TY 2018 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)
(1) TODD ADAMS...................................................................... DIRECTOR	1.00 ................. 1.00	X
(2) MICHAEL W ALTSCHAEFL...................................................................... DIRECTOR (THROUGH MID-DECEMBER 2018)	1.00 ................. 1.00	X
(3) THOMAS ARENBERG...................................................................... DIRECTOR	1.00 ................. 1.00	X
(4) LINDA BENFIELD...................................................................... DIRECTOR	1.00 ................. 1.00	X
(5) NANCY BERCE...................................................................... DIRECTOR	1.00 ................. 1.00	X
(6) KENNETH BOCKHORST...................................................................... DIRECTOR	1.00 ................. 1.00	X
(7) MATT D'ATTILIO...................................................................... DIRECTOR	1.00 ................. 1.00	X
(8) JOE GEHRKE...................................................................... DIRECTOR	1.00 ................. 1.00	X
(9) EVE HALL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(10) PATRICK HAMMES...................................................................... DIRECTOR	1.00 ................. 1.00	X
(11) CHRIS KALTENBACH...................................................................... DIRECTOR	1.00 ................. 1.00	X
(12) JOSEPH KERSCHNER MD...................................................................... DIRECTOR	1.00 ................. 1.00	X
(13) PAUL KNOEBEL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(14) MICHAEL LOVELL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(15) KEVIN MANSELL...................................................................... DIRECTOR	1.00 ................. 1.00	X
(16) LINDA T MELLOWES...................................................................... DIRECTOR	1.00 ................. 1.00	X
(17) BEN MELSON...................................................................... 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) JAMES POPP........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................1.00	X	X			0	0	0
(19) TOM PRECIA........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(20) JAMES PURKO........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(21) J JOEL QUADRACCI........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(22) ROLANDO RODRIGUEZ........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(23) JAY O ROTHMAN........................................................................ DIRECTOR (THROUGH MID-DECEMBER 2018)	1.00 .......................1.00	X				0	0	0
(24) JOHN E SCHLIFSKE........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(25) PETER M SOMMERHAUSER........................................................................ DIRECTOR (THROUGH MID-DECEMBER 2018)	1.00 .......................1.00	X				0	0	0
(26) PAUL W SWEENEY........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(27) PHOEBE W WILLIAMS........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(28) MARK C WITT........................................................................ DIRECTOR/CHAIR	1.00 .......................1.00	X	X			0	0	0
(29) MARGARET TROY........................................................................ DIRECTOR/PRESIDENT AND CEO CHHS	0.00 .......................40.00	X	X			0	1,403,347	268,172
(30) MARC CADIUEX........................................................................ TREASURER/CFO	0.00 .......................40.00		X			0	681,683	97,744
(31) MICHELLE METTNER........................................................................ SECRETARY	0.00 .......................40.00		X			0	483,804	88,632
(32) SCOTT TURNER........................................................................ COO CHW AND EVP CHHS	40.00 .......................0.00		X			550,021	0	103,356
(33) MICHAEL GUTZEIT MD........................................................................ CHIEF MEDICAL OFFICER/VP CHW	40.00 .......................0.00			X		562,462	0	97,116
(34) LISA JENTSCH........................................................................ VP CHW	40.00 .......................0.00			X		311,332	0	47,616
(35) JULIET KERSTEN........................................................................ VICE PRESIDENT CHW	40.00 .......................0.00			X		337,735	0	37,922
(36) NANCY KOROM........................................................................ CHIEF NURSING OFFICER/VP CHW	40.00 .......................0.00			X		448,952	0	92,346
(37) THOMAS MILLER........................................................................ VP CHW	40.00 .......................0.00			X		259,994	0	32,748
(38) MATTHEW WADE........................................................................ VP CHW	40.00 .......................0.00			X		234,893	0	37,489
(39) LORI BARBEAU DDS........................................................................ MEDICAL DIR, DENTAL PROGRAM	40.00 .......................0.00				X	300,082	0	55,971
(40) MARY BARTEL MD........................................................................ MEDICAL DIRECTOR/HOSPITALIST	40.00 .......................0.00				X	253,744	0	49,933
(41) THOMAS NICHOLS MD........................................................................ HOSPITALIST	40.00 .......................0.00				X	251,062	0	49,106
(42) MARYLYN RANTA MD........................................................................ DIR, CHW PHYSICIAN AFFAIRS	40.00 .......................0.00				X	290,295	0	51,246
(43) CHRISTOPHER SPAHR........................................................................ CHIEF QLTY/SFTY OFFICER & ACMO	40.00 .......................0.00				X	288,874	0	48,384

(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	26,063,515
MEDICAL COLLEGE OF WISCONSIN AFFILIATED 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	RESIDENT SERVICES	16,175,928
THEDA CARE 122 E COLLEGE AVE APPLETON,WI54912	ANCILLARY SERV/OTHER SERV	7,689,527
BLOOD CENTER OF WISCONSIN INC 638 N 18TH ST MILWAUKEE,WI53233	LAB SERVICES	4,256,152
SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO,IL60674	NUTRITION SERVICES	2,292,388
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 40

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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
		$	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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 7/25/06, 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) 2018

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	471,074
d	Additions during the year ............................	1d	189,037
e	Distributions during the year ..........................	1e	172,507
f	Ending balance ................................	1f	487,604

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 ....	633,348,049	454,920,324	425,930,887	432,441,515	368,901,399
b	Contributions ...	39,760,741	128,971,940	36,643,557	13,587,207	70,262,985
c	Net investment earnings, gains, and losses	-28,012,531	68,331,942	11,123,959	-2,058,549	8,725,963
d	Grants or scholarships ...	15,809,988	17,189,947	17,129,596	16,494,796	14,003,006
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	1,699,443	1,686,210	1,648,483	1,544,490	1,445,826
g	End of year balance ......	627,586,828	633,348,049	454,920,324	425,930,887	432,441,515

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

Board designated or quasi-endowment SchDMd Bullet

64.400 %

Permanent endowment SchDMd Bullet

27.600 %

Temporarily restricted endowment SchDMd Bullet

8.000 %

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 ....	574,862,871	285,729,952	289,132,919
c	Leasehold improvements	12,675,090	5,845,865	6,829,225
d	Equipment ....	222,251,316	136,633,539	85,617,777
e	Other .....	22,266,483	4,663,209	17,603,274
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				399,183,195

Schedule D (Form 990) 2018

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				72,411,211
(2) BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION				627,586,828
(3) 457 PLAN ASSETS				1,600,130
(4) INVESTMENT IN CATALPA AND OTHER				1,158,564
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				702,756,733

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	1,600,130
CAPITAL AND OTHER LEASE OBLIGATIONS	1,820,877
ESTIMATED THIRD PARTY PAYER SETTLEMENTS	1,144,614
RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS	2,857,223
LT PENSION LIABILITY	34,765,139
LT STRATEGIC FUNDING RESERVE	25,494,886
LT CONTRACT INCENTIVE PAYABLE	1,608,373
OTHER LIABILITIES	150,000
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	69,441,242
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) 2018

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, 2018 AND 2017.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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) . . .	733,761		733,761	0.100 %
b	Medicaid (from Worksheet 3, column a) . . . . .	301,458,807	215,288,301	86,170,506	11.870 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	302,192,568	215,288,301	86,904,267	11.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10,566,652	5,239,527	5,327,125	0.730 %
f	Health professions education (from Worksheet 5) . . .	26,353,882	8,456,801	17,897,081	2.470 %
g	Subsidized health services (from Worksheet 6) . . . .	18,097,297	6,684,024	11,413,273	1.570 %
h	Research (from Worksheet 7) .	6,667,339		6,667,339	0.920 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	389,846		389,846	0.050 %
j	Total. Other Benefits . .	62,075,016	20,380,352	41,694,664	5.740 %
k	Total. Add lines 7d and 7j .	364,267,584	235,668,653	128,598,931	17.710 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2,000	2,000	0 %
2	Economic development	62,580	62,580	0.010 %
3	Community support	36,350	36,350	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	18,562	18,562	0 %
6	Coalition building	374	374	0 %
7	Community health improvement advocacy
8	Workforce development	59,945	59,945	0.010 %
9	Other
10	Total	179,811	179,811	0.030 %

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. ......

5,289,163

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).....

1,464,948

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

1,539,709

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

-74,761

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) 2018

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?2Name, 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) 2018

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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. ............................

Yes

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 17

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) 2018

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)

Was widely publicized 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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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. ............................

Yes

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 17

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) 2018

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)

Was widely publicized 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)

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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: CHW IS A MEMBER OF THE MILWAUKEE HEALTH CARE PARTNERSHIP, WHICH BRINGS TOGETHER MILWAUKEE'S HEALTH SYSTEMS, HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS, ALL COMMITTED TO WORKING TOGETHER TO CREATE A HEALTHIER MILWAUKEE. TO GET A HOLISTIC PICTURE OF HEALTH IN MILWAUKEE, EVERY THREE YEARS THE PARTICIPATING HEALTH SYSTEMS COMMISSION A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS. THE ASSESSMENTS SERVE AS THE FOUNDATION FROM WHICH HOSPITALS AND LOCAL HEALTH DEPARTMENTS DEVELOP THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. THE ASSESSMENT FOR MILWAUKEE COUNTY INCLUDES THREE PRIMARY DATA SOURCES:- MILWAUKEE COUNTY COMMUNITY HEALTH SURVEY: THIS PHONE-BASED SURVEY OF NEARLY 2,000 MILWAUKEE COUNTY RESIDENTS ASSESSES ADULT AND CHILD HEALTH AND RELATED BEHAVIORS, AS WELL AS PERCEPTIONS OF TOP HEALTH ISSUES FOR THE COMMUNITY. - KEY INFORMANT INTERVIEW REPORT: THIS REPORT OF LOCAL PUBLIC HEALTH PRIORITIES IS BASED ON INTERVIEWS WITH 41 INDIVIDUAL KEY INFORMANTS AND 22 FOCUS GROUP PARTICIPANTS.- SECONDARY DATA REPORT: THIS REPORT SUMMARIZES THE DISTRIBUTION OF HEALTH INDICATORS AMONG SOCIOECONOMIC GROUPS WITHIN THE CITY AND COUNTY, USING PUBLICLY AVAILABLE DATA SOURCES FROM LOCAL, STATE AND NATIONAL LEVELS. WHILE THESE REPORTS PROVIDE RICH DATA, THEY PRIMARILY FOCUS ON THE ADULT POPULATION ACROSS THE ENTIRE COUNTY. TO ENSURE CHILDREN'S HOSPITAL'S HIGHEST PRIORITY CHILDREN ARE WELL REPRESENTED, WE CONSULTED ADDITIONAL PUBLIC SOURCES WITH THE CITY OF MILWAUKEE AS OUR SCOPE:- KIDS COUNT. FUNDED BY THE ANNIE E. CASEY FOUNDATION, THIS NATIONAL AND STATE-BY-STATE EFFORT TRACKS WELL-BEING INDICATORS FOR CHILDREN IN THE U.S. - U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY. IN ADDITION TO ITS DECENNIAL CENSUS, THE BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. - YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBS). THE CENTERS FOR DISEASE CONTROL AND PREVENTION SURVEYS HIGH SCHOOL STUDENTS ON RISKY BEHAVIORS FOR MAJOR CITIES ACROSS THE COUNTRY. THIS SURVEY IS CONDUCTED EVERY FEW YEARS, WITH THE MOST RECENT DATA AVAILABLE FROM THE 2013 SURVEY.- OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL SOURCES INCLUDE THOSE SUCH AS THE WISCONSIN INTERACTIVE STATISTICS ON HEALTH AND THE MILWAUKEE HOMICIDE REVIEW COMMISSION ANNUAL REPORT.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 5: THE FOX VALLEY HEALTH IMPROVEMENT COALITION INCLUDES CHILDREN'S HOSPITAL OF WISCONSIN-FOX VALLEY, AFFINITY HEALTH SYSTEM, AURORA HEALTH CARE, THEDACARE; THE HEALTH DEPARTMENTS OF APPLETON, MENASHA AND OUTAGAMIE, CALUMET AND WINNEBAGO COUNTIES; AND REPRESENTATIVES FROM THE STATE DEPARTMENT OF HEALTH SERVICES. TO GET A HOLISTIC PICTURE OF HEALTH IN THE FOX VALLEY, OUR COALITION COMMISSIONS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNAS SERVE AS THE FOUNDATION FROM WHICH HOSPITALS AND LOCAL HEALTH DEPARTMENTS DEVELOP THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. THE CHNA FOR THE FOX VALLEY INCLUDES A FEW PRIMARY DATA SOURCES:- FOX VALLEY KEY INFORMANT INTERVIEWS: CONDUCTED BY THE CENTER FOR URBAN POPULATION HEALTH, THIS REPORT OF LOCAL PUBLIC HEALTH PRIORITIES IS BASED ON INTERVIEWS WITH 58 KEY INFORMANTS IN 2015. - FOX VALLEY REGIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM STUDY: THIS STUDY, CONDUCTED BY THE ST. NORBERT COLLEGE STRATEGIC RESEARCH INSTITUTE IN 2015, GATHERED INPUT FROM 1,758 TELEPHONE INTERVIEWS WITH RESIDENTS. OF THE OVERALL SAMPLE, 250 HOUSEHOLDS HAD CHILDREN UNDER AGE 12 AND WERE INCLUDED IN FURTHER ANALYSIS SPECIFIC TO CHILD HEALTH PRACTICES.- FOX CITIES COMMUNITY MENTAL HEALTH NEEDS ASSESSMENT: CARRIED OUT BY ST. NORBERT COLLEGE STRATEGIC RESEARCH INSTITUTE IN 2015, THIS PROJECT IDENTIFIED LEVELS OF KNOWLEDGE AND PERCEPTIONS OF MENTAL HEALTH IN THE FOX CITIES AREA OF OUTAGAMIE, NORTHERN WINNEBAGO AND NORTHERN CALUMET COUNTIES. IT DRAWS DATA FROM SECONDARY RESEARCH AND FOCUS GROUPS, AS WELL AS SURVEYS FROM THE GENERAL PUBLIC, PROVIDERS, REFERRAL AGENTS, AND CONSUMERS. TO ENSURE THE MOST COMPREHENSIVE REPORT, CHILDREN'S HOSPITAL CONSULTED ADDITIONAL SOURCES:- YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM: THIS SURVEY BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION COLLECTS DATA FROM HIGH SCHOOL STUDENTS ON RISKY BEHAVIORS, PROVIDING STATE AND NATIONAL COMPARISONS TO LOCAL OUTCOMES.- LOCAL YOUTH RISK BEHAVIOR SURVEYS (YRBS): CALUMET COUNTY HIGH SCHOOL YRBS BY INCLUDED INPUT FROM 1,010 STUDENTS. OUTAGAMIE COUNTY HIGH SCHOOL YRBS INCLUDED 3,425 STUDENTS. WINNEBAGO COUNTY HIGH SCHOOL YRBS INCLUDED 5,290 STUDENTS FROM MENASHA, NEENAH, OMRO, OSHKOSH AND WINNECONNE SCHOOL DISTRICTS.- KIDS COUNT: FACILITATED BY THE ANNIE E. CASEY FOUNDATION, THIS NATIONAL AND STATE-BY-STATE EFFORT TRACKS WELL-BEING INDICATORS FOR CHILDREN IN THE U.S. - U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY: IN ADDITION TO ITS DECENNIAL CENSUS, THE BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. - OTHER PUBLIC AND GOVERNMENT SOURCES: ADDITIONAL SOURCES INCLUDE THOSE SUCH AS WISCONSIN INTERACTIVE STATISTICS ON HEALTH FROM WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INTEGRAL TO THE COMPLETION OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT: AURORA HEALTH CARE, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, AND WHEATON FRANCISCAN HEALTHCARE.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INTEGRAL TO THE COMPLETION OF THE TRI-COUNTY AREA'S COMMUNITY HEALTH NEEDS ASSESSMENT: AFFINITY HEALTH SYSTEM, AURORA HEALTH CARE, AND THEDACARE.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHW-MILWAUKEE CONDUCTED ITS CHNA WITH PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES. THE CENTER FOR URBAN POPULATION HEALTH PREPARED THE PARTNERSHIP'S DATA. CHILDREN'S HOSPITAL'S COMMUNITY HEALTH TEAM PROVIDED ADDITIONAL RESEARCH AND ANALYSIS.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHW-FOX VALLEY CONDUCTED ITS CHNA WITH THE HEALTH DEPARTMENTS OF APPLETON, MENASHA AND OUTAGAMIE, CALUMET AND WINNEBAGO COUNTIES. THE CENTER FOR URBAN POPULATION HEALTH PREPARED THE KEY INFORMANT REPORT, AND THE ST. NORBERT COLLEGE STRATEGIC RESEARCH INSTITUTE, JKV RESEARCH AND CESA 6 ADMINISTERED THE OTHER TRI-COUNTY SURVEYS. CHILDREN'S HOSPITAL'S COMMUNITY HEALTH TEAM PROVIDED ADDITIONAL RESEARCH AND ANALYSIS.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 11: WE RECOGNIZE THAT CHILDREN'S HOSPITAL CANNOT COMPLETELY ELIMINATE EVERY CHALLENGE TO CHILDREN'S HEALTH. THESE ISSUES ARE LARGE AND COMPLEX, AND THERE ARE SOCIAL, ENVIRONMENTAL, GENETIC AND BEHAVIORAL FACTORS BEYOND OUR CONTROL. NOR CAN WE SOLVE THESE PROBLEMS ALONE. HOWEVER, AS A LEADER IN PEDIATRIC HEALTH CARE, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH PROGRAMMING, COLLABORATION AND EDUCATION, WE CAN LEVERAGE ALL AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY USING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND ARE ACTIVELY WORKING ON INITIATIVES THAT IMPACT ALL SIGNIFICANT NEEDS IDENTIFIED IN THE ASSESSMENT. PRIORITY #1: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ENCOMPASSES BOTH MENTAL HEALTH AND SUBSTANCE ABUSE IT IS NOTED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP'S ASSESSMENT TO BE AMONG MILWAUKEE COUNTY'S GREATEST HEALTH PROBLEMS. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE BEHAVIORAL HEALTH PRIORITY FOLLOW.CHILD PSYCHIATRY CONSULTATION PROGRAMTHERE IS A CRITICAL SHORTAGE OF CHILD PSYCHIATRISTS IN WISCONSIN AND NATIONWIDE. TO HELP FILL THE PROVIDER GAP, THE CHARLES E. KUBLY CHILD PSYCHIATRY CONSULTATION PROGRAM OFFERS ON-CALL CHILD PSYCHIATRISTS, A PSYCHOLOGIST AND RESOURCE COORDINATORS WHO PROVIDE ONGOING EDUCATION AND CONSULTATION TO PRIMARY CARE PROVIDERS ON BEHAVIORAL HEALTH ISSUES. THIS HELPS PRIMARY CARE PROVIDERS TREAT KIDS WITH MENTAL HEALTH ISSUES IN THEIR MEDICAL HOMES SO THAT KIDS CAN MORE QUICKLY GET THE TREATMENT THEY NEED. SINCE THE PROGRAM BEGAN IN 2012, IT HAS ENROLLED PRIMARY CARE PROVIDERS IN CLINICS ACROSS SOUTHEASTERN AND NORTH-CENTRAL WISCONSIN, INCLUDING MILWAUKEE. SCHOOL-BASED MENTAL HEALTHSCHOOL-BASED MENTAL HEALTH SERVICES ARE A VITAL TOOL FOR MEETING THE NEEDS OF CHILDREN WITH BEHAVIORAL HEALTH ISSUES. THERAPISTS SPEND BETWEEN A HALF DAY A WEEK TO FULL-TIME HOURS DEDICATED TO A PARTICULAR SCHOOL, WHERE THEY PROVIDE ASSESSMENT AND PSYCHOTHERAPY TO CHILDREN WHO REQUIRE IMMEDIATE MENTAL HEALTH INTERVENTION. THE THERAPISTS ALSO OFFER CONSULTATION AND EDUCATION ABOUT MENTAL HEALTH TO EDUCATORS TO SUPPORT POSITIVE CLASSROOM INTERVENTIONS FOR KIDS AND ADOLESCENTS WHO ARE STRUGGLING WITH MENTAL AND BEHAVIORAL CHALLENGES. THIS STATEWIDE INITIATIVE LAUNCHED IN 2012 AND NOW INCLUDES SCHOOLS BETWEEN ALTOONA AND RACINE, PLUS GROUP THERAPIES IN MADISON-AREA SCHOOL DISTRICTS. THE TWO MILWAUKEE SITES GREATER HOLY TEMPLE CHRISTIAN ACADEMY, PIERCE ELEMENTARY, AUER AVENUE (K-8), MILWAUKEE SCHOOL OF LANGUAGES, AND JAMES MADISON ACADEMIC CAMPUS HAVE THERAPISTS PROVIDING THERAPY SESSIONS TO STUDENTS, AS WELL AS OFFERING CONSULTS TO TEACHERS AND PARENTS. INTEGRATED BEHAVIORAL HEALTHTHIS EFFORT, FIRST LAUNCHED IN NOVEMBER 2015, USES AN INTEGRATIVE CARE MODEL TO REACH UNDERSERVED POPULATIONS IN THREE CENTRAL-CITY MEDICAL PRACTICES IN MILWAUKEE: NEXT DOOR PEDIATRICS, COA GOLDIN CENTER AND THE NORTHSIDE YMCA. A PSYCHOLOGIST OR PSYCHOTHERAPIST IS PART OF THE MEDICAL TEAM AT EACH SITE, MAKING IT EASY FOR PRIMARY CARE PROVIDERS TO MAKE AN IMMEDIATE AND IN-PERSON REFERRAL FOR PATIENTS WHO NEED MENTAL HEALTH INTERVENTION. THE PSYCHOLOGIST OR PSYCHOTHERAPIST OFFERS MENTAL HEALTH SCREENING; CONSULTATION TO PATIENTS, FAMILIES AND THE MEDICAL TEAM; BRIEF INTERVENTIONS; AND ONGOING PSYCHOTHERAPY. OUTPATIENT CLINICS CHILDREN'S HOSPITAL OFFERS OUTPATIENT MENTAL HEALTH SERVICES AT OVER 20 CLINICS STATEWIDE, INCLUDING THREE OUTPATIENT CLINICS IN MILWAUKEE: THE PSYCHIATRY AND BEHAVIORAL MEDICINE CENTER AT CHILDREN'S HOSPITAL OF WISCONSIN MILWAUKEE CAMPUS, CHILD AND FAMILY COUNSELING MILWAUKEE LOCATED ON 76TH STREET, AND SOJOURNER FAMILY PEACE CENTER AS WELL AS MANY OF OUR CHILDREN'S MEDICAL GROUP PRIMARY CARE CLINICS ACROSS SOUTHEASTERN WISCONSIN. SERVICES INCLUDE INDIVIDUAL, GROUP AND FAMILY THERAPY; TRAUMA-FOCUSED THERAPY; AND (AT SOME LOCATIONS) MEDICATION MANAGEMENT/PSYCHIATRIC SERVICES AND PSYCHOLOGICAL TESTING.IT'S UR CHOICECHILDREN'S HOSPITAL DEVELOPED AND DELIVERS FUN AND ENGAGING E-LEARNING PROGRAMS WHICH ARE OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN, DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS, IT'S UR CHOICE HELPS STUDENTS IN GRADES 4 THROUGH 8 MAKE INFORMED, POSITIVE CHOICES WHEN FACED WITH THE PRESSURES OF USING AND ABUSING ALCOHOL, TOBACCO AND OTHER DRUGS. IT MEETS NATIONAL HEALTH EDUCATION STANDARDS AND WAS DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.TAKE 5 MINDFULNESSCHILDREN'S HOSPITAL DEVELOPED MINDFULNESS RESOURCES THAT ARE AVAILABLE AT NO COST TO SCHOOLS ACROSS WISCONSIN. TAKE 5IVE PRACTICES ARE AIMED AT INCREASING SELF-AWARENESS DURING MINDFUL PERIODS, AND ARE DESIGNED TO HELP STUDENTS, KINDERGARTEN THROUGH 12TH GRADE, FIND HEALTHY WAYS TO SELF-REGULATE. STUDENTS WHO HAVE EXPERIENCED TOXIC STRESS OR TRAUMA MAY NOT BE ABLE TO SIT QUIETLY WITH THEIR THOUGHTS DURING THESE PRACTICES. MINDFULNESS EXERCISES CAN BE INTEGRATED INTO THE SCHOOL DAY TO INCREASE PERSONAL WELLNESS AND POSITIVE FEELINGS, REDUCE REACTIVITY AND NEGATIVITY, AND IMPROVE OVERALL CLASSROOM CULTURE. PRIORITY #2: PHYSICAL ACTIVITY, NUTRITION, OBESITY AND WEIGHT MANAGEMENT.PHYSICAL ACTIVITY, NUTRITION, OBESITY AND WEIGHT MANAGEMENT ARE CORNERSTONES OF GOOD HEALTH. AS DISCOVERED IN MILWAUKEE HEALTH CARE PARTNERSHIP AND CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENTS, THEY ARE ALSO AREAS OF IMPROVEMENT FOR MILWAUKEE YOUTH. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE PHYSICAL ACTIVITY, NUTRITION, OBESITY AND WEIGHT MANAGEMENT PRIORITY FOLLOW.CLINICAL NUTRITION COMMUNITY OUTREACHCHILDREN'S HOSPITAL OFFERS A VARIETY OF NUTRITION EDUCATION PROGRAMS THROUGHOUT THE COMMUNITY. AT THE COA GOLDIN CENTER IN MILWAUKEE, WE'VE PROVIDED HEALTHY SNACKS AT COMMUNITY FUN NIGHTS EVERY OTHER MONTH AND OFFERED THE WHAT'S ON YOUR PLATE PROGRAM, WHICH INTRODUCES FAMILIES TO A HEALTHY LIFESTYLE CURRICULUM ON NUTRITION, COOKING AND PHYSICAL ACTIVITY. OUR CLINICAL NUTRITION STAFF FREQUENTLY PRESENT ON NUTRITION EDUCATION TO GROUPS STATEWIDE, FROM EDUCATING FAMILIES AFFECTED BY CYSTIC FIBROSIS AND PHENYLALANINE KETONURIA (PKU), TO TALKING WITH 1ST THROUGH 4TH GRADERS AT STARMS HEALTH FAIR, TO SHOWING FOSTER CARE YOUTH HOW TO COOK AND GROCERY SHOP AS THEY PREPARE TO LIVE ON THEIR OWN.BLUELOOP APPTHE BLUELOOP APP, WHICH WAS INITIALLY CONCEIVED BY A CHILDREN'S PATIENT FAMILY AND FURTHER DEVELOPED BY OUR DIGITAL TEAM, ALLOWS CHILDREN WITH DIABETES TO RECORD BLOOD SUGAR LEVELS, FOOD INTAKE, INSULIN INJECTIONS AND MORE RIGHT ON THEIR SMART PHONE. THIS INFORMATION IS ALL AVAILABLE TO THE CHILD'S CARE TEAM, HELPING DOCTORS AND THEIR PATIENTS STAY MORE CONNECTED, REDUCE ERRORS AND MAKE APPOINTMENTS MORE EFFICIENT. WHAT STARTED WITH A SINGLE CHILDREN'S FAMILY IS NOW USED BY MORE THAN HALF OF CHILDREN'S PATIENTS WITH DIABETES, AS WELL AS BY CLINICS ACROSS THE COUNTRY. THE BLUELOOP APP IS AVAILABLE ON IOS AND ANDROID.MISSION: HEALTHCHILDREN'S HOSPITAL DEVELOPED AND DELIVERS FUN AND ENGAGING E-LEARNING PROGRAMS, OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN, DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS MISSION:HEALTH HELPS STUDENTS IN GRADES K5 THROUGH 8 ESTABLISH HEALTHY HABITS, INCREASE PHYSICAL ACTIVITY AND AVOID CHILDHOOD OBESITY. IT MEETS NATIONAL HEALTH EDUCATION STANDARDS AND WAS DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.PRIORITY #3: CHRONIC DISEASE MANAGEMENT (WE FOCUSED SPECIFICALLY ON ASTHMA)ASTHMA IS A PREVALENT CHRONIC DISEASE FOR CHILDREN IN MILWAUKEE, PUTTING THEM AT GREATER RISK FOR HOSPITALIZATION AND MISSED DAYS IN SCHOOL. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE ASTHMA PRIORITY FOLLOW.WISCONSIN ASTHMA COALITIONSINCE 2001, CHILDREN'S HOSPITAL HAS SUPPORTED THIS DIVERSE, STATEWIDE COALITION THAT WORKS TO TAKE CONTROL OF ASTHMA THROUGH IMPLEMENTATION OF THE WISCONSIN ASTHMA PLAN. THE WISCONSIN ASTHMA PLAN IS A BLUEPRINT FOR MANAGING ASTHMA ACROSS THE STATE, AND INCLUDES THE FOLLOWING ACTIVITIES: (CONTINUED ON PAGE 63)
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 11: WE RECOGNIZE THAT CHILDREN'S HOSPITAL CANNOT COMPLETELY ELIMINATE EVERY CHALLENGE TO CHILDREN'S HEALTH. THESE ISSUES ARE LARGE AND COMPLEX, AND THERE ARE SOCIAL, ENVIRONMENTAL, GENETIC AND BEHAVIORAL FACTORS BEYOND OUR CONTROL. NOR CAN WE SOLVE THESE PROBLEMS ALONE. HOWEVER, AS A LEADER IN PEDIATRIC HEALTH CARE, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH PROGRAMMING, COLLABORATION AND EDUCATION, WE CAN LEVERAGE ALL AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY USING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND ARE ACTIVELY WORKING ON INITIATIVES THAT IMPACT ALL SIGNIFICANT NEEDS IDENTIFIED IN THE ASSESSMENT. PRIORITY #1: MENTAL HEALTHMENTAL HEALTH WAS THE MOST FREQUENTLY RANKED ISSUE IN THE KEY INFORMANT REPORT, WITH MORE RESPONDENTS RANKING IT AS THEIR NUMBER ONE ISSUE THAN ANY OTHER ISSUE. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE MENTAL HEALTH PRIORITY FOLLOW.CATALPA HEALTHCATALPA HEALTH IS A STANDALONE NONPROFIT ORGANIZATION DEDICATED TO PROVIDING COMPREHENSIVE PEDIATRIC MENTAL HEALTH SERVICES IN THE FOX VALLEY. AFTER THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT DEMONSTRATED A CRITICAL NEED FOR PEDIATRIC MENTAL HEALTH SERVICES CLOSE TO HOME, CATALPA HEALTH WAS FORMED AND CONTINUES TO BE SUPPORTED THROUGH A COLLABORATION AMONG CHILDREN'S HOSPITAL, AFFINITY HEALTH SYSTEM, AND THEDACARE. THE ORGANIZATION OPERATES FOUR FACILITIES THROUGHOUT THE FOX VALLEY, INCLUDING TWO OUTPATIENT TREATMENT CENTERS, AN ACCESS CENTER, AND A DAY TREATMENT CENTER. CATALPA PROVIDES ASSESSMENTS FOR A VARIETY OF EMOTIONAL AND MENTAL HEALTH CONCERNS; PSYCHOLOGICAL, NEUROPSYCHOLOGICAL, PSYCHIATRIC AND CONCUSSION EVALUATIONS; MEDICATION MANAGEMENT; INDIVIDUAL, FAMILY AND GROUP THERAPY; AND SCHOOL-BASED MENTAL HEALTH SERVICES. N.E.W. MENTAL HEALTH CONNECTIONN.E.W. MENTAL HEALTH CONNECTION IS A BACKBONE AGENCY LEADING THE COLLABORATION OF COMMUNITY STAKEHOLDERS TO CREATE AND CONTINUOUSLY IMPROVE AN EXCEPTIONAL MENTAL HEALTH SYSTEM OF CARE FOR OUTAGAMIE, CALUMET, AND WINNEBAGO COUNTIES. WITHIN THIS COLLECTIVE IMPACT MODEL, CHILDREN'S HOSPITAL STAFF SIT ON THE BOARD OF DIRECTORS AND CHAIR ONE OF THE ORGANIZATION'S SIX INITIATIVES THE CHILDREN'S MENTAL HEALTH INITIATIVE. THIS INITIATIVE PROVIDES RESOURCES FOR AND COORDINATION OF EDUCATION AND TRAINING REGARDING MENTAL WELLNESS AND MENTAL ILLNESS, APPROPRIATE AND TIMELY MENTAL HEALTH SCREENING, AND ACCESS TO SERVICES FOR CHILDREN, YOUTH AND FAMILIES.ACT NOW!CHILDREN'S HOSPITAL DEVELOPED AND DELIVERS FUN AND ENGAGING E-LEARNING PROGRAMS WHICH ARE OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN AND ARE DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS, ACT NOW! HELPS COUNSELORS AND TEACHERS, STUDENTS, PARENTS AND CAREGIVERS INCREASE AWARENESS ABOUT BULLYING AND HAS GIVEN STUDENTS AGE-APPROPRIATE SKILLS NEEDED TO PREVENT AND STOP BULLYING. ACT NOW! IS A COMPREHENSIVE E-LEARNING RESOURCE THAT FOCUSES ON IMPROVING SCHOOL CULTURE ACROSS THE SCHOOL COMMUNITY THROUGH AWARENESS, EDUCATION AND SKILL DEVELOPMENT FOR TEACHERS, COUNSELOR, STUDENTS AND PARENTS. IT MEETS NATIONAL HEALTH EDUCATION STANDARDS AND WAS DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.TAKE 5 MINDFULNESSCHILDREN'S HOSPITAL DEVELOPED MINDFULNESS RESOURCES THAT ARE AVAILABLE AT NO COST TO SCHOOLS ACROSS WISCONSIN. TAKE 5IVE PRACTICES ARE AIMED AT INCREASING SELF-AWARENESS DURING MINDFUL PERIODS, AND ARE DESIGNED TO HELP STUDENTS, KINDERGARTEN THROUGH 12TH GRADE, FIND HEALTHY WAYS TO SELF-REGULATE. STUDENTS WHO HAVE EXPERIENCED TOXIC STRESS OR TRAUMA MAY NOT BE ABLE TO SIT QUIETLY WITH THEIR THOUGHTS DURING THESE PRACTICES. MINDFULNESS EXERCISES CAN BE INTEGRATED INTO THE SCHOOL DAY TO INCREASE PERSONAL WELLNESS AND POSITIVE FEELINGS, REDUCE REACTIVITY AND NEGATIVITY, AND IMPROVE OVERALL CLASSROOM CULTURE. MENTAL HEALTH ADVOCACYPOLICY MAKERS HAVE IDENTIFIED BEHAVIORAL HEALTH AS A MAJOR PRIORITY AREA TO IMPROVE OUTCOMES FOR CHILDREN, YOUTH AND ADULTS ALIKE. CHILDREN'S HAS WORKED WITH ELECTED OFFICIALS TO SUPPORT POLICIES THAT INCREASE MENTAL HEALTH ACCESS IN SCHOOL SETTINGS AND ALSO ON POLICY THAT ADDRESSES BUREAUCRATIC HURDLES THAT MAKE PROVIDING CARE DIFFICULT. CHILDREN'S ALSO SUPPORTED THE CREATION OF THE CHILD PSYCHIATRY CONSULTATION PROGRAM TO ASSIST FRONTLINE PROVIDERS IN PROVIDING ENHANCED CARE TO CHILDREN AND ADOLESCENTS WITH MILD OR MODERATE MENTAL HEALTH CARE NEEDS AND IS CURRENTLY ADVOCATING FOR INCREASED FUNDING FOR THIS PROGRAM. CHILDREN'S WILL CONTINUE TO ADVOCATE FOR BETTER ACCESS AND FUNDING FOR BEHAVIORAL HEALTH CARE COORDINATION AND COLLABORATION ACROSS PROVIDERS.PRIORITY #2: ALCOHOL AND OTHER DRUG USEALMOST HALF OF ALL KEY INFORMANTS RANKED ALCOHOL AND DRUG USE AMONG THE REGION'S TOP FIVE HEALTH ISSUES. THEY MENTIONED CULTURAL NORMS AROUND EXCESSIVE DRINKING AND ABUSE OF PRESCRIPTION MEDICATIONS AND OTHER DRUGS. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE ALCOHOL AND OTHER DRUG USE PRIORITY FOLLOW.IT'S UR CHOICECHILDREN'S HOSPITAL HAS CREATED FUN AND ENGAGING E-LEARNING PROGRAMS WHICH ARE OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN, DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS, IT'S UR CHOICE HELPS STUDENTS IN GRADES 4 THROUGH 8 MAKE SMART CHOICES WHEN FACED WITH THE PRESSURES OF USING AND ABUSING ALCOHOL, TOBACCO AND OTHER DRUGS. THE E-LEARNING COURSES MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.ALCOHOL AND OTHER DRUG USE ADVOCACYCHILDREN'S SUPPORTS EFFORTS AND POLICIES THAT AIM TO REDUCE SUBSTANCE ABUSE. CHILDREN'S HAS BEEN A LONG-TIME LEADER IN ADVOCATING FOR STRONGER DUI LAWS, INCLUDING ENHANCED PENALTIES FOR DUI WITH A CHILD IN THE CAR. IN ADDITION, ALONG WITH THE WISCONSIN HOSPITAL ASSOCIATION AND OTHER PARTNERS, CHILDREN'S SUPPORTED A SERIES OF POLICY INITIATIVES COLLECTIVELY KNOWN AS THE HOPE LEGISLATION. THE HOPE AGENDA (HEROIN, OPIATE, PREVENTION, AND EDUCATION) IS A LEGISLATIVE PACKAGE THAT HAS RECEIVED UNANIMOUS BIPARTISAN SUPPORT, AIMED AT COMBATING OUR STATE'S HEROIN EPIDEMIC. CHILDREN'S WILL CONTINUE TO ADVOCATE FOR POLICIES THAT ADDRESS ACCESS TO AND TREATMENT FOR DRUG USE AND ABUSE.PRIORITY #3: PHYSICAL ACTIVITY AND PRIORITY #4 NUTRITIONALMOST A THIRD OF ALL KEY INFORMANTS RANKED PHYSICAL ACTIVITY AS A TOP FIVE HEALTH ISSUE FOR THE FOX VALLEY REGION, WHILE MORE THAN A QUARTER RANKED NUTRITION AS A TOP FIVE HEALTH ISSUE. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE PHYSICAL ACTIVITY AND NUTRITION PRIORITIES FOLLOW.MISSION:HEALTHCHILDREN'S HOSPITAL DEVELOPED AND DELIVERS FUN AND ENGAGING E-LEARNING PROGRAMS WHICH ARE OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN, DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS MISSION:HEALTH HELPS STUDENTS IN GRADES K5 THROUGH 8 ESTABLISH HEALTHY HABITS, INCREASE PHYSICAL ACTIVITY AND AVOID CHILDHOOD OBESITY. THE E-LEARNING COURSES MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.CLINICAL NUTRITION CHILDREN'S HOSPITAL OFFERS A VARIETY OF NUTRITION EDUCATION PROGRAMS THROUGHOUT THE COMMUNITY. OUR CLINICAL NUTRITION STAFF FREQUENTLY PRESENT ON NUTRITION EDUCATION TO GROUPS STATEWIDE, INCLUDING SCHOOLS, COMMUNITY ORGANIZATIONS AND FOSTER CARE FAMILIES. BLUELOOP APPTHE BLUELOOP APP, WHICH WAS INITIALLY CONCEIVED BY A CHILDREN'S PATIENT FAMILY AND FURTHER DEVELOPED BY OUR DIGITAL TEAM, ALLOWS CHILDREN WITH DIABETES TO RECORD BLOOD SUGAR LEVELS, FOOD INTAKE, INSULIN INJECTIONS AND MORE RIGHT ON THEIR SMART PHONE. THIS INFORMATION IS ALL AVAILABLE TO THE CHILD'S CARE TEAM, HELPING DOCTORS AND THEIR PATIENTS STAY MORE CONNECTED, REDUCE ERRORS AND MAKE APPOINTMENTS MORE EFFICIENT. WHAT STARTED WITH A SINGLE CHILDREN'S FAMILY IS NOW USED BY MORE THAN HALF OF CHILDREN'S PATIENTS WITH DIABETES, AS WELL AS BY CLINICS ACROSS THE COUNTRY. THE BLUELOOP APP IS AVAILABLE ON IOS AND ANDROID.WEIGHT OF THE FOX VALLEYWEIGHT OF THE FOX VALLEY IS A COMMUNITY HEALTH INITIATIVE DESIGNED TO ADDRESS ACTIVE LIFESTYLES AND HEALTHY HABITS AMONG FOX VALLEY RESIDENTS TO REACH AND MAINTAIN A HEALTHY WEIGHT. CHILDREN'S HOSPITAL PARTICIPATES ON THE LEADERSHIP TEAM PROVIDING DIRECTION AND GUIDANCE, IN ADDITION TO ESTABLISHED ACTION TEAMS THAT ADDRESS ACTIVE COMMUNITIES, EARLY CHILDHOOD, FOOD SYSTEMS, HEALTHCARE, SCHOOLS AND WORKSITE. THROUGH THIS COLLECTIVE IMPACT MODEL, CHILDREN'S HOSPITAL PARTICIPATES PRIMARILY ON THE FOLLOWING INITIATIVES: (CONTINUED ON PAGE 73)
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 16J: 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 16J: 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.
PART V, SECTION B, LINE 11 (CONTINUED):	- SCHOOL AND CHILDCARE WALKTHROUGH PROGRAM THIS PROGRAM PROVIDES AN ENVIRONMENTAL ASSESSMENT OF SCHOOLS AND CHILDCARE CENTERS FOR ENVIRONMENTAL ASTHMA TRIGGERS AND OFFERS LOW- AND NO-COST REMEDIATION STRATEGIES.- IMPROVING OUTCOMES IN PRACTICAL ASTHMA MANAGEMENT THIS INITIATIVE OFFERS IN-PERSON EDUCATION FOR PRIMARY CARE PROVIDER TEAMS ON HOW TO IMPLEMENT THE NATIONAL ASTHMA GUIDELINES WITHIN THEIR CLINICAL PRACTICE. - ASTHMA MEDICATION ASSISTANCE AT CHAWISCONSIN.ORG/MEDS, THE COALITION HAS COMPILED AN ONLINE RESOURCE OF ALL PRESCRIPTION ASSISTANCE PROGRAMS AND COUPONS AVAILABLE FOR ASTHMA MEDICATIONS.- SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM THIS IS A NATIONAL INITIATIVE OF THE AMERICAN ACADEMY OF ALLERGY, ASTHMA AND IMMUNOLOGY AND THE NATIONAL ASSOCIATION OF SCHOOL NURSES. IT INVOLVES A FOUR-STEP PROCESS TO IMPROVE THE SYSTEM OF CARE AND COMMUNICATION BETWEEN FAMILIES, CLINICIANS AND SCHOOLS.ASTHMA CARE AND ENVIRONMENTAL SERVICESLAUNCHED IN 2015, CHILDREN'S HOSPITAL'S ASTHMA CARE AND ENVIRONMENTAL SERVICES PROGRAM PROVIDES INTENSIVE SELF-MANAGEMENT EDUCATION TO SCHOOL-AGED CHILDREN AND THEIR FAMILIES, ALONG WITH AN ENVIRONMENTAL ASSESSMENT. SERVICE IS PROVIDED AT NO COST TO SCHOOLS ACROSS MILWAUKEE COUNTY.PRIORITY #4: VIOLENCEWHILE INJURY AND VIOLENCE WERE AMONG THE THREE TOP CONCERNS FOR KEY INFORMANTS ACROSS THE COUNTY, THOSE IN THE CITY OF MILWAUKEE EMPHASIZED VIOLENCE AS THEIR MAJOR CONCERN (INCLUDING YOUTH VIOLENCE, DOMESTIC AND INTIMATE PARTNER VIOLENCE AND CHILDHOOD TRAUMA). OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE VIOLENCE PRIORITY FOLLOW:ACT NOW!CHILDREN'S HOSPITAL HAS CREATED FUN AND ENGAGING E-LEARNING PROGRAMS, OFFERED AT NO COST TO ALL SCHOOLS ACROSS WISCONSIN, DESIGNED TO INSPIRE STUDENTS TO LEAD HEALTHIER LIVES. USING ONLINE AND CLASSROOM LESSONS ACT NOW! HELPS COUNSELORS AND TEACHERS, STUDENTS, PARENTS AND CAREGIVERS INCREASE AWARENESS ABOUT BULLYING AND HAS GIVEN STUDENTS AGE-APPROPRIATE SKILLS NEEDED TO PREVENT AND STOP BULLYING. ACTNOW! IS A COMPREHENSIVE E-LEARNING RESOURCE THAT FOCUSES ON IMPROVING SCHOOL CULTURE ACROSS THE SCHOOL COMMUNITY THROUGH AWARENESS, EDUCATION AND SKILL DEVELOPMENT FOR TEACHERS, COUNSELORS, STUDENTS AND PARENTS. IT MEETS NATIONAL HEALTH EDUCATION STANDARDS AND WAS DEVELOPED USING EVIDENCE-BASED OR INFORMED RESEARCH.MILWAUKEE CHILD ADVOCACY CENTERTHE MILWAUKEE CHILD ADVOCACY CENTER BRINGS TOGETHER MULTIDISCIPLINARY PARTNERS IN CHILD MALTREATMENT INVESTIGATIONS. IT PROVIDES COMPREHENSIVE MEDICAL, FORENSIC INTERVIEW AND ADVOCACY SERVICES FOR CHILDREN AND FAMILIES IN MILWAUKEE COUNTY. THE POSITIVE PARENTING PROGRAM (TRIPLE P)AS A PILOT PROJECT IN 2016, TRIPLE P IS A UNIVERSAL ACCESS, EVIDENCE-BASED PROGRAM FOR CAREGIVERS OF CHILDREN AGES 0-12. IT AIMS TO INCREASE PARENTS AND CAREGIVERS' KNOWLEDGE OF POSITIVE PARENTING TECHNIQUES. PARENTS AND CAREGIVERS ARE REACHED THROUGH FIVE CHILDREN'S HOSPITAL PRIMARY CARE CLINICS, COMMUNITY HEALTH NAVIGATORS IN FOUR PARTNER NEIGHBORHOODS AND SCHOOL NURSES IN 10 MILWAUKEE PUBLIC SCHOOLS.AWARENESS TO ACTIONA STATEWIDE PROGRAM FIRST LAUNCHED BY CHILDREN'S HOSPITAL IN 2006, AWARENESS TO ACTION EDUCATES AND ADVOCATES FOR ADULTS TO TAKE ACTION TO PREVENT CHILD SEXUAL ABUSE. EDUCATION INCLUDES RESOURCES FOR ADULTS ON HEALTHY SEXUAL DEVELOPMENT AND HOW TO DISCUSS SEXUAL DEVELOPMENT WITH CHILDREN. PERIOD OF PURPLE CRYINGLAUNCHED IN 2016, PERIOD OF PURPLE CRYING IS AN EVIDENCE-BASED INFANT ABUSE PREVENTION PROGRAM THAT EDUCATES PARENTS AND CAREGIVERS ABOUT NORMAL INFANT CRYING AND THE DANGERS OF SHAKING AN INFANT. PARENTS AND CAREGIVERS ARE REACHED THROUGH CHILDREN'S HOSPITAL'S NEONATAL INTENSIVE CARE UNIT AND EMERGENCY ROOM, FIVE OF THE CHILDREN'S HOSPITAL PRIMARY CARE CLINICS AND ONE URGENT CARE LOCATION.PREVENT CHILD ABUSE WISCONSINTHIS LONGSTANDING PROGRAM AIMS TO BUILD COMMUNITY RESOURCES, PROVIDE TRAINING AND PUBLIC AWARENESS, AND CARRY OUT ADVOCACY ACTIVITIES IN ORDER TO STRENGTHEN CHILD ABUSE PREVENTION EFFORTS. RECENT PROJECTS FACILITATED IN PART BY PREVENT CHILD ABUSE WISCONSIN INCLUDE THE "SAY SOMETHING, DO SOMETHING AND PINWHEELS FOR PREVENTION CAMPAIGNS TO ENCOURAGE ADULTS STATEWIDE TO TAKE ACTION TO ASSURE CHILDREN GROW UP IN SAFE, STABLE AND NURTURING ENVIRONMENTS. PROJECT UJIMATHE MISSION OF THIS COMMUNITY PROJECT IS 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 PROGRAM'S KEY ELEMENTS INCLUDE HOSPITAL-BASED SERVICES (MEDICAL CARE, PEER SUPPORT, CRISIS INTERVENTION AND SOCIAL AND EMOTIONAL ASSESSMENT), HOME-BASED SERVICES (MEDICAL FOLLOW-UP OF INJURIES, EVALUATION OF PRIMARY HEALTH CARE NEEDS, PSYCHOLOGICAL SCREENING AND COUNSELING), COMMUNITY-BASED SERVICES (MENTORING, YOUTH DEVELOPMENT, FAMILY AND YOUTH SUPPORT GROUPS, GANG INTERVENTIONS, JOB PREPAREDNESS AND ADVOCACY TO ADDRESS LEGAL, EDUCATION AND HOUSING ISSUES), AND COMMUNITY AND PROFESSIONAL EDUCATION ABOUT YOUTH VIOLENCE. MOST OF THE PROGRAM'S REFERRALS COME THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT, IN ADDITION TO REFERRALS FROM IDENTIFIED COMMUNITY PARTNERS.PRIORITY #5: SEXUAL HEALTHTHE MILWAUKEE HEALTH CARE PARTNERSHIP DISCOVERED SEXUAL HEALTH AS A COMMUNITY HEALTH PRIORITY FOR MILWAUKEE COUNTY, NOTING TEEN PREGNANCY AND SEXUALLY TRANSMITTED INFECTIONS AS HIGH CONCERNS, AMONG OTHERS. OUR PROGRAM AND INITIATIVE THAT ADDRESSES THE SEXUAL HEALTH PRIORITY FOLLOW.SCHOOL NURSESCHILDREN'S HOSPITAL'S SCHOOL NURSES PLAY A VITAL ROLE BY LEADING SEXUAL HEALTH EDUCATION FOR MILWAUKEE PUBLIC SCHOOLS' HUMAN GROWTH AND DEVELOPMENT CURRICULUM. NURSES USE THE ALWAYS CHANGING PUBERTY EDUCATION PROGRAM, WHICH WAS REVIEWED BY THE AMERICAN ASSOCIATION FOR HEALTH EDUCATION, WITH FOURTH AND FIFTH GRADERS. SINCE 2011, SCHOOL NURSES HAVE BEEN FACILITATING THIS CURRICULUM AT TEN PARTNER SCHOOLS. IN ADDITION TO IMPLEMENTING CLASSROOM EDUCATION, THE NURSES OFFER ADDITIONAL SUPPORT (SUCH AS SMALL-GROUP DISCUSSION) FOR SPECIFIC STUDENTS OR SPECIFIC TOPICS.PRIORITY #6: HEALTH LITERACYTHE MILWAUKEE HEALTH CARE PARTNERSHIP ASSESSMENT IDENTIFIED HEALTH LITERACY AS A COMMUNITY HEALTH NEED, NOTING CHALLENGES FOR COMMUNITY RESIDENTS TO ACCESS AND UNDERSTAND HEALTH INFORMATION. OUR PROGRAMS AND INITIATIVES THAT ADDRESS THE HEALTH LITERACY PRIORITY FOLLOW.LANGUAGE SERVICESTHIS PROGRAM PROVIDES FACE-TO-FACE, TELEPHONE AND VIDEO RELAY INTERPRETERS FOR PATIENT FAMILIES WHO DO NOT SPEAK ENGLISH OR WHO HAVE LIMITED SPEECH PROFICIENCY OR HEARING OR SPEECH ISSUES. IN ADDITION TO IN-PERSON INTERPRETERS, CHILDREN'S HOSPITAL CAN ALSO CONNECT FAMILIES VIA TELEPHONE TO INTERPRETERS IN 150 LANGUAGES. THIS SERVICE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, AT NO COST TO FAMILIES.PATIENT FAMILY EDUCATION COMMITTEEIN PARTNERSHIP WITH PATIENT FAMILIES, THE CHILDREN'S HOSPITAL EDUCATIONAL SERVICES DEPARTMENT AND PATIENT AND FAMILY EDUCATION COMMITTEE REVIEWS MATERIALS FOR PATIENTS AND FAMILIES TO ENSURE READABILITY SO THAT CAREGIVERS HAVE A CLEAR UNDERSTANDING OF HOW TO BEST CARE FOR THEIR CHILD. PATIENT HANDOUTS ARE USUALLY WRITTEN AT A 5TH THROUGH 7TH GRADE READING LEVEL AND ARE OFFERED IN ENGLISH AND SPANISH.COMMUNITY HEALTH NAVIGATORSFIRST LAUNCHED IN 2011, THIS PROGRAM FOCUSES ON FOUR PARTNER NEIGHBORHOODS IN MILWAUKEE: AMANI/FRANKLIN HEIGHTS, METCALFE PARK, NEAR WEST SIDE NEIGHBORHOODS, LINDSAY HEIGHTS, AND CLARKE SQUARE. COMMUNITY HEALTH NAVIGATORS INCREASE RESIDENTS' PUBLIC HEALTH KNOWLEDGE AND SELF-SUFFICIENCY THROUGH A RANGE OF ACTIVITIES, INCLUDING OUTREACH, COMMUNITY EDUCATION, INFORMAL COUNSELING, SOCIAL SUPPORT AND ADVOCACY. THEY ALSO COLLABORATE WITH INTERNAL AND EXTERNAL PARTNERS TO CONNECT FAMILIES TO NEEDED RESOURCES AND INFLUENCE THE MEDICAL AND SOCIAL DETERMINANTS OF HEALTH. SCHOOL NURSESIT'S NOT ALWAYS EASY FOR CHILDREN TO GET THE HEALTH CARE THEY NEED. SCHOOL NURSES CAN FILL A CRITICAL GAP BY MAKING SURE THAT KIDS GET VISION AND HEARING SCREENS, CARE FOR CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA, AND HEALTH AND WELLNESS EDUCATION. THE NURSES, WHO WORK WITHIN TEN PARTNER SCHOOLS IN MILWAUKEE, ALSO HELP COORDINATE CARE WITH PHYSICIANS, SOCIAL WORKERS AND OTHER COMMUNITY RESOURCES. AS A TRUSTED MEMBER OF BOTH MEDICAL AND SCHOOL COMMUNITY, THE SCHOOL NURSE SERVES AS A BRIDGE TO UNDERSTANDING CLINICAL DIAGNOSIS AND MEDICATION INSTRUCTIONS.STRATEGIES THAT CROSS MULTIPLE PRIORITIESSOME OF OUR STRATEGIES CUT ACROSS THE PRIORITY AREAS THAT HAVE BEEN IDENTIFIED. THESE PARTNERSHIPS AND COLLABORATIVE INITIATIVES ALSO PLAY AN IMPORTANT ROLE IN IMPROVING CHILDREN'S HEALTH. (CONTINUED ON PAGE 69)
PART V, SECTION B, LINE 11 (CONTINUED):	WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILDSINCE 2009, OUR SCHOOL NURSES AND COMMUNITY HEALTH NAVIGATORS HAVE WORKED WITH TEN K-8 SCHOOLS IN THE MILWAUKEE PUBLIC SCHOOLS DISTRICT TO IMPLEMENT THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND ASSOCIATION FOR SUPERVISION AND CURRICULUM DEVELOPMENT WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL. STRATEGIES RANGE FROM EDUCATION FOR STUDENTS, STAFF AND FAMILIES TO HEALTHY MEAL NIGHTS TO CLASSROOM PHYSICAL ACTIVITY BREAKS. THIS COORDINATED APPROACH TO SCHOOL HEALTH IMPROVES STUDENTS' HEALTH AND THEIR CAPACITY TO LEARN THROUGH THE SUPPORT OF FAMILIES, COMMUNITIES AND SCHOOLS.POPULATION HEALTH MANAGEMENT AND PAYMENT INNOVATIONCHILDREN'S HOSPITAL HAS DEDICATED THIS DIVISION TO SERVE AS A CENTER FOR RESEARCH AND DEVELOPMENT OF BEST-PRACTICE PROGRAMS TO PREVENT ILLNESS, IMPROVE WELLNESS, AND MANAGE HEALTH NEEDS OF POPULATIONS. A TEAM DEDICATED TO THIS WORK DEVELOPS AND TESTS NEW PAYMENT MODELS TO SUPPORT BEST-PRACTICE PROGRAMS AND TRANSITION OUR HEALTH SYSTEM FROM BEING PAID TO TREAT SICK CHILDREN TO BEING PAID TO KEEP CHILDREN HEALTHY. ONCE TESTED AND PROVEN, THE WORK OF THIS TEAM IS INTEGRATED INTO CLINICAL AND CARE MODELS.WITHIN THIS RESEARCH CENTER EXISTS OUR CLINICAL NAVIGATION PROGRAM, WHICH HELPS MILWAUKEE FAMILIES NAVIGATE COMPLEX HEALTH CARE SYSTEMS SO THEY CAN GET THE SERVICES THEY NEED.CHILDREN'S COMMUNITY HEALTH PLANCREATED BY CHILDREN'S HOSPITAL, THIS INSURANCE PLAN SERVES CHILDREN AND ADULTS WHO ARE COVERED BY BADGERCARE PLUS OR WHO PARTICIPATE IN THE COMMERCIAL HEALTH EXCHANGE, ENSURING THAT MORE FAMILIES GET ACCESS TO HIGH-QUALITY HEALTH CARE. OUR HEALTH PLAN FACILITATES A VARIETY OF HEALTH PROMOTION INITIATIVES FOR ITS FAMILIES, INCLUDING A HEALTHY MOMS HEALTHY BABIES PRENATAL CARE PROGRAM, ASTHMA OUTREACH, OUT-OF-HOME CARE AND HEALTHY SHOPPING EDUCATION.CARE FOR KIDSTHE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES HAVE PARTNERED WITH CHILDREN'S HOSPITAL AND OUR HEALTH PLAN FOR LOW-INCOME FAMILIES (CHILDREN'S COMMUNITY HEALTH PLAN) TO ADMINISTER CARE4KIDS. THIS INNOVATIVE PROGRAM OFFERS COMPREHENSIVE AND COORDINATED HEALTH SERVICES FOR CHILDREN IN FOSTER CARE IN SIX SOUTHEASTERN WISCONSIN COUNTIES. THIS INCLUDES MILWAUKEE COUNTY, WHICH ACCOUNTS FOR APPROXIMATELY TWO THIRDS OF THE 3,000 CHILDREN ENROLLED IN THE PROGRAM. THROUGH CARE4KIDS, WE PARTNER WITH PRIMARY CARE PROVIDERS WHO RECOGNIZE THE UNIQUE NEEDS OF THESE CHILDREN. THE PROGRAM CREATES A "MEDICAL HOME" TEAM, CONSISTING OF THE CHILD WELFARE WORKER, FAMILY MEMBERS, FOSTER PARENTS AND OTHER HEALTH CARE PROVIDERS. THIS TEAM DEVELOPS A COMPREHENSIVE HEALTH CARE PLAN BASED ON THE SPECIFIC NEEDS OF THE CHILDREN TAKING INTO ACCOUNT THEIR PHYSICAL, BEHAVIORAL HEALTH, DENTAL AND VISION CARE NEEDS. INSTITUTE FOR CHILD AND FAMILY WELL-BEINGTHIS JOINT INITIATIVE BETWEEN CHILDREN'S HOSPITAL'S COMMUNITY SERVICES DIVISION AND THE UNIVERSITY OF WISCONSIN-MILWAUKEE'S HELEN BADER SCHOOL OF SOCIAL WELFARE AIMS TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES BY DESIGNING AND IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH AND EVALUATION, AND PROMOTING CHANGE THROUGH POLICY AND ADVOCACY. TO FULFILL THIS MISSION, THE INSTITUTE PROMOTES COMMUNITY COLLABORATION TO BRIDGE UNNECESSARY DIVIDES BETWEEN PRACTICE, RESEARCH AND POLICY. ADVOCACYCHILDREN'S IS COMMITTED TO ADVOCATING ON BEHALF OF CHILDREN AND FAMILIES THROUGHOUT WISCONSIN. THROUGH FEDERAL, STATE AND LOCAL LEVEL ADVOCACY EFFORTS, CHILDREN'S FOCUSES ON PUBLIC POLICY THAT IMPROVES THE HEALTH STATUS OF CHILDREN.ADVOCATING FOR POLICY HAS A SIGNIFICANT IMPACT ON OUR COMMUNITIES BEYOND JUST THOSE SERVED BY CHILDREN'S. ALONG WITH VALUABLE PARTNER ORGANIZATIONS, CHILDREN'S HAS SUCCESSFULLY ADVOCATED FOR SEVERAL PIECES OF POLICY RELATED TO THE IDENTIFIED PRIORITIES AND OTHER AREAS IMPORTANT TO THE HEALTH OF CHILDREN AND FAMILIES.CHILDREN'S RESEARCH INSTITUTECHILDRENS' IS COMMITTED TO RESEARCH THAT LEADS TO LIFE-SAVING DISCOVERIES AND CURES, NEW AND BETTER TREATMENTS, AND HEALTHIER AND HAPPIER CHILDREN AND FAMILIES. OUR RESEARCH INSTITUTE STAFF IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES AT PATIENTS' BEDSIDES. WE ALSO STUDY OTHER FACTORS THAT IMPACT HEALTH AND QUALITY OF LIFE. WE HAVE HUNDREDS OF INVESTIGATORS, RESEARCH TRAINEES AND TECHNICIANS WORKING ON MORE THAN 1,000 RESEARCH PROJECTS AND ACTIVE CLINICAL TRIALS. OUR RESEARCH IS RELATED TO SEVERAL OF THE IDENTIFIED PRIORITIES AND MANY OTHER AREAS THAT IMPACT CHILDREN AND FAMILIES.EDUCATION OF FUTURE HEALTH CARE PROFESSIONALSWE HELP PROVIDE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS WITH THE TRAINING THEY NEED TO CARE FOR THE UNIQUE MEDICAL NEEDS OF CHILDREN. THIS INCLUDES PROVIDERS WHO WILL WORK IN SPECIALTY CARE, PRIMARY CARE AND OTHER COMMUNITY-BASED SETTINGS. EACH YEAR, OUR PROVIDERS AND STAFF TEACH HUNDREDS OF MEDICAL STUDENTS, RESIDENTS, FELLOWS, NURSING STUDENTS AND STUDENTS FROM OTHER MEDICAL PROFESSIONS, ENSURING THEY HAVE THE SPECIAL KNOWLEDGE, SKILLS AND EXPERIENCE THEY REQUIRE TO ENSURE THE BEST HEALTH OUTCOMES FOR CHILDREN.
PART V, SECTION B, LINE 11 (CONTINUED):	- NUTRITION AND PHYSICAL ACTIVITY LEADERSHIP GROUP THIS GROUP CONSISTS OF NUTRITION AND PHYSICAL ACTIVITY EXPERTS WITHIN THE FOX VALLEY REGION. THE GROUP IS PART OF AN "ASK THE EXPERT" PANEL THAT ANSWERS QUESTIONS FROM COUNTY CITIZENS RELATED TO NUTRITION AND EXERCISE SENT THROUGH THE WEBSITE. THE LEADERSHIP GROUP DESIGNS AND EXECUTES INITIATIVES RELATED TO HEALTHY EATING AND EXERCISE.- FOOD SYSTEM ACTION TEAM THIS TEAM PROMOTES HEALTHY EATING AND HEALTHY FOOD PROCUREMENT WITHIN THE SERVICE LOCATIONS. THE TEAM IS WORKING TO INCREASE THE NUMBER OF FRUITS AND VEGETABLES CONSUMED BY CHILDREN IN BEFORE- AND AFTER- SCHOOL PROGRAMS. PHYSICAL ACTIVITY AND NUTRITION ADVOCACYIN COLLABORATION WITH AMERICAN HEART ASSOCIATION, CHILDREN'S SUPPORTED LEGISLATION THAT REQUIRES DAILY 30 MINUTES OF PHYSICAL EDUCATION IN ELEMENTARY SCHOOLS TO ENSURE THAT CHILDREN HAVE A SAFE AND SUPPORTIVE ENVIRONMENT TO EXERCISE AND BUILD TEAM SKILLS. THIS LEGISLATION HAS NOT BECOME LAW, AND WE WILL CONTINUE TO FOCUS RESOURCES ON ADVOCATING FOR THIS POLICY. ALONG WITH OTHER MEDICAL PARTNERS, CHILDREN'S OPPOSED LEGISLATION THAT WOULD ALLOW UNPASTEURIZED "RAW MILK" TO BE SOLD TO CONSUMERS. CHILDREN'S WILL CONTINUE TO LOOK FOR WAYS TO SUPPORT ACCESS TO HEALTHY FOODS AND INCREASED PHYSICAL ACTIVITY IN OUR COMMUNITIES.PRIORITY #5: ASTHMAABOUT A QUARTER OF KEY INFORMANTS RANKED CHRONIC DISEASE AS A TOP HEALTH CONCERN, AND CHILDREN'S HOSPITAL FURTHER PRIORITIZED ASTHMA DUE TO ITS PREVALENCE AMONG CHILDREN AND YOUTH. OUR PROGRAMS AND INITIATIVES THAT ADDRESSES THE ASTHMA PRIORITY FOLLOW.WISCONSIN ASTHMA COALITIONSINCE 2001, CHILDREN'S HOSPITAL HAS SUPPORTED THIS DIVERSE, STATEWIDE COALITION THAT WORKS TO TAKE CONTROL OF ASTHMA THROUGH IMPLEMENTATION OF THE WISCONSIN ASTHMA PLAN. THE WISCONSIN ASTHMA PLAN IS A BLUEPRINT FOR MANAGING ASTHMA ACROSS THE STATE, AND INCLUDES THE FOLLOWING ACTIVITIES:- IMPROVING OUTCOMES IN PRACTICAL ASTHMA MANAGEMENT THIS INITIATIVE OFFERS IN-PERSON EDUCATION FOR PRIMARY CARE PROVIDER TEAMS ON HOW TO IMPLEMENT THE NATIONAL ASTHMA GUIDELINES WITHIN THEIR CLINICAL PRACTICE.- ASTHMA MEDICATION ASSISTANCE AT CHAWISCONSIN.ORG/MEDS, THE COALITION HAS COMPILED AN ONLINE RESOURCE OF ALL PRESCRIPTION ASSISTANCE PROGRAMS AND COUPONS AVAILABLE FOR ASTHMA MEDICATIONS. ASTHMA ADVOCACYCHILDREN'S SUPPORTED LEGISLATION TO INCLUDE E-CIGARETTES ON THE STATEWIDE SMOKING BAN LIST AND SUPPORTED LIMITING E-CIGARETTE USE ON SCHOOL PROPERTY.STRATEGIES THAT CROSS MULTIPLE PRIORITIESSOME OF OUR STRATEGIES CUT ACROSS THE PRIORITY AREAS. THESE PARTNERSHIPS AND COLLABORATIVE INITIATIVES ALSO PLAY AN IMPORTANT ROLE IN IMPROVING CHILDREN'S HEALTH.RE:TH!NKCHILDREN'S HOSPITAL PARTICIPATES IN WINNEBAGO COUNTY'S HEALTHY LIVING PARTNERSHIP, RE:TH!NK, FACILITATED BY THE WINNEBAGO COUNTY HEALTH DEPARTMENT. RE:TH!NK FOCUSES ON CREATING AN ENVIRONMENT WHERE EVERYONE HAS THE OPPORTUNITY TO LIVE THE HEALTHIEST LIFE POSSIBLE, IMPLEMENTING STRATEGIES WHICH IMPACT MENTAL HEALTH, SUBSTANCE ABUSE, NUTRITION, PHYSICAL ACTIVITY, AND MORE. CHILDREN'S COMMUNITY HEALTH PLANCREATED BY CHILDREN'S HOSPITAL, THIS INSURANCE PLAN SERVES MORE THAN 130,000 CHILDREN AND ADULTS WHO ARE COVERED BY BADGERCARE PLUS OR WHO PARTICIPATE IN THE COMMERCIAL HEALTH EXCHANGE, ENSURING THAT MORE FAMILIES GET ACCESS TO HIGH-QUALITY HEALTH CARE. OUR HEALTH PLAN FACILITATES A VARIETY OF HEALTH PROMOTION INITIATIVES FOR ITS FAMILIES, SUCH AS HEALTHY SHOPPING EDUCATION AND PRENATAL EDUCATION AND REFERRALS.INSTITUTE FOR CHILD AND FAMILY WELL-BEINGTHIS JOINT INITIATIVE BETWEEN THE CHILDREN'S HOSPITAL'S COMMUNITY SERVICES DIVISION AND UNIVERSITY OF WISCONSIN-MILWAUKEE'S HELEN BADER SCHOOL OF SOCIAL WELFARE AIMS TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES BY DESIGNING AND IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH AND EVALUATION, AND PROMOTING CHANGE THROUGH POLICY AND ADVOCACY. TO FULFILL THIS MISSION, THE INSTITUTE PROMOTES COMMUNITY COLLABORATION TO BRIDGE UNNECESSARY DIVIDES BETWEEN PRACTICE, RESEARCH AND POLICY. NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDSTHE NORTHEAST REGIONAL CENTER IS ONE OF FIVE REGIONAL CENTERS ACROSS THE STATE, FUNDED THROUGH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES' TITLE V CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS PROGRAM AND MATERNAL CHILD HEALTH PROGRAM LOCATED IN THE DIVISION OF PUBLIC HEALTH. CHILDREN'S HOSPITAL FACILITATES THE GRANT FOR THE NORTHEAST CENTER, PRIORITIZING:1. MEDICAL HOMES: CHILDREN AND YOUTH RECEIVE COORDINATED, ONGOING, AND COMPREHENSIVE CARE.2. TRANSITION: YOUTH RECEIVE THE SERVICES NECESSARY TO MAKE TRANSITIONS TO ALL ASPECTS OF ADULT LIFE, INCLUDING ADULT HEALTH CARE, WORK, AND INDEPENDENCE.3. FAMILY LEADERSHIP: FAMILIES ARE PARTNERS IN SHARED DECISION-MAKING FOR THE CHILD'S OPTIMAL HEALTH.THE NORTHEAST REGIONAL CENTER WORKS TOWARD THESE PRIORITIES BY PROVIDING INFORMATION AND RESOURCES TO FAMILIES AND THE PROVIDERS SERVING THOSE FAMILIES, AND BY BUILDING SYSTEMS AT THE COMMUNITY, COUNTY, AND STATE LEVELS. WISCONSIN MEDICAL HOME INITIATIVETHE WISCONSIN MEDICAL HOME INITIATIVE PROMOTES CHILDREN'S HEALTH AND DEVELOPMENT THROUGH ITS DIRECT SUPPORT TO PRIMARY CARE CLINICIANS AND FAMILIES. TRAINING, TECHNICAL ASSISTANCE, AND RESOURCES ARE PROVIDED TO SUPPORT MEDICAL HOME IMPLEMENTATION WITH A FOCUS ON DEVELOPMENTAL SCREENING, BEHAVIORAL HEALTH INTEGRATION, AND FAMILY PARTNERSHIP. THIS PROGRAM IS AN INITIATIVE OF CHILDREN'S HEALTH ALLIANCE OF WISCONSIN AND IS SUPPORTED BY CHILDREN'S HOSPITAL. FUNDING IS PROVIDED THROUGH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES' TITLE V CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS PROGRAM AND MATERNAL CHILD HEALTH PROGRAM LOCATED IN THE DIVISION OF PUBLIC HEALTH.ADVOCACYCHILDREN'S IS COMMITTED TO ADVOCATING ON BEHALF OF CHILDREN AND FAMILIES THROUGHOUT WISCONSIN. THROUGH FEDERAL, STATE AND LOCAL LEVEL ADVOCACY EFFORTS, CHILDREN'S FOCUSES ON PUBLIC POLICY THAT IMPROVES THE HEALTH STATUS OF CHILDREN.ADVOCATING FOR POLICY HAS A SIGNIFICANT IMPACT ON OUR COMMUNITIES BEYOND JUST THOSE SERVED BY CHILDREN'S. ALONG WITH VALUABLE PARTNER ORGANIZATIONS, CHILDREN'S HAS SUCCESSFULLY ADVOCATED FOR SEVERAL PIECES OF POLICY RELATED TO THE IDENTIFIED PRIORITIES AND OTHER AREAS IMPORTANT TO THE HEALTH OF CHILDREN AND FAMILIES.CHILDREN'S RESEARCH INSTITUTECHILDRENS' IS COMMITTED TO RESEARCH THAT LEADS TO LIFE-SAVING DISCOVERIES AND CURES, NEW AND BETTER TREATMENTS, AND HEALTHIER AND HAPPIER CHILDREN AND FAMILIES. OUR RESEARCH INSTITUTE STAFF IS TAKING DISCOVERIES FROM THE LABORATORY AND CONVERTING THEM TO NEW THERAPIES AT PATIENTS' BEDSIDES. WE ALSO STUDY OTHER FACTORS THAT IMPACT HEALTH AND QUALITY OF LIFE. WE HAVE HUNDREDS OF INVESTIGATORS, RESEARCH TRAINEES AND TECHNICIANS WORKING ON MORE THAN 1,000 RESEARCH PROJECTS AND ACTIVE CLINICAL TRIALS. OUR RESEARCH IS RELATED TO SEVERAL OF THE IDENTIFIED PRIORITIES AND MANY OTHER AREAS THAT IMPACT CHILDREN AND FAMILIES.EDUCATION OF FUTURE HEALTH CARE PROFESSIONALSWE HELP PROVIDE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS WITH THE TRAINING THEY NEED TO CARE FOR THE UNIQUE MEDICAL NEEDS OF CHILDREN. THIS INCLUDES PROVIDERS WHO WILL WORK IN SPECIALTY CARE, PRIMARY CARE AND OTHER COMMUNITY-BASED SETTINGS. EACH YEAR, OUR PROVIDERS AND STAFF TEACH HUNDREDS OF MEDICAL STUDENTS, RESIDENTS, FELLOWS, NURSING STUDENTS AND STUDENTS FROM OTHER MEDICAL PROFESSIONS, ENSURING THEY HAVE THE SPECIAL KNOWLEDGE, SKILLS AND EXPERIENCE THEY REQUIRE TO ENSURE THE BEST HEALTH OUTCOMES FOR CHILDREN.

Schedule H (Form 990) 2018

Page 9

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?3
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 - WAUKESHA 726 N EAST AVE WAUKESHA,WI53186	PATIENT CARE SERVICES
3	3 - CHILD ADVOCACY CENTER - GREEN BAY 503 S MONROE AVE GREEN BAY,WI54301	PATIENT CARE SERVICES
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

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 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:	CHILDREN'S HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $6,754,526 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 CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED.
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'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 27-28 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 PAID LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER THE COST TO PROVIDE THESE MEDICALLY NECESSARY SERVICES TO THIS POPULATION.
PART III, LINE 9B:	AT ALL LOCATIONS, 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 COMMUNITIES, 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. THE ASSESSMENTS ARE RELATIVE OF INPUT GATHERED IN BOTH INDIVIDUAL INTERVIEWS AND SMALL FOCUS GROUPS, AS WELL AS PRIMARY AND SECONDARY DATA ANALYSIS. IN ADDITION, CHW-MILWAUKEE CONDUCTED A THOROUGH REVIEW OF ADDITIONAL 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. THE SECONDARY DATA ALLOWED FOR CHILDREN'S TO GAIN A DEEPER UNDERSTAND OF THE IDENTIFIED COMMUNITY HEALTH ISSUES RELATED TO A PEDIATRIC POPULATION.
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 AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF CHILDREN'S HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2018 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID.
PART VI, LINE 5:	CHILDREN'S HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. CHILDREN'S HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. CHILDREN'S HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. CHILDREN'S 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. CHILDREN'S 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, CHILDREN'S 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). CHILDREN'S HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, CHILDREN'S HOSPITAL OFFERS CLINICS THROUGHOUT THE METROPOLITAN AREA. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY, NEW BERLIN, MEQUON, DELAFIELD AND KENOSHA AREAS. IN RESPONSE TO FEEDBACK FROM THE COMMUNITY GAINED THROUGH LISTENING SESSIONS, CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, HAS ADDED CLINICS IN AREAS OF THE CENTRAL CITY PREVIOUSLY LACKING PEDIATRIC PRIMARY CARE PROVIDERS.CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES HEALTH CARE SERVICES IN TEN K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES. IN THE 2018-19 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COMPLETED OVER 19,100 HEALTH ROOM VISITS WITH A 96 PERCENT RETURN-TO-CLASS RATE. THE NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL, AND SOCIAL-EMOTIONAL WELLBEING NEEDS OF STUDENTS. THE SCHOOL NURSES ALSO WORK CLOSELY WITH THE COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS ON POPULATION-BASED CARE, OUTREACH, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THEY BRING PROVIDERS, FAMILIES, AND SCHOOL SUPPORT STAFF TOGETHER TO ADDRESS AND IMPROVE THE HEALTH AND WELLNESS OF THE STUDENTS THEY CARE FOR ON A DAILY BASIS. THE SCHOOL NURSES ROLE ENCOMPASSES DELIVERING PREVENTIVE AND SCREENING SERVICES; ESTABLISHING MEDICAL AND DENTAL HOMES; BEHAVIORAL ASSESSMENT; DISEASE SURVEILLANCE AND REPORTING; CHRONIC DISEASE MANAGEMENT; SCHOOL SAFETY AND EMERGENCY PREPAREDNESS; PROVIDING HEALTH EDUCATION; AND DAILY CARE COORDINATION INCLUDING MEDICATION ADMINISTRATION, G-TUBE FEEDINGS AND OTHER COMPLEX HEALTH PROCEDURES ONLY A HEALTH CARE PROVIDER CAN ADMINISTER. AN INCREASING NUMBER OF STUDENTS ARE ENTERING SCHOOLS EACH YEAR WITH SPECIAL NEEDS AND COMPLEX HEALTH CONDITIONS (ATTENTION-DEFICIT/ HYPERACTIVITY DISORDER, DIABETES, LIFE-THREATENING ALLERGIES, ASTHMA, AND SEIZURES) THAT REQUIRE EXTENSIVE INTERVENTION AND COORDINATION THROUGHOUT THE SCHOOL DAY TO KEEP KIDS HEALTHY AND IN THE CLASSROOM LEARNING. FOR CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, SEIZURES OR SICKLE CELL ANEMIA, THE SCHOOL NURSES WORK WITH PARENTS AND FAMILIES TO CREATE CARE PLANS HELPING GUIDE THE STUDENTS TO SELF-MANAGEMENT BY THE TIME THEY REACH HIGH SCHOOL, WITH A GOAL OF DECREASED URGENT CARE AND EMERGENCY DEPARTMENT VISITS AND INCREASED UTILIZATION OF PRIMARY CARE PROVIDERS. ADDITIONALLY, THE NURSES HELP FAMILIES' ACCESS COMMUNITY RESOURCES AND COORDINATE CARE WITH SOCIAL WORKERS AND SPECIALTY SERVICE PROVIDERS, INCLUDING BEHAVIORAL HEALTH, FOR FAMILIES WITH IDENTIFIED NEEDS AND EDUCATE STUDENTS AND FAMILIES REGARDING THE IMPORTANCE OF PREVENTIVE CARE AND A HOST OF OTHER HEALTH TOPICS, SUCH AS ANGER MANAGEMENT, DRUGS AND ALCOHOL, HUMAN GROWTH AND DEVELOPMENT, HYGIENE, NUTRITION, AND STRESS. ANNUALLY, CHILDREN'S SCHOOL NURSE PROGRAM CARES FOR 4,000 STUDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE.CHILDREN'S HOSPITAL OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TO MENTAL HEALTH PROVIDERS. THE HOSPITAL OFFERS PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. HOSPITAL COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES. CHILDREN'S HOSPITAL ALSO PROVIDES SCHOOL-BASED MENTAL AND BEHAVIORAL HEALTH SERVICES IN MORE THAN 30 SCHOOLS THROUGHOUT THE STATE, PLACING CHILD AND FAMILY THERAPISTS IN THE SCHOOL SETTING TO HELP REDUCE BARRIERS TO CARE.CHILDREN'S HOSPITAL ALSO OFFERS PROGRAMS TO EDUCATE 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. THE 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. CHILDREN'S ALSO DEVELOPED CROSSROADS, A TEEN DRIVING PROGRAM DESIGNED TO IMPROVE SAFETY FOR TEENS ON WISCONSIN'S ROADS.IN 2018, CHILDREN'S HOSPITAL CONTINUED ITS PARTNERSHIP WITH KOHL'S CORPORATION TO LAUNCH MISSION: HEALTHY KIDS. THIS PROGRAM PROVIDES FREE RESOURCES TO FAMILIES AND EDUCATORS TO HELP RAISE AWARENESS ABOUT THE IMPACT OF NUTRITION AND PHYSICAL ACTIVITY ON CHILDREN'S DEVELOPMENT AND WELL-BEING. CHILDREN'S HOSPITAL'S CAR SEAT CLINIC IS A COLLABORATION BETWEEN CHILDREN'S 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 PHYSICIAN 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 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 140 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, CHILDREN'S HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, NORTH 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 CHILDREN'S HOSPITAL AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS.CHILDREN'S HOSPITAL IS A FOUNDING AND ONGOING PARTNER IN THE SOJOURNER FAMILY PEACE CENTER, WHICH PROVIDES A SINGLE LOCATION FOR SERVICES FOR MILWAUKEE WOMEN, MEN 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 THIS VULNERABLE POPULATION.CHILDREN'S 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. CHILDREN'S 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. (CONTINUED ON PAGE 97)
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 HEALTH CARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN.CHILDREN'S HOSPITAL OPERATES A LARGE CLINIC IN NORTHWEST MILWAUKEE. THE MIDTOWN CLINIC IS LOCATED IN A NEIGHBORHOOD WITH FEW PEDIATRIC HEALTH CARE OPTIONS AND A LARGE POPULATION OF CHILDREN. THE CLINIC OFFERS PEDIATRIC AND ADOLESCENT PRIMARY CARE, BEHAVIORAL MEDICINE AND DENTAL CARE IN AN ENGAGING SPACE WITH STATE-OF-THE-ART TECHNOLOGY AND AMENITIES DESIGNED SPECIFICALLY FOR PEDIATRIC PATIENTS AND THEIR FAMILIES. BY OFFERING MULTIPLE SERVICES UNDER ONE ROOF IN A PATIENT-CENTERED MEDICAL HOME MODEL, CARE IS MORE EFFICIENT, COORDINATED AND ACCESSIBLE. THIS CLINIC HAD 11,075 PRIMARY CARE VISITS AND 7,083 DENTAL VISITS IN 2018 AND 94 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID.CHILDREN'S HOSPITAL ALSO HAS PARTNERED WITH LOCAL AGENCIES TO OPEN COMMUNITY CLINICS IN OTHER UNDERSERVED MILWAUKEE NEIGHBORHOODS. THESE CLINICS SERVE PEDIATRIC PATIENTS FROM BIRTH TO 19 YEARS OF AGE. THE CLINICS ARE STAFFED BY 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 HAVE THE NECESSARY SERVICES TO BE HEALTHY AND SAFE. THE CLINICS HAD 1,026 VISITS IN 2018 AND 90 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID. ANOTHER CLINIC IS LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY. IT PROVIDES PRIMARY CARE, DENTAL CARE AND MENTAL HEALTH CARE IN AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. THIS CLINIC HAD 2,480 PRIMARY CARE VISITS AND 3,559 DENTAL VISITS IN 2018. 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 WELL-BEING. CHW COMMUNITY SERVICES OFFERS CHILD WELL-BEING 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 A 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 ENGAGES IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF CHILDREN'S HOSPITAL AND ITS AFFILIATES AT THE STATE AND FEDERAL LEVELS OF GOVERNMENT. IN 2018, ON THE STATE LEVEL, CHILDREN'S ADVOCATED WITH PARTNER ORGANIZATIONS FOR LEGISLATION WHICH WOULD ENSURE THAT EMERGENCY DISPATCHERS ACROSS THE STATE ARE TRAINED IN TALKING CALLERS THROUGH PERFORMING LIFE-SAVING CPR BEFORE FIRST RESPONDERS ARRIVE. CHILDREN'S ALSO SUPPORTED NEW LAWS AS PART OF THE SPEAKER'S TASK FORCE ON FOSTER CARE. THESE BILLS FOCUS ON IMPROVING THE PROCESS FOR CHILDREN TO FIND SAFE, PERMANENT HOMES, INCREASING FUNDING FOR HOME VISITING AND PREVENTION SERVICES, ALLOWING FOSTER PARENTS TO SUPPORT THE CHILD'S MENTAL HEALTH CARE, AND ENSURING CHILDREN IN OUT-OF-HOME CARE RECEIVE DENTAL CARE. CHILDREN'S ALSO WROTE TO THE GOVERNOR REGARDING POLICIES TO KEEP KIDS SAFER IN SCHOOL AND FAMILIES SAFER FROM GUN VIOLENCE. WE ALSO ADVOCATED FOR OTHER STATE POLICIES, INCLUDING THOSE TO PREVENT YOUTH TOBACCO AND ILLICIT PRESCRIPTION DRUG USE, INCREASE DENTAL HEALTH CARE ACCESS THROUGH LICENSURE OF DENTAL THERAPISTS, PREVENT LEAD POISONING, AND PROTECT CHILD VICTIMS OF PROSTITUTION AND HUMAN TRAFFICKING. ON THE FEDERAL LEVEL IN 2018, CHILDREN'S CONTINUED TO ADVOCATE FOR LEGISLATION TO REAUTHORIZE THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO SUPPORT KIDS' HEALTH CARE ACCESS, THE MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM TO ENSURE CHILDREN AND FAMILIES HAVE ACCESS TO SUPPORTIVE PREVENTIVE SERVICES TO KEEP CHILDREN SAFELY AT HOME, AND THE FAMILY FIRST PREVENTION SERVICES ACT, WHICH ALLOWS STATES TO USE CHILD WELFARE FUNDING FOR PREVENTION SERVICES. CHILDREN'S ALSO ADVOCATED TO IMPROVE COORDINATION FOR KIDS WITH SPECIAL HEALTH CARE NEEDS, THE ACE KIDS ACT. ADDITIONALLY, CHILDREN'S SUPPORTED LEGISLATION TO REAUTHORIZE FUNDING FOR THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION (CHGME) PROGRAM AT $325 MILLION ANNUALLY. WE ENCOURAGED SUPPORT FOR THE OPIOID CRISIS RESPONSE ACT, LEGISLATION REAUTHORIZING FUNDING FOR THE EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM AND THE REDUCING UNEXPECTED DEATHS IN INFANTS & CHILDREN ACT, WHICH SEEKS TO STRENGTHEN AND AUTHORIZE ADDITIONAL RESOURCES FOR STRATEGIES TO REDUCE STILL BIRTHS, SUDDEN UNEXPECTED INFANT DEATH AND SUDDEN UNEXPLAINED CHILDHOOD DEATH. WE ALSO ENGAGED OUR GRASSROOTS EFFORTS REGARDING THE TREATMENT OF CHILDREN AND FAMILIES AT OUR SOUTHERN BORDER. CHILDREN'S CONTINUES TO PARTICIPATE IN THE COALITION FOR PEDIATRIC MEDICAL RESEARCH WHICH WORKS ON DEVELOPING LEGISLATION TO STRENGTHEN NIH INVESTMENTS IN PEDIATRIC AND CHILD HEALTH RESEARCH AND WORKFORCE DEVELOPMENT.AS AFOREMENTIONED, CHILDREN'S OFFERS OPPORTUNITIES TO TAKE GRASSROOTS ACTION THROUGH OUR 10,000+ MEMBER CHILDREN'S ADVOCACY NETWORK (CAN). CAN ADVOCATES TAKE ACTION ON IMPORTANT HEALTH AND WELL-BEING TOPICS TO HELP RAISE OUR COLLECTIVE VOICES ON BEHALF OF THE KIDS AND FAMILIES WE SERVE. ADDITIONALLY, CHILDREN'S PARTICIPATES IN LOBBY DAYS ALONGSIDE OUR ASSOCIATION PARTNERS IN BOTH MADISON AND WASHINGTON, D.C. TO ADVOCATE ON OUR SHARED POLICY PRIORITIES TO IMPROVE CHILDREN'S HEALTH AND WELL-BEING. THESE EVENTS OFFER OUR PATIENT FAMILIES, LEADERS, STAFF AND COMMUNITY MEMBERS WITH OPPORTUNITIES TO STAY INFORMED AND ENGAGE IN IMPORTANT CHILD HEALTH POLICY CONVERSATIONS.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 RELATED TO CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). CHILDREN'S HOSPITAL HAS SELECTED FIVE NEIGHBORHOODS FOR ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS WERE IDENTIFIED BECAUSE THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGED RESIDENTS; THERE WERE SIGNIFICANT, BUT MODIFIABLE, CHALLENGES TO CHILD HEALTH OUTCOMES; AND THEY HAD EXISTING TRUSTED COMMUNITY RESOURCES THAT WERE WILLING TO PARTNER WITH CHILDREN'S HOSPITAL TO ENGAGE THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. (CONTINUED ON PAGE 95)
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM (CONTINUED)	AS A PARTNER AND FACILITATOR, CHILDREN'S HOSPITAL'S STAFF HAS ENCOURAGED LEADERS FROM THE PRIORITY NEIGHBORHOODS TO IDENTIFY KEY AREAS FOR STRATEGIC INTERVENTION. AS A RESULT OF SEVERAL FACILITATED LISTENING SESSIONS, TWO OF THE THREE NEIGHBORHOODS HAVE ARTICULATED HEALTH AS A KEY AREA FOR STRATEGIC INTERVENTION AND THE COMMUNITIES NOW ARE IDENTIFYING SPECIFIC CATEGORIES WITHIN THE LARGER RUBRIC OF "HEALTH" ON WHICH TO CONCENTRATE IMPROVEMENT EFFORTS. ONE STRATEGY THAT HAS BEEN IMPLEMENTED IS USING COMMUNITY NAVIGATORS TRUSTED LOCAL RESIDENTS WHO EDUCATE NEIGHBORS ABOUT A SPECIFIC BEHAVIOR CHANGE OR RESOURCE UTILIZATION THAT WILL RESULT IN IMPROVED HEALTH OUTCOMES. CHHS'S FOCUS IS TO HAVE RELEVANT, ACCURATE, RESIDENT-LEVEL INFORMATION REGARDING TRUSTED SOURCES OF INFORMATION AND DIRECT INFLUENCES ON RESIDENT'S BEHAVIORS. CHILDREN'S HOSPITAL IS PARTNERING WITH THE COMPREHENSIVE CENTER OF EXCELLENCE FOR HEALTH EQUITY IN WISCONSIN TO UTILIZE COMMUNITY-MAPPED "WAYS OF KNOWING" TO BEST UNDERSTAND DIRECT INFLUENCES ON HEALTH BEHAVIORS IN THE SELECTED COMMUNITIES. THE COMMUNITY NAVIGATORS ARE WORKING COLLABORATIVELY WITH THE CENTER'S COMMUNITY HEALTH EDUCATOR TO FOSTER KEY RELATIONSHIPS WITHIN THE COMMUNITY. CHILDREN'S HOSPITAL FACILITATED THE DEVELOPMENT OF CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL MATERIALS FOR THE COMMUNITY NAVIGATORS AND LED THE TRAINING OF BOTH THE COMMUNITY NAVIGATORS AND THE CENTER'S COMMUNITY HEALTH EDUCATOR. THIS COORDINATED APPROACH WILL ALLOW CHILDREN'S HOSPITAL AND THE CENTER TO FACILITATE EFFECTIVE COMMUNITY TRANSFORMATION THAT IS RESPECTFUL OF THE LOCAL CULTURE. IN ADDITION, THE COLLABORATION ALLOWS FOR COMMUNITY-LED MEASUREMENT OF IDENTIFIED OUTCOMES FACILITATING COMMUNITY EMPOWERMENT AND CONTRIBUTING TO SUSTAINABLE CHANGES.CHILDREN'S HOSPITAL AND THE UNIVERSITY OF WISCONSIN-MILWAUKEE HELEN BADER SCHOOL OF SOCIAL WELFARE HAVE ESTABLISHED THE INSTITUTE FOR CHILD AND FAMILY WELL-BEING, AN ACADEMIC-COMMUNITY PARTNERSHIP TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES FACING COMPLEX CHALLENGES SUCH AS VIOLENCE, INCARCERATION OR EXTREME POVERTY. THE INSTITUTE COMPRISES THREE CORE SERVICE AREAS: DESIGNING AND IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH AND EVALUATION, AND PROMOTING CHANGE THROUGH POLICY AND ADVOCACY. THIS WORK IS CRITICAL BECAUSE NEARLY ONE THIRD OF CHILDREN IN MILWAUKEE (30.5 PERCENT) HAVE HAD AT LEAST TWO ADVERSE CHILDHOOD EXPERIENCES SUCH AS MALTREATMENT, NEGLECT, VIOLENCE OR EXTREME POVERTY WHICH IS SIGNIFICANTLY HIGHER THAN THE NATIONAL AVERAGE OF 22.6 PERCENT (DATA RESOURCE CENTER FOR CHILD & ADOLESCENT HEALTH). RESEARCH HAS PROVEN THAT CHILDHOOD ADVERSITY ACTUALLY INTERRUPTS CHILDREN'S BRAIN DEVELOPMENT, CAUSING INCREASED LIKELIHOOD OF MENTAL HEALTH PROBLEMS, SUBSTANCE ABUSE, JUVENILE DELINQUENCY AND TEEN PREGNANCY, IN ADDITION TO POOR LONG-TERM HEALTH OUTCOMES AND DECREASED ACADEMIC ACHIEVEMENT, WHICH CAN LEAD TO LONG-TERM EMPLOYABILITY ISSUES.THESE AFFILIATED PROGRAMS AND ACTIVITIES SEEK TO ENSURE THAT CHILDREN HAVE ACCESS TO HIGH-QUALITY HEALTH AND SOCIAL SERVICES.PART VI, LINE 7: CHHS, THE SOLE CORPORATE MEMBER OF 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 VI, LINE 5: PROMOTION OF COMMUNITY HEALTH (CONTINUED)	FIGHT ASTHMA MILWAUKEE ALLIES, WHICH IS SUPPORTED BY MEDICAL STAFF AT CHILDREN'S 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. THE COALITION 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, PATIENT RELATIONS, INTERPRETERS AND FAMILY ACCOMMODATIONS AND HOUSES 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 2018, THE FAMILY RESOURCE CENTER SERVED MORE THAN 16,000 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 CALLED PROJECT SEARCH, AN INNOVATIVE WORKFORCE AND CAREER DEVELOPMENT MODEL FOR YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THROUGH PROJECT SEARCH, YOUNG ADULTS WITH DISABILITIES RECEIVE INTERNSHIPS WITHIN THE HOSPITAL TO GAIN ON-THE-JOB TRAINING AND OTHER CAREER DEVELOPMENT SKILLS TO SECURE COMPETITIVE EMPLOYMENT. IN THE FOX VALLEY, CHILDREN'S HOSPITAL AND THEDACARE REGIONAL MEDICAL CENTER-NEENAH PARTNER WITH ROOSEVELT ELEMENTARY SCHOOL TO PROMOTE HEALTHY HABITS AND CIVIC RESPONSIBILITY TO STUDENTS.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 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, EARLY LITERACY, EMERGENCY CARE, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, MEDICAL HOMES AND ORAL HEALTH. 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, AND EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDE STAFF AND OTHER PROGRAM EXPENSES. 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. EACH YEAR, STAFF SHARE THEIR EXPERTISE, LEADERSHIP AND TECHNICAL ASSISTANCE WITH VARIOUS COMMUNITY AGENCIES AND COMMITTEES. 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.

Schedule H (Form 990) 2018

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	(h) Purpose of grant or assistance
(1) ACCESS COMMUNITY HEALTH CENTERS 2901 W BELTLINE HWY STE 120 MADISON,WI53713	39-1391134	501 ( C ) (3)	7,298	DENTAL SEALANT
(2) AMERY HOSPITAL AND CLINIC 265 GRIFFIN STREET EAST AMERY,WI54001	39-0908320	501 ( C ) (3)	20,000	MEDICAL HOME
(3) BROWN COUNTY ORAL HLTH PARTNERSHIP 331 N BROADWAY GREEN BAY,WI54303	20-8969896	501 ( C ) (3)	6,859	DENTAL SEALANT
(4) CATALPA HEALTH PO BOX 8776 CAROL STREAM,IL60197	45-4681563	501 ( C ) (3)	52,137	VOCA
(5) CITY OF MENASHA 140 MAIN STREET MENASH,WI54952	39-6005525	CITY OF MENASHA	7,000	DENTAL SEALANT
(6) CITY OF WATERTOWN 106 JONES STREET WATERTOWN,WI530940477	39-6005640	CITY OF WATERTOWN	6,900	DENTAL SEALANT
(7) COLUMBIA COUNTY HEALTH AND HUMAN SERVICES PO BOX 136 PORTAGE,WI53901	39-6005681	COLUMBIA COUNTY	23,832	DENTAL SEALANT
(8) COMMUNITY HEALTH SYSTEMS INC 74 ELCIPSE CENTER BELOIT,WI53511	39-1919806	501 ( C ) (3)	6,424	DENTAL SEALANT
(9) DENTAMED HEALTHCARE LLC 5212 W DONGES LANE BROWN DEER,WI53223	81-5225234		49,393	DENTAL SEALANT
(10) HEALTHY TEETH HEALTHY LIVES 120 D HARRISON AVENUE OMRO,WI54963	46-4436776		13,447	DENTAL SEALANT
(11) LAKES COMMUNITY HEALTH DEPARTMENT NORTHLAKES COMMUNITY CLINIC 15910 W COMPANY LAKE ROAD HAYWARD,WI54843	35-2297925	501 ( C ) (3)	25,790	DENTAL SEALANT
(12) MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE,WI53226	39-0806261	501 ( C ) (3)	37,150	COIN GRANT
(13) MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE,WI53226	39-0806261	501 ( C ) (3)	16,009	CONGENITAL DISORDERS
(14) MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE,WI53226	39-0806261	501 ( C ) (3)	21,344	MEDICAL HOME
(15) PORTAGE COUNTY HEALTH AND HUMAN SERVICES 817 WHITING AVENUE STEVENS POINT,WI54481	39-6005731	PORTAGE COUNTY	12,000	DENTAL SEALANT
(16) PREFERRED DENTISTRY ASSOCIATION OF WISCONSIN LLC 1029 HOWARD ST EVANSTON,IL60202	27-2634563		78,750	DENTAL SEALANT
(17) PROFESSIONAL DENTAL HYGIENE EXPRESS 5388 STATE HWY 64 BLOOMER,WI54724	27-4969600		55,000	DENTAL SEALANT
(18) PREVEA HEALTH SYSTEM PO BOX 19059 GREEN BAY,WI54307	39-0808480	501 ( C ) (3)	20,000	MEDICAL HOME
(19) PRICE COUNTY HEALTH DEPARTMENT 104 S EYDER AVENUE PHILLIPS,WI54555	39-6005733	PRICE COUNTY	32,220	DENTAL SEALANT
(20) SAUK COUNTY 505 BROADWAY BARABOO,WI53913	39-6005740	SAUK COUNTY	25,830	DENTAL SEALANT
(21) SEALS ON WHEELS 1710 GOLDEN OAK LN MADISON,WI53711	38-8086637		39,555	DENTAL SEALANT
(22) SHAWANO COUNTY 311 N MAIN STREET SHAWANO,WI54166	39-6005743	SHAWANO COUNTY	8,136	DENTAL SEALANT
(23) TREMPELEAU COUNTY HUMAN SERVICES 36245 MAIN STREET WHITEHALL,WI54773	39-6005747	TREMPELEAU COUNTY	20,328	DENTAL SEALANT
(24) VILAS COUNTY PUBLIC HEALTH 330 COURT STREET EAGLE RIVER,WI54521	39-6005751	VILAS COUNTY	39,092	DENTAL SEALANT
(25) UNIVERSITY OF WISCONSIN-MADISON 432 N LAKE STRET ROOM 104 MADISON,WI53706	39-1805963	STATE COLLEGE	44,233	MEDICAL HOME
(26) UNIVERSITY OF WISCONSIN-MADISON 21 N PARK STREET SUITE 6401 MADISON,WI537151218	39-6006492	STATE COLLEGE	69,000	COIN GRANT
(27) WALWORTH COUNTY PO BOX 1001 ELKHORN,WI53121	39-6002726	WALWORTH COUNTY	8,089	DENTAL SEALANT
(28) WAUSHARA COUNTY PO BOX 837 WAUTOMA,WI54982	39-6005759	WAUSHARA COUNTY	19,375	DENTAL SEALANT
(29) WOOD COUNTY 400 MARKET STREET WISCONSIN RAPIDS,WI54494	39-6005763	WOOD COUNTY	31,436	DENTAL SEALANT
(30) CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-1500074	501 ( C ) (3)	34,824,200	GRANTS TO AFFILIATE
(31) CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-0806380	501 ( C ) (3)	2,381,971	GRANTS TO AFFILIATE
(32) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-1500075	501 ( C ) (3)	26,000,000	GRANTS TO AFFILIATE
(33) CHILDREN'S MEDICAL GROUP INC PO BOX 1997 MS 900 MILWAUKEE,WI532011997	39-1789197	501 ( C ) (3)	14,135,025	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) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash 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) 2018

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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? .............

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 nonfixed
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) 2018

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 TROY DIRECTOR/PRESIDENT AND CEO CHHS	(i) (ii)	0 ------------- 903,665	0 ------------- 381,341	0 ------------- 118,341	0 ------------- 235,540	0 ------------- 32,632	0 ------------- 1,671,519	0 ------------- 0
2MARC CADIUEX TREASURER/CFO	(i) (ii)	0 ------------- 494,431	0 ------------- 144,118	0 ------------- 43,134	0 ------------- 71,448	0 ------------- 26,296	0 ------------- 779,427	0 ------------- 0
3MICHELLE METTNER SECRETARY	(i) (ii)	0 ------------- 360,021	0 ------------- 76,098	0 ------------- 47,685	0 ------------- 61,750	0 ------------- 26,882	0 ------------- 572,436	0 ------------- 0
4SCOTT TURNER COO CHW AND EVP CHHS	(i) (ii)	497,193 ------------- 0	10,000 ------------- 0	42,828 ------------- 0	74,107 ------------- 0	29,249 ------------- 0	653,377 ------------- 0	0 ------------- 0
5MICHAEL GUTZEIT MD CHIEF MEDICAL OFFICER/VP CHW	(i) (ii)	400,571 ------------- 0	86,992 ------------- 0	74,899 ------------- 0	66,671 ------------- 0	30,445 ------------- 0	659,578 ------------- 0	40,602 ------------- 0
6LISA JENTSCH VP CHW	(i) (ii)	234,279 ------------- 0	58,957 ------------- 0	18,096 ------------- 0	23,000 ------------- 0	24,616 ------------- 0	358,948 ------------- 0	0 ------------- 0
7JULIET KERSTEN VICE PRESIDENT CHW	(i) (ii)	276,806 ------------- 0	59,087 ------------- 0	1,842 ------------- 0	13,750 ------------- 0	24,172 ------------- 0	375,657 ------------- 0	0 ------------- 0
8NANCY KOROM CHIEF NURSING OFFICER/VP CHW	(i) (ii)	312,780 ------------- 0	71,079 ------------- 0	65,093 ------------- 0	57,673 ------------- 0	34,673 ------------- 0	541,298 ------------- 0	32,052 ------------- 0
9THOMAS MILLER VP CHW	(i) (ii)	223,650 ------------- 0	26,563 ------------- 0	9,781 ------------- 0	17,215 ------------- 0	15,533 ------------- 0	292,742 ------------- 0	0 ------------- 0
10MATTHEW WADE VP CHW	(i) (ii)	198,329 ------------- 0	16,009 ------------- 0	20,555 ------------- 0	9,250 ------------- 0	28,239 ------------- 0	272,382 ------------- 0	0 ------------- 0
11LORI BARBEAU DDS MEDICAL DIR, DENTAL PROGRAM	(i) (ii)	285,412 ------------- 0	225 ------------- 0	14,445 ------------- 0	23,000 ------------- 0	32,971 ------------- 0	356,053 ------------- 0	0 ------------- 0
12MARY BARTEL MD MEDICAL DIRECTOR/HOSPITALIST	(i) (ii)	238,160 ------------- 0	2,800 ------------- 0	12,784 ------------- 0	19,699 ------------- 0	30,234 ------------- 0	303,677 ------------- 0	0 ------------- 0
13THOMAS NICHOLS MD HOSPITALIST	(i) (ii)	223,184 ------------- 0	0 ------------- 0	27,878 ------------- 0	19,607 ------------- 0	29,499 ------------- 0	300,168 ------------- 0	0 ------------- 0
14MARYLYN RANTA MD DIR, CHW PHYSICIAN AFFAIRS	(i) (ii)	271,443 ------------- 0	0 ------------- 0	18,852 ------------- 0	23,000 ------------- 0	28,246 ------------- 0	341,541 ------------- 0	0 ------------- 0
15CHRISTOPHER SPAHR CHIEF QLTY/SFTY OFFICER & ACMO	(i) (ii)	247,001 ------------- 0	33,093 ------------- 0	8,780 ------------- 0	14,750 ------------- 0	33,634 ------------- 0	337,258 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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, LINE 4B	IN 2018, 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 2018 WERE AS FOLLOWS: M. CADIEUX, $51,198; M. GUTZEIT, M.D., $43,671; N. KOROM, $34,673; AND M.METTNER, $41,500; AND S. TURNER, $67,250. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2018 WERE: M. GUTZEIT, M.D., $40,602; AND N. KOROM, $32,052. CHHS HAS REPORTED ADDITIONAL AMOUNTS SET ASIDE FOR A NONQUALIFIED RETIREMENT PLAN ON BEHALF OF ITS PRESIDENT & CEO. THE AMOUNT SET ASIDE IN 2018 WAS $218,040 AND OF THAT, $49,022 WAS PAID AS A VESTED CONTRIBUTION 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, AND MICHELLE METTNER, SECRETARY OF CHW AND CORP VP GOVT & LEGAL AFFAIRS - 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) 2018

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	97712DE77	12-14-2017	331,805,198	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 ..................	334,929,281
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	289,101
6 Proceeds in refunding escrows ...............	136,730,042
7 Issuance costs from proceeds ...............	2,594,788
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	8,497,268
11 Other spent proceeds .............	93,733,433
12 Other unspent proceeds .............	93,084,649
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X
15 Were the bonds issued as part of an advance refunding issue? .....	X
16 Has the final allocation of proceeds been made? ..........		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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
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
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 ....	0.380 %
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 .............	0.380 %
7 Does the bond issue meet the private security or payment test? ...	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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		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
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

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 2017 BONDS, TOGETHER WITH THE PROCEEDS OF A SERIES OF TAXABLE BONDS, WERE ISSUED TO ADVANCE REFUND THE 2008A AND 2008B BONDS. THE SERIES 2017 BONDS WERE ALSO ISSUED TO FUND ALL OR A PORTION OF THE COSTS OF THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN HOSPITAL AND HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO EXPANSION AND RENOVATION TO THE BORROWERS SURGICAL PLATFORM, AMBULATORY FACILITIES AND EMERGENCY DEPARTMENT 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 $3,124,083.

PART III, 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) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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: WITT AND SOMMERHAUSER, ROTHMAN AND QUADRACCI, MANSELL AND SCHLIFSKE, ADAMS AND LOVELL, AND TROY AND LOVELL.
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 11B	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 DIRECTOR OF CORPORATE COMPLIANCE. 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 37,688,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,688,873. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 15,365,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,365,104. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 24,490,339. MANAGEMENT AND GENERAL EXPENSES 15,864,765. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,355,104.
FORM 990, PART XI, LINE 9:	NET CHANGE IN INTEREST IN NET ASSETS OF CHWF -5,761,221. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -4,113,845.
FORM 990, SCHEDULE R, PART V, LINE 1E:	PURSUANT TO AN AMENDED AND RESTATED MASTER TRUST INDENTURE DATED DECEMBER 14, 2017, 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) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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	AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SPPT SVCS	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 10	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 10	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 12A, I	N/A		No
(8)CHILDREN'S SPECIALTY GROUP INC 999 N 92ND ST SUITE C740 MILWAUKEE,WI53226 39-1990012	PEDIATRIC PHYSICIAN SERVICES	WI	501(C)(3)	LINE 12A, I	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(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

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) 2018

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) ............................

Yes

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 SERVICE SOCIETY OF WISCONSIN	B	2,381,971	CASH PAID/RECEIVED
(2) CHILDREN'S MEDICAL GROUP INC	B	14,135,025	CASH PAID/RECEIVED
(3) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	C	8,399,090	CASH PAID/RECEIVED
(4) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	E	358,596,260	NET BOOK VALUE
(5) CHILDREN'S COMMUNITY HEALTH PLAN INC - PATIENT REIMBURSEMENT	L	31,003,578	CASH PAID/RECEIVED
(6) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	S	26,000,000	CASH PAID/RECEIVED
(7) CHILDREN'S COMMUNITY HEALTH PLAN INC - ASSESSMENT PASS THROUGH PAYMENTS	S	17,166,368	CASH PAID/RECEIVED
(8) CHILDREN'S MEDICAL GROUP INC	Q	147,315	CASH PAID/RECEIVED

Schedule R (Form 990) 2018

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) 2018

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 DECEMBER 14, 2017, 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.

Schedule R (Form 990) 2018

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	21
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	3,985
6	Total number of volunteers (estimate if necessary) .............	6	522
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	55,634
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	29,584,746	24,584,158
9	Program service revenue (Part VIII, line 2g) .........	656,973,528	697,159,133
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,096,853	7,143,570
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,700,659	14,194,274
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	709,355,786	743,081,135
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	76,818,148	78,137,823
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)	240,900,854	260,356,761
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)....	359,760,916	387,215,857
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	677,479,918	725,710,441
19	Revenue less expenses. Subtract line 18 from line 12.......	31,875,868	17,370,694
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,692,269,144	1,720,774,843
21	Total liabilities (Part X, line 26).............	498,844,298	521,979,955
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,193,424,846	1,198,794,888

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 548,312,195 including grants of $ 78,137,823 ) (Revenue $ 706,733,072 )
	INPATIENT SERVICES: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW OR "THE HOSPITAL") OPERATES A 298-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 UNITED STATES. 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 AND BEYOND. IN 2018, 8,943 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 AND SHORT-STAY UNIT. IN ADDITION, THERE WERE 3,936 OBSERVATION PATIENTS IN 2018. 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 2018, 619 CHILDREN WERE ADMITTED TO THE FOX VALLEY HOSPITAL. IN ADDITION, THERE WERE 407 OBSERVATION PATIENTS IN 2018.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 68,093 VISITS TO THE EMERGENCY DEPARTMENT IN 2018. 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. THROUGH ITS AFFILIATES, THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT SEVERAL 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 2018, THERE WERE A TOTAL OF 331,828 OUTPATIENT VISITS.RESEARCH: THE HOSPITAL AND CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH; EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; HEART DEFECTS; 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 AN ACADEMIC FELLOWSHIP PROGRAM 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 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 INITIATIVE EXAMPLES INCLUDE CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, SOJOURNER FAMILY PEACE CENTER (SERVICES FOR ADULTS AND CHILDREN WHO HAVE EXPERIENCED DOMESTIC VIOLENCE), 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 expenses548,312,195

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,089,446	2,568,834	1,157,781

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	8,399,090
e	Government grants (contributions)		1e	14,904,371

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,280,697

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		24,584,158

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	685,539,974	685,539,974
b	OUTSIDE SALARY SUPPORT	541900	6,009,839	6,009,839
c	RENTAL INCOME	531120	5,609,320	5,609,320
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		697,159,133

3 Investment income (including dividends, interest, and othersimilar amounts) ......			9,694,928			9,694,928
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	12,553	113,860,567
b	Less: cost or other basis and sales expenses	108,739	116,315,739
c	Gain or (loss)	-96,186	-2,455,172
d	Net gain or (loss).....			-2,551,358			-2,551,358
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	5,961,280	5,961,280
b	PHARMACY SALES TO EMPLOYEES		446110	3,442,853			3,442,853
c	FOX VALLEY SCHOOL THERAPY		900099	1,065,108	1,065,108
d	All other revenue ....			3,725,033	2,547,551	55,634	1,121,848
e	Total. Add lines 11a–11d ......			14,194,274
12	Total revenue. See Instructions......			743,081,135	706,733,072	55,634	11,708,271

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	78,137,823	78,137,823
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,153,983		3,153,983
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	198,475,111	164,264,523	34,210,588
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,929,466	9,689,265	2,240,201
9	Other employee benefits .......	32,509,682	25,824,453	6,685,229
10	Payroll taxes ...........	14,288,519	14,214,953	73,566
11	Fees for services (non-employees):
a	Management ......	87,686,000	3,355,000	84,331,000
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	967,521		967,521
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	93,409,081	77,544,316	15,864,765
12	Advertising and promotion ....	92,426	30,009	62,417
13	Office expenses .......	150,836	19,403	131,433
14	Information technology ......	370,831	152,069	218,762
15	Royalties ..
16	Occupancy ...........	23,163,118	5,781,898	17,381,220
17	Travel ............	818,878	427,562	391,316
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	474,402	268,072	206,330
20	Interest ...........	12,807,410	12,807,410
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	56,336,490	56,336,490
23	Insurance ...	3,097,119	3,097,119
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	76,349,342	76,349,342
b	HOSPITAL ASSESSMENT TAX	10,751,462	10,751,462
c
d
e	All other expenses	20,740,941	9,261,026	11,479,915
25	Total functional expenses. Add lines 1 through 24e	725,710,441	548,312,195	177,398,246	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 ........			99,749,698	1	83,185,038
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			3,132,603	3	5,490,025
4	Accounts receivable, net .............			92,506,526	4	91,895,264
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
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 ....			588,167	7	692,520
8	Inventories for sale or use ........			8,315,980	8	8,778,505
9	Prepaid expenses and deferred charges ......			3,386,608	9	8,146,972
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	832,055,760
b	Less: accumulated depreciation	10b	432,872,565	398,432,138	10c	399,183,195
11	Investments—publicly traded securities .			374,274,394	11	420,646,591
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 ...........			711,883,030	15	702,756,733
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,692,269,144	16	1,720,774,843

17	Accounts payable and accrued expenses .....	77,267,872	17	93,074,075
18	Grants payable ...		18
19	Deferred revenue .........	816,640	19	868,378
20	Tax-exempt bond liabilities .........	365,665,769	20	358,596,260
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	55,094,017	25	69,441,242
26	Total liabilities. Add lines 17 through 25..	498,844,298	26	521,979,955

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	957,669,803	27	975,421,850
28	Temporarily restricted net assets ...........	53,235,220	28	49,911,269
29	Permanently restricted net assets	182,519,823	29	173,461,769
	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 ...........	1,193,424,846	33	1,198,794,888
34	Total liabilities and net assets/fund balances ........	1,692,269,144	34	1,720,774,843