THEDACARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- THEDACARE INC (EIN 39-1509362)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-09-09
- IRS object ID
- 202132529349300923
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-09T09:54:33-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391509362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THEDACARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | THED | BusinessNameControlTxt |
| Phone | 9207355560 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8025 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 549128025 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK THOMPSON | PersonNm |
| Person Title | CFO & COO | PersonTitleTxt |
| Phone | 9207355560 | PhoneNum |
| Signature | 2021-08-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | THOMPSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2021-08-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IMRAN ANDRABI MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8025 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 549128025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $356,821,046 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THEDACARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING THE HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 7818 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $5,715,873 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $744,936 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,217,022 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,102,821 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $307,325,985 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $261,323,941 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76,726,566 | PYInvestmentIncomeAmt |
| CY Investment Income | $75,557,136 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,936,221 | PYOtherRevenueAmt |
| CY Other Revenue | $13,837,148 | CYOtherRevenueAmt |
| PY Total Revenue | $398,205,794 | PYTotalRevenueAmt |
| CY Total Revenue | $356,821,046 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $328,334 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,080,465 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $251,208,344 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $221,906,853 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $202,108,906 | PYOtherExpensesAmt |
| CY Other Expenses | $146,261,869 | CYOtherExpensesAmt |
| PY Total Expenses | $453,645,584 | PYTotalExpensesAmt |
| CY Total Expenses | $369,249,187 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$55,439,790 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,428,141 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $865,028,252 | TotalAssetsBOYAmt |
| Total Assets EOY | $920,144,650 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,446,524,287 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,505,607,361 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$581,496,035 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$585,462,711 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $291,396,111 | ExpenseAmt |
| Grant | $1,080,465 | GrantAmt |
| Revenue | $261,323,941 | RevenueAmt |
| Desc | FOR MORE THAN 110 YEARS, THEDACARE HAS BEEN COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES IN NORTHEAST AND CENTRAL WISCONSIN. THE ORGANIZATION DELIVERS CARE TO MORE THAN 600,000 RESIDENTS IN 18 COUNTIES AND EMPLOYS APPROXIMATELY 7,000 HEALTH CARE PROFESSIONALS. THEDACARE HAS 180 POINTS OF CARE, INCLUDING SEVEN HOSPITALS. AS AN ORGANIZATION COMMITTED TO BEING A LEADER IN POPULATION HEALTH, TEAM MEMBERS ARE DEDICATED TO EMPOWERING PEOPLE TO LIVE THEIR BEST LIVES THROUGH EASY ACCESS TO INDIVIDUALIZED CARE, SUPPORTING EACH PERSON'S OWN HEALTH AND WELLBEING. THEDACARE ALSO PARTNERS WITH COMMUNITIES TO UNDERSTAND UNIQUE NEEDS, FINDING SOLUTIONS TOGETHER, AND ENCOURAGING HEALTH AWARENESS AND ACTION. THEDACARE IS THE FIRST IN WISCONSIN TO BE A MAYO CLINIC CARE NETWORK MEMBER, GIVING SPECIALISTS THE ABILITY TO CONSULT WITH MAYO CLINIC EXPERTS ON A PATIENT'S CARE. THEDACARE IS A NOT-FOR-PROFIT HEALTH SYSTEM WITH A LEVEL II TRAUMA CENTER, COMPREHENSIVE CANCER TREATMENT, STROKE AND CARDIAC PROGRAMS, AS WELL AS PRIMARY CARE.THEDACARE OPERATES ONE OF NINE NATIONALLY VERIFIED LEVEL II TRAUMA CENTERS IN THE STATE OF WISCONSIN THEDACARE REGIONAL MEDICAL CENTER-NEENAH. 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. THEDACARE OFFERS A STRONG PRIMARY CARE NETWORK WITH MORE THAN 1,100 PROVIDERS DELIVERING CARE TO OUR 600,000 COMMUNITY MEMBERS, WHICH REPRESENTS MORE THAN 686,800 VISITS ANNUALLY. ADDITIONAL HEALTH AND CARE SERVICES THROUGH EMPLOYED AND AFFILIATED PROVIDER RELATIONSHIPS INCLUDE ORTHOPEDIC CARE, CARDIOVASCULAR CARE, CANCER CARE, HEMATOLOGY, BARIATRICS CARE, BEHAVIORAL HEALTH, DIABETES CARE, SPINE AND NEUROLOGICAL CARE, STROKE CARE, NEPHROLOGY, OPTHAMOLOGY, UROLOGY, PULMONARY, WOMEN'S HEALTH AND MORE. MOST CLINICS ALSO OFFER DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CAT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. IN ADDITON, WE OFFER AND CONVENIENT WALK-IN CARE, FASTCARE AND E-VISITS FOR ENHANCED COMMUNITY ACCESS TO HEALTHCARE.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. THEDACARE IS COMMITTED TO COMMUNITY FOCUSED EFFORTS IDENTIFIED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT IN COUNTIES WHERE SERVICES ARE PROVIDED. SPECIFIC COMMUNITY EFFORTS ARE DETAILED FOR EACH COUNTY IN EACH INDIVIDUAL HOSPITAL REPORT ENCLOSED IN THIS SUBMISSION. 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.EVERY YEAR, THEDACARE PUBLISHES A COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS OUR CONTRIBUTIONS TO OUR COMMUNITIES IN NORTHEAST AND CENTRAL WISCONSIN. WE TAKE INTO ACCOUNT WAYS IN WHICH OUR SYSTEM ADDRESSES UNMET HEALTH NEEDS IN THE COMMUNITY FOR WHICH REIMBURSEMENT IS NOT RECEIVED. IN 2020, THE TOTAL DOLLAR VALUE OF THAT DONATED COMMUNITY SUPPORT, CALLED COMMUNITY BENEFIT, AMOUNTED TO NEARLY $58 MILLION ACROSS THE SERVICE AREA. THE COMMUNITY BENEFIT TOTAL INCLUDES NON-HOSPITAL FINANCIAL ASSISTANCE AND MEDICAID. THE DOLLAR VALUE OF HOSPITAL-ONLY COMMUNITY BENEFIT IS $45 MILLION.THEDACARE ADDRESSES UNMET HEALTH NEEDS THROUGH TRAINING MEN AND WOMEN TO BECOME DOCTORS AND NURSES, IMPROVING ACCESS TO BEHAVIORAL HEALTH CARE, SUPPORTING MEDICAL RESEARCH THROUGH CLINICAL TRIALS AND BY PROVIDING CARE TO THOSE WITHOUT THE FINANCIAL RESOURCES TO PAY, AS EXAMPLES. THEDACARE PROVIDES OPERATIONAL AND ADMINISTRATIVE SUPPORT SERVICES FOR HOSPITALS, MEDICAL CLINICS AND VARIOUS OTHER HEALTHCARE PROVIDERS. CENTRALIZING THESE SERVICES ALLOWS MEDICAL PROFESSIONALS TO CONCENTRATE ON GIVING THEIR PATIENTS THE BEST POSSIBLE CARE, WHILE ENJOYING THE BENEFITS OF EFFICIENT AND COST-EFFECTIVE BUSINESS MANAGEMENT.THEDACARE'S MAIN OPERATIONAL SERVICES INCLUDES A REFERENCE LABORATORY, TRANSCRIPTION SERVICES, BIOMEDICAL EQUIPMENT MAINTENANCE, PLUS A MEDICAL REFERENCE LIBRARY, STAFF EDUCATION AND PROFESSIONAL DEVELOPMENT PROGRAMS. MANY SENIOR CITIZENS SUBSCRIBE TO "LIFELINE," A MONITORED HELP/ALARM SYSTEM CONNECTED TO THEDACARE'S NURSE-STAFFED 24-HOUR CALL CENTER. THE CALL CENTER ALSO ANSWERS HEALTH QUESTIONS, HELPS PEOPLE LOCATE A PHYSICIAN, REFERS CALLERS TO ADDITIONAL SOURCES OF INFORMATION, AND ENROLLS CALLERS INTO COMMUNITY-FOCUSED CLASSES ON HEALTH-RELATED TOPICS. ADMINISTRATIVE SERVICES INCLUDE HUMAN RESOURCES, PAYROLL, PURCHASING, FINANCE AND ACCOUNTING, PRINTING, SERVICES FOR MEDICAL & ADMINISTRATIVE MATERIALS, ORGANIZATIONAL DEVELOPMENT, INTERNAL EDUCATION AND IMPROVEMENT SYSTEMS, QUALITY ASSURANCE FOR BOTH INTERNAL AND PUBLIC REPORTING, MARKETING, COMMUNITY OUTREACH AND EDUCATION PROGRAMS, COMMUNICATION SYSTEMS, SECURITY AND LEGAL COMPLIANCE, AND FULL-SPECTRUM INFORMATION TECHNOLOGY PLANNING & SUPPORT.THEDACARE OFFERS A VARIETY OF LONG-TERM CARE OPTIONS. THEDACARE AT HOME SERVES PEOPLE OF ALL AGES THROUGHOUT NORTHEAST AND CENTRAL WISCONSIN, INCLUDING ADULTS, CHILDREN, AND INFANTS. MOST HAVE SHORT-TERM SKILLED CARE OR REHABILITATION NEEDS FOLLOWING A HOSPITALIZATION OR ILLNESS. OTHERS NEED TEMPORARY OR ONGOING ASSISTANCE FOR CHRONIC CONDITIONS. THEDACARE ALSO OFFERS INDEPENDENT LIVING, ASSISTED LIVING, OR SKILLED CARE UNITS, AT THE HERITAGE, PEABODY MANOR AND JULIETTE MANOR COMMUNITIES. CHERRY MEADOWS HOSPICE PROVIDES CARE FOR END-OF-LIFE RESIDENTS IN A DIGNIFIED, COMPASSIONATE ENVIRONMENT. | Desc |
| Total Program Service Expenses | $291,396,111 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 464 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 7818 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | OC | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATHANIEL CHERNE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9207355560 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8025 | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 549128025 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOSHUA BLOMBERG MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,674,148 | $0 | $56,171 | |||
| IMRAN ANDRABI MD | |||||||||
| PRESIDENT & CEO - SYSTEM | 11.00 | 29.00 | $1,243,338 | $0 | $62,201 | Yes (X) | Yes (X) | ||
| ERIC ERICKSON MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,177,055 | $0 | $56,171 | |||
| TIM OLSON FORMER CFO - | |||||||||
| CLINICALLY INTEGRATED NETWORK | 40.00 | 0.00 | Yes (X) | $1,205,924 | $0 | $0 | |||
| DAVID JONES MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $916,028 | $0 | $45,171 | |||
| MARK THOMPSON | |||||||||
| SENIOR VP, CFO & COO - SYSTEM | 11.00 | 29.00 | $748,076 | $0 | $64,671 | Yes (X) | |||
| NICHOLAS AUGELLI MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $697,289 | $0 | $62,670 | |||
| THOMAS ARQUILLA | |||||||||
| FORMER KEY EMPLOYEE | 12.00 | 28.00 | $539,409 | $0 | $63,683 | Yes (X) | |||
| GARY EDELMAN MD | |||||||||
| BOARD MEMBER / PHYSICIAN | 38.00 | 2.00 | $527,205 | $0 | $62,671 | Yes (X) | |||
| JAMES ALBIN | |||||||||
| CIO | 12.00 | 28.00 | $429,869 | $0 | $84,171 | Yes (X) | |||
| MAGGIE LUND | |||||||||
| CHRO | 12.00 | 28.00 | $389,016 | $0 | $53,009 | Yes (X) | |||
| NORMA TURK MD | |||||||||
| BOARD MEMBER / PHYSICIAN | 1.00 | 39.00 | $308,009 | $0 | $51,009 | Yes (X) | |||
| BRIAN STERNS | |||||||||
| FORMER KEY EMPLOYEE | 12.00 | 28.00 | $172,483 | $0 | $58,171 | Yes (X) | |||
| TERRY TIMM | |||||||||
| CHAIR | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JIM KOTEK | |||||||||
| VICE CHAIR & SECRETARY | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| DAVID KOEPER MD | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| JIM MEYER | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN DAVIS | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| KAREN TIMBERLAKE | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MARIA VAN LAANEN | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MARK BURSTEIN | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| PATRICK BRENNAN MD | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| TIM BERGSTROM | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,027,849 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $719,769 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 502 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DAILY CARE LLC | |||||
| PO BOX 11934 | GREEN BAY | WI | 54307 | MEDICAL STAFFING | $5,490,216 |
| ENSEMBLE RCM LLC | |||||
| PO BOX 639076 | CINCINNATI | OH | 45263 | BUSINESS SERVICES | $5,249,487 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | MEDICAL STAFFING | $3,522,583 |
| CHG COMPANIES INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | MEDICAL STAFFING | $2,855,352 |
| CROTHALL HEALTHCARE INC | |||||
| 13028 COLLECTION CENTER DR | CHICAGO | IL | 60693 | OUTSOURCED STAFFING | $2,412,806 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 71 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $302,821 | RelatedOrganizationsAmt |
| Government Grants | $5,800,000 | GovernmentGrantsAmt |
| Total Contributions | $6,102,821 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT/CLIENT SERVICES | 621110 | $245,274,217 | $245,274,217 | |
| MANAGEMENT SERVICE FEES | 541900 | $11,006,568 | $11,006,568 | |
| INFORMATION TECHNOLOGY SERVICES | 541511 | $4,988,809 | $8,015 | $4,980,794 |
| TRANSCRIPTION SERVICES | 541511 | $54,347 | $54,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $261,323,941 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,557,136 | TotalRevenueColumnAmt |
| Exclusion | $75,557,136 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | $12,815,756 | $108,802 | $12,706,954 |
| EARNINGS FROM EQUITY INVESTMENTS | 900099 | $1,104,225 | $1,104,225 | |
| RISK SHARING PERFORMANCE REVENUE | 900099 | -$82,833 | $626,277 | -$709,110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,837,148 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $356,821,046 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $256,343,147 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,715,873 | UnrelatedBusinessRevenueAmt |
| Exclusion | $88,659,205 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,080,465 | TotalAmt |
