE PROJECT PROVIDES FOR HOSPITAL-BASED AND HOME-BASED SERVICES TO VICTIMS OF VIOLENCE. COMMUNITY-BASED SERVICES, INCLUDING MENTORING, YOUTH DEVELOPMENT, FAMILY AND YOUTH SUPPORT GROUPS, GANG INTERVENTIONS, JOB PREPAREDNESS AND ADVOCACY TO ADDRESS LEGAL, EDUCATION AND HOUSING ISSUES ARE ALSO OFFERED. THE PROGRAM ALSO PROVIDES COMMUNITY AND PROFESSIONAL EDUCATION ABOUT YOUTH VIOLENCE, INCLUDING SEMINARS ON YOUTH VIOLENCE AND YOUTH DEVELOPMENT, AND SUPPORT OF COMMUNITY-BASED ACTIVITIES, FORUMS AND DEBRIEFING.SAFE KIDS WISCONSIN, LED BY CHILDREN'S HOSPITAL, IS A MEMBER OF SAFE KIDS WORLDWIDE, A GLOBAL NETWORK OF ORGANIZATIONS DEDICATED TO PREVENTING ACCIDENTAL INJURY. SAFE KIDS WISCONSIN IS ONE OF MORE THAN 300 GRASS-ROOTS COALITIONS IN THE U.S., INCLUDING THE DISTRICT OF COLUMBIA AND PUERTO RICO, THAT BRING TOGETHER HEALTH AND SAFETY EXPERTS, EDUCATORS, CORPORATIONS, FOUNDATIONS, GOVERNMENTS AND VOLUNTEERS TO EDUCATE AND PROTECT FAMILIES. SAFE KIDS WISCONSIN AND ITS COALITIONS PARTICIPATE IN THE FOLLOWING: CAR SEAT RECYCLE DAY, CHILD PASSENGER SAFETY AND SAFETY IN AND AROUND CARS (SAFE KIDS BUCKLE UP), FIRE AND CARBON MONOXIDE SAFETY (DELIVERING FIRE PREVENTION), PEDESTRIAN SAFETY (SAFE KIDS WALK THIS WAY), SAFE KIDS DAY, SAFE INFANT SLEEP (CRIBS FOR KIDS), WATER SAFETY EDUCATION, AND WHEELED SPORTS SAFETY.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address		Type of Facility (describe)
1	1 - CHILD ADVOCACY CENTER - FOX VALLEY 325 N COMMERCIAL ST SUITE 400 NEENAH,WI54956	PATIENT CARE SERVICES
2	2 - CHILD ADVOCACY CENTER - RACINE 8800 WASHINGTON AVE MOUNT PLEASANT,WI53406	PATIENT CARE SERVICES
3	3 - CHILD ADVOCACY CENTER - WAUKESHA 726 N EAST AVE WAUKESHA,WI53186	PATIENT CARE SERVICES
4	4 - DOWNTOWN HEALTH CENTER 1020 N 12TH ST MILWAUKEE,WI53233	URBAN HEALTH CENTER
5	5 - CHILD ADVOCACY CENTER - WALWORTH CTY W4063 HWY NN ELKHORN,WI53121	PATIENT CARE SERVICES
6	6 - CHILD ADVOCACY CENTER - GREEN BAY 503 S MONROE AVE GREEN BAY,WI54301	PATIENT CARE SERVICES
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 3C:	CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHILDREN'S HOSPITAL") USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY AT BOTH OF ITS HOSPITAL SITES. CHILDREN'S HOSPITAL IS DEDICATED TO ENSURING THAT PATIENTS RECEIVE ALL MEDICALLY NECESSARY CARE. IN FURTHERANCE OF THAT OBJECTIVE, CHILDREN'S HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY ("FAP"), PURSUANT TO WHICH CHILDREN'S HOSPITAL PROVIDES DISCOUNTED OR FREE CARE TO PATIENTS WHO ARE UNINSURED OR OTHERWISE UNABLE TO PAY ALL OR A PORTION OF THEIR BILLED CHARGES. THE POLICY GENERALLY PROVIDES THAT ELIGIBILITY IS DETERMINED BASED ON HOUSEHOLD INCOME AND FAMILY SIZE, AND SPECIFICALLY INCORPORATES CRITERIA SET FORTH UNDER THE FEDERAL POVERTY GUIDELINES.
PART I, LINE 6A:	CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE SOLE CORPORATE MEMBER OF CHILDREN'S HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF BOTH OF THE HOSPITALS AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON CHILDREN'S HOSPITAL'S WEBSITE OR UPON REQUEST.
PART I, LINE 7:	CHILDREN'S HOSPITAL USED A COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A AND 7B FOR CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. FOR LINES 7E, 7F, 7G, 7H, AND 7I, THE HOSPITAL USED COSTS FROM ITS ACCOUNTING SYSTEM. FOR LINE 7G, THE COSTS FROM THE ACCOUNTING SYSTEM WERE ADJUSTED FOR MEDICAID, MEDICARE, AND CHARITY CARE PATIENTS, AS THE COST RELATED TO THESE PATIENTS WAS TAKEN INTO ACCOUNT IN LINES 7A AND 7B. THE WISCONSIN MEDICAID PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED OR UNDERINSURED. HOSPITAL REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND THE AVAILABILITY OF STATE AID AND TO ASSIST THEM IN ENROLLING IN THE PROGRAM THAT PROVIDES THE PATIENT WITH THE GREATEST BENEFIT. FOR THAT REASON, THE AMOUNT OF 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 7G:	IN MILWAUKEE, CHILDREN'S HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $2,361,405 PAID TO CHILDREN'S MEDICAL GROUP, INC. ("CMG"), WHICH IS A SECTION 501(C)(3) ORGANIZATION AND AN AFFILIATE OF THE HOSPITAL THAT PROVIDES PRIMARY CARE PHYSICIAN SERVICES IN SOUTHEASTERN WISCONSIN. THE PAYMENTS WERE MADE TO SUBSIDIZE THE NEXT DOOR PEDIATRIC CLINIC AND OTHER CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED.IN THE FOX VALLEY, CHILDREN'S HOSPITAL INCLUDED $246,550 PAID TO CATALPA TO SUBSIDIZE MENTAL HEALTH SERVICES. CATALPA IS A NON-PROFIT MENTAL HEALTH PROVIDER THE HOSPITAL OWNS JOINTLY WITH TWO AREA ADULT HOSPITAL SYSTEMS.
PART II, COMMUNITY BUILDING ACTIVITIES:	CHILDREN'S 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 THAT ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. CHILDREN'S HOSPITAL PROVIDES SUPPORT TO MANY PROGRAMS THAT HELP COMMUNITY MEMBERS KEEP THEIR CHILDREN AND FAMILIES HEALTHY. EXAMPLES INCLUDE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THE SOUTHEAST AND NORTHEAST REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, AND A FREE GUARDIANSHIP CLINIC. CHILDREN'S HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO ITS PARENT, CHILDREN'S HOSPITAL AND HEALTH SYSTEM ("CHHS"), TO SUPPORT THE SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION.CHILDREN'S HOSPITAL STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A STATEWIDE COALITION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE IS GUIDED BY A STATEWIDE 28-MEMBER ADVISORY BOARD AND PARTNERS WITH HUNDREDS OF ORGANIZATIONS AND INDIVIDUALS TO RAISE AWARENESS OF CHILD HEALTH CONCERNS, MOBILIZE LEADERS, IMPACT PUBLIC HEALTH, AND IMPLEMENT PROGRAMS PROVEN TO WORK. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A WISCONSIN DEPARTMENT OF HEALTH SERVICES MATERNAL CHILD HEALTH GRANT, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER PUBLIC AND PRIVATE FUNDING. THE ALLIANCE IS FINANCIALLY SUPPORTED BY CHILDREN'S HOSPITAL THROUGH STAFF AND OTHER RESOURCES TO CARRY ON THE ALLIANCE'S PROGRAMS. THE ALLIANCE'S KEY INITIATIVES ARE: ASTHMA, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, LEAD POISONING, ORAL HEALTH COALITION, AND REACH OUT AND READ PROGRAM. THE ALLIANCE LEADS AND MANAGES THE INFANT DEATH CENTER, REACH OUT AND READ WISCONSIN COALITION, WISCONSIN ASTHMA COALITION, AND THE WISCONSIN ORAL HEALTH COALITION. CHILDREN'S HOSPITAL ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. IT IS 1 OF 5 REGIONAL CENTERS DEDICATED TO SUPPORTING FAMILIES WITH CHILDREN WHO HAVE SPECIAL HEALTH CARE NEEDS AND THE PROVIDERS WHO CARE FOR THEM. IT IS FUNDED THROUGH A TITLE 5 MATERNAL AND CHILD HEALTH BLOCK GRANT, EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDING STAFF AND OTHER PROGRAM EXPENSES, AND CHARITABLE DONATIONS. FAMILIES AND PROVIDERS CAN CALL THE CENTER FOR INFORMATION, REFERRAL AND PROBLEM-SOLVING RELATED TO COMMUNITY AND STATE SERVICES, HEALTH BENEFITS ASSISTANCE, TRANSITION PLANNING, AND EMOTIONAL SUPPORT. EACH YEAR THE STAFF OFFERS TRAINING SUCH AS "CARE IN THE COMMUNITY AND OTHER SESSIONS THAT FOCUS ON YOUTH TRANSITIONS. STAFF ALSO PARTICIPATE IN NUMEROUS COMMUNITY INITIATIVES AND PARTNER WITH AREA PEDIATRICIANS AND OTHER HEALTH CARE PROVIDERS TO INCORPORATE EARLY IDENTIFICATION AND SCREENING METHODS INTO THEIR PRACTICES. IN 2015, STAFF SHARED THEIR EXPERTISE, LEADERSHIP AND TECHNICAL ASSISTANCE WITH MORE THAN 18 COMMUNITY AGENCIES AND COMMITTEES, WHICH INCLUDE SOUTHEAST REGION AUTISM CORE TEAM, MILWAUKEE COUNTY COMMISSION FOR PERSONS WITH DISABILITIES, PATIENT AT RISK, WISCONSIN CHILDREN'S LONG-TERM CARE ADVISORY COMMITTEE AND MANY MORE. THE CENTER SERVES EIGHT COUNTIES. IN THE FOX VALLEY, CHILDREN'S HOSPITAL ALSO SUPPORTS THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, WHICH PROVIDES SIMILAR SERVICES TO THE SOUTHEAST CENTER DESCRIBED ABOVE WITH A FOCUS ON COUNTIES IN WISCONSIN'S FOX VALLEY. ADDITIONALLY, ONE OF THE NEEDS IDENTIFIED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE FOX VALLEY WAS ACCESS TO MENTAL HEALTH CARE SERVICES. THEREFORE, CHILDREN'S HOSPITAL, ALONG WITH AFFINITY HEALTH SYSTEM AND THEDACARE, CREATED AN ORGANIZATION CALLED CATALPA HEALTH TO PROVIDE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES IN THE FOX VALLEY. CHILDREN'S HOSPITAL'S PARENT ORGANIZATION, CHHS, ALSO PERFORMS COMMUNITY-BUILDING ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WHICH ARE FURTHER DISCUSSED IN SCHEDULE H PART VI, LINE 6.
PART III, LINE 2:	THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS CHILDREN'S HOSPITAL'S BAD DEBT EXPENSE INCLUDED AS A REDUCTION OF PATIENT REVENUE, AND IS THE SUM OF ALL OF THE UNCOLLECTED PATIENT ACCOUNT BALANCES SENT TO THIRD PARTY COLLECTIONS, REDUCED BY ACTUAL RECOVERIES, REDUCED BY ANY ACCOUNTS RETURNED TO THE HOSPITAL BY THE THIRD PARTY COLLECTION AGENCY, AND INCREASED BY AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS WHEN APPLICABLE. THE AMOUNT DOES NOT INCLUDE DISCOUNTS PROVIDED UNDER THE HOSPITAL'S FAP, INCLUDING DISCOUNTS PROVIDED TO SELF-PAY ACCOUNTS, WHICH ARE ALSO REPORTED AS A REDUCTION OF PATIENT REVENUE.
PART III, LINE 4:	CHILDREN'S HOSPITAL'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. SEE PAGES 26-27 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	CHILDREN'S 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 NORMALLY PAID LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE MEDICARE SURPLUS IN 2015 RESULTED FROM TIMING OF YEAR END REPORTING VERSUS THE FILING OF THE 2015 COST REPORT. PAYMENTS RECEIVED IN 2015 WERE BASED ON AN INTERIM RATE WHICH WAS HIGHER THAN ACTUAL COST DUE TO LOW VOLUMES. THE SURPLUS WAS PAID BACK IN 2016 WHEN THE COST REPORT WAS FILED.
PART III, LINE 9B:	AT ALL LOCATIONS UNDER CHILDREN'S HOSPITAL'S POLICIES AND PROCEDURES, CHILDREN'S HOSPITAL UNDERTAKES EXTENSIVE MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, CHILDREN'S HOSPITAL AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE MEDICAID PROGRAM. IN CASES WHERE MEDICAID COVERAGE IS NOT AVAILABLE, CHILDREN'S HOSPITAL SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHILDREN'S HOSPITAL'S FAP. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, HOSPITAL PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES; SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNTS DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS' ELIGIBILITY FOR FINANCIAL ASSISTANCE CANNOT BE DETERMINED DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION. IN SUCH CASES, CHILDREN'S 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 ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN WITHOUT SUCCESS.
