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

View the entire original 990 at ProPublica ↗

Organization
THEDACARE REGIONAL MEDICAL CENTER- APPLETON INC (EIN 39-0824015)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-14
IRS object ID
202631349349310118
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)
Return2026-05-14T15:14:43+00:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

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 Line11201 Walnut Street Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390824015EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ThedaCare Regional Medical Center - Appleton 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 ANDRABIPersonNm
Person TitleCEOPersonTitleTxt
Signature2026-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKevin EnsmingerPreparerPersonNm
PTINP01310558PTIN
Phone8162216300PhoneNum
Preparation2026-05-14PreparationDt
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$492,097,864GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THEDACARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionIMPROVING THE HEALTH OF OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers156TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,989,114PYContributionsGrantsAmt
CY Contributions Grants$1,408,909CYContributionsGrantsAmt
PY Program Service Revenue$234,960,984PYProgramServiceRevenueAmt
CY Program Service Revenue$488,156,730CYProgramServiceRevenueAmt
PY Investment Income$19,684PYInvestmentIncomeAmt
CY Investment Income$35,350CYInvestmentIncomeAmt
PY Other Revenue$807,945PYOtherRevenueAmt
CY Other Revenue$2,496,875CYOtherRevenueAmt
PY Total Revenue$237,777,727PYTotalRevenueAmt
CY Total Revenue$492,097,864CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,247,714PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$144,900,543CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$135,015,128PYOtherExpensesAmt
CY Other Expenses$282,563,058CYOtherExpensesAmt
PY Total Expenses$203,262,842PYTotalExpensesAmt
CY Total Expenses$427,463,601CYTotalExpensesAmt
PY Revenues Less Expenses$34,514,885PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,634,263CYRevenuesLessExpensesAmt
Total Assets BOY$897,758,681TotalAssetsBOYAmt
Total Assets EOY$966,150,440TotalAssetsEOYAmt
Total Liabilities BOY$7,959,250TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,662,441TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$889,799,431NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$956,487,999NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OFTHE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$336,976,294ExpenseAmt
Grant$0GrantAmt
Revenue$488,156,730RevenueAmt
DescTHEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEDACARE REGIONAL MEDICAL CENTER-APPLETON IS A 147-BED ACUTE CARE HOSPITAL, EMPLOYING MORE THAN 1,200 TEAM MEMBERS. THEDACARE REGIONAL MEDICAL CENTER-APPLETON OFFERS DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING, CANCER, CARDIOVASCULAR, ORTHOPEDIC, SPINE, NEUROLOGY, FAMILY BIRTH CARE, DIABETES, INTERNAL MEDICINE, EMERGENCY, OCCUPATIONAL HEALTH, PULMONOLOGY, WOMEN'S CARE, NEPHROLOGY, THERAPY SERVICES, OUTPATIENT SURGERY CENTERS AND WELLNESS PROGRAMS. THEDACARE REGIONAL MEDICAL CENTER-APPLETON HAS AN ACCREDITED CHEST PAIN AND RESUSCITATION CENTER ON CAMPUS. EFFECTIVE JANUARY 1, 2024, THEDACARE MEDICAL CENTER - APPLETON 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 HEALTH NEEDS ASSESSMENT IN COUNTIES (CALUMET AND OUTAGAMIE) 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. ADDITIONALLY, 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 8,794 WITH 761 BABIES DELIVERED.Desc
Total Program Service Expenses$336,976,294TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 RequiredYes (true)ScheduleJRequiredInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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 Line1WILLIAM 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 (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
IMRAN ANDRABI MD
PRESIDENT & CEO - SYSTEM4.046.0Yes (X)Yes (X)$0$4,591,338$647,039
ALAN LOUX
BOARD MEMBER1.04.0Yes (X)$0$0$0
CHUCK DALLAS
BOARD MEMBER/NR CHAIRPERSON1.04.0Yes (X)$0$18,750$0
DAVID KOEPER
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 OFFICER4.046.0Yes (X)$0$608,961$153,031
MAGGIE LUND
CHIEF CULTURE AND INTEGRATION OFFICER4.046.0Yes (X)$0$1,355,811$62,717
PAUL VAN DEN HEUVEL
SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER4.046.0Yes (X)$0$1,586,569$80,399
SCOTT HAWIG
CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER, TREASURER1.049.0Yes (X)$0$2,581,219$275,943
WILLIAM FLETT
CHIEF FINANCIAL OFFICER4.046.0Yes (X)$0$623,899$178,131
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,366,547TotReportableCompRltdOrgAmt
Total Other Compensation$1,397,260TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOTAL MSP LLC (SIMPLIFI STAFFENCY)
221 W College Ave 2nd FloorAppletonWI54911Medical Staffing$6,263,593
AGILITI HEALTH INC
6625 W 78th St STE 300MinneapolisMN55439Medical Staffing$1,401,377
ATLAS LABS INC
1180 North Town Center Dr Suite 10Las VegasNV89155General Repairs/Maintenace$1,173,332
FRESENIUS MANAGEMENT SERVICES INC
16343 Collection Center DrChicagoIL60693Business Services$684,407
MEDICAL SOLUTIONS LLC
1010 N 102nd St Ste 300OmahaNE68114Medical Staffing$681,593
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$1,405,409RelatedOrganizationsAmt
All Other Contributions$3,500AllOtherContributionsAmt
Total Contributions$1,408,909TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$488,156,730TotalRevenueColumnAmt
Related Or Exempt Func Income$488,156,730RelatedOrExemptFuncIncomeAmt

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$488,156,730TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,350TotalRevenueColumnAmt
Exclusion$35,350ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$461,141RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$461,141RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$461,141TotalRevenueColumnAmt
Exclusion$461,141ExclusionAmt

Gain Or Loss GainOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722210$1,035,791$1,035,791
OTHER OPERATING REVENUE900099$999,943$999,943

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,035,734OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$492,097,864TotalRevenueColumnAmt
Related Or Exempt Func Income$488,156,730RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,532,225ExclusionAmt

Benefits To Members BenefitsToMembersGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$116,270,112TotalAmt
Program Services$86,357,397ProgramServicesAmt
Management And General$29,912,715ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,358,051TotalAmt
Program Services$1,747,957ProgramServicesAmt
Management And General$610,094ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,177,079TotalAmt
Program Services$14,956,702ProgramServicesAmt
Management And General$5,220,377ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,095,301TotalAmt
Program Services$4,518,276ProgramServicesAmt
Management And General$1,577,025ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,473,634TotalAmt
Management And General$13,473,634ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,934TotalAmt
Management And General$11,934ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,582,687TotalAmt
Program Services$21,781,770ProgramServicesAmt
Management And General$20,800,917ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,180TotalAmt
Management And General$6,180ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$71,748TotalAmt
Program Services$71,748ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,000TotalAmt
Program Services$17,000ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,442,558TotalAmt
Program Services$7,442,558ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$142,919TotalAmt
Program Services$142,919ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$576,086TotalAmt
Program Services$576,086ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,843,462TotalAmt
Program Services$17,035,549ProgramServicesAmt
Management And General$4,807,913ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$638,834TotalAmt
Program Services$638,834ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL & OTHER SUPPLIES$161,183,855$161,183,855
EQUIPMENT & MAINTENANCE$9,209,269$9,209,269
MEDICAID ASSESSMENT$6,712,800$6,712,800
FOOD & NUTRITION$1,475,784$1,475,784

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,174,308TotalAmt
Program Services$3,107,790ProgramServicesAmt
Management And General$14,066,518ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$427,463,601TotalAmt
Program Services$336,976,294ProgramServicesAmt
Management And General$90,487,307ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$96,499,269EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$57,448,696BOYAmt
EOY$61,497,567EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,936,144BOYAmt
EOY$8,540,453EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,157,214BOYAmt
EOY$682,913EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$257,834,991LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,788,275LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$204,443,830BOYAmt
EOY$232,046,716EOYAmt

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$627,772,797BOYAmt
EOY$566,883,522EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$897,758,681BOYAmt
EOY$966,150,440EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,530,523BOYAmt
EOY$5,294,254EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,428,727BOYAmt
EOY$4,368,187EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,959,250BOYAmt
EOY$9,662,441EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$889,799,431BOYAmt
EOY$956,487,999EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$889,799,431BOYAmt
EOY$956,487,999EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$897,758,681BOYAmt
EOY$966,150,440EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$64,634,263ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,054,305OtherChangesInNetAssetsAmt
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$11,934OtherActivitiesAmt
Total Lobbying Expenditures$11,934TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA PORTION OF THE WHA DUES REPRESENT LOBBYING PERFORMED IN REGARD TO HEALTHCARE ISSUES. TOTAL DUES PAID IN 2024 WERE $75,388 15.85% OF THIS AMOUNT WAS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,256,083OtherCostOrOtherBasisAmt
Book Value$5,256,083BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$182,712,127OtherCostOrOtherBasisAmt
Depreciation$8,390,942DepreciationAmt
Book Value$174,321,185BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,803,416OtherCostOrOtherBasisAmt
Depreciation$17,397,333DepreciationAmt
Book Value$49,406,083BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,063,365OtherCostOrOtherBasisAmt
Book Value$3,063,365BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$232,046,716TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$566,606,272
LEASE ASSET$277,250
FieldValueIRS element (for citing)
Total Book Value Other Assets$566,883,522TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
LEASE LIABILITY$2,708,696
THIRD PARTY SETTLEMENT$1,659,491
FieldValueIRS element (for citing)
Total Liability$4,368,187TotalLiabilityAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

