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← THEDACARE FAMILY OF FOUNDATIONS INC

Form 990 for tax year 2022

Filed by THEDACARE FAMILY OF FOUNDATIONS INC.

Totals

Total revenue
$6,063,287
Total expenses
$5,813,686
Contributions and grants received
$3,510,734
Grants paid
$4,550,361
Program service revenue
$0
Investment income
$2,556,524
Other revenue
-$3,971
Total assets, end of year
$73,590,468
Total liabilities, end of year
$19,561,506
Net assets or fund balances, end of year
$54,028,962
Program services expenses (Part IX)
$4,550,361
Management and general expenses
$367,283
Fundraising expenses
$896,042
Program service expenses (Part III)
$4,550,361

Program services were 78.3% 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.

  • 1c · Fundraising events

    $220,570

  • 1d · Related organizations

    $1,263,304

  • 1f · All other contributions, gifts and grants

    $2,026,860

  • 1g · Noncash contributions included above

    $94,831

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,013,091 · unrelated business $120,774 · excluded $892,317

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $1,543,433

  • 7c · Gain or loss

    securities $1,543,433 · other assets $0

  • 7d · Net gain or loss

    total $1,543,433 · excluded $1,543,433

  • 8a · Fundraising events: gross income

    $42,875

  • 8a · Fundraising events: contributions included on line 1c

    $220,570

  • 8b · Fundraising events: direct expenses

    $46,846

  • 8c · Net income from fundraising events

    total -$3,971 · excluded -$3,971

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,531,861 · program services $4,531,861

  • 2 · Grants to domestic individuals

    total $18,500 · program services $18,500

  • 7 · Other salaries and wages

    total $780,933 · management and general $195,233 · fundraising $585,700

  • 8 · Pension plan contributions

    total $26,966 · management and general $6,741 · fundraising $20,225

  • 9 · Other employee benefits

    total $120,235 · management and general $30,059 · fundraising $90,176

  • 10 · Payroll taxes

    total $60,337 · management and general $15,084 · fundraising $45,253

  • 11g · Fees: other

    total $153,578 · program services $0 · management and general $76,789 · fundraising $76,789

  • 12 · Advertising and promotion

    total $6,250 · fundraising $6,250

  • 13 · Office expenses

    total $45,170 · management and general $4,970 · fundraising $40,200

  • 14 · Information technology

    total $51,612 · management and general $25,806 · fundraising $25,806

  • 17 · Travel

    total $7,524 · management and general $1,881 · fundraising $5,643

  • 19 · Conferences, conventions and meetings

    total $8,717 · management and general $8,717

  • 24a · Other expenses: Income Tax Expense

    total $2,003 · management and general $2,003

  • 24e · All other expenses

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

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,562,241 · end of year $2,853,086

  • 3 · Pledges and grants receivable

    beginning of year $6,856,902 · end of year $5,267,382

  • 4 · Accounts receivable

    beginning of year $464,352 · end of year $53,678

  • 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

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $61,350,764 · end of year $52,680,685

  • 12 · Investments: other securities

    beginning of year $15,022,352 · end of year $12,735,637

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $26,678,892 · end of year $19,561,506

  • 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 $0

  • 27 · Net assets without donor restrictions

    beginning of year $46,125,311 · end of year $38,254,412

  • 28 · Net assets with donor restrictions

    beginning of year $16,452,408 · end of year $15,774,550

Mission and programs · 2022

Mission

TO INSPIRE GIVING AND PROVIDE FUNDING FOR THEDACARE INITIATIVES THAT HELP PEOPLE EXPERIENCE EXCEPTIONAL CARE.

Activities or mission (Part I)

ENRICHING HEALTHCARE EXPERIENCES BEYOND EXPECTATIONS.

  • 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.

    Expenses $4,550,361 · Grants $4,550,361

As filed on the 2022 return.

Listed in Part VII

  • Denise Burkett

    President, Board Member

    Total calculated
    $0
    Hours/week
    1

  • John Larson

    Treasurer, Board Member

    Total calculated
    $0
    Hours/week
    1

  • Shelly Clark

    Vice President, Board Member

    Total calculated
    $0
    Hours/week
    1

  • Melissa Sylte

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Mike Morse

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Ron Thiry

    Past President

    Total calculated
    $0
    Hours/week
    1

  • Ryan Alexander

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Ryan Valentine

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Stephen Johnson

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Thomas Arquilla

    Board Member/Chief Strategy Officer

    Total calculated
    $927,019
    From this org
    $0
    From related orgs
    $738,065
    Other
    $188,954
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $479,252 related
    Bonus
    $0 + $200,574 related
    Other
    $0 + $58,239 related
    Deferred
    $0 + $171,313 related
    Nontaxable benefits
    $0 + $17,641 related
    Filer's total
    $0 + $927,019 related

  • Tim Galloway

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Courtney Weiland

    Vice President - Philanthropy

    Total calculated
    $258,690
    From this org
    $0
    From related orgs
    $238,440
    Other
    $20,250
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $174,175 related
    Bonus
    $0 + $61,387 related
    Other
    $0 + $2,878 related
    Deferred
    $0 + $20,250 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $258,690 related

  • Imran Andrabi MD

    President & CEO - System

    Total calculated
    $2,463,471
    From this org
    $0
    From related orgs
    $1,808,832
    Other
    $654,639
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,069,773 related
    Bonus
    $0 + $625,104 related
    Other
    $0 + $113,954 related
    Deferred
    $0 + $654,639 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $2,463,471 related

  • Mark Thompson

    Senior VP, CFO & COO - System

    Total calculated
    $1,471,929
    From this org
    $0
    From related orgs
    $1,160,821
    Other
    $311,108
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $823,122 related
    Bonus
    $0 + $321,783 related
    Other
    $0 + $15,916 related
    Deferred
    $0 + $287,197 related
    Nontaxable benefits
    $0 + $23,911 related
    Filer's total
    $0 + $1,471,929 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 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 $102,463 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: IMRAN ANDRABI, MD $162,871
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, 2022, TO DECEMBER 31, 2022) TO RECEIVE A 2023 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

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
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333189349317183

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