2019-11-13T13:55:55-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DRIVE SUITE 300 WAUWATOSA WI 53226 990 2018-01-01 391509362 THEDACARE INC THED 9207355560 PO BOX 8025 APPLETON WI 549128025 MARK THOMPSON CFO & COO 9207355560 2019-10-30 1 KURT BENNION P01469618 4144761880 2019-10-30 67.137.57.251 2019-10-30 21:10:34 PD P 421C05F217CC2BBC2E194AA24BEB5C1FD571BD26 4F0DB10180B0B136453F8AAC03E8CB7047E914DC 2018 2020-04-17 16:48:07Z X IMRAN ANDRABI MD PO BOX 8025 APPLETON WI 549128025 338419325 0 X WWW.THEDACARE.ORG X 1985 WI IMPROVING THE HEALTH OF OUR COMMUNITY. 14 11 7877 12 5697434 543914 1007240 1182180 282495530 289835897 22144629 33241893 29745665 14089448 335393064 338349418 2223155 1928475 0 0 259377394 269492038 0 0 0 138395567 158691078 399996116 430111591 -64603052 -91762173 816169819 832833769 1191325533 1376872636 -375155714 -544038867 X TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY. 1 0 194706952 0 175168594 THEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.THEDACARE IS A REGIONAL HEALTH SYSTEM OPERATING 7 HOSPITALS AND MORE THAN 180 LOCATIONS THROUGHOUT NORTHEAST AND CENTRAL WISCONSIN, SERVING 14 COUNTIES. THEDACARE EMPLOYS MORE THAN 7,000 TEAM MEMBERS. OUR FIRST HOSPITAL, THEDA CLARK MEMORIAL HOSPITAL, NOW THEDACARE REGIONAL MEDICAL CENTER-NEENAH, OPENED IN 1909. THE ORGANIZATION HAS BEEN SERVING GENERATIONS OF FAMILIES FOR MORE THAN 110 YEARS. 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 WITH MORE THAN 1,100 PROVIDERS DELIVERING CARE TO OUR 600,000 COMMUNITY MEMBERS, WHICH REPRESENTS MORE THAN 686,800 VISITS ANNUALLY. 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 ADDITON, WE OFFER 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 HEALTH NEEDS 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.THEDACARE OFFERS SCHOLARSHIPS, INTERPRETING AND EDUCATIONAL SERVICES, AS WELL AS VARIOUS OTHER COMMUNITY BENEFITS. 113828267 1928475 50700951 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. 55474288 0 58188432 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. 364009507 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 595 0 7877 1 1 1 1 OC 0 0 0 0 0 0 0 0 1 0 X 14 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X NATHANIEL CHERNE 9207355560 PO BOX 8025 APPLETON WI 549128025 TERRY TIMM CHAIR 1.00 2.00 X X 0 0 0 JIM KOTEK VICE CHAIR & SECRETARY 1.00 2.00 X X 0 0 0 IMRAN ANDRABI MD PRESIDENT & CEO - SYSTEM 12.00 28.00 X X 317492 740815 33640 TIM BERGSTROM BOARD MEMBER 1.00 3.00 X 0 0 0 PATRICK BRENNAN MD BOARD MEMBER 1.00 2.00 X 0 0 0 MARK BURSTEIN BOARD MEMBER 1.00 2.00 X 0 0 0 JOHN DAVIS BOARD MEMBER 1.00 2.00 X 0 0 0 GARY EDELMAN MD BOARD MEMBER / PHYSICIAN 41.00 2.00 X 499600 0 30264 DAVID KOEPER MD BOARD MEMBER 1.00 2.00 X 0 0 0 GRANT LAMONTAGNE BOARD MEMBER (THROUGH FEB 2018) 1.00 2.00 X 0 0 0 JIM MEYER BOARD MEMBER 1.00 3.00 X 0 0 0 DOUGLAS MOARD MD BOARD MEMBER / PHYSICIAN 41.00 2.00 X 320712 0 35726 KAREN TIMBERLAKE BOARD MEMBER 1.00 2.00 X 0 0 0 NORMA TURK MD BOARD MEMBER / PHYSICIAN 1.00 42.00 X 0 351579 20462 MARIA VAN LAANEN BOARD MEMBER 1.00 2.00 X 0 0 0 CYRIL WALSH MD BOARD MEMBER 1.00 2.00 X 0 0 0 MARK THOMPSON SENIOR VP, CFO & COO - SYSTEM 12.00 28.00 X 175311 409060 31595 TIM OLSON CFO - CLINICALLY INTEGRATED NETWORK 12.00 28.00 X 92702 216304 19727 JAMES ALBIN CIO 12.00 28.00 X 112318 262073 31617 THOMAS ARQUILLA CSO 12.00 28.00 X 138228 322530 27305 JENNIFER REDMAN-SCHELL SENIOR VP, CLINICALLY INTEGRATED NETWORK 26.00 14.00 X 242540 130600 31200 MAGGIE LUND CHRO 12.00 28.00 X 90582 211357 14723 BRIAN STERNS CHIEF OF STAFF 12.00 28.00 X 49225 114858 25503 JOSHUA BLOMBERG MD PHYSICIAN 40.00 0.00 X 1120010 0 33306 ERIC ERICKSON MD PHYSICIAN 40.00 0.00 X 1709713 0 33534 DAVID JONES MD PHYSICIAN 40.00 0.00 X 1056922 0 33474 KENNETH KLEIST MD PHYSICIAN 40.00 0.00 X 1091207 0 32420 JEFFREY SUNDBLAD MD PHYSICIAN 40.00 0.00 X 803569 0 30506 MAUREEN PISTONE FORMER KEY EMPLOYEE 12.00 28.00 X 111569 260329 6826 7931700 3019505 471828 313 1 1 0 ENSEMBLE RCM LLC PO BOX 639076 CINCINNATI OH 45263 BUSINESS SERVICES 12824334 DIXON HUGHES GOODMAN LLP PO BOX 602828 CHARLOTTE NC 282602828 BUSINESS SERVICES 941465 GODFREY & KAHN SC BIN 318 MILWAUKEE WI 532880318 LEGAL SERVICES 631496 VERGE SOLUTIONS LLC PO BOX 394 MOUNT PLEASANT SC 29465 IT SERVICES 556850 FOX VALLEY PATHOLOGISTS LLC 1818 N MEADE STREET APPLETON WI 54911 MEDICAL SERVICES 556714 33 993025 189155 1182180 PATIENT/CLIENT SERVICES 621110 252736024 252736024 MANAGEMENT SERVICE FEES 541900 31300785 31300785 INFORMATION TECHNOLOGY SERVICES 541511 5689427 5689427 TRANSCRIPTION SERVICES 541511 88493 88493 EHR INCENTIVE 541519 21168 21168 289835897 12013573 12013573 302610 0 302610 302610 302610 21276040 0 47720 21276040 -47720 21228320 21228320 38828 22187 16641 16641 OTHER REVENUE 900099 10829983 10829983 RISK SHARING PERFORMANCE REVENUE 900099 2609950 2609950 EARNINGS FROM EQUITY INVESTMENTS 900099 330264 -97127 427391 13770197 338349418 284057977 5697434 47411827 1928475 1928475 2180215 1870831 309384 113618 90894 22724 163380346 146058850 17321496 21797022 17435354 4361668 55411909 44226124 11185785 26608928 21286820 5322108 1723296 1390239 333057 789118 639272 149846 1358295 1086636 271659 30674844 25593364 5081480 4194269 3343424 850845 9619359 7553437 2065922 11982867 9543897 2438970 40872724 37782675 3090049 1324978 874485 450493 5829313 3847347 1981966 12984937 8570058 4414879 17531012 11752502 5778510 1050672 932824 117848 UBI TAXES 162277 162277 BAD DEBT EXPENSE 7876820 7876820 COST OF GOODS SOLD 6598043 6594756 3287 EQUIPMENT MAINTENANCE 2865342 2707084 158258 1252912 1023339 229573 430111591 364009507 66102084 0 28258901 111459219 36207403 48154392 543588 906717 7435030 9079437 330418296 174070694 167186294 156347602 404340822 340228607 167724100 150190523 1770833 4473681 14696439 816169819 832833769 64897377 87469796 98854068 97551688 277315813 271755445 3238476 7486254 747019799 912609453 1191325533 1376872636 X -375165714 -544048867 10000 10000 -375155714 -544038867 816169819 832833769 -91762173 -55097923 -22023057 0 X 0 1 X 1 0 X 145561 624035 4865530 1007240 1182180 7824546 271744255 242383709 252609545 277431799 284057977 1328227285 271889816 243007744 257475075 278439039 285240157 1336051831 0 0 0 1336051831 11938206 7069362 7091228 7998243 12316183 46413222 11938206 7069362 7091228 7998243 12316183 46413222 0 0 0 0 883561 883561 4849316 5497729 8754152 29468854 13867324 62437375 288677338 255574835 273320455 315906136 312307225 1445785989 0.92410 0.97080 0.03210 0.02920 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RISK SHARING PERFORMANCE REVENUE EQUITY INVESTMENT EARNINGS CHILD LEARNING CENTER REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 2508 0 0 0 0 0 2508 0 PART II-B, LINE 1: 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 LICENSURE OR CERTIFICATE RENEWAL FOR CERTAIN EMERGENCY MEDICAL SERVICES PERSONNEL AND AMBULANCE SERVICE PROVIDERS, AS WELL AS OTHER HEALTHCARE MATTERS. 17441587 17441587 137624389 40238030 97386359 1007965 793586 214379 164708236 133039078 31669158 9636119 9636119 156347602 131071130 F EQUITIES 19119393 F 150190523 DUE TO AFFILIATES 912609453 912609453 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS N/A 64505016 0 0 0 0 0 0 64505016 0 64505016 1 0 0 1 0 0 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. 1 THEDACARE FAMILY OF FOUNDATIONS INC PO BOX 8025 APPLETON WI 549128025 464112255 501(C)(3) 1161163 GENERAL OPERATING SUPPORT BOYS AND GIRLS CLUB OF OSHKOSH INC PO BOX 411 OSHKOSH WI 54903 396120658 501(C)(3) 23000 GENERAL OPERATING SUPPORT BOYS AND GIRLS CLUB OF GREEN BAY 1300 S UNION STREET SHAWANO WI 54166 396102943 501(C)(3) 10000 GENERAL OPERATING SUPPORT COMMUNITY FOUNDATION PO BOX 563 APPLETON WI 54912 391548450 501(C)(3) 205000 GENERAL OPERATING SUPPORT HARBOR HOUSE 720 W 5TH STREET APPLETON WI 54914 391870927 501(C)(3) 34708 GENERAL OPERATING SUPPORT RURAL HEALTH INITIATIVE 100 COUNTY ROAD B SHAWANO WI 54166 208635695 501(C)(3) 41000 GENERAL OPERATING SUPPORT UNITED WAY FOX CITIES INC PO BOX 928 NEENAH WI 549570928 390912895 501(C)(3) 20175 GENERAL OPERATING SUPPORT YMCA OF THE FOX CITIES 218 E LAWRENCE STREET APPLETON WI 54911 390806191 501(C)(3) 93725 GENERAL OPERATING SUPPORT KIMBERLY HIGH SCHOOL 1662 E KENNEDY AVENUE KIMBERLY WI 54136 396002809 KIMBERLY HIGH SCHOOL 50349 GENERAL OPERATING SUPPORT BOYS & GIRLS CLUB OF THE TRI-COUNTY AREA INC 344 BROADWAY STREET BERLIN WI 54923 820721270 501(C)(3) 15150 GENERAL OPERATING SUPPORT WAUSHARA COUNTY DEPARTMENT OF AGING 209 S ST MARIE STREET WAUTOMA WI 54982 396005759 DEPT OF AGING 18000 GENERAL OPERATING SUPPORT 11 0 PART I, LINE 2: 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 X 1 1 X X X X 0 1 0 0 0 0 0 1 0 IMRAN ANDRABI MD PRESIDENT & CEO - SYSTEM 276143 644334 40790 95177 559 1304 2475 5775 7617 17773 327584 764363 0 0 GARY EDELMAN MD BOARD MEMBER / PHYSICIAN 461856 0 37744 0 0 0 8250 0 22014 0 529864 0 0 0 DOUGLAS MOARD MD BOARD MEMBER / PHYSICIAN 320584 0 128 0 0 0 8250 0 27476 0 356438 0 0 0 NORMA TURK MD BOARD MEMBER / PHYSICIAN 0 257047 0 94532 0 0 0 8250 0 12212 0 372041 0 0 MARK THOMPSON SENIOR VP, CFO & COO - SYSTEM 167064 389816 431 1007 7816 18237 2714 6333 6764 15784 184789 431177 0 0 TIM OLSON CFO - CLINICALLY INTEGRATED NETWORK 67035 156414 38 90 25629 59800 2041 4763 3877 9046 98620 230113 0 0 JAMES ALBIN CIO 105297 245692 5595 13055 1426 3326 2475 5775 7010 16357 121803 284205 0 0 THOMAS ARQUILLA CSO 117653 274523 16341 38129 4234 9878 1525 3559 6660 15561 146413 341650 0 0 JENNIFER REDMAN-SCHELL SENIOR VP, CLINICALLY INTEGRATED NET 181310 97629 11569 6230 49661 26741 5363 2888 14917 8032 262820 141520 0 0 MAGGIE LUND CHRO 73508 171518 9641 22496 7433 17343 2282 5324 2135 4982 94999 221663 0 0 BRIAN STERNS CHIEF OF STAFF 46898 109429 0 0 2327 5429 1114 2600 6537 15252 56876 132710 0 0 JOSHUA BLOMBERG MD PHYSICIAN 961332 0 148210 0 10468 0 8250 0 25056 0 1153316 0 0 0 ERIC ERICKSON MD PHYSICIAN 1609585 0 100128 0 0 0 8250 0 25284 0 1743247 0 0 0 DAVID JONES MD PHYSICIAN 906500 0 100128 0 50294 0 8250 0 25224 0 1090396 0 0 0 KENNETH KLEIST MD PHYSICIAN 1091079 0 128 0 0 0 8250 0 24170 0 1123627 0 0 0 JEFFREY SUNDBLAD MD PHYSICIAN 737530 0 48509 0 17530 0 8527 0 21979 0 834075 0 0 0 MAUREEN PISTONE FORMER KEY EMPLOYEE -465 -1086 38 90 111996 261325 0 0 2048 4778 113617 265107 0 0 PART I, LINE 1A ALL EXECUTIVES AT THE LEVEL OF VICE PRESIDENT OR ABOVE RECEIVE REIMBURSEMENT FOR PERSONAL MEDICAL EXPENSES AT A MAXIMUM AMOUNT OF $6,800, THAT IS TAXED UPON REIMBURSEMENT. 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. PART I, LINE 4B 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 409A AND 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS MAY ELECT THE BENEFIT TO BE USED TO PURCHASE PARTICULAR INSURANCE BENEFITS, INVEST IN A CAPITAL ACCUMULATION ACCOUNT 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. PART I, LINE 7 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 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, 2018 TO DECEMBER 31, 2018) TO RECEIVE A 2019 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. A WHEFA REV BOND 2009A 391337895 97710BHY1 2009-06-16 87896508 FACILITY CONSTRUCTION RENOVATION AND REMODELING 0 0 0 B WHEFA REV BOND 2009B 391337895 97710BJL7 2009-06-16 36717948 REFUNDING 0 0 0 C WHEFA REV BOND 2010 391337855 97710BWA6 2010-05-25 25508288 REFUNDING 0 0 0 D WHEFA REV BOND 2012A 391337855 2012-10-19 49745000 REFUNDING 0 0 0 A 14320000 88469772 6292875 1018634 81127264 2010 0 0 1 1 B 30255000 36717948 1764908 425525 34558000 1 0 1 1 C 11060000 25508288 332397 25175981 1 0 1 1 D 49745000 279179 49465821 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 0 1 0 0 0 0 0 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WHEFA REV BOND 2009A DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2018 ISSUER NAME: WHEFA REV BOND 2009B DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2018 ISSUER NAME: WHEFA REV BOND 2010 DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2015 ISSUER NAME: WHEFA REV BOND 2012A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2017 PART II, LINE 3B: FOR THE WHEFA REV BOND 2015, THE ISSUE PRICE VARIES FROM THE TOTAL PROCEEDS OF ISSUE DUE TO INVESTMENT EARNINGS OF $344,831. A WHEFA REV BOND 2014A 391337855 2014-08-06 11554244 REFUNDING 0 0 0 B WHEFA REV BOND 2015 391337855 97712DKC9 2015-01-07 140628056 REFUNDING AND FACILITY CONSTRUCTION RENO 0 0 0 A 1750000 11554244 90600 11463643 1 0 1 1 B 7145000 140972887 1236782 93265202 46470904 0 1 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART III, LINE 2 ON JUNE 13, 2018, THEDACARE FINALIZED THE ACQUISITION OF THE ASSETS OF THE PHYSICIAN GROUP, FOX VALLEY HEMATOLOGY & ONCOLOGY. THE ACQUISITION EXPANDS ACCESS TO ONCOLOGY EXCELLENCE FOR THE PATIENTS IN THE COMMUNITIES WHERE THEY LIVE AND WORK INCLUDING APPLETON, NEENAH AND OSHKOSH, AND ESPECIALLY IN THE RURAL AREAS INCLUDING BERLIN, SHAWANO, NEW LONDON AND WAUPACA WHERE THEDACARE IS NOW OFFERING CANCER CARE MULTIPLE DAYS PER WEEK. FORM 990, PART V, LINE 4A: THEDACARE, INC. HAS A FINANCIAL INTEREST IN FOREIGN HEDGE FUNDS. PURSUANT TO THE IRS DEFINITION OF FOREIGN FINANCIAL ACCOUNTS, A FOREIGN HEDGE FUND IS NOT REPORTABLE FOR PURPOSES OF FORM 114. THUS, THEDACARE, INC. HAS ANSWERED "YES" TO PART V, QUESTION 4A ON THE 2018 FORM 990; HOWEVER, NO FORM 114 IS REQUIRED. FORM 990, PART VI, SECTION A, LINE 1 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, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION B, LINE 15 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 DECEMBER 2018 AND JANUARY 2019. FORM 990, PART VI, SECTION C, LINE 19 THEDACARE INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. 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