2025-11-14T10:53:38-06:00 2024-12-31 363168081 SIKICH LLC 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2024-01-01 391789197 CHILDREN'S MEDICAL GROUP INC CHIL 4142665420 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2025-11-12 1 0 JILL M BOYLE CPA P01246734 2627549400 2025-11-12 2024 2025-03-06 01:10:19Z SEE SCHEDULE O MICHAEL GUTZEIT MD PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 113488291 0 X WWW.CHILDRENSWI.ORG X 1994 WI PROVIDE QUALITY, ACCESSIBLE PRIMARY HEALTH CARE TO CHILDREN IN THE COMMUNITY. 12 0 0 0 0 0 26079028 20852497 82880086 92391349 -37054 -27912 93098 243650 109015158 113459584 0 0 0 0 61414790 65990443 0 0 0 47600368 47469141 109015158 113459584 0 0 37579820 35034808 37579820 35034808 0 0 X TO PROVIDE QUALITY, ACCESSIBLE PRIMARY HEALTH CARE SERVICES TO ALL CHILDREN IN OUR COMMUNITY, ADVOCATE FOR THE WELL-BEING OF ALL CHILDREN, EDUCATE CHILDREN, FAMILIES, HEALTH CARE PROFESSIONALS AND OUR COMMUNITY REGARDING THE HEALTH OF CHILDREN. 0 0 75130546 83039402 CHILDREN'S MEDICAL GROUP, INC. ("CMG") IS ORGANIZED AS A NON STOCK NON PROFIT CORPORATION WITH A SOLE MEMBER, CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), A SECTION 501(C)(3) ORGANIZATION. CMG IS AFFILIATED WITH CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW"), A SECTION 501(C)(3) ORGANIZATION WHICH IS THE ONLY HOSPITAL IN WISCONSIN DEVOTED SOLELY TO THE PROVISION OF MEDICAL SERVICES TO CHILDREN. THE PRIMARY PURPOSE OF CMG IS TO PROVIDE QUALITY PRIMARY CARE MEDICAL SERVICES TO CHILDREN IN THE COMMUNITY, STATE, AND REGION. THE AFFILIATED GROUP IS ONE OF ONLY A HANDFUL OF ORGANIZATIONS THROUGHOUT THE U.S. THAT FOCUSES SOLELY ON THE CRITICAL MEDICAL NEEDS OF CHILDREN AND THE SPECIAL CARE THEY REQUIRE. THE PRINCIPAL FUNCTION OF CMG IS TO PROVIDE PRIMARY MEDICAL DIAGNOSIS, TREATMENT SERVICES, AND PREVENTATIVE CARE THROUGH OUTPATIENT CLINICS AND COMMUNITY HEALTH SCREENING AND EDUCATION SERVICES. CMG ALSO PARTICIPATES IN PRIMARY CARE MEDICAL EDUCATION AND TRAINING THROUGH THE MEDICAL COLLEGE OF WISCONSIN AND GRADUATE MEDICAL EDUCATION PROGRAMS ALREADY ESTABLISHED AT CHW. CMG PROVIDES CARE TO CHILDREN WHO ARE RESIDENTS OF SOUTHEASTERN WISCONSIN AT LOCATIONS WHERE THERE IS A DEMONSTRATED COMMUNITY NEED FOR MEDICAL DIAGNOSIS AND TREATMENT. IN 2024, CMG HAD 21 PHYSICIAN OFFICES WITH APPROXIMATELY 190 PROVIDERS. AS A GROUP THERE WERE 368,353 PEDIATRIC OFFICE VISITS, HEALTH CHECKS AND IMMUNIZATIONS PROVIDED IN 2024. INCLUDED IN THIS NUMBER ARE 47,938 PEDIATRIC OFFICE VISITS, HEALTH CHECKS AND IMMUNIZATIONS DESCRIBED IN LINE 4B.IN RESPONSE TO THE CHANGING NEEDS OF THE COMMUNITY FOR MEDICAL SERVICES, ADVANCES IN PEDIATRIC MEDICINE AND THE INCREASING EMPHASIS ON PREVENTIVE MEDICAL CARE, CMG PROVIDES SERVICES IN FURTHERANCE OF THE MISSION OF CHW AND OTHER MEMBERS OF THE AFFILIATED GROUP. INCREASINGLY, PATIENTS HAVE BEEN SEEKING PRIMARY MEDICAL CARE THROUGH THE EMERGENCY ROOM FACILITIES OF HOSPITALS. THE EMERGENCY ROOM IS THE MOST COSTLY AND INEFFICIENT METHOD OF PROVIDING SUCH