2026-05-14T15:26:32+00:00 2025-06-30 440160260 Forvis Mazars LLP 1201 Walnut Street Suite 1700 Kansas City MO 641062246 990 2024-07-01 390830664 ThedaCare Regional Medical Center - Neenah Inc THED 9207355560 PO Box 8025 Appleton WI 549128025 IMRAN ANDRABI MD CEO 9207386506 2026-05-14 true true Kevin Ensminger P01310558 8162216300 2026-05-14 2024 2025-03-06 01:10:19Z IMRAN ANDRABI MD PO Box 8025 Appleton WI 549128025 331430817 false X WWW.THEDACARE.ORG X 1909 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 8 7 0 167 1805434 0 1645064 1907166 146503839 322757867 0 67 2796675 6765717 150945578 331430817 0 0 0 0 53464486 114858506 0 0 0 77273277 166773284 130737763 281631790 20207815 49799027 684802232 737020518 4873018 7012203 679929214 730008315 TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY. false false 224775950 0 322757867 THEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEDACARE REGIONAL MEDICAL CENTER-NEENAH IS A 151-BED ACUTE CARE HOSPITAL, WITH MORE THAN 1,000 TEAM MEMBERS. THE CAMPUS OFFERS DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. SPECIALTY PATIENT CARE SERVICES OFFERED INCLUDE CANCER, CARDIOVASCULAR, ORTHOPEDIC, SPINE, FAMILY BIRTH CARE, BARIATRIC WEIGHT LOSS, DIABETES, INTERNAL MEDICINE, EMERGENCY, OCCUPATIONAL HEALTH, PULMONOLOGY, UROLOGY, WOMEN'S CARE, NEPHROLOGY, THERAPY SERVICES, LEVEL II TRAUMA CENTER, NEUROLOGY, OUTPATIENT SURGERY CENTERS AND WELLNESS PROGRAM. A SIGNIFICANT FEATURE OF THE THEDACARE TRAUMA PROGRAM IS THEDASTAR. THE AIR MEDICAL PROGRAM PROVIDES IMMEDIATE MEDICAL CARE, HELICOPTER TRANSPORTS AND TRANSFERS FOR TRAUMA PATIENTS AND CRITICALLY ILL PATIENTS, INCLUDING TRANSPORT FROM OUR RURAL HOSPITALS. THIS COLLABORATION ALLOWS FOR OUR TEAMS, ACROSS THE ENTIRE REGION, TO WORK IN CONCERT WITH EACH OTHER. THERE ARE 17 COUNTIES SERVED WITHIN THE PRIMARY AND SECONDARY SERVICE AREAS. CHILDREN'S HOSPITAL OF WISCONSIN-FOX VALLEY OPENED IN 2011 AND IS LOCATED WITHIN THEDACARE REGIONAL MEDICAL CENTER-NEENAH. THEDACARE AND CHW PARTNER TO ENSURE THE COMMUNITY HAS ACCESS TO HIGH LEVELS OF CARE. EFFECTIVE JANUARY 1, 2024, THEDACARE MEDICAL CENTER - NEENAH IS PART OF FROEDTERT THEDACARE HEALTH, INC. CONTINUING ITS COMMITMENT TO PATIENT HEALTH AND COMMUNITY WELLBEING, WE OFFER PUBLIC AWARENESS CAMPAIGNS, CHARITY CARE, SUPPORT GROUPS, AND EDUCATION PROGRAMS TARGETED TO LOCAL COMMUNITY NEEDS. THEDACARE IS COMMITTED TO COMMUNITY FOCUSED EFFORTS IDENTIFIED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT IN COUNTIES (WINNEBAGO) WHERE SERVICES ARE PROVIDED. EFFORTS INCLUDE PARTNERSHIPS WITH LOCAL GOVERNMENTS, COMMUNITY PARTNERS, AND AREA HEALTH ORGANIZATIONS TO ADDRESS THE TOP HEALTH PRIORITIES IDENTIFIED IN ITS MOST RECENT CHNA. THEDACARE PROVIDES SCHOLARSHIPS, CHARITY CARE, INTERPRETING AND EDUCATIONAL SERVICES AND VARIOUS OTHER COMMUNITY BENEFITS. THEDACARE OPERATES ON A NON-DISCRIMINATORY BASIS REGARDLESS OF RACE, COLOR, SEX, RELIGION, OR NATIONAL ORIGIN. THEDACARE PROVIDES A VARIETY OF FINANCIAL ASSISTANCE OPTIONS TO PATIENTS WHO MEET ESTABLISHED CRITERIA. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. INPATIENT DISCHARGES TOTALED 9,898 WITH 1,862 BABIES DELIVERED. AS PART OF THEDACARE, EMERGENCY MEDICAL HELICOPTER SERVICE IS PROVIDED THROUGHOUT THE 20 COUNTIES SERVED. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTH CARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE. 224775950 true true false true 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 true false false false false false false false false false false false false false false false true false false false false true X 0 0 0 true true false false false false false false false false false false false X 8 7 true true false false true true true true true false false false true true true true true true true true false false X WILLIAM FLETT 9207355560 PO BOX 8025 APPLETON WI 549128025 IMRAN ANDRABI MD PRESIDENT & CEO - SYSTEM 4.0 46.0 X X 0 4591338 647039 ALAN LOUX BOARD MEMBER 1.0 4.0 X 0 0 0 CHUCK DALLAS BOARD MEMBER/NR CHAIRPERSON 1.0 4.0 X 0 18750 0 DAVID KOEPER 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 46.0 X 0 608961 153031 MAGGIE LUND CHIEF CULTURE AND INTEGRATION OFFICER 4.0 46.0 X 0 1355811 62717 PAUL VAN DEN HEUVEL SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER 4.0 46.0 X 0 1586569 80399 SCOTT HAWIG CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER, TREASURER 1.0 49.0 X 0 2581219 275943 WILLIAM FLETT CHIEF FINANCIAL OFFICER 4.0 46.0 X 0 623899 178131 0 11366547 1397260 0 false true false PHI HEALTH LLC 2800 N 44th St Suite 800 Phoenix AZ 85008 Air Transport 2613362 TOTAL MSP LLC (SIMPLIFI STAFFENCY) 221 W College Ave 2nd Floor Appleton WI 54911 Medical Staffing 2356891 THEDA CLARK OB HOSPITALISTS 3232 North Ballard Rd Ste 100 Appleton WI 54911 Medical Staffing 2275000 AGILITI HEALTH INC 6625 W 78th St STE 300 Minneapolis MN 55439 Medical Staffing 1236469 MEDSPEED LLC 140 Industrial Drive Elmhurst IL 60126 Medical Staffing 1154727 31 1884016 20000 3150 1907166 NET PATIENT SERVICE REVENUE 622110 319907114 319907114 340B PHARMACY REVENUE 446110 2850753 2850753 0 0 0 0 322757867 67 67 2609434 2609434 0 2609434 2609434 0 0 LABORATORY REVENUE 621500 1737522 1737522 CAFETERIA REVENUE 446110 1153482 1153482 OTHER OPERATING REVENUE 900099 1197367 1197367 67912 0 67912 0 4156283 331430817 322757867 1805434 4960350 X 0 0 92513473 73892922 18620551 2007283 1593109 414174 15157017 12029584 3127433 5180733 4111763 1068970 8387076 8387076 10391 10391 45755748 23554109 22201639 0 32773 32773 855550 855550 4091 4091 3845077 3845077 63628 63628 639852 639852 14044862 11052029 2992833 557303 557303 MEDICAL & OTHER SUPPLIES 76767855 76767855 EQUIPMENT & MAINTENANCE 8760116 8760116 MEDICAID ASSESSMENT 3863988 3863988 FOOD & NUTRITION 1760074 1760074 1424900 1424900 0 0 281631790 224775950 56855840 0 95522584 39726679 46671660 0 0 5255486 6812028 182893 549764 157240065 15521357 142436772 141718708 0 0 497200402 445745774 684802232 737020518 3309451 3604102 0 1563567 3408101 4873018 7012203 X 679929214 730008315 679929214 730008315 684802232 737020518 X 49799027 280074 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10391 10391 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE WHA DUES REPRESENT LOBBYING PERFORMED IN REGARD TO HEALTHCARE ISSUES. TOTAL DUES PAID IN 2024 WERE $65,643 15.8% OF THIS AMOUNT WAS SPENT ON LOBBYING. 6186334 6186334 104639386 5330370 99309016 43927462 10190987 33736475 2486883 2486883 141718708 DUE FROM AFFILIATE 443540390 LEASE ASSET 2175384 THIRD PARTY SETTLEMENT OTHER ASSETS 30000 445745774 Federal Income Taxes LEASE LIABILITY 2625238 THIRD PARTY SETTLEMENT 782863 3408101 0 0 0 0 0 0 0 0 0 0 0 0 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 2770404 2770404 0.00984 20008 38548014 33620648 4927366 0.01750 0 0.0 0 20008 41318418 33620648 7697770 0.02733 9 266397 2026312 75220 1951092 0.00693 3 972 7066343 12350 7053993 0.02505 3 2 1261940 1261940 0.00448 0 0.0 3 695472 2422715 2422715 0.00860 18 962843 12777310 87570 12689740 0.04506 18 982851 54095728 33708218 20387510 0.07239 0 0.0 1 183537 46828 0 46828 0.00017 1 2235 442972 53371 389601 0.00138 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 185772 489800 53371 436429 0.00155 true 5962258 2341269 24986034 25563657 -577623 X true true 1 1 THEDACARE REGIONAL MEDICAL CENTER - NEENAH 120 SECOND STREET NEENAH WI 54956 WWW.THEDACARE.ORG 32 X X X THEDACARE REGIONAL MEDICAL CENTER - NEENAH 1 false false true X X X X X X X X X 24 true false false true X HTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/ X true 25 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 - NEENAH, INC.. AS PART OF THE NEEDS ASSESSMENT ADVISORY TEAM, THEDACARE CONSULTED WITH THE PUBLIC HEALTH DEPARTMENTS OF OUTAGAMIE COUNTY, WINNEBAGO COUNTY, CALUMET COUNTY, SHAWANO, GREEN LAKE, MARQUETTE, WAUSHARA, WAUPACA AND THE CITY OF APPLETON. * CHUCK SEPERS, CITY OF APPLETON PUBLIC HEALTH * 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 , 1 Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH, 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 , 1 Facility , 1 - THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.. 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 - NEENAH, INC.. 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 - NEENAH, INC.. 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. 6 AYLWARD SURGERY CENTER 120 SECOND STREET NEENAH WI 54956 OUTPATIENT SURGERY CENTER RENAISSANCE SURGERY CENTER 2400 WITZEL AVENUE OSHKOSH WI 54904 OUTPATIENT SURGERY CENTER THEDACARE PHYSICAL THERAPY 1516 S COMMERCIAL ST NEENAH WI 54956 REHAB CLINIC THEDACARE PHYSICAL THERAPY 600 N WESTHAVEN DR OSHKOSH WI 54904 REHAB CLINIC NEUROSPINE CENTER OF WISCONSIN 5320 W MICHAELS DR APPLETON WI 54913 SPECIALTY CLINIC THEDACARE BEHAVIORAL HEALTH 1095 MIDWAY RD MENASHA WI 54952 BEHAVIORAL HEALTH 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 7 COLUMN F THE 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 $5,962,258. 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. COMMUNITY SUPPORT: A 340B PHARMACY IS A PHARMACY THAT PARTICIPATES IN THE 340B DRUG PRICING PROGRAM, A FEDERAL PROGRAM THAT REQUIRES DRUG MANUFACTURERS TO SELL OUTPATIENT DRUGS AT DISCOUNTED PRICES TO ELIGIBLE HEALTH CARE ORGANIZATIONS. THE 340B PROGRAM HELPS HEALTH CARE ORGANIZATIONS, KNOWN AS COVERED ENTITIES, REDUCE THE COST OF DRUGS FOR THEIR PATIENTS. COVERED ENTITIES INCLUDE HOSPITALS, SUCH AS CRITICAL ACCESS HOSPITALS, RURAL REFERRAL CENTERS, AND SOLE COMMUNITY HOSPITALS, AS WELL AS FEDERAL GRANTEE ORGANIZATIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate 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 13 ON PAGE 29 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 ASSISTANCE PROGRAM. IF ONLY A PORTION OF THE CHARGES ARE ELIGIBLE AND WRITTEN OFF THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, THE REMAINING BALANCE WILL BE BILLED TO THE PATIENT AND COLLECTED IN ACCORDANCE WITH OUR NORMAL COLLECTION POLICY. Schedule H, Part V, Section B, Line 16a FAP website - THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16a URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/; Schedule H, Part V, Section B, Line 16b FAP Application website - THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16b URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THEDACARE REGIONAL MEDICAL CENTER - NEENAH: Line 16c URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/PAYMENT-OPTIONS/; Schedule H, Part VI, Line 2 Needs assessment IN 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 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-NEENAH SERVICE AREA IS BASED IN WINNEBAGO COUNTY AND IS LOCATED IN EAST-CENTRAL WISCONSIN. THE AREA HOSTS A POPULATION OF 173,000. THE TRMC-NEENAH POPULATION HAS INCREASED SLIGHTLY 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. ITS POVERTY RATE IS SIMILAR TO THAT OF WISCONSIN. Schedule H, Part VI, Line 5 Promotion of community health THEDACARE 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 system AS 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 report WI false true false false false false false true false IMRAN ANDRABI MD PRESIDENT & CEO - SYSTEM 0 1794100 0 2564672 0 232566 0 620140 0 26899 0 5238377 0 216027 WILLIAM FLETT CHIEF FINANCIAL OFFICER 0 478381 0 134891 0 10627 0 151232 0 26899 0 802030 0 0 SCOTT HAWIG CHIEF FINANCIAL AND ADMINISTRATIVE OFFICER, TREASURER 0 1055426 0 1273715 0 252078 0 237264 0 38679 0 2857162 0 226318 MAGGIE LUND CHIEF CULTURE AND INTEGRATION OFFICER 0 475136 0 714014 0 166661 0 53500 0 9217 0 1418528 0 146797 BRIAN STERNS CHIEF DIGITAL HEALTH OFFICER 0 379029 0 214812 0 15120 0 126132 0 26899 0 761992 0 0 PAUL VAN DEN HEUVEL SECRETARY, BOARD MEMBER, CHIEF LEGAL OFFICER 0 750813 0 818458 0 17298 0 53500 0 26899 0 1666968 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE 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 plan Senior level executives of the company are entitled to an annual flexible benefit equal to 20% of the midpoint of their salary range. This 457(f) supplemental benefit plan complies with the final regulations under section 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 payments EXECUTIVE AT RISK COMPENSATION PLAN: THE PLAN OBJECTIVES ARE TO ENHANCE THEDACARE, INC'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING A TOOL FOR STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE AMONG LEADERS AND TO WORK TOGETHER AS A COHESIVE GROUP 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. Form 990, Part V, Line 1a 1099 AND 1096 FILINGS ALL 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 FILINGS ALL 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 1a Delegate broad authority to a committee THE BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE BOARD'S CHAIR, VICE CHAIR, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE, WHEN THE BOARD OF TRUSTEES IS NOT IN SESSION, THE POWER OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE ORGANIZATION'S AFFAIRS, EXCEPT ACTION WITH RESPECT TO ELECTION OF OFFICERS OR TRUSTEES. Form 990, Part VI, 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 - NEENAH, INC. Form 990, Part VI, Line 6 Classes of members or stockholders THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.'S SOLE MEMBER OF THE SINGLE CLASS OF VOTING MEMBERS IS THEDACARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing 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 - NEENAH, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER OPERATING REVENUE - Total Revenue: 67912, Related or Exempt Function Revenue: , Unrelated Business Revenue: 67912, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 4079674, Program Service Expense: 4079674, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 5489367, Program Service Expense: 5489367, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 36186707, Program Service Expense: 13985068, Management and General Expenses: 22201639, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances ASSET VALUATION ADJUSTMENT - 258065; NET EQUITY TRANSFER - 22009; Total - 280074; THEDACARE INC PO BOX 8025 APPLETON WI 549128025 391509362 HEALTHCARE WI 501(c)(3) 10 NA false THEDACARE MEDICAL CENTER - BERLIN INC PO BOX 8025 APPLETON WI 549128025 390806359 HOSPITAL WI 501(c)(3) 3 THEDACARE INC false THEDACARE MEDICAL CENTER - 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