2024-11-13T15:21:37+00:00 2023-12-31 440160260 Forvis Mazars LLP 211 N Broadway Suite 600 St Louis MO 631022733 990 2023-01-01 396089134 ThedaCare Medical Center - Wild Rose Inc THED 9206223257 PO BOX 8025 APPLETON WI 549128025 William Flett CFO 2024-11-13 true Kristen Hankins P01256574 3142315544 2024-11-13 2023 2024-10-15 13:58:12Z IMRAN ANDRABI MD PO BOX 8025 APPLETON WI 549128025 13976851 false X WWW.THEDACARE.ORG X 1956 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 11 8 0 31 0 0 359617 11528 12887431 13936455 0 0 294462 28868 13541510 13976851 0 0 0 0 8393292 8604267 0 0 0 4825175 4483005 13218467 13087272 323043 889579 9611199 9999655 4862795 4361672 4748404 5637983 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 10700658 13936455 THEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEDACARE MEDICAL CENTER-WILD ROSE IS A 25-BED CRITICAL ACCESS HOSPITAL SERVING WILD ROSE AND NEARBY COMMUNITIES. THERE ARE MORE THAN 90 TEAM MEMBERS LOCATED AT THE WILD ROSE LOCATION. THEDACARE MEDICAL CENTER-WILD ROSE PROVIDES PATIENT CARE AND SUPPORT SERVICES INCLUDING DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING AND SPECIALTY SERVICES SUCH AS CANCER CARE, CARDIOVASCULAR CARE, ORTHOPEDIC CARE, SPINE, NEUROLOGY, FAMILY BIRTH CARE, INTERNAL MEDICINE, EMERGENCY, OCCUPATIONAL HEALTH, PULMONOLOGY, UROLOGY, WOMEN'S CARE, OUTPATIENT SURGERY AND THERAPY SERVICES. AS PART OF THE THEDACARE SYSTEM, 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 (WAUSHARA) 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 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. 10700658 true true false true 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 true true true false false true X 0 0 0 false false false false false false false false false false false false X 11 8 true true false false true true true true true false false false true true true true true true true false WI X WILL FLETT 9206223257 PO BOX 8025 APPLETON WI 549128025 CAROL WILLIAMS SECRETARY/TREASURER, BOARD MEMBER 1.0 0 X X 0 0 0 DAN MIELKE CHAIR, BOARD MEMBER 1.0 0 X X 0 0 0 MARK KJENTVET VICE CHAIR, BOARD MEMBER 1.0 0 X X 0 0 0 CHANDLER CAVES MD Physician, Board Member 1.0 39.0 X 0 586620 59758 JAMES ERDMAN BOARD MEMBER 1.0 0 X 0 0 0 KAREN WEST BOARD MEMBER 1.0 0 X 0 0 0 Lynn Detterman SVP, TC-South Region, Board Member 1.0 39.0 X 0 624166 116088 PAUL SMITH BOARD MEMBER 1.0 0 X 0 0 0 SHERRY BROWNLOW BOARD MEMBER 1.0 0 X 0 0 0 TAMMY BENDING Vice President, Critical Access Hospitals, Board Member 20.0 20.0 X 0 271204 31346 TERRY MARTZ BOARD MEMBER 1.0 0 X 0 0 0 Brian Sterns Chief Digital Health Officer 4.0 36.0 X 0 376030 113191 Imran Andrabi MD President & CEO - System 4.0 36.0 X 0 1785548 243321 Maggie Lund Chief Culture and Integration Officer 4.0 36.0 X 0 672124 61346 Mark Thompson Pt Yr CFO, Chief Transformational Investments/Value Integration Officer 4.0 36.0 X 0 1305621 78315 William Flett Chief Financial Officer 4.0 36.0 X 0 153343 27124 Thomas Arquilla Chief Growth Officer 4.0 37.0 X 0 735799 71545 0 6510455 802034 0 false true false PERSONNEL SPECIALISTS LLC 6737 W Washington St Ste 2390 West Allis WI 53214 Medical Staffing 157490 TOTAL MSP LLC 221 W COLLEGE AVE 2ND FLOOR APPLETON WI 54911 MEDICAL STAFFING 155946 MEDICAL SOLUTIONS LLC 1010 N 102nd St STE 300 Omaha NE 68114 Medical Staffing 106103 3 6892 4636 11528 Net Patient Service Revenue 622110 13936455 13936455 0 0 0 0 13936455 0 0 0 0 Cafeteria Revenue 722210 25159 25159 Other Operating Revenue 900099 3709 3709 0 0 0 0 28868 13976851 13936455 0 28868 X 0 0 7244751 6524972 719779 152612 137450 15162 843043 708556 134487 363861 327711 36150 256354 256354 1228 1228 2156579 1064849 1091730 0 2587 2587 162431 162431 258048 258048 21383 21383 33841 33841 446993 315269 131724 41096 41096 Medical Supplies 614024 614024 Equipment and Maintenance 365490 365490 Food and Nutrition 90089 90089 Medicaid Assessment 32862 32862 0 0 0 0 13087272 10700658 2386614 0 1865586 2886610 1802690 1884341 0 0 0 0 143226 196138 4334 12274 6979696 3337049 3689481 3642647 0 0 2105882 1377645 9611199 9999655 121983 106382 0 0 4740812 4255290 4862795 4361672 X 4748404 5637983 4748404 5637983 9611199 9999655 889579 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1228 1228 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 2023 WERE $7,490. 16.4% OF THIS AMOUNT WAS SPENT ON LOBBYING. 1205546 1205546 3322549 1466394 1856155 2443101 1870655 572446 8500 8500 3642647 Other Assets 496115 Due from Affiliate 881530 1377645 Third Party Settlement 380000 Due from Affiliate 3875290 4255290 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 true false true true 88769 88769 0.0068 1938 2283467 1640870 642597 0.0491 0 0.0 0 1938 2372236 1640870 731366 0.0559 11 129260 259457 259457 0.0198 2 59 126617 126617 0.0097 3 1613568 1613568 0.1233 0 0.0 3 6770 444163 444163 0.0339 19 136089 2443805 0 2443805 0.1867 19 138027 4816041 1640870 3175171 0.2426 0 0.0 1 4988 4988 0.0004 1 13164 141870 141870 0.0108 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 13164 146858 0 146858 0.0112 false 721461 197652 2537284 1909225 628059 X true true 1 1 THEDACARE MEDICAL CENTER - WILD ROSE 601 GROVE AVENUE WILD ROSE WI 54984 WWW.THEDACARE.ORG 1004 X X X X THEDACARE MEDICAL CENTER - WILD ROSE 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/FINANCIAL-ASSISTANCE/ X HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/ X HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/ 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 MEDICAL CENTER - WILD ROSE. 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 Medical Center-Wild Rose CHAT: * Amanda Williams, ThedaCare Family of Foundations, Regional Coordinator * Allen Luchini, Wild Rose Emergency Management Director * Chris Langenfeld, Waushara County Prevention Coordinator * Allen Ruetten, Farmer's Bank of Waupaca * Colin Mitchell, Family Health LaClinica, Director of Business Development * Craig Hayes, Wild Rose School District * Deborah Walworth, ThedaCare Outreach Health Specialist * Denise Klusmeyer, Waushara County Chamber of Commerce Executive Director * Mary Ann Shilling, University of Wisconsin Extension * Sharon Woodruff, Waushara County Shines Coordinator * Mary O'Baram, Population Health Coordinator * Mary Kunasch, Waushara Argus * Tammy Bending, ThedaCare Medical Center -Wild Rose * Tracey Ratzburg, ThedaCare Community Health Improvement Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THEDACARE MEDICAL CENTER - WILD ROSE. THE THEDACARE COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS APPROVED BY THE THEDACARE BOARD OF TRUSTEES IN 2022. THE FOLLOWING PRIORITIES WERE IDENTIFIED AS THE TOP COMMUNITY HEALTH NEEDS FOR THE 2023-2025 CHNA CYCLE: 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. 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 ASSESSMENT 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. SIGNIFICANT NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA THAT WILL NOT BE ADDRESS 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 ADDRESS 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 MEDICAL CENTER - WILD ROSE. 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 MEDICAL CENTER - WILD ROSE. CONTRACTED WITH ELIGIBILITY VENDOR (CARDON) TO WORK DIRECTLY WITH UNINSURED PATIENTS TO ASSIST THEM WITH INSURANCE ENROLLMENT AND EDUCATION. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - THEDACARE MEDICAL CENTER - WILD ROSE. 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 PATIENT TO SEE REVERSE SIDE OF 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. 0 Schedule H, Part I, Line 3 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 $721,461. 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 ACTIVITIES THROUGHOUT THE YEAR. SPECIFIC ACTIVITIES REPORTED ON SCHEDULE H, PART II INCLUDE: Economic Development - The primary aim of the chamber is to protect the interest of the business community as a whole. Strong employment is a social determinant of health, reducing poverty and providing individual and family sustainability. ThedaCare works together with local Chambers of Commerce in all of the communities it serves. 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. 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 IS CONSIDERED COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SEE PATIENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR CREDIT LOSSES IN NOTE 1 ON PAGE 11 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 BENEFITS 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 MEDICAL CENTER - WILD ROSE: Line 16a URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - THEDACARE MEDICAL CENTER - WILD ROSE: Line 16b URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THEDACARE MEDICAL CENTER - WILD ROSE: Line 16c URL: HTTPS://THEDACARE.ORG/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment ThedaCare covers a 9 -county primary service area served by 7 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 Medical Center-Wild Rose service area consists of Waushara County and is located in east-central Wisconsin. Population of Waushara County is 24,000 plus and mainly rural. Waushara County: * The adult uninsured rate is 9%, The percentage of residents living below the Federal Poverty Level is 11%. * The percentage of children eligible for free and reduced lunch in Waushara County is 55%. * In Waushara County 20% of the children live below 100% of the Federal Poverty Level. * Waushara County high school graduation rate is 89%. * Eighty nine percent of the service area is Caucasian with Hispanic population of 6.5%. 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 Foundations 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 ThedaCare, the parent organization, provides direction related to community health needs assessment for each hospital and surrounding communities within its service area. Plans are approved by local hospital boards. 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 Lynn Detterman SVP, TC-South Region, Board Member 0 475803 0 140534 0 7829 0 90273 0 25815 0 740254 0 140534 CHANDLER CAVES MD Physician, Board Member 0 559083 0 25743 0 1794 0 44143 0 15615 0 646378 0 0 TAMMY BENDING Vice President, Critical Access Hospitals, Board Member 0 225708 0 44722 0 774 0 22500 0 8846 0 302550 0 44722 Imran Andrabi MD President & CEO - System 0 1124684 0 447428 0 213436 0 221443 0 21878 0 2028869 0 445428 William Flett Chief Financial Officer 0 112384 0 40000 0 959 0 20670 0 6454 0 180467 0 0 Maggie Lund Chief Culture and Integration Officer 0 543254 0 110401 0 18469 0 52500 0 8846 0 733470 0 110401 Brian Sterns Chief Digital Health Officer 0 301872 0 70805 0 3353 0 87376 0 25815 0 489221 0 70805 Mark Thompson Pt Yr CFO, Chief Transformational Investments/Value Integration Officer 0 884917 0 241697 0 179007 0 52500 0 25815 0 1383936 0 239697 Thomas Arquilla Chief Growth Officer 0 496464 0 125813 0 113522 0 52500 0 19045 0 807344 0 123813 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 OF 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 $202,750 THOMAS ARQUILLA $97,329 MARK THOMPSON $162,970 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: BRIAN STERNS $34,876 IMRAN ANDRABI, MD $175,103 LYNN DETTERMAN $52,275 WILLIAM FLETT $12,775 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 TOWARD COMMON GOALS. LEADERS FROM MANAGEMENT LEVEL TO THE PRESIDENT AND CEO ARE ELIGIBLE TO PARTICIPATE IN THIS PLAN. THE PERCENTAGE FOR WHICH AN INDIVIDUAL IS ELIGIBLE IS DETERMINED BY THE PARAMETERS LISTED FOR THE LEADERSHIP POSITION AND IN THE PLAN DOCUMENT ON FILE. LEADERS MAKE RECOMMENDATIONS FOR THEIR MANAGEMENT LEVEL DIRECT REPORTS TO THEIR EXECUTIVE LEADER BASED ON PERFORMANCE RESULTS. THE PRESIDENT AND CEO ALSO REVIEWS AND APPROVES. FOR SENIOR VICE PRESIDENTS, THE EXECUTIVE LEADERSHIP TEAM, AND THE PRESIDENT AND CEO, THE RECOMMENDATIONS ARE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD. THESE COMMITTEES ALSO REVIEW THE TOTAL SPEND FOR THE INCENTIVE PLANS. THESE LEADERS MUST BE IN ACTIVE REGULAR SERVICE OF THEDACARE, INC. FOR THE ENTIRE PLAN YEAR (JANUARY 1, 2023, TO DECEMBER 31, 2023) TO RECEIVE A 2024 BONUS. CARING FOR SUCCESS: THE PLAN OBJECTIVES ARE TO PROVIDE INCENTIVE TO FOCUS THE ORGANIZATION'S RESOURCES, ENERGY AND ATTENTION ON THE FULFILLMENT OF THEDACARE'S MISSION. EMPLOYEE ELIGIBILITY IS BASED ON THE NUMBER OF HOURS WORKED. ALL ELIGIBLE EMPLOYEES SHARE IN THE PAYOUT. THE PAYOUT AMOUNT IS A FLAT DOLLAR AMOUNT, DETERMINED BASED ON BOTH FINANCIAL AND QUALITY THRESHOLDS. THE AMOUNT PER EMPLOYEE IS DETERMINED BY DIVIDING THE TOTAL GAIN REALIZED (THE EMPLOYEE SHARE) BY HOURS PAID TO ALL ELIGIBLE EMPLOYEES. THE THEDACARE BOARD OF TRUSTEES APPROVES THE SPEND FOR THE PLAN. 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, THEDACARE, INC., EIN 39-1509362. 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, THEDACARE, INC., EIN 39-1509362. 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 MEDICAL CENTER - WILD ROSE, INC. Form 990, Part VI, Line 6 Classes of members or stockholders THEDACARE MEDICAL CENTER - WILD ROSE, INC.'S SOLE MEMBER IS THEDACARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THEDACARE, INC. HAS SOLE 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 SOLE AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: 1. DEVELOP AND APPROVE ANNUAL CAPITAL AND OPERATING TARGETS; 2. AUTHORIZE AND MAKE CAPITAL EXPENDITURES; 3. APPROVE STRATEGIC PALNS, WITH MANAGEMENT AND BOARD OVERSIGHT; 4. APPROVE THE SAFETY AND QUALITY PLAN; 5. APPROVE THE DISSOLUTION OR LIQUIDATION; 6. HIRE OR TERMINATE THE PRESIDENT AND CEO; 7. BORROW OR INCUR DEBT; 8. APPOINT AUDITORS AND LEGAL COUNSEL; AND 9. RETAIN INVESTMENT ADVISORS AND ESTABLISH INVESTMENT POLICIES. THE BOARD OF TRUSTEES MAY NOT DO THE FOLLOWING WITHOUT RECEIVING THE CONSENT OF THEDACARE, INC. 1. MERGE, CONSOLIDATE, OR CHANGE CONTROL OF THE ORGANIZATION; 2. SELL, LEASE, OR TRANSFER MATERIAL ASSETS; 3. ENTER JOINT VENTURES OR AFFILIATIONS; AND 4. AMEND THE ARTICLES OF INCORPORATION OR BYLAWS. 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 THE PARENT ORGANIZATION, THEDACARE, 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 19 Required documents available to the public THEDACARE MEDICAL CENTER - WILD ROSE, 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/AGENCY FEES - Total Expense: 619540, Program Service Expense: 273409, Management and General Expenses: 346131, Fundraising Expenses: ; PHYSICIAN/PROFESSIONAL FEES - Total Expense: 1292, Program Service Expense: 570, Management and General Expenses: 722, Fundraising Expenses: ; FEES FOR OTHER SERVICES - Total Expense: 1535747, Program Service Expense: 790870, Management and General Expenses: 744877, Fundraising Expenses: ; 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 true THEDACARE MEDICAL CENTER - NEW LONDON INC PO BOX 8025 APPLETON WI 549128025 390869788 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - WAUPACA INC PO BOX 8025 APPLETON WI 549128025 390871113 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE REGIONAL MEDICAL CENTER -APPLETON INC PO BOX 8025 APPLETON WI 549128025 390824015 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - SHAWANO INC PO BOX 8025 APPLETON WI 549128025 390807068 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - BERLIN INC PO BOX 8025 APPLETON WI 549128025 390806359 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE FAMILY OF FOUNDATIONS INC PO BOX 8025 APPLETON WI 549128025 464112255 FOUNDATION WI 501(c)(3) 7 THEDACARE INC true N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC 122 E CAPITOL DR APPLETON WI 54911 262497187 RENTAL WI NA N/A ENCIRCLE REALCO LLC 65 HIDDEN RAVINES DRIVE SUITE 100 POWELL OH 43065 853472736 PROPERTY HOLDING OH THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC Excluded false false true false false false false false false false false false true true true false false false false