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THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC (EIN 39-0830664)
Tax period
2024-01-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202531349349303988
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-14T10:04:58+00:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1211 N Broadway Suite 600AddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631022733ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390830664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ThedaCare Regional Medical Center - Neenah IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHEDBusinessNameControlTxt
Phone9207355560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8025AddressLine1Txt
CityAPPLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549128025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonIMRAN ANDRABI MDPersonNm
Person TitleCEOPersonTitleTxt
Phone9207386506PhoneNum
Signature2025-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKristen HankinsPreparerPersonNm
PTINP01256574PTIN
Phone3142315544PhoneNum
Preparation2025-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1IMRAN ANDRABI MDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8025AddressLine1Txt
CityAPPLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549128025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$150,945,578GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THEDACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1909FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionIMPROVING THE HEALTH OF OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$824,357TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$462,428PYContributionsGrantsAmt
CY Contributions Grants$1,645,064CYContributionsGrantsAmt
PY Program Service Revenue$249,077,362PYProgramServiceRevenueAmt
CY Program Service Revenue$146,503,839CYProgramServiceRevenueAmt
PY Investment Income$5,597PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$5,423,268PYOtherRevenueAmt
CY Other Revenue$2,796,675CYOtherRevenueAmt
PY Total Revenue$254,968,655PYTotalRevenueAmt
CY Total Revenue$150,945,578CYTotalRevenueAmt
PY Grants And Similar Paid$60,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$91,394,311PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,464,486CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$139,350,262PYOtherExpensesAmt
CY Other Expenses$77,273,277CYOtherExpensesAmt
PY Total Expenses$230,804,573PYTotalExpensesAmt
CY Total Expenses$130,737,763CYTotalExpensesAmt
PY Revenues Less Expenses$24,164,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,207,815CYRevenuesLessExpensesAmt
Total Assets BOY$686,208,946TotalAssetsBOYAmt
Total Assets EOY$684,802,232TotalAssetsEOYAmt
Total Liabilities BOY$8,249,692TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,873,018TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$677,959,254NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$679,929,214NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$102,236,061ExpenseAmt
Revenue$146,503,839RevenueAmt
DescTHEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEDACARE REGIONAL MEDICAL CENTER-NEENAH IS A 151-BED ACUTE CARE HOSPITAL, WITH MORE THAN 1,000 TEAM MEMBERS. THE CAMPUS OFFERS DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. SPECIALTY PATIENT CARE SERVICES OFFERED INCLUDE CANCER, CARDIOVASCULAR, ORTHOPEDIC, SPINE, FAMILY BIRTH CARE, BARIATRIC WEIGHT LOSS, DIABETES, INTERNAL MEDICINE, EMERGENCY, OCCUPATIONAL HEALTH, PULMONOLOGY, UROLOGY, WOMEN'S CARE, NEPHROLOGY, THERAPY SERVICES, LEVEL II TRAUMA CENTER, NEUROLOGY, OUTPATIENT SURGERY CENTERS AND WELLNESS PROGRAM. A SIGNIFICANT FEATURE OF THE THEDACARE TRAUMA PROGRAM IS THEDASTAR. THE AIR MEDICAL PROGRAM PROVIDES IMMEDIATE MEDICAL CARE, HELICOPTER TRANSPORTS AND TRANSFERS FOR TRAUMA PATIENTS AND CRITICALLY ILL PATIENTS, INCLUDING TRANSPORT FROM OUR RURAL HOSPITALS. THIS COLLABORATION ALLOWS FOR OUR TEAMS, ACROSS THE ENTIRE REGION, TO WORK IN CONCERT WITH EACH OTHER. THERE ARE 17 COUNTIES SERVED WITHIN THE PRIMARY AND SECONDARY SERVICE AREAS. CHILDREN'S HOSPITAL OF WISCONSIN-FOX VALLEY OPENED IN 2011 AND IS LOCATED WITHIN THEDACARE REGIONAL MEDICAL CENTER-NEENAH. THEDACARE AND CHW PARTNER TO ENSURE THE COMMUNITY HAS ACCESS TO HIGH LEVELS OF CARE. EFFECTIVE JANUARY 1, 2024, THEDACARE MEDICAL CENTER - NEENAH IS PART OF FROEDTERT THEDACARE HEALTH, INC. CONTINUING ITS COMMITMENT TO PATIENT HEALTH AND COMMUNITY WELLBEING, WE OFFER PUBLIC AWARENESS CAMPAIGNS, CHARITY CARE, SUPPORT GROUPS, AND EDUCATION PROGRAMS TARGETED TO LOCAL COMMUNITY NEEDS. THEDACARE IS COMMITTED TO COMMUNITY FOCUSED EFFORTS IDENTIFIED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT IN COUNTIES (WINNEBAGO) WHERE SERVICES ARE PROVIDED. EFFORTS INCLUDE PARTNERSHIPS WITH LOCAL GOVERNMENTS, COMMUNITY PARTNERS, AND AREA HEALTH ORGANIZATIONS TO ADDRESS THE TOP HEALTH PRIORITIES IDENTIFIED IN ITS MOST RECENT CHNA. THEDACARE PROVIDES SCHOLARSHIPS, CHARITY CARE, INTERPRETING AND EDUCATIONAL SERVICES AND VARIOUS OTHER COMMUNITY BENEFITS. THEDACARE OPERATES ON A NON-DISCRIMINATORY BASIS REGARDLESS OF RACE, COLOR, SEX, RELIGION, OR NATIONAL ORIGIN. THEDACARE PROVIDES A VARIETY OF FINANCIAL ASSISTANCE OPTIONS TO PATIENTS WHO MEET ESTABLISHED CRITERIA. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. INPATIENT DISCHARGES TOTALED 5,031 WITH 963 BABIES DELIVERED. AS PART OF THEDACARE, EMERGENCY MEDICAL HELICOPTER SERVICE IS PROVIDED THROUGHOUT THE 20 COUNTIES SERVED. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTH CARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE.Desc
Total Program Service Expenses$102,236,061TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILL FLETTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9207355560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8025AddressLine1Txt
CityAPPLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549128025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHUCK DALLAS
CHAIR, BOARD MEMBER1.04.0Yes (X)Yes (X)$0$0$0
Imran Andrabi MD
President & CEO - System4.036.0Yes (X)Yes (X)$0$0$0
PAUL VAN DEN HEUVEL
SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER4.036.0Yes (X)Yes (X)$0$0$0
ALAN LOUX
BOARD MEMBER1.04.0Yes (X)$0$0$0
DAVID KOEPER MD
BOARD MEMBER1.04.0Yes (X)$0$0$0
LAURIE CARTER
BOARD MEMBER1.04.0Yes (X)$0$0$0
MARY GOGGANS
BOARD MEMBER1.04.0Yes (X)$0$0$0
MICHAEL MORSE
BOARD MEMBER1.04.0Yes (X)$0$0$0
STEVEN PRICE
BOARD MEMBER1.04.0Yes (X)$0$0$0
Brian Sterns
Chief Digital Health Officer4.036.0Yes (X)$0$0$0
Maggie Lund
Chief Culture and Integration Officer4.036.0Yes (X)$0$0$0
William Flett
TREASURER, Chief Financial Officer4.036.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$1,636,664RelatedOrganizationsAmt
All Other Contributions$8,400AllOtherContributionsAmt
Total Contributions$1,645,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue622110$144,873,529$144,873,529
340B PHARMACY REVENUE446110$1,630,310$1,630,310

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$146,503,839TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,313,282RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,313,282RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,313,282TotalRevenueColumnAmt
Exclusion$1,313,282ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Laboratory Revenue621500$817,049$817,049
Cafeteria Revenue722210$515,961$515,961
Other Operating Revenue900099$143,075$143,075

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,308TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,308UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,483,393OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,945,578TotalRevenueColumnAmt
Related Or Exempt Func Income$146,503,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$824,357UnrelatedBusinessRevenueAmt
Exclusion$1,972,318ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,129,968TotalAmt
Program Services$32,882,983ProgramServicesAmt
Management And General$10,246,985ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$902,125TotalAmt
Program Services$715,717ProgramServicesAmt
Management And General$186,408ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,132,880TotalAmt
Program Services$5,658,999ProgramServicesAmt
Management And General$1,473,881ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,299,513TotalAmt
Program Services$1,824,360ProgramServicesAmt
Management And General$475,153ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,427,835TotalAmt
Management And General$4,427,835ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,578,903TotalAmt
Program Services$12,473,960ProgramServicesAmt
Management And General$10,104,943ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,865TotalAmt
Management And General$20,865ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$346,455TotalAmt
Program Services$346,455ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,465TotalAmt
Program Services$30,465ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,906,759TotalAmt
Program Services$1,906,759ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,669TotalAmt
Program Services$38,669ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$334,072TotalAmt
Program Services$334,072ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,288,121TotalAmt
Program Services$4,722,489ProgramServicesAmt
Management And General$1,565,632ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$282,797TotalAmt
Program Services$282,797ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL AND OTHER SUPPLIES$36,006,852$36,006,852
MEDICAID ASSESSMENT$1,906,930$1,906,930
EQUIPMENT AND MAINTENANCE$1,536,245$1,536,245
Food and Nutrition$753,529$753,529

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$814,780TotalAmt
Program Services$814,780ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,737,763TotalAmt
Program Services$102,236,061ProgramServicesAmt
Management And General$28,501,702ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$107,794,230BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,658,432BOYAmt
EOY$39,726,679EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,242,416BOYAmt
EOY$5,255,486EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$182,893EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$146,820,969LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,384,197LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$153,001,657BOYAmt
EOY$142,436,772EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$387,512,211BOYAmt
EOY$497,200,402EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$686,208,946BOYAmt
EOY$684,802,232EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,686,125BOYAmt
EOY$3,309,451EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,563,567BOYAmt
EOY$1,563,567EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,249,692BOYAmt
EOY$4,873,018EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$677,959,254BOYAmt
EOY$679,929,214EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$677,959,254BOYAmt
EOY$679,929,214EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$686,208,946BOYAmt
EOY$684,802,232EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,207,815ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$18,237,855OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,733,784OtherCostOrOtherBasisAmt
Book Value$4,733,784BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,257,520OtherCostOrOtherBasisAmt
Depreciation$1,568,385DepreciationAmt
Book Value$100,689,135BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,013,037OtherCostOrOtherBasisAmt
Depreciation$2,815,812DepreciationAmt
Book Value$30,197,225BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,816,628OtherCostOrOtherBasisAmt
Book Value$6,816,628BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$142,436,772TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other Assets$800,616
Due from Affiliate$496,126,786
Third Party Settlement$273,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$497,200,402TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Federal Income Taxes
Other Liabilities$1,563,567
FieldValueIRS element (for citing)
Total Liability$1,563,567TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 EVALUATION OF UNCERTAIN TAX POSITIONSFormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$735,393TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$735,393NetCommunityBenefitExpnsAmt
Total Expense0.00562TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served12982PersonsServedCnt
Total Community Benefit Expns$18,700,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,215,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served12982PersonsServedCnt
Total Community Benefit Expns$19,435,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,215,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$735,393NetCommunityBenefitExpnsAmt
Total Expense0.00562TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served268141PersonsServedCnt
Total Community Benefit Expns$883,639TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$883,639NetCommunityBenefitExpnsAmt
Total Expense0.00676TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served357PersonsServedCnt
Total Community Benefit Expns$439,491TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$439,491NetCommunityBenefitExpnsAmt
Total Expense0.00336TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$482,680TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$482,680NetCommunityBenefitExpnsAmt
Total Expense0.00369TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1028423PersonsServedCnt
Total Community Benefit Expns$1,732,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,732,200NetCommunityBenefitExpnsAmt
Total Expense0.01325TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served1296922PersonsServedCnt
Total Community Benefit Expns$3,538,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,538,010NetCommunityBenefitExpnsAmt
Total Expense0.02706TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served1309904PersonsServedCnt
Total Community Benefit Expns$22,973,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,215,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,273,403NetCommunityBenefitExpnsAmt
Total Expense0.03269TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$27,358TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,358NetCommunityBenefitExpnsAmt
Total Expense0.00021TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served937PersonsServedCnt
Total Community Benefit Expns$258,538TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$258,538NetCommunityBenefitExpnsAmt
Total Expense0.00198TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served937PersonsServedCnt
Total Community Benefit Expns$285,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$285,896NetCommunityBenefitExpnsAmt
Total Expense0.00219TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,084,293BadDebtExpenseAmt
Bad Debt Expense Attributable$2,341,269BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,097,419ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,289,421CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$192,002MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THEDACARE REGIONAL MEDICAL CENTER - NEENAHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 SECOND STREETAddressLine1Txt
CityNEENAHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54956ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.THEDACARE.ORGWebsiteAddressTxt
State License32StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THEDACARE REGIONAL MEDICAL CENTER - NEENAHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH. As part of the Needs Assessment Advisory Team, ThedaCare consulted with the Public Health Departments of Outagamie County, Winnebago County, Calumet County, Shawano, Green Lake, Marquette, Waushara, Waupaca and the City of Appleton. * Chuck Sepers, City of Appleton, Public Health Officer * Bonnie Thelen RN, Calumet County, Public Health Officer * Natalie Vandeveld, MS, REHS / WI RS * Doug Gieryn, Winnebago County, Public Health Officer * Director Terri Harmala, MSN, RN, Shawano County, Health Officer * Rachel Prellwitz, Green Lake County, Public Health Officer * Jayme Sophe, Marquette County, Public Health Officer * Stefanie Eldredge, BSN, RN, Health Officer/Director * Jed Woldt, Waupaca County, Public Health Officer In addition, over the course of a one-year period, secondary data was collected, key informant interviews were conducted, ThedaCare CHAT Teams (Community Health Action Team) provided input and patient health data was studied. Vulnerable populations included low income, rural farm families, older adults, veterans, Hispanic/Latino population, Lesbian, Gay, Bisexual, Transgender (LGBT), Hmong population and African Americans. ThedaCare Chat (Community Health Action Team) of the Fox Cities Members: * Amy Putzer, Oshkosh Area Community Foundation * Barb Tangesdahl, Executive Director, First Five, Fox Valley * Becky Bartoszek, President/CEO Fox Cities Chamber of Commerce * Ben Vogel, Appleton Area School District * Beth Clay, Executive Director, New Mental Health Connection * Bridget Clementi, Wi Children's Hospital * Chris Matheny, Fox Valley Technical College * Chuck Sepers, Health Officer, City