Totals
- Total revenue
- $102,279,464
- Total expenses
- $102,279,464
- Contributions and grants received
- $23,860,127
- Grants paid
- $0
- Program service revenue
- $78,395,255
- Investment income
- -$20
- Other revenue
- $24,102
- Total assets, end of year
- $33,585,744
- Total liabilities, end of year
- $33,585,744
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- $82,022,105
- Management and general expenses
- $20,257,359
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $82,022,105
Program services were 80.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$23,168,498
-
1e · Government grants (contributions)
$691,629
-
2a · Program service revenue: NET PATIENT SVC REV
total $78,184,414 · related or exempt $78,184,414
-
2b · Program service revenue: RENTAL INCOME
total $169,549 · related or exempt $169,549
-
2c · Program service revenue: SALARY SUPPORT
total $41,292 · related or exempt $41,292
-
3 · Investment income
total $5,495 · excluded $5,495
-
7b · Less cost or other basis and sales expenses
other assets $5,515
-
7c · Gain or loss
other assets -$5,515
-
7d · Net gain or loss
total -$5,515 · excluded -$5,515
-
11a · Other revenue: OTHER MISCELLANEOUS
total $24,102 · related or exempt $24,102
-
11e · Other revenue, total
$24,102
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $4,064,549 · program services $3,281,578 · management and general $782,971
-
7 · Other salaries and wages
total $44,366,046 · program services $41,528,577 · management and general $2,837,469
-
8 · Pension plan contributions
total $1,792,545 · program services $1,699,651 · management and general $92,894
-
9 · Other employee benefits
total $4,779,183 · program services $4,467,357 · management and general $311,826
-
10 · Payroll taxes
total $2,944,444 · program services $2,719,555 · management and general $224,889
-
11a · Fees: management
total $15,725,694 · management and general $15,725,694
-
11g · Fees: other
total $4,180,328 · program services $4,131,467 · management and general $48,861
-
12 · Advertising and promotion
total $1,418 · program services $1,418
-
13 · Office expenses
total $75,589 · program services $75,406 · management and general $183
-
14 · Information technology
total $3,517 · program services $3,413 · management and general $104
-
16 · Occupancy
total $6,753,446 · program services $6,634,887 · management and general $118,559
-
17 · Travel
total $11,747 · program services $6,245 · management and general $5,502
-
19 · Conferences, conventions and meetings
total $140,113 · program services $125,455 · management and general $14,658
-
22 · Depreciation, depletion and amortization
total $1,771,054 · program services $1,730,566 · management and general $40,488
-
23 · Insurance
total $223,062 · program services $216,204 · management and general $6,858
-
24a · Other expenses: MEDICAL SUPPLIES
total $14,608,998 · program services $14,608,998
-
24b · Other expenses: OTHER EXPENSES
total $837,731 · program services $791,328 · management and general $46,403
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $462,426 · end of year $460,549
-
4 · Accounts receivable
beginning of year $4,317,845 · end of year $6,027,420
-
7 · Other notes and loans receivable
beginning of year $48,629 · end of year $56,713
-
8 · Inventories for sale or use
beginning of year $1,431,736 · end of year $1,614,071
-
9 · Prepaid expenses and deferred charges
beginning of year $567,790 · end of year $529,689
-
10a · Land, buildings and equipment: cost or other basis
$18,775,330
-
10b · Land, buildings and equipment: accumulated depreciation
$11,257,994
-
10c · Land, buildings and equipment, net
beginning of year $8,261,921 · end of year $7,517,336
-
15 · Other assets
beginning of year $16,672,960 · end of year $17,379,966
-
17 · Accounts payable and accrued expenses
beginning of year $7,156,009 · end of year $7,740,232
-
19 · Deferred revenue
beginning of year $3,334,832 · end of year $3,249,832
-
25 · Other liabilities
beginning of year $21,272,466 · end of year $22,595,680
Mission and programs · 2022
Mission
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.
Activities or mission (Part I)
PROVIDE QUALITY, ACCESSIBLE PRIMARY HEALTH CARE TO CHILDREN IN THE COMMUNITY.
-
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 REQUIRED. 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 2022, CMG HAD 22 PHYSICIAN OFFICES WITH APPROXIMATELY 170 PROVIDERS. AS A GROUP THERE WERE 357,160 PEDIATRIC OFFICE VISITS, HEALTH CHECKS AND IMMUNIZATIONS PROVIDED IN 2022. INCLUDED IN THIS NUMBER ARE 40,909 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. THIS WHOLE-CHILD APPROACH ENSURES KIDS WILL GET THE CARE THEY NEED, WHEN THEY NEED IT AND WHERE THEY NEED IT.DURING THE COVID-19 PANDEMIC, CHILDREN'S PIVOTED TO PROVIDE THE CARE KIDS 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.
Expenses $69,081,829 · Revenue $71,970,941
-
CMG OPERATES CLINICS IN UNDERSERVED AREAS IN THE MILWAUKEE AREA, INCLUDING A SITE LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY, IN ADDITION TO THE MIDTOWN HEALTH CENTER AND COMMUNITY 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. 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 40,909 PEDIATRIC OFFICE VISITS, HEALTH CHECKS AND IMMUNIZATIONS PROVIDED IN 2022, AND APPROXIMATELY 83% OF THE GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID.
Expenses $12,940,276 · Revenue $6,448,416
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Margaret TroyMARGARET TROY
DIRECTOR/PRESIDENT & CEO CHHS
- Total calculated
- $2,032,326
- From this org
- $0
- From related orgs
- $1,973,534
- Other
- $58,792
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $1,134,014 related
- Bonus
- $0 + $410,825 related
- Other
- $0 + $428,695 related
- Deferred
- $0 + $22,450 related
- Nontaxable benefits
- $0 + $36,342 related
- Filer's total
- $0 + $2,032,326 related
-
Smriti Khare MDSMRITI KHARE MD
SVP AND CHIEF MENTAL & BHO
- Total calculated
- $890,901
- From this org
- $0
- From related orgs
- $751,881
- Other
- $139,020
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $520,478 related
- Bonus
- $0 + $117,964 related
- Other
- $0 + $113,439 related
- Deferred
- $0 + $105,475 related
- Nontaxable benefits
- $0 + $33,545 related
- Filer's total
- $0 + $890,901 related
-
Kathrynn Fee MDKATHRYNN FEE MD
PEDIATRIC PHYSICIAN
- Total calculated
- $291,286
- From this org
- $278,114
- From related orgs
- $0
- Other
- $13,172
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $244,228
- Bonus
- $12,900
- Other
- $20,986
- Deferred
- $10,250
- Nontaxable benefits
- $2,922
- Filer's total
- $291,286
-
Barbara Calkins MDBARBARA CALKINS MD
PEDIATRIC PHYSICIAN/CHAIR
- Total calculated
- $246,264
- From this org
- $236,487
- From related orgs
- $0
- Other
- $9,777
- Hours/week
- 30
Schedule J breakdown matched by us
- Base
- $224,294
- Bonus
- $11,150
- Other
- $1,043
- Deferred
- $9,418
- Nontaxable benefits
- $359
- Filer's total
- $246,264
-
Christen McAlpine-Tesfai MDCHRISTEN MCALPINE-TESFAI MD
PEDIATRIC PHYSICIAN/VICE CHAIR
- Total calculated
- $289,963
- From this org
- $279,059
- From related orgs
- $0
- Other
- $10,904
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $252,465
- Bonus
- $26,057
- Other
- $537
- Deferred
- $10,250
- Nontaxable benefits
- $654
- Filer's total
- $289,963
-
Cynthia Running MDCYNTHIA RUNNING MD
PEDIATRIC PHYSICIAN
- Total calculated
- $262,041
- From this org
- $217,838
- From related orgs
- $0
- Other
- $44,203
- Hours/week
- 30
Schedule J breakdown matched by us
- Base
- $185,258
- Bonus
- $31,590
- Other
- $990
- Deferred
- $9,156
- Nontaxable benefits
- $35,047
- Filer's total
- $262,041
-
Michael Gutzeit MDMICHAEL GUTZEIT MD
PRESIDENT CMG & BOARD CHAIR
- Total calculated
- $791,467
- From this org
- $0
- From related orgs
- $729,623
- Other
- $61,844
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $497,022 related
- Bonus
- $0 + $107,937 related
- Other
- $0 + $124,664 related
- Deferred
- $0 + $25,500 related
- Nontaxable benefits
- $0 + $36,344 related
- Filer's total
- $0 + $791,467 related
-
Amy Romashko MDAMY ROMASHKO MD
URGENT CARE MED/PROGRAM DIRECTOR
- Total calculated
- $397,561
- From this org
- $0
- From related orgs
- $338,678
- Other
- $58,883
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $301,913 related
- Bonus
- $0 + $19,790 related
- Other
- $0 + $16,975 related
- Deferred
- $0 + $22,450 related
- Nontaxable benefits
- $0 + $36,433 related
- Filer's total
- $0 + $397,561 related
-
Amanda Kotowski ApnpAMANDA KOTOWSKI APNP
NURSE PRACTITIONER
- Total calculated
- $162,034
- From this org
- $79,570
- From related orgs
- $58,548
- Other
- $23,916
- Hours/week
- 14 + 10 related
Schedule J breakdown matched by us
- Base
- $77,738 + $53,948 related
- Bonus
- $1,100 + $4,600 related
- Other
- $732
- Deferred
- $11,315
- Nontaxable benefits
- $12,601
- Filer's total
- $103,486 + $58,548 related
-
Jason Jarzembowski MDJASON JARZEMBOWSKI MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Matt Levy MDMATT LEVY MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Aaron Hanson MDAARON HANSON MD
PEDIATRIC PHYSICIAN
- Total calculated
- $465,918
- From this org
- $413,951
- From related orgs
- $0
- Other
- $51,967
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $259,881
- Bonus
- $132,360
- Other
- $21,710
- Deferred
- $10,250
- Nontaxable benefits
- $41,717
- Filer's total
- $465,918
-
David Ogren MDDAVID OGREN MD
PEDIATRIC PHYSICIAN
- Total calculated
- $316,391
- From this org
- $270,901
- From related orgs
- $0
- Other
- $45,490
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $217,073
- Bonus
- $31,921
- Other
- $21,907
- Deferred
- $10,250
- Nontaxable benefits
- $35,240
- Filer's total
- $316,391
-
Brilliant Nimmer MDBRILLIANT NIMMER MD
PEDIATRIC PHYSICIAN
- Total calculated
- $219,455
- From this org
- $185,155
- From related orgs
- $0
- Other
- $34,300
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $179,673
- Bonus
- $5,110
- Other
- $372
- Deferred
- $2,923
- Nontaxable benefits
- $31,377
- Filer's total
- $219,455
-
Marc CadieuxMARC CADIEUX
TREASURER/CORP VP & CFO
- Total calculated
- $1,120,774
- From this org
- $0
- From related orgs
- $993,812
- Other
- $126,962
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $635,957 related
- Bonus
- $0 + $162,297 related
- Other
- $0 + $195,558 related
- Deferred
- $0 + $123,257 related
- Nontaxable benefits
- $0 + $3,705 related
- Filer's total
- $0 + $1,120,774 related
-
Michelle Mettner End 123122MICHELLE METTNER END 123122
SECRETARY/CORP VP GOV & LEGAL AFFAIRS
- Total calculated
- $815,416
- From this org
- $0
- From related orgs
- $703,637
- Other
- $111,779
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $469,771 related
- Bonus
- $0 + $92,214 related
- Other
- $0 + $141,652 related
- Deferred
- $0 + $82,467 related
- Nontaxable benefits
- $0 + $29,312 related
- Filer's total
- $0 + $815,416 related
-
Christopher Schwake MDCHRISTOPHER SCHWAKE MD
MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN
- Total calculated
- $413,519
- From this org
- $363,743
- From related orgs
- $0
- Other
- $49,776
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $351,933
- Bonus
- $11,000
- Other
- $810
- Deferred
- $14,778
- Nontaxable benefits
- $34,998
- Filer's total
- $413,519
-
Steven Jereb MDSTEVEN JEREB MD
MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN
- Total calculated
- $369,943
- From this org
- $312,322
- From related orgs
- $0
- Other
- $57,621
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $282,748
- Bonus
- $16,774
- Other
- $12,800
- Deferred
- $22,450
- Nontaxable benefits
- $35,171
- Filer's total
- $369,943
-
Boyd Miller MDBOYD MILLER MD
MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN
- Total calculated
- $387,853
- From this org
- $337,572
- From related orgs
- $0
- Other
- $50,281
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $303,845
- Bonus
- $17,919
- Other
- $15,808
- Deferred
- $19,400
- Nontaxable benefits
- $30,881
- Filer's total
- $387,853
-
Yolanda Wolff MDYOLANDA WOLFF MD
MEDICAL DIRECTOR/PEDIATRIC PHYSICIAN
- Total calculated
- $364,293
- From this org
- $311,985
- From related orgs
- $0
- Other
- $52,308
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $281,162
- Bonus
- $16,362
- Other
- $14,461
- Deferred
- $22,450
- Nontaxable benefits
- $29,858
- Filer's total
- $364,293
-
Mary SisneyMARY SISNEY
VP PRIMARY CARE
- Total calculated
- $334,136
- From this org
- $273,667
- From related orgs
- $0
- Other
- $60,469
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $240,895
- Bonus
- $29,565
- Other
- $3,207
- Deferred
- $24,376
- Nontaxable benefits
- $36,093
- Filer's total
- $334,136
-
Sheryn Abraham MDSHERYN ABRAHAM MD
PEDIATRIC PHYSICIAN
- Total calculated
- $554,251
- From this org
- $515,058
- From related orgs
- $0
- Other
- $39,193
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $478,716
- Bonus
- $14,600
- Other
- $21,742
- Deferred
- $10,250
- Nontaxable benefits
- $28,943
- Filer's total
- $554,251
-
Patti-Marie Young MDPATTI-MARIE YOUNG MD
PEDIATRIC PHYSICIAN
- Total calculated
- $426,213
- From this org
- $415,255
- From related orgs
- $0
- Other
- $10,958
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $393,998
- Bonus
- $18,935
- Other
- $2,322
- Deferred
- $10,250
- Nontaxable benefits
- $708
- Filer's total
- $426,213
-
Roxanne Kane MDROXANNE KANE MD
PEDIATRIC PHYSICIAN
- Total calculated
- $382,679
- From this org
- $332,139
- From related orgs
- $2,504
- Other
- $48,036
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $290,580 + $616 related
- Bonus
- $20,050
- Other
- $21,509 + $1,888 related
- Deferred
- $10,375
- Nontaxable benefits
- $37,661
- Filer's total
- $380,175 + $2,504 related
-
David Meuler MDDAVID MEULER MD
PEDIATRIC PHYSICIAN
- Total calculated
- $391,791
- From this org
- $314,909
- From related orgs
- $32,623
- Other
- $44,259
- Hours/week
- 36 + 4 related
Schedule J breakdown matched by us
- Base
- $304,799 + $32,623 related
- Bonus
- $9,300
- Other
- $810
- Deferred
- $11,229
- Nontaxable benefits
- $33,030
- Filer's total
- $359,168 + $32,623 related
-
Jaya Iyer MDJAYA IYER MD
PEDIATRIC PHYSICIAN
- Total calculated
- $385,849
- From this org
- $374,368
- From related orgs
- $0
- Other
- $11,481
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $340,076
- Bonus
- $12,550
- Other
- $21,742
- Deferred
- $10,250
- Nontaxable benefits
- $1,231
- Filer's total
- $385,849
-
Amy Herbst MDAMY HERBST MD
VP BEHAVIORAL & MENTAL HEALTH
- Total calculated
- $404,949
- From this org
- $0
- From related orgs
- $343,817
- Other
- $61,132
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $282,425 related
- Bonus
- $0 + $42,330 related
- Other
- $0 + $19,062 related
- Deferred
- $0 + $25,500 related
- Nontaxable benefits
- $0 + $35,632 related
- Filer's total
- $0 + $404,949 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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 2022, 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 2022 WERE AS FOLLOWS: M. CADIEUX, $100,807, S. KHARE, M.D., $79,975, AND M. METTNER, $60,017. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2022 WERE: M. CADIEUX, $133,747; S. KHARE, M.D, $93,159; AND M. METTNER, $93,242.
- PART I, LINE 7
- CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
- FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II:
- SALARIES PAID BY RELATED ORGANIZATIONS: 1. SMRITI KHARE, M.D., SVP AND CHIEF MENTAL & BEHAVIORAL HEALTH OFFICER AND FORMER PRESIDENT OF CMG AND BOARD CHAIR 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. KHARE AS A MEMBER OF THE BOARD OF DIRECTORS WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 2. DRS. CALKINS, FEE, MCALPINE-TESFAI, RUNNING, HANSON, OGREN, NIMMER, ROMASHKO 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. 3. MARGARET TROY, PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CMG AND TREASURER & CFO OF CHHS, AND MICHELLE METTNER, SECRETARY OF CMG AND CORP VP GOVT & LEGAL AFFAIRS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY AS A MEMBER OF THE BOARD OF DIRECTORS OF CMG WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. 4. MICHAEL GUTZEIT, M.D., PRESIDENT OF CMG AND BOARD CHAIR 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 AND CHILDREN'S HOSPITAL OF WISCONSIN, INC. SERVICES BY DR. GUTZEIT AS A MEMBER OF THE BOARD OF DIRECTORS WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
501(C)(3) · AMBULATORY SURGERY CTR, URGENT CARE, & OPERATIONAL SUPPT SVCS · WI
-
CHILDREN'S HOSPITAL OF WISCONSIN INC
501(C)(3) · PEDIATRIC HOSPITAL · WI
Directly controlled by CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
-
CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC
501(C)(3) · FUND DEVELOPMENT · WI
Directly controlled by CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
-
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
501(C)(3) · CHILD WELFARE SERVICES · WI
Directly controlled by CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
-
CHORUS COMMUNITY HEALTH PLANS INC
501(C)(3) · WISCONSIN MEDICAID HMO · WI
Directly controlled by CHILDREN'S HOSPITAL & HEALTH SYSTEM INC
-
CHILDREN'S SPECIALTY GROUP INC
501(C)(3) · PEDIATRIC PHYSICIAN SERVICES · WI
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
WEST ALLIS PRESCRIPTION CENTER INC
C · PHARMACY · WI
-
WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY
C · PHARMACY · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 25 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333039349301148
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