CARE TO PATIENTS. BY MAKING PRIMARY CARE AVAILABLE TO A GREATER PORTION OF THE GENERAL PUBLIC, CMG PROVIDES QUALITY, EFFICIENT PRIMARY PEDIATRIC CARE AT A LOWER COST. CMG IS STRUCTURED TO BETTER SERVE THE RESIDENTS OF SOUTHEASTERN WISCONSIN BY PROVIDING INCREASED ACCESS TO QUALITY MEDICAL CARE, EXPANDING COMMUNITY MEDICAL EDUCATION EFFORTS AND IMPROVING THE QUALITY OF PEDIATRIC CARE.CMG HAS MADE INTEGRATED MENTAL BEHAVIORAL HEALTH (IMBH) A STRATEGIC PART OF ITS PROVISION OF QUALITY HEALTH CARE. IMBH BRINGS BEHAVIORAL HEALTH SERVICES INTO THE PRIMARY CARE SETTING BY INCORPORATING LICENSED MENTAL HEALTH PROVIDERS, BEHAVIORAL HEALTH CONSULTANTS (BHCS), INTO THE TEAM. BHCS AND ALL MEMBERS OF THE PRIMARY CARE TEAM WORK TOGETHER TO PROVIDE COMPREHENSIVE, WHOLE-CHILD HEALTH CARE BY ADDRESSING EVERY ASPECT OF A CHILD'S PHYSICAL AND MENTAL WELLBEING. TYPICAL BHC SERVICES INCLUDE CHRONIC HEALTH CONDITION MANAGEMENT, ANTICIPATORY GUIDANCE, EARLY INTERVENTION FOR COMMON CHILDHOOD CONCERNS, AND ROUTINE BEHAVIORAL HEALTH SCREENING. BHCS PROVIDE MENTAL HEALTH ASSESSMENT AND TREATMENT, BRIEF EVIDENCE-BASED THERAPY, AND PHYSICIAN AND TEAM CONSULTATION. BHCS PROVIDE IMMEDIATE ACCESS TO MENTAL HEALTH AND PREVENTION SERVICES. IN ADDITION, CMG HAS EXPANDED ITS MENTAL BEHAVIORAL HEALTH OFFERINGS TO INCLUDE THE CRAIG YABUKI MENTAL HEALTH WALK-IN CLINIC, WHICH PROVIDES SAME-DAY CARE FOR CHILDREN AND TEENS EXPERIENCING URGENT MENTAL HEALTH ISSUES, AND A BRIDGE CLINIC TO ADDRESS THE LONG WAIT FOR OUTPATIENT THERAPY SERVICES BY OFFERING SHORT-TERM SUPPORT WHILE PATIENTS WAIT FOR APPOINTMENTS TO BECOME AVAILABLE. THIS WHOLE-CHILD APPROACH ENSURES CHILDREN WILL GET THE CARE THEY NEED, WHEN THEY NEED IT AND WHERE THEY NEED IT.DURING THE COVID-19 PANDEMIC, CMG PIVOTED TO PROVIDE THE CARE CHILDREN AND FAMILIES NEED AS SAFELY AS POSSIBLE. THIS INCLUDED A SIGNIFICANT INCREASE IN USE OF TELEHEALTH (INCLUDING FOR MENTAL AND BEHAVIORAL HEALTH NEEDS) AND SUPPORTING OUR COMMUNITY THROUGH TESTING, VACCINATION AND PEDIATRIC HEALTH AND SAFETY ADVICE AND RECOMMENDATIONS. WITH THE CONCLUSION OF THE PANDEMIC IN MAY 2023, CMG HAS CONTINUED TO INCLUDE TELEHEALTH SERVICES IN ITS EVERYDAY CARE OFFERINGS AND IN 2024 EXPANDED THESE OFFERINGS TO ASYNCHRONOUS E-VISITS MAKING PRIMARY CARE MORE CONVENIENT AND ACCESSIBLE. 14617008 9595597 CMG OPERATES CLINICS IN UNDERSERVED AREAS IN THE MILWAUKEE AREA, INCLUDING THE MIDTOWN HEALTH CENTER, AND THE FOREST HOME, RIVER GLEN, AND GOOD HOPE CLINICS. THESE CLINICS PROVIDE PRIMARY CARE SERVICES INCLUDING PREVENTIVE CARE, PHYSICALS, IMMUNIZATIONS, AND TREATMENT FOR ILLNESSES TO AREAS THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS AND ARE IN ZIP CODES WITH THE HIGHEST POPULATION OF CHILDREN. CMG PARTNERS WITH COMMUNITY ORGANIZATIONS TO ADDRESS SOCIAL DETERMINANTS OF A CHILD'S HEALTH, SUCH AS FOOD, HOUSING, TRANSPORTATION, AND ENVIRONMENTAL FACTORS. IN JANUARY 2024, CMG LAUNCHED THE HEALTH NAVIGATION PROGRAM AT THE FOUR CLINICS MENTIONED ABOVE TO ADDRESS PREVENTATIVE CARE GAPS THAT REMAIN POST-PANDEMIC. ADDITIONALLY, TO MEET THE DENTAL NEEDS OF UNDERSERVED CHILDREN IN THE CITY OF MILWAUKEE, CMG HAS A PEDIATRIC DENTAL PRACTICE, DENTAL CENTER MIDTOWN. THESE CLINICS OPERATE AT A LOSS, WHICH WAS FUNDED BY CHW, OR CONTRIBUTIONS RECEIVED VIA THE CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. THESE CLINICS HAD 47,938 PEDIATRIC OFFICE VISITS, HEALTH CHECKS AND IMMUNIZATIONS PROVIDED IN 2024, AND APPROXIMATELY 80% OF THE GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID. 89747554 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142668976 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 BARBARA CALKINS MD DIRECTOR/PEDIATRIC PHYSICIAN/CHAIR 30.00 0.00 X 302337 0 11962 KATHRYNN FEE MD DIRECTOR/PEDIATRIC PHYSICIAN/VICE CHAIR 40.00 0.00 X 349917 0 15651 AARON HANSON MD DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 476991 0 79100 AMANDA KOTOWSKI APNP DIRECTOR/NURSE PRACTITIONER 30.00 0.00 X 157212 0 71775 CHRISTEN MCALPINE-TESFAI MD DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 250932 0 2585 BRILLIANT NIMMER MD DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 218479 0 58091 DAVID OGREN MD DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 339143 0 74765 CYNTHIA RUNNING MD DIRECTOR/PEDIATRIC PHYSICIAN 30.00 0.00 X 215841 0 69216 GIL PERIBEGINNING AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS 0.00 40.00 X 0 733264 170491 MARGARET TROYTHROUGH AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS 0.00 40.00 X 0 2589483 68848 MICHAEL GUTZEIT MD DIRECTOR/PRESIDENT CMG & SVP CHHS 40.00 0.00 X X 0 944672 80908 AMY ROMASHKO MD DIRECTOR/URGENT CARE MED/PROGRAM DIR 0.00 40.00 X 0 371572 87054 JASON JARZEMBOWSKI MD DIRECTOR 1.00 0.00 X 0 0 0 MARC CADIEUX TREASURER/SVP & CFO 0.00 40.00 X 0 1134229 138345 LESLIE TECTOR SECRETARY/SVP & CHIEF LEGAL OFFICER 0.00 40.00 X 0 694284 106972 JAYA IYER MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 362775 0 30344 BOYD MILLER MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 367166 0 73265 CHRISTOPHER SCHWAKE MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 405196 0 86804 MARY SISNEY VP PRIMARY CARE 40.00 0.00 X 345118 0 91172 YOLANDA WOLFF MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 40.00 0.00 X 343223 0 80487 SHERYN ABRAHAM MD PEDIATRIC PHYSICIAN 40.00 0.00 X 460670 0 57634 KRISTIN BENCIK BOUDREAU DO PEDIATRIC PHYSICIAN 40.00 0.00 X 429799 0 34702 JESSICA DE VALK MD PEDIATRIC PHYSICIAN 40.00 0.00 X 414540 0 12066 COLLEEN JOHNSON MD PEDIATRIC PHYSICIAN 40.00 0.00 X 731006 0 74757 DAVID MELBYE MD PEDIATRIC PHYSICIAN 40.00 0.00 X 399604 0 72743 MICHELLE METTNER FORMER OFFICER 0.00 40.00 X 0 173846 26 STEVEN JEREB MD FORMER KEY EMPLOYEE 40.00 0.00 X 249220 0 71555 AMY HERBST FORMER KEY EMPLOYEE 0.00 40.00 X 0 447163 90754 6819169 7088513 1812072 139 1 1 0 INNOVATEL TELEPSYCHIATRY LLC PO BOX 825174 PHILADELPHIA PA 191825174 CLINICAL AND TELEPSYCHIATRY SERV. 1816660 GOODWILL TALENTBRIDGE LLC BOX 78695 MILWAUKEE WI 532780695 PATIENT SERVICES REPRESENTATIVES 372249 TRIAGE 4 PEDIATRICS PO BOX 261923 PLANO TX 75026 ANSWERING SERVICES 267389 STAFFENCY LLC 221 W COLLEGE AVE FL 2 APPLETON WI 54911 TEMP HELP SERVICES 160184 PSAB ENTERPRISES 13040 W LISBON ROAD SUITE 900 BROOKFIELD WI 53005 CLEANING SERVICES 140490 6 19040271 1812226 20852497 NET PATIENT SVC REV 621110 92239947 92239947 RENTAL INCOME 532000 145539 145539 SALARY SUPPORT 541900 5863 5863 92391349 795 795 28707 -28707 -28707 -28707 OTHER MISCELLANEOUS 900099 243650 243650 243650 113459584 92634999 0 -27912 4879549 3743554 1135995 50270927 46038395 4232532 2018017 1860544 157473 5395354 4852899 542455 3426596 3100580 326016 17033104 17033104 3857377 3850652 6725 3255 3255 66961 66961 2866 2866 7658492 7534497 123995 29343 24750 4593 137677 116072 21605 1847777 1810304 37473 MEDICAL SUPPLIES 16187769 16187769 OTHER EXPENSES 644520 554456 90064 113459584 89747554 23712030 0 513370 609503 7226694 6131494 40207 1935544 1989833 571319 543544 20889102 12777850 9174494 8111252 18118192 17649182 37579820 35034808 5909484 4601874 2448000 1700000 29222336 28732934 37579820 35034808 X 0 0 37579820 35034808 0 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14207012 9499148 4707864 6239457 3276743 2962714 442633 1959 440674 8111252 DEFERRED COMPENSATION PLAN ASSETS 10785847 LEASE ASSETS 6863335 17649182 DEF. COMPENSATION PLAN LIABILITIES 10785847 DUE TO AFFILIATES 10696532 LEASE LIABILITY AND OTHER 7250555 28732934 X PART X, LINE 2: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. 0 1 0 0 0 0 0 1 0 MARGARET TROYTHROUGH AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS 0 1409156 0 610262 0 570065 0 25300 0 43548 0 2658331 0 0 MARC CADIEUX TREASURER/SVP & CFO 0 713591 0 215665 0 204973 0 137499 0 846 0 1272574 0 90953 MICHAEL GUTZEIT MD DIRECTOR/PRESIDENT CMG & SVP CHHS 0 580314 0 155436 0 208922 0 28750 0 52158 0 1025580 0 0 GIL PERIBEGINNING AUG 2024 DIRECTOR/PRESIDENT AND CEO CHHS 0 447226 0 150000 0 136038 0 145833 0 24658 0 903755 0 0 COLLEEN JOHNSON MD PEDIATRIC PHYSICIAN 395042 0 311524 0 24440 0 11500 0 63257 0 805763 0 0 0 LESLIE TECTOR SECRETARY/SVP & CHIEF LEGAL OFFICER 0 519906 0 108594 0 65784 0 85450 0 21522 0 801256 0 0 AARON HANSON MD DIRECTOR/PEDIATRIC PHYSICIAN 327449 0 125456 0 24086 0 11500 0 67600 0 556091 0 0 0 AMY HERBST FORMER KEY EMPLOYEE 0 284474 0 48187 0 114502 0 28750 0 62004 0 537917 0 0 SHERYN ABRAHAM MD PEDIATRIC PHYSICIAN 412128 0 47300 0 1242 0 4102 0 53532 0 518304 0 0 0 CHRISTOPHER SCHWAKE MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 371389 0 32997 0 810 0 25300 0 61504 0 492000 0 0 0 DAVID MELBYE MD PEDIATRIC PHYSICIAN 311285 0 86634 0 1685 0 11500 0 61243 0 472347 0 0 0 KRISTIN BENCIK BOUDREAU DO PEDIATRIC PHYSICIAN 308600 0 96957 0 24242 0 11500 0 23202 0 464501 0 0 0 AMY ROMASHKO MD DIRECTOR/URGENT CARE MED/PROGRAM DIR 0 340328 0 30002 0 1242 0 25300 0 61754 0 458626 0 0 BOYD MILLER MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 313862 0 28792 0 24512 0 21850 0 51415 0 440431 0 0 0 MARY SISNEY VP PRIMARY CARE 236975 0 33079 0 75064 0 28750 0 62422 0 436290 0 0 0 JESSICA DE VALK MD PEDIATRIC PHYSICIAN 295688 0 118426 0 426 0 11500 0 566 0 426606 0 0 0 YOLANDA WOLFF MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 300973 0 26633 0 15617 0 25300 0 55187 0 423710 0 0 0 DAVID OGREN MD DIRECTOR/PEDIATRIC PHYSICIAN 241343 0 73536 0 24264 0 11500 0 63265 0 413908 0 0 0 JAYA IYER MD MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN 311522 0 27015 0 24238 0 28750 0 1594 0 393119 0 0 0 KATHRYNN FEE MD DIRECTOR/PEDIATRIC PHYSICIAN/VICE CH 259259 0 67207 0 23451 0 11500 0 4151 0 365568 0 0 0 STEVEN JEREB MD FORMER KEY EMPLOYEE 227662 0 20100 0 1458 0 10404 0 61151 0 320775 0 0 0 BARBARA CALKINS MD DIRECTOR/PEDIATRIC PHYSICIAN/CHAIR 232044 0 69468 0 825 0 11500 0 462 0 314299 0 0 0 CYNTHIA RUNNING MD DIRECTOR/PEDIATRIC PHYSICIAN 170541 0 44893 0 407 0 9130 0 60086 0 285057 0 0 0 BRILLIANT NIMMER MD DIRECTOR/PEDIATRIC PHYSICIAN 201458 0 16719 0 302 0 3780 0 54311 0 276570 0 0 0 CHRISTEN MCALPINE-TESFAI MD DIRECTOR/PEDIATRIC PHYSICIAN 236965 0 13600 0 367 0 2121 0 464 0 253517 0 0 0 AMANDA KOTOWSKI APNP DIRECTOR/NURSE PRACTITIONER 148001 0 2450 0 6761 0 13705 0 58070 0 228987 0 0 0 MICHELLE METTNER FORMER OFFICER 0 173846 0 0 0 0 0 0 0 26 0 173872 0 0 PART I, LINE 3 CMG RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CMG, TO ESTABLISH THE COMPENSATION OF CMG'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION. PART I, LINE 4B IN 2024, THERE WAS A CHHS EXECUTIVE 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, AND L. TECTOR, $63,600. 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. 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: 1. DRS. CALKINS, FEE, MCALPINE-TESFAI, RUNNING, HANSON, OGREN, NIMMER, AND NURSE PRACTITIONER KOTOWSKI- COMPENSATION AND BENEFITS LISTED WERE FOR SERVICES PROVIDED AS FULL-TIME EMPLOYEES OF CMG. SERVICES AS MEMBERS OF THE BOARD OF DIRECTORS WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. GIL PERI, DIRECTOR OF CMG AND PRESIDENT & CEO OF CHHS (BEGINNING IN AUGUST 2024), MARGARET TROY, DIRECTOR OF CMG AND PRESIDENT & CEO OF CHHS (THROUGH AUGUST 2024), MARC CADIEUX, TREASURER OF CMG AND SVP & CFO OF CHHS, MICHELLE METTNER, FORMER SECRETARY OF CMG, AMY HERBST, FORMER KEY EMPLOYEE/VP BEHAVIORAL & MENTAL HEALTH, AMY ROMASHKO, MD, URGENT CARE MEDICAL/PROGRAM DIRECTOR, AND LESLIE TECTOR, SECRETARY OF CMG 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 MS. TROY AND MR. PERI AS MEMBERS OF THE BOARD OF DIRECTORS OF CMG WERE PROVIDED AS PART OF THEIR POSITIONS OF CHHS. 3. MICHAEL GUTZEIT, M.D., PRESIDENT OF CMG AND SVP 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 CMG. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY DR. GUTZEIT AS A MEMBER OF THE BOARD OF DIRECTORS WERE PROVIDED AND PART OF HIS POSITION OF CHHS. FORM 990, BOX C, DOING BUSINESS AS: CHILDREN'S WISCONSIN - PRIMARY CARE 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 CMG 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: GIL PERI AND JASON JARZEMBOWSKI, BARBARA CALKINS AND JASON JARZEMBOWSKI. THERE ARE NO FAMILY RELATIONSHIPS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHHS. FORM 990, PART VI, SECTION A, LINE 7A CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; AND APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF CHHS SELECTS THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 OF CMG WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF CHHS BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CMG. 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 CHHS (THE ORGANIZATION'S CORPORATE MEMBER). WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE 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 CMG ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE CHHS MARKETING AND COMMUNICATION DEPARTMENT. FORM 990, PART I, LINE 4 AND PART VI, LINE 1B CHILDREN'S MEDICAL GROUP, INC. ("CMG") IS A WISCONSIN NONSTOCK CORPORATION. CMG IS AN AFFILIATE OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), A TAX-EXEMPT WISCONSIN CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH CARE NEEDS OF CHILDREN IN SOUTHEASTERN WISCONSIN AND SURROUNDING AREAS. AS THE CORPORATE MEMBER OF CMG, CHHS HOLDS VARIOUS RESERVE POWERS IN RELATION TO CMG, INCLUDING AUTHORITY TO APPOINT CMG'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF CMG CONSISTS OF CERTAIN PHYSICIANS WHO ARE EMPLOYED BY CMG, ALONG WITH REPRESENTATIVES OF CHHS'S EXECUTIVE LEADERSHIP. AS EMPLOYEES OF EITHER CMG OR CHHS, NONE OF THESE DIRECTORS MAY BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, AS ACKNOWLEDGED BY THE IRS IN ITS CPE TEXT FOR FISCAL YEAR 1997, IN A MULTI ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. CMG MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF CHHS, AND CHHS'S GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF. CHILDREN'S HOSPITAL & HEALTH SYSTEM INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391500074 AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SUPPT SVCS WI 501(C)(3) LINE 3 N/A 0 CHILDREN'S HOSPITAL OF WISCONSIN INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390812532 PEDIATRIC HOSPITAL WI 501(C)(3) LINE 3 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391500075 FUND DEVELOPMENT WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 390806380 CHILD WELFARE SERVICES WI 501(C)(3) LINE 7 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHORUS COMMUNITY HEALTH PLANS INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 271494977 WISCONSIN MEDICAID HMO & COMMERCIAL EXCHANGE PLAN WI 501(C)(3) LINE 10 CHILDREN'S HOSPITAL & HEALTH SYSTEM INC 0 CHILDREN'S SPECIALTY GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 391990012 PEDIATRIC PHYSICIAN SERVICES WI 501(C)(3) LINE 12A, I N/A 0 WEST ALLIS PRESCRIPTION CENTER INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 463421597 PHARMACY WI N/A C 0 WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 061654484 PHARMACY WI N/A C 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 1 1