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$2,535,023TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,535,023NetCommunityBenefitExpnsAmt
Total Expense0.00593TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served12213PersonsServedCnt
Total Community Benefit Expns$39,039,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,640,646DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,399,265NetCommunityBenefitExpnsAmt
Total Expense0.03369TotalExpensePct

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 Served12213PersonsServedCnt
Total Community Benefit Expns$41,574,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,640,646DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,934,288NetCommunityBenefitExpnsAmt
Total Expense0.03962TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served271034PersonsServedCnt
Total Community Benefit Expns$1,914,828TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,914,828NetCommunityBenefitExpnsAmt
Total Expense0.00448TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served3134PersonsServedCnt
Total Community Benefit Expns$7,104,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,101,691NetCommunityBenefitExpnsAmt
Total Expense0.01661TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,642,194TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,642,194NetCommunityBenefitExpnsAmt
Total Expense0.00384TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served231PersonsServedCnt
Total Community Benefit Expns$902,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$902,313NetCommunityBenefitExpnsAmt
Total Expense0.00211TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served705797PersonsServedCnt
Total Community Benefit Expns$2,448,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,448,846NetCommunityBenefitExpnsAmt
Total Expense0.00573TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served980197PersonsServedCnt
Total Community Benefit Expns$14,012,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,009,872NetCommunityBenefitExpnsAmt
Total Expense0.03277TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served992410PersonsServedCnt
Total Community Benefit Expns$55,587,306TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,643,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,944,160NetCommunityBenefitExpnsAmt
Total Expense0.07239TotalExpensePct

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
Persons Served183537PersonsServedCnt
Total Community Benefit Expns$47,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,254NetCommunityBenefitExpnsAmt
Total Expense0.00011TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1822PersonsServedCnt
Total Community Benefit Expns$223,808TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,808NetCommunityBenefitExpnsAmt
Total Expense0.00052TotalExpensePct

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 Served185359PersonsServedCnt
Total Community Benefit Expns$271,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$271,062NetCommunityBenefitExpnsAmt
Total Expense0.00063TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$7,084,477BadDebtExpenseAmt
Bad Debt Expense Attributable$3,570,982BadDebtExpenseAttributableAmt
Reimbursed By Medicare$57,407,267ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$59,655,961CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,248,694MedicareSurplusOrShortfallAmt

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 Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
11818 NORTH MEADE STREETAPPLETONWI54911http://www.thedacare.org/169Yes (X)Yes (X)Yes (X)A
THEDACARE MEDICAL CENTER-FOND DU LAC
2755 WEST JOHNSON STREETFOND DU LACWI54935http://www.thedacare.org/353Yes (X)Yes (X)Yes (X)A
THEDACARE MEDICAL CENTER-ORTHOPEDIC SPINE AND PAIN
32400 E CAPITOL DRAPPLETONWI54911http://www.thedacare.org/342Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility3FacilityNum
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 Conducted24CHNAConductedYr
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 Adpt25ImplementationStrategyAdptYr
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 A, 1Facility A, 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.. AS PART OF THE NEEDS ASSESSMENT ADVISORY TEAM, THEDACARE CONSULTED WITH THE PUBLIC HEALTH DEPARTMENTS OF OUTAGAMIE COUNTY, WINNEBAGO COUNTY, CALUMET COUNTY, SHAWANO, MENOMONEE, GREEN LAKE, MARQUETTE, WAUSHARA, WAUPACA AND THE CITY OF APPLETON. * CHUCK SEPERS, CITY OF APPLETON PUBLIC HEALTH * KRISTENE HUTTER, CITY OF MENASHA PUBLIC HEALTH * KATHLEEN ELLIS, CALUMET COUNTY PUBLIC HEALTH * NATALIE VANDEVELD, OUTAGAMIE COUNTY PUBLIC HEALTH * DOUG GIERYN, WINNEBAGO COUNTY PUBLIC HEALTH * NICK MAU, SHAWANO MENOMINEE COUNTIES PUBLIC HEALTH * RACHEL PRELLWITZ, GREEN LAKE COUNTY PUBLIC HEALTH * JAYME SOPHE, MARQUETTE COUNTY PUBLIC HEALTH * STEFANIE ELDREDGE, WAUSHARA COUNTY PUBLIC HEALTH * JED WOLDT, WAUPACA COUNTY PUBLIC HEALTH * REIKO RAMOS, DIVERSE AND RESILIENT * CARLOS SALAZAR, CASA HISPANA * CHLOE THOMAS, PEOPLE OF PROGRESSION * SARAH BASSING-SUTTON, NEW MENTAL HEALTH CONNECTION * BRETT SALSCHEIDER, YMCA OF THE FOX CITIES * LISA KOGAN-PRASKA, UNITED WAY OF THE FOX CITIES * PA KANG, NEW HMONG PROFESSIONALS
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.. THE THEDACARE COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS APPROVED BY THE THEDACARE BOARD OF TRUSTEES IN 2024. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS THE TOP COMMUNITY HEALTH NEEDS FOR THE 2026-2028 CHNA CYCLE: MENTAL HEALTH 1) DEVELOPMENT OF COMMUNITY-BASED APPROACH TO SETTING NORMS AROUND CELL PHONE USE. INITIATIVE IS CALLED SYNC: SUPPORTING YOUTH, NURTURING CONNECTION. 2) EXPANSION AND ADOPTION OF ED TO RECOVERY PROGRAM THROUGHOUT ALL THEDACARE FACILITIES. NUTRITION 1) ESTABLISH PARTNERSHIP WITH FEEDING AMERICA AND FORK FARMS TO PURCHASE HYDROPONIC GREENS WHEREBY THE PROCEEDS GO TO SUPPORT GROWING GREENS FOR THE HUNGER NETWORK OF EASTERN WISCONSIN. 2) TEAM MEMBER VOLUNTEER EVENTS TO BUILD FOOD BOXES FOR PATIENTS IN NEED AS THEY LEAVE OUR FACILITIES. ACCESS TO SUPPORTS FOR HEALTH AND WELLBEING 1) EXPAND SCREENING AND REFERRAL FOR SOCIAL NEEDS IN HOSPITAL AND CLINIC SETTINGS CONNECTING PEOPLE TO NEEDED SUPPORTS ADDRESSING UPSTREAM HEALTH BARRIERS. SIGNIFICANT NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA THAT WILL NOT BE ADDRESSED IN THE CURRENT THREE-YEAR PLAN ARE: 1) EMPLOYMENT - LIMITED RESOURCES TO ADDRESS. 2) HOUSING - 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 A, 1Facility A, 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON. 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 A, 1Facility A, 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON. 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 A, 1Facility A, 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON. 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)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
GROTH SURGERY CENTER
1818 N MEADE STREETAPPLETONWI54911OUTPATIENT SURGERY CENTER
THEDACARE PHYSICIANS
W5 282 AMY AVEAPPLETONWI54915PHYSICIAN CLINIC
THEDACARE PHYSICIANS
2500 E CAPITOL DRAPPLETONWI54911PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (20 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 7 COLUMN FTHE BAD DEBT EXPENSE IS NOT CONSIDERED A COMMUNITY BENEFIT EXPENSE AND IS NOT INCLUDED IN SCHEDULE H, PART I, LINE 7. THE AMOUNT EXCLUDED IS $7,084,477.
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.
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 13 ON PAGE 29 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 ASISTANCE 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 websiteA - THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.: Line 16a URL: https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.: 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 websiteA - THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.: Line 16c URL: https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/;
Schedule H, Part VI, Line 2 Needs assessmentIN ADDITION TO THE CHNA PROCESS CONDUCTED EVERY 3 YEARS, THEDACARE COMMUNITY HEALTH TEAM: * MEETS REGULARLY WITH LEADERS OF COMMUNITY ORGANIZATIONS REPRESENTING MARGINALIZED POPULATIONS. * FACILITATES COMMUNITY HEALTH ACTION TEAMS (CHAT TEAMS) IN EACH HOSPITAL COMMUNITY. CHAT TEAMS ARE COMPRISED OF 12-25 LOCAL COMMUNITY LEADERS/MEMBERS REPRESENTING DIVERSE COMMUNITY SECTORS WHO COME TOGETHER REGULARLY TO CREATE UNDERSTANDING OF LOCAL HEALTH NEEDS AND CO-CREATE SOLUTIONS TO SOME OF THE MOST PRESSING HEALTH NEEDS. * THEDACARE IS A MEMBER OF THE TRI-COUNTY COMMUNITY HEALTH IMPROVEMENT COALITION (TRI-CHIC) WHICH BRINGS TOGETHER AREA HEALTH SYSTEMS, PUBLIC HEALTH LEADERS, AND NONPROFIT ORGANIZATIONS TO PRIORITIZE AND ADDRESS LOCAL HEALTH ISSUES.
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 informationTHEDACARE REGIONAL MEDICAL CENTER-APPLETON SERVICE AREA CONSISTS OF OUTAGAMIE AND CALUMET COUNTIES AND IS LOCATED IN EAST-CENTRAL WISCONSIN. THE TWO-COUNTY AREA HOSTS A POPULATION OF OVER 238,000 COMBINED WITH CONCENTRATION IN THE FOX CITIES URBAN AREA. THE TRMC-APPLETON POPULATION HAS INCREASED IN SIZE SINCE 2020, AND MIMICS WISCONSIN IN ITS AGE MAKE-UP. THE AREA IS SIMILAR IN DEMOGRAPHIC MAKE-UP TO THE REST OF WISCONSIN, WITH THE EXCEPTION OF HAVING FEWER HISPANIC AND BLACK PEOPLE, A MUCH HIGHER RATE OF PEOPLE PER SQUARE MILE AND A LOWER RATE OF PERSONS IN POVERTY.
Schedule H, Part VI, Line 5 Promotion of community healthTHEDACARE COMMUNICATIONS TEAM IS CONSISTENTLY COMMUNICATING WITH THE PUBLIC ABOUT OPPORTUNITIES FOR HEALTH IMPROVEMENT INFORMATION. THEDACARE-LED COMMUNITY CHAT TEAMS (SEE ABOVE) CREATE A GRASSROOTS BASE OF ENGAGEMENT WORKING IN TANDEM WITH THEDACARE TEAM MEMBERS TO IMPROVE COMMUNITY HEALTH. THESE TEAMS 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. THEDACARE CONTINUES TO PROVIDE DIRECTION RELATED TO COMMUNITY HEALTH NEEDS ASSESSMENT 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 THEDACARE NORTH REGION BOARD. EACH THEDACARE HOSPITAL, ALONG WITH CHI 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
IMRAN ANDRABI MD
PRESIDENT & CEO - SYSTEM$0$1,794,100$0$2,564,672$0$232,566$0$620,140$0$26,899$0$5,238,377$0$216,027
WILLIAM FLETT
CHIEF FINANCIAL OFFICER$0$478,381$0$134,891$0$10,627$0$151,232$0$26,899$0$802,030$0$0
SCOTT HAWIG
CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER, TREASURER$0$1,055,426$0$1,273,715$0$252,078$0$237,264$0$38,679$0$2,857,162$0$226,318
MAGGIE LUND
CHIEF CULTURE AND INTEGRATION OFFICER$0$475,136$0$714,014$0$166,661$0$53,500$0$9,217$0$1,418,528$0$146,797
BRIAN STERNS
CHIEF DIGITAL HEALTH OFFICER$0$379,029$0$214,812$0$15,120$0$126,132$0$26,899$0$761,992$0$0
PAUL VAN DEN HEUVEL
SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER$0$750,813$0$818,458$0$17,298$0$53,500$0$26,899$0$1,666,968$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE PRESIDENT & CEO OF THE ORGANIZATION IS COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planSenior 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 409(a) and 457(f) of the internal revenue code. Participants may elect the benefit to be used to purchase particular insurance benefits, invest in a supplemental executive retirement plan, or a combination of the two. Benefits are accrued on a monthly basis and are subject to the substantial risk or forfeiture agreement signed by the participants. Plan contributions are made on a quarterly basis. During the year, the following individuals participated in and received payment from the plan: Imran Andrabi, MD $216,027 Scott Hawig $226,318 Maggie Lund $146,797 During the year, the following individuals accrued an amount from the plan, which is included in deferred compensation: Imran Andrabi, MD $566,640 William Flett $105,232 Brian Sterns $72,632
Schedule J, Part I, Line 7 Non-fixed paymentsEXECUTIVE 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 TOWARDS 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 (JULY 1, 2024 TO JUNE 30, 2025) TO RECEIVE A 2025 BONUS. CARING FOR SUCCESS: THE PLAN OBJECTIVES ARE TO PROVIDE INCENTIVE TO FOCUS THE ORGANIZATION'S RESOURCES, ENERGY AND ATTENTION TO 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a 1099 AND 1096 FILINGSALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, FROEDTERT THEDACARE HEALTH INC, 39-2014409.
Form 990, Part V, Line 2a W-2 AND W-3 FILINGSALL APPLICABLE W-2 AND W-3 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, FROEDTERT THEDACARE HEALTH INC, 39-2014409.
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 - APPLETON, INC.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHEDACARE REGIONAL MEDICAL CENTER - APPLETON, 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 - APPLETON, 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 Other changes in net assets or fund balancesASSET VALUATION ADJUSTMENT - 2050653; NET EQUITY TRANSFER - 3652; Total - 2054305;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THEDACARE INC
PO BOX 8025APPLETONWI549128025391509362HEALTHCAREWI501(c)(3)10NAfalse
THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC
PO BOX 8025APPLETONWI549128025390830664HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE MEDICAL CENTER - NEW LONDON INC
PO BOX 8025APPLETONWI549128025390869788HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE MEDICAL CENTER - WAUPACA INC
PO BOX 8025APPLETONWI549128025390871113HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE MEDICAL CENTER - BERLIN INC
PO BOX 8025APPLETONWI549128025390806359HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE MEDICAL CENTER - SHAWANO INC
PO BOX 8025APPLETONWI549128025390807068HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE MEDICAL CENTER - WILD ROSE INC
PO BOX 8025APPLETONWI549128025396089134HOSPITALWI501(c)(3)3THEDACARE INCfalse
THEDACARE FAMILY OF FOUNDATIONS INC
PO BOX 8025APPLETONWI549128025464112255FOUNDATIONWI501(c)(3)7THEDACARE INCfalse
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVEMILWAUKEEWI53226396105970HOSPITALWI501(c)(3)3FROEDTERT THEDACARE HEALTHfalse
COMMUNITY MEMORIAL HOSPITAL OF MF
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051390987025HOSPITALWI501(c)(3)3FROEDTERT THEDACARE HEALTHfalse
ST JOSEPH'S COMMUNITY HOSPITAL OF WB
3200 PLEASANT VALLEY ROADWEST BENDWI53095390806302HOSPITALWI501(c)(3)3FROEDTERT THEDACARE HEALTHfalse
FROEDTERT WEST BEND HOSPITAL FOUNDATION
3200 PLEASANT VALLEY ROADWEST BENDWI53095392034296HEALTH/WELFAREWI501(c)(3)7ST JOSEPH'Sfalse
FROEDTERT HOSPITAL FOUNDATION INC
9200 W WISCONSIN AVEMILWAUKEEWI53226391431192HEALTH/WELFAREWI501(c)(3)7FROEDTERT THEDACARE HEALTHfalse
FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051391635057HEALTH/WELFAREWI501(c)(3)10COMM MEM HOSPfalse
COMMUNITY OUTPATIENT HEALTH SERVICES
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051391743056MED/DENT SVCSWI501(c)(3)3COMM MEM HOSPfalse
FH ENTERPRISE SERVICES HOLDINGS INC
9200 W WISCONSIN AVEMILWAUKEEWI53226202636686HEALTHCARE SVCSWI501(c)(3)Type IFROEDTERT THEDACARE HEALTHfalse
HOLY FAMILY MEMORIAL INC
2300 WESTERN AVEMANITOWOCWI54221390806395HOSPITALWI501(c)(3)3FROEDTERT THEDACARE HEALTHfalse
FROEDTERT THEDACARE HEALTH INC
9200 W WISCONSIN AVEMILWAUKEEWI53226392014409MGMNT SVCSWI501(c)(3)Type III-FINAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line2USAddress/AddressLine2Txt
N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC
122 E CAPITOL DRAPPLETONWI54911262497187RENTALWINAN/A
ENCIRCLE REALCO LLC
65 HIDDEN RAVINES DRIVEPOWELLOH43065853472736PROPERTY HOLDINGOHTHEDACARE REGIONAL MEDICAL CENTER - APPLETON INCExcludedSUITE 100
FROEDTERT SURGERY CENTER LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226201499345SURGERY CENTERWIFROEDTERT THEDACARE HEALTHRelated
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
9200 W WISCONSIN AVEMILWAUKEEWI53226883305667LABORATORY SVCSWIFROEDTERT THEDACARE HEALTHRelated
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)

Address Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
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 OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd