2024-11-13T16:19:52+00:00 2023-12-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-01-01 464112255 THEDACARE FAMILY OF FOUNDATIONS INC THED 9207386506 PO BOX 8025 APPLETON WI 549128025 WILLIAM FLETT CHIEF FINANCIAL OFFICER 9207386506 2024-11-13 true Michael Engle P00482834 8162216300 2024-11-13 2023 2024-10-15 13:58:12Z IMRAN ANDRABI MD PO BOX 8025 APPLETON WI 549128025 30318013 false X WWW.THEDACARE.ORG X 2013 WI ENRICHING HEALTHCARE EXPERIENCES BEYOND EXPECTATIONS. 12 10 0 11 18060 12908 3510734 5324817 0 0 2556524 913125 -3971 -37515 6063287 6200427 4550361 1754687 0 988471 1173916 0 1046773 274854 289308 5813686 3217911 249601 2982516 73590468 64635806 19561506 1647466 54028962 62988340 TO INSPIRE GIVING AND PROVIDE FUNDING FOR THEDACARE INITIATIVES THAT HELP PEOPLE EXPERIENCE EXCEPTIONAL CARE. false false 1754687 1754687 0 THEDACARE FAMILY OF FOUNDATIONS, INC. WILL BE A PHILANTHROPIC FOUNDATION AFFILIATED WITH THEDACARE, INC., A HEALTHCARE ORGANIZATION. THE FOUNDATION WILL UNDERTAKE ACTIVITIES SUCH AS A GRANTS PROGRAM TO SUPPORT COMMUNITY HEALTH INITIATIVES, EDUCATION/OUTREACH EFFORTS, AND SCHOLARSHIPS. 1754687 true true false false false false false false true false true false false false false true true false false true false false false true false false true true true false false false false false false false false true false false false false true true true false false true X 0 0 0 true true true false false false true true false false false false false false X 12 10 true true false false true true true true true false false false true true true true true false false false WI X WILL FLETT 9207386506 PO BOX 8025 APPLETON WI 549128025 DENISE BURKETT PRESIDENT, BOARD MEMBER 1.0 0 X X 0 0 0 JOHN LARSON TREASURER, BOARD MEMBER 1.0 0 X X 0 0 0 SHELLY CLARK VICE PRESIDENT, BOARD MEMBER 1.0 1.0 X X 0 0 0 ALEX HARTWIG BOARD MEMBER 1.0 0 X 0 0 0 Matthew Wille Chief Operating Officer, Board Member 1.0 39.0 X 0 128177 8052 MELISSA SYLTE BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL SLEEPER BOARD MEMBER 1.0 0 X 0 0 0 MIKE MORSE BOARD MEMBER 1.0 1.0 X 0 0 0 RON THIRY PAST PRESIDENT, BOARD MEMBER 1.0 0 X 0 0 0 RYAN VALENTINE PAST PRESIDENT, BOARD MEMBER 1.0 0 X 0 0 0 Thomas Arquilla Chief Growth Officer, Board Member 1.0 40.0 X 0 735799 71545 TIM GALLOWAY BOARD MEMBER 1.0 0 X 0 0 0 Barbara Beuscher SVP, Chief Philanthropy Officer 40.0 0.0 X 0 176113 41998 Courtney Weiland Pt Yr Vice President - Philanthropy 40.0 0.0 X 0 29977 12000 Imran Andrabi MD President & CEO - System 1.0 39.0 X 0 1785548 243321 Mark Thompson Pt Yr CFO, Chief Transformational Investments/Value Integration Officer 1.0 39.0 X 0 1305621 78315 William Flett Chief Financial Officer 1.0 39.0 X 0 153343 27124 0 4314578 482355 0 false true false 0 194536 1419676 3710605 245373 5324817 0 0 0 0 0 1431217 18060 1413157 0 0 23531019 24049111 -518092 0 -518092 -518092 30960 194536 68475 -37515 -37515 0 0 0 0 0 6200427 0 18060 857550 1735187 1735187 19500 19500 968875 242219 726656 25629 6407 19222 115181 28795 86386 64231 16058 48173 65838 65838 0 0 0 0 72901 72901 62367 6859 55508 60452 30226 30226 259 21 238 9951 2488 7463 6898 6898 INCOME TAX EXPENSE 10198 10198 ALL OTHER EXPENSES 444 444 0 0 0 0 3217911 1754687 416451 1046773 2853086 2281673 5267382 5256716 53678 78864 0 0 0 0 0 0 0 0 52680685 44282916 12735637 12735637 0 0 0 73590468 64635806 23055 19561506 1624411 0 0 0 0 19561506 1647466 X 38254412 45467718 15774550 17520622 54028962 62988340 73590468 64635806 X 2982516 6070470 -93608 X false true X true false X 2830433 2862166 16818059 3510734 5324817 31346209 0 0 2830433 2862166 16818059 3510734 5324817 31346209 3777357 27568852 783355 714190 956126 1013091 1431217 4897979 27525 12968 100060 14160 154713 238100 169267 168814 42875 30960 650016 37048917 0 0.7441 0.7273 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - FUNDRAISING EVENTS, COLUMN A - 238100.0, COLUMN B - 169267.0, COLUMN C - 168814.0, COLUMN D - 42875.0, COLUMN E - 30960.0, COLUMN F - 650016.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11278791 9700 -198870 280405 10809216 11286650 314513 322372 11278791 10018385 15000 1296829 43564 11286650 9586735 5250 532361 105961 10018385 9247224 415 440822 101726 9586735 0.3138 0.0 0.6862 false false 12735637 F 12735637 12339372 6070470 68475 6138945 6200427 0 0 6200427 3379994 162083 162083 3217911 0 0 3217911 Schedule D, Part X, Line 2 EVALUATION OF UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds THE FAMILY OF FOUNDATIONS HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. UNDER THE FAMILY OF FOUNDATIONS' INVESTMENT POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF THE S&P 500 INDEX WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Special Events Expenses - 68475 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Special Events Expenses - 68475 Uncollectible Pledges - 93608 Central America and the Caribbean 0 0 Investments n/a 4281129 Europe (Including Iceland and Greenland) 0 0 Investments n/a 1137861 0 0 0 0 0 0 5418990 0 5418990 false false false true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual GOLF BENEFIT 154725 123765 30960 21160 12135 32065 100s FOR HOSPICE 70771 70771 0 3115 0 225496 194536 30960 21160 12135 35180 68475 -37515 true THEDACARE INC 391509362 501(C)(3) 250135 ENRICHING PATIENT EXPERIENCES THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC 390824015 501(C)(3) 555900 ENRICHING PATIENT EXPERIENCES THEDACARE MEDICAL CENTER - WAUPACA INC 390871113 501(C)(3) 22522 ENRICHING PATIENT EXPERIENCES THEDACARE MEDICAL CENTER - SHAWANO INC 390807068 501(C)(3) 122671 ENRICHING PATIENT EXPERIENCES THEDACARE MEDICAL CENTER - NEW LONDON INC 390869788 501(C)(3) 31504 ENRICHING PATIENT EXPERIENCES THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC 390830664 501(C)(3) 263617 ENRICHING PATIENT EXPERIENCES THEDACARE MEDICAL CENTER - BERLIN INC 390806359 501(C)(3) 96145 ENRICHING PATIENT EXPERIENCES THEDACARE MEDICAL CENTER - WILD ROSE INC 396089134 501(C)(3) 6892 ENRICHING PATIENT EXPERIENCES 8 0 SCHOLARSHIPS 12 19500 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION ONLY WRITES CHECKS OUT FOR THE GRANTS TO ORGANIZATIONS ONCE THE ITEM OR SERVICE HAS ALREADY BEEN RECEIVED BY THE ORGANIZATION. SCHOLARSHIP CHECKS ARE WRITTEN OUT TO THE COLLEGE AND THE RECIPIENT. false true false false false false false true false Thomas Arquilla Chief Growth Officer, Board Member 0 496464 0 125813 0 113522 0 52500 0 19045 0 807344 0 123813 Imran Andrabi MD President & CEO - System 0 1124684 0 447428 0 213436 0 221443 0 21878 0 2028869 0 445428 Mark Thompson Pt Yr CFO, Chief Transformational Investments/Value Integration Officer 0 884917 0 241697 0 179007 0 52500 0 25815 0 1383936 0 239697 Barbara Beuscher SVP, Chief Philanthropy Officer 0 150900 0 20000 0 5213 0 26939 0 15059 0 218111 0 0 William Flett Chief Financial Officer 0 112384 0 40000 0 959 0 20670 0 6454 0 180467 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan SENIOR LEVEL EXECUTIVES OF THE COMPANY ARE ENTITLED TO AN ANNUAL FLEXIBLE BENEFIT EQUAL TO 20% OF THE MIDPOINT OF THEIR SALARY RANGE. THIS 457(F) SUPPLEMENTAL BENEFIT PLAN COMPLIES WITH THE FINAL REGULATIONS UNDER SECTION 409(A) AND 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS MAY ELECT THE BENEFIT TO BE USED TO PURCHASE PARTICULAR INSURANCE BENEFITS, INVEST IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, OR A COMBINATION OF THE TWO. BENEFITS ARE ACCRUED ON A MONTHLY BASIS AND ARE SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE AGREEMENT SIGNED BY THE PARTICIPANTS. PLAN CONTRIBUTIONS ARE MADE ON A QUARTERLY BASIS. DURING THE YEAR, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM THE PLAN: IMRAN ANDRABI, MD $202,570 THOMAS ARQUILLA $97,329 MARK THOMPSON $162,970 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: IMRAN ANDRABI, MD $175,103 BARBARA BEUSCHER $14,269 WILLIAM FLETT $12,775 Schedule J, Part I, Line 7 Non-fixed payments EXECUTIVE AT RISK COMPENSATION PLAN: THE PLAN OBJECTIVES ARE TO ENHANCE THEDACARE INC'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING A TOOL FOR STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE AMONG LEADERS AND TO WORK TOGETHER AS A COHESIVE GROUP TOWARD COMMON GOALS. LEADERS FROM 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, 2023, TO DECEMBER 31, 2023) TO RECEIVE A 2024 BONUS. CARING FOR SUCCESS: THE PLAN OBJECTIVES ARE TO PROVIDE INCENTIVE TO FOCUS THE ORGANIZATION'S RESOURCES, ENERGY AND ATTENTION ON THE FULFILLMENT OF THEDACARE'S MISSION. EMPLOYEE ELIGIBILITY IS BASED ON THE NUMBER OF HOURS WORKED. ALL ELIGIBLE EMPLOYEES SHARE IN THE PAYOUT. THE PAYOUT AMOUNT IS A FLAT DOLLAR AMOUNT, DETERMINED BASED ON BOTH FINANCIAL AND QUALITY THRESHOLDS. THE AMOUNT PER EMPLOYEE IS DETERMINED BY DIVIDING THE TOTAL GAIN REALIZED (THE EMPLOYEE SHARE) BY HOURS PAID TO ALL ELIGIBLE EMPLOYEES. THE THEDACARE BOARD OF TRUSTEES APPROVES THE SPEND FOR THE PLAN. X 5 245373 Other - DAILY TRADING PRICE 0 false true true Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions THE ORGANIZATION'S INVESTMENT MANAGEMENT COMPANY RECEIVES, PROCESSES AND SELLS DONATED SECURITIES. Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - NUMBER OF CONTRIBUTORS Form 990, Part V, Line 1a 1099 and 1096 Filings ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, THEDACARE, INC., EIN 39-1509362. Form 990, Part V, Line 2a W-2 and W-3 Filings ALL APPLICABLE W-2 AND W-3 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, THEDACARE, INC., EIN 39-1509362 Form 990, Part V, Line 4a Foreign Country Interest and Authority THEDACARE FAMILY OF FOUNDATIONS, 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 FAMILY OF FOUNDATIONS, INC. HAS ANSWERED "YES" TO PART V, QUESTION 4A ON THE 2023 FORM 990; HOWEVER, NO FORM 114 IS REQUIRED. Form 990, Part VI, Line 15 Compensation Process for Top Officials THE COMPENSATION PROCESS FOR THE TOP OFFICIAL OF THE ORGANIZATION IS MANAGED BY THEIR EMPLOYER FOR PAYROLL PURPOSES, THEDACARE, INC., A RELATED ORGANIZATION. MANAGEMENT OF THEDACARE, INC. DETERMINES A FAIR AND REASONABLE COMPENSATION FOR THESE INDIVIDUALS BASED ON MARKET AND COMPARABILITY DATA PROVIDED BY HUMAN RESOURCES. COMPENSATION FOR OTHER OFFICERS FOLLOWS THE SAME PROCESS. 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 FAMILY OF FOUNDATIONS, INC. Form 990, Part VI, Line 6 Classes of members or stockholders THEDACARE FAMILY OF FOUNDATIONS, INC.'S SOLE MEMBER OF THE SINGLE CLASS OF VOTING MEMBERS IS THEDACARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ELECTION AND REMOVAL OF DIRECTORS REQUIRES THE APPROVAL OF THEDACARE, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THEDACARE, INC. HAS THE POWER TO AMEND RESTATE OR MODIFY THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE FOUNDATION. THEY ALSO HAVE THE POWER TO APPROVE THE ESTABLISHMENT OR DISSOLUTION OF SUBSIDIARY CORPORATIONS, AND APPROVE THE BYLAWS, RULES, AND REGULATIONS OF ALL ORGANIZATIONS AFFILIATED WITH THE FOUNDATION. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION, THEDACARE, INC., FOR REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy QUESTIONNAIRES ARE SENT TO ALL MANAGERS, TRUSTEES, AND OFFICERS ANNUALLY. COMPLETED FORMS ARE RETURNED TO THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER REVIEWS THE QUESTIONNAIRES AND FOLLOWS UP WITH ANY QUESTIONS ABOUT THE MANAGERS' ANSWERS ON THE CONFLICT OF INTEREST FORMS. ALL EMPLOYEES AND BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE COMMITTEE REVIEWS THE POTENTIAL CONFLICT AND THE CFO/BOARD OF TRUSTEES REVIEW ALL CONFLICTS. AFTER DISCLOSURE OF THE CONFLICT, THE EMPLOYEE SHALL NOT PARTICIPATE IN THE DECISION WHETHER TO ENGAGE IN THE TRANSACTION IN WHICH THE EMPLOYEE HAS AN INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Uncollectible Pledges - -93608; Schedule F, Part IV, Line 4 FOREIGN FILING REQUIREMENT THE ORGANIZATION IS AN EXEMPT ENTITY AND THERE IS NO UNRELATED BUSINESS INCOME GENERATED FROM THIS INVESTMENT. THEREFORE, FORM 8621 IS NOT REQUIRED. THEDACARE INC PO BOX 8025 APPLETON WI 549128025 391509362 HEALTHCARE WI 501(c)(3) 10 NA false THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC PO BOX 8025 APPLETON WI 549128025 390830664 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - NEW LONDON INC PO BOX 8025 APPLETON WI 549128025 390869788 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - WAUPACA INC PO BOX 8025 APPLETON WI 549128025 390871113 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC PO BOX 8025 APPLETON WI 549128025 390824015 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - SHAWANO INC PO BOX 8025 APPLETON WI 549128025 390807068 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - BERLIN INC PO BOX 8025 APPLETON WI 549128025 390806359 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true THEDACARE MEDICAL CENTER - WILD ROSE INC PO BOX 8025 APPLETON WI 549128025 396089134 HOSPITAL WI 501(c)(3) 3 THEDACARE INC true N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC 122 E CAPITOL DR APPLETON WI 54911 262497187 RENTAL WI NA N/A ENCIRCLE REALCO LLC 65 HIDDEN RAVINES DRIVE SUITE 100 POWELL OH 43065 853472736 PROPERTY HOLDING OH THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC Excluded false true true false false false false false false false false true true true true false false false false THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC B 555900 BOOK THEDACARE REGIONAL MEDICAL CENTER - NEENAH INC B 263617 BOOK THEDACARE MEDICAL CENTER - SHAWANO INC B 122671 BOOK THEDACARE MEDICAL CENTER - BERLIN INC B 96145 BOOK