2025-05-14T09:59:19+00:00 2024-06-30 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2024-01-01 390824015 ThedaCare Regional Medical Center - Appleton Inc THED 9207355560 PO BOX 8025 APPLETON WI 549128025 IMRAN ANDRABI CEO 2025-05-14 true Kristen Hankins P01256574 3142315544 2025-05-14 2024 2025-03-06 01:10:19Z IMRAN ANDRABI MD PO BOX 8025 APPLETON WI 549128025 237777727 false X WWW.THEDACARE.ORG X 1958 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 9 7 0 154 0 655373 1989114 425390756 234960984 38949 19684 3047154 807945 429132232 237777727 0 0 0 0 121590428 68247714 0 0 0 248707310 135015128 370297738 203262842 58834494 34514885 815348656 897758681 9867210 7959250 805481446 889799431 TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OFTHE COMMUNITY. false false 156112265 234960984 THEDACARE 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 4,329 WITH 433 BABIES DELIVERED. 156112265 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false false false false false false false false false false false false false false false false false false true false false false false true 0 0 0 true true false false false false false false false false false false false X 9 7 true true true false true true true true true false false false true true true true true true true true false false X WILL FLETT 9207355560 PO BOX 8025 APPLETON WI 549128025 CHUCK DALLAS CHAIR, BOARD MEMBER 1.0 4.0 X X 0 0 0 Imran Andrabi MD President & CEO - System 4.0 36.0 X X 0 0 0 PAUL VAN DEN HEUVEL SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER 4.0 36.0 X X 0 0 0 ALAN LOUX BOARD MEMBER 1.0 4.0 X 0 0 0 DAVID KOEPER MD BOARD MEMBER 1.0 4.0 X 0 0 0 LAURIE CARTER BOARD MEMBER 1.0 4.0 X 0 0 0 MARY GOGGANS BOARD MEMBER 1.0 4.0 X 0 0 0 MICHAEL MORSE BOARD MEMBER 1.0 4.0 X 0 0 0 STEVEN PRICE BOARD MEMBER 1.0 4.0 X 0 0 0 Brian Sterns Chief Digital Health Officer 4.0 36.0 X 0 0 0 Maggie Lund Chief Culture and Integration Officer 4.0 36.0 X 0 0 0 William Flett TREASURER, Chief Financial Officer 4.0 36.0 X 0 0 0 0 0 0 0 false false false 0 1988064 1050 1989114 Net Patient Service Revenue 622110 234960984 234960984 0 0 0 0 234960984 19684 19684 290877 290877 0 290877 290877 0 0 0 Cafeteria Revenue 722210 457406 457406 OTHER OPERATING REVENUE 900099 59662 59662 0 0 0 0 517068 237777727 234960984 0 827629 X 0 0 55123890 38166148 16957742 1042868 762048 280820 9389356 6861020 2528336 2691600 1966814 724786 7327628 7327628 29531827 13567662 15964165 0 17624 17624 27204 27204 34702 34702 3428762 3428762 78549 78549 269695 269695 10752210 8161245 2590965 324163 324163 MEDICAL AND OTHER SUPPLIES 75892569 75892569 Medicaid Assessment 2914199 2914199 Equipment and Maintenance 2106486 2106486 Food and Nutrition 663824 663824 1645686 887175 758511 0 203262842 156112265 47150577 0 178626113 53035828 57448696 0 0 0 0 6676010 6936144 1153689 1157214 213013370 8569540 160596569 204443830 0 0 415260447 627772797 815348656 897758681 7186750 5530523 0 0 2680460 2428727 9867210 7959250 X 805481446 889799431 805481446 889799431 815348656 897758681 X 34514885 49803100 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5256083 5256083 151909922 2405272 149504650 53017432 6164268 46853164 2829933 2829933 204443830 Due from Affiliate 627396230 Other Assets 57567 THIRD PARTY SETTLEMENT 319000 627772797 Federal Income Taxes Third Party Settlement Lease Liability 2428727 2428727 Schedule D, Part X, Line 2 EVALUATION OF UNCERTAIN TAX POSITIONS MANAGEMENT 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. true true X true X true X 1105219 1105219 0.00544 7819 17702892 11981094 5721798 0.02815 0 0.0 0 7819 18808111 11981094 6827017 0.03359 10 269920 902647 8615 894032 0.00440 3 357 443093 443093 0.00218 3 1 632038 632038 0.00311 1 1 1198742 1198742 0.00590 2 1025250 1603198 1603198 0.00789 19 1295529 4779718 8615 4771103 0.02347 19 1303348 23587829 11989709 11598120 0.05706 0 0.0 1 27605 27605 0.00014 1 1014 57789 57789 0.00028 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 1014 85394 0 85394 0.00042 false 5699470 3570982 26483439 26905928 -422489 X true true 1 1 THEDACARE REGIONAL MEDICAL CENTER - APPLETON 1818 NORTH MEADE STREET APPLETON WI 54911 http://www.thedacare.org/ 169 X X X THEDACARE REGIONAL MEDICAL CENTER - APPLETON 1 false false true X X X X X X X X X 22 true false false true X HTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/ X true 23 true HTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/ false true X 200.0 400.0 X X X X X true true X X X X X true X https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/ X https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/ X https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/ X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E THE 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 , 1 Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON. 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 Officer * Bonnie Thelen RN, Calumet County Public Health Officer * Natalie Vandeveld, MS, REHS / WI RS * Doug Gieryn, Winnebago County Public Health Officer * Director Terri Harmala, MSN, RN, Shawano County Health Officer * Rachel Prellwitz, Green Lake County Public Health Officer * Jayme Sophe, Marquette County, Public Health Officer * Stefanie Eldredge, BSN, RN, Health Officer/Director * Jed Woldt, Waupaca County, Public Health Officer In addition, over the course of a one-year period, secondary data was collected, key informant interviews were conducted, ThedaCare CHAT Teams (Community Health Action Team) provided input and patient health data was studied. Vulnerable populations included low income, rural farm families, older adults, veterans, Hispanic/Latino population, Lesbian, Gay, Bisexual, Transgender (LGBT), Hmong population and African Americans. ThedaCare CHAT (Community Health Action Team) of the Fox Cities members: * Amy Putzer, Oshkosh Area Community Foundation * Barb Tangesdahl, Executive Director, First Five, Fox Velley * Becky Bartoszek, President/CEO Fox Cities Chamber of Commerce * Ben Vogel, Appleton Area School District * Beth Clay, Executive Director, New Mental Health Connection * Bridget Clementi, Wi Children's Hospital * Chris Matheny, Fox Valley Technical College * Chuck Sepers, Health Officer, City of Appleton * Dale Gisi, VP, Central Region, ThedaCare * Doug Gieryn, Health Officer, Winnebago County * Greg Lemke-Rochon, Boys and Girls Club, Fox Valley * Jesse Smith, Lawrence University * Joe Mauthe, Community Volunteer * Martin Rudd, Assistant Chan., Access Computer * Montgomery Elmer, Chief Medical Officer Ambulatory Care, ThedaCare * Oliver Zorrow, Executive Director, Building for Kids * Peter Granopoulos, President/CEO UW Fox Cities * Peter Lee, Behavioral Health Diversity and Inclusion Consultant * Rayor Brown, Behavioral Health Diversity and Inclusion Consultant * Reiko Ramos, Diversity and Resilience Director * Shane Kohl, ThedaCare Family of Foundations * Tammy Geenen, Community Foundation for the Fox Valley Region * Tim Galloway, Galloway Company * Timber Smith, City of Appleton, City of Appleton Diversity, Inclusion, Special Assistant to the Mayor Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - APPLETON. THE THEDACARE COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS APPROVED BY THE THEDACARE BOARD OF TRUSTEES IN 2023. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS THE TOP COMMUNITY HEALTH NEEDS FOR THE 2023-2025 CHNA CYCLE: REGIONAL ALIGNMENT IN ORDER TO POSITIVELY AFFECT COMMUNITY HEALTH, HEALTH SYSTEMS, NOT-FOR-PROFIT ORGANIZATIONS, AND THE PUBLIC SECTOR MUST BE UNITED ON THEIR PRIORITIES AND COMMITMENTS. THEDACARE WILL WORK WITH PARTNERS TO ESTABLISH COMMON INFRASTRUCTURE NEEDED TO IMPROVE ALIGNMENT OF HEALTH PRIORITIES AND ACTIONS THROUGH THE FOLLOWING: 1) WORKING TO ESTABLISH COMMON COMMUNITY HEALTH NEEDS ASSESSMENTS AND ALIGNED IMPROVEMENT PLANS ACROSS HEALTH SYSTEMS AND PUBLIC HEALTH PARTNERS. 2) DEVELOP COLLABORATIVE REGIONAL NETWORK AND INFRASTRUCTURE FOR ADDRESSING SOCIAL NEEDS. 3) DEVELOP ALIGNMENT AND SYNERGY ACROSS CHAT TEAMS. 4) SUPPORT IMAGINE FOX CITIES REGIONAL VISIONING INITIATIVE. 5) DEVELOP RELIABLE TRANSPORTATION ACROSS THE REGION. MENTAL AND BEHAVIORAL HEALTH CHALLENGES CONTINUE WITH THE MENTAL AND BEHAVIORAL HEALTH OF OUR COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES IS NOT KEEPING UP WITH DEMAND, AND THERAPISTS AND HEALTH PROFESSIONALS ARE LACKING IN RURAL AREAS. ADDITIONALLY, ANXIETY AND DEPRESSION HAVE RISEN 20-30% IN RECENT YEARS WHILE SELF-MEDICATION AND SUBSTANCE ABUSE, INCLUDING ALCOHOL, METHAMPHETAMINE, AND VAPING ARE ON THE RISE. TO ADDRESS THIS HEALTH NEED, THE HOSPITAL FACILITY HAS IMPLEMENTED THE FOLLOWING TO ENSURE THAT PEOPLE HAVE THE SUPPORT NEEDED TO LEAD MENTALLY HEALTHY LIVES, FREE OF RELIANCE ON HARMFUL SUBSTANCES AND TO SUPPORT UPSTREAM EFFORTS THAT FOSTER MENTAL HEALTH: 1) PARTNER TO ESTABLISH REGIONAL DETOXIFICATION CAPACITY. 2) EXPAND ED2RECOVERY+ COACHING CAPACITY. 3) ADDRESS MENTAL HEALTH NEEDS OF LGBTQ+ COMMUNITY. 4) PARTNER TO SUPPORT SOCIAL CONNECTION AND BELONGING WORK. 5) SUPPORT CATALPA HEALTH AND CATALPA HEALTH "SEEDLINGS" PROGRAM ADDRESSING EARLY CHILDHOOD SOCIAL EMOTIONAL LEARNING. SOCIAL NEEDS AS THEDACARE SHIFTS ITS FOCUS UPSTREAM TO POPULATION HEALTH, IT IS IMPORTANT TO UNDERSTAND HOW VITAL CONDITIONS, SUCH AS CLEAN AIR, FAIR PAY, HOUSING, EDUCATION AND OTHER BASIC NECESSITIES CAN IMPACT AN INDIVIDUAL'S WELL-BEING. ADDITIONALLY, RELIABLE TRANSPORTATION, BELONGING AND CIVIC MUSCLE, AND PURPOSE ALL INFLUENCE HEALTH. TO ADDRESS THIS IDENTIFIED NEED, THE HOSPITAL FACILITY HAS IMPLEMENTED THE FOLLOWING TO ENSURE THAT THE BASIC NEEDS OF PATIENTS ARE MET: 1) ADDRESS SOCIAL NEEDS THROUGH EMPLOYEE VOLUNTEERING/GIVING EFFORTS. 2) IMPLEMENT CULTURAL COMPETENCY TRAINING OF THEDACARE TEAM MEMBERS. 3) SUPPORT EXPANSION OF STAR PROGRAM ADDRESSING "OPPORTUNITY GAP" BETWEEN BLACK AND WHITE HIGH SCHOOL STUDENTS. 4) SUPPORT BE WELL FOX VALLEY AND EAT WELL FOR LIFE INITIATIVES ADDRESSING DIABETES MANAGEMENT AMONG LOW-INCOME POPULATIONS. 5) SUPPORT BASIC NEEDS GIVING PARTNERSHIP AND US VENTURE GOLF OUTING TO END POVERTY. STRONG START TO LIFE GROWING UP HEALTHY AND STRONG STARTS AT THE BEGINNING OF AN INDIVIDUAL'S LIFE. IN PARTNERSHIP WITH CHILDREN'S WISCONSIN, THEDACARE SEEKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, MENTAL, BEHAVIORAL AND INFANT HEALTH, AND SAFETY AND VIOLENCE IN CHILDREN THROUGH THE FOLLOWING: 1) SUPPORT REGIONAL FIRST 5 FOX VALLEY EARLY CHILDHOOD COALITION AND HELP ME GROW CENTRALIZED FAMILY SUPPORT ACCESS POINT. 2) ESTABLISH THEDACARE PEDIATRIC SDOH COMMUNITY RESOURCE NAVIGATION ASSISTANCE IN RURAL MARKETS THROUGH ADVANCING A HEALTHIER WISCONSIN GRANT AND EXPAND TO ENTIRE SERVICE AREA. 3) PARTNER TO ESTABLISH COMMUNITY RESOURCE NAVIGATION SUPPORT WITHIN CATALPA. 4) EXPLORE EXPANSION OF WELCOME BABY COMMUNITY MODEL IN RURAL MARKETS. 5) FACILITATE COLLABORATIVE REGIONAL ASSESSMENT OF AVAILABILITY AND ACCESSIBILITY OF PARENTING PROGRAMS AND SUPPORTS. SIGNIFICANT NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA THAT WILL NOT BE ADDRESSED IN THE CURRENT THREE-YEAR PLAN ARE: 1) HIGH PAYING JOBS/ECONOMIC OPPORTUNITY - LIMITED RESOURCES TO ADDRESS 2) INTERNET - BEING ADDRESSED BY OTHERS 3) FOOD INSECURITY - BEING ADDRESSED BY OTHERS 4) MOTOR VEHICLE CRASH DEATHS - LIMITED RESOURCES TO ADDRESS 5) EXERCISE OPPORTUNITIES - LIMITED RESOURCES TO ADDRESS. WORK ON THESE NEEDS CONTINUES AS THEDACARE ADDRESSES PRIORITY ISSUES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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. 4 GROTH SURGERY CENTER 1818 N MEADE STREET APPLETON WI 54911 OUTPATIENT SURGERY CENTER THEDACARE PHYSICIANS W5 282 AMY AVE APPLETON WI 54915 PHYSICIAN CLINIC THEDACARE PHYSICIANS 2500 E CAPITOL DR APPLETON WI 54911 PHYSICIAN CLINIC THEDACARE MEDICAL CENTER-ORTHOPEDIC SPINE AND PAIN 2400 E CAPITOL DR APPLETON WI 54911 SPECIALTY CLINIC Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS SEE PART V, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE. Schedule H, Part I, Line 6a Community benefit report prepared by related organization THEDACARE, INC. 39-1509362 Schedule H, Part I, Line 7g Subsidized Health Services NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE 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 Activities THE 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 amount PATIENT 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 Methodology THE 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 footnote THE CONSOLIDATED FINANCIAL STATEMENTS DISCUSS PATIENT ACCOUNTS RECEIVABLE AND IMPLICIT PRICE CONCESSIONS IN NOTE 2(T) ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE 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 assistance OUR 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 website - THEDACARE REGIONAL MEDICAL CENTER - APPLETON: Line 16a URL: https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/; Schedule H, Part V, Section B, Line 16b FAP Application website - THEDACARE REGIONAL MEDICAL CENTER - APPLETON: Line 16b URL: https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THEDACARE REGIONAL MEDICAL CENTER - APPLETON: Line 16c URL: https://thedacare.org/patients-and-visitors/billing-and-payment/payment-options/; Schedule H, Part VI, Line 2 Needs assessment ThedaCare covers a nine-county primary service area served by seven hospitals. ThedaCare conducts a Community Needs Assessment every three years for each hospital gathering data pertinent to that community and the surrounding areas. Information collected includes data from the Wisconsin County Health Rankings, Fox Cities LIFE Study (Local Indicators for Excellence), the Behavioral Risk Factor Surveillance Survey, insights from interviews of Public Health Officials, insights from interviews with representatives of vulnerable populations, emergency department patient data and insights gathered from monthly meetings of the ThedaCare-led CHAT Team (Community Health Action Team) comprised of community leaders in business, non-profit, clergy, education, diverse population groups, healthcare, United Way, Public Health and the local Community Foundations. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Patient 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 information THEDACARE REGIONAL MEDICAL CENTER - APPLETON DEFINES ITS PRIMARY HOSPITAL SERVICE AREA (HSA) AS CALUMET AND OUTAGAMIE COUNTIES IN WISCONSIN. THE TWO-COUNTY AREA HOSTS A POPULATION OF OVER 238,000 COMBINED WITH CONCENTRATION IN THE FOX CITIES URBAN AREA. THE HOSPITAL'S SERVICE AREA CONSISTS OF MOSTLY SUBURBAN REGIONS, AND THE UNDER 18 POPULATION IS HIGHER IN BOTH CALUMET AND OUTAGAMIE COUNTIES THAN OTHER RURAL COMMUNITIES AND THE STATE AS A WHOLE. OUTAGAMIE COUNTY SAW A POPULATION INCREASE OF OVER 8% SINCE 2010. 32% OF HOUSEHOLDS ARE LIVING BELOW THE ALICE THRESHOLD IN OUTAGAMIE, AND 29% ARE LIVING BELOW THE ALICE THRESHOLD IN CALUMET COUNTY, WHICH INDICATES A HOUSEHOLD EITHER ABOVE OR BELOW THE FEDERAL POVERTY LEVEL BUT STILL NOT EARNING ENOUGH TO AFFORD BASIC NECESSITIES. OUTGAMIE COUNTY: * Outagamie County's population grew 8.3% since 2010. For comparison, the population in the US grew 7.3% and the population in Wisconsin grew 3.6% during that period. * In Outagamie County 9% of the children live below 100% of the Federal Poverty Level. * Outagamie County has 7% of residents who are uninsured. * Outagamie County high school graduation rate is 94%. CALUMET COUNTY: * Calumet County has become more diverse. In 2021, the white (non-Hispanic) group made up 89.9% of the total county population compared with 92.6% in 2010. * The share of the population that is 0 to 4 years old decreased from 6.9% in 2010 to 4.9% in 2021 in Calumet County. * In Calumet County 7% of the children live below 100% of the Federal Poverty Level. * Calumet County high school graduation rate is 95%. * Calumet County has 5% of residents who are uninsured. * Calumet County high school graduation rate is 96%. Schedule H, Part VI, Line 5 Promotion of community health The foundation of Community Health within ThedaCare is Community Health Improvement. ThedaCare Community Health Improvement is funded through operating budget, grants, and The ThedaCare Family of Foundation support. ThedaCare provides funding and dedicated staff to make CHAT community health efforts possible. The Community Health Team works with local Community Health Action Team (CHAT), groups of community leaders who study systemic health issues outside the walls of our hospitals. CHAT is the foundation of innovative, collaborative solutions for community issues that draw upon the wide array of resources and strengths of our community. There are ThedaCare led CHAT's in the Fox Cities of Appleton/Menasha/Neenah, Berlin, New London, Shawano, Waupaca and Wild Rose. Schedule H, Part VI, Line 6 Affiliated health care system As of January 1, 2024, ThedaCare merged with Froedtert Health. To date, community health operations have not been integrated. ThedaCare continues to provide direction related to community health needs assessmentS for each hospital in the counties previously served by ThedaCare prior to the merger and surrounding communities within its service area. Plans are approved by local hospital boards and the ThedaCare North Region Board. Each ThedaCare hospital, along with COMMUNITY HEALTH IMPROVEMENT staff and community members determine how best to meet local needs. Implementation of community programming occurs at the local level. Schedule H, Part VI, Line 7 State filing of community benefit report WI Form 990, Part VI, Line 2 Family/business relationships amongst interested persons AN 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 duties ALL 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 4 Significant changes to organizational documents THE ORGANIZATION'S BYLAWS WERE AMENDED DURING THE YEAR FOR THE FOLLOWING: 1. COMPOSITION OF THE DIRECTORS AND REQUIREMENT THAT ALL DIRECTORS SERVE ON THE BOARD OF THE PARENT. 2. CHANGES TO NUMBER AND TERM DATES OF OFFICERS. 3. CHANGING THE FISCAL YEAR OF THE ORGANIZATION. 4. REVISING THE METHOD AND AUTHORITY FOR FUTURE BYLAWS AMENDMENTS. Form 990, Part VI, Line 6 Classes of members or stockholders THEDACARE 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 body THEDACARE, 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 stockholders THEDACARE, 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 body THE 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 policy 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, Line 15a Process to establish compensation of top management official THEDACARE HIRES AN OUTSIDE CONSULTING FIRM TO CONDUCT A THOROUGH MARKET REVIEW OF EXECUTIVE COMPENSATION EVERY OTHER YEAR. THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD WAS FORMED IN DECEMBER, 2018. THE OUTSIDE CONSULTANT PRESENTED HIS FINDINGS TO THE CHIEF HUMAN RESOURCES OFFICER, THE PRESIDENT AND CEO. THE INFORMATION WAS THEN PRESENTED TO THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THEN TO THE EXECUTIVE COMMITTEE OF THE BOARD. BOTH COMMITTEES WERE PROVIDED THE INFORMATION FOR REVIEW, EDUCATION AND ACCEPTANCE IN 2021. Form 990, Part VI, Line 15b Process to establish compensation of other employees THEDACARE HIRES AN OUTSIDE CONSULTING FIRM TO CONDUCT A THOROUGH MARKET REVIEW OF EXECUTIVE COMPENSATION EVERY OTHER YEAR. THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD WAS FORMED IN DECEMBER, 2018. THE OUTSIDE CONSULTANT PRESENTED HIS FINDINGS TO THE CHIEF HUMAN RESOURCES OFFICER, THE PRESIDENT AND CEO. THE INFORMATION WAS THEN PRESENTED TO THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THEN TO THE EXECUTIVE COMMITTEE OF THE BOARD. BOTH COMMITTEES WERE PROVIDED THE INFORMATION FOR REVIEW, EDUCATION AND ACCEPTANCE IN 2021. Form 990, Part VI, Line 19 Required documents available to the public THEDACARE 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 IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 6012826, Program Service Expense: 6012826, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 85531, Program Service Expense: 85531, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 23433470, Program Service Expense: 7469305, Management and General Expenses: 15964165, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances ADJUSTMENTS FOR AFFILIATION REVALUATIONS - 49803100; THEDACARE INC PO BOX 8025 APPLETON WI 549128025 391509362 HEALTHCARE WI 501(c)(3) 10 NA false THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC PO BOX 8025 APPLETON WI 549128025 390830664 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - NEW LONDON INC PO BOX 8025 APPLETON WI 549128025 390869788 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - WAUPACA INC PO BOX 8025 APPLETON WI 549128025 390871113 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - 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