Skip to content
Nonprofiteer
← THEDACARE MEDICAL CENTER-WAUPACA INC

Form 990 for tax year 2023

Filed by THEDACARE MEDICAL CENTER-WAUPACA INC.

Totals

Total revenue
$56,399,043
Total expenses
$46,463,955
Contributions and grants received
$39,105
Grants paid
$0
Program service revenue
$55,313,924
Investment income
$686,798
Other revenue
$359,216
Total assets, end of year
$140,699,082
Total liabilities, end of year
$1,593,288
Net assets or fund balances, end of year
$139,105,794
Program services expenses (Part IX)
$36,956,223
Management and general expenses
$9,507,732
Fundraising expenses
$0
Program service expenses (Part III)
$36,956,223

Program services were 79.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $22,522

  • 1e · Government grants (contributions)

    $16,583

  • 2a · Program service revenue: Net Patient Service Revenue

    total $55,313,924 · related or exempt $55,313,924

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $686,798 · excluded $686,798

  • 6a · Gross rents

    real property $186,353

  • 6c · Rental income or loss

    real property $186,353 · personal property $0

  • 6d · Net rental income or loss

    total $186,353 · excluded $186,353

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Cafeteria Revenue

    total $162,690 · excluded $162,690

  • 11b · Other revenue: Other Operating Revenue

    total $10,173 · excluded $10,173

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $172,863

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 7 · Other salaries and wages

    total $17,238,697 · program services $14,376,634 · management and general $2,862,063

  • 8 · Pension plan contributions

    total $378,637 · program services $315,774 · management and general $62,863

  • 9 · Other employee benefits

    total $2,539,022 · program services $2,019,124 · management and general $519,898

  • 10 · Payroll taxes

    total $939,845 · program services $783,807 · management and general $156,038

  • 11a · Fees: management

    total $1,018,549 · management and general $1,018,549

  • 11d · Fees: lobbying

    total $3,484 · management and general $3,484

  • 11f · Fees: investment management

    total $19,214 · management and general $19,214

  • 11g · Fees: other

    total $6,298,616 · program services $4,252,819 · management and general $2,045,797 · fundraising $0

  • 12 · Advertising and promotion

    total $88 · program services $88

  • 13 · Office expenses

    total $121,591 · program services $121,591

  • 14 · Information technology

    total $12,277 · program services $12,277

  • 16 · Occupancy

    total $2,929,816 · program services $633,764 · management and general $2,296,052

  • 17 · Travel

    total $31,481 · program services $31,481

  • 19 · Conferences, conventions and meetings

    total $51,887 · program services $51,887

  • 22 · Depreciation, depletion and amortization

    total $1,934,791 · program services $1,411,017 · management and general $523,774

  • 23 · Insurance

    total $129,407 · program services $129,407

  • 24a · Other expenses: Medical Supplies

    total $11,961,377 · program services $11,961,377

  • 24b · Other expenses: Equipment and Maintenance

    total $495,643 · program services $495,643

  • 24c · Other expenses: Food and Nutrition

    total $252,811 · program services $252,811

  • 24d · Other expenses: Medicaid Assessment

    total $106,722 · program services $106,722

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $20,717,063 · end of year $31,973,611

  • 4 · Accounts receivable

    beginning of year $5,503,915 · end of year $6,119,452

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $1,687,091 · end of year $1,867,882

  • 9 · Prepaid expenses and deferred charges

    beginning of year $22,199 · end of year $37,540

  • 10a · Land, buildings and equipment: cost or other basis

    $46,876,361

  • 10b · Land, buildings and equipment: accumulated depreciation

    $27,181,708

  • 10c · Land, buildings and equipment, net

    beginning of year $19,948,675 · end of year $19,694,653

  • 11 · Investments: publicly traded securities

    beginning of year $16,548,119 · end of year $18,522,463

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $65,434,522 · end of year $62,483,481

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,978,500 · end of year $1,284,888

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $308,400

  • 27 · Net assets without donor restrictions

    beginning of year $127,883,084 · end of year $139,105,794

Mission and programs · 2023

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.

Activities or mission (Part I)

IMPROVING THE HEALTH OF OUR COMMUNITY.

  • 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. AS PART OF THE THEDACARE SYSTEM, 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.

    Expenses $36,956,223 · Revenue $55,313,924

As filed on the 2023 return.

Listed in Part VII

  • Eric Hendrickson

    VICE CHAIR, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jeremy Koehler

    SECRETARY, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Richard Phillipsen

    CHAIRMAN, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Suzanne Udoni

    TREASURER, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Dale Gisi

    SVP, TC-Central Region, Board Member

    Total calculated
    $735,131
    From this org
    $0
    From related orgs
    $620,631
    Other
    $114,500
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $483,218 related
    Bonus
    $0 + $131,701 related
    Other
    $0 + $5,712 related
    Deferred
    $0 + $105,654 related
    Nontaxable benefits
    $0 + $8,846 related
    Filer's total
    $0 + $735,131 related

  • Ellen Wenberg MD

    Physician, Board Member

    Total calculated
    $325,093
    From this org
    $0
    From related orgs
    $276,778
    Other
    $48,315
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,937 related
    Bonus
    $0 + $27,000 related
    Other
    $0 + $841 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $325,093 related

  • Jacqueline Anhalt

    Chief Nursing Officer, Board Member

    Total calculated
    $534,117
    From this org
    $0
    From related orgs
    $478,302
    Other
    $55,815
    Hours/week
    4 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $380,017 related
    Bonus
    $0 + $86,796 related
    Other
    $0 + $11,489 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $534,117 related

  • Lou Ann Mokwa

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Timothy Neuville

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • William Zimmerman

    PT YR BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Brian Sterns

    Chief Digital Health Officer

    Total calculated
    $489,221
    From this org
    $0
    From related orgs
    $376,030
    Other
    $113,191
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,872 related
    Bonus
    $0 + $70,805 related
    Other
    $0 + $3,353 related
    Deferred
    $0 + $87,376 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $489,221 related

  • Imran Andrabi MD

    President & CEO - System

    Total calculated
    $2,028,869
    From this org
    $0
    From related orgs
    $1,785,548
    Other
    $243,321
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,124,684 related
    Bonus
    $0 + $447,428 related
    Other
    $0 + $213,436 related
    Deferred
    $0 + $221,443 related
    Nontaxable benefits
    $0 + $21,878 related
    Filer's total
    $0 + $2,028,869 related

  • Maggie Lund

    Chief Culture and Integration Officer

    Total calculated
    $733,470
    From this org
    $0
    From related orgs
    $672,124
    Other
    $61,346
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $543,254 related
    Bonus
    $0 + $110,401 related
    Other
    $0 + $18,469 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $8,846 related
    Filer's total
    $0 + $733,470 related

  • Mark Thompson

    Pt Yr CFO, Chief Transformational Investments/Value Integration Officer

    Total calculated
    $1,383,936
    From this org
    $0
    From related orgs
    $1,305,621
    Other
    $78,315
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $884,917 related
    Bonus
    $0 + $241,697 related
    Other
    $0 + $179,007 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $1,383,936 related

  • William Flett

    Chief Financial Officer

    Total calculated
    $180,467
    From this org
    $0
    From related orgs
    $153,343
    Other
    $27,124
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $112,384 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $959 related
    Deferred
    $0 + $20,670 related
    Nontaxable benefits
    $0 + $6,454 related
    Filer's total
    $0 + $180,467 related

  • Thomas Arquilla

    Chief Growth Officer

    Total calculated
    $807,344
    From this org
    $0
    From related orgs
    $735,799
    Other
    $71,545
    Hours/week
    4 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,464 related
    Bonus
    $0 + $125,813 related
    Other
    $0 + $113,522 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $19,045 related
    Filer's total
    $0 + $807,344 related

  • David Corso

    VP, THEDACARE ORTHOPEDIC AND SPINE CENTER

    Total calculated
    $369,217
    From this org
    $0
    From related orgs
    $316,007
    Other
    $53,210
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,005 related
    Bonus
    $0 + $60,069 related
    Other
    $0 + $7,933 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $710 related
    Filer's total
    $0 + $369,217 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 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 MARK THOMPSON $162,970 THOMAS ARQUILLA $97,329 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: IMRAN ANDRABI, MD $175,103 BRIAN STERNS $34,876 WILLIAM FLETT $12,775 Dale Gisi $53,154
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 COMMITTEEE OF THE BOARD. THESE COMMITTEES ALSO REVIEW THE TOTAL SPEND FOR THE INCENTIVE PLANS. THESE LEADERS MUST BE IN ACTIVE REGUALR 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • N APPLETON AMBULATORY CARE CENTER BUILDING COMPANY LLC

    N/A · RENTAL · WI

    Directly controlled by NA

  • ENCIRCLE REALCO LLC

    Excluded · PROPERTY HOLDING · OH

    Directly controlled by THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202433189349309283

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.