| Program Services | $1,080,465 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,430,706 | TotalAmt |
| Program Services | $167,636,095 | ProgramServicesAmt |
| Management And General | $20,794,611 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,484 | TotalAmt |
| Program Services | $1,358,993 | ProgramServicesAmt |
| Management And General | $383,491 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,398,420 | TotalAmt |
| Program Services | $12,876,084 | ProgramServicesAmt |
| Management And General | $4,522,336 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,335,243 | TotalAmt |
| Program Services | $10,726,670 | ProgramServicesAmt |
| Management And General | $3,608,573 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,488 | TotalAmt |
| Management And General | $1,276,488 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,960,839 | TotalAmt |
| Program Services | $8,310,173 | ProgramServicesAmt |
| Management And General | $4,650,666 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,965,158 | TotalAmt |
| Program Services | $3,149,990 | ProgramServicesAmt |
| Management And General | $815,168 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,770,402 | TotalAmt |
| Program Services | $4,175,269 | ProgramServicesAmt |
| Management And General | $4,595,133 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,579,475 | TotalAmt |
| Program Services | $10,441,991 | ProgramServicesAmt |
| Management And General | $10,137,484 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,229,197 | TotalAmt |
| Program Services | $28,777,876 | ProgramServicesAmt |
| Management And General | $10,451,321 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,271,095 | TotalAmt |
| Program Services | $1,143,640 | ProgramServicesAmt |
| Management And General | $127,455 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,861,194 | TotalAmt |
| Program Services | $2,460,367 | ProgramServicesAmt |
| Management And General | $3,400,827 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,107,770 | TotalAmt |
| Program Services | $6,054,163 | ProgramServicesAmt |
| Management And General | $6,053,607 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,146,994 | TotalAmt |
| Program Services | $13,614,390 | ProgramServicesAmt |
| Management And General | $4,532,604 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,642,389 | TotalAmt |
| Program Services | $776,382 | ProgramServicesAmt |
| Management And General | $866,007 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI TAXES | $223,276 | $223,276 | |
| BAD DEBT EXPENSE | $8,017,422 | $8,017,422 | |
| COST OF GOODS SOLD | $7,369,558 | $7,369,558 | |
| EQUIPMENT MAINTENANCE | $3,017,157 | $882,883 | $2,134,274 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,823,455 | TotalAmt |
| Program Services | $1,292,309 | ProgramServicesAmt |
| Management And General | $531,146 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,249,187 | TotalAmt |
| Program Services | $291,396,111 | ProgramServicesAmt |
| Management And General | $77,853,076 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$121,084,388 | BOYAmt |
| EOY | -$94,938,140 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,408,569 | BOYAmt |
| EOY | $30,631,623 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,034,528 | BOYAmt |
| EOY | $730,218 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,766,080 | BOYAmt |
| EOY | $14,934,251 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $363,602,794 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $160,583,683 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,113,826 | BOYAmt |
| EOY | $203,019,111 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,698,553 | BOYAmt |
| EOY | $560,981,125 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,941,001 | BOYAmt |
| EOY | $194,845,193 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,833 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,629,250 | BOYAmt |
| EOY | $9,941,269 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,028,252 | BOYAmt |
| EOY | $920,144,650 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,412,335 | BOYAmt |
| EOY | $93,030,028 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,206,849 | BOYAmt |
| EOY | $66,157,696 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,259,895 | BOYAmt |
| EOY | $320,455,951 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,366,496 | BOYAmt |
| EOY | $30,345,508 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $881,278,712 | BOYAmt |
| EOY | $995,618,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,446,524,287 | BOYAmt |
| EOY | $1,505,607,361 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$581,506,035 | BOYAmt |
| EOY | -$585,472,711 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$581,496,035 | BOYAmt |
| EOY | -$585,462,711 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,028,252 | BOYAmt |
| EOY | $920,144,650 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$12,428,141 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $8,461,464 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,865,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,007,240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,182,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,217,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,102,821 | CurrentTaxYearAmt |
| Total | $14,374,793 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $252,609,545 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $277,431,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,057,977 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $307,325,985 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $256,343,147 | CurrentTaxYearAmt |
| Total | $1,377,768,453 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $257,475,075 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $278,439,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $285,240,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $308,543,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $262,445,968 | CurrentTaxYearAmt |
| Total | $1,392,143,246 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,392,143,246 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,091,228 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,998,243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,316,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,735,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,557,136 | CurrentTaxYearAmt |
| Total | $179,697,812 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,091,228 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,998,243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,316,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,735,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,557,136 | CurrentTaxYearAmt |
| Total | $179,697,812 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $883,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $755,879 | CurrentTaxYearAmt |
| Total | $1,639,440 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,754,152 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,468,854 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,867,324 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,636,221 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,102,069 | CurrentTaxYearAmt |
| Total | $163,828,620 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $273,320,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $315,906,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $312,307,225 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $483,914,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $351,861,052 | CurrentTaxYearAmt |
| Total | $1,737,309,118 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.80130 | PublicSupportCY509Pct |
| Public Support PY509 | 0.83650 | PublicSupportPY509Pct |
| Investment Income CY | 0.10340 | InvestmentIncomeCYPct |
| Investment Income PY | 0.06780 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME RISK SHARING PERFORMANCE REVENUE EQUITY INVESTMENT EARNINGS | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $84,220 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $84,220 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES WERE DONE TO INFLUENCE THE STATE OF WISCONSIN GOVERNING BODY. NO EFFORT WAS MADE TO INFLUENCE THE FEDERAL GOVERNMENT, OR TO SUPPORT ANY CANDIDATE. SEE DETAIL OF LOBBYING EXPENDITURES ONLINE AT HTTP://LOBBYING.WI.GOV. ITEMS THAT WERE LOBBIED INCLUDE LICENSURE OR CERTIFICATE RENEWAL FOR CERTAIN EMERGENCY MEDICAL SERVICES PERSONNEL AND AMBULANCE SERVICE PROVIDERS, AS WELL AS OTHER HEALTHCARE MATTERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,351,081 | OtherCostOrOtherBasisAmt |
| Book Value | $21,351,081 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,754,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,626,559 | DepreciationAmt |
| Book Value | $80,128,214 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,975,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,558,392 | DepreciationAmt |
| Book Value | $26,417,122 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,383,400 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,398,732 | DepreciationAmt |
| Book Value | $52,984,668 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,138,026 | OtherCostOrOtherBasisAmt |
| Book Value | $22,138,026 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $203,019,111 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $99,780,827 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EQUITIES | Desc |
| Book Value | $95,064,366 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $194,845,193 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $995,618,178 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $995,618,178 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Specific Services Provided | N/A | SpecificServicesProvidedTxt |
| Region Total Expenditures | $27,007,366 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $27,007,366 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $27,007,366 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III ACCOUNTING METHOD: | |
| PART IV, LINE 4: | THE ORGANIZATION IS AN EXEMPT ENTITY AND THERE IS NO UNRELATED BUSINESS INCOME GENERATED FROM THIS INVESTMENT. THEREFORE, FORM 8621 IS NOT REQUIRED. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMUNITY FOUNDATION | |||||||
| PO BOX 563 | APPLETON | WI | 54912 | 391548450 | 501(C)(3) | $6,500 | GENERAL OPERATING SUPPORT |
| NEW NORTH INC | |||||||
| 2740 W MASON ST | GREEN BAY | WI | 54303 | 260114487 | 501(C)(3) | $10,000 | GENERAL OPERATING SUPPORT |
| GORDON BUBOLZ NATURE PRESERVE | |||||||
| 4815 NORTH LYNNDALE DR | APPLETON | WI | 54913 | 237120877 | 501(C)(3) | $25,000 | GENERAL OPERATING SUPPORT |
| THEDACARE FAMILY OF FOUNDATIONS INC | |||||||
| PO BOX 8025 | APPLETON | WI | 54912 | 464112255 | 501(C)(3) | $1,038,965 | GENERAL OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IN ORDER FOR GRANT REQUESTS TO BE CONSIDERED, THEY MUST MEET THE FOLLOWING GUIDELINES: 1) DIRECTED TOWARD PROJECTS THAT SUPPORT THEDACARE'S MISSION AND VALUES; 2) BENEFIT THE COMMUNITES SERVED BY THEDACARE, INC.; OR 3) BENEFIT A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION. CONVERSELY, REQUESTS MUST NOT BE FOR: 1) THE SOLE BENEFIT OF AN INDIVIDUAL; 2) POLITICAL ORGANIZATIONS OR CAMPAIGN COMMITTEES; 3) RELIGIOUS ORGANIZATIONS (FOR STRICTLY RELIGIOUS PURPOSES); 4) ORGANIZATIONS IN CONFLICT WITH THEDACARE'S MISSION AND VALUES; OR 5) STATE OR NATIONAL CAMPAIGNS. ALL ORGANIZATIONS REQUESTING GRANT FUNDS MUST APPLY THROUGH THE THEDACARE WEBSITE. REQUESTS ARE SCREENED, REVIEWED, AND APPROVED BY A COMMITTEE SIX TIMES THROUGHOUT THE FISCAL YEAR. A LETTER OF RESTRICTION IS ISSUED BY THEDACARE IN CONJUNCTION WITH ALL GRANT CHECKS. THIS LETTER OF RESTRICTION STATES THAT ALL GRANT FUNDS RECEIVED FROM THEDACARE MUST BE USED STRICTLY FOR THE PURPOSES FOR WHICH THEY WERE APPLIED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSHUA BLOMBERG MD | ||||||||||||||
| PHYSICIAN | $1,611,271 | $0 | $62,877 | $0 | $0 | $0 | $37,000 | $0 | $19,171 | $0 | $1,730,319 | $0 | $0 | $0 |
| IMRAN ANDRABI MD | ||||||||||||||
| PRESIDENT & CEO - SYSTEM | $902,932 | $0 | $340,406 | $0 | $0 | $0 | $43,030 | $0 | $19,171 | $0 | $1,305,539 | $0 | $0 | $0 |
| ERIC ERICKSON MD | ||||||||||||||
| PHYSICIAN | $1,156,096 | $0 | $20,959 | $0 | $0 | $0 | $37,000 | $0 | $19,171 | $0 | $1,233,226 | $0 | $0 | $0 |
| TIM OLSON FORMER CFO - | ||||||||||||||
| CLINICALLY INTEGRATED NETWORK | $0 | $0 | $0 | $0 | $1,205,924 | $0 | $0 | $0 | $0 | $0 | $1,205,924 | $0 | $0 | $0 |
| DAVID JONES MD | ||||||||||||||
| PHYSICIAN | $906,954 | $0 | $9,074 | $0 | $0 | $0 | $26,000 | $0 | $19,171 | $0 | $961,199 | $0 | $0 | $0 |
| MARK THOMPSON | ||||||||||||||
| SENIOR VP, CFO & COO - SYSTEM | $588,076 | $0 | $160,000 | $0 | $0 | $0 | $45,500 | $0 | $19,171 | $0 | $812,747 | $0 | $0 | $0 |
| NICHOLAS AUGELLI MD | ||||||||||||||
| PHYSICIAN | $657,539 | $0 | $39,750 | $0 | $0 | $0 | $43,499 | $0 | $19,171 | $0 | $759,959 | $0 | $0 | $0 |
| THOMAS ARQUILLA | ||||||||||||||
| FORMER KEY EMPLOYEE | $419,409 | $0 | $120,000 | $0 | $0 | $0 | $44,512 | $0 | $19,171 | $0 | $603,092 | $0 | $0 | $0 |
| GARY EDELMAN MD | ||||||||||||||
| BOARD MEMBER / PHYSICIAN | $514,685 | $0 | $12,520 | $0 | $0 | $0 | $43,500 | $0 | $19,171 | $0 | $589,876 | $0 | $0 | $0 |
| JAMES ALBIN | ||||||||||||||
| CIO | $329,869 | $0 | $100,000 | $0 | $0 | $0 | $65,000 | $0 | $19,171 | $0 | $514,040 | $0 | $0 | $0 |
| MAGGIE LUND | ||||||||||||||
| CHRO | $300,016 | $0 | $89,000 | $0 | $0 | $0 | $45,500 | $0 | $7,509 | $0 | $442,025 | $0 | $0 | $0 |
| NORMA TURK MD | ||||||||||||||
| BOARD MEMBER / PHYSICIAN | $300,009 | $0 | $8,000 | $0 | $0 | $0 | $43,500 | $0 | $7,509 | $0 | $359,018 | $0 | $0 | $0 |
| BRIAN STERNS | ||||||||||||||
| FORMER KEY EMPLOYEE | $147,483 | $0 | $25,000 | $0 | $0 | $0 | $39,000 | $0 | $19,171 | $0 | $230,654 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ALL EXECUTIVES AT A LEVEL OF VICE PRESIDENT AND ABOVE ARE ELIGIBLE TO HAVE HEALTH OR FITNESS CLUB FEES REIMBURSED TO THEM, AND TAXED UPON REIMBURSEMENT. |
| PART I, LINE 4B | SENIOR LEVEL EXECUTIVES OF THE COMPANY ARE ENTITLED TO AN ANNUAL FLEXIBLE BENEFIT EQUAL TO 20% OF THE MIDPOINT OF THEIR SALARY RANGE. THIS 457(F) SUPPLEMENTAL BENEFIT PLAN COMPLIES WITH THE FINAL REGULATIONS UNDER SECTION 409A AND 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS MAY ELECT THE BENEFIT TO BE USED TO PURCHASE PARTICULAR INSURANCE BENEFITS, INVEST IN A CAPITAL ACCUMULATION ACCOUNT OR A COMBINATION OF THE TWO. BENEFITS ARE ACCRUED ON A MONTHLY BASIS AND ARE SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE AGREEMENT SIGNED BY THE PARTICIPANTS. PLAN CONTRIBUTIONS ARE MADE ON A QUARTERLY BASIS. |
| PART I, LINE 7 | EXECUTIVE AT RISK COMPENSATION PLAN: THE PLAN OBJECTIVES ARE TO ENHANCE THEDACARE INC'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING A TOOL FOR STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE AMONG LEADERS AND TO WORK TOGETHER AS A COHESIVE GROUP TOWARD COMMON GOALS. LEADERS FROM MANAGER LEVEL TO THE PRESIDENT AND CEO ARE ELIGIBLE TO PARTICIPATE IN THIS PLAN. THE PERCENTAGE FOR WHICH AN INDIVIDUAL IS ELIGIBLE IS DETERMINED BY THE PARAMETERS LISTED FOR THE LEADERSHIP POSITION AND IN THE PLAN DOCUMENT ON FILE. LEADERS MAKE RECOMMENDATIONS FOR THEIR MANAGEMENT LEVEL DIRECT REPORTS TO THEIR EXECUTIVE LEADER BASED ON PERFORMANCE RESULTS. THE PRESIDENT AND CEO ALSO REVIEWS AND APPROVES. FOR SENIOR VICE PRESIDENTS, THE EXECUTIVE LEADERSHIP TEAM, AND THE PRESIDENT AND CEO, THE RECOMMENDATIONS ARE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD. THESE COMMITTEES ALSO REVIEW THE TOTAL SPEND FOR THE INCENTIVE PLANS. THESE LEADERS MUST BE IN ACTIVE REGULAR SERVICE OF THEDACARE INC. FOR THE ENTIRE PLAN YEAR (JANUARY 1, 2020 TO DECEMBER 31, 2020) TO RECEIVE A 2021 BONUS. CARING FOR SUCCESS: THE PLAN OBJECTIVES ARE TO PROVIDE INCENTIVE TO FOCUS THE ORGANIZATION'S RESOURCES, ENERGY AND ATTENTION ON THE FULFILLMENT OF THEDACARE'S MISSION. EMPLOYEE ELIGIBILITY IS BASED ON THE NUMBER OF HOURS WORKED. ALL ELIGIBLE EMPLOYEES SHARE IN THE PAYOUT. THE PAYOUT AMOUNT IS A FLAT DOLLAR AMOUNT, DETERMINED BASED ON BOTH FINANCIAL AND QUALITY THRESHOLDS. THE AMOUNT PER EMPLOYEE IS DETERMINED BY DIVIDING THE TOTAL GAIN REALIZED (THE EMPLOYEE SHARE) BY HOURS PAID TO ALL ELIGIBLE EMPLOYEES. THE THEDACARE BOARD OF TRUSTEES APPROVES THE SPEND FOR THE PLAN. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| WHEFA REV BOND 2012A | ||||||||
| A | 391337855 | 2012-10-19 | $49,745,000 | REFUNDING | 0 | 0 | 0 | |
| WHEFA REV BOND 2014A | ||||||||
| B | 391337855 | 2014-08-06 | $11,554,244 | REFUNDING | 0 | 0 | 0 | |
| WHEFA REV BOND 2015 | ||||||||
| C | 391337855 | 2015-01-07 | $140,628,056 | REFUNDING AND FACILITY CONSTRUCTION | 0 | 0 | 0 | 97712DKC9 |
| WHEFA REV BOND 2019 | ||||||||
| D | 391337855 | 2019-12-20 | $152,951,106 | REFUNDING AND FACILITY CONSTRUCTION | 0 | 0 | 0 | 97712D4U7 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $49,745,000 | $279,179 | $49,465,821 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $11,554,244 | $90,600 | $11,463,643 | Yes (1) | 0 | Yes (1) | Yes (1) | $5,018,082 | ||
| C | $140,972,887 | $1,236,782 | $46,470,904 | 0 | Yes (1) | Yes (1) | Yes (1) | $11,145,000 | $93,265,202 | |
| D | $153,283,556 | $1,234,839 | $67,624,063 | Yes (1) | 0 | 0 | Yes (1) | $1,063,117 | $83,361,537 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: WHEFA REV BOND 2012A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2017 ISSUER NAME: WHEFA REV BOND 2014A DATE THE REBATE COMPUTATION WAS PERFORMED: 08/01/2019 ISSUER NAME: WHEFA REV BOND 2015 DATE THE REBATE COMPUTATION WAS PERFORMED: 01/07/2020 |
| PART II, LINE 3: | FOR THE WHEFA SERIES 2015 AND 2019 REVENUE BONDS, THE ISSUE PRICE VARIES FROM THE TOTAL PROCEEDS OF ISSUE DUE TO INVESTMENT EARNINGS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE 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, SECTION A, LINE 4 | THE ORGANIZATION'S BYLAWS WERE AMENDED IN MAY 2020 TO MAKE THE FOLLOWING CHANGES: (A) IN THE CASE OF A VACANCY IN A BOARD COMMITTEE, AN INTERIM COMMITTEE MEMBER IS ELECTED BY THE BOARD OF TRUSTEES OR THE EXECUTIVE COMMITTEE AND WILL HOLD THAT POSITION UNTIL THE NEXT ANNUAL MEETING. (B) MEMBERS OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE ARE APPROVED AND REMOVED BY THE BOARD AT THE ANNUAL MEETING OR BY THE EXECUTIVE COMMITTEE AT ANY MEETING OF SUCH COMMITTEE, AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S DESIGNATED COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. THE FINAL VERSION OF THE FORM 990 IS EMAILED TO THE ENTIRE BOARD BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | QUESTIONNAIRES 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, SECTION B, LINE 15 | THEDACARE 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 DECEMBER 2019 AND JANUARY 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THEDACARE INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| THEDACARE ACO LLC | |||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 391509362 | ACCOUNTABLE CARE ORGANIZATION | WI | $11,936,954 | $4,609,406 | THEDACARE INC |
| THEDACARE CORE ACO LLC | |||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 824621162 | ACCOUNTABLE CARE ORGANIZATION | WI | $0 | $1,256,184 | THEDACARE INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390830664 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE MEDICAL CENTER - NEW LONDON INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390869788 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE MEDICAL CENTER - WAUPACA INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390871113 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390824015 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE MEDICAL CENTER - SHAWANO INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390807068 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE MEDICAL CENTER - BERLIN INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 390806359 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE MEDICAL CENTER - WILD ROSE INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 396089134 | HOSPITAL | WI | 501(C)(3) | LINE 3 | THEDACARE INC | Yes (1) |
| THEDACARE FAMILY OF FOUNDATIONS INC | ||||||||||
| PO BOX 8025 | APPLETON | WI | 549128025 | 464112255 | FOUNDATION | WI | 501(C)(3) | LINE 7 | THEDACARE INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 E CAPITOL DR | AddressLine1Txt |
| City | APPLETON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54911 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262497187 | EIN |
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $180,904 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,679,850 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.17330 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THEDACARE FAMILY OF FOUNDATIONS INC | ||
| B | $1,038,965 | CASH |
| THEDACARE FAMILY OF FOUNDATIONS INC | ||
| C | $302,821 | CASH |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | ||
| O | $95,747,627 | ACTUAL |
| THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC | ||
| O | $84,185,359 | ACTUAL |
| THEDACARE MEDICAL CENTER - BERLIN INC | ||
| O | $23,592,503 | ACTUAL |
| THEDACARE MEDICAL CENTER - NEW LONDON INC | ||
| O | $14,476,660 | ACTUAL |
| THEDACARE MEDICAL CENTER - SHAWANO INC | ||
| O | $24,496,096 | ACTUAL |
| THEDACARE MEDICAL CENTER - WAUPACA INC | ||
| O | $18,143,229 | ACTUAL |
| THEDACARE MEDICAL CENTER - WILD ROSE INC | ||
| O | $6,580,586 | ACTUAL |
| THEDACARE FAMILY OF FOUNDATIONS INC | ||
| O | $811,141 | ACTUAL |