2013-05-13T14:36:33-05:00 2012-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2012-01-01 262795800 THEDACARE CENTER FOR HEALTHCARE VALUE INC THED 9206597500 100 W LAWRENCE ST NO 422 APPLETON WI 54911 HELEN ZAK 9206597500 2013-05-10 1 TERRI REXRODE CPA MST P00096513 9206620016 2013-05-10 2012 2016-02-24 21:20:13Z HELEN ZAK 100 W LAWRENCE ST NO 422 APPLETON WI 54911 3469733 0 X WWW.CREATEVALUE.ORG X 2008 WI TO BRING EMPLOYERS, INSURERS, GOVERNMENT COMMUNITIES AND PROVIDERS -CONTINUED ON SCHEDULE O TOGETHER TO DEVELOP NEW MODELS OF CARE AND REIMBURSEMENT THAT RESULT IN GREATER EFFICIENCY, EXPERTISE AND VALUE. 15 14 0 14 0 0 760000 535000 1494054 2869172 2990 1957 96598 47058 2353642 3453187 0 0 0 0 437500 678500 0 0 0 1727552 2742320 2165052 3420820 188590 32367 1908226 2185347 1118427 1363181 789799 822166 X TO REDESIGN THREE INTERDEPENDENT COMPONENTS OF THE HEALTHCARE INDUSTRY WHICH WILL RESULT IN IMPROVED VALUE FOR PATIENTS. WE WILL ACCOMPLISH THIS BY COLLABORATING WITH PATIENTS AND LEADERS IN THE PROVIDER, EMPLOYER, INSURER, AND GOVERNMENT COMMUNITIES TO CREATE:TRANSPARENCY OF HEALTHCARE PERFORMANCECARE DELIVERY WITH LESS WASTE AND FEWER ERRORSPAYMENT SYSTEMS THAT REWARD PATIENT VALUE CREATION. 0 0 2321749 1646295 TO TRANSFORM THE HEALTHCARE INDUSTRY TO DELIVER HIGHER VALUE THROUGH EXPERIMENTS, COLLABORATION AND EDUCATION THAT INTEGRATES TRANSPARENCY OF HEALTH CARE PERFORMANCE, CARE DELIVERY WITH LESS WASTE AND FEWER ERRORS, AND PAYMENT SYSTEMS THAT REWARD PATIENT VALUE CREATION. 476702 1241688 CEO SITE VISITS - BRINGING SENIOR LEADERS FROM VARIOUS ORGANIZATIONS TO THEDACARE TO VIEW FIRST-HAND HOW USING LEAN METHODS AND OPERATIONAL IMPROVEMENTS REDUCE COSTS AND ERRORS AND PROVIDE PATIENTS WITH A MUCH BETTER OVERALL HEALTHCARE EXPERIENCE. 2798451 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 WI X JON G CARPENTER 9206597470 100 W LAWRENCE ST SUITE 422 APPLETON WI 54911 DANIEL ARIENS 1.00 X 0 0 0 MAUREEN BISOGNANO 1.00 X 0 0 0 GEORGE KOENIGSAECKER 1.00 X 0 0 0 GARY CONVIS 1.00 X 0 0 0 DEAN GRUNER MD 1.00 X 0 0 0 RANDALL LINTON MD 1.00 X 0 0 0 ARNOLD MILSTEIN MD 1.00 X 0 0 0 PAUL O'NEILL 1.00 X 0 0 0 WALTER RUGLAND 1.00 X X 0 0 0 MICHAEL SACHS 1.00 X 0 0 0 JOHN TORINUS 1.00 X 0 0 0 OREST FIUME 1.00 X 0 0 0 JEFFREY THOMPSON MD 1.00 X 0 0 0 JOHN SHOOK 1.00 X 0 0 0 JOHN TOUSSAINT MD 40.00 X X 340000 0 51000 HELEN ZAK 40.00 X 250000 0 37500 590000 0 88500 2 0 1 0 THEDACARE 122 W COLLEGE AVE APPLETON WI 54911 CONTRACTED MANAGEMENT AND EMPLOYEE SERVI 1454006 LEAN ENTERPRISE INSTITUTE INC 215 FIRST STREET CAMBRIDGE MA 02142 CONTRACTED MANAGEMENT AND EMPLOYEE SERVI 443256 BOTTOM LINE MARKETING 600 W VIRGINA STREET MILWAUKEE WI 53204 MARKETING AND PUBLIC RELATIONS 120876 3 535000 535000 EDUCATION SERVICES 541900 1627484 1627484 CEO SITE VISITS 541900 1241688 1241688 2869172 1957 1957 28247 28247 35357 16546 18811 18811 3453187 2887983 0 30204 678500 495650 182850 6633 6633 1604489 1438552 165937 139695 139695 153389 46458 106931 23817 15169 8648 135421 135421 118421 118421 446692 446692 19 19 55442 55442 11656 11656 SUPPORT SERVICES 46646 46646 3420820 2798451 622369 0 1451148 977130 0 125000 361761 617586 0 28380 1500 16754 515290 94793 93817 420497 1908226 2185347 187758 301081 930669 1062100 1118427 1363181 X 789799 592034 0 230132 789799 822166 1908226 2185347 32367 0 X 0 1 X 0 0 X 1000000 500000 1000000 760000 535000 3795000 25254 160789 710622 1494054 2904529 5295248 1025254 660789 1710622 2254054 3439529 9090248 0 989722 493385 982728 736464 465606 3667905 989722 493385 982728 736464 465606 3667905 5422343 2582 756 16560 99588 30204 149690 2582 756 16560 99588 30204 149690 1027836 661545 1727182 2353642 3469733 9239938 0.58680 0.01620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 155247 8625 146622 360043 86168 273875 420497 X 3469733 0 3469733 -16546 -16546 3453187 3437366 16546 16546 3420820 0 3420820 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUBSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT-RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS FOR FISCAL YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -16,546. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 16,546. X X 0 0 0 0 0 0 0 0 0 JOHN TOUSSAINT MD 340000 0 0 0 0 0 0 0 51000 0 391000 0 0 0 HELEN ZAK 250000 0 0 0 0 0 0 0 37500 0 287500 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION ADOPTED A POLICY FOR HELEN ZAK AND JON CARPENTER TO REVIEW THE 990 PRIOR TO FILING. IN ADDITION, THE BOARD MEMBERS HAVE AN OPPORTUNITY TO SEE THE RETURN VIA E-MAIL BEFORE SUBMITTING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH DIRECTOR, PRINICIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT AND IN ADDITION PERIODIC REVIEWS ARE PERFORMED. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT CONTRACTORS ARE SELECTED BASED ON THE REQUIRED SKILL SET AND AVAILABILITY TO COMPLETE PROJECTS AS DIRECTED BY ORGANIZATIONAL LEADERSHIP. ALL COMPENSATION IS PAID TO AN UNRELATED NONPROFIT MANAGEMENT COMPANY THAT UTILIZES THE APPROPRIATE PROCESSES IN DETERMINING COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER FEES FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 46,894. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,894. SALARIES EXPENSE: PROGRAM SERVICE EXPENSES 954,429. MANAGEMENT AND GENERAL EXPENSES 115,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,070,245. BENEFITS: PROGRAM SERVICE EXPENSES 308,262. MANAGEMENT AND GENERAL EXPENSES 50,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 358,383. ADVISORY FEES: PROGRAM SERVICE EXPENSES 128,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,967.