THEDACARE MEDICAL CENTER-WAUPACA INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: THEDACARE MEDICAL CENTER-WAUPACA INC (EIN 39-0871113)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202611349349311661
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T16:01:15+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Street Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390871113	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ThedaCare Medical Center - Waupaca Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	THED	BusinessNameControlTxt
Phone	7152581000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8025	AddressLine1Txt
City	Appleton	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	549128025	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Flett	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7152581000	PhoneNum
Signature	2026-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kevin Ensminger	PreparerPersonNm
PTIN	P01310558	PTIN
Phone	8162216300	PhoneNum
Preparation	2026-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	IMRAN ANDRABI MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8025	AddressLine1Txt
City	Appleton	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	549128025	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$67,469,168	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.THEDACARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	IMPROVING THE HEALTH OF OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$19,230	PYContributionsGrantsAmt
CY Contributions Grants	$64,002	CYContributionsGrantsAmt
PY Program Service Revenue	$27,970,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$61,048,746	CYProgramServiceRevenueAmt
PY Investment Income	$254,707	PYInvestmentIncomeAmt
CY Investment Income	$427,448	CYInvestmentIncomeAmt
PY Other Revenue	$168,624	PYOtherRevenueAmt
CY Other Revenue	$383,286	CYOtherRevenueAmt
PY Total Revenue	$28,412,561	PYTotalRevenueAmt
CY Total Revenue	$61,923,482	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$11,531,782	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,050,478	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,370,946	PYOtherExpensesAmt
CY Other Expenses	$31,370,952	CYOtherExpensesAmt
PY Total Expenses	$25,902,728	PYTotalExpensesAmt
CY Total Expenses	$55,421,430	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,509,833	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,502,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$155,992,236	TotalAssetsBOYAmt
Total Assets EOY	$177,756,067	TotalAssetsEOYAmt
Total Liabilities BOY	$1,613,820	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$15,704,066	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$154,378,416	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$162,052,001	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, DELIVERED IN THE MOST EFFICIENT AND COST-EFFECTIVE WAYS, AND ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$44,347,873	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$61,048,746	RevenueAmt
Desc	THEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEDACARE MEDICAL CENTER-WAUPACA IS A 25-BED CRITICAL ACCESS HOSPITAL SERVING WAUPACA AND NEARBY COMMUNITIES. THERE ARE MORE THAN 225 TEAM MEMBERS LOCATED AT THE WAUPACA CAMPUS. THEDACARE REGIONAL MEDICAL CENTER-WAUPACA 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. IN ADDITION, WE OFFER AND CONVENIENT WALK-IN CARE, AND E-VISITS FOR ENHANCED COMMUNITY ACCESS TO HEALTH CARE. EFFECTIVE JANUARY 1, 2024, THEDACARE MEDICAL CENTER - WAUPACA 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 HEALTH NEEDS ASSESSMENT IN COUNTIES (WAUPACA) 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.	Desc
Total Program Service Expenses	$44,347,873	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	William Flett	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7152581000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8025	AddressLine1Txt
City	APPLETON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	549128025	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
ERIC HENDRICKSON
VICE CHAIR, BOARD MEMBER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JEREMY KOEHLER
SECRETARY, BOARD MEMBER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD PHILLIPSEN
CHAIRMAN, BOARD MEMBER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
SUZANNE UDONI
TREASURER, BOARD MEMBER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
DALE GISI
SVP, TC-CENTRAL REGION, BOARD MEMBER	1.0	49.0	Yes (X)		$0	$954,900	$168,718
ELLEN WENBERG MD
PHYSICIAN, BOARD MEMBER END 01/25	1.0	39.0	Yes (X)		$0	$244,811	$49,899
JACQUELINE ANHALT
CHIEF NURSING OFFICER, BOARD MEMBER	4.0	46.0	Yes (X)		$0	$686,927	$57,399
LOU ANN MOKWA
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
TIMOTHY NEUVILLE
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
BRIAN STERNS
CHIEF DIGITAL HEALTH OFFICER	4.0	46.0		Yes (X)	$0	$608,961	$153,031
IMRAN ANDRABI MD
PRESIDENT & CEO - SYSTEM	4.0	46.0		Yes (X)	$0	$4,591,338	$647,039
MAGGIE LUND
CHIEF CULTURE AND INTEGRATION OFFICER	4.0	46.0		Yes (X)	$0	$1,355,811	$62,717
WILLIAM FLETT
CHIEF FINANCIAL OFFICER	4.0	46.0		Yes (X)	$0	$623,899	$178,131

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,066,647	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,316,934	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOTAL MSP LLC (SIMPLIFI STAFFENCY)
221 W College Ave 2nd Floor	Appleton	WI	54911	Medical Staffing	$449,496
BURLINGTON HEALTHCARE PROVIDERS INC
W329 N4476 Lakeland Dr STE 140	Nashotah	WI	53058	Medical Staffing	$353,214
AGILITI HEALTH INC
6625 W 78th St STE 300	Minneapolis	MN	55439	Medical Staffing	$231,280
CHG MEDICAL STAFFING INC
PO Box 972651	Dallas	TX	75397	Medical Staffing	$210,309
TWEET GAROT MECHANICAL INC
2545 Larsen Rd	Green Bay	WI	543071767	Facilities Repairs & Maintenance	$203,971

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Related Organizations	$64,002	RelatedOrganizationsAmt
Total Contributions	$64,002	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$61,048,746	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,048,746	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$61,048,746	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$494,772	TotalRevenueColumnAmt
Exclusion	$494,772	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$195,267	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$195,267	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$195,267	TotalRevenueColumnAmt
Exclusion	$195,267	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,476,041	SecuritiesAmt
Other	$2,321	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,545,686	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$69,645	SecuritiesAmt
Other	$2,321	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$67,324	TotalRevenueColumnAmt
Exclusion	-$67,324	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722210	$167,752	$167,752
OTHER OPERATING REVENUE	900099	$20,267	$20,267

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$188,019	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,923,482	TotalRevenueColumnAmt
Related Or Exempt Func Income	$61,048,746	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$810,734	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$19,389,838	TotalAmt
Program Services	$15,769,593	ProgramServicesAmt
Management And General	$3,620,245	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$419,530	TotalAmt
Program Services	$338,840	ProgramServicesAmt
Management And General	$80,690	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,188,603	TotalAmt
Program Services	$2,575,327	ProgramServicesAmt
Management And General	$613,276	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,052,507	TotalAmt
Program Services	$850,074	ProgramServicesAmt
Management And General	$202,433	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,630,632	TotalAmt
Management And General	$1,630,632	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,464	TotalAmt
Management And General	$3,464	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$25,625	TotalAmt
Management And General	$25,625	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,837,295	TotalAmt
Program Services	$4,746,113	ProgramServicesAmt
Management And General	$2,091,182	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$276	TotalAmt
Management And General	$276	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$245,420	TotalAmt
Program Services	$245,420	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,675,528	TotalAmt
Program Services	$451,667	ProgramServicesAmt
Management And General	$2,223,861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$37,304	TotalAmt
Program Services	$37,304	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$42,690	TotalAmt
Program Services	$42,690	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,166,764	TotalAmt
Program Services	$2,584,891	ProgramServicesAmt
Management And General	$581,873	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$113,617	TotalAmt
Program Services	$113,617	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL & OTHER SUPPLIES	$15,035,554	$15,035,554
EQUIPMENT & MAINTENANCE	$806,223	$806,223
FOOD & NUTRITION	$267,376	$267,376
MEDICAID ASSESSMENT	$105,164	$105,164

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$378,020	TotalAmt
Program Services	$378,020	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,421,430	TotalAmt
Program Services	$44,347,873	ProgramServicesAmt
Management And General	$11,073,557	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,161	BOYAmt
EOY	$12,996,870	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,871,357	BOYAmt
EOY	$19,328,531	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,745,207	BOYAmt
EOY	$2,157,553	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$58,140	BOYAmt
EOY	$146,273	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,250,327	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,805,901	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$34,179,784	BOYAmt
EOY	$35,444,426	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$19,356,683	BOYAmt
EOY	$17,264,693	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$93,778,904	BOYAmt
EOY	$90,417,721	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$155,992,236	BOYAmt
EOY	$177,756,067	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,071,118	BOYAmt
EOY	$13,522,786	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$542,702	BOYAmt
EOY	$2,181,280	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,613,820	BOYAmt
EOY	$15,704,066	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,378,416	BOYAmt
EOY	$162,052,001	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$154,378,416	BOYAmt
EOY	$162,052,001	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$155,992,236	BOYAmt
EOY	$177,756,067	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$6,502,052	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,171,533	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,464	OtherActivitiesAmt
Total Lobbying Expenditures	$3,464	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A PORTION OF THE WHA DUES REPRESENT LOBBYING PERFORMED IN REGARD TO HEALTHCARE ISSUES. TOTAL DUES PAID IN 2024 WERE $21,882 15.8% OF THIS AMOUNT WAS SPENT ON LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,808,804	OtherCostOrOtherBasisAmt
Book Value	$1,808,804	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,241,578	OtherCostOrOtherBasisAmt
Depreciation	$1,959,122	DepreciationAmt
Book Value	$29,282,456	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,172,148	OtherCostOrOtherBasisAmt
Depreciation	$1,846,779	DepreciationAmt
Book Value	$4,325,369	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,797	OtherCostOrOtherBasisAmt
Book Value	$27,797	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,444,426	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$1,102,640
DUE FROM AFFILIATE	$89,310,029
LEASE ASSET	$5,052

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,417,721	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Federal Income Taxes
THIRD PARTY SETTLEMENT	$2,181,280

Field	Value	IRS element (for citing)
Total Liability	$2,181,280	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 EVALUATION OF UNCERTAIN TAX POSITIONS	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$386,349	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$386,349	NetCommunityBenefitExpnsAmt
Total Expense	0.00697	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	2779	PersonsServedCnt
Total Community Benefit Expns	$5,553,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,124,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$428,855	NetCommunityBenefitExpnsAmt
Total Expense	0.00774	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	2779	PersonsServedCnt
Total Community Benefit Expns	$5,939,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,124,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$815,204	NetCommunityBenefitExpnsAmt
Total Expense	0.01471	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	37987	PersonsServedCnt
Total Community Benefit Expns	$280,922	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$280,922	NetCommunityBenefitExpnsAmt
Total Expense	0.00507	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	318	PersonsServedCnt
Total Community Benefit Expns	$1,000,998	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000,998	NetCommunityBenefitExpnsAmt
Total Expense	0.01806	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$1,220,714	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,220,714	NetCommunityBenefitExpnsAmt
Total Expense	0.02203	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	101641	PersonsServedCnt
Total Community Benefit Expns	$353,406	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$353,406	NetCommunityBenefitExpnsAmt
Total Expense	0.00638	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	139947	PersonsServedCnt
Total Community Benefit Expns	$2,856,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,856,040	NetCommunityBenefitExpnsAmt
Total Expense	0.05153	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	142726	PersonsServedCnt
Total Community Benefit Expns	$8,795,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,124,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,671,244	NetCommunityBenefitExpnsAmt
Total Expense	0.06624	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	26585	PersonsServedCnt
Total Community Benefit Expns	$6,783	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00012	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	251	PersonsServedCnt
Total Community Benefit Expns	$25,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00047	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	26836	PersonsServedCnt
Total Community Benefit Expns	$32,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,662	NetCommunityBenefitExpnsAmt
Total Expense	0.00059	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,380,776	BadDebtExpenseAmt
Bad Debt Expense Attributable	$662,536	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,730,491	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,347,035	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$383,456	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THEDACARE MEDICAL CENTER - WAUPACA INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 RIVERSIDE DRIVE	AddressLine1Txt
City	WAUPACA	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54981	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.THEDACARE.ORG	WebsiteAddressTxt
State License	1038	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THEDACARE MEDICAL CENTER - WAUPACA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://THEDACARE.ORG/ABOUT-US/COMMUNITY-HEALTH/NEEDS-ASSESSMENT-PLANS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://thedacare.org/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://thedacare.org/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://thedacare.org/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 - WAUPACA, INC.. 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 * 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
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - THEDACARE MEDICAL CENTER - WAUPACA, 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 MEDICAL CENTER - WAUPACA, 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 MEDICAL CENTER - WAUPACA, INC.. 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 - WAUPACA, 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $2,380,776.
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 MEDICAL CENTER - WAUPACA, INC.: 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 - WAUPACA, INC.: 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 - WAUPACA, INC.: Line 16c URL: https://thedacare.org/PATIENTS-AND-VISITORS/BILLING-AND-PAYMENT/FINANCIAL-ASSISTANCE/;
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 MEDICAL CENTER-WAUPACA SERVICE AREA IS BASED IN WAUPACA COUNTY AND IS LOCATED IN EAST-CENTRAL WISCONSIN. THE WAUPACA COUNTY POPULATION HAS DECREASED IN SIZE SINCE 2020, WITH A LARGER PORTION OF THE POPULATION BEING 65 OR OLDER THAN IN WI. THE AREA IS DISSIMILAR IN DEMOGRAPHIC MAKE-UP TO THE REST OF WISCONSIN. IT HAS FEWER PEOPLE WHO ARE BLACK, INDIGENOUS, AND PEOPLE OF COLOR, AND A MUCH LOWER RATE OF PEOPLE PER SQUARE MILE.
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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JACQUELINE ANHALT
CHIEF NURSING OFFICER, BOARD MEMBER	$0	$417,119	$0	$219,776	$0	$50,032	$0	$30,500	$0	$26,899	$0	$744,326	$0	$0
DALE GISI
SVP, TC-CENTRAL REGION, BOARD MEMBER	$0	$496,131	$0	$322,501	$0	$136,268	$0	$159,501	$0	$9,217	$0	$1,123,618	$0	$0
ELLEN WENBERG MD
PHYSICIAN, BOARD MEMBER END 01/25	$0	$228,423	$0	$15,577	$0	$811	$0	$23,000	$0	$26,899	$0	$294,710	$0	$0
IMRAN ANDRABI MD
PRESIDENT & CEO - SYSTEM	$0	$1,794,100	$0	$2,564,672	$0	$232,566	$0	$620,140	$0	$26,899	$0	$5,238,377	$0	$216,027
WILLIAM FLETT
CHIEF FINANCIAL OFFICER	$0	$478,381	$0	$134,891	$0	$10,627	$0	$151,232	$0	$26,899	$0	$802,030	$0	$0
MAGGIE LUND
CHIEF CULTURE AND INTEGRATION OFFICER	$0	$475,136	$0	$714,014	$0	$166,661	$0	$53,500	$0	$9,217	$0	$1,418,528	$0	$146,797
BRIAN STERNS
CHIEF DIGITAL HEALTH OFFICER	$0	$379,029	$0	$214,812	$0	$15,120	$0	$126,132	$0	$26,899	$0	$761,992	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 DALE GISI $106,001 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 - WAUPACA, INC.
Form 990, Part VI, Line 6 Classes of members or stockholders	THEDACARE MEDICAL CENTER - WAUPACA, INC.'S SOLE MEMBER 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. AMENDMENT OF THE ARTICLES OF INCORPORATION; 2. ADOPTION AND AMENDMENT OF BYLAWS OF THE CORPORATION; 3. CONSOLIDATION, MERGER AND DISSOLUTION OF THE CORPORATION; 4. MONITORING COMPLIANCE WITH LAWS AND REGULATIONS; 5. SELECTION, APPOINTMENT, AND REMOVAL OF A CHIEF OPERATING OFFICER; 6. PROVISION FOR LONG-RANGE FINANCIAL STABILITY OF THE HOSPITAL AND PROVISION FOR THE CONTROL AND USE OF THE PHYSICAL AND FINANCIAL RESOURCES OF THE HOSPITAL; 7. ESTABLISHMENT OF A LONG-RANGE PLANNING MECHANISM; 8. APPROVAL OF A HOSPITAL ORGANIZATION AND MAJOR AUTHORITY DELEGATION PATTERNS; 9. APPROVAL OF FINANCIAL, CAPITAL, AND OTHER ITEMS; 10. APPROVAL OF DEBT OR LEASES; AND 11. CONSIDERATION AND ACTION UPON POLICIES CONCERNING RELATIONS WITH EXTERNAL GROUPS AND ORGANIZATIONS.
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 MEDICAL CENTER - WAUPACA, 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 - Total Expense: 1841277, Program Service Expense: 1841277, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 10402, Program Service Expense: 10402, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 4985616, Program Service Expense: 2894434, Management and General Expenses: 2091182, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	false
THEDACARE MEDICAL CENTER - NEW LONDON INC
PO BOX 8025	APPLETON	WI	549128025	390869788	HOSPITAL	WI	501(c)(3)	3	THEDACARE INC	false
THEDACARE MEDICAL CENTER - BERLIN INC
PO BOX 8025	APPLETON	WI	549128025	390806359	HOSPITAL	WI	501(c)(3)	3	THEDACARE INC	false
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
PO BOX 8025	APPLETON	WI	549128025	390824015	HOSPITAL	WI	501(c)(3)	3	THEDACARE INC	false
THEDACARE MEDICAL CENTER - SHAWANO INC
PO BOX 8025	APPLETON	WI	549128025	390807068	HOSPITAL	WI	501(c)(3)	3	THEDACARE INC	false
THEDACARE MEDICAL CENTER - WILD ROSE INC
PO BOX 8025	APPLETON	WI	549128025	396089134	HOSPITAL	WI	501(c)(3)	3	THEDACARE INC	false
THEDACARE FAMILY OF FOUNDATIONS INC
PO BOX 8025	APPLETON	WI	549128025	464112255	FOUNDATION	WI	501(c)(3)	7	THEDACARE INC	false
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	396105970	HOSPITAL	WI	501(c)(3)	3	FROEDTERT THEDACARE HEALTH	false
COMMUNITY MEMORIAL HOSPITAL OF MF
W180 N8085 TOWN HALL ROAD	MENOMONEE FALLS	WI	53051	390987025	HOSPITAL	WI	501(c)(3)	3	FROEDTERT THEDACARE HEALTH	false
ST JOSEPH'S COMMUNITY HOSPITAL OF WB
3200 PLEASANT VALLEY ROAD	WEST BEND	WI	53095	390806302	HOSPITAL	WI	501(c)(3)	3	FROEDTERT THEDACARE HEALTH	false
FROEDTERT WEST BEND HOSPITAL FOUNDATION
3200 PLEASANT VALLEY ROAD	WEST BEND	WI	53095	392034296	HEALTH/WELFARE	WI	501(c)(3)	7	ST JOSEPH'S	false
FROEDTERT HOSPITAL FOUNDATION INC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	391431192	HEALTH/WELFARE	WI	501(c)(3)	7	FROEDTERT THEDACARE HEALTH	false
FROEDTERT MENOMONEE FALLS HOSPITAL FOUNDATION
W180 N8085 TOWN HALL ROAD	MENOMONEE FALLS	WI	53051	391635057	HEALTH/WELFARE	WI	501(c)(3)	10	COMM MEM HOSP	false
COMMUNITY OUTPATIENT HEALTH SERVICES
W180 N8085 TOWN HALL ROAD	MENOMONEE FALLS	WI	53051	391743056	MED/DENT SVCS	WI	501(c)(3)	3	COMM MEM HOSP	false
FH ENTERPRISE SERVICES HOLDINGS INC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	202636686	HEALTHCARE SVCS	WI	501(c)(3)	Type I	FROEDTERT THEDACARE HEALTH	false
HOLY FAMILY MEMORIAL INC
2300 WESTERN AVE	MANITOWOC	WI	54221	390806395	HOSPITAL	WI	501(c)(3)	3	FROEDTERT THEDACARE HEALTH	false
FROEDTERT THEDACARE HEALTH INC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	392014409	MGMNT SVCS	WI	501(c)(3)	Type III-FI	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line2USAddress/AddressLine2Txt
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	POWELL	OH	43065	853472736	PROPERTY HOLDING	OH	THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC	Excluded	SUITE 100
FROEDTERT SURGERY CENTER LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	201499345	SURGERY CENTER	WI	FROEDTERT THEDACARE HEALTH	Related
FMLH MCW REAL ESTATE VENTURES LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	260629591	REAL ESTATE	WI	FROEDTERT THEDACARE HEALTH	Related
WISCONSIN DIAGNOSTIC LABORATORIES LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	391896819	LAB SERVICES	WI	FROEDTERT THEDACARE HEALTH	Related
DREXEL TOWN SQUARE SURGERY CENTER LLC
7901 S 6TH STREET	OAK CREEK	WI	53154	814904300	SURGERY CENTER	WI	FROEDTERT THEDACARE HEALTH	Related
MENOMONEE FALLS AMBULATORY SURGERY CTR
W180 N8045 TOWN HALL ROAD	MENOMONEE FALLS	WI	53051	391745697	SURGERY CENTER	WI	FROEDTERT THEDACARE HEALTH	Related
FROEDTERT & THE MCW NETWORK LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	814382585	HEALTH CARE	WI	NA	N/A
FROEDTERT & THE MCW ACO LLC
8710 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	833159534	HEALTH CARE	WI	NA	N/A
WEST BEND SURGERY CENTER LLC
3212 PLEASANT VALLEY ROAD	WEST BEND	WI	53095	391954169	HEALTHCARE SERVICES	WI	FROEDTERT THEDACARE HEALTH	Related
NATIONAL LABORATORY NETWORK LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	883305667	LABORATORY SVCS	WI	FROEDTERT THEDACARE HEALTH	Related
D1 SPORTS TRAINING OF MILWAUKEE LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	473322294	SPORTS MEDICINE	WI	FROEDTERT THEDACARE HEALTH	Related
THP-FROEDTERT HEALTH VENTURES LLC
1415 LOUISIANA STREET	HOUSTON	TX	77002	823559342	HEALTH CARE	TX	FROEDTERT THEDACARE HEALTH	Related
FHHP LLC
9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	452221564	HEALTH CARE	WI	FROEDTERT THEDACARE HEALTH	Related

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
HART'S MILL INSURANCE COMPANY
62 FORUM LANE	3RD FLOOR	GRAND CAYMAN	CAYMAN ISLANDS	CJ	981311808	SELF-INSURANCE	CJ	FROEDTERT THEDACARE HEALTH	C Corporation	false
FH INVESTMENT HOLDINGS INC
					991422017	INVST HOLD CO		FROEDTERT THEDACARE HEALTH	C Corporation	false	9200 W WISCONSIN AVE	MILWAUKEE	WI	53226	WI
NETWORK HEALTH INC
					462966177	HEALTHCARE ADMIN		FROEDTERT THEDACARE HEALTH	C Corporation	false	1570 MIDWAY PLACE	MENASHA	WI	54952	WI
NETWORK HEALTH INSURANCE CORP
					392020474	SERVICE INSURANCE		NETWORK HEALTH INC	C Corporation	false	1570 MIDWAY PLACE	MENASHA	WI	54952	WI
NETWORK HEALTH PLAN
					391442058	HEALTH INSURANCE		NETWORK HEALTH INC	C Corporation	false	1570 MIDWAY PLACE	MENASHA	WI	54952	WI
HOLY FAMILY HEALTH SERVICES INC
					391572253	HEALTH CARE		FROEDTERT THEDACARE HEALTH	C Corporation	false	1600 SOUTH 41ST STREET	MANITOWOC	WI	54220	WI

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd