2015-11-12T10:44:40-06:00 2014-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2014-01-01 391509362 THEDACARE INC THED 9207355560 122 EAST COLLEGE AVENUE APPLETON WI 54911 TIM A OLSON CHIEF FINANCIAL OFFICER 9207355560 2015-10-26 1 TERRI REXRODE CPA MST P00096513 9206620016 2015-10-26 2014 2016-02-25 16:41:14Z TIM A OLSON 122 EAST COLLEGE AVENUE APPLETON WI 54911 305780568 0 X WWW.THEDACARE.ORG X 1985 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 15 11 6672 12 2634127 -49078 156204 145561 276948840 274360429 11717647 23623490 3447617 6671320 292270308 304800800 251299 2746646 0 0 197635232 202349595 0 0 0 96506795 90753540 294393326 295849781 -2123018 8951019 539996111 701674312 740845487 910144606 -200849376 -208470294 X TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY. 0 0 142348281 133446039 THEDACARE OPERATES 23 MEDICAL CLINICS IN 13 COMMUNITIES THROUGHOUT THE FOX VALLEY AND SURROUNDING AREAS. THE SERVICES INCLUDE FAMILY AND GENERAL PRACTICES, INTERNAL MEDICINE, ORTHOPEDICS, ALLERGY/IMMUNOLOGY, AND PEDIATRICS. ALONG WITH ROUTINE PHYSICIAN AND NURSING CARE, SOME LOCATIONS PROVIDE OFFICE HOURS WITH SPECIALTY MEDICAL PROVIDERS. MOST CLINICS ALSO OFFER DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CAT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. 79186984 2746646 94196105 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. 42907980 44102111 THEDACARE'S SENIOR SERVICES DIVISION FOCUSES ON HEALTH CARE FOR CITIZENS EXPERIENCING LONG-TERM HEALTH ISSUES. AT-HOME HEALTH CARE VISITS MAY COMBINE WITH MEDICAL EQUIPMENT RENTALS TO ALLOW SOME PATIENTS TO CONTINUE LIVING IN THEIR OWN HOMES. AN ADULT DAY PROGRAM ALLOWS A CAREGIVER TO WORK OUTSIDE THE HOME WHILE KNOWING THAT THEIR LOVED-ONE IS SAFE WHILE THEY ARE AWAY. INDIVIDUALS WITH GREATER NEEDS MAY UTILIZE OUR ASSISTED LIVING OR LONG-TERM NURSING CARE FACILITIES. CHERRY MEADOWS HOSPICE PROVIDES CARE FOR END-OF-LIFE RESIDENTS IN A DIGNIFIED, COMPASSIONATE ENVIRONMENT. 264443245 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 448 0 1 6672 1 1 1 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KRISTEN COGSWELL 9207386471 122 EAST COLLEGE AVENUE APPLETON WI 54911 STELLMACHER JON BOARD CHAIR 1.00 2.00 X X 0 0 0 WELLER MIKE BOARD MEMBER 1.00 2.00 X 0 0 0 WHITESIDE JEFFREY MD SECRETARY 1.00 2.00 X X 0 0 0 GRUNER DEAN BOARD MEMBER/CEO - SYSTEM 13.00 30.00 X X 362607 846083 176335 EDELMAN GARY MD BOARD MEMBER/PHYSICIAN 41.00 2.00 X 416823 0 28643 TURK NORMA MD BOARD MEMBER/PHYSICIAN 1.00 42.00 X 0 277642 16665 MOARD DOUGLAS MD BOARD MEMBER/PHYSICIAN 41.00 2.00 X 337196 0 32121 JONES GINGER BOARD MEMBER 1.00 2.00 X 0 0 0 LARSON JIM BOARD MEMBER 1.00 3.00 X 0 0 0 DAVIS JOHN BOARD MEMBER 1.00 2.00 X 0 0 0 BRENNAN PATRICK MD BOARD MEMBER 1.00 2.00 X 0 0 0 TIMBERLAKE KAREN BOARD MEMBER 1.00 2.00 X 0 0 0 WALSH CYRIL MD BOARD MEMBER 1.00 3.00 X 0 0 0 KLISTER PAUL BOARD MEMBER 1.00 2.00 X 0 0 0 DALEY-ULLEM BETH BOARD MEMBER 1.00 2.00 X 0 0 0 OLSON TIM VP CFO SYSTEM 12.00 30.00 X 145783 340163 108726 LIVINGSTON KEITH VP SR CIO 12.00 28.00 X 143055 333795 89435 REDMAN SCHELL JENNIFER VP SR PHYS,BEHAV,TRANS 12.00 28.00 X 76794 179187 68966 PISTONE MAUREEN VP SR HR SERVICES 12.00 28.00 X 44020 396186 83053 BARNAS KIM VP SR AMC & TC 8.00 32.00 X 276890 415335 23158 BURMEISTER BRIAN VP SR AMC & TC 8.00 34.00 X 43962 395650 73139 ERICKSON ERIC MD PHYSICIAN 40.00 0.00 X 1792297 0 31857 KLEIST KENNETH MD PHYSICIAN 40.00 0.00 X 1248830 0 33055 SEARS BRIAN MD PHYSICIAN 40.00 0.00 X 1086582 0 45363 WUBBEN ROBERT MD PHYSICIAN 40.00 0.00 X 1157963 0 50084 YOUNG BRETT MD PHYSICIAN 40.00 0.00 X 646655 0 30968 7779457 3184041 891568 273 0 1 0 CAREFUSION SOLUTIONS 25082 NETWORK PLACE CHICAGO IL 60673 MEDICAL SERVICES 3077014 BELLIN-THEDACARE HEALTHCARE PARTNERS 2020 SOUTH WEBSTER GREEN BAY WI 54301 PAYOR CONTRACTING 820562 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 ACCOUNTING SERVICES 510837 THE CLARO GROUP 321 N CLARK STREET CHICAGO IL 60654 SOFTWARE SERVICES 501647 ABOUTHEALTH LLC 122 E COLLEGE AVENUE SUITE 2A APPLETON WI 54912 PAYOR CONTRACTING 499975 29 70519 75042 145561 PATIENT/CLIENT SERVICES 900099 200757369 200757369 MANAGEMENT SERVICE FEES 900099 69018923 69018923 INFORMATION TECHNOLOGY SERVICES 900099 3175446 559272 2616174 EHR INCENTIVE 541519 1385455 1385455 OTHER OPERATING REVENUE 900099 23236 23236 274360429 9162902 9162902 2775304 965917 1809387 1809387 5336 1804051 14268997 191591 0 0 14268997 191591 14460588 14460588 26468 13851 12617 12617 OTHER REVENUE 900099 2361924 2361924 RISK SHARING PERFORMANCE REVENUE 900099 768969 768969 CHILD LEARNING CENTER REVENUE 900099 635016 635016 1083407 1083407 4849316 304800800 271744255 2634127 30276857 2746646 2746646 2078667 814783 1263884 160789919 149006704 11783215 6711158 4702302 2008856 24537026 17148900 7388126 8232825 6402394 1830431 1054183 1014513 39670 434145 348213 85932 931699 931699 24175192 21967804 2207388 2265638 1714518 551120 14340295 13580576 759719 15895261 14502098 1393163 1275068 1151440 123628 1423469 1272949 150520 1265832 1265832 5660501 5520059 140442 1303191 1147464 155727 EQUIPMENT MAINTENANCE 9045134 7562532 1482602 COST OF GOODS SOLD 6211878 6211878 BAD DEBT EXPENSE 5221300 5221300 RECRUITMENT 250754 208641 42113 295849781 264443245 31406536 0 3436792 999112 31449986 47230874 28776043 37405863 582850 593274 11831555 10900217 262251796 135010705 83145675 127241091 274621805 340702869 80209120 111184624 9296 21611 1305836 24627153 25394777 539996111 701674312 72787261 82197710 1323632 1323080 228080000 231444244 8101714 7014180 430552880 588165392 740845487 910144606 X -200849376 -208591668 111374 10000 -200849376 -208470294 539996111 701674312 X 8951019 -9160922 -7411015 X X 0 1 X 1 0 X X 7 THEDA CLARK MEDICAL CENTER 390830664 3 1 0 0 APPLETON MEDICAL CENTER 390824015 3 1 0 0 THEDACARE MEDICAL CENTER - NEW LONDON 390869788 3 1 0 0 RIVERSIDE MEDICAL CENTER 390871113 3 1 0 0 SHAWANO MEDICAL CENTER 390807068 3 1 0 0 COMMUNITY HEALTH NETWORK 390806359 3 1 0 0 WILD ROSE COMMUNITY MEMORIAL HOSPITAL 396089134 3 1 0 0 7 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 5A DURING THE YEAR, COMMUNITY HEALTH NETWORK, INC. (39-0806359) AND WILD ROSE COMMUNITY MEMORIAL HOSPITAL, INC. (39-6089134) WERE ADDED AS SUPPORTED ORGANIZATIONS. THIS WAS DONE THROUGH AN AFFILIATION AGREEMENT EFFECTIVE 7/1/14. PART IV, SECTION C, LINE 1 THEDACARE, INC. IS LISTED AS THE SOLE CORPORATE MEMBER IN THE BYLAWS OF ALL SUPPORTED ORGANIZATIONS. POWERS GRANTED TO THEDACARE, INC. BY ALL SUPPORTED ORGANIZATIONS INCLUDE THE ABILITY TO AMEND CORPORATE DOCUMENTS, APPOINT OR REMOVE MEMBERS OF THE BOARD, AND OTHER MANAGEMENT RELATED DECISIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 30082 0 0 0 0 0 30082 0 PART II-B, LINE 1 PART II-B, LINE 1, LOBBYING ACTIVITIES: LOBBYING ACTIVITIES WERE DONE TO INFLUENCE THE STATE OF WISCONSIN GOVERNING BODY. NO EFFORT WAS MADE TO THE FEDERAL GOVERNMENT, OR TO SUPPORT ANY CANDIDATE. SEE DETAIL OF LOBBYING EXPENDITURES ONLINE AT HTTP://LOBBYING.WI.GOV. ITEMS THAT WERE LOBBIED INCLUDE: HEALTHCARE PAYMENT REFORMS ACCESS TO HEALTH CARE QUALITY STANDARDS MENTAL HEALTH ISSUES MEDICAID COVERAGE AND FUNDING WELLNESS & PREVENTION INITIATIVES HEALTH INSURANCE MATTERS CHANGES TO WISCONSIN HOSPITAL CODE AMBULANCE SERVICES FOX CITIES REGIONAL TRANSIT FUNDING OF MEDICAL STUDENT RESIDENCY PROGRAMS 8675003 8675003 91176532 24759992 66416540 687848 384059 303789 127385561 109866654 17518907 34326852 34326852 127241091 105187612 F EQUITIES 5997012 F 111184624 DUE TO AFFILIATES 507614370 DEFERRED EMPLOYEE BENEFITS 80015361 UNRECOGNIZED LOSS ON SALE OF BUILDING 535661 588165392 X PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THEDACARE DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THEDACARE RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2014 AND 2013. TAX RETURNS FOR THE YEARS ENDED 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 85818862 0 0 0 0 0 0 85818862 0 85818862 0 0 0 1 0 0 SCHEDULE F, 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. 1 UNITED WAY OF THE FOX CITIES PO BOX 928 NEENAH WI 549570928 390912895 501(C)(3) 95920 GENERAL PARTNERSHIP COMMUNITY HEALTH CENTER 5337 W GRANDE MARKET DRIVE APPLETON WI 54913 202090446 501(C)(3) 70000 GENERAL THEDACARE FAMILY OF FOUNDATIONS INC 1818 NORTH MEADE STREET APPLETON WI 54911 464112255 501(C)(3) 2207694 GENERAL WEYAUWEGA FREEMONT BOOSTER CLUB PO BOX 443 WEYAUWEGA WI 54983 274383352 501(C)(3) 7500 GENERAL 4 PART I, LINE 2: 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. 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 5) STATE OR NATIONAL CAMPAIGNS ALL ORGANIZATIONS REQUESTING GRANT FUNDS MUST APPLY THROUGH THE THEDACARE WEBSITE. REQUESTS ARE SCREENED, REVIEWED, AND APPROVED BY 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. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 GRUNER DEAN BOARD MEMBER/CEO - SYSTEM 295928 690498 63409 147954 3270 7631 46820 109245 6081 14189 415508 969517 0 0 EDELMAN GARY MD BOARD MEMBER/PHYSICIAN 389957 0 20798 0 6068 0 9800 0 18843 0 445466 0 0 0 TURK NORMA MD BOARD MEMBER/PHYSICIAN 0 238253 0 36604 0 2785 0 9800 0 6865 0 294307 0 0 MOARD DOUGLAS MD BOARD MEMBER/PHYSICIAN 334356 0 404 0 2436 0 9800 0 22321 0 369317 0 0 0 OLSON TIM VP CFO SYSTEM 122929 286834 16500 38501 6354 14828 27120 63280 5498 12828 178401 416271 0 0 LIVINGSTON KEITH VP SR CIO 126530 295236 13881 32389 2644 6170 21249 49580 5582 13024 169886 396399 0 0 REDMAN SCHELL JENNIFER VP SR PHYS,BEHAV,TRANS 67942 158531 6310 14724 2542 5932 13820 32247 6870 16029 97484 227463 0 0 PISTONE MAUREEN VP SR HR SERVICES 38287 344585 3958 35623 1775 15978 6445 58009 1860 16739 52325 470934 0 0 BARNAS KIM VP SR AMC & TC 121854 182782 18832 28247 136204 204306 8532 12799 731 1096 286153 429230 0 0 BURMEISTER BRIAN VP SR AMC & TC 37908 341173 4114 37024 1940 17453 5444 48995 1870 16830 51276 461475 0 0 ERICKSON ERIC MD PHYSICIAN 716472 0 1074685 0 1140 0 9800 0 22057 0 1824154 0 0 0 KLEIST KENNETH MD PHYSICIAN 794027 0 427435 0 27368 0 9350 0 23705 0 1281885 0 0 0 SEARS BRIAN MD PHYSICIAN 510276 0 534669 0 41637 0 25095 0 20268 0 1131945 0 0 0 WUBBEN ROBERT MD PHYSICIAN 500437 0 609803 0 47723 0 25095 0 24989 0 1208047 0 0 0 YOUNG BRETT MD PHYSICIAN 487529 0 108655 0 50471 0 9800 0 21168 0 677623 0 0 0 PART I, LINE 1A EXECUTIVES RECEIVE REIMBURSEMENT FOR PERSONAL MEDICAL EXPENSES AT AN AMOUNT GROSSED-UP FOR TAXES. ALL EXECUTIVES IN THE SENIOR MANAGEMENT BENEFIT CATEGORY ARE ELIGIBLE TO HAVE HEALTH OR FITNESS CLUB FEES PAID DIRECTLY TO THE CLUB, OR REIMBURSED TO THEM ON EVIDENCE OF PAYMENT. SENIOR EXECUTIVES WHOSE DUTIES INCLUDE MEETING WITH PEOPLE OUTSIDE THE COMPANY FOR PURPOSES OF DEVELOPING BUSINESS RELATIONSHIPS HAVE COMPANY PAID MEMBERSHIPS AT A LOCAL COUNTRY CLUB. 7 EMPLOYEES RECEIVED TAXABLE MEDICAL EXPENSE REIMBURSEMENTS AND 4 EMPLOYEES RECEIVED CLUB DUES REIMBURSEMENTS. PART I, LINES 4A-B 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, INVESTED 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. DURING 2014, KIM BARNAS RECEIVED A SEVERANCE PAYMENT OF $219,735. 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 KEY EXECUTIVES, IMPROVE THEDACARE INC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH TALENT EXECUTIVES AND TO ENCOURAGE TOP-LEVEL EXECUTIVES TO WORK TOGETHER AS A COHESIVE GROUP TOWARD COMMON GOALS. THE PRESIDENT OF THEDACARE INC. DEVELOPS A LIST OF SENIOR LEVEL EXECUTIVES WHO ARE ELIGIBLE TO PARTICIPATE IN THIS PLAN, AS WELL AS THE PERFORMANCE LEVELS THE SENIOR EXECUTIVES MUST ACHIEVE AND THE BONUS AMOUNTS THAT THE EXECUTIVES WILL RECEIVE. THE PRESIDENT THEN SUBMITS THIS LIST TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR FINAL APPROVAL. THESE EXECUTIVES MUST BE IN ACTIVE REGULAR SERVICE OF THEDACARE INC. FOR THE ENTIRE PLAN YEAR (JANUARY 1, 2013 TO DECEMBER 31, 2013) TO RECEIVE THEIR 2014 BONUSES. IF THE EMPLOYEE RETIRES, BECOMES DISABLED, MOVES TO A POSITION THAT IS ELIGIBLE UNDER THE BONUS PLAN OR MOVES TO A POSITION THAT IS NO LONGER ELIGIBLE FOR THE BONUS PLAN OR DIES, THE PLAN WILL BE PRORATED FOR THE AMOUNT OF TIME THEY SERVED THE COMPANY. IF AN ELIGIBLE EMPLOYEE IS FIRED OR LEAVES THE COMPANY FOR ANY OTHER REASON THE PLAN BONUS EARNED WILL BE FORFEITED. 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, AND ALL ELIGIBLE EMPLOYEES SHARE IN THE PAYOUT. THE PAYOUT AMOUNT IS DETERMINED BASED ON BOTH FINANCIAL AND EMPLOYEE HEALTH AND SAFETY THRESHOLDS. THE AMOUNT PER EMPLOYEE IS DETERMINED BY DIVIDING THE TOTAL GAIN REALIZED (THE EMPLOYEE SHARE) BY HOURS PAID TO ALL ELIGIBLE EMPLOYEES. THE RESULTING DOLLAR UNIT PAYOUT IS MULTIPLIED BY AN INDIVIDUAL EMPLOYEE'S NUMBER OF HOURS PAID. THIS PLAN IS OVERSEEN BY AN ADMINISTRATIVE COMMITTEE. THE THEDACARE BOARD OF TRUSTEES MUST APPROVE THE PLAN. A WHEFA REV BOND 2005 391337895 97710VZH4 2005-12-22 59289833 FACILITY CONSTRUCTION 0 0 0 B WHEFA REV BOND 2009A 391337855 97710BHY1 2009-06-16 87896508 FACILITY CONSTRUCTION RENOVATION AND REMODELING 0 0 0 C WHEFA REV BOND 2009B 391337855 97710BJL7 2009-06-16 36717948 REFUNDING 0 0 0 D WHEFA REV BOND 2010 391337855 97710BVM1 2010-05-25 25508288 REFUNDING 0 0 0 A 10265000 59289833 4567000 507610 1319209 52948513 2007 0 0 1 1 B 6465000 87896508 6472000 4916000 1018634 80554000 2010 0 0 1 1 C 18355000 36717948 1813000 425525 34558000 1 0 1 1 D 5590000 25508288 332397 25175981 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 1 0 0 1 FIFTH THIRD BANK 1.000000000000 1 0 1 B 0 0 0 1 0 0 0 1 C 0 0 0 1 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WHEFA REV BOND 2005 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/22/2010 ISSUER NAME: WHEFA REV BOND 2009A DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2013 ISSUER NAME: WHEFA REV BOND 2009B DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2013 A WHEFA REV BOND 2012 391337855 NONEAVAIL 2012-10-19 49745000 REFUNDING 0 0 0 B WHEFA REV BOND 2014A 391337855 NONEAVAIL 2014-08-06 11544244 REFUNDING 0 0 0 A 49745000 279179 49465821 1 0 1 1 B 11544244 90600 11463643 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 1 0 0 0 0 A 1 B 1 FORM 990, PART I, LINE 5: NUMBER OF EMPLOYEES: THEDACARE INC. CENTRALIZES PAYROLL AND TAX WITHHOLDING FUNCTIONS FOR A NUMBER OF AFFILIATED ENTITIES, WITH ALL FILINGS UNDER THEDACARE'S FEDERAL IDENTIFICATION NUMBER. FORM 990, PART VI, SECTION B, LINE 11 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. INTERNALLY, A COMPENSATION COMMITTEE REAFFIRMS THE COMPENSATION POLICY, REVIEWS DATA FROM CONSULTANTS, AND WITH INPUT FROM THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES, ADVISES, VALIDATES, AND APPROVES A RANGE FOR CEO COMPENSATION. THE COMMITTEE ALSO RATIFIES THE AT-RISK COMPENSATION PLAN. 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. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES -31,444,211. EQUITY RECLASSES 23,196. CHN & WR ACQUISITION FAIR VALUE 24,010,000. FORM 990, PART XII, LINE 2C: OVERSIGHT OF AUDIT: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART V, LINE 4A THEDACARE, INC. HAS A FINANCIAL INTEREST IN FOREIGN HEDGE FUNDS. PURSUANT TO THE IRS DEFINITION OF FOREIGN FINANCIAL ACCOUNTS, A FOREIGN HEDGE FUND IS NOT REPORTABLE FOR PURPOSES OF FORM 114. THUS, THEDACARE, INC. HAS ANSWERED "NO" TO PART V, QUESTION 4A ON THE 2014 FORM 990. 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