PART VI, LINE 2:	IN MILWAUKEE AND THE FOX VALLEY, THE HOSPITALS, IN COLLABORATION WITH A TEAM OF OTHER HOSPITAL SYSTEMS, HEALTH CARE PROVIDERS, COMMUNITY AGENCIES, LOCAL PUBLIC HEALTH DEPARTMENTS, COMMUNITY STAKEHOLDERS OR OTHER HEALTH PROFESSIONALS, HAS DEVELOPED A COMMUNITY NEEDS ASSESSMENT SURVEY TO ASSESS THE NEEDS OF THE COMMUNITY. IN ADDITION, CHW-MILWAUKEE CONDUCTED COMMUNITY CAFES, WHICH WERE LISTENING SESSIONS. AT THE COMMUNITY CAFES, RESIDENTS WERE ASKED OPEN-ENDED QUESTIONS AND ENGAGED IN TABLE CONVERSATIONS PROVIDING INPUT ON WHAT CONCERNS AND NEEDS EXIST WITHIN CERTAIN HISTORICALLY UNDERSERVED NEIGHBORHOODS. RESIDENTS IDENTIFIED THEMSELVES OR THEIR NEIGHBORS TO SERVE ON NEIGHBORHOOD ADVISORY COMMITTEES THAT THEY LEAD AND INVITE PARTNERS TO PARTICIPATE IN DISCUSSIONS AND ACTION AROUND PRIORITIES. RESIDENT FEEDBACK MADE CLEAR THAT PRIMARY CARE WAS NEEDED FOR BOTH CHILDREN AND THEIR CAREGIVERS IN THESE UNDERSERVED COMMUNITIES. THESE COMMUNITY CAFES PROVIDED CHW-MILWAUKEE WITH A GOOD FOUNDATION TO INITIATE A MORE DETAILED LOOK AT THE HEALTH OF THE BROADER MILWAUKEE COMMUNITY. IN ADDITION, CHW-MILWAUKEE USED SECONDARY DATA SUCH AS THE WISCONSIN FAMILY HEALTH SURVEY, COUNTY HEALTH RANKING REPORT AND THE WISCONSIN HEALTHIEST PEOPLE 2020 TO ASSESS THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	AS INDICATED ABOVE, CHILDREN'S 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. WHEN SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER CHILDREN'S HOSPITAL'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON CHILDREN'S HOSPITAL'S WEBSITE AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND CHILDREN'S HOSPITAL'S TRAINED FINANCIAL SERVICES COUNSELORS AND SOCIAL WORKERS. CHILDREN'S HOSPITAL MAKES 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:	CHILDREN'S HOSPITAL PROVIDES CARE TO CHILDREN FROM URBAN, RURAL, AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, ETHNICITY, INCOME, DISABILITY, OR COUNTRY OF ORIGIN AT BOTH OF ITS HOSPITAL SITES. CHILDREN'S HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEASTERN WISCONSIN, BUT TREATS PATIENTS FROM THE ENTIRE STATE OF WISCONSIN, THE UPPER PENINSULA OF MICHIGAN, NORTHERN ILLINOIS, AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF CHILDREN'S HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2015 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID.
PART VI, LINE 5:	THE HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF AT BOTH HOSPITAL SITES, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTH CARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, THE HOSPITAL OFFERS CLINICS IN THE CENTRAL, DOWNTOWN AND SOUTHWEST PART OF THE CITY. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY AND KENOSHA AREAS. IN RESPONSE TO FEEDBACK FROM THE COMMUNITY GAINED THROUGH LISTENING SESSIONS, THE HOSPITAL, THROUGH ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, OFFERS TWO ADDITIONAL CLINICS IN AREAS OF THE CENTRAL CITY PREVIOUSLY LACKING PRIMARY CARE THAT NOW SERVE CHILDREN AND THEIR CAREGIVERS.THE HOSPITAL FUNDS SCHOOL-BASED HEALTH CENTERS IN NINE (WITH A 10TH STARTING IN 2017) MILWAUKEE PUBLIC SCHOOLS IN UNDERSERVED AREAS. THESE CENTERS PROVIDE PREVENTIVE CARE, PHYSICALS, IMMUNIZATIONS AND TREATMENT FOR ILLNESSES TO AREAS THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. IN 2015, THERE WERE 21,282 SCHOOL-BASED NURSE ENCOUNTERS, WHICH INCLUDED 883 VISION SCREENINGS.CHILDREN'S HOSPITAL OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TO MENTAL HEALTH PROVIDERS. WE HAVE PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. OUR COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES.CHILDREN'S HOSPITAL OF WISCONSIN'S EDUCATION ARM, COMMUNITY HEALTH, EDUCATES CHILDREN AND FAMILIES REGARDING A WIDE RANGE OF ISSUES IMPACTING THE HEALTH AND SAFETY OF CHILDREN. RESOURCES AND PROGRAMS ARE AVAILABLE FOR CHILDREN, PARENTS, TEACHERS, AND CAREGIVERS TO HELP KEEP WISCONSIN'S CHILDREN HEALTHY AND SAFE. ONLINE LEARNING PROGRAMS ARE A RESOURCE FOR TEACHERS TO USE IN THEIR CLASSROOMS TO DELIVER AN OUTCOMES-BASED HEALTH CURRICULUM TO STUDENTS IN GRADE K5-8. COMMUNITY HEALTH'S INJURY PREVENTION TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS. THEY ALSO DELIVER IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. IN 2015, COMMUNITY HEALTH CONTINUED ITS PARTNERSHIP WITH KOHL'S CORPORATION ON A WEBSITE/MOBILE APP/TOUR RELATED TO INJURY PREVENTION IN THE HOME CALLED KOHL'S CARES GROW SAFE AND HEALTHY PROGRAM. THE PROGRAM IS DESIGNED TO MAKE WISCONSIN KIDS AND FAMILIES AWARE OF SAFETY RISKS IN AND OUT OF THEIR HOMES, AND THE NECESSARY STEPS TO HELP AVOID INJURY. THE HOSPITAL'S CAR SEAT CLINIC IS COLLABORATION BETWEEN THE HOSPITAL, ITS INJURY PREVENTION PROGRAM, SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION. IT OFFERS CAR SEAT CLINICS IN TWO LOCATIONS NEAR THE MILWAUKEE HOSPITAL CAMPUS AND DOWNTOWN MILWAUKEE. TRAINED CHILD PASSENGER SAFETY TECHNICIANS MAKE CERTAIN THAT INFANT AND TODDLER CAR SEATS AND BOOSTER SEATS ARE INSTALLED CORRECTLY AND ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILDREN USING THEM. THE PROGRAM ALSO PROVIDES LOW-COST OR FREE CAR OR BOOSTER SEATS FOR FAMILIES IN NEED.THE WISCONSIN POISON CENTER, WHICH IS STAFFED BY REGISTERED NURSES SUPPORTED BY M.D. TOXICOLOGISTS 24 HOURS A DAY, 365 DAYS A YEAR, PROVIDES IMMEDIATE AND AUTHORITATIVE PHONE CONSULTATION IN CASES OF ACCIDENTAL OR INTENTIONAL POISONING IN ADULTS AND CHILDREN FOR PATIENTS AND HOSPITALS ACROSS WISCONSIN. THE CENTER ALSO HAS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS ALERTING PEOPLE TO SPECIFIC TOXIC DANGERS. THESE INCLUDE HOSPITAL GRAND ROUNDS LECTURES FOR PHYSICIANS, TRAINING FOR EMERGENCY MEDICAL TECHNICIANS, BABY SITTER WORKSHOPS, AND PRESCHOOL POISON PREVENTION EDUCATION. THE POISON CENTER ALSO TRIAGES CALLS FOR MPOWER, AN ALCOHOL AND DRUG CRISIS LINE FOR TEENS. PROJECT ADAM (AUTOMATIC DEFIBRILLATORS IN ADAM'S MEMORY) IS A PROGRAM OF THE HOSPITAL COMMITTED TO MAKING AUTOMATED EXTERNAL DEFIBRILLATORS UNIVERSALLY AVAILABLE TO ALL CHILDREN AND ADOLESCENTS BY BEING A NATIONAL RESOURCE FOR IMPLEMENTING PEDIATRIC PUBLIC ACCESS DEFIBRILLATION PROGRAMS IN SCHOOLS. IT IS ALSO WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. SINCE THE PROGRAM BEGAN, THE HOSPITAL HAS CELEBRATED MORE THAN 100 