2023-11-15T10:10:54+00:00 2022-12-31 440160260 FORVIS LLP 1201 WALNUT SUITE 1700 KANSAS CITY MO 641062246 990 2022-01-01 391509362 ThedaCare Inc THED 9207355560 PO BOX 8025 APPLETON WI 549128025 IMRAN ANDRABI MD OFFICER 9207355560 2023-11-15 true WILLIAM FLETT 999009999 MICHAEL J ENGLE P00482834 8162216300 2023-11-15 2022 2023-04-26 12:10:37Z IMRAN ANDRABI MD PO BOX 8025 APPLETON WI 549128025 372166724 false X WWW.THEDACARE.ORG X 1985 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 14 12 7534 102 7282235 1331126 907617 5236079 304182837 288138462 116262826 45990752 18286594 32801431 439639874 372166724 41775 1263304 0 0 245727366 272919076 0 0 0 151602330 138435767 397371471 412618147 42268403 -40451423 1111481276 1136849886 1651997091 1859846836 -540515815 -722996950 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 302904328 1263304 282267526 FOR MORE THAN 110 YEARS, THEDACARE HAS BEEN COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES IN NORTHEAST AND CENTRAL WISCONSIN. THE ORGANIZATION DELIVERS CARE TO RESIDENTS IN 18 COUNTIES AND EMPLOYS APPROXIMATELY 7,000 HEALTH CARE PROFESSIONALS. THEDACARE HAS 180 POINTS OF CARE, INCLUDING SEVEN HOSPITALS. AS AN ORGANIZATION COMMITTED TO BEING A LEADER IN POPULATION HEALTH, TEAM MEMBERS ARE DEDICATED TO EMPOWERING PEOPLE TO LIVE THEIR BEST LIVES THROUGH EASY ACCESS TO INDIVIDUALIZED CARE, SUPPORTING EACH PERSON'S OWN HEALTH AND WELLBEING. THEDACARE ALSO PARTNERS WITH COMMUNITIES TO UNDERSTAND UNIQUE NEEDS, FINDING SOLUTIONS TOGETHER, AND ENCOURAGING HEALTH AWARENESS AND ACTION. THEDACARE IS THE FIRST IN WISCONSIN TO BE A MAYO CLINIC CARE NETWORK MEMBER, GIVING SPECIALISTS THE ABILITY TO CONSULT WITH MAYO CLINIC EXPERTS ON A PATIENT'S CARE. THEDACARE IS A NOT-FOR-PROFIT HEALTH SYSTEM WITH A LEVEL II TRAUMA CENTER, COMPREHENSIVE CANCER TREATMENT, STROKE AND CARDIAC PROGRAMS, AS WELL AS PRIMARY CARE. THEDACARE OPERATES ONE OF NINE NATIONALLY VERIFIED LEVEL II TRAUMA CENTERS IN THE STATE OF WISCONSIN THEDACARE REGIONAL MEDICAL CENTER-NEENAH. 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. THEDACARE OFFERS A STRONG PRIMARY CARE NETWORK. ADDITIONAL HEALTH AND CARE SERVICES THROUGH EMPLOYED AND AFFILIATED PROVIDER RELATIONSHIPS INCLUDE ORTHOPEDIC CARE, CARDIOVASCULAR CARE, CANCER CARE, HEMATOLOGY, BARIATRICS CARE, BEHAVIORAL HEALTH, DIABETES CARE, SPINE AND NEUROLOGICAL CARE, STROKE CARE, NEPHROLOGY, OPTHAMOLOGY, UROLOGY, PULMONARY, WOMEN'S HEALTH AND MORE. MOST CLINICS ALSO OFFER DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CAT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. IN ADDITION, WE OFFER AND CONVENIENT WALK-IN CARE, FASTCARE AND E-VISITS FOR ENHANCED COMMUNITY ACCESS TO HEALTHCARE. 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. THEDACARE IS COMMITTED TO COMMUNITY FOCUSED EFFORTS IDENTIFIED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT IN COUNTIES WHERE SERVICES ARE PROVIDED. SPECIFIC COMMUNITY EFFORTS ARE DETAILED FOR EACH COUNTY IN EACH INDIVIDUAL HOSPITAL REPORT ENCLOSED IN THIS SUBMISSION. 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. EVERY YEAR, THEDACARE PUBLISHES A COMMUNITY BENEFIT REPORT, WHICH HIGHLIGHTS OUR CONTRIBUTIONS TO OUR COMMUNITIES IN NORTHEAST AND CENTRAL WISCONSIN. WE TAKE INTO ACCOUNT WAYS IN WHICH OUR SYSTEM ADDRESSES UNMET HEALTH NEEDS IN THE COMMUNITY FOR WHICH REIMBURSEMENT IS NOT RECEIVED. IN 2022, THE TOTAL DOLLAR VALUE OF THAT DONATED COMMUNITY SUPPORT, CALLED COMMUNITY BENEFIT, AMOUNTED TO OVER $63 MILLION ACROSS THE SERVICE AREA. THE COMMUNITY BENEFIT TOTAL INCLUDES NON-HOSPITAL FINANCIAL ASSISTANCE AND MEDICAID. THE DOLLAR VALUE OF HOSPITAL-ONLY COMMUNITY BENEFIT IS $48 MILLION. THEDACARE ADDRESSES UNMET HEALTH NEEDS THROUGH TRAINING MEN AND WOMEN TO BECOME DOCTORS AND NURSES, IMPROVING ACCESS TO BEHAVIORAL HEALTH CARE, SUPPORTING MEDICAL RESEARCH THROUGH CLINICAL TRIALS AND BY PROVIDING CARE TO THOSE WITHOUT THE FINANCIAL RESOURCES TO PAY, AS EXAMPLES. THEDACARE PROVIDES OPERATIONAL AND ADMINISTRATIVE SUPPORT SERVICES FOR HOSPITALS, MEDICAL CLINICS AND VARIOUS OTHER HEALTHCARE PROVIDERS. CENTRALIZING THESE SERVICES ALLOWS MEDICAL PROFESSIONALS TO CONCENTRATE ON GIVING THEIR PATIENTS THE BEST POSSIBLE CARE, WHILE ENJOYING THE BENEFITS OF EFFICIENT AND COST-EFFECTIVE BUSINESS MANAGEMENT. THEDACARE'S MAIN OPERATIONAL SERVICES INCLUDES A REFERENCE LABORATORY, TRANSCRIPTION SERVICES, BIOMEDICAL EQUIPMENT MAINTENANCE, PLUS A MEDICAL REFERENCE LIBRARY, STAFF EDUCATION AND PROFESSIONAL DEVELOPMENT PROGRAMS. MANY SENIOR CITIZENS SUBSCRIBE TO "LIFELINE," A MONITORED HELP/ALARM SYSTEM CONNECTED TO THEDACARE'S NURSE-STAFFED 24-HOUR CALL CENTER. THE CALL CENTER ALSO ANSWERS HEALTH QUESTIONS, HELPS PEOPLE LOCATE A PHYSICIAN, REFERS CALLERS TO ADDITIONAL SOURCES OF INFORMATION, AND ENROLLS CALLERS INTO COMMUNITY-FOCUSED CLASSES ON HEALTH-RELATED TOPICS. ADMINISTRATIVE SERVICES INCLUDE HUMAN RESOURCES, PAYROLL, PURCHASING, FINANCE AND ACCOUNTING, PRINTING, SERVICES FOR MEDICAL & ADMINISTRATIVE MATERIALS, ORGANIZATIONAL DEVELOPMENT, INTERNAL EDUCATION AND IMPROVEMENT SYSTEMS, QUALITY ASSURANCE FOR BOTH INTERNAL AND PUBLIC REPORTING, MARKETING, COMMUNITY OUTREACH AND EDUCATION PROGRAMS, COMMUNICATION SYSTEMS, SECURITY AND LEGAL COMPLIANCE, AND FULL-SPECTRUM INFORMATION TECHNOLOGY PLANNING & SUPPORT. THEDACARE OFFERS A VARIETY OF LONG-TERM CARE OPTIONS. THEDACARE AT HOME SERVES PEOPLE OF ALL AGES THROUGHOUT NORTHEAST AND CENTRAL WISCONSIN, INCLUDING ADULTS, CHILDREN, AND INFANTS. MOST HAVE SHORT-TERM SKILLED CARE OR REHABILITATION NEEDS FOLLOWING A HOSPITALIZATION OR ILLNESS. OTHERS NEED TEMPORARY OR ONGOING ASSISTANCE FOR CHRONIC CONDITIONS. THEDACARE ALSO OFFERS INDEPENDENT LIVING, ASSISTED LIVING, OR SKILLED CARE UNITS, AT THE HERITAGE, PEABODY MANOR AND JULIETTE MANOR COMMUNITIES. CHERRY MEADOWS HOSPICE PROVIDES CARE FOR END-OF-LIFE RESIDENTS IN A DIGNIFIED, COMPASSIONATE ENVIRONMENT. 302904328 true true false true false false false false false true true false true true false false true false false true false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true X 426 0 true 7534 true true true true false false false false false false false false true false X 14 12 false false false false false false false true true false false true true true true true true true true true true X CHRIS SANBORN 9204544184 PO BOX 8025 APPLETON WI 549128025 Imran Andrabi MD President & CEO - System 11.0 29.0 X X 1808832 0 654639 Jim Kotek Chair, Board Member 1.0 3.0 X X 0 0 0 Kim Underhill Vice Chair, Board Member 1.0 3.0 X X 0 0 0 Anitha Rao MD Board Member 1.0 3.0 X 0 0 0 Chuck Dallas Board Member 1.0 3.0 X 0 0 0 David Koeper MD Board Member 1.0 3.0 X 0 0 0 Jim Meyer Board Member 1.0 3.0 X 0 0 0 John Bere' Board Member 1.0 3.0 X 0 0 0 Laurie Carter Board Member 1.0 3.0 X 0 0 0 Mary Goggans Board Member 1.0 3.0 X 0 0 0 Norma Turk MD Board Member/Physician 1.0 39.0 X 249788 0 53594 Patrick Brennan MD Board Member 1.0 3.0 X 0 0 0 Terry Timm Past Chair, Board Member 1.0 3.0 X 0 0 0 Tim Bergstrom Board Member 1.0 3.0 X 0 0 0 James Albin Chief Information Officer 12.0 28.0 X 494205 0 49169 Maggie Lund Chief Human Resource Officer 12.0 28.0 X 534688 0 165995 Mark Thompson Senior VP, CFO & COO - System, Treasurer 11.0 29.0 X 1160821 0 311108 Paul Van Den Heuvel Secretary, Chief Legal Strategist 37.0 3.0 X 370852 0 152744 Brian Sterns Chief Digital Health Officer 12.0 28.0 X 266613 0 135716 Thomas Arquilla Chief Strategy Officer 11.0 29.0 X 738065 0 188954 Babar Parvez MD Physician 0.0 40.0 X 902708 0 44411 David Liebelt MD Physician 0.0 40.0 X 1270987 0 44411 Eric Erickson MD Physician 0.0 40.0 X 1554910 0 38700 Joshua Blomberg MD Physician 0.0 40.0 X 1328269 0 38960 Nicholas Augelli MD Physician 0.0 40.0 X 743943 0 69411 11424680 0 1947812 668 false true false ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI OH 45263 BUSINESS SERVICES 26882829 GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA WI 53188 MEDICAL EQUIPMENT MAINTENANCE 8183995 TOTAL MSP LLC 221 W COLLEGE AVE 2ND FLOOR APPLETON WI 54911 MEDICAL STAFFING 5556698 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 MEDICAL STAFFING 5365873 ACCESS HEALTH PARTNERS LLC 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 MEDICAL STAFFING 2598093 105 583567 4652512 5236079 PATIENT/CLIENT SERVICES 621110 264346035 264346035 MANAGEMENT SERVICE FEES 541900 16545067 16545067 INFORMATION TECHNOLOGY 541511 7177703 1306767 5870936 TRANSCRIPTION SERVICES 541511 69657 69657 0 0 0 0 288138462 18788728 18788728 529840 529840 0 529840 529840 27193839 8185 27193839 8185 27202024 27202024 RISK SHARING PERFORMANCE REVENUE 900099 21798257 21798257 OTHER REVENUE 900099 9714398 127243 9587155 PARTNERSHIP K-1 UBI 900099 758936 1284056 -525120 0 0 0 0 32271591 372166724 282267526 7282235 77380884 1263304 1263304 7335783 5868626 1467157 208106415 158160875 49945540 7670496 5752872 1917624 34608438 26302413 8306025 15197944 11550437 3647507 1529589 1529589 35998909 26999182 8999727 0 7823591 5867693 1955898 6523045 4892284 1630761 29738427 22303820 7434607 19412883 14559662 4853221 1219055 914291 304764 1646523 1234892 411631 11387002 11387002 10061283 7747188 2314095 1736727 1302545 434182 MEDICAL SUPPLIES/EQUIPMENT/REPAIR 4616039 3462029 1154010 DUES/FEES 4843215 3632411 1210804 FOOD/NUTRITION 713699 535274 178425 UNRELATED BUSINESS INCOME TAX EXPENSE 453587 453587 732193 554530 177663 0 412618147 302904328 109713819 0 17255 3923220 39035373 0 0 0 0 729365 748452 17124807 14150802 284961847 135152283 194389084 149809564 698203230 700049078 186672987 139115861 0 10438583 93923501 1111481276 1136849886 516447851 697081539 48599083 18508248 310816854 302277772 0 0 37769755 738363548 841979277 1651997091 1859846836 X -540525815 -723006950 10000 10000 -540515815 -722996950 1111481276 1136849886 -40451423 -142029712 0 X false true X true false X 1182180 1217022 6102821 907617 5236079 14645719 284057977 307325985 256343147 298576069 282267526 1428570704 0 0 0 285240157 308543007 262445968 299483686 287503605 1443216423 0 0 0 0 0 0 0 0 0 0 5356817 5356817 0 0 0 0 5356817 5356817 1437859606 12316183 76735022 75557136 116278319 18788728 299675388 0 12316183 76735022 75557136 116278319 18788728 299675388 883561 755879 311223 1131126 3081789 13867324 98636221 13102069 18238682 30860292 174704588 312307225 483914250 351861052 434311910 338283751 1920678188 0.7486 0.7555 0.16 0.1522 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER REVENUE, COLUMN A - 13867324.0, COLUMN B - 98636221.0, COLUMN C - 13102069.0, COLUMN D - 18238682.0, COLUMN E - 30860292.0, COLUMN F - XXX-XX-XXXX.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 87896 false false false false false 87896 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES WERE DONE TO INFLUENCE THE STATE OF WISCONSIN GOVERNING BODY. NO EFFORT WAS MADE TO INFLUENCE THE FEDERAL GOVERNMENT, OR TO SUPPORT ANY CANDIDATE. SEE DETAIL OF LOBBYING EXPENDITURES ONLINE AT HTTP://LOBBYING.WI.GOV. ITEMS THAT WERE LOBBIED INCLUDE CERTIFICATION PROGRAMS FOR TRAINING AND TESTING NURSE AIDES AND FEEDING ASSISTANTS, MEDICAL EQUIPMENT REIMBURSEMENT FOR NURSING HOME RESIDENTS, LONG-TERM CARE SERVICES AND WORKFORCE CRISIS, AND OTHER HEALTHCARE MATTERS. 20427857 20427857 121046946 49783989 71262957 128923989 85368294 43555695 14563055 14563055 149809564 OTHER EQUITY INVESTMENTS 139115861 F 139115861 OPERATING RIGHT-OF-USE ASSETS 85565989 CAPITAL LEASE ASSET 2546140 OTHER ASSETS 5811372 93923501 DUE FROM AFFILIATES 741430175 OPERATING LEASE LIABILITY 81829193 CAPITAL LEASE LIABILITY 3200719 DEFERRED COMP / RETIREMENT LIABILITIES 15493734 OTHER LIABILITIES 25456 841979277 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. Central America and the Caribbean 0 0 Investments N/A 32206240 0 0 0 0 0 0 32206240 0 32206240 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true THEDACARE FAMILY OF FOUNDATIONS INC PO BOX 8025 APPLETON WI 549128025 464112255 501(C)(3) 1263304 GENERAL OPERATING SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. IN ORDER FOR GRANT REQUESTS TO BE CONSIDERED, THEY MUST MEET THE FOLLOWING GUIDELINES: 1) DIRECTED TOWARD PROJECTS THAT SUPPORT THEDACARE'S MISSION AND VALUES; 2) BENEFIT THE COMMUNITES SERVED BY THEDACARE, INC.; OR 3) BENEFIT A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION. CONVERSELY, REQUESTS MUST NOT BE FOR: 1) THE SOLE BENEFIT OF AN INDIVIDUAL; 2) POLITICAL ORGANIZATIONS OR CAMPAIGN COMMITTEES; 3) RELIGIOUS ORGANIZATIONS (FOR STRICTLY RELIGIOUS PURPOSES); 4) ORGANIZATIONS IN CONFLICT WITH THEDACARE'S MISSION AND VALUES; OR 5) STATE OR NATIONAL CAMPAIGNS. ALL ORGANIZATIONS REQUESTING GRANT FUNDS MUST APPLY THROUGH THE THEDACARE WEBSITE. REQUESTS ARE SCREENED, REVIEWED, AND APPROVED BY A COMMITTEE SIX TIMES THROUGHOUT THE FISCAL YEAR. A LETTER OF RESTRICTION IS ISSUED BY THEDACARE IN CONJUNCTION WITH ALL GRANT CHECKS. THIS LETTER OF RESTRICTION STATES THAT ALL GRANT FUNDS RECEIVED FROM THEDACARE MUST BE USED STRICTLY FOR THE PURPOSES FOR WHICH THEY WERE APPLIED. X true true X X X X false true false false false false false true false Imran Andrabi MD President & CEO - System 1069773 0 625104 0 113954 0 654639 0 0 0 2463471 0 0 0 Norma Turk MD Board Member/Physician 224088 0 20338 0 5362 0 45500 0 8094 0 303382 0 0 0 Maggie Lund Chief Human Resource Officer 370127 0 157543 0 7018 0 157901 0 8094 0 700683 0 0 0 Mark Thompson Senior VP, CFO & COO - System, Treasurer 823122 0 321783 0 15916 0 287197 0 23911 0 1471929 0 0 0 James Albin Chief Information Officer 219539 0 170014 0 104652 0 38878 0 10291 0 543374 0 0 0 Paul Van Den Heuvel Secretary, Chief Legal Strategist 302983 0 60750 0 7118 0 134811 0 17933 0 523596 0 0 0 Thomas Arquilla Chief Strategy Officer 479252 0 200574 0 58239 0 171313 0 17641 0 927019 0 0 0 Brian Sterns Chief Digital Health Officer 200386 0 59016 0 7210 0 111805 0 23911 0 402329 0 0 0 Eric Erickson MD Physician 1489873 0 63327 0 1710 0 38700 0 0 0 1593610 0 0 0 Joshua Blomberg MD Physician 1261746 0 63327 0 3196 0 38960 0 0 0 1367229 0 0 0 David Liebelt MD Physician 1206897 0 63310 0 780 0 20500 0 23911 0 1315398 0 0 0 Babar Parvez MD Physician 831090 0 70838 0 780 0 20500 0 23911 0 947119 0 0 0 Nicholas Augelli MD Physician 672937 0 60450 0 10555 0 45500 0 23911 0 813354 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees ALL EXECUTIVES AT A LEVEL OF VICE PRESIDENT AND ABOVE ARE ELIGIBLE TO HAVE HEALTH OR FITNESS CLUB FEES REIMBURSED TO THEM, AND TAXED UPON REIMBURSEMENT. 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 $102,463 THOMAS ARQUILLA $45,524 JAMES ALBIN $95,700 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: IMRAN ANDRABI, MD $162,871 PAUL VAN DEN HEUVEL $20,282 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 (JANUARY 1, 2022, TO DECEMBER 31, 2022) TO RECEIVE A 2023 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. A WHEFA REV BOND 2012A 391337855 000000000 2012-10-19 49745000 REFUNDING false false false B WHEFA REV BOND 2014A 391337855 000000000 2014-08-06 11554244 REFUNDING false false false C WHEFA REV BOND 2015 391337855 97712DKC9 2015-01-07 140628056 REFUNDING AND FACILITY CONSTRUCTION false false false D WHEFA REV BOND 2019 391337855 97712D4U7 2019-12-20 152951106 REFUNDING AND FACILITY CONSTRUCTION false false false A 7935000 49745000 279179 49465821 2012 true false true true B 8286164 11554244 90600 11463643 2014 true false true true C 15915000 140972887 1236782 93265202 46470904 2017 false true true true D 154466952 1234839 85608050 67624063 2022 true false true true A false false false false 0.0 false false true B false false false false 0.0 false false true C false false false false 0.0 false false true D false false false false 0.0 false false true A false false false true false false false false true B false false false true true false false false true C false false false true false false false false true D false true false false false false false false true A true B true C true D true Schedule K, Part II, Line 3 FOR LISTED BONDS, THE ISSUE PRICE VARIES FROM THE TOTAL PROCEEDS OF ISSUE DUE TO INVESTMENT EARNINGS. Schedule K, Part IV, Line 2c COLUMN A Issuer name: WHEFA REV BOND 2012A The calculation for computing no rebate due was performed on 10/01/2022 Schedule K, Part IV, Line 2c COLUMN B Issuer name: WHEFA REV BOND 2014A The calculation for computing no rebate due was performed on 08/01/2019 Schedule K, Part IV, Line 2c COLUMN C Issuer name: WHEFA REV BOND 2015 The calculation for computing no rebate due was performed on 01/07/2020 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 11b Review of form 990 by governing body A DRAFT OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S DESIGNATED COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. THE FINAL VERSION OF THE FORM 990 IS EMAILED TO THE ENTIRE BOARD BEFORE THE RETURN IS FILED. Form 990, Part VI, 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 INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Schedule F, Part IV, Line 4 THE ORGANIZATION IS AN EXEMPT ENTITY AND THERE IS NO UNRELATED BUSINESS INCOME GENERATED FROM THIS INVESTMENT. THEREFORE, FORM 8621 IS NOT REQUIRED. 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