of Appleton * Dale Gisi, VP, Central Region, ThedaCare * Doug Gieryn, Health Officer, Winnebago County * Greg Lemke-Rochon, Boys and Girls Club, Fox Valley * Jesse Smith, Lawrence University * Joe Mauthe, Community Volunteer * Martin Rudd, Assistant Chan., Access Computer * Montgomery Elmer, Chief Medical Officer Ambulatory Care, ThedaCare * Oliver Zorrow, Executive Director, Building for Kids * Peter Granopoulos, President/CEO UW Fox Cities * Peter Lee, Behavioral Health Diversity and Inclusion Consultant * Rayor Brown, Behavioral Health Diversity and Inclusion Consultant * Reiko Ramos, Diversity and Resilience Director * Shane Kohl, ThedaCare Family of Foundations * Tammy Geenen, Community Foundation for the Fox Valley Region * Tim Galloway, Galloway Company * Timber Smith, City of Appleton, City of Appleton Diversity, Inclusion, Special Assistant to the Mayor
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA. THE THEDACARE COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS APPROVED BY THE THEDACARE BOARD OF TRUSTEES IN 2023. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS THE TOP COMMUNITY HEALTH NEEDS FOR THE 2023-2025 CHNA CYCLE: REGIONAL ALIGNMENT IN ORDER TO POSITIVELY AFFECT COMMUNITY HEALTH, HEALTH SYSTEMS, NOT-FOR-PROFIT ORGANIZATIONS, AND THE PUBLIC SECTOR MUST BE UNITED ON THEIR PRIORITIES AND COMMITMENTS. THEDACARE WILL WORK WITH PARTNERS TO ESTABLISH COMMON INFRASTRUCTURE NEEDED TO IMPROVE ALIGNMENT OF HEALTH PRIORITIES AND ACTIONS THROUGH THE FOLLOWING: 1) WORKING TO ESTABLISH COMMON COMMUNITY HEALTH NEEDS ASSESSMENTS AND ALIGNED IMPROVEMENT PLANS ACROSS HEALTH SYSTEMS AND PUBLIC HEALTH PARTNERS. 2) DEVELOP COLLABORATIVE REGIONAL NETWORK AND INFRASTRUCTURE FOR ADDRESSING SOCIAL NEEDS. 3) DEVELOP ALIGNMENT AND SYNERGY ACROSS CHAT TEAMS. 4) SUPPORT IMAGINE FOX CITIES REGIONAL VISIONING INITIATIVE. 5) DEVELOP RELIABLE TRANSPORTATION ACROSS THE REGION. MENTAL AND BEHAVIORAL HEALTH CHALLENGES CONTINUE WITH THE MENTAL AND BEHAVIORAL HEALTH OF OUR COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES IS NOT KEEPING UP WITH DEMAND, AND THERAPISTS AND HEALTH PROFESSIONALS ARE LACKING IN RURAL AREAS. ADDITIONALLY, ANXIETY AND DEPRESSION HAVE RISEN 20-30% IN RECENT YEARS WHILE SELF-MEDICATION AND SUBSTANCE ABUSE, INCLUDING ALCOHOL, METHAMPHETAMINE, AND VAPING ARE ON THE RISE. TO ADDRESS THIS HEALTH NEED, THE HOSPITAL FACILITY HAS IMPLEMENTED THE FOLLOWING TO ENSURE THAT PEOPLE HAVE THE SUPPORT NEEDED TO LEAD MENTALLY HEALTHY LIVES, FREE OF RELIANCE ON HARMFUL SUBSTANCES AND TO SUPPORT UPSTREAM EFFORTS THAT FOSTER MENTAL HEALTH: 1) PARTNER TO ESTABLISH REGIONAL DETOXIFICATION CAPACITY. 2) EXPAND ED2RECOVERY+ COACHING CAPACITY. 3) ADDRESS MENTAL HEALTH NEEDS OF LGBTQ+ COMMUNITY. 4) PARTNER TO SUPPORT SOCIAL CONNECTION AND BELONGING WORK. 5) SUPPORT CATALPA HEALTH AND CATALPA HEALTH "SEEDLINGS" PROGRAM ADDRESSING EARLY CHILDHOOD SOCIAL EMOTIONAL LEARNING. SOCIAL NEEDS AS THEDACARE SHIFTS ITS FOCUS UPSTREAM TO POPULATION HEALTH, IT IS IMPORTANT TO UNDERSTAND HOW VITAL CONDITIONS, SUCH AS CLEAN AIR, FAIR PAY, HOUSING, EDUCATION AND OTHER BASIC NECESSITIES CAN IMPACT AN INDIVIDUAL'S WELL-BEING. ADDITIONALLY, RELIABLE TRANSPORTATION, BELONGING AND CIVIC MUSCLE, AND PURPOSE ALL INFLUENCE HEALTH. TO ADDRESS THIS IDENTIFIED NEED, THE HOSPITAL FACILITY HAS IMPLEMENTED THE FOLLOWING TO ENSURE THAT THE BASIC NEEDS OF PATIENTS ARE MET: 1) ADDRESS SOCIAL NEEDS THROUGH EMPLOYEE VOLUNTEERING/GIVING EFFORTS. 2) IMPLEMENT CULTURAL COMPETENCY TRAINING OF THEDACARE TEAM MEMBERS. 3) SUPPORT EXPANSION OF STAR PROGRAM ADDRESSING "OPPORTUNITY GAP" BETWEEN BLACK AND WHITE HIGH SCHOOL STUDENTS. 4) SUPPORT BE WELL FOX VALLEY AND EAT WELL FOR LIFE INITIATIVES ADDRESSING DIABETES MANAGEMENT AMONG LOW-INCOME POPULATIONS. 5) SUPPORT BASIC NEEDS GIVING PARTNERSHIP AND US VENTURE GOLF OUTING TO END POVERTY. STRONG START TO LIFE GROWING UP HEALTHY AND STRONG STARTS AT THE BEGINNING OF AN INDIVIDUAL'S LIFE. IN PARTNERSHIP WITH CHILDREN'S WISCONSIN, THEDACARE SEEKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, MENTAL, BEHAVIORAL AND INFANT HEALTH, AND SAFETY AND VIOLENCE IN CHILDREN THROUGH THE FOLLOWING: 1) SUPPORT REGIONAL FIRST 5 FOX VALLEY EARLY CHILDHOOD COALITION AND HELP ME GROW CENTRALIZED FAMILY SUPPORT ACCESS POINT. 2) ESTABLISH THEDACARE PEDIATRIC SDOH COMMUNITY RESOURCE NAVIGATION ASSISTANCE IN RURAL MARKETS THROUGH ADVANCING A HEALTHIER WISCONSIN GRANT AND EXPAND TO ENTIRE SERVICE AREA. 3) PARTNER TO ESTABLISH COMMUNITY RESOURCE NAVIGATION SUPPORT WITHIN CATALPA. 4) EXPLORE EXPANSION OF WELCOME BABY COMMUNITY MODEL IN RURAL MARKETS. 5) FACILITATE COLLABORATIVE REGIONAL ASSESSMENT OF AVAILABILITY AND ACCESSIBILITY OF PARENTING PROGRAMS AND SUPPORTS. SIGNIFICANT NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA THAT WILL NOT BE ADDRESSED IN THE CURRENT THREE-YEAR PLAN ARE: 1) HIGH PAYING JOBS/ECONOMIC OPPORTUNITY - LIMITED RESOURCES TO ADDRESS. 2) INTERNET - BEING ADDRESSED BY OTHERS. 3) FOOD INSECURITY - BEING ADDRESSED BY OTHERS. 4) MOTOR VEHICLE CRASH DEATHS - LIMITED RESOURCES TO ADDRESS. 5) EXERCISE OPPORTUNITIES - LIMITED RESOURCES TO ADDRESS. WORK ON THESE NEEDS CONTINUES AS THEDACARE ADDRESSES PRIORITY ISSUES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH. PATIENTS ARE SENT AN OVERVIEW LETTER EXPLAINING THE PROCESS FOR APPLYING FOR OUR ASSISTANCE PROGRAM OR OUR STAFF WALKS THEM THROUGH THE PROCESS. THEY ARE ASKED TO COMPLETE AN APPLICATION THAT INCLUDES REQUESTS FOR INFORMATION. THIS INFORMATION IS NEEDED IN ORDER TO MAKE A DECISION AS TO WHETHER THE PATIENT MEETS THE CRITERIA FOR ACCEPTANCE, AND IF ACCEPTED, WHAT LEVEL OF ASSISTANCE WILL BE PROVIDED. ONCE THE DECISION IS MADE, WE WILL NOTIFY THE PATIENT AND IF ACCEPTABLE, WRITE OFF THE BALANCE AS DETERMINED.
Schedule H, Part V, Section B, Line 15 Facility , 1Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH. CONTRACTED WITH ELIGIBILITY VENDOR (CARDON) TO WORK DIRECTLY WITH THE UNINSURED PATIENT TO ASSIST THEM WITH INSURANCE ENROLLMENT AND EDUCATION.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH. THE FAP AND APPLICATION WERE AVAILABLE AT HOSPITAL CASHIER OFFICES, ON OUR WEB SITE AND OFFERED TO ALL PATIENTS THAT EXPRESSED A FINANCIAL HARDSHIP WHEN CALLING THE BILLING OFFICE. THE PLS WAS PRINTED ON EVERY STATEMENT AND A FOOTER WAS ADDED TO THE FRONT OF THE STATEMENT ADVISING THE PATIENT TO SEE THE REVERSE SIDE OF THE STATEMENT FOR FINANCIAL ASSISTANCE AND PAYMENT OPTIONS. NOTIFICATION OF FINANCIAL ASSISTANCE AVAILABILITY WAS ADDED TO THE INITIAL LETTER SENT BY THE THIRD PARTY COLLECTION AGENCY.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
AYLWARD SURGERY CENTER
120 SECOND STREETNEENAHWI54956OUTPATIENT SURGERY CENTER
RENAISSANCE SURGERY CENTER
2400 WITZEL AVENUEOSHKOSHWI54904OUTPATIENT SURGERY CENTER
THEDACARE PHYSICAL THERAPY
1516 S COMMERCIAL STNEENAHWI54956REHAB CLINIC
THEDACARE PHYSICAL THERAPY
600 N WESTHAVEN DROSHKOSHWI54904REHAB CLINIC
NEUROSPINE CENTER OF WISCONSIN
5320 W MICHAELS DRAPPLETONWI54913SPECIALTY CLINIC
THEDACARE BEHAVIORAL HEALTH
1095 MIDWAY RDMENASHAWI54952BEHAVIORAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONSSEE PART V, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationTHEDACARE, INC. 39-1509362
Schedule H, Part I, Line 7g Subsidized Health ServicesNO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS IN THE TABLE IS A COMBINATION OF AVERAGE COSTS AND ACTUAL COSTS PERTAINING TO SUPPLIES, WAGES, AND BENEFITS. FOR SUPPLIES, THE ACTUAL COST OF ITEMS USED FOR EACH EVENT IS APPLIED. IF NO ACTUAL COST IS AVAILABLE, WE THEN USE AN ESTIMATE. WAGES ARE CALCULATED BY MULTIPLYING THE AVERAGE WAGE RATE TIMES ACTUAL HOURS WORKED. THE BENEFIT RATE USED INCLUDES A FRINGE RATION OF ALL BENEFITS RELATED TO THE ABOVE WAGE CALCULATION. THE COST ACCOUNTING SYSTEM DOES NOT DIFFERENTIATE BETWEEN DIFFERENT PAYER TYPES AND NO COST-TO-CHARGE RATIO IS USED.
Schedule H, Part II Community Building ActivitiesTHE HOSPITAL FACILITY PARTICIPATES IN NUMEROUS COMMUNITY BUILDING EFFORTS THROUGHOUT THE YEAR. SPECIFIC ACTIVITIES REPORTED ON SCHEDULE H, PART II INCLUDE: Economic Development: ThedaCare works together with local Chambers of Commerce in all of the communities it serves. The primary aim of the Chamber to promote and protect the interests of its members and the business community and work to improve the quality of life in their communities by building a healthy economy. Strong employment is a social determinant of health, reducing poverty and providing individual and family sustainability. Community Support: Caring Hearts is a financial assistance program designed for patients who are unable to pay for medically necessary services provided by all divisions within ThedaCare. The Caring Hearts Program covers services which are deemed to be medically necessary as determined by their physician. This cost is for time and expense needed to support Caring Hearts. The Caring Hearts financial assistance program is in effect at all ThedaCare facilities - ThedaCare Regional Medical Centers in Appleton and Neenah, ThedaCare Medical Center- Berlin, ThedaCare Medical Center-New London, ThedaCare Medical Center-Shawano, ThedaCare Medical Center-Waupaca and ThedaCare Medical Center-Wild Rose. Community Support: SART/SANE Sexual Assault Response Team/Sexual Assault Nurse Examiner serves on a number of local, county, and state-wide coalitions to provide outreach and training to healthcare students, law enforcement, domestic violence shelters and agencies, child abuse response teams, Wisconsin Department of Justice trainings, and more. The program is based at ThedaCare Regional Medical Center-Appleton and serves ThedaCare Regional Medical Center-Neenah, ThedaCare Medical Center-Berlin, ThedaCare Medical Center-New London, ThedaCare Medicare Center-Shawano, ThedaCare Medical Center-Waupaca and ThedaCare Medical Center-Wild Rose. Community Support: SHARPS and unused drug collection. Community SHARPS/unused drugs can be taken for collection and disposal to any of the seven ThedaCare Hospitals. Community Support: A 340B pharmacy is a pharmacy that participates in the 340B Drug Pricing Program, a federal program that requires drug manufacturers to sell outpatient drugs at discounted prices to eligible health care organizations. The 340B program helps health care organizations, known as covered entities, reduce the cost of drugs for their patients. Covered entities include hospitals, such as critical access hospitals, rural referral centers, and sole community hospitals, as well as federal grantee organizations.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountPATIENT ACCOUNTS RECEIVABLE ARE UNCOLLATERALIZED PATIENT OBLIGATIONS THAT ARE STATED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THEDACARE EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE OBLIGATIONS ARE PRIMARILY FROM LOCAL RESIDENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THEDACARE BILLS THIRD-PARTY PAYORS ON THE PATIENTS' BEHALF, OR IF A PATIENT IS UNINSURED, THE PATIENT IS BILLED DIRECTLY. ONCE CLAIMS ARE SETTLED WITH THE PRIMARY PAYOR, ANY SECONDARY INSURANCE IS BILLED, AND PATIENTS ARE BILLED FOR COPAY AND DEDUCTIBLE AMOUNTS THAT ARE THE PATIENTS' RESPONSIBILITY. PAYMENTS ON ACCOUNTS RECEIVABLE ARE APPLIED TO THE SPECIFIC CLAIM IDENTIFIED ON THE REMITTANCE ADVICE OR STATEMENTS. THEDACARE DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. FOR THIRD-PARTY PAYORS, INCLUDING MEDICARE, MEDICAID, MANAGED CARE AND COMMERCIAL PAYORS, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGE, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL PAID CLAIMS DATA BY PAYOR. FOR UNINSURED PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR EXPECTED RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE HOSPITAL USES ACCOUNTING DATA, INCLUDING ACCOUNTS AND COST CENTERS, TO ESTIMATE THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS THIS IS A COST OF PROVIDING HEALTH CARE SERVICES TO THOSE IN THE COMMUNITY WHO FALL UNDER THE FAP, THE AMOUNT SHOULD BE CONSIDERED COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE CONSOLIDATED FINANCIAL STATEMENTS DISCUSS PATIENT ACCOUNTS RECEIVABLE AND IMPLICIT PRICE CONCESSIONS IN NOTE 2(T) ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN THE COSTS TO PROVIDE THE SERVICES. THE SHORTFALLS SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THEY MUST BE ABSORBED IN ORDER TO CONTINUE PROVIDING CARE TO OUR COMMUNITY. IT IS ALSO IMPLIED IN INTERNAL REVENUE SERVICE RULING 69-545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR TAX-EXEMPT HOSPITALS AND INDICATES THAT PARTICIPATION IN PUBLICLY-FINANCED PROGRAMS, SUCH AS MEDICARE, IS EVIDENCE THAT A HOSPITAL MEETS THE COMMUNITY BENEFIT STANDARD.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceOUR POLICY IS NOT TO PURSUE PATIENT ACCOUNTS TO THE EXTENT ANY CHARGES ARE ELIGIBLE AND WRITTEN OFF THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM. IF ONLY A PORTION OF THE CHARGES ARE ELIGIBLE AND WRITTEN OFF THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, THE REMAINING BALANCE WILL BE BILLED TO THE PATIENT AND COLLECTED IN ACCORDANCE WITH OUR NORMAL COLLECTION POLICY.
Schedule H, Part V, Section B, Line 16a FAP website- THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16a URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/;
Schedule H, Part V, Section B, Line 16b FAP Application website- THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16b URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16c URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/;
Schedule H, Part VI, Line 2 Needs assessmentThedaCare covers a 9-county primary service area served by 7 hospitals. ThedaCare conducts a Community Needs Assessment every three years for each hospital gathering data pertinent to that community and the surrounding areas. Information collected includes data from the Wisconsin County Health Rankings, Fox Cities LIFE Study (Local Indicators for Excellence), the Behavioral Risk Factor Surveillance Survey, insights from interviews of Public Health Officials, insights from interviews with representatives of vulnerable populations, emergency department patient data and insights gathered from monthly meetings of the ThedaCare-led CHAT Team (Community Health Action Team) comprised of community leaders in business, non-profit, clergy, education, diverse population groups, healthcare, United Way, Public Health and the local Community Foundations.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistancePatient education begins when a patient is admitted to a ThedaCare hospital. Admission specialists meet with each person individually to assess insurance status and financial need. If necessary, specialists refer patients to care management specialists who assist with the enrollment of patients in an applicable program. The hospital patient handbook is provided to all in-patients. Internal policies such as Discounted Services Policy, Caring Hearts Policy and Payment for Service Policy for Self-Pay Balances provide guidance. The ThedaCare website, www.thedacare.org, provides education regarding The Affordable Care Act in easy to understand language. It discusses options and where to go for assistance.
Schedule H, Part VI, Line 4 Community informationThe ThedaCare Regional Medical Center-Neenah service area consists of Winnebago County and is located in east-central Wisconsin. The area hosts a population of over 238,000 combined with concentration in the Fox Cities urban area. OVER ONE-THIRD OF HOUSEHOLDS ARE LIVING BELOW THE ALICE THRESHOLD, WHICH INDICATES A HOUSEHOLD EITHER ABOVE OR BELOW THE FEDERAL POVERTY LEVEL BUT STILL NOT EARNING ENOUGH TO AFFORD BASIC NECESSITIES. * Between 2010 and 2021, the share of the population that is Hispanic/Latino in Winnebago County grew the most, increasing 1.2 percentage points. The white (non-Hispanic) population had the largest decrease dropping 3.8 percentage points. * Among six age groups in Winnebago County - 0 to 4, 5 to 19, 20 to 34, 35 to 49, 50 to 64, and 65 and older - the 65+ group was the fastest growing between 2010 and 2021. * The 35 to 49 age group in Winnebago County declined the most between 2010 and 2021, dropping 8.7 percentage points. * In Winnebago County 12% of the children live below 100% of the Federal Poverty Level. * Winnebago County has 6% of residents who are uninsured. * Winnebago County high school graduation rate is 94%. * In comparison to more rural counties in the ThedaCare service area, Winnebago County continues to have a higher percentage of children.
Schedule H, Part VI, Line 5 Promotion of community healthThe foundation of Community Health within ThedaCare is Community Health Improvement. ThedaCare Community Health Improvement is funded through operating budget, grants, and The ThedaCare Family of Foundation support. ThedaCare provides funding and dedicated staff to make CHAT community health efforts possible. The Community Health Team works with the local Community Health Action Team (CHAT), groups of community leaders who study systemic health issues outside the walls of our hospitals. CHAT is the foundation of innovative, collaborative solutions for community issues that draw upon the wide array of resources and strengths of our community. There are ThedaCare led CHAT's in the Fox Cities of Appleton/Menasha/Neenah, Berlin, New London, Shawano, Waupaca and Wild Rose.
Schedule H, Part VI, Line 6 Affiliated health care systemAs of January 1, 2024, ThedaCare merged with Froedtert Health. To date, community health operations have not been integrated. ThedaCare continues to provide direction related to community health needs assessments for each hospital in the counties previously served by ThedaCare prior to the merger and surrounding communities within its service area. Plans are approved by local hospital boards and THE ThedaCare North Region Board. Each ThedaCare hospital, along with COMMUNITY HEALTH IMPROVEMENT staff and community members determine how best to meet local needs. Implementation of community programming occurs at the local level.
Schedule H, Part VI, Line 7 State filing of community benefit reportWI

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE BOARD'S CHAIR, VICE CHAIR, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE, WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, THE POWER OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE ORGANIZATION'S AFFAIRS, EXCEPT ACTION WITH RESPECT TO ELECTION OF OFFICERS OR TRUSTEES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsAN EMPLOYEE/EMPLOYER RELATIONSHIP EXISTS FOR INDIVIDUALS ON PART VII WHO ARE EMPLOYEES OF THEDACARE, INC. AND INDIVIDUALS LISTED ON PART VII WHO ALSO SERVE AS DIRECTORS OR OFFICERS OF THEDACARE, INC. - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesALL MANAGEMENT AND ADMINISTRATIVE FUNCTIONS ARE PROVIDED BY EMPLOYEES OF THEDACARE, INC., THE SOLE MEMBER AND PARENT COMPANY OF THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
Form 990, Part VI, Line 4 Significant changes to organizational documentsTHE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE YEAR FOR THE FOLLOWING: 1. COMPOSITION OF THE DIRECTORS AND REQUIREMENT THAT ALL DIRECTORS SERVE ON THE BOARD OF THE PARENT. 2. CHANGES TO NUMBER AND TERM DATES OF OFFICERS. 3. CHANGING THE FISCAL YEAR OF THE ORGANIZATION. 4. REVISING THE METHOD AND AUTHORITY FOR FUTURE BYLAWS AMENDMENTS.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.'S SOLE MEMBER OF THE SINGLE CLASS OF VOTING MEMBERS IS THEDACARE, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHEDACARE, INC. HAS AUTHORITY IN THE CORPORATION TO VOTE AND TAKE ANY ACTION WITH RESPECT TO THE ELECTION OF DIRECTORS AND OFFICERS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHEDACARE, INC. HAS THE AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: 1. Remove the President of the Corporation and approve any successor President of the Corporation; 2. Propose, approve or reject any amendment to the Articles of Incorporation or the Bylaws; 3. Approve, develop or revise any strategic plans and capital and operating budgets related to the Corporation; 4. Provide administrative or management services for the Corporation as determined from time to time by the Member; 5. Borrow or loan funds, incur debt, guarantee a loan or enter into similar debt obligations for the Corporation; 6. Approve all expenditures of the Corporation; 7. Negotiate and enter into any and all new affiliations, partnerships, joint ventures, acquisitions, divestitures, dissolutions, sales, mergers and similar corporate transactions related to the Corporation, including the sale, divestiture, dissolution or other transfer of the Corporation; 8. Sell, lease, divest or otherwise dispose of the Corporation's assets; 9. Negotiate, execute and implement managed care contracts for the Corporation; 10. Retain investment advisors and manage and direct investments for the Corporation; 11. Engage in consolidated cash management, transfer and/or consolidate funds of the Corporation with the Member and its consolidated entities and direct the Corporation to take actions to cause all of the outstanding debt of the Corporation to be evidenced by notes issued under a master trust indenture; 12. Approve the recommendation of elected Officers for the Corporation other than the President, Secretary or Treasurer, which approval shall not be unreasonably withheld; 13. Appoint auditors and legal counsel for the Corporation; 14. Manage and direct compliance programs for the Corporation, including, but not limited to, establishing risk management policies and procedures, establishing conflict of interest policies and procedures, and setting parameters for qualified retirement plans and non-qualified deferred compensation plans; 15. Approve any proposed physician arrangement in accordance with the authority delegated to the Talent Strategy & Compensation Committee of the Parent's board of directors and its sub-committees; and 16. Develop and revise any capital and operating budget parameters for the Corporation's direct and indirect subsidiaries.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS OF FROEDTERT THEDACARE HEALTH, INC., FOR REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyQUESTIONNAIRES ARE SENT TO ALL MANAGERS, TRUSTEES, AND OFFICERS ANNUALLY. COMPLETED FORMS ARE RETURNED TO THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER REVIEWS THE QUESTIONNAIRES AND FOLLOWS UP WITH ANY QUESTIONS ABOUT THE MANAGERS' ANSWERS ON THE CONFLICT OF INTEREST FORMS. ALL EMPLOYEES AND BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE COMMITTEE REVIEWS THE POTENTIAL CONFLICT AND THE CFO/BOARD OF TRUSTEES REVIEW ALL CONFLICTS. AFTER DISCLOSURE OF THE CONFLICT, THE EMPLOYEE SHALL NOT PARTICIPATE IN THE DECISION WHETHER TO ENGAGE IN THE TRANSACTION IN WHICH THE EMPLOYEE HAS AN INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHEDACARE HIRES AN OUTSIDE CONSULTING FIRM TO CONDUCT A THOROUGH MARKET REVIEW OF EXECUTIVE COMPENSATION EVERY OTHER YEAR. THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD WAS FORMED IN DECEMBER 2018. THE OUTSIDE CONSULTANT PRESENTED HIS FINDINGS TO THE CHIEF HUMAN RESOURCES OFFICER, THE PRESIDENT AND CEO. THE INFORMATION WAS THEN PRESENTED TO THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THEN TO THE EXECUTIVE COMMITTEE OF THE BOARD. BOTH COMMITTEES WERE PROVIDED THE INFORMATION FOR REVIEW, EDUCATION AND ACCEPTANCE IN 2021.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTHEDACARE HIRES AN OUTSIDE CONSULTING FIRM TO CONDUCT A THOROUGH MARKET REVIEW OF EXECUTIVE COMPENSATION EVERY OTHER YEAR. THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD WAS FORMED IN DECEMBER 2018. THE OUTSIDE CONSULTANT PRESENTED HIS FINDINGS TO THE CHIEF HUMAN RESOURCES OFFICER, THE PRESIDENT AND CEO. THE INFORMATION WAS THEN PRESENTED TO THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THEN TO THE EXECUTIVE COMMITTEE OF THE BOARD. BOTH COMMITTEES WERE PROVIDED THE INFORMATION FOR REVIEW, EDUCATION AND ACCEPTANCE IN 2021.
Form 990, Part VI, Line 19 Required documents available to the publicTHEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: 7308, Related or Exempt Function Revenue: , Unrelated Business Revenue: 7308, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesCONTRACT LABOR/AGENCY FEES - Total Expense: 4109093, Program Service Expense: 4109093, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 2627478, Program Service Expense: 2627478, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 15401, Program Service Expense: 15401, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 15826931, Program Service Expense: 5721988, Management and General Expenses: 10104943, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesADJUSTMENTS FOR AFFILIATION REVALUATIONS - -18237855;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

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THEDACARE INC
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THEDACARE MEDICAL CENTER - BERLIN INC
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THEDACARE MEDICAL CENTER - WAUPACA INC
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THEDACARE REGIONAL MEDICAL CENTER -APPLETON INC
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THEDACARE MEDICAL CENTER - SHAWANO INC
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THEDACARE MEDICAL CENTER - WILD ROSE INC
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THEDACARE FAMILY OF FOUNDATIONS INC
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FROEDTERT MEMORIAL LUTHERAN HOSPITAL
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COMMUNITY MEMORIAL HOSPITAL OF MF
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ST JOSEPH'S COMMUNITY HOSPITAL OF WB
3200 PLEASANT VALLEY ROADWEST BENDWI53095390806302HOSPITALWI501(c)(3)3FROEDTERT THEDACARE HEALTHfalse
FROEDTERT WEST BEND HOSPITAL FOUNDATION
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FROEDTERT HOSPITAL FOUNDATION INC
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FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION
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COMMUNITY OUTPATIENT HEALTH SERVICES
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051391743056MED/DENT SVCSWI501(c)(3)3COMM MEM HOSPfalse
FH ENTERPRISE SERVICES HOLDINGS INC
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HOLY FAMILY MEMORIAL INC
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FROEDTERT THEDACARE HEALTH INC
9200 W WISCONSIN AVEMILWAUKEEWI53226392014409MGMNT SVCSWI501(c)(3)Type III-FINAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

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122 E CAPITOL DRAPPLETONWI54911262497187RENTALWINAN/A
ENCIRCLE REALCO LLC
65 HIDDEN RAVINES DRIVEPOWELLOH43065853472736PROPERTY HOLDINGOHTHEDACARE REGIONAL MEDICAL CENTER - APPLETON INCExcludedSUITE 100
FROEDTERT SURGERY CENTER LLC
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FMLH MCW REAL ESTATE VENTURES LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226260629591REAL ESTATEWIFROEDTERT THEDACARE HEALTHRelated
WISCONSIN DIAGNOSTIC LABORATORIES LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226391896819LAB SERVICESWIFROEDTERT THEDACARE HEALTHRelated
DREXEL TOWN SQUARE SURGERY CENTER LLC
7901 S 6TH STREETOAK CREEKWI53154814904300SURGERY CENTERWIFROEDTERT THEDACARE HEALTHRelated
MENOMONEE FALLS AMBULATORY SURGERY CTR
W180 N8045 TOWN HALL ROADMENOMONEE FALLSWI53051391745697SURGERY CENTERWIFROEDTERT THEDACARE HEALTHRelated
FROEDTERT & THE MCW NETWORK LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226814382585HEALTH CAREWINAN/A
FROEDTERT & THE MCW ACO LLC
8710 WATERTOWN PLANK RDMILWAUKEEWI53226833159534HEALTH CAREWINAN/A
WEST BEND SURGERY CENTER LLC
3212 PLEASANT VALLEY ROADWEST BENDWI53095391954169HEALTHCARE SERVICESWIFROEDTERT THEDACARE HEALTHRelated
NATIONAL LABORATORY NETWORK LLC
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D1 SPORTS TRAINING OF MILWAUKEE LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226473322294SPORTS MEDICINEWIFROEDTERT THEDACARE HEALTHRelated
THP-FROEDTERT HEALTH VENTURES LLC
1415 LOUISIANA STREETHOUSTONTX77002823559342HEALTH CARETXFROEDTERT THEDACARE HEALTHRelated
FHHP LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226452221564HEALTH CAREWIFROEDTERT THEDACARE HEALTHRelated

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

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HART'S MILL INSURANCE COMPANY
62 FORUM LANE3RD FLOORGRAND CAYMANCAYMAN ISLANDSCJ981311808SELF-INSURANCECJFROEDTERT THEDACARE HEALTHC Corporationfalse
FH INVESTMENT HOLDINGS INC
991422017INVST HOLD COFROEDTERT THEDACARE HEALTHC Corporationfalse9200 W WISCONSIN AVEMILWAUKEEWI53226WI
NETWORK HEALTH INC
462966177HEALTHCARE ADMINFROEDTERT THEDACARE HEALTHC Corporationfalse1570 MIDWAY PLACEMENASHAWI54952WI
NETWORK HEALTH INSURANCE CORP
392020474SERVICE INSURANCENETWORK HEALTH INCC Corporationfalse1570 MIDWAY PLACEMENASHAWI54952WI
NETWORK HEALTH PLAN
391442058HEALTH INSURANCENETWORK HEALTH INCC Corporationfalse1570 MIDWAY PLACEMENASHAWI54952WI
HOLY FAMILY HEALTH SERVICES INC
391572253HEALTH CAREFROEDTERT THEDACARE HEALTHC Corporationfalse1600 SOUTH 41ST STREETMANITOWOCWI54220WI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd