TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) GIL PERIBEGINNING AUG 2024...................................................................... DIRECTOR/PRESIDENT AND CEO CHHS	0.00 ................. 40.00	X	X	733,264	170,491
(2) MARGARET TROYTHROUGH AUG 2024...................................................................... DIRECTOR/PRESIDENT AND CEO CHHS	0.00 ................. 40.00	X	X	2,589,483	68,848
(3) PATRICK HAMMES...................................................................... DIRECTOR/CHAIR	1.00 ................. 0.00	X		0	0
(4) LINDA BENFIELD...................................................................... DIRECTOR/VICE CHAIR	1.00 ................. 0.00	X		0	0
(5) TODD ADAMS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(6) RUPESH AGRAWAL...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(7) NANCY AVILA THROUGH SEPT 2024...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(8) KENNETH BOCKHORST...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(9) TINA CHANG...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(10) MATT D'ATTILIO...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(11) TODD ENDRES...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(12) IVAN GAMBOA...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(13) KAITIE GANNETT...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(14) KELLY GREBE...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(15) EVE HALL PHD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(16) XIA LIU...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(17) DANIELLE MACHATA...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BEN MELSON........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(19) TOM PRECIA........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(20) JAMES PURKO........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(21) JOHN RAYMOND MD........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(22) JOHN REICHERT........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(23) PAUL STERNLIEB........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(24) DAVE WERNER........................................................................ DIRECTOR	1.00 .......................0.00	X					0	0	0
(25) MARC CADIEUX........................................................................ TREASURER/SVP & CFO	0.00 .......................40.00		X				0	1,134,229	138,345
(26) LESLIE TECTOR........................................................................ SECRETARY/SVP & CHIEF LEGAL OFFICER	0.00 .......................40.00		X				0	694,284	106,972
(27) SCOTT TURNER........................................................................ PRESIDENT CHW AND EVP CHHS	40.00 .......................0.00		X				1,777,327	0	207,292
(28) RAINER GEDEIT MD........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................0.00			X			680,969	0	118,994
(29) LISA JENTSCH........................................................................ VP CHW	40.00 .......................0.00			X			464,269	0	65,374
(30) NANCY KOROM........................................................................ CHIEF NURSING OFFICER/VP CHW	40.00 .......................0.00			X			602,375	0	88,893
(31) JOHN SCALCUCCI........................................................................ VP AMBULATORY SERVICES	40.00 .......................0.00			X			318,279	0	86,170
(32) LORI BARBEAU DDS........................................................................ MEDICAL DIR, DENTAL PROGRAM	40.00 .......................0.00				X		380,927	0	54,622
(33) MICHELLE LINSMEIER MD........................................................................ ASSOCIATE CHIEF MEDICAL OFFICER	40.00 .......................0.00				X		334,180	0	32,351
(34) CARLI PAZ DMD........................................................................ DIR DENTAL RESIDENCY PROG	40.00 .......................0.00				X		320,687	0	86,876
(35) STEVEN PETITT........................................................................ VP CHW SUPT SVC	40.00 .......................0.00				X		335,620	0	72,423
(36) CHRISTOPHER SPAHR MD........................................................................ CHIEF QLTY/SFTY OFFICER & ACMO	40.00 .......................0.00				X		549,845	0	130,580
(37) MICHELLE METTNER........................................................................ FORMER OFFICER	0.00 .......................40.00					X	0	173,846	26
(38) MICHAEL GUTZEIT MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00					X	0	944,672	80,908

(A) Name and business address	(B) Description of services	(C) Compensation
MEDICAL COLLEGE OF WISCONSIN AFFILIATED 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	RESIDENT SERVICES	18,053,778
MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	HEALTHCARE PROF/ACADEMIC/ADMIN	12,535,749
STAFFENCY LLC 221 W COLLEGE AVE APPLETON,WI54911	TEMP EMPLOYEE SERVICES	10,458,539
VERSITI INC 29779 NETWORK PL CHICAGO,IL60673	DIAGNOSTIC LAB TESTING	10,250,231
THEDACARE REGIONAL MEDICAL CENTER - NEEN PO BOX 2021 APPLETON,WI54957	ANCILLARY SERV/OTHER SERV	7,579,089
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 101

- TIN:

SCHEDULE A
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 5 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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 5 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

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 0.015 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 0.035	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) 2024

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization CHILDREN'S HOSPITAL OF WISCONSIN INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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	747,110
d	Additions during the year ............................	1d	308,604
e	Distributions during the year ..........................	1e	234,687
f	Ending balance ................................	1f	821,027

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 ....	1,089,040,301	958,606,601	1,073,350,856	919,760,446	796,583,008
b	Contributions ...	15,039,469	23,277,973	48,882,270	24,896,176	23,642,636
c	Net investment earnings, gains, and losses	104,247,681	138,523,314	-136,753,281	152,052,729	121,364,111
d	Grants or scholarships ...	27,760,110	29,423,482	24,811,312	21,377,357	20,224,828
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	2,014,603	1,944,105	2,061,932	1,981,138	1,604,481
g	End of year balance ......	1,178,552,738	1,089,040,301	958,606,601	1,073,350,856	919,760,446

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

Board designated or quasi-endowment right arrow

70.970 %

Permanent endowment right arrow

22.822 %

Term endowment right arrow

6.209 %

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 .....	8,947,816		8,947,816
b	Buildings ....	1,033,461,223	440,768,671	592,692,552
c	Leasehold improvements	18,784,074	12,350,959	6,433,115
d	Equipment ....	213,132,666	135,574,264	77,558,402
e	Other .....	13,472,677	7,983,798	5,488,879
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				691,120,764

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other 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

Investments - Program 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				117,537,294
(2)BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION				1,178,552,738
(3)457 PLAN ASSETS				3,723,338
(4)INVESTMENT IN MRMC LAND, CATALPA, AND OTHER				4,379,570
(5)LEASE ASSETS				48,388,193
(6)UNBILLED RECEIVABLE-SL RENT				297,138
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,352,878,271

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	3,723,338
LEASE LIABILITY	51,303,630
ESTIMATED THIRD PARTY PAYER SETTLEMENTS	204,529
RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS	3,640,579
LT STRATEGIC FUNDING RESERVE	174,687
OTHER LIABILITIES	224,613



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	59,271,376
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) (Rev. 1-2025)

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, 2024 AND 2023.

Schedule D (Form 990) (Rev. 1-2025)

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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 30000.0000000000 %

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? . . . . . .

Yes

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) . . .	3,928,866		3,928,866	0.400 %
b	Medicaid (from Worksheet 3, column a) . . . . .	431,217,456	328,102,606	103,114,850	10.620 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	435,146,322	328,102,606	107,043,716	11.020 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	18,882,455	11,303,668	7,578,787	0.780 %
f	Health professions education (from Worksheet 5) . . .	41,995,317	11,158,417	30,836,900	3.180 %
g	Subsidized health services (from Worksheet 6) . . . .	50,623,932	28,451,579	22,172,353	2.280 %
h	Research (from Worksheet 7) .	9,763,951		9,763,951	1.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	851,253		851,253	0.090 %
j	Total. Other Benefits . .	122,116,908	50,913,664	71,203,244	7.340 %
k	Total. Add lines 7d and 7j .	557,263,230	379,016,270	178,246,960	18.360 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			5,000		5,000	0 %
3	Community support			53,000		53,000	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			65,611		65,611	0.010 %
7	Community health improvement advocacy
8	Workforce development			26,848		26,848	0 %
9	Other
10	Total			150,459		150,459	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

10,275,060

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).....

1,312,556

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

1,984,943

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

-672,387

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) 2024

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 WWW.CHILDRENSWI.ORG 135	X	X	X	X	X	X
2	CHILDREN'S HOSPITAL OF WI-FOX VALLEY 130 S 2ND STREET NEENAH,WI54956 WWW.CHILDRENSWI.ORG 1005	X	X	X			X

Schedule H (Form 990) 2024

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 22

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.CHILDRENSWI.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 22

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

Yes

If "Yes" (list url): WWW.CHILDRENSWI.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) 2024

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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

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):

CHILDRENSWI.ORG

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

CHILDRENSWI.ORG

A plain language summary of the FAP was widely available on a website (list url):
CHILDRENSWI.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) 2024

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2024

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) 2024

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 22

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.CHILDRENSWI.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 22

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

Yes

If "Yes" (list url): WWW.CHILDRENSWI.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) 2024

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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

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):

CHILDRENSWI.ORG

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

CHILDRENSWI.ORG

A plain language summary of the FAP was widely available on a website (list url):
CHILDRENSWI.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) 2024

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2024

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) 2024

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, 20a, 20b, 20c, 20d, 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 (MHCP), 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. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER IN THE MHCP, WHICH COMMISSIONS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS ACROSS THE COUNTY. THE ASSESSMENTS SERVE AS THE FOUNDATION FROM WHICH HOSPITALS AND LOCAL HEALTH DEPARTMENTS DEVELOP THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. IN 2021, MHCP CONTRACTED WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE TO GATHER AND SYNTHESIZE PRIMARY AND SECONDARY DATA, INCLUDING KEY INFORMANT INTERVIEWS, AND TO FACILITATE THE MILWAUKEE HEALTH COMPASS DATA PORTAL. CONDUENT INCLUDED THREE DATA SOURCES FOR THE MHCP ASSESSMENT:- COMMUNITY HEALTH SURVEY (PRIMARY DATA): AN ONLINE SURVEY CONDUCTED AUGUSTOCTOBER 2021, WITH MORE THAN 8,600 MILWAUKEE COUNTY RESIDENTS COMPLETING 50 QUESTIONS ON THE TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, ACCESS TO HEALTH SERVICES, AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING RACISM AND HEALTH EQUITY.- STAKEHOLDER INTERVIEWS AND FOCUS GROUPS (PRIMARY DATA): HEALTH SYSTEM COMMUNITY BENEFIT LEADERS MET WITH 103 INDIVIDUALS FROM 93 ORGANIZATIONS TO IDENTIFY THE COMMUNITY'S MOST PRESSING HEALTH ISSUES AND EFFECTIVE HEALTH IMPROVEMENT STRATEGIES. THE 48 KEY INFORMANTS AND 55 PARTICIPANTS IN FOUR FOCUS GROUPS REPRESENTED DIVERSE COMMUNITIES, INCLUDING AFRICAN AMERICAN, NATIVE AMERICAN, HISPANIC, HMONG, ELDERLY, YOUTH, LGBTQ+, INDIVIDUALS WITH DISABILITIES, AND THOSE LIVING WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS.- HEALTH COMPASS MILWAUKEE (SECONDARY DATA): FACILITATED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP, HEALTHCOMPASSMILWAUKEE.ORG PROVIDES MORE THAN 300 OF THE MOST CURRENT HEALTH INDICATORS FOR MILWAUKEE COUNTY AT THE COUNTY, MUNICIPAL, ZIP CODE AND CENSUS TRACT LEVELS (WHERE AVAILABLE), AS WELL AS RELATED DEMOGRAPHIC DATA SUCH AS RACE/ETHNICITY, EDUCATION, INCOME AND HOUSING.WHILE THESE REPORTS PROVIDE RICH DATA, THEY PRIMARILY FOCUS ON THE ADULT POPULATION ACROSS THE ENTIRE COUNTY. TO ENSURE CHILDREN ARE WELL REPRESENTED, WE CONSULTED ADDITIONAL PUBLIC SOURCES:- YOUTH VOICES PHOTOVOICE PROJECT: PHOTOS AND NARRATIVES THROUGHOUT THIS DOCUMENT CREATED BY YOUTH MEMBERS OF THE LEAD2CHANGE INTERACT CLUB.- 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 DEPARTMENT OF PUBLIC INSTRUCTION CONDUCTS THIS SURVEY REGULARLY IN SCHOOLS ACROSS THE STATE. - OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL SOURCES INCLUDE WISCONSIN INTERACTIVE STATISTICS ON HEALTH FROM THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS, AMONG OTHERS.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 5: THE FOX VALLEY COMMUNITY HEALTH IMPROVEMENT COALITION (FVCHIC), NOW CALLED TRI-COUNTY COMMUNITY IMPROVEMENT HEALTH COALITION (TRI-CO CHIC), IS COMPRISED OF FOUR PUBLIC HEALTH DEPARTMENTS AND FIVE HEALTH CARE SYSTEMS IN THE TRI-COUNTY SERVICE AREA OF CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES. THE FVCHIC CONDUCTED 56 VIRTUAL INTERVIEWS DURING SUMMER 2021 WITH LEADERS OF ORGANIZATIONS SERVING A VARIETY OF SECTORS AND COMMUNITIES. COALITION MEMBERS DEVELOPED THE SAMPLE TO REPRESENT THE TRI-COUNTY AREA, INTENTIONALLY REACHING OUT TO ORGANIZATIONS THAT SERVE LOW-INCOME, AGING, YOUTH, RURAL AND HMONG COMMUNITIES, AMONG OTHERS. ORGANIZATIONS PROVIDE A VARIETY OF SERVICES TO THESE POPULATIONS, INCLUDING BASIC NEEDS, BEHAVIORAL HEALTH, FAITH AND ECONOMIC DEVELOPMENT.WHILE THESE SOURCES PROVIDE RICH DATA, THEY PRIMARILY FOCUS ON THE ADULT POPULATION ACROSS THE TRI-COUNTY AREA. TO ENSURE CHILDREN ARE WELL REPRESENTED, WE CONSULTED ADDITIONAL DATA SOURCES:- 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.- YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS): THE WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION CONDUCTS THIS SURVEY REGULARLY IN SCHOOLS STATEWIDE. OTHER PUBLIC AND GOVERNMENT SOURCES: ADDITIONAL SOURCES INCLUDE WISCONSIN INTERACTIVE STATISTICS ON HEALTH FROM THE 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: CHILDREN'S WISCONSIN WORKS COLLABORATIVELY AS A MEMBER OF THE MHCP TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FINDINGS ARE USED AS THE FOUNDATION FOR A CHNA SPECIFIC TO OUR PEDIATRIC POPULATION. THE FOLLOWING HOSPITAL FACILITIES WERE INTEGRAL TO THE COMPLETION OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT: ADVOCATE AURORA HEALTH CARE, FROEDTERT HEALTH, ASCENSION WISCONSIN WORKING IN PARTNERSHIP WITH CHILDREN'S WISCONSIN.
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: ASCENSION, ADVOCATE AURORA HEALTH, AND THEDACARE WORKING IN PARTNERSHIP WITH CHILDREN'S WISCONSIN.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHILDREN'S WISCONSIN - MILWAUKEE CAMPUS CONDUCTED ITS CHNA WITH PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES AND THE CENTER FOR URBAN POPULATION HEALTH. CHILDREN'S PROVIDED ADDITIONAL LEADERSHIP, RESEARCH AND ANALYSIS TO DEVELOP THE ASSESSMENT UNIQUE TO CHILDREN IN MILWAUKEE.
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHILDREN'S WISCONSIN - FOX VALLEY CAMPUS CONDUCTED ITS CHNA WITH THE HEALTH DEPARTMENTS OF APPLETON, MENASHA AND OUTAGAMIE, CALUMET AND WINNEBAGO COUNTIES. CHILDREN'S PROVIDED ADDITIONAL LEADERSHIP, RESEARCH AND ANALYSIS TO DEVELOP THE ASSESSMENT UNIQUE TO CHILDREN IN THE FOX VALLEY.
CHILDREN'S HOSPITAL OF WI-MILWAUKEE	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS OUR RESPONSE TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. IT WILL BE OUR COMPASS OVER THE NEXT THREE YEARS, ALLOWING US TO PINPOINT AREAS WHERE WE CAN MAKE THE MOST MEANINGFUL IMPACT ON KIDS' HEALTH AND DIRECT OUR PROGRAMS, SERVICES AND ADVOCACY EFFORTS ACCORDINGLY. WHILE WE RECOGNIZE THAT ONE ORGANIZATION ALONE CANNOT ELIMINATE THE COMMUNITY'S BIGGEST HEALTH CHALLENGES, CHILDREN'S WISCONSIN IS UNIQUELY POSITIONED TO BE AN ADVOCATE FOR CHILDREN THROUGH OUR STRONG PEDIATRIC EXPERTISE AND LONG-ESTABLISHED COMMUNITY PARTNERSHIPS, PROGRAMS AND SERVICES. THIS REPORT ALSO HIGHLIGHTS THE MANY ASSETS THAT WE CAN LEVERAGE ACROSS THE COMMUNITY TO WORK COLLABORATIVELY TO IMPROVE AND SUSTAIN THE HEALTH AND WELL-BEING OF WISCONSIN'S KIDS.WE RECOGNIZE THAT CHILDREN'S WISCONSIN 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 AS THERE ARE MULTIPLE SYSTEMS THAT INTERSECT AND INFLUENCE HEALTH OUTCOMES FOR CHILDREN. WITH THAT UNDERSTANDING, AS A LEADER IN PEDIATRIC HEALTH CARE AND AN ADVOCATE FOR THE HEALTH OF CHILDREN ACROSS OUR COMMUNITY, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH EVIDENCE-BASED PROGRAMMING, COLLABORATION, EDUCATION AND ADVOCACY, WE CAN LEVERAGE AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY IMPLEMENTING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND, THROUGH THIS PLAN, ARE DEMONSTRATING A COMMITMENT TO BLEND THESE STRATEGIES WITH BOLD GOALS SERVING AS A CATALYST TO IMPROVING HEALTH OUTCOMES FOR KIDS.PRIORITY #1: INFANT HEALTHCHILDREN'S WISCONSIN ENDEAVORS TO MOVE OUR COMMUNITY'S INFANTS BEYOND SURVIVING INFANCY TO THRIVING AS CHILDREN AND ADULTS. COMPREHENSIVE INFANT HEALTH ENCOMPASSES MANY FACTORS THROUGH THE FIRST 24 MONTHS OF AGE THAT CAN PROVIDE A CHILD WITH A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. SAFE, AFFORDABLE HOUSING; TRANSPORTATION; AND EQUITY IN ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE (INCLUDING PRENATAL CARE) ARE ALL SOCIAL DRIVERS THAT CAN SHAPE THE HEALTH AND WELL-BEING OF OUR YOUNGEST RESIDENTS.KEY CONCERNS - TOO MANY INFANTS DIE BEFORE THEIR FIRST BIRTHDAY, WITH INFANTS IN MILWAUKEE EXPERIENCING DOUBLE THE MORTALITY RATE OF INFANTS STATEWIDE. - MANY FAMILIES IN WISCONSIN ARE NOT RECEIVING SUFFICIENT PREVENTATIVE CARE, SPECIFICALLY IN ORAL HEALTH, VACCINATIONS AND LEAD TESTING. - FAMILIES ARE NOT RECEIVING THE EQUITABLE SUPPORT NECESSARY FOR OPTIMIZING CHILDREN'S DEVELOPMENT AND EDUCATIONAL READINESS.STRATEGIC INITIATIVES - PRENATAL CARE: ENGAGE IN PURPOSEFUL PARTNERSHIPS TO LEVERAGE AND SUPPORT PRENATAL SERVICES. - PREVENTATIVE CARE: DECREASE THE DISPARITIES IN PREVENTATIVE SERVICES FOR ORAL HEALTH, VACCINES AND LEAD BEGINNING IN INFANCY BY PRIORITIZING COMMUNITY-SPECIFIC, INNOVATIVE SOLUTIONS. - ACCESS TO CARE/EARLY INTERVENTION: SUPPORT FAMILIES WITH CULTURALLY APPROPRIATE NAVIGATION AND INTEGRATION OF CARE, WITH EARLY INTERVENTION AND SERVICES WHEN NEEDS ARE IDENTIFIED THROUGH DEVELOPMENTAL SCREENING.ANTICIPATED IMPACT: WE WILL INCREASE ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN UNDER THE AGE OF 24 MONTHS.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CENTRALIZED LEAD CARE COORDINATION. CHILDREN'S WISCONSIN USES POPULATION DATA TO PROACTIVELY IDENTIFY KIDS WHO ARE AT RISK FOR ELEVATED LEAD LEVELS, AND WE TEST THOSE KIDS IN PRIMARY CARE VIA A FINGER PRICK. KIDS WITH ELEVATED LEAD LEVELS ARE REFERRED TO THE LAB FOR A BLOOD DRAW TO CONFIRM LEAD LEVELS AND ARE REFERRED TO SPECIALTY CARE IF THEY NEED TREATMENT. IN ADDITION, CHILDREN'S WISCONSIN REFERS KIDS WITH CONFIRMED ELEVATED LEAD LEVELS TO CITY AND OTHER COMMUNITY RESOURCES THAT OFFER FAMILIES ASSISTANCE IN IDENTIFYING AND MITIGATING THE SOURCE OF THE LEAD TOXICITY. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARYCARE/LEAD-TESTINGCHILDREN'S HEALTH ALLIANCE OF WISCONSIN. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. IT IS FOCUSED ON SIX INITIATIVES: EMERGENCY CARE, ENVIRONMENTAL HEALTH, GRIEF AND BEREAVEMENT (INCLUDING THE INFANT DEATH CENTER), INJURY PREVENTION AND DEATH REVIEW, MEDICAL HOME AND ORAL HEALTH. LEARN MORE: CHAWISCONSIN.ORG COMMUNITY CONNECTORS. CHILDREN'S WISCONSIN COMMUNITY CONNECTORS WORK ACROSS MILWAUKEE COUNTY WITH EXPECTANT MOMS OR PARENTS WHO HAVE CHILDREN AGES 0-5. THEY CONNECT FAMILIES WITH SUPPORTS SUCH AS POSITIVE PARENTING EDUCATION, STRESS MANAGEMENT, FAMILY ACTIVITIES AND OTHER NEEDED RESOURCES. LEARN MORE: DCF.WISCONSIN.GOV/CWPORTAL/CONNECTIONSCOUNTDREAM AND HOPE CLINICS. THE DEVELOPMENTALLY READY: ENGAGEMENT AND ACHIEVEMENT OF MILESTONES (DREAM) CLINIC ADDRESSES THE NEEDS OF INFANTS FROM CHILDREN'S WISCONSIN'S INTENSIVE CARE UNITS WHO HAVE SEVERE BRAIN INJURIES. THE HEALTHY OUTCOMES: POST-ICU ENGAGEMENT (HOPE) CLINIC SUPPORTS BABIES AND FAMILIES ONCE THEY GO HOME FROM OUR HOSPITAL TO ADDRESS INFANTS' CHANGING NEEDS OVER TIME. LEARN MORE: MCW.EDU/DEPARTMENTS/PEDIATRICS/ DIVISIONS/NEONATOLOGY/PATIENT-CAREFETAL CONCERNS CENTER OF WISCONSIN. A PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN, THE FETAL CONCERNS CENTER IS A NATIONAL LEADER IN FETAL CARE, RECOGNIZED FOR INNOVATIVE TREATMENTS THAT ARE GUIDED BY EXEMPLARY RESEARCH TO PRODUCE THE BEST OUTCOMES FOR A MOTHER AND HER FETUS. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/FETALCONCERNS-CENTERHEALTHY MOM HEALTHY BABY. CHORUS COMMUNITY HEALTH PLAN'S HEALTHY MOM, HEALTHY BABY PROGRAM HELPS PREGNANT WOMEN GET THE SUPPORT AND SERVICES THEY NEED TO HAVE A HEALTHY PREGNANCY AND BABY. A HEALTH PLAN MEMBER MAY RECEIVE SERVICES IN HER HOME OR OVER THE PHONE FROM SOCIAL WORKERS OR NURSES WHO ARE SPECIALLY TRAINED IN MATERNAL/INFANT HEALTH. THIS PROGRAM ALSO OFFERS HIGH-RISK PREGNANCY SERVICES AND BREASTFEEDING SUPPORT BY CERTIFIED LACTATION CONSULTANTS.HEALTHY START. THIS PROGRAM THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IS DESIGNED TO IMPROVE ACCESS TO QUALITY HEALTH CARE AND SERVICES FOR WOMEN, INFANTS, CHILDREN AND MALE PARTNERS THROUGH OUTREACH, CARE COORDINATION, HEALTH EDUCATION AND CONNECTIONS TO HEALTH INSURANCE. HEALTHY START WORKS TO IMPROVE HEALTH OUTCOMES BEFORE, DURING AND AFTER PREGNANCY, AND REDUCE RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES. LEARN MORE: MILWAUKEEHEALTHYSTART.ORGHOME VISITING. TRAINED PARENT EDUCATORS PROVIDE IN-HOME PARENT EDUCATION, SUPPORT, COMMUNITY RESOURCES AND CHILD DEVELOPMENT SERVICES TO PREGNANT AND PARENTING FAMILIES. THIS PROGRAM PROMOTES SAFE SLEEP, POSITIVE CHILD DEVELOPMENT AND EARLY SCHOOL READINESS USING AN EVIDENCE-BASED MODEL THAT IS FAMILY-CENTERED, CULTURALLY SENSITIVE AND STRENGTH BASED. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/FAMILIES-AND-CLIENTS/PARENTING-RESOURCES/HOME-VISITINGNEONATOLOGY/NEONATAL INTENSIVE CARE UNIT. CHILDREN'S WISCONSIN IS ONE OF THE REGION'S TOP PROVIDERS OF CARE FOR UNBORN BABIES AND NEWBORNS WITH COMPLEX MEDICAL AND SURGICAL NEEDS. OUR MILWAUKEE NEONATAL INTENSIVE CARE UNIT (NICU) THE STATE'S FIRST AND LARGEST LEVEL IV NICU, CARES FOR OVER 800 PREMATURE AND CRITICALLY ILL NEWBORNS EVERY YEAR. IN ADDITION, OUR HOSPITAL IN NEENAH HAS A 22-BED LEVEL III NICU THAT SERVES THE GREATER FOX VALLEY COMMUNITY.WISCONSIN BIRTH TO 3 PROGRAM. THIS STATEWIDE EARLY INTERVENTION PROGRAM OFFERS SERVICES AND SUPPORTS FOR CHILDREN UNDER AGE 3 WHO HAVE DELAYS OR DISABILITIES. LEARN MORE: DHS.WISCONSIN.GOV/BIRTHTO3(CONTINUED ON PAGE 53)
CHILDREN'S HOSPITAL OF WI-FOX VALLEY	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS OUR RESPONSE TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. IT WILL BE OUR COMPASS OVER THE NEXT THREE YEARS, ALLOWING US TO PINPOINT AREAS WHERE WE CAN MAKE THE MOST MEANINGFUL IMPACT ON KIDS' HEALTH AND DIRECT OUR PROGRAMS, SERVICES AND ADVOCACY EFFORTS ACCORDINGLY. WHILE WE RECOGNIZE THAT ONE ORGANIZATION ALONE CANNOT ELIMINATE THE COMMUNITY'S BIGGEST HEALTH CHALLENGES, CHILDREN'S WISCONSIN IS UNIQUELY POSITIONED TO BE AN ADVOCATE FOR CHILDREN THROUGH OUR STRONG PEDIATRIC EXPERTISE AND LONG-ESTABLISHED COMMUNITY PARTNERSHIPS, PROGRAMS AND SERVICES. THIS REPORT ALSO HIGHLIGHTS THE MANY ASSETS THAT WE CAN LEVERAGE ACROSS THE COMMUNITY TO WORK COLLABORATIVELY TO IMPROVE AND SUSTAIN THE HEALTH AND WELL-BEING OF WISCONSIN'S KIDS.WE RECOGNIZE THAT CHILDREN'S WISCONSIN 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 AS THERE ARE MULTIPLE SYSTEMS THAT INTERSECT AND INFLUENCE HEALTH OUTCOMES FOR CHILDREN. WITH THAT UNDERSTANDING, AS A LEADER IN PEDIATRIC HEALTH CARE AND AN ADVOCATE FOR THE HEALTH OF CHILDREN ACROSS OUR COMMUNITY, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH EVIDENCE-BASED PROGRAMMING, COLLABORATION, EDUCATION AND ADVOCACY, WE CAN LEVERAGE AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY IMPLEMENTING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND, THROUGH THIS PLAN, ARE DEMONSTRATING A COMMITMENT TO BLEND THESE STRATEGIES WITH BOLD GOALS SERVING AS A CATALYST TO IMPROVING HEALTH OUTCOMES FOR KIDS.PRIORITY #1: INFANT HEALTHCHILDREN'S WISCONSIN ENDEAVORS TO MOVE OUR COMMUNITY'S INFANTS BEYOND SURVIVING INFANCY STILL A CHALLENGE AND ISSUE OF HEALTH DISPARITIES TO THRIVING AS CHILDREN AND ADULTS. COMPREHENSIVE INFANT HEALTH ENCOMPASSES MANY FACTORS THROUGH THE FIRST 24 MONTHS OF AGE THAT CAN PROVIDE A CHILD WITH A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. SAFE, AFFORDABLE HOUSING; TRANSPORTATION; AND EQUITY IN ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE (INCLUDING PRENATAL CARE) ARE ALL SOCIAL DRIVERS THAT CAN SHAPE THE HEALTH AND WELL-BEING OF OUR YOUNGEST RESIDENTS.KEY CONCERNS - TOO MANY INFANTS DIE BEFORE THEIR FIRST BIRTHDAY, WITH INFANTS IN MILWAUKEE EXPERIENCING DOUBLE THE MORTALITY RATE OF INFANTS STATEWIDE. - MANY FAMILIES IN WISCONSIN ARE NOT RECEIVING SUFFICIENT PREVENTATIVE CARE, SPECIFICALLY IN ORAL HEALTH, VACCINATIONS AND LEAD TESTING. - FAMILIES ARE NOT RECEIVING THE EQUITABLE SUPPORT NECESSARY FOR OPTIMIZING CHILDREN'S DEVELOPMENT AND EDUCATIONAL READINESS.STRATEGIC INITIATIVES - PRENATAL CARE: ENGAGE IN PURPOSEFUL PARTNERSHIPS TO LEVERAGE AND SUPPORT PRENATAL SERVICES. - PREVENTATIVE CARE: DECREASE THE DISPARITIES IN PREVENTATIVE SERVICES FOR ORAL HEALTH, VACCINES AND LEAD BEGINNING IN INFANCY BY PRIORITIZING COMMUNITY-SPECIFIC, INNOVATIVE SOLUTIONS. - ACCESS TO CARE/EARLY INTERVENTION: SUPPORT FAMILIES WITH CULTURALLY APPROPRIATE NAVIGATION AND INTEGRATION OF CARE, WITH EARLY INTERVENTION AND SERVICES WHEN NEEDS ARE IDENTIFIED THROUGH DEVELOPMENTAL SCREENING.ANTICIPATED IMPACT: WE WILL INCREASE ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN UNDER THE AGE OF 24 MONTHS.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CENTRALIZED LEAD CARE COORDINATION. CHILDREN'S WISCONSIN USES POPULATION DATA TO PROACTIVELY IDENTIFY KIDS WHO ARE AT RISK FOR ELEVATED LEAD LEVELS, AND WE TEST THOSE KIDS IN PRIMARY CARE VIA A FINGER PRICK. KIDS WITH ELEVATED LEAD LEVELS ARE REFERRED TO THE LAB FOR A BLOOD DRAW TO CONFIRM LEAD LEVELS AND ARE REFERRED TO SPECIALTY CARE IF THEY NEED TREATMENT. IN ADDITION, CHILDREN'S WISCONSIN REFERS KIDS WITH CONFIRMED ELEVATED LEAD LEVELS TO CITY AND OTHER COMMUNITY RESOURCES THAT OFFER FAMILIES ASSISTANCE IN IDENTIFYING AND MITIGATING THE SOURCE OF THE LEAD TOXICITY. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARYCARE/LEAD-TESTINGCHILDREN'S HEALTH ALLIANCE OF WISCONSIN. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. IT IS FOCUSED ON SIX INITIATIVES: EMERGENCY CARE, ENVIRONMENTAL HEALTH, GRIEF AND BEREAVEMENT (INCLUDING THE INFANT DEATH CENTER), INJURY PREVENTION AND DEATH REVIEW, MEDICAL HOME AND ORAL HEALTH. LEARN MORE: CHAWISCONSIN.ORG COMMUNITY CONNECTORS. CHILDREN'S WISCONSIN COMMUNITY CONNECTORS WORK ACROSS MILWAUKEE COUNTY WITH EXPECTANT MOMS OR PARENTS WHO HAVE CHILDREN AGES 0-5. THEY CONNECT FAMILIES WITH SUPPORTS SUCH AS POSITIVE PARENTING EDUCATION, STRESS MANAGEMENT, FAMILY ACTIVITIES AND OTHER NEEDED RESOURCES. LEARN MORE: DCF.WISCONSIN.GOV/CWPORTAL/CONNECTIONSCOUNTDREAM AND HOPE CLINICS. THE DEVELOPMENTALLY READY: ENGAGEMENT AND ACHIEVEMENT OF MILESTONES (DREAM) CLINIC ADDRESSES THE NEEDS OF INFANTS FROM CHILDREN'S WISCONSIN'S INTENSIVE CARE UNITS WHO HAVE SEVERE BRAIN INJURIES. THE HEALTHY OUTCOMES: POST-ICU ENGAGEMENT (HOPE) CLINIC SUPPORTS BABIES AND FAMILIES ONCE THEY GO HOME FROM OUR HOSPITAL TO ADDRESS INFANTS' CHANGING NEEDS OVER TIME. LEARN MORE: MCW.EDU/DEPARTMENTS/PEDIATRICS/ DIVISIONS/NEONATOLOGY/PATIENT-CAREFETAL CONCERNS CENTER OF WISCONSIN. A PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN, THE FETAL CONCERNS CENTER IS A NATIONAL LEADER IN FETAL CARE, RECOGNIZED FOR INNOVATIVE TREATMENTS THAT ARE GUIDED BY EXEMPLARY RESEARCH TO PRODUCE THE BEST OUTCOMES FOR A MOTHER AND HER FETUS. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/FETALCONCERNS-CENTERHEALTHY MOM HEALTHY BABY. CHORUS COMMUNITY HEALTH PLAN'S HEALTHY MOM, HEALTHY BABY PROGRAM HELPS PREGNANT WOMEN GET THE SUPPORT AND SERVICES THEY NEED TO HAVE A HEALTHY PREGNANCY AND BABY. A HEALTH PLAN MEMBER MAY RECEIVE SERVICES IN HER HOME OR OVER THE PHONE FROM SOCIAL WORKERS OR NURSES WHO ARE SPECIALLY TRAINED IN MATERNAL/INFANT HEALTH. THIS PROGRAM ALSO OFFERS HIGH-RISK PREGNANCY SERVICES AND BREASTFEEDING SUPPORT BY CERTIFIED LACTATION CONSULTANTS.HEALTHY START. THIS PROGRAM THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IS DESIGNED TO IMPROVE ACCESS TO QUALITY HEALTH CARE AND SERVICES FOR WOMEN, INFANTS, CHILDREN AND MALE PARTNERS THROUGH OUTREACH, CARE COORDINATION, HEALTH EDUCATION AND CONNECTIONS TO HEALTH INSURANCE. HEALTHY START WORKS TO IMPROVE HEALTH OUTCOMES BEFORE, DURING AND AFTER PREGNANCY, AND REDUCE RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES. LEARN MORE: MILWAUKEEHEALTHYSTART.ORGHOME VISITING. TRAINED PARENT EDUCATORS PROVIDE IN-HOME PARENT EDUCATION, SUPPORT, COMMUNITY RESOURCES AND CHILD DEVELOPMENT SERVICES TO PREGNANT AND PARENTING FAMILIES. THIS PROGRAM PROMOTES SAFE SLEEP, POSITIVE CHILD DEVELOPMENT AND EARLY SCHOOL READINESS USING AN EVIDENCE-BASED MODEL THAT IS FAMILY-CENTERED, CULTURALLY SENSITIVE AND STRENGTH BASED. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/FAMILIES-AND-CLIENTS/PARENTING-RESOURCES/HOME-VISITINGNEONATOLOGY/NEONATAL INTENSIVE CARE UNIT. CHILDREN'S WISCONSIN IS ONE OF THE REGION'S TOP PROVIDERS OF CARE FOR UNBORN BABIES AND NEWBORNS WITH COMPLEX MEDICAL AND SURGICAL NEEDS. OUR MILWAUKEE NEONATAL INTENSIVE CARE UNIT (NICU) THE STATE'S FIRST AND LARGEST LEVEL IV NICU CARES FOR OVER 800 PREMATURE AND CRITICALLY ILL NEWBORNS EVERY YEAR. IN ADDITION, OUR HOSPITAL IN NEENAH HAS A 22-BED LEVEL III NICU THAT SERVES THE GREATER FOX VALLEY COMMUNITY.WISCONSIN BIRTH TO 3 PROGRAM. THIS STATEWIDE EARLY INTERVENTION PROGRAM OFFERS SERVICES AND SUPPORTS FOR CHILDREN UNDER AGE 3 WHO HAVE DELAYS OR DISABILITIES. LEARN MORE: DHS.WISCONSIN.GOV/BIRTHTO3(CONTINUED ON PAGE 53)
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 STATEMENTS, MYCHART 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 STATEMENTS, MYCHART 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-MILWAUKEE	PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING STATEMENTS, MYCHART 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. AS OUTLINED IN CHILDREN'S WISCONSIN POLICY "BILLING AND COLLECTIONS FOR SELF-PAY AMOUNTS", AT LEAST 4 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 STATEMENTS, MYCHART 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. AS OUTLINED IN CHILDREN'S WISCONSIN POLICY "BILLING AND COLLECTIONS FOR SELF-PAY AMOUNTS", AT LEAST 4 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):	PRIORITY #2: MENTAL AND BEHAVIORAL HEALTHAT CHILDREN'S WISCONSIN, WE BELIEVE CARING FOR A CHILD'S DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH IS JUST AS IMPORTANT AS CARING FOR THEIR PHYSICAL HEALTH. KIDS ACROSS WISCONSIN ARE FACING A MENTAL AND BEHAVIORAL HEALTH CRISIS, AND THE COVID-19 PANDEMIC ONLY EXACERBATED CHILDREN AND ADOLESCENTS' RATES OF ANXIETY, DEPRESSION AND BEHAVIORAL PROBLEMS. THIS IS A CHALLENGE THAT AFFECTS KIDS ACROSS DEMOGRAPHICS AND IN EVERY ZIP CODE, BUT SOCIAL DETERMINANTS OF HEALTH CAN ALSO INFLUENCE MENTAL AND BEHAVIORAL HEALTH RISKS AND OUTCOMES. A FAMILY'S FINANCIAL STRESS, TRANSPORTATION CHALLENGES, UNSAFE LIVING CONDITIONS OR OTHER FACTORS CAN TAKE A TOLL ON A CHILD'S MENTAL AND BEHAVIORAL HEALTH AND MAKE IT MORE DIFFICULT FOR FAMILIES TO GET TIMELY AND REGULAR ACCESS TO CARE. TO ADDRESS THIS URGENT COMMUNITY NEED, CHILDREN'S WISCONSIN HAS MADE IT A SYSTEM WIDE PRIORITY TO DETECT NEEDS SOONER, REDUCE STIGMA, AND IMPROVE ACCESS TO CARE FOR KIDS WITH MENTAL AND BEHAVIORAL HEALTH NEEDS.KEY CONCERNS- FAMILIES HAVE DIFFICULTY NAVIGATING COMPLEX SYSTEMS TO OBTAIN AFFORDABLE, EQUITABLE, TIMELY AND CULTURALLY RELEVANT MENTAL AND BEHAVIORAL HEALTH SERVICES.- STUDENTS ARE EXPERIENCING GREATER LEVELS OF STRESS, ANXIETY AND DEPRESSION.- CHILDREN AND ADOLESCENTS REPORT FEELING DISCONNECTED FROM ADULTS AND PEERS. STRATEGIC INITIATIVES- EARLY DETECTION AND PREVENTION: GROW AND DEVELOP MORE WAYS TO DETECT DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH CONCERNS AT EVERY CONNECTION. PROVIDE KIDS THE TOOLS THEY NEED TO ACHIEVE AND SUSTAIN MENTAL WELLNESS.- REDUCE STIGMA: CHANGE THE CONVERSATION SO THAT MENTAL HEALTH IS ACCEPTED AS PART OF OVERALL HEALTH. PROMOTE POLICIES THAT SUPPORT KIDS AND FAMILIES IN GETTING BEHAVIORAL HEALTH CARE WHEN AND WHERE THEY NEED IT. - INCREASED AND EQUITABLE ACCESS: MEET KIDS AND FAMILIES WHERE THEY ARE BY INTEGRATING ACCESSIBLE, AFFORDABLE AND EQUITABLE DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH CARE WHERE THEY LIVE, LEARN AND PLAY. - RESEARCH AND EDUCATION: INFLUENCE AND ADVANCE DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH RESEARCH TO IMPROVE OUTCOMES FOR KIDS AND FAMILIES. EDUCATE AND DEVELOP THE NEXT GENERATION OF THE WORKFORCE TO PROVIDE THE BEST EVIDENCE-BASED CARE.ANTICIPATED IMPACT: INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CHILD PSYCHIATRY CONSULTATION PROGRAM. TO HELP ADDRESS THE STATEWIDE SHORTAGE OF CHILD PSYCHIATRISTS, THIS ON-CALL MENTAL AND BEHAVIORAL HEALTH CONSULTATION SERVICE PROVIDES ONGOING EDUCATION AND CONSULTATION TO PRIMARY CARE PROVIDERS ON BEHAVIORAL HEALTH ISSUES. THIS HELPS PRIMARY CARE PROVIDERS TREAT KIDS WITH MENTAL AND BEHAVIORAL HEALTH ISSUES IN THEIR MEDICAL HOMES SO THAT KIDS CAN MORE QUICKLY GET THE TREATMENT THEY NEED. LEARN MORE: WICPCP.ORGCRAIG YABUKI MENTAL HEALTH WALK-IN CLINIC. A FIRST-OF-ITS-KIND IN THE STATE, THE CLINIC IS OPEN SEVEN DAYS A WEEK TO PROVIDE IMMEDIATE SUPPORT TO KIDS AGES 5-18 WITH URGENT MENTAL HEALTH NEEDS. THE CLINIC HELPS SERVE A GROWING POPULATION, SINCE 2020, CHILDREN'S HAS SEEN A 40 PERCENT INCREASE IN EMERGENCY VISITS FOR MENTAL HEALTH REASONS. EMERGENCY CASES ARE STILL REFERRED TO THE HOSPITAL'S EMERGENCY DEPARTMENT AND TRAUMA CENTER, WHERE A BEHAVIORAL HEALTH CRISIS TEAM IS AVAILABLE TO HELP KIDS IN CRISIS 24/7. LEARN MORE: HTTPS://CHILDRENSWI.ORG/LOCATION-DIRECTORY/LOCATIONS/URGENT-CARE/CRAIG-YABUKI-MENTAL-HEALTH-WALK-IN-CLINICEARLY CHILDHOOD MENTAL HEALTH SERVICES. EVEN INFANTS AND YOUNG CHILDREN CAN HAVE BEHAVIORAL OR EMOTIONAL PROBLEMS, BUT EARLY INVENTION CAN BE THE START OF GOOD MENTAL HEALTH AND WELL-BEING FOR THE REST OF THEIR LIVES. THE CHILDREN'S WISCONSIN TEAM INCLUDES SPECIALISTS WHO ARE TRAINED TO WORK WITH INFANTS AND CHILDREN UNDER AGE 5, OFFERING SERVICES SUCH AS EARLY CHILDHOOD MENTAL HEALTH ASSESSMENTS, CHILD-PARENT PSYCHOTHERAPY, PLAY THERAPY AND PARENT-CHILD INTERACTION THERAPY. LEARN MORE: HTTPS://CHILDRENSWI.ORG/MEDICAL-CARE/MENTAL-AND-BEHAVIORAL-HEALTH/WAYS-WE-CAN-HELP/EARLY-CHILDHOOD-MENTAL-HEALTH INTEGRATED MENTAL AND BEHAVIORAL HEALTH CARE. CHILDREN'S WISCONSIN HAS EMBARKED ON THE LARGEST-SCALE IMPLEMENTATION OF INTEGRATED MENTAL AND BEHAVIORAL HEALTH IN ANY PEDIATRIC SETTING. WITH FUNDRAISING SUPPORT FROM THE CHANGE THE CHECKUP CHALLENGE, CHILDREN'S HIRED NEW THERAPISTS WHO WORK SIDE BY SIDE WITH OUR PEDIATRICIANS, INTEGRATING MENTAL AND BEHAVIORAL HEALTH INTO ROUTINE VISITS AT CHILDREN'S LOCATIONS ACROSS THE REGION. WHEN FULLY STAFFED BY THE END OF 2023, THIS PROGRAM HAS THE POTENTIAL TO REACH EVERY CHILD IN OUR CARE, 1 IN 3 KIDS IN SOUTHEASTERN WISCONSIN. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ INTEGRATED-BEHAVIORAL-HEALTH MENTAL AND BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT. CHILDREN'S WISCONSIN IS TRANSFORMING OUR ORGANIZATIONAL STRUCTURE AND TRAINING MODELS TO CREATE A ROBUST PIPELINE OF NEW INTEGRATED MENTAL AND BEHAVIORAL HEALTH PROVIDERS TO ALLEVIATE WAIT TIMES, MEET THE GROWING NEEDS OF THE COMMUNITY, AND DETECT MENTAL AND BEHAVIORAL HEALTH PROBLEMS BEFORE THEY ESCALATE. THE THERAPIST FELLOWSHIP PROGRAM IS ONE EXAMPLE: IT SUPPORTS MASTER'S LEVEL THERAPISTS WITH PAY AND BENEFITS WHILE THEY COMPLETE THEIR REQUIRED CLINICAL HOURS, SIGNIFICANTLY DECREASING THE TIME IT TAKES THEM TO ACHIEVE LICENSURE. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ THERAPIST-FELLOWSHIP-PROGRAM-MARISKASCHOOL AND FAMILY MINDFULNESS AND HEALTHY MINDS E-LEARNING. CHILDREN'S WISCONSIN'S FUN AND ENGAGING E-LEARNING PROGRAMS INSPIRE STUDENTS AND THEIR FAMILIES TO LEAD HEALTHIER LIVES, BOTH PHYSICALLY AND EMOTIONALLY. OFFERED AT NO COST TO SCHOOLS ACROSS WISCONSIN, THESE PROGRAMS MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE-BASED RESEARCH AND COMMUNITY INPUT. TOPICS INCLUDE BULLYING PREVENTION, SUBSTANCE USE AND MENTAL AND EMOTIONAL HEALTH. LEARN MORE: HEALTHYKIDSLEARNMORE.COM SCHOOL-BASED MENTAL HEALTH SERVICES. CHILDREN'S WISCONSIN SUPPORTS SCHOOL-BASED MENTAL HEALTH IN NEARLY 70 SCHOOLS THROUGHOUT WISCONSIN. DURING THE PANDEMIC, THIS PROGRAM ADOPTED DIGITAL TOOLS TO ALLOW STAFF TO CONTINUE TO SUPPORT KIDS THROUGH DIGITAL VISITS. THIS APPROACH INCREASES ACCESS TO EARLY INTERVENTION BY TREATING KIDS QUICKLY IN A COMFORTABLE, ACCESSIBLE SETTING THAT FAMILIES ALREADY KNOW AND TRUST. LEARN MORE: HTTPS://CHILDRENSWI.ORG/MEDICAL-CARE/MENTAL-AND-BEHAVIORAL-HEALTH/WAYS-WE-CAN-HELP/SCHOOL-BASED-MENTAL-HEALTH SHINE THROUGH CAMPAIGN. TO REDUCE STIGMA, CHILDREN'S WISCONSIN HAS WORKED TO RAISE AWARENESS OF THE MENTAL AND BEHAVIORAL HEALTH CRISIS FACING OUR KIDS. CHILDREN'S CREATED THE SHINE THROUGH WEBSITE WITH RESOURCES TO EDUCATE AND SUPPORT FAMILIES, AND WE LEVERAGED MEDIA AND ADVERTISING AND CHILDREN'S STRONG PLATFORM OF TRUST AS A COMMUNITY LEADER TO START A PUBLIC CONVERSATION AROUND PEDIATRIC MENTAL AND BEHAVIORAL HEALTH. LEARN MORE: SHINETHROUGH.CHILDRENSWI.ORG UNIVERSAL SCREENING FOR MENTAL HEALTH. MENTAL HEALTH SCREENING AT ROUTINE APPOINTMENTS IS CRUCIAL TO IDENTIFYING ISSUES BEFORE THEY BECOME A CRISIS. DEPRESSION SCREENING HAS BEEN INTEGRATED INTO STANDARD PRACTICES AT ALL CHILDREN'S WISCONSIN PRIMARY CARE OFFICES, WITH NEARLY 85 PERCENT OF ALL ELIGIBLE KIDS AGE 12 AND OLDER SCREENED. ALL KIDS WHOSE SCREENS ARE POSITIVE ARE REFERRED FOR FOLLOW-UP CARE. THE CHILDREN'S WISCONSIN EMERGENCY DEPARTMENT AND TRAUMA CENTER (EDTC) ALSO USES A SUICIDE SCREENING TOOL. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ MENTAL-HEALTH-DEPRESSION-SCREENINGPRIORITY #3: SAFETY AND VIOLENCEEVERY CHILD DESERVES TO BE SAFE AND SECURE FROM PHYSICAL, MENTAL AND EMOTIONAL HARM. UNFORTUNATELY, THAT'S NOT THE REALITY FOR EVERY CHILD, ABUSE AND NEGLECT, BULLYING, COMMUNITY VIOLENCE AND ACCIDENTAL INJURIES CAN THREATEN A CHILD'S HEALTH AND WELL-BEING. SOME INJURIES REQUIRE PHYSICAL HEALING OVER A SHORTER PERIOD OF TIME, WHILE OTHERS SET THE STAGE FOR LONG-TERM TRAUMA, CREATING COMPOUNDING ADVERSE OUTCOMES FOR A CHILD'S PHYSICAL AND MENTAL HEALTH. MANY SOCIAL AND ENVIRONMENTAL FACTORS CAN AFFECT A CHILD'S SAFETY, INCLUDING FAMILY FINANCIAL STRESS, ADULT SUBSTANCE ABUSE, ADULT MENTAL HEALTH AND NEIGHBORHOOD VIOLENCE. CHILDREN'S WISCONSIN IS COMMITTED TO PREVENTING VIOLENCE AND ACCIDENTAL INJURIES WHEREVER CHILDREN AND ADOLESCENTS LIVE, LEARN AND PLAY, AND DELIVERING TRAUMA-INFORMED CARE AND EXPANDED COMMUNITY-BASED SERVICES TO HELP KIDS RECOVER AND THRIVE AFTER A CHALLENGING EXPERIENCE.(CONTINUED ON PAGE 56)
PART V, SECTION B, LINE 11 (CONTINUED):	KEY CONCERNS - YOUNG CHILDREN EXPERIENCE THE HIGHEST RATES OF CHILD MALTREATMENT COMPARED TO CHILDREN OF OLDER AGES, WITH CHILDREN IN MILWAUKEE VICTIMIZED AT CONSISTENTLY HIGHER RATES THAN THE REST OF THE STATE.- ONE IN THREE MIDDLE SCHOOL STUDENTS IN MILWAUKEE AND THE FOX VALLEY REPORT EXPERIENCING BULLYING AT SCHOOL. - FIREARMS ARE AMONG THE FIVE LEADING CAUSES OF DEATH FOR CHILDREN AND ADOLESCENTS IN THE FOX VALLEY AND MILWAUKEE, WITH MILWAUKEE FIREARM HOMICIDES TRIPLING BETWEEN 2019-2020.STRATEGIC INITIATIVES - EARLY DETECTION: ESTABLISH SYSTEMATIC SCREENING TO FACILITATE EARLY DETECTION OF CHILD SAFETY RISKS. - FAMILY SUPPORT: CONNECT FAMILIES TO INTERNAL AND EXTERNAL HOLISTIC SERVICES THAT STRENGTHEN FAMILY RELATIONSHIPS AND SOCIAL SUPPORT SYSTEMS.- COMMUNITY PARTNERSHIPS: STRENGTHEN COMMUNITY PARTNERSHIPS TO ENHANCE THE SAFETY OF YOUTH AND FAMILIES.ANTICIPATED IMPACT: INCREASED ACCESS TO SAFETY AND VIOLENCE PREVENTION, INTERVENTION, TREATMENT AND SUPPORTIVE HEALING SERVICES FOR ALL CHILDREN.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: ANTI-SEX TRAFFICKING. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER WITH THE HEALTHCARE COLLABORATIVE AGAINST SEX TRAFFICKING, AND OUR STAFF HAVE LED ONLINE TRAININGS THROUGH THE WISCONSIN CHILD ABUSE NETWORK ON SEX TRAFFICKING IN MINORS AND DEVELOPING COMMUNITY AND SURVIVOR INFORMED RESPONSES TO HUMAN TRAFFICKING. LEARN MORE: WICHILDABUSENETWORK.ORG AND HCASTMILW.ORG AWARENESS TO ACTION. THIS STATEWIDE PROGRAM 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. LEARN MORE: A2AWISCONSIN.ORGCHILD ADVOCACY CENTERS (CAC).THESE CENTERS BRING TOGETHER MULTIDISCIPLINARY PARTNERS IN CHILD MALTREATMENT INVESTIGATIONS TO PROVIDE COMPREHENSIVE, ON-SITE MEDICAL, FORENSIC INTERVIEW AND ADVOCACY SERVICES FOR CHILDREN AND FAMILIES THROUGH TEN STATEWIDE LOCATIONS. BY BRINGING TOGETHER PROFESSIONALS FROM LAW ENFORCEMENT, CRIMINAL JUSTICE, CHILD PROTECTIVE SERVICES, VICTIM ADVOCACY AGENCIES AND THE MEDICAL AND MENTAL HEALTH COMMUNITIES, CACS PROVIDE COMPREHENSIVE SERVICES FOR CHILD VICTIMS AND THEIR FAMILIES. THE COMPREHENSIVE REVIEW PROCESS MINIMIZES TRAUMA AND HELPS TO BREAK THE CYCLE OF ABUSE AS WELL AS INCREASE PROSECUTION RATES FOR PERPETRATORS. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/%20CHILD-ADVOCACY-AND-PROTECTION/CHILD-ADVOCACY-CENTERSCHILDREN'S SAFETY CENTER. THIS CENTER PROVIDES EDUCATION AND RESOURCES TO FAMILIES TO KEEP KIDS AND TEENS OF ALL AGES SAFE FROM INJURY, WITH INFORMATION ON CARS AND BOOSTER SEATS, TEEN DRIVING, BIKES AND HELMETS, PEDESTRIAN SAFETY, PLAY AND SPORTS SAFETY, POISON PREVENTION, FIRE SAFETY AND MORE. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/FAMILIES-AND-CLIENTS/SAFETY-CENTERPERIOD OF PURPLE CRYING. 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 WISCONSIN NEONATAL INTENSIVE CARE UNITS, EMERGENCY ROOM, PRIMARY CARE CLINICS AND URGENT CARE LOCATIONS. LEARN MORE: PURPLECRYING.INFO AND CHILDRENSWI.ORG/ NEWSHUB/STORIES/NEWBORN-CRYING-WHAT-IS-NORMAL PREVENT CHILD ABUSE WISCONSIN. A PROGRAM OF CHILDREN'S WISCONSIN, PREVENT CHILD ABUSE WISCONSIN BUILDS COMMUNITY RESOURCES, PROVIDES TRAINING AND PUBLIC AWARENESS, AND CARRIES OUT ADVOCACY ACTIVITIES IN ORDER TO STRENGTHEN CHILD ABUSE PREVENTION EFFORTS IN THE STATE. IT ALSO HOSTS THE ANNUAL TOGETHER FOR CHILDREN CONFERENCE. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/CHILD-ABUSE-PREVENTION/PREVENT-CHILD-ABUSE-WISCONSINPROJECT UJIMA. SINCE 1996, PROJECT UJIMA HAS WORKED TO STOP THE CYCLE OF VIOLENT CRIMES THROUGH CRISIS INTERVENTION AND CASE MANAGEMENT, SOCIAL AND EMOTIONAL SUPPORT, YOUTH DEVELOPMENT AND MENTORING, MENTAL HEALTH, AND MEDICAL SERVICES FOR YOUNG PEOPLE AND THEIR FAMILIES WHO HAVE BEEN AFFECTED BY VIOLENCE. PROJECT UJIMA PROVIDES CRIME VICTIM ADVOCATES, NURSES, MENTAL HEALTH COORDINATORS AND THERAPISTS WHO HELP PATIENTS AND THEIR FAMILIES PROCESS THE TRAUMA THEY'VE EXPERIENCED AND CONNECT THEM WITH RESOURCES AND SUPPORTS. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/FAMILIES-AND-CLIENTS/FAMILY-SUPPORT-SERVICES/VIOLENCE-PREVENTION-COUNSELINGSCHOOL AND FAMILY E-LEARNING (ACT NOW!). CHILDREN'S FUN AND ENGAGING E-LEARNING PROGRAMS INSPIRE STUDENTS AND THEIR FAMILIES TO LEAD HEALTHIER LIVES, BOTH PHYSICALLY AND EMOTIONALLY. OFFERED AT NO COST TO SCHOOLS ACROSS WISCONSIN, THESE PROGRAMS MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE BASED RESEARCH AND COMMUNITY INPUT. ACT NOW! INCREASES AWARENESS ABOUT BULLYING AMONG STUDENTS, EDUCATORS AND FAMILIES AND GIVES STUDENTS THE GRADE-APPROPRIATE SKILLS THEY NEED TO PREVENT AND STOP IT. LEARN MORE: HEALTHYKIDSLEARNMORE.COM WISCONSIN POISON CENTER. THIS CHILDREN'S WISCONSIN-BASED CENTER PROVIDES 24-HOUR, TOLL-FREE POISON INFORMATION TO CHILDREN AND ADULTS ACROSS THE STATE, AS WELL AS ONLINE SOURCES TO SUPPORT POISON PREVENTION. LEARN MORE: WISCONSINPOISON.ORG PARTNERS IN COMMUNITY HEALTH PRIORITY #4: SOCIAL DETERMINANTS OF HEALTHACROSS OUR COMMUNITY, CHILDREN AND ADOLESCENTS CAN LIVE JUST BLOCKS APART FROM ONE ANOTHER AND HAVE VERY DIFFERENT EXPERIENCES WITH FACTORS THAT DIRECTLY IMPACT THEIR HEALTH AND WELL-BEING. THE PHYSICAL ENVIRONMENT, ACCESS TO HEALTH CARE, QUALITY OF CARE, FAMILY AND SOCIAL SUPPORT, AND SOCIOECONOMIC FACTORS - WHAT WE CALL THE SOCIAL DETERMINANTS OF HEALTH, PLAY A SIGNIFICANT ROLE IN SHAPING A CHILD'S HEALTH IN THE SHORT TERM AND OVER THEIR LIFETIME. WHEN A CHILD HAS REGULAR ACCESS TO NUTRITIOUS FOOD, A SAFE LIVING ENVIRONMENT, QUALITY EDUCATION AND MORE, IT IMPROVES THEIR PHYSICAL, MENTAL AND BEHAVIORAL HEALTH. AT CHILDREN'S WISCONSIN, WE RECOGNIZE THAT WE CANNOT ACHIEVE OUR VISION OF MAKING WISCONSIN KIDS THE HEALTHIEST IN THE NATION UNLESS WE ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND THEIR ROLE IN DRIVING HEALTH INEQUITIES. WE CONTINUE TO WORK WITH OUR COMMUNITY PARTNERS AND FAMILIES TO REMOVE BARRIERS TO HEALTH AND WELL-BEING AND ENSURE THAT ALL WISCONSIN KIDS HAVE THE RESOURCES THEY NEED TO THRIVE.KEY CONCERNS - A FAMILY'S SOCIAL BARRIERS TO REACHING THEIR FULL HEALTH POTENTIAL ARE NOT FULLY UNDERSTOOD OR ADDRESSED.- FAMILIES HAVE DIFFICULTY NAVIGATING TO COMMUNITY-BASED RESOURCES, WHICH CAN SIGNIFICANTLY ENHANCE QUALITY OF LIFE AND HEALTH OUTCOMES. - CHILDREN AND ADOLESCENTS WITH FOOD INSECURITY, HOUSING INSTABILITY AND TRANSPORTATION BARRIERS EXPERIENCE INCREASED RISK OF POOR HEALTH OUTCOMES.STRATEGIC INITIATIVES - EARLY DETECTION: IMPLEMENT UNIVERSAL SCREENING FOR ALL FAMILIES SO WE CAN IDENTIFY SOCIAL NEEDS AS SOON AS POSSIBLE. - NO WRONG DOOR: LEVERAGE A SYSTEM-WIDE RESPONSE TO CONNECTING FAMILIES TO SOCIAL AND BASIC NEEDS BY INTEGRATING AND EXPANDING CHILDREN'S WISCONSIN'S EXISTING PROGRAMS.- PARTNERSHIPS: BUILD INTENTIONAL COMMUNITY PARTNERSHIPS WITH COMMUNITY RESOURCES ADDRESSING THREE PREVALENT SOCIAL NEEDS FOR CHILDREN, FOOD, HOUSING AND TRANSPORTATIONANTICIPATED IMPACT: INCREASED ACCESS TO SCREENING AND CONNECTION TO PREVENTION, INTERVENTION AND SOCIAL NEEDS SERVICES FOR ALL CHILDREN.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CHILDREN'S HEALTH ALLIANCE OF WISCONSIN'S MEDICAL HOME INITIATIVE. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. THE MEDICAL HOME INITIATIVE WORKS TO ENSURE MORE WISCONSIN CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS ARE SERVED WITHIN A MEDICAL HOME, WITH PROGRAMS DEDICATED TO DEVELOPMENTAL SCREENING, MENTAL HEALTH SCREENING, CARE COORDINATION, FAMILY ENGAGEMENT AND LEARNING COMMUNITIES. LEARN MORE: HTTPS://WWW.CHAWISCONSIN.ORG/INITIATIVES/MEDICAL-HOME/COMMUNITY HEALTH NAVIGATORS AND CONNECTORS. CHILDREN'S WISCONSIN IS PARTNERED WITH FIVE NEIGHBORHOODS ACROSS MILWAUKEE, ALIGNING OUR RESOURCES WITH COMMUNITY NEEDS. AS CERTIFIED COMMUNITY HEALTH WORKERS, COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS HELP FAMILIES TO MEET BASIC NEEDS AND SUPPORT THEM AS THEY WORK TOWARD SELF-SUFFICIENCY, FOCUSING ON HOUSING, SAFETY, FINANCIAL MANAGEMENT, EDUCATION, SOCIAL SUPPORT, PARENTING AND HEALTH. LEARN MORE: HTTPS://DCF.WISCONSIN.GOV/CWPORTAL/CONNECTIONSCOUNT(CONTINUED ON PAGE 59)
PART V, SECTION B, LINE 11 (CONTINUED):	DANIEL M. SOREF FAMILY RESOURCE CENTER. LOCATED AT OUR MILWAUKEE CAMPUS, THIS CENTER OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO COMMUNITY RESOURCES. STAFF ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. LEARN MORE: HTTPS://CHILDRENSWI.ORG/PATIENTS-AND-FAMILIES/MILWAUKEE-CAMPUS/INPATIENT-VISIT/DURING-YOUR-STAY/HOSPITAL-POINTS-OF-INTEREST/FAMILY-RESOURCE-CENTER HOUSING IS HEALTH. THE MILWAUKEE HEALTH CARE PARTNERSHIP LAUNCHED A HOUSING IS HEALTH INITIATIVE FOR HOMELESS PATIENTS RECEIVING CARE IN FOUR MILWAUKEE HOSPITALS, INCLUDING CHILDREN'S WISCONSIN. THE INITIATIVE INCORPORATES SOCIAL WORKERS OR NAVIGATORS WHO HELP PATIENTS SECURE TEMPORARY HOUSING, PROVIDE CASE MANAGEMENT AND AID IN THEIR ULTIMATE TRANSITION TO PERMANENT HOUSING STABILITY. LEARN MORE: HTTPS://MKEHCP.ORG/CARE-COORDINATION/HOUSING-IS-HEALTH-CARE-NAVIGATION-FOR-HOMELESS-PATIENTS/NOURISHING PARTNERS PROGRAM. THE NOURISHING PARTNERS PROGRAM INCLUDES A VARIETY OF INITIATIVES SUPPORTED BY CHILDREN'S WISCONSIN IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS, VOLUNTEERS AND DONORS TO ADDRESS FOOD INSECURITY IN THE COMMUNITIES WE SERVE. INITIATIVES INCLUDE SCREENING CHILDREN'S WISCONSIN FAMILIES FOR FOOD INSECURITY AND PARTNERING WITH UPSTART KITCHEN IN MILWAUKEE'S SHERMAN PARK NEIGHBORHOOD TO DISTRIBUTE HEALTHY MEALS TO FAMILIES AT OUR MIDTOWN AND NEXT DOOR PEDIATRICS PRIMARY CARE CLINICS, AMONG OUR MANY OTHER COMMUNITY PARTNERSHIPS TO ADDRESS FOOD INSECURITY ISSUES. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/FAMILIES-AND-CLIENTS/NOURISHING-PARTNERS-PROGRAM REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. CHILDREN'S WISCONSIN FACILITATES THE GRANT FOR THE STATE'S SOUTHEAST AND NORTHEAST CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THIS PROGRAM AIMS TO COLLABORATE WITH NATIONAL, STATE AND COMMUNITY-BASED PARTNERS TO LINK CHILDREN TO APPROPRIATE SERVICES, CLOSE SERVICE GAPS, REDUCE DUPLICATION AND DEVELOP POLICIES TO BETTER SERVE FAMILIES. LEARN MORE: SOUTHEASTREGIONALCENTER.ORG AND NORTHEASTREGIONALCENTER.ORGSOCIAL HEALTH NEEDS SCREENINGS. CHILDREN'S WISCONSIN HAS BEEN ACTIVELY ENGAGED IN SHARED LEARNING WITH MILWAUKEE HEALTH CARE PARTNERSHIP AND OTHER HEALTH CARE PROVIDERS ABOUT THE BEST PRACTICES AND OPPORTUNITIES FOR IMPLEMENTING SYSTEM-WIDE SCREENING FOR DETERMINANTS OF HEALTH. WE HAVE ALREADY IMPLEMENTED SCREENINGS IN MANY OF CHILDREN'S WISCONSIN'S COMMUNITY-BASED PROGRAMS, THE EMERGENCY DEPARTMENT AND TRAUMA CENTER, COMMUNITY HEALTH AND PRIMARY CARE PROGRAMS, AND MENTAL AND BEHAVIORAL HEALTH SERVICES. WITH AN UNDERSTANDING THAT UNMET BASIC NEEDS CAN BE BARRIERS FOR A CHILD TO REACH THEIR FULL HEALTH POTENTIAL, WE WILL CONTINUE TO LEARN AND SCALE OUR SCREENING AND RESPONSE TO A CHILD AND FAMILY'S SOCIAL NEEDS. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ FOOD-INSECURITY-PROGRAMSOME OF CHILDREN'S WISCONSIN'S STRATEGIES CUT ACROSS THE PRIORITY AREAS. THESE STRATEGIES AND COLLABORATIVE INITIATIVES ALSO PLAY AN IMPORTANT ROLE IN IMPROVING CHILDREN'S OVERALL HEALTH AND WELL-BEING.CHILDREN'S ADVOCACY NETWORK. THROUGH FEDERAL, STATE AND LOCAL ADVOCACY, CHILDREN'S WISCONSIN FOCUSES ON PUBLIC POLICIES THAT IMPROVE THE HEALTH OF CHILDREN AND HAVE A SIGNIFICANT IMPACT ON OUR COMMUNITIES. ALONG WITH VALUABLE PARTNER ORGANIZATIONS, CHILDREN'S WISCONSIN ADVOCATES FOR SEVERAL POLICIES RELATED TO THE IDENTIFIED PRIORITIES AND OTHER IMPORTANT TOPICS TO IMPROVE THE HEALTH AND WELL-BEING OF WISCONSIN KIDS AND FAMILIES. CHILDREN'S WISCONSIN ALSO OFFERS OPPORTUNITIES TO TAKE GRASSROOTS ACTION TO CONTACT LAWMAKERS THROUGH OUR CHILDREN'S ADVOCACY NETWORK. LEARN MORE: CHILDRENSWI.ORG/WAYS-TO-HELP/ ADVOCACY/CHILDRENS-ADVOCACY-NETWORK CHILDREN'S RESEARCH INSTITUTE. THE PIONEERING PHYSICIAN-SCIENTISTS, NURSESCIENTISTS, RESEARCHERS AND TECHNICIANS AT CHILDREN'S RESEARCH INSTITUTE (CRI) WORK COLLABORATIVELY TO SEEK ANSWERS TO THE TOUGHEST QUESTIONS IN PEDIATRIC MEDICINE AND PURSUE DISCOVERIES TO IMPROVE CARE AND QUALITY OF LIFE. SINCE ITS INCEPTION IN 2003, CRI HAS GROWN TO INCLUDE MORE THAN 150 RESEARCHERS IN OVER 15 SPECIALTIES. TOGETHER, THEY REPRESENT THE LARGEST CONCENTRATION OF PEDIATRIC RESEARCH IN THE REGION. LEARN MORE: HTTPS://CHILDRENSWI.ORG/MEDICAL-PROFESSIONALS/RESEARCHCHORUS COMMUNITY HEALTH PLANS. CREATED BY CHILDREN'S WISCONSIN, THIS INSURANCE OFFERING SERVES MORE THAN 130,000 CHILDREN AND ADULTS WHO ARE COVERED BY BADGERCARE PLUS, ENSURING THAT MORE FAMILIES GET ACCESS TO HIGH- QUALITY HEALTH CARE. CCHP FACILITATES A VARIETY OF HEALTH PROMOTION INITIATIVES FOR FAMILIES, INCLUDING A HEALTHY MOMS HEALTHY BABIES PRENATAL CARE PROGRAM, ASTHMA OUTREACH, OUT-OF-HOME CARE AND HEALTHY SHOPPING EDUCATION. LEARN MORE: CHORUSHEALTHPLANS.ORG COMMUNITY PARTNERSHIPS. COMMUNITY PARTNERSHIPS ARE KEY TO CHILDREN'S WISCONSIN'S OVERALL STRATEGY. WE REGULARLY WORK WITH ELECTED OFFICIALS, COMMUNITY LEADERS, FAMILIES, PHILANTHROPIC PARTNERS AND MORE. WE WILL CONTINUE TO IMPROVE OUR COLLABORATION WITH OUR COMMUNITY PARTNERS, ADVANCING THEIR CAPACITY, SHARING BEST PRACTICES AND DATA, AND REGULARLY SEEKING THEIR FEEDBACK SO WE CAN CONTINUE TO ENGAGE EFFECTIVELY AND MEANINGFULLY FOR THE COMMUNITIES WE SERVE. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITYFAMILY CASE MANAGEMENT. CHILDREN'S WISCONSIN HAS A CONTRACT WITH THE WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES, THROUGH THE DIVISION OF MILWAUKEE CHILD PROTECTIVE SERVICES, TO PROVIDE ONGOING CASE MANAGEMENT SERVICES FOR FAMILIES WHOSE CHILDREN HAVE BEEN DETERMINED TO BE UNSAFE AND SUBSEQUENTLY REMOVED WHILE PARENTS WORK ON ENHANCING THEIR ABILITY TO PARENT SAFELY. ONE OF THE SERVICES OUR CASE MANAGERS PROVIDE IS A NEWBORN SAFETY BUNDLE, WHICH INCLUDES EDUCATION AND SCREENING FOR SAFE SLEEP ENVIRONMENTS. LEARN MORE: HTTPS://CHILDRENSWI.ORG/CHILDRENS-AND-THE-COMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/CHILD-WELFARE-SERVICES/FAMILY-CASE-MANAGEMENTINSTITUTE OF CHILD AND FAMILY WELLBEING. THE MISSION OF THE INSTITUTE IS TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES COPING WITH AN OVERLOAD OF STRESS BY IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH, ENGAGING COMMUNITIES AND PROMOTING SYSTEMS CHANGE. THE INSTITUTE IS A UNIQUE COMMUNITY-UNIVERSITY PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND THE HELEN BADER SCHOOL OF SOCIAL WELFARE AT THE UNIVERSITY OF WISCONSIN-MILWAUKEE. LEARN MORE: UWM.EDU/ICFW SCHOOL NURSING. IT'S NOT ALWAYS EASY FOR CHILDREN TO GET THE HEALTH CARE THEY NEED. SCHOOL NURSES FILL A CRITICAL GAP BY MAKING SURE KIDS GET VISION AND HEARING SCREENS, CARE FOR CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA, AND HEALTH AND WELLNESS EDUCATION. THE FULL-TIME SCHOOL NURSES WORK WITHIN PARTNER SCHOOLS IN MILWAUKEE AND HELP COORDINATE CARE WITH PHYSICIANS, SOCIAL WORKERS AND OTHER COMMUNITY RESOURCES. LEARN MORE: HTTPS://CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARY-CARE/PRIMARY-CARE-ACCESS/SCHOOL-NURSE-PROGRAMTRAUMA-INFORMED CARE. TRAUMA-INFORMED CARE IS ABOUT UNDERSTANDING HOW TRAUMA AFFECTS PEOPLE, THEIR BEHAVIOR, AND QUITE OFTEN, THEIR HEALTH. WE CONSIDER THE IMPACT THAT TRAUMA HAS ON KIDS, FAMILIES AND OUR WORKFORCE, AND WE PROVIDE THE TOOLS AND RESOURCES TO UNDERSTAND HOW CHRONIC STRESS AND TRAUMA IMPACT INDIVIDUALS AND TEAMS. LEARN MORE: CHILDRENSWI.ORG TRIPLE P. SHORT FOR POSITIVE PARENTING PROGRAM, TRIPLE P IS A UNIVERSAL ACCESS, EVIDENCE-BASED PROGRAM FOR CAREGIVERS OF CHILDREN AGES 0-12. IT AIMS TO INCREASE PARENT AND CAREGIVERS' KNOWLEDGE OF POSITIVE PARENTING TECHNIQUES. TRIPLE P REACHES PARENTS AND CAREGIVERS THROUGH FIVE CHILDREN'S WISCONSIN PRIMARY CARE CLINICS AND COMMUNITY SERVICES LOCATIONS IN MILWAUKEE AND RACINE. LEARN MORE: HTTPS://CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARY-CARE/TRIPLE-P

Schedule H (Form 990) 2024

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?5
Name and address		Type of Facility (describe)
1	1 - CHILD ADVOCACY CENTER - FOX VALLEY 2575 E EVERGREEN DR APPLETON,WI54913	PATIENT CARE SERVICES
2	2 - CHILD ADVOCACY CENTER - WAUKESHA 505 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	4 - LAKESHORE REGIONAL CHILD ADVOCACY CENTER 134 S FOSTER DRIVE SAUKVILLE,WI53080	PATIENT CARE SERVICES
5	5 - CHILDREN'S HOSP OF WI PT - BROWN DEER 4555 W SCHROEDER DRIVE SUITE 140 BROWN DEER,WI53223	PHYSICAL THERAPY SERVICES
6
7
8
9
10

Schedule H (Form 990) 2024

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 $8,610,740 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 PAGE 23 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	CHILDREN'S HOSPITAL USED ITS FILED MEDICARE COST REPORTS TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED ON PART III, SECTION B. THE YEARLY INTERIM RATE ADJUSTMENTS WERE NOT ENOUGH TO COVER THE COSTS FOR SERVICES PROVIDED TO OUR MEDICARE PATIENTS.
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:	OUR CHNA-IS PROCESS FOLLOWS THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S MODEL. CHILDREN'S WORKS IN PARTNERSHIP WITH OTHER AREA HEALTH SYSTEMS IN THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP), TO COMPLETE A JOINT, COMPREHENSIVE HEALTH NEEDS ASSESSMENT IN MILWAUKEE COUNTY. MHCP BRINGS TOGETHER LOCAL HEALTH SYSTEMS, HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS TO CREATE A HEALTHIER MILWAUKEE. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER IN THE MHCP.CHILDREN'S WISCONSIN HOSPITAL FOX VALLEY COLLABORATES WITH THE TRI-COUNTY HEALTH IMPROVEMENT COALITION (TRI-CO CHIC) TO COMMISSION A JOINT, COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE TRI-CO CHIC INCLUDES FIVE PUBLIC HEALTH DEPARTMENTS AND FOUR HEALTH CARE SYSTEMS IN CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES. BOTH COMMUNITIES USED A COMBINATION OF COMMUNITY HEALTH SURVEYS STAKEHOLDER INTERVIEWS AND FOCUS GROUPS TO OBTAIN PRIMARY DATA. IN THIS CYCLE, CHILDREN'S WISCONSIN MADE A SPECIFIC EFFORT TO INCREASE RESPONSES TO THE MHCP COMMUNITY HEALTH SURVEY FROM FAMILIES WITH CHILDREN. DURING THE SURVEY WINDOW:- OUR CORE TEAM MAINTAINED A PRESENCE AT THREE OF OUR PRIMARY CARE CLINICS ENGAGING FAMILIES TO COMPLETE THE SURVEY THROUGH THE ONLINE LINK AND PAPER COPIES. - WE COLLABORATED WITH OUR INCLUSION, DIVERSITY & EQUITY AND INCLUSION RESOURCE GROUPS TO SHARE POSTCARDS AND A QR CODE TO THE SURVEY AT KEY SYSTEM LEVEL EVENTS.- OUR MARKETING AND COMMUNICATIONS TEAM SHARED POSTS AND MESSAGING THOUGH SOCIAL MEDIA.- PROGRAMS WITH COMMUNITY SERVICE COMPONENTS DISTRIBUTED THE POSTCARD, QR CODE, AND PAPER COPIES OF THE SURVEY AT NEIGHBORHOOD COMMUNITY EVENTS AND FESTIVALS. - INTERNALLY, ANNOUNCEMENTS AND LINKS TO THE SURVEY WERE SENT OUT PERIODICALLY WITH A REQUEST TO SHARE WITH FAMILIES IN THEIR PRACTICES AND PERSONAL COMMUNITIES. WE USED SIMILAR STRATEGIES TO PROMOTE THE NORTHEAST WISCONSIN WELLBEING SURVEY, CONDUCTED IN EARLY 2025, WHICH PROVIDED INFORMATION TO THE TRI-CO CHIC ASSESSMENT. SECONDARY DATA WAS DERIVED FROM HEALTH COMPASS MILWAUKEE, , FOX VALLEY DATA EXCHANGE, , WISCONSIN DEPARTMENT OF HEALTH SERVICES, US CENSUS BUREAU, THE YOUTH RISK BEHAVIOR SURVEY, AND OTHER PUBLIC AND GOVERNMENT SOURCES. CHILDREN'S WISCONSIN'S ADVISORY COMMITTEE EXAMINED THE TOP HEALTH ISSUES FROM THE MHCP AND THE TRI-CO CHIC IN ADDITION TO OTHER HEALTH CONCERNS FACING THE PEDIATRIC POPULATION WE CONSIDERED THE PREVALENCE, SEVERITY, INEQUITY AND FEASIBILITY OF EACH HEALTH ISSUE, ALONG WITH THE FOUNDATIONAL ASPECTS OF HEALTH REQUIRED IN CHILDHOOD AND ADOLESCENCES THAT ALLOW FOR HEALTH AND WELL-BEING LATER IN LIFE. AFTER VETTING THE PRIORITIES WITH EXECUTIVE LEADERSHIP AND OTHER LEADERS ACROSS THE SYSTEM, CHILDREN'S WISCONSIN HAS ADOPTED INFANT HEALTH, MENTAL AND BEHAVIORAL HEALTH, SAFETY AND VIOLENCE PREVENTION, AND CHRONIC DISEASE PREVENTION AS OUR PRIORITIES FOR THE 2025-27 CYCLE FOR BOTH MILWAUKEE COUNTY AND THE NORTH EAST WI AREAS.
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, MYCHART AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS AND PROVIDED TO ANY PATIENT WITH A SCHEDULED ADMISSION. 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 WISCONSIN PROVIDES CARE TO CHILDREN FROM URBAN, RURAL AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, SEXUAL ORIENTATION, ETHNICITY, INCOME, DISABILITY OR COUNTRY OF ORIGIN. CHILDREN'S WISCONSIN PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEAST AND NORTHEAST 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 2024 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID.
PART VI, LINE 5:	CHILDREN'S WISCONSIN PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. CHILDREN'S HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, REGARDLESS OF THE ABILITY TO PAY. CHILDREN'S WISCONSIN'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. CHILDREN'S WISCONSIN 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 WISCONSIN 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 WISCONSIN 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 WISCONSIN OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, CHILDREN'S WISCONSIN OFFERS CLINICS THROUGHOUT THE METROPOLITAN AREA. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY, NEW BERLIN, MEQUON, DELAFIELD AND KENOSHA AREAS. CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES HEALTH CARE SERVICES TO OVER 3,000 CHILDREN IN SEVEN K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES. IN THE 2024-25 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COMPLETED 7,554 HEALTH ROOM VISITS. THE NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL AND SOCIAL-EMOTIONAL WELL-BEING NEEDS OF STUDENTS. THE SCHOOL NURSES ALSO WORK CLOSELY WITH CHILDREN'S COMMUNITY HEALTH ADVOCATES, COMMUNITY CONNECTORS AND THE COMMUNITY HEALTH ASTHMA MANAGEMENT PROGRAM ON POPULATION-BASED CARE, OUTREACH AND ADDRESSING THE SOCIAL DRIVERS 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, SAFE AND READY TO LEARN. 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. THEY EDUCATE STUDENTS AND FAMILIES REGARDING THE IMPORTANCE OF PREVENTIVE CARE AND A HOST OF OTHER HEALTH TOPICS, SUCH AS MINDFULNESS, IMPACT OF DRUGS AND ALCOHOL USE, HUMAN GROWTH AND DEVELOPMENT, HYGIENE, NUTRITION, AND STRESS MANAGEMENT. DURING THE 2024-25 SCHOOL YEAR, CHILDREN'S SCHOOL NURSE PROGRAM CARED FOR 3,090 STUDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE. CHILDREN'S WISCONSIN OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TO MENTAL HEALTH PROVIDERS. THE HEALTH SYSTEM OFFERS PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. LICENSED COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES. CHILDREN'S ALSO PROVIDES SCHOOL-BASED MENTAL AND BEHAVIORAL HEALTH SERVICES IN APPROXIMATELY 50 SCHOOLS THROUGHOUT THE STATE, PLACING CHILD AND FAMILY THERAPISTS IN THE SCHOOL SETTING TO HELP REDUCE BARRIERS TO CARE. TO HELP ADDRESS THE GROWING MENTAL HEALTH CRISIS, CHILDREN'S HAS ALSO LAUNCHED TWO MENTAL HEALTH WALK-IN CLINICS IN MILWAUKEE AND KENOSHA DESIGNED TO SUPPORT URGENT, SAME-DAY CARE FOR KIDS AND TEENS (AGES 5-18). A THIRD WALK-IN CLINIC IS SET TO OPEN IN GREEN BAY IN FALL 2025. CHILDREN'S IS INVESTED IN A MULTIFACETED APPROACH TO MENTAL AND BEHAVIORAL HEALTH CARE. THIS MEANS A CONTINUED FOCUS ON EARLY DETECTION, IMPROVING ACCESS TO MENTAL HEALTH CARE AND REDUCING THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS. AND THROUGH THE CRAIG YABUKI MENTAL HEALTH CENTER, CHILDREN'S IS DEVELOPING A COMPREHENSIVE AND GROUNDBREAKING MODEL TO ADDRESS THE MENTAL HEALTH NEEDS OF CHILDREN IN OUR STATE.CHILDREN'S WISCONSIN 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 PARENTS, TEACHERS AND PROVIDERS TO DELIVER OUTCOMES-BASED HEALTH CONTENT TO KIDS. THE SAFETY CENTER TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS, AND TEEN DRIVING SAFETY. THEY ALSO DELIVER IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. CHILDREN'S WISCONSIN'S CAR SEAT CLINIC IS A COLLABORATION BETWEEN CHILDREN'S WISCONSIN, ITS SAFETY CENTER, SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION. IT OFFERS IN PERSON AND VIRTUAL CAR SEAT CLINICS WHERE TRAINED CHILD PASSENGER SAFETY TECHNICIANS ENSURE 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 HEALTH SYSTEM HAS CELEBRATED MORE THAN 200 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, CHILDREN'S WISCONSIN 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 WISCONSIN AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS.CHILDREN'S WISCONSIN 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.(CONTINUED ON PAGE 73)
PART VI, LINE 6:	CHILDREN'S WISCONSIN IS PART OF AN AFFILIATED GROUP OF ORGANIZATIONS UNDER THE CONTROL OF CHHS, WHICH PROVIDES VARIOUS CENTRALIZED ADMINISTRATIVE AND SUPPORTING SERVICES FOR THE HEALTH SYSTEM AND ITS AFFILIATES. AMONG THE AFFILIATED ENTITIES, THE HEALTH SYSTEM 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 WISCONSIN OPERATES SEVERAL CLINICS IN THE MILWAUKEE AREA, BRINGING PEDIATRIC CARE TO THOSE WHO WOULD STRUGGLE TO ACCESS TO CARE. THROUGH THESE CLINICS, CHILDREN'S IS ABLE TO SERVICE A PART OF THE POPULATION THAT WOULD OTHERWISE GO WITHOUT CARE IF CHILDREN'S CLINICS WERE NOT AN OPTION. THIS INCLUDES 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 12,505 PRIMARY CARE VISITS AND 6,639 DENTAL VISITS IN 2024, AND 92.5 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID.AT THE END OF 2024, CONSTRUCTION WAS UNDERWAY FOR A NEW CLINIC ON THE NORTH SIDE OF MILWAUKEE, WHICH WAS COMPLETED BY MAY 2025. THE NEW GOOD HOPE CLINIC IS NOW OPEN AND ALLOWS CHILDREN'S WISCONSIN TO EXPAND PEDIATRIC SERVICES IN THIS AREA, WHICH HAS THE SECOND LARGEST PEDIATRIC POPULATION IN MILWAUKEE. THE GOOD HOPE CLINIC OFFERS ALL-DAY URGENT CARE AND IMAGING SERVICES IN ADDITION TO PRIMARY CARE. THIS WILL PROVIDE FAMILIES ON MILWAUKEE'S NORTH SIDE WITH A WALK-IN CARE OPTION FOR LESS SERIOUS ILLNESSES AND INJURIES THAT ARE NORMALLY CARED FOR IN A PRIMARY CARE SETTING. THE EXPANDED LOCATION ALSO WILL HAVE SPACE FOR AN ADDITIONAL PRIMARY CARE PEDIATRICIAN TO PRACTICE AT THIS SITE.CHILDREN'S WISCONSIN 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. OTHER KEY METRO MILWAUKEE LOCATIONS ARE CHILDREN'S FOREST HOME CLINIC AND RIVER GLEN PEDIATRICS. FOREST HOME CLINIC PROVIDES A VARIETY OF PRIMARY AND SPECIALTY CARE, DENTAL CARE, MENTAL HEALTH CARE, IMAGING AND URGENT CARE SERVICES; THE CLINIC HAD 7,968 PRIMARY CARE VISITS AND 6,515 DENTAL VISITS IN 2024. RIVER GLEN PEDIATRICS, IN NEARBY GLENDALE, HAD 11,705 PRIMARY CARE VISITS IN 2024.ANOTHER AFFILIATE OF CHILDREN'S WISCONSIN IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN, DOING BUSINESS AS CHILDREN'S WISCONSIN 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. CHILDREN'S 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.PROJECT UJIMA WORKS WITH CHILDREN WHO RESIDE IN MILWAUKEE COUNTY AND ARE EXPERIENCING AN INJURY OR THE LOSS OF A LOVED ONE AS A RESULT OF VIOLENCE. IN ADDITION TO OUR EMERGENCY DEPARTMENT & TRAUMA CENTER (EDTC) AND OTHER DEPARTMENTS, PROJECT UJIMA RECEIVES REFERRALS FROM MILWAUKEE HOMICIDE REVIEW COMMISSION (IN PARTNERSHIP WITH THE MILWAUKEE POLICE DEPARTMENT), SOJOURNER FAMILY PEACE CENTER. PROJECT UJIMA KEY ELEMENTS INCLUDE CRISIS INTERVENTION, ONGOING SUPPORT, IN HOME EDUCATION, SAFETY PLANNING, ADVOCACY, MENTAL HEALTH SUPPORT SERVICES, AND GROUP AND FAMILY HEALING EVENTS. ON THE FEDERAL LEVEL IN 2024, WE ADVOCATED ON FUNDING AND LEGISLATIVE EFFORTS AND ENGAGED WITH POLICYMAKERS TO EDUCATE AND INFORM ON CHILDREN'S WISCONSIN'S (CHILDREN'S) EFFORTS. CHILDREN'S PUT FORWARD A FEDERAL FUNDING REQUEST TO SUPPORT OUR CHILD ADVOCACY CENTERS. ONE OF CHILDREN'S MAIN FUNDING PRIORITIES IN 2024 WAS TO ADVOCATE FOR FUNDING FOR THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM WHICH SUPPORTS THE TRAINING OF THE MAJORITY OF U.S. PEDIATRIC PRIMARY AND SPECIALTY PHYSICIANS. CHILDREN'S ALSO ADVOCATED FOR FEDERAL FUNDING FOR THE EMERGENCY MEDICAL SERVICES FOR CHILDREN, PEDIATRIC DISASTER CARE AND PEDIATRIC SPECIALTY LOAN REPAYMENT PROGRAMS. CHILDREN'S LENT SUPPORT FOR SEVERAL OTHER FUNDING PRIORITIES INCLUDING FOR FIREARM AND INJURY PREVENTION RESEARCH AND PROGRAMMING AT CENTERS FOR DISEASE CONTROL & PREVENTION AND NATIONAL INSTITUTES OF HEALTH (NIH), VICTIMS OF CRIME ACT PROGRAMS, POISON CONTROL CENTERS, AND TITLE IV-B CHILD WELFARE PROGRAM FUNDING. CHILDREN'S CONTINUES TO PARTICIPATE IN THE COALITION FOR PEDIATRIC MEDICAL RESEARCH WHICH SECURED APPROPRIATIONS LANGUAGE TO FUND A NATIONAL ACADEMY OF SCIENCE STUDY ON THE NIH'S PEDIATRIC RESEARCH PORTFOLIO AND WORKED ON THE PEDIATRICIANS ACCELERATE CHILDHOOD THERAPIES (PACT) ACT TO SUPPORT GRANTS FOR EARLY-CAREER PEDIATRIC RESEARCHERS AND TO PROMOTE BETTER COORDINATION AND MANAGEMENT ACROSS THE NIH PEDIATRIC RESEARCH PORTFOLIO. CHILDREN'S ALSO CONTINUES TO BE A MEMBER OF THE NORTHWELL NATIONAL HEALTH CARE CEO COUNCIL ON GUN VIOLENCE PREVENTION AND SAFETY. ADDITIONALLY, CHILDREN'S ENGAGED ON PROPOSALS TO IMPROVE ACCESS TO CARE FOR KIDS COVERED BY MEDICAID SEEKING SPECIALTY CARE ACROSS STATE LINES, TO ENCOURAGE USE OF AEDS AND HEART SAFETY PLANS IN SCHOOLS, INFORM THE LEAD COPPER RULE IMPROVEMENTS, AND TO SHARE THE IMPORTANCE OF THE 340B PROGRAM.ON THE STATE LEVEL, CHILDREN'S ADVOCATED SUCCESSFULLY ON NUMEROUS PIECES OF STATE LEGISLATION THAT WERE SIGNED INTO LAW. THESE INCLUDED SUPPORTING SCHOOL ASTHMA MANAGEMENT PROGRAMS AND ACCESS TO INHALERS IN SCHOOLS, ENSURING RESPIRATORY THERAPISTS AS LEGAL CREW MEMBERS ON HELICOPTER TRANSPORT, DENTAL THERAPIST LICENSURE, AMONG OTHERS. A CRITICAL ADVOCACY SUCCESS WAS THE PASSAGE OF LEGISLATION TO SECURE ADDITIONAL STATE FUNDING OUTSIDE OF THE STATE BUDGET TO SUPPORT CHILD ADVOCACY CENTERS AS THEY FACE SIGNIFICANT FEDERAL FUNDING SHORTFALLS. CHILDREN'S ENGAGED ON LEGISLATION TO EXTEND POSTPARTUM MEDICAID COVERAGE FOR NEW MOMS, CREATE YOUTH PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES, MAINTAIN SAFETY RESTRICTIONS FOR ATVS, SUPPORT LIKE-KIN CAREGIVERS FOR CHILDREN IN OUT-OF-HOME CARE, INCREASE FUNDING FOR HOME VISITING, SUPPORT CHILDHOOD OBESITY PREVENTION MANAGEMENT AND HEALTHY FOOD INCENTIVE PROGRAMS, AMONG OTHERS. CHILDREN'S WAS ENGAGED IN THE LEGISLATIVE STUDY COMMITTEE ON EMERGENCY DETENTION AND CIVIL COMMITMENT OF MINORS TO PROVIDE PERSPECTIVE ON CARE FOR KIDS WITH SIGNIFICANT MENTAL AND BEHAVIORAL HEALTH NEEDS. ON THE REGULATORY SIDE, CHILDREN'S ENGAGED IN EFFORTS RELATED TO IMPROVING MEDICAID COVERAGE FOR PATIENTS CERTAIN DEVICES, PROCEDURES AND CARE, INCLUDING FOR KIDS' MENTAL AND BEHAVIORAL HEALTH. CHILDREN'S CONTINUED WORKING TO SUPPORT KIDS AND FAMILIES IMPACTED BY THE MEDICAID REDETERMINATION PROCESS AND ADVOCATING FOR IMPROVED SUPPORT FOR PRIVATE DUTY NURSING ACCESS FOR KIDS WITH SPECIAL HEALTH CARE NEEDS. CHILDREN'S WORKED CLOSELY WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO PREPARE FOR THE UPCOMING 2025-27 STATE BUDGET PROCESS.(CONTINUED ON PAGE 73)
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM (CONTINUED)	AT THE LOCAL LEVEL, CHILDREN'S CONTINUED TO ENGAGE WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT AND THE MILWAUKEE HEALTH CARE PARTNERSHIP ON SHARED HEALTH SYSTEM PRIORITIES INCLUDING LEAD POISONING PREVENTION, VIOLENCE PREVENTION, IMMUNIZATIONS, HEALTH CARE ACCESS, THE MEDICAID DETERMINATION PROCESS, YOUTH MENTAL HEALTH ACCESS AND MORE. CHILDREN'S SUPPORTED ENGAGEMENT WITH THE MILWAUKEE COMMON COUNCIL AROUND THE TRIPLE P POSITIVE PARENTING PROGRAM AND FOSTER CARE AWARENESS MONTH. CHILDREN'S ENGAGED IN THE EMERGENCY GUN VIOLENCE SUMMIT AND DEVELOPED AN INTERNAL SCAN OF SYSTEM STRATEGY AROUND VIOLENCE PREVENTION.CHILDREN'S WISCONSIN OFFERS OPPORTUNITIES TO TAKE GRASSROOTS ACTION THROUGH CHILDREN'S ADVOCACY NETWORK (CAN). CAN ADVOCATES TAKE ACTION ON IMPORTANT HEALTH AND WELL-BEING TOPICS TO HELP RAISE COLLECTIVE VOICES ON BEHALF OF THE KIDS AND FAMILIES CHILDREN'S SERVES. NEARLY 2,000 MESSAGES WERE SENT TO LAWMAKERS FROM CAN ADVOCATES IN 2024. CHILDREN'S CONTINUED TO PROVIDE ADVOCACY TRAININGS FOR ADVOCATES AND MONTHLY TRAININGS TO PEDIATRIC RESIDENTS ABOUT ADVOCACY WHICH INCLUDED MEETINGS WITH LAWMAKERS. CHILDREN'S PROMOTED GET-OUT-THE-VOTE EFFORTS THROUGH POSTERS, SOCIAL MEDIA, AND MORE. CHILDREN'S HOSTED LAWMAKERS FOR VISITS TO CHILDREN'S LOCATIONS TO DISCUSS THE HEALTH CARE WORKFORCE, ASTHMA, MENTAL AND BEHAVIORAL HEALTH AND SUICIDE PREVENTION, RESEARCH, AND MUCH MORE. CHILDREN'S LEADERS, PROVIDERS AND STAFF MET WITH LAWMAKERS IN WASHINGTON, DC, MADISON AND MILWAUKEE ON OUR MANY PRIORITIES. ADDITIONALLY, CHILDREN'S PARTICIPATED IN THE WISCONSIN HOSPITAL ASSOCIATION ADVOCACY DAY AND CHILDREN'S HOSPITAL ASSOCIATION FAMILY ADVOCACY WHICH FEATURED A CHILDREN'S PATIENT FAMILY WHO ADVOCATED ON THE IMPORTANCE OF MEDICAID AND KIDS' ACCESS TO SPECIALTY CARE. THESE EVENTS OFFER OUR PATIENT FAMILIES, PROVIDERS, CLINICIANS, STAFF, BOARD MEMBERS AND COMMUNITY MEMBERS WITH OPPORTUNITIES TO STAY INFORMED AND ENGAGE IN IMPORTANT CHILD HEALTH POLICY CONVERSATIONS. IN ADDITION TO ADVOCACY, THE CHILDREN'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 HARMFUL EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHILDREN'S WISCONSIN 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 WISCONSIN 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 WISCONSIN TO ENGAGE THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. AS A PARTNER AND FACILITATOR, CHILDREN'S WISCONSIN'S STAFF HAS ENCOURAGED LEADERS FROM THE PRIORITY NEIGHBORHOODS TO IDENTIFY KEY AREAS FOR STRATEGIC INTERVENTION. 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 WISCONSIN 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 5: PROMOTION OF COMMUNITY HEALTH (CONTINUED)	CHILDREN'S WISCONSIN'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 WISCONSIN PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE ALLIES, WHICH IS SUPPORTED BY MEDICAL STAFF AT CHILDREN'S WISCONSIN, 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 ENVIRONMENTAL HEALTH INITIATIVE AT CHILDREN'S HEALTH ALLIANCE OF WISCONSIN PROVIDES EDUCATION, RESOURCES AND TOOLS TO SUPPORT ASTHMA AWARENESS. THE ALLIANCE ADVOCATES FOR POLICIES AND EVIDENCE-BASED PRACTICES TO ELIMINATE ASTHMA DISPARITIES AND LEADS STATEWIDE PROGRAMMING IN PARTNERSHIP WITH STATE AND LOCAL ORGANIZATIONS. KEY PROGRAMS INCLUDE THE WISCONSIN ASTHMA COALITION, SCHOOL AND CHILD CARE WALKTHROUGH PROGRAM, MEDICATION ASSISTANCE PROGRAM, SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM (SAMPRO) AND LOVE MY AIR WISCONSIN. THE COMMUNITY HEALTH AND EDUCATION TEAM ALSO PROVIDES 1:1 CASE MANAGEMENT FOR FAMILIES THROUGH COMMUNITY HEALTH ASTHMA MANAGEMENT PROGRAM (CHAMP).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 MILWAUKEE HOSPITAL 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 2024, THE FAMILY RESOURCE CENTER SERVED MORE THAN 5,600 VISITORS. CHILDREN'S WISCONSIN 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 WISCONSIN SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE MILWAUKEE HOSPITAL CAMPUS. ADDITIONALLY, THROUGH A PARTNERSHIP WITH CREATIVE EMPLOYMENT OPPORTUNITIES/TRANSCEN, CHILDREN'S WISCONSIN OFFERS 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 HEALTH SYSTEM TO GAIN ON-THE-JOB TRAINING AND OTHER CAREER DEVELOPMENT SKILLS TO SECURE COMPETITIVE EMPLOYMENT. CHILDREN'S HEALTH ALLIANCE OF WISCONSIN ADVOCATES FOR FAMILIES AND ACTIVELY WORKS TO CREATE PROGRAMS TO BUILD HEALTHIER COMMUNITIES. AS WISCONSIN'S VOICE FOR CHILDREN'S HEALTH, OUR WORK IS GUIDED BY NATIONAL AND STATEWIDE PRIORITIES DEFINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. OUR WORK IS CARRIED OUT IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE ALLIANCE ADVISORY BOARD. CHILDREN'S WISCONSIN PROVIDES MATCHING FUNDS AND CONTINUES TO SERVE AS THE FISCAL AGENT AND HOME FOR THE ALLIANCE TODAY.THE ALLIANCE CARRIES OUT ITS MISSION TO ENSURE WISCONSIN CHILDREN ARE HEALTHY, SAFE AND ABLE TO THRIVE THROUGH INITIATIVES FOCUSING ON DIFFERENT ASPECTS OF CHILDREN'S HEALTH. EACH INITIATIVE WORKS TO EFFICIENTLY AND EFFECTIVELY ADDRESS AN UNMET NEED IN OUR STATE. THE ALLIANCE'S KEY INITIATIVES ARE EMERGENCY CARE, ENVIRONMENTAL HEALTH, FOOD SECURITY, INJURY PREVENTION AND CHILD DEATH REVIEW, MEDICAL HOME AND ORAL HEALTH. CHILDREN'S WISCONSIN STAFFS 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 WISCONSIN 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 WISCONSIN ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. IT IS ONE OF FIVE 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 WISCONSIN 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 WISCONSIN 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 WISCONSIN, ALONG WITH ASCENSION WISCONSIN AND THEDACARE, CREATED AN ORGANIZATION CALLED CATALPA HEALTH TO PROVIDE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES IN THE FOX VALLEY.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT	CHHS, THE SOLE CORPORATE MEMBER OF CHILDREN'S WISCONSIN, 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 WISCONSIN'S WEBSITE OR UPON REQUEST.

Schedule H (Form 990) 2024

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) DUKE UNIVERSITY PO BOX 751274 CHARLOTTE,NC282751274	56-0532129	501(C)(3)	131,268	NIH RESEARCH GRANT
(2) COLUMBIA ST MARYS HOSPITAL 400 W RIVER WOODS PKWY GLENDALE,WI53212	39-0806315	501(C)(3)	109,460	DENTAL SEALANT
(3) SEALS ON WHEELS 964 CTY RD T MARSHALL,WI53559	38-8086637	501(C)(3)	102,661	DENTAL SEALANT
(4) PREFERRED DENTISTRY ASSOCIATES OF WI LLC 6428 N CALIFORNIA AVE CHICAGO,IL60645	27-2634563	501(C)(3)	89,073	DENTAL SEALANT
(5) LAKES COMMUNITY HEALTH CENTER 15735 US HWY 63 HAYWARD,WI54843	35-2297925	501(C)(3)	87,165	DENTAL SEALANT
(6) HEALTHNET OF ROCK COUNTY INC 113 S FRANKLIN ST JANESVILLE,WI53547	39-1778804	501(C)(3)	82,851	DENTAL SEALANT
(7) DENTAMED HEALTHCARE LLC 3900 W BROWN DEER RD 212A BROWN DEER,WI53217	81-5225234	LLC-OTHER	80,421	DENTAL SEALANT
(8) HEALTHY SMILES LLC N8077 COUNTY RD E OGDENSBURG,WI54962	85-1175413	501(C)(3)	68,522	DENTAL SEALANT
(9) PROFESSIONAL DENTAL HYGIENE EXPRESS INC 5388 STATE HWY 64 BLOOMER,WI54724	27-4969600	501(C)(3)	52,614	DENTAL SEALANT
(10) OUTREACH 4 HEALTHY TEETH LLC 500 COLLEGE AVE RACINE,WI53403	84-2242837	LLC-OTHER	49,908	DENTAL SEALANT
(11) NOBLE COMMUNITY CLINICS 400 S TOWNLINE RD WAUTOMA,WI549826922	39-1181480	501(C)(3)	49,874	DENTAL SEALANT
(12) BROWN COUNTY ORAL HEALTH PARTNERSHIP 1245 MAIN ST GREEN BAY,WI54302	20-8969896	BROWN COUNTY	33,155	DENTAL SEALANT
(13) WOOD COUNTY 111 W JACKSON ST STE 301 WI RAPIDS,WI54494	39-6005763	WOOD COUNTY	30,762	DENTAL SEALANT
(14) OPEN ARMS FREE CLINIC INC 205 E COMMERCE CT UNIT 1 ELKHORN,WI53121	45-4475625	501(C)(3)	25,742	DENTAL SEALANT
(15) ACCESS COMMUNITY HEALTH CENTERS 2901 W BELTLINE HWY STE 120 MADISON,WI53713	39-1391134	501(C)(3)	22,842	DENTAL SEALANT
(16) LACROSSE COUNTY 300 4TH ST N LA CROSSE,WI54601	39-6005709	LACROSSE COUNTY	19,963	DENTAL SEALANT
(17) SAUK COUNTY 505 BROADWAY - 4TH FLOOR BARABOO,WI53913	39-6005740	SAUK COUNTY	18,829	DENTAL SEALANT
(18) KENOSHA COMMUNITY HEALTH CENTER 625 57TH ST SUITE 700 KENOSHA,WI53140	39-1789874	501(C)(3)	18,722	DENTAL SEALANT
(19) CLARK COUNTY 517 COURT ST RM105 NIELLSVILLE,WI54456	39-6005679	CLARK COUNTY	15,451	DENTAL SEALANT
(20) JUST KIDS DENTAL 1313 FAIRGROUNDS RD TWO HARBORS,MN55616	27-2311353	501(C)(3)	13,809	DENTAL SEALANT
(21) MEDICAL COLLEGE OF WISCONSIN PO BOX 26509 MILWAUKEE,WI53226	39-0806261	501(C)(3)	13,624	SPINA BIFIDA UMPIRE FEDERAL GRANT
(22) COMMUNITY HEALTH SYSTEMS INC 74 ECLIPSE CENTER BELOIT,WI53511	39-1919806	501(C)(3)	8,690	DENTAL SEALANT
(23) DOOR COUNTY MEDICAL CENTER 323 S 18TH ST STURGEON BAY,WI54235	39-0806324	501(C)(3)	6,791	DENTAL SEALANT
(24) LINCOLN COUNTY 607 N SALES ST 101 MERRILL,WI54452	39-6005714	LINCOLN COUNTY	6,087	DENTAL SEALANT
(25) CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 FINANCE DEPT MILWAUKEE,WI53201	39-0812532	501(C)(3)	47,062,650	GRANTS TO AFFILIATE
(26) CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE,WI53201	39-0806380	501(C)(3)	11,577,156	GRANTS TO AFFILIATE
(27) CHILDREN'S MEDICAL GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE,WI53201	39-1789197	501(C)(3)	15,904,487	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) Rev. 1-2025

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 SINGLE AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. ADDITIONALLY, CHW FUNDS ITS TAX-EXEMPT AFFILIATES. FUNDS 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) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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 on 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 .....

Yes

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 on 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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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 TROYTHROUGH AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS	(i) (ii)	0 ------------- 1,409,156	0 ------------- 610,262	0 ------------- 570,065	0 ------------- 25,300	0 ------------- 43,548	0 ------------- 2,658,331	0 ------------- 0
2SCOTT TURNER PRESIDENT CHW AND EVP CHHS	(i) (ii)	1,364,704 ------------- 0	234,769 ------------- 0	177,854 ------------- 0	143,988 ------------- 0	63,304 ------------- 0	1,984,619 ------------- 0	67,528 ------------- 0
3MARC CADIEUX TREASURER/SVP & CFO	(i) (ii)	0 ------------- 713,591	0 ------------- 215,665	0 ------------- 204,973	0 ------------- 137,499	0 ------------- 846	0 ------------- 1,272,574	0 ------------- 90,953
4MICHAEL GUTZEIT MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 580,314	0 ------------- 155,436	0 ------------- 208,922	0 ------------- 28,750	0 ------------- 52,158	0 ------------- 1,025,580	0 ------------- 0
5GIL PERIBEGINNING AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS	(i) (ii)	0 ------------- 447,226	0 ------------- 150,000	0 ------------- 136,038	0 ------------- 145,833	0 ------------- 24,658	0 ------------- 903,755	0 ------------- 0
6LESLIE TECTOR SECRETARY/SVP & CHIEF LEGAL OFFICER	(i) (ii)	0 ------------- 519,906	0 ------------- 108,594	0 ------------- 65,784	0 ------------- 85,450	0 ------------- 21,522	0 ------------- 801,256	0 ------------- 0
7RAINER GEDEIT MD CHIEF MEDICAL OFFICER	(i) (ii)	503,469 ------------- 0	127,344 ------------- 0	50,156 ------------- 0	80,500 ------------- 0	38,494 ------------- 0	799,963 ------------- 0	0 ------------- 0
8NANCY KOROM CHIEF NURSING OFFICER/VP CHW	(i) (ii)	379,273 ------------- 0	102,870 ------------- 0	120,232 ------------- 0	28,750 ------------- 0	60,143 ------------- 0	691,268 ------------- 0	0 ------------- 0
9CHRISTOPHER SPAHR MD CHIEF QLTY/SFTY OFFICER & ACMO	(i) (ii)	416,750 ------------- 0	105,695 ------------- 0	27,400 ------------- 0	73,269 ------------- 0	57,311 ------------- 0	680,425 ------------- 0	0 ------------- 0
10LISA JENTSCH VP CHW	(i) (ii)	297,396 ------------- 0	78,967 ------------- 0	87,906 ------------- 0	28,750 ------------- 0	36,624 ------------- 0	529,643 ------------- 0	0 ------------- 0
11LORI BARBEAU DDS MEDICAL DIR, DENTAL PROGRAM	(i) (ii)	337,982 ------------- 0	39,081 ------------- 0	3,864 ------------- 0	28,750 ------------- 0	25,872 ------------- 0	435,549 ------------- 0	0 ------------- 0
12STEVEN PETITT VP CHW SUPT SVC	(i) (ii)	242,113 ------------- 0	41,114 ------------- 0	52,393 ------------- 0	11,500 ------------- 0	60,923 ------------- 0	408,043 ------------- 0	0 ------------- 0
13CARLI PAZ DMD DIR DENTAL RESIDENCY PROG	(i) (ii)	270,350 ------------- 0	25,945 ------------- 0	24,392 ------------- 0	24,789 ------------- 0	62,087 ------------- 0	407,563 ------------- 0	0 ------------- 0
14JOHN SCALCUCCI VP AMBULATORY SERVICES	(i) (ii)	238,700 ------------- 0	36,901 ------------- 0	42,678 ------------- 0	24,689 ------------- 0	61,481 ------------- 0	404,449 ------------- 0	0 ------------- 0
15MICHELLE LINSMEIER MD ASSOCIATE CHIEF MEDICAL OFFICER	(i) (ii)	322,794 ------------- 0	10,174 ------------- 0	1,212 ------------- 0	28,308 ------------- 0	4,043 ------------- 0	366,531 ------------- 0	0 ------------- 0
16MICHELLE METTNER FORMER OFFICER	(i) (ii)	0 ------------- 173,846	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 26	0 ------------- 173,872	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 1A	DURING THE TAX YEAR, CERTAIN ORGANIZATION EXECUTIVES UTILIZED A CHARTERED FLIGHT TO TRAVEL TO FLORIDA FOR ENGAGEMENT WITH A BENEFACTOR TO PROVIDE TIME SENSITIVE PROGRAMMATIC AND STRATEGIC UPDATES IN SUPPORT OF THE ORGANIZATION'S MISSION. THE TRAVEL WAS UNDERTAKEN EXCLUSIVELY FOR BUSINESS PURPOSES AND WAS APPROVED IN ACCORDANCE WITH THE ORGANIZATIONS TRAVEL AND EXPENSE POLICIES. NO PORTION OF THIS TRAVEL WAS FOR PERSONAL USE.
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 2024, 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 2024 WERE AS FOLLOWS: G. PERI, $145,833; M. CADIEUX, $112,199; R. GEDEIT $62,100; C. SPAHR, $51,419; L. TECTOR, $63,600; AND S. TURNER, $122,138. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2024 WERE: M. CADIEUX, $90,953, S. TURNER, $67,528.
PART I, LINE 7	CERTAIN LEADERS PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. INCENTIVE CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND LEADER SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE LEADER'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: GIL PERI, PRESIDENT & CEO OF CHHS (BEGINNING IN AUGUST 2024), MARGARET TROY, PRESIDENT & CEO OF CHHS (THROUGH AUGUST 2024), MARC CADIEUX, TREASURER OF CHW AND TREASURER SVP & CFO OF CHHS, MICHELLE METTNER, FORMER SECRETARY OF CHW, AND LESLIE TECTOR, SECRETARY OF CHW AND SVP & CHIEF LEGAL OFFICER OF CHHS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MR. PERI AND MS. TROY AS A MEMBER OF THE BOARD OF DIRECTORS OF CHW WERE PROVIDED AS PART OF THEIR POSITIONS OF CHHS.

Schedule J (Form 990) (Rev. 1-2025)

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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
B	WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY	39-1337855	97712D7D2	10-29-2020	126,235,203	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 ..................	340,154,978		126,681,207
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,594,788		1,235,203
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	102,963,077		125,446,004
11 Other spent proceeds .............	234,597,113
12 Other unspent proceeds .............
13 Year of substantial completion .............	2021		2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.340 %		1.550 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %
6 Total of lines 4 and 5 .............	0.340 %		1.550 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........		X		X
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
SCHEDULE K SUPPLENTAL INFORMATION	SCHEDULE K, PART I, LINE A, COLUMN (F): THE SERIES 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 BORROWER'S SURGICAL PLATFORM, AMBULATORY FACILITIES AND EMERGENCY DEPARTMENT AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART I, LINE B, COLUMN (F): THE SERIES 2020 BONDS WERE 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 BORROWER'S 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 $2,963,076. SCHEDULE K, PART II, LINE 3, COLUMN (B): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $446,004.
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, BUT ASSUMES THE 10% THRESHOLD WILL NOT BE MET AND MANAGES COMPLIANCE THROUGH THIS PRIVATE USE MONITORING. BASED SOLELY ON THIS ASSUMPTION, THE ORGANIZATION HAS RESPONDED NO TO THIS QUESTION AND NOTES THAT HISTORICALLY THE ORGANIZATION RESPONDED YES, BECAUSE IT UNDERSTOOD THAT YES INDICATED IT WAS UNDER THE THRESHOLD. THE CHANGED RESPONSE IS A CHANGE IN INTERPRETATION AND NOT A CHANGE IN THE PRIVATE USE OF THE BOND-FINANCED ASSETS.
PART IV, LINE 2(C)	THE CALCULATION WAS MADE ON FEBRUARY 1, 2023

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 V, LINE 1A	THE ORGANIZATION DID NOT FILE ANY FORMS 1099 DURING THE TAXABLE YEAR. ALTHOUGH THE ORGANIZATION DID RETAIN INDEPENDENT CONTRACTORS, THE COMPENSATION AMOUNTS OWED TO SUCH CONTRACTORS WERE PROCESSED AND PAID BY A RELATED ENTITY, CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. (CHHS), WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHHS. THE FORMS 1099 FOR SUCH PAYMENTS WERE ISSUED BY CHHS, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE INDEPENDENT CONTRACTORS.
FORM 990, PART V, LINE 2A	THE ORGANIZATION DID NOT FILE FORM W-3 DURING THE TAXABLE YEAR. ALTHOUGH THE ORGANIZATION DID RETAIN EMPLOYEES AND REPORTED SALARIES ON PART IX OF THE FORM 990, THE COMPENSATION AMOUNTS PAID TO EMPLOYEES OF CHW WERE PROCESSED AND PAID BY A RELATED ENTITY, CHHS, WITH APPROPRIATE INTERCOMPANY ARRANGEMENTS BETWEEN THE ORGANIZATION AND CHHS. THE FORM W-3 WAS ISSUED BY CHHS, AS THE ENTITY THAT PROCESSED AND MADE THE PAYMENTS TO THE EMPLOYEES.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS: TODD ADAMS AND KEN BOCKHORST, XIA LIU AND KEN BOCKHORST, AND TODD ADAMS AND XIA LIU.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. (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 OFFICERS 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 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 6,487,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,487,552. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 19,218,354. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,218,354. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 73,053,694. MANAGEMENT AND GENERAL EXPENSES 28,852,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,905,898.
FORM 990, PART XI, LINE 9:	NET CHANGE IN INTEREST IN NET ASSETS OF CHWF 89,512,436.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 FINANCE DEPT MILWAUKEE,WI532011997 39-1500074	AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SUPPT SVCS	WI	501(C)(3)	LINE 3	N/A		No
(2)CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 FINANCE DEPT 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 FINANCE DEPT MILWAUKEE,WI532011997 39-1789197	PEDIATRIC PHYSICIAN SERVICES	WI	501(C)(3)	LINE 3	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(4)CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE,WI532011997 39-0806380	CHILD WELFARE SERVICES	WI	501(C)(3)	LINE 7	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(5)CHORUS COMMUNITY HEALTH PLANS INC PO BOX 1997 FINANCE DEPT MILWAUKEE,WI532011997 27-1494977	WISCONSIN MEDICAID HMO & COMMERCIAL EXCHANGE PLAN	WI	501(C)(3)	LINE 10	CHILDREN'S HOSPITAL & HEALTH SYSTEM INC	Yes
(6)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
(7)CHILDREN'S SPECIALTY GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE,WI532011997 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) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) WEST ALLIS PRESCRIPTION CENTER INC PO BOX 1997 FINANCE DEPT MILWAUKEE,WI532011997 46-3421597	PHARMACY	WI	N/A	C					No
(2) WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY PO BOX 1997 FINANCE DEPT MILWAUKEE,WI532011997 06-1654484	PHARMACY	WI	N/A	C					No

Schedule R (Form 990) (Rev. 1-2025)

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHILDREN'S MEDICAL GROUP INC	A	136,075	CASH PAID/RECEIVED
(2) CHILDREN'S SERVICE SOCIETY OF WISCONSIN	B	11,577,156	CASH PAID/RECEIVED
(3) CHILDREN'S MEDICAL GROUP INC	B	15,904,487	CASH PAID/RECEIVED
(4) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	C	13,021,421	CASH PAID/RECEIVED
(5) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	E	436,306,710	NET BOOK VALUE
(6) CHORUS COMMUNITY HEALTH PLANS INC - PATIENT REIMBURSEMENT	L	35,618,104	CASH PAID/RECEIVED
(7) CHILDREN'S MEDICAL GROUP INC	Q	171,270	CASH PAID/RECEIVED
(8) CHILDREN'S MEDICAL GROUP INC	S	86,823,850	CASH PAID/RECEIVED
(9) CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC	S	33,600,000	CASH PAID/RECEIVED
(10) CHILDREN'S SERVICE SOCIETY OF WISCONSIN	S	53,139,017	CASH PAID/RECEIVED
(11) CHORUS COMMUNITY HEALTH PLANS INC - ASSESSMENT PASS THROUGH PAYMENTS	S	18,662,593	CASH PAID/RECEIVED

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

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 1, 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) (Rev. 1-2025)

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	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	404
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	128,946
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	32,413,805	32,932,496
9	Program service revenue (Part VIII, line 2g) .........	876,922,360	949,167,362
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,706,411	11,868,682
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,962,841	22,540,082
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	938,005,417	1,016,508,622
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	79,837,836	75,689,310
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)	337,187,856	359,557,341
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)....	507,354,099	535,871,745
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	924,379,791	971,118,396
19	Revenue less expenses. Subtract line 18 from line 12.......	13,625,626	45,390,226
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,394,161,814	2,517,109,457
21	Total liabilities (Part X, line 26).............	563,220,786	551,307,813
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,830,941,028	1,965,801,644

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 674,968,036 including grants of $ 75,689,310 ) (Revenue $ 961,506,551 )
	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 2024, 10,276 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 4,538 OBSERVATION PATIENTS IN 2024. 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 2024, 682 CHILDREN WERE ADMITTED TO THE FOX VALLEY HOSPITAL. IN ADDITION, THERE WERE 384 OBSERVATION PATIENTS IN 2024.OUTPATIENT AND AMBULATORY SERVICES: THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS IN MORE THAN 70 SUBSPECIALTY AREAS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 73,410 VISITS TO THE EMERGENCY DEPARTMENT IN 2024. 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 2024, THERE WERE A TOTAL OF 392,928 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 OF WISCONSIN, 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, SERVICES PROVIDED AT SOJOURNER FAMILY PEACE CENTER (SERVICES FOR ADULTS AND CHILDREN WHO HAVE EXPERIENCED DOMESTIC VIOLENCE), VIOLENCE PREVENTION COUNSELING THROUGH PROJECT UJIMA, WHICH WORKS WITH VICTIMS OF VIOLENCE AND PROVIDES SUPPORT THROUGH COMMUNITY OUTREACH AND THERAPY 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 expenses674,968,036

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	5,764,478	6,269,778	1,509,165

1a	Federated campaigns..		1a	25,000
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	13,021,421
e	Government grants (contributions)		1e	18,965,121

f	All other contributions, gifts, grants, and similar amounts not included above		1f	920,954

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		32,932,496

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	936,723,372	936,723,372
b	RENTAL INCOME	531120	6,864,300	6,516,518	14,296	333,486
c	OUTSIDE SALARY SUPPORT	541900	5,579,690	5,579,690
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		949,167,362

3 Investment income (including dividends, interest, and othersimilar amounts) ......			11,262,854			11,262,854
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	55,034,916	1,165,837
b	Less: cost or other basis and sales expenses	7b	55,594,925	0
c	Gain or (loss)	7c	-560,009	1,165,837
d	Net gain or (loss).........			605,828			605,828
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	PHARMACY SALES TO EMPLOYEES		456110	8,968,444			8,968,444
b	340B CONTRACTS		722210	5,926,201	5,926,201
c	FOX VALLEY SCHOOL THERAPY		900099	877,007	877,007
d	All other revenue ....			6,768,430	5,883,763	114,650	770,017
e	Total. Add lines 11a–11d ......			22,540,082
12	Total revenue. See instructions.....			1,016,508,622	961,506,551	128,946	21,940,629

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	75,689,310	75,689,310
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, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,409,940		4,409,940
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........	281,174,943	222,549,172	58,625,771
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,066,206	11,797,213	3,268,993
9	Other employee benefits .......	38,697,809	29,765,493	8,932,316
10	Payroll taxes ...........	20,208,443	15,984,734	4,223,709
11	Fees for services (non-employees):
a	Management ......	144,092,166		144,092,166
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,998,381		1,998,381
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	127,611,804	98,759,600	28,852,204
12	Advertising and promotion ....	206,386	15,638	190,748
13	Office expenses .......	385,542	20,398	365,144
14	Information technology ......	1,036,945	210,424	826,521
15	Royalties ..
16	Occupancy ...........	37,793,021	6,155,252	31,637,769
17	Travel ............	790,006	328,131	461,875
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	371,720	153,904	217,816
20	Interest ...........	15,918,808	15,918,808
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	55,956,239	55,956,239
23	Insurance ...
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	120,104,283	120,104,283
b	HOSPITAL ASSESSMENT TAX	9,223,034	9,223,034
c	EQUITY INVESTMENTS	625,027	625,027
d
e	All other expenses	19,758,383	11,711,376	8,047,007
25	Total functional expenses. Add lines 1 through 24e	971,118,396	674,968,036	296,150,360	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 ........			63,217,068	1	60,248,689
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			9,425,617	3	14,090,757
4	Accounts receivable, net .............			138,971,308	4	136,724,813
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			45,000	7
8	Inventories for sale or use ............			10,042,979	8	10,096,768
9	Prepaid expenses and deferred charges ......			2,817,876	9	2,391,878
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,287,798,456
b	Less: accumulated depreciation	10b	596,677,692	659,538,891	10c	691,120,764
11	Investments—publicly traded securities .			240,285,597	11	249,557,517
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 ...........			1,269,817,478	15	1,352,878,271
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,394,161,814	16	2,517,109,457

17	Accounts payable and accrued expenses .....	46,985,832	17	44,245,588
18	Grants payable ...		18
19	Deferred revenue .........	2,258,896	19	935,648
20	Tax-exempt bond liabilities .........	444,687,596	20	436,306,710
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	10,318,324	23	10,548,491
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	58,970,138	25	59,271,376
26	Total liabilities. Add lines 17 through 25..	563,220,786	26	551,307,813

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,504,406,026	27	1,623,663,358
28	Net assets with donor restrictions ...........	326,535,002	28	342,138,286
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,830,941,028	32	1,965,801,644
33	Total liabilities and net assets/fund balances ........	2,394,161,814	33	2,517,109,457