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, THE HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, CENTRAL WISCONSIN (WAUSAU), THE FOX VALLEY, AND CHIPPEWA VALLEY (EAU CLAIRE). EACH CENTER IS A SAFE PLACE FOR KIDS WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THE CENTERS BRING TOGETHER A TEAM OF SPECIALLY TRAINED PROFESSIONALS WHO EVALUATE AND INVESTIGATE CASES OF CHILD ABUSE, PROVIDE MEDICAL CARE AND HELP CHILDREN AND THEIR FAMILIES HEAL. THE CENTERS ARE A COLLABORATION OF THE HOSPITAL AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS.IN 2015 (WITH THE GRAND OPENING HAVING TAKEN PLACE IN FEBRUARY 2016), CHW, IN COLLABORATION WITH SOJOURNER, COMPLETED CONSTRUCTION OF THE SOJOURNER FAMILY PEACE CENTER THAT PROVIDES A SINGLE LOCATION FOR SERVICES FOR MILWAUKEE WOMEN AND CHILDREN IMPACTED BY FAMILY VIOLENCE. THE CENTER ALSO PROVIDES SPACE FOR THE DISTRICT ATTORNEY AND MILWAUKEE POLICE DEPARTMENT SENSITIVE CRIMES UNITS TO HELP SUPPORT AND PROTECT THESE VULNERABLE WOMEN AND CHILDREN.THE HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS. THE GOAL IS TO ENSURE FAMILIES HAVE THE BEST POSSIBLE CARE IN AND OUT OF THE HOSPITAL. THE HOSPITAL PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE, WHICH IS LED AND SUPPORTED BY MEDICAL STAFF AT THE HOSPITAL, IS A COALITION THAT WORKS TO REDUCE AND ELIMINATE DISPARITIES IN ASTHMA CARE AND DEVELOP A SUSTAINABLE STRATEGY FOR ASTHMA CONTROL IN THE COMMUNITY. FIGHT ASTHMA MILWAUKEE PROVIDES COMMUNITY-WIDE ASTHMA EDUCATION FOR PARENTS, CAREGIVERS, HEALTH CARE PROFESSIONALS AND SCHOOL STAFF.THE INFANT DEATH CENTER (IDC) IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A HOSPITAL-LED AND STAFFED COALITION. THE CENTER PROVIDES INFORMATION AND SUPPORT TO WISCONSIN FAMILIES AND OTHERS AFFECTED BY THE SUDDEN AND UNEXPECTED DEATH OF AN INFANT. THE IDC STRIVES TO INCREASE HEALTHY BIRTH OUTCOMES AND REDUCE INFANT DEATHS. THE CENTER WORKS TOGETHER WITH OTHER PROFESSIONALS IN OUTREACH, EDUCATION AND INFANT MORTALITY REVIEW PROGRAMS. IN PARTNERSHIP WITH PUBLIC HEALTH SYSTEMS AND NATIONAL INFANT MORTALITY PROGRAMS, THE IDC MAINTAINS INFORMATION THAT ASSISTS IN THE STUDY AND UNDERSTANDING OF THE CAUSES OF INFANT DEATHS. THE INFORMATION IS USED FOR STATISTICAL REPORTING. THE DANIEL M. SOREF FAMILY RESOURCE CENTER LOCATED ON THE FIRST FLOOR OF CHILDREN'S HOSPITAL'S MILWAUKEE CAMPUS OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO HOSPITAL AND COMMUNITY RESOURCES. THE RESOURCE 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. 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 RESOURCE CENTER HAS COMPUTERS, A CONSULT ROOM, BUSINESS CENTER AND OTHER RESOURCES FOR FAMILIES. THE RESOURCE CENTER ALSO HAS A LENDING LIBRARY WITH BOOKS, VIDEOS AND ARTICLES ON A VARIETY OF HEALTH CONDITIONS AND TOPICS. IN 2015, THE FAMILY RESOURCE CENTER SERVED MORE THAN 26,000 VISITORS. CHILDREN'S HOSPITAL 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.CHILDREN'S HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE MILWAUKEE HOSPITAL CAMPUS. ADDITIONALLY, CHILDREN'S HOSPITAL CONTINUES TO PARTNER WITH EASTER SEALS ON A PROGRAM
PART VI, LINE 6:	CHILDREN'S 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.) DIRECTLY PROVIDE PROFESSIONAL PEDIATRIC HEALTHCARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN.IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA, CHILDREN'S MEDICAL GROUP (CMG) PARTNERED WITH LOCAL AGENCIES TO OPEN TWO COMMUNITY CLINICS LOCATED IN CENTRAL MILWAUKEE. BOTH CLINICS SERVE PEDIATRIC PATIENTS FROM BIRTH TO 19 YEARS OF AGE AND THEIR ADULT CAREGIVERS. THE CLINICS ARE STAFFED BY ADULT AND FAMILY NURSE PRACTITIONERS AND ARE LOCATED IN AREAS THAT HISTORICALLY HAVE LARGE HEALTH CARE DISPARITIES AND FEW HEALTH CARE OPTIONS. THE CLINICS PROVIDE EASIER ACCESS TO HEALTH CARE FOR PATIENTS IN THESE NEIGHBORHOODS, ENSURING ALL CHILDREN AND THEIR CAREGIVERS HAVE THE NECESSARY SERVICES TO BE HEALTHY AND SAFE. THE CLINICS HAD APPROXIMATELY 2,535 VISITS IN 2015, AND 94 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. A THIRD CLINIC IS LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY. IT PROVIDES BOTH PRIMARY CARE AND DENTAL CARE IN AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. THIS CLINIC HAD APPROXIMATELY 3,614 PRIMARY CARE VISITS AND 4,054 DENTAL VISITS IN 2015. ADDITIONALLY, CMG RUNS THE DOWNTOWN HEALTH CENTER PRIMARY CARE OFFICE. 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 TESTING, 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. THE CENTER HAD APPROXIMATELY 17,315 VISITS IN 2015 AND 98 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. ADOLESCENTS HAVE ACCESS TO SOCIAL SERVICES, CONTRACEPTIVE MANAGEMENT, FAMILY PLANNING, AND ALCOHOL AND DRUG ABUSE COUNSELING SERVICES. IN ADDITION, CHILDREN'S HOSPITAL PROVIDES SPECIALTY CARE SERVICES INCLUDING DENTAL, PSYCHOLOGICAL AND CHILD PROTECTIVE SERVICES AT THIS DOWNTOWN LOCATION. THE DOWNTOWN HEALTH CENTER ALSO OFFERS FREE LEGAL CONSULTATIONS TO FAMILIES IN COLLABORATION WITH MARQUETTE LAW SCHOOL TO HELP FAMILIES ADDRESS HOUSING, UTILITY, AND OTHER ISSUES THAT IMPACT THEIR CHILD'S HEALTH. THE PRIMARY CARE AND BEHAVIORAL MEDICINE SERVICES AT DOWNTOWN HEALTH CENTER MOVED TO THE NEW MIDTOWN CLINIC, ALSO LOCATED IN MILWAUKEE'S CENTRAL CITY, IN 2016.ANOTHER AFFILIATE OF CHILDREN'S HOSPITAL IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN, DOING BUSINESS AS CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES ("CHW COMMUNITY SERVICES"). THIS SOCIAL SERVICE ORGANIZATION ADDRESSES THE CHALLENGES FACED BY CHILDREN, WHICH OFTEN DIRECTLY IMPACT THEIR PHYSICAL AND MENTAL HEALTH AND WELLBEING. CHW COMMUNITY SERVICES OFFERS CHILD WELLBEING SERVICES IN FOUR CORE AREAS (PUBLIC CHILD WELFARE, CHILD AND FAMILY COUNSELING, OUT-OF-HOME CARE AND PREVENTION SERVICES) FROM LOCATIONS THROUGHOUT WISCONSIN. SERVICES INCLUDE: FINDING LOVING, STABLE HOMES FOR CHILDREN IN NEED OF A FAMILY THROUGH FOSTER CARE AND ADOPTION; REDUCING STRESS AND CONFLICT, ENHANCING PARENTING SKILLS AND STRENGTHENING FAMILY TIES THROUGH TRAUMA-INFORMED MENTAL HEALTH SERVICES COUNSELING; PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE; PROVIDING FOSTER PARENTS WHO ARE CARING FOR CHILDREN WITH SPECIAL MEDICAL OR EMOTIONAL NEEDS WITH A MUCH NEEDED BREAK THROUGH OUR RESPITE CARE PROGRAM; OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP PARENTS DEALING WITH AN UNPLANNED PREGNANCY; PROVIDING INTENSIVE IN-HOME THERAPY TO KEEP CHILDREN SAFE IN THEIR HOMES AND PREVENT OUT-OF-HOME PLACEMENT; ASSISTING YOUNG ADULTS TRANSITIONING OUT OF FOSTER CARE BY GIVING THEM THE SKILLS, TRAINING, GUIDANCE AND SUPPORT ENABLING THEM TO MAKE IT ON THEIR OWN; PROVIDING PARENTS WITH SUPPORT AND GUIDANCE TO HELP THEM BE THE BEST PARENTS THEY CAN BE; AND PROVIDING CHILDREN WHO HAVE BEEN HARMED OR HURT A SAFE PLACE TO GO TO BE INTERVIEWED AND PROVIDING THEM RESOURCES TO HELP THEM HEAL.CHW COMMUNITY SERVICES ALSO RUNS PROJECT UJIMA, A PROGRAM THAT PROVIDES CASE MANAGEMENT, EMOTIONAL SUPPORT AND RESOURCES TO FAMILIES WHOSE CHILDREN HAVE EXPERIENCED INTERPERSONAL COMMUNITY-BASED VIOLENCE OR WHO HAVE LOST A FAMILY MEMBER (OF ANY AGE) TO HOMICIDE IN MILWAUKEE COUNTY.CHHS PERFORMS COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF CHILDREN'S HOSPITAL AND ITS AFFILIATES. IN 2015, THE GOVERNOR SIGNED WISCONSIN'S $72.2 BILLION BIENNIAL BUDGET. CHILDREN'S HOSPITAL FOCUSED MUCH OF OUR ADVOCACY EFFORTS ON THE MEDICAID BUDGET AND SPECIFICALLY THE DISPROPORTIONATE SHARE HOSPITAL PROGRAM (DSH), WHICH WAS FUNDED AND WAS MADE AN ONGOING PROVISION. WE ALSO SUCCESSFULLY ADVOCATED FOR INCREASED FUNDING FOR THE WISCONSIN POISON CONTROL CENTER, IMPROVEMENTS TO THE REPORTING REQUIREMENTS IN THE WISCONSIN IMMUNIZATION REGISTRY (WIR), AND INCREASES IN FUNDING FOR HELP TO VICTIMS OF CHILD SEX-TRAFFICKING. IN ADDITION, CHHS SUCCESSFULLY ADVOCATED FOR SEVERAL PIECES OF PUBLIC POLICY WITH PARTNER ORGANIZATIONS INCLUDING LEGISLATION TO ENSURE THAT ALL YOUTH LEARN BASIC, COMPRESSIONS-ONLY CPR IN HIGH SCHOOL. CHILDREN'S HOSPITAL ALSO SUPPORTED A BILL WHICH CREATES AN EXEMPTION FROM PROSECUTION FOR ANY PERSON THAT FORCIBLY ENTERS A VEHICLE IN ORDER TO SAVE A CHILD FROM DANGER. CHILDREN'S HOSPITAL SUCCESSFULLY ADVOCATED FOR ALLOWING RESPIRATORY CARE PRACTITIONERS (RCP) TO STAFF PEDIATRIC EMERGENCY TRANSPORT BY AIRPLANE. IN MANY CASES, HAVING THE RCP ON THE EMERGENCY TRANSPORT FOR INFANTS AND CHILDREN IS CRITICAL.ON THE FEDERAL LEVEL, CHHS ADVOCATED TO PROTECT MEDICAID PROGRAMS AND EDUCATED OUR DELEGATION ABOUT THE IMPORTANCE OF ACCESS TO AND COVERAGE OF MEDICAL SERVICES FOR PREGNANT WOMEN AND CHILDREN. THIS INCLUDED SUCCESSFULLY ADVOCATING FOR A TWO YEAR EXTENSION OF THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) WHICH IS A CRITICAL SOURCE OF FUNDING FOR HEALTH INSURANCE FOR CHILDREN IN LOW-INCOME HOUSEHOLDS. CHHS ACTIVELY SUPPORTED LEGISLATION TO REQUIRE CONTINUOUS ENROLLMENT UNDER MEDICAID WHICH WOULD REDUCE CHURN AND IMPROVE CONTINUITY OF CARE FOR BENEFICIARIES. CHHS ALSO ADVOCATED FOR, AND EDUCATED CONGRESSIONAL MEMBERS ABOUT THE IMPORTANCE OF, TRAINING FOR PEDIATRIC PHYSICIANS AND PEDIATRIC SPECIALISTS. IN 2015, CHHS ACTIVELY ADVOCATED FOR THE ADVANCING CARE FOR EXCEPTIONAL KIDS ACT (ACE KIDS). THIS BILL IS CHAMPIONED BY THE CHILDREN'S HOSPITAL ASSOCIATION AND SEEKS TO ADVANCE CARE FOR THE SICKEST CHILDREN ON MEDICAID BY ALLOWING STATES THE OPTION OF CREATING CHILDREN'S HOSPITAL NETWORKS FOR CHILDREN WITH MEDICAL COMPLEXITY. CHHS ACTIVELY EDUCATED LAWMAKERS ABOUT THE IMPORTANCE OF FEDERAL PROGRAMS, SUCH AS THE VICTIMS OF CRIME ACT, THAT SUPPORTS FAMILY JUSTICE CENTERS WHICH PROVIDE COMPREHENSIVE HEALTH AND SOCIAL SERVICES TO CHILD AND ADULT VICTIMS OF VIOLENCE. IN 2015, CHHS ALSO WORKED WITH PARTNER ORGANIZATIONS SUCH AS THE CHILDREN'S HOSPITAL ASSOCIATION AND WISCONSIN HOSPITAL ASSOCIATION TO EDUCATE MEMBERS ABOUT THE IMPORTANCE OF THE 340B PROGRAM IN ALLOWING SAFETY-NET HOSPITALS TO EXPAND HEALTH CARE SERVICES IN THE COMMUNITY. FINALLY, CHHS ACTIVELY ADVOCATED AND EDUCATED CONGRESSIONAL MEMBERS ABOUT POLICIES TO PROVIDE EVIDENCE-BASED SERVICES TO VULNERABLE FAMILIES IN ORDER TO PREVENT FOSTER CARE PLACEMENTS. IN ADDITION TO ADVOCACY, CHILDREN'S HOSPITAL'S COMMUNITY SERVICES DIVISION HAS INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT ACKNOWLEDGES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND RECOGNIZES THAT SUCH INFLUENCES MAY HAVE PARTICULARLY DELETERIOUS EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHILDREN'S HOSPITAL IS BRINGING THE FULL SPECTRUM OF THE SYSTEM'S RESOURCES TO BEAR IN THE COMMUNITY ENGAGEMENT EFFORT. BY CONNECTING OUR VAST CLINICAL AND COMMUNITY-BASED RESOURCES - SCHOOL NURSES, COMMUNITY PEDIATRICIANS, SOCIAL WORKERS, HEALTH EDUCATORS, FOSTER CARE PARENTS, HOSPITALISTS, EMERGENCY DEPARTMENT STAFF, RESEARCHERS AND POLICY MAKERS - CHILDREN'S HOSPITAL IS FACILITATING COMMUNITY HEALTH IMPROVEMENT BOTH DIRECTLY (E.G., EXPANDING MENTAL HEALTH AND DENTAL CARE IN UNDERSERVED AREAS), AND INDIRECTLY (E.G., BRINGING LAW ENFORCEMENT TO THE COMMUNITY CONVERSATION RE: CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). CHILDREN'S HOSPITAL HAS SELECTED THREE NEIGHBORHOODS FOR INITIAL ENGAGEMENT EFFORTS. THESE NEI

Schedule H (Form 990) 2015

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) ADAMS COUNTY PUBLIC HEALTH AND HUMAN SERVICES 108 E NORTH STREET FRIENDSHIP,WI53934	39-6005665	ADAMS COUNTY	5,376	DENTAL SEALANT
(2) BROWN COUNTY ORAL HLTH PARTNERSHIP 331 N BROADWAY GREEN BAY,WI54303	20-8969896	501 ( C ) (3)	25,383	DENTAL SEALANT
(3) CITY OF MENASHA 316 RACINE STREET MENASHA,WI54952	39-6005525	GOVERNMENT	6,381	DENTAL SEALANT
(4) COLUMBIA COUNTY PO BOX 132 PORTAGE PORTAGE,WI53901	39-6005681	COLUMBIA COUNTY	24,612	DENTAL SEALANT
(5) COLUMBIA ST MARY'S FOUNDATION 2320 N LAKE DRIVE MILWAUKEE,WI53211	39-1494981	501 ( C ) (3)	130,962	DENTAL SEALANT
(6) COMMUNITY HEALTH SYSTEMS INC 2320 N LAKE DRIVE MILWAUKEE,WI53511	39-1494981	501 ( C ) (3)	5,833	DENTAL SEALANT
(7) JEFFERSON COUNTY 74 ELIPSE CENTER BELOIT,WI53549	39-1919806	JEFFERSON COUNTY	6,239	DENTAL SEALANT
(8) LAKES COMMUNITY HEALTH DEPARTMENT NORTHLAKES COMMUNITY CLINIC 503 N JACKSON AVENUE JEFFERSON,WI54843	37-0947637	501 ( C ) (3)	17,543	DENTAL SEALANT
(9) MARQUETTE UNIVERSITY PO BOX 1881 MILWAUKEE,WI53201	39-0806251	501 ( C ) (3)	71,690	DENTAL SEALANT
(10) MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE,WI53226	39-0806261	501 ( C ) (3)	27,722	COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS
(11) PORTAGE COUNTY HEALTH AND HUMAN SERVICES 817 WHITING AVENUE STEVENS POINT,WI54481	39-6005731	PORTAGE COUNTY	28,553	DENTAL SEALANT
(12) PREFERRED DENTISTRY ASSOCIATION OF WISCONSIN LLC 1029 HOWARD ST EVANSTON,IL60202	27-2634563		63,000	DENTAL SEALANT
(13) PRICE COUNTY HEALTH DEPARTMENT 104 S EYDER AVENUE PHILLIPS,WI54555	39-6005733	PRICE COUNTY	28,601	DENTAL SEALANT
(14) PROFESSIONAL DENTAL HYGIENE EXPRESS 5388 STATE HWY 64 BLOOMER,WI54724	27-4969600		22,818	DENTAL SEALANT
(15) SAUK COUNTY 505 BROADWAY BARABOO,WI53913	39-6005740	SAUK COUNTY	26,312	DENTAL SEALANT
(16) SCHOOL DISTRICT OF JANESVILLE 521 S FRANKLIN STREET JANESVILLE,WI53548	39-6002726	SCHOOL DISTRICT JANE	8,363	DENTAL SEALANT
(17) SEALS ON WHEELS 1710 GOLDEN OAK LN MADISON,WI53711	38-8086637		10,204	DENTAL SEALANT
(18) TREMPELEAU COUNTY 36245 MAIN STREET WHITEHALL,WI54773	39-6005747	TREMPELEAU COUNTY	16,083	DENTAL SEALANT
(19) VILAS COUNTY PUBLIC HEALTH 330 COURT STREET EAGLE RIVER,WI54521	39-6005751	VILAS COUNTY	16,322	DENTAL SEALANT
(20) WALWORTH COUNTY PO BOX 1001 ELKHORN,WI53121	39-6002726	WALWORTH COUNTY	9,609	DENTAL SEALANT
(21) WAUPACA COUNTY 811 HARDING ST WAUPACA,WI54981	39-6005758	WAUPACA COUNTY	19,985	DENTAL SEALANT
(22) WAUKESHA COUNTY COMMUNITY DENTAL CLINIC 210 NW BARSTOW STREET 305 WAUKESHA,WI53188	39-1355301	501 ( C ) (3)	5,428	DENTAL SEALANT
(23) WAUSHARA COUNTY PO BOX 837 WAUTOMA,WI54982	39-6005759	WAUSHARA COUNTY	12,900	DENTAL SEALANT
(24) WOOD COUNTY 400 MARKET STREET WISCONSIN RAPIDS,WI54494	39-6005763	WOOD COUNTY	15,257	DENTAL SEALANT
(25) CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-1500074	501 ( C ) (3)	8,404,689	GRANTS TO AFFILIATE
(26) CHILDREN'S PHYSICIAN GROUP PC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	36-4303682	501 ( C ) (3)	5,574,806	GRANTS TO AFFILIATE
(27) CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-1789197	501 ( C ) (3)	5,400,000	GRANTS TO AFFILIATE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

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

Schedule I (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 on 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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1MARGARET TROYDIRECTOR/PRESIDENT & CEO CHHS	(i) (ii)	0 ------------- 813,770	0 ------------- 446,931	0 ------------- 115,350	0 ------------- 232,659	0 ------------- 48,330	0 ------------- 1,657,040	0 ------------- 0
2WELDON GAGETREASURER/CFO (THROUGH JAN. 2015)	(i) (ii)	0 ------------- 53,541	0 ------------- 127,883	0 ------------- 21	0 ------------- 0	0 ------------- 951	0 ------------- 182,396	0 ------------- 0
3MARC GORELICK MDCOO & EXECUTIVE VP CHHS	(i) (ii)	457,436 ------------- 0	169,578 ------------- 0	5,693 ------------- 0	55,200 ------------- 0	36,951 ------------- 0	724,858 ------------- 0	0 ------------- 0
4SHEILA REYNOLDSSECRETARY	(i) (ii)	0 ------------- 287,272	0 ------------- 93,546	0 ------------- 56,650	0 ------------- 51,224	0 ------------- 36,233	0 ------------- 524,925	0 ------------- 35,371
5MARC CADIEUXTREASURER/CFO	(i) (ii)	0 ------------- 273,307	0 ------------- 95,252	0 ------------- 74,855	0 ------------- 47,350	0 ------------- 4,817	0 ------------- 495,581	0 ------------- 0
6MICHAEL GUTZEIT MDCHIEF MEDICAL OFFICER/VP, CHW	(i) (ii)	352,001 ------------- 0	119,517 ------------- 0	69,884 ------------- 0	60,345 ------------- 0	38,522 ------------- 0	640,269 ------------- 0	36,294 ------------- 0
7JIM JABLONSKIVP CHW, ENVIRONMENT OF CARE	(i) (ii)	205,958 ------------- 0	0 ------------- 0	9,211 ------------- 0	17,696 ------------- 0	32,098 ------------- 0	264,963 ------------- 0	0 ------------- 0
8JULIET KERSTENVICE PRESIDENT, CHW	(i) (ii)	251,586 ------------- 0	77,695 ------------- 0	9,533 ------------- 0	19,600 ------------- 0	32,480 ------------- 0	390,894 ------------- 0	8,291 ------------- 0
9NANCY KOROMCHIEF NURSING OFFICER/VP, CHW	(i) (ii)	309,977 ------------- 0	93,862 ------------- 0	35,949 ------------- 0	53,980 ------------- 0	31,839 ------------- 0	525,607 ------------- 0	33,512 ------------- 0
10THOMAS MILLERVICE PRESIDENT, CHW	(i) (ii)	194,632 ------------- 0	10,000 ------------- 0	6,098 ------------- 0	14,067 ------------- 0	8,413 ------------- 0	233,210 ------------- 0	0 ------------- 0
11ANDREW SCHMITT MDHOSPITALIST	(i) (ii)	232,531 ------------- 0	0 ------------- 0	11,230 ------------- 0	10,059 ------------- 0	30,252 ------------- 0	284,072 ------------- 0	0 ------------- 0
12LORI BARBEAU DDSMEDICAL DIR, DENTAL PROGRAM	(i) (ii)	265,912 ------------- 0	0 ------------- 0	19,074 ------------- 0	22,250 ------------- 0	29,076 ------------- 0	336,312 ------------- 0	0 ------------- 0
13MARYLYN RANTA MDDIR, CHW PHYSICIAN AFFAIRS	(i) (ii)	242,742 ------------- 0	0 ------------- 0	17,610 ------------- 0	22,250 ------------- 0	33,137 ------------- 0	315,739 ------------- 0	0 ------------- 0
14THOMAS NICHOLS MDMEDICAL DIRECTOR/HOSPITALIST	(i) (ii)	235,784 ------------- 0	0 ------------- 0	11,182 ------------- 0	18,963 ------------- 0	26,231 ------------- 0	292,160 ------------- 0	0 ------------- 0
15CARLI DIGIOIA DMDPEDIATRIC DENTIST	(i) (ii)	215,472 ------------- 0	0 ------------- 0	13,779 ------------- 0	15,464 ------------- 0	12,439 ------------- 0	257,154 ------------- 0	0 ------------- 0
16CINTHIA S CHRISTENSENFORMER PRESIDENT & COO	(i) (ii)	56,352 ------------- 0	149,888 ------------- 0	401,443 ------------- 0	10,797 ------------- 0	30,471 ------------- 0	648,951 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	CHW AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CHW, SHARE A BOARD OF DIRECTORS WHICH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE. THIS COMMITTEE IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF CHW'S PRESIDENT, AND USED THE METHODS LISTED AND CHECKED IN SCHEDULE J LINE 3.
PART I, LINES 4A-B	PART I LINE 4A: UNTIL DECEMBER 2014, CINDY CHRISTENSEN SERVED AS PRESIDENT AND COO OF CHW. CHW PAID CERTAIN AMOUNTS AS SEVERANCE TO MS. CHRISTENSEN PURSUANT TO A WRITTEN AGREEMENT. CASH PAYMENTS MADE TO MS. CHRISTENSEN IN 2015 TOTALED $401,443. PART I, LINE 4B: IN 2015, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2015 WERE AS FOLLOWS: M. CADIEUX, $27,570; M. GORELICK, M.D., $46,200; M. GUTZEIT, M.D., $38,095; N. KOROM, $31,730; AND S. REYNOLDS, $31,624. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2015 WERE: J. KERSTEN, $8,291; N. KOROM, $33,512; AND S. REYNOLDS, $35,371. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT AND CEO. THE AMOUNT SET ASIDE IN 2015 WAS $274,540 AND OF THAT, $58,831 WAS PAID AS A VESTED DISTRIBUTION UNDER THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN) MENTIONED ABOVE AND IS INCLUDED IN PART II, COLUMN (B)(III).
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 COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II:	SALARIES PAID BY RELATED ORGANIZATIONS: MARGARET TROY, PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CHW AND TREASURER & CFO OF CHHS, WELDON GAGE, TREASURER OF CHW (THROUGH JANUARY 2015) AND TREASURER & CFO OF CHHS (THROUGH JANUARY 2015), AND 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. SERVICES BY MS. TROY AS A MEMBER OF THE BOARD OF DIRECTORS OF CHW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS.

Schedule J (Form 990) 2015

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 Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 VI		X		X		X
B	WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY	39-1337855	97710BCC4	06-25-2008	100,771,610	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally 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 escrows ...............
7 Issuance costs from proceeds ...............	1,000,301		771,611
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 .............	149,225,000		100,000,000
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

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 of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
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 ....	1.100 %
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 .........
6 Total of lines 4 and 5 .............	1.100 %
7 Does the bond issue meet the private security or payment test? ...	X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........	X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K SUPPLENTAL INFORMATION

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

PART IV, LINE 7

THE ORGANIZATION MONITORS THE PRIVATE USE OF ITS BOND-FINANCED ASSETS AND ROUTINELY TAKES STEPS TO LIMIT PRIVATE USE. THE ORGANIZATION DOES NOT SEPARATELY TRACK PRIVATE PAYMENTS AND PRIVATE SECURITIES, RATHER IT ASSUMES SUCH TESTS WILL BE MET AND MANAGES COMPLIANCE THROUGH THIS PRIVATE USE MONITORING. BASED SOLEY ON THIS ASSUMPTION, THE ORGANIZATION HAS RESPONDED YES TO THIS QUESTION.

Schedule K (Form 990) 2015

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) CARLI DIGIOIA DMD	HIGHLY COMPENSATED EMPLOYEE	EMPLOYMENT INCENTIVE LOAN		X	30,000	10,000		No		No	Yes









Total ............... $						10,000

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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	(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

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

CHILDREN'S HOSPITAL OF WISCONSIN INC

Employer identification number

39-0812532

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: DRURY AND SCHLIFSKE, SCHLIFSKE AND MANSELL, WITT AND SOMMERHAUSER, KERSCHNER AND BRENNER, WILLIAMS AND LOVELL, TROY AND LOVELL AND WILLIAMS AND TROY.
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/CHW 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 REQUESTED 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 COO, TREASURER, SECRETARY, CHHS PRESIDENT, VP CHIEF MEDICAL OFFICER, AND VP CHIEF NURSING OFFICER WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE OTHER KEY EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT.
FORM 990, PART IX, LINE 11G	MEDICAL COLLEGE OF WISCONSIN FEES: PROGRAM SERVICE EXPENSES 28,219,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,219,445. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 11,319,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,319,143. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 28,736,848. MANAGEMENT AND GENERAL EXPENSES 10,798,660. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,535,508.
FORM 990, PART XI, LINE 9:	NET CHANGE IN INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WISCONSIN F -9,401,925. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 9,092,192. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -555,034. PENSION SETTLEMENT CHARGE -3,307,497.
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 OF WISCONSIN 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) 2015

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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 (if applicable) 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 entity?
(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 & HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997 39-1500074	OPERATIONAL SUPPORT SERVICES	WI	501(C)(3)	LINE 3	N/A		No
(2)CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997 39-1500075	FUND DEVELOPMENT	WI	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(3)CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997 39-1789197	PEDIATRIC PHYSICIAN SERVICES	WI	501(C)(3)	LINE 3	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(4)CHILDREN'S PHYSICIAN GROUP PC PO BOX 1997 MS 900 MILWAUKEE,WI532011997 36-4303682	PEDIATRIC PHYSICIAN SERVICES	IL	501(C)(3)	LINE 9	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(5)CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 MS 900 MILWAUKEE,WI532011997 39-0806380	CHILD WELL-BEING SERVICES	WI	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(6)CHILDREN'S COMMUNITY HEALTH PLAN INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997 27-1494977	WISCONSIN MEDICAID HMO	WI	501(C)(3)	LINE 9	CHILDREN'S HOSPITAL & 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

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 V-UBI 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 V-UBI 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 & HEALTH SYSTEM	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)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(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)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

Yes

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

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

Yes

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

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

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

Yes

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S MEDICAL GROUP INC - RENT (LINE 1A(IV) ABOVE)	A	515,262	CASH PAID/RECEIVED
(2) CHILDREN'S PHYSICIAN GROUP PC	B	5,574,806	CASH PAID/RECEIVED
(3) CHILDREN'S MEDICAL GROUP INC	B	5,400,000	CASH PAID/RECEIVED
(4) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	C	11,010,107	CASH PAID/RECEIVED
(5) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	E	253,958,868	NET BOOK VALUE
(6) CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT	L	23,976,867	CASH PAID/RECEIVED
(7) CHILDREN'S MEDICAL GROUP INC	L	66,000	CASH PAID/RECEIVED
(8) CHILDREN'S MEDICAL GROUP INC	Q	351,075	CASH PAID/RECEIVED
(9) CHILDREN'S COMMUNITY HEALTH PLAN INC - ASSESSMENT PASS THROUGH PAYMENTS	S	18,250,471	CASH PAID/RECEIVED

Schedule R (Form 990) 2015

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V, LINE 1E

PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED MAY 1, 2004, CHILDREN'S HOSPITAL OF WISCONSIN, INC. AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS

Schedule R (Form 990) 2015

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	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,670
6	Total number of volunteers (estimate if necessary) .............	6	354
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	96,089
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-22,115

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	21,450,527	25,195,025
9	Program service revenue (Part VIII, line 2g) .........	573,825,319	594,434,373
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,679,956	-3,937,586
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,032,397	8,633,309
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	613,988,199	624,325,121
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	9,923,948	19,984,671
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)	212,388,724	222,779,648
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–24e)....	331,477,413	342,762,981
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	553,790,085	585,527,300
19	Revenue less expenses. Subtract line 18 from line 12.......	60,198,114	38,797,821
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,409,808,216	1,424,502,769
21	Total liabilities (Part X, line 26).............	410,678,146	395,479,529
22	Net assets or fund balances. Subtract line 21 from line 20.....	999,130,070	1,029,023,240

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 433,021,619 including grants of $ 19,984,671 ) (Revenue $ 600,221,577 )
	INPATIENT SERVICES: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW OR "THE HOSPITAL") OPERATES A 306-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 2015, 10,754 CHILDREN WERE ADMITTED TO THE MILWAUKEE HOSPITAL, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU), A CANCER AND BLOOD DISORDERS CENTER, MEDICAL/SURGICAL UNITS AND A DAY SURGERY SHORT-STAY UNIT. THE HOSPITAL ALSO OPERATES A SEPARATELY LICENSED 42-BED PEDIATRIC HOSPITAL, WHICH INCLUDES A NICU AND A PEDIATRIC MEDICAL/SURGICAL UNIT, LOCATED AT THEDACARE REGIONAL MEDICAL CENTER-NEENAH, THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AND GREEN BAY AREAS. IN 2015, 486 CHILDREN WERE ADMITTED TO THE FOX VALLEY CAMPUS.OUTPATIENT AND AMBULATORY SERVICES: THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS AT MORE THAN 70 SUBSPECIALTY CLINICS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 66,821 VISITS TO THE EMERGENCY DEPARTMENT IN 2015. OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN, AND IN THE FOX VALLEY AND GREEN BAY MARKETS. THE HOSPITAL'S NATIONALLY KNOWN AND RECOGNIZED SPECIALTY PROGRAMS INCLUDE THOSE FOR TREATING CHILDREN WITH AIRWAY, DIGESTIVE AND VOICE CONDITIONS; BURNS; CANCER AND BLOOD DISORDERS; CONGENITAL AND ACQUIRED HEART DEFECTS AND DISEASES; CRANIOFACIAL DISORDERS; DERMATOLOGY, BIRTHMARKS AND VASCULAR ANOMALIES; DIABETES; GASTROINTESTINAL PROBLEMS; GENETIC DISORDERS; HIV; NEUROLOGICAL DISORDERS; ORTHOPEDIC CONDITIONS (INCLUDING SPINE, SPORTS MEDICINE, CONCUSSION); IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; SOLID ORGAN TRANSPLANTATION; SPEECH AND HEARING DISORDERS; AND SPASTICITY AND OTHER TONE AND MOBILITY CONDITIONS. THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT FIVE CLINICS IN CENTRAL CITY MILWAUKEE NEIGHBORHOODS. THE HOSPITAL ALSO OFFERS CASE MANAGEMENT SERVICES AND A FULL RANGE OF MEDICAL, PSYCHOLOGICAL, NURSING AND SOCIAL SERVICES FOR CHILDREN WITH DEVELOPMENTAL, BEHAVIORAL AND LEARNING PROBLEMS. IN 2015, THERE WERE A TOTAL OF 296,200 OUTPATIENT VISITS.RESEARCH: THE HOSPITAL AND THE CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH, EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; ORGAN TRANSPLANTATION; BIRTH DEFECTS AND FETAL ANOMALIES; IMMUNOLOGICAL CONDITIONS, BLOOD DISORDERS AND VARIOUS CHILDHOOD CANCERS; AND ENVIRONMENTAL HEALTH CONDITIONS. ADDITIONAL RESEARCH IS CONDUCTED IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS. NURSING RESEARCH INCLUDES STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS. EDUCATION: THE HOSPITAL IS A MAJOR TEACHING AFFILIATE OF THE MEDICAL COLLEGE OF WISCONSIN, WITH THIRD- AND FOURTH-YEAR MEDICAL STUDENTS ROTATING THROUGH THE HOSPITAL FOR REQUIRED AND ELECTIVE ROTATIONS. THE HOSPITAL ALSO MAINTAINS A THREE-YEAR PEDIATRIC RESIDENCY PROGRAM, A TWO-YEAR DENTAL TRAINING PROGRAM AND ACADEMIC FELLOWSHIP PROGRAMS IN AN ARRAY OF SPECIALTIES. THE HOSPITAL HAS RELATIONSHIPS WITH MORE THAN TWO DOZEN UNIVERSITIES FOR THE CLINICAL EDUCATION OF PEDIATRIC NURSES AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION AND VARIOUS OTHER DISCIPLINES. THE HOSPITAL'S PEDIATRIC SPECIALISTS ALSO PROVIDE EDUCATION AND TRAINING TO HEALTH CARE PROFESSIONALS AT COMMUNITY HOSPITALS, PRIMARY CARE CLINICS AND SCHOOLS THROUGHOUT WISCONSIN IN CONNECTION WITH THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH AND WELFARE CONDITIONS.COMMUNITY EDUCATION AND OUTREACH: THE HOSPITAL OFFERS A WIDE VARIETY OF COMMUNITY EDUCATION, OUTREACH AND CHILD HEALTH ADVOCACY PROGRAMS. THROUGH COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS CHILD HEALTH, INJURY PREVENTION, PARENTING, MANAGEMENT OF CHRONIC DISEASES, AND PREVENTIVE HEALTH, THE HOSPITAL REACHES THOUSANDS OF FAMILIES. ALONG WITH THE MEDICAL COLLEGE, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF UNDERSERVED CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN WISCONSIN. THE HOSPITAL PARTICIPATES IN AND STAFFS THE CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THROUGH WHICH PROVIDERS AROUND THE STATE WORK COLLABORATIVELY TO RAISE AWARENESS OF CHILDREN'S HEALTH ISSUES, INCREASE ACCESS TO PEDIATRIC CARE, AND PROMOTE BEST PRACTICES. OTHER COMMUNITY OUTREACH AND ADVOCACY INITIATIVES INCLUDE, FOR EXAMPLE, CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH).

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 expenses433,021,619

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,251,609	2,438,378	1,084,144

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	11,010,107
e	Government grants (contributions)		1e	13,105,154

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,079,764

g	Noncash contributions included in lines 1a-1f:$ 19,250
h Total.Add lines 1a-1f.......		25,195,025

			Business Code
2a	NET PATIENT SERVICE REVENUE	621990	584,911,100	584,911,100
b	RENTAL INCOME	531120	5,741,683	5,741,683
c	OUTSIDE SALARY SUPPORT	541900	3,781,590	3,781,590
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			594,434,373

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,019,145			7,019,145
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	6,274	59,753,248
b	Less: cost or other basis and sales expenses	10,590,896	60,125,357
c	Gain or (loss)	-10,584,622	-372,109
d	Net gain or (loss).....			-10,956,731			-10,956,731
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..
Business Code			Miscellaneous Revenue
11a	340B CONTRACTS		722210	3,164,332	3,164,332
b	PHARMACY SALES TO EMPLOYEES		446110	1,650,594			1,650,594
c	FOX VALLEY SCHOOL THERAPY		900099	947,084	947,084
d	All other revenue ....			2,871,299	1,675,788	96,089	1,099,422
e	Total. Add lines 11a–11d ......			8,633,309
12	Total revenue. See Instructions......			624,325,121	600,221,577	96,089	-1,187,570

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	19,984,671	19,984,671
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,914,190	1,169,697	3,744,493
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	167,092,736	135,453,721	31,639,015
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,937,123	8,833,818	2,103,305
9	Other employee benefits .......	27,574,828	22,859,504	4,715,324
10	Payroll taxes ...........	12,260,771	9,293,736	2,967,035
11	Fees for services (non-employees):
a	Management ......	82,342,000	3,150,000	79,192,000
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	783,235		783,235
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	79,074,096	68,275,436	10,798,660
12	Advertising and promotion ....	22,134	17,606	4,528
13	Office expenses .......	293,974	103,993	189,981
14	Information technology ......	284,348	92,742	191,606
15	Royalties ..
16	Occupancy ...........	20,447,057	15,275,162	5,171,895
17	Travel ............	689,230	324,055	365,175
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	467,453	135,554	331,899
20	Interest ...........	13,680,220	13,680,220
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	51,003,683	51,003,683
23	Insurance ...	3,248,422	3,248,422
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	62,082,020	62,082,020
b	HOSPITAL ASSESSMENT TAX	11,372,064	11,372,064
c
d
e	All other expenses	16,973,045	6,665,515	10,307,530
25	Total functional expenses. Add lines 1 through 24e	585,527,300	433,021,619	152,505,681	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			84,001,986	1	139,749,653
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			1,636,610	3	5,987,959
4	Accounts receivable, net .............			85,240,004	4	76,820,055
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	10,000
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			595,010	7	325,667
8	Inventories for sale or use ........			4,910,129	8	5,982,291
9	Prepaid expenses and deferred charges ......			4,997,817	9	5,319,247
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	756,518,504
b	Less: accumulated depreciation	10b	348,447,903	424,661,490	10c	408,070,601
11	Investments—publicly traded securities .			235,982,870	11	236,420,787
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 ...........			567,782,300	15	545,816,509
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,409,808,216	16	1,424,502,769

17	Accounts payable and accrued expenses .....	69,008,194	17	68,601,036
18	Grants payable ...		18
19	Deferred revenue .........	1,127,966	19	1,060,800
20	Tax-exempt bond liabilities .........	262,307,290	20	258,328,867
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	78,234,696	25	67,488,826
26	Total liabilities. Add lines 17 through 25..	410,678,146	26	395,479,529

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	789,540,768	27	825,944,566
28	Temporarily restricted net assets ...........	60,381,260	28	57,862,833
29	Permanently restricted net assets	149,208,042	29	145,215,841
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	999,130,070	33	1,029,023,240
34	Total liabilities and net assets/fund balances ........	1,409,808,216	34	1,424,502,769