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Nonprofiteer
← THEDACARE MEDICAL CENTER-WAUPACA INC

Form 990 for tax year 2024

Filed by THEDACARE MEDICAL CENTER-WAUPACA INC.

What the amendment changed

Compared with the return it replaced , filed 14 May 2025. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$28,412,561 changed to $61,923,482
Total expenses
$25,902,728 changed to $55,421,430
Contributions and grants received
$19,230 changed to $64,002
Program services expenses
$20,245,504 changed to $44,347,873
Management and general expenses
$5,657,224 changed to $11,073,557
Program service expenses (Part III)
$20,245,504 changed to $44,347,873

Listed under a different title

  • Ellen Wenberg MD: PHYSICIAN, BOARD MEMBER then PHYSICIAN, BOARD MEMBER END 01/25

Totals

Total revenue
$61,923,482
Total expenses
$55,421,430
Contributions and grants received
$64,002
Grants paid
$0
Program services expenses (Part IX)
$44,347,873
Management and general expenses
$11,073,557
Fundraising expenses
$0
Program service expenses (Part III)
$44,347,873

Program services were 80.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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
    $1,123,618
    From this org
    $0
    From related orgs
    $954,900
    Other
    $168,718
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,131 related
    Bonus
    $0 + $322,501 related
    Other
    $0 + $136,268 related
    Deferred
    $0 + $159,501 related
    Nontaxable benefits
    $0 + $9,217 related
    Filer's total
    $0 + $1,123,618 related

  • ELLEN WENBERG MD

    PHYSICIAN, BOARD MEMBER END 01/25

    Total calculated
    $294,710
    From this org
    $0
    From related orgs
    $244,811
    Other
    $49,899
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $228,423 related
    Bonus
    $0 + $15,577 related
    Other
    $0 + $811 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $294,710 related

  • JACQUELINE ANHALT

    CHIEF NURSING OFFICER, BOARD MEMBER

    Total calculated
    $744,326
    From this org
    $0
    From related orgs
    $686,927
    Other
    $57,399
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,119 related
    Bonus
    $0 + $219,776 related
    Other
    $0 + $50,032 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $744,326 related

  • LOU ANN MOKWA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TIMOTHY NEUVILLE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • BRIAN STERNS

    CHIEF DIGITAL HEALTH OFFICER

    Total calculated
    $761,992
    From this org
    $0
    From related orgs
    $608,961
    Other
    $153,031
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,029 related
    Bonus
    $0 + $214,812 related
    Other
    $0 + $15,120 related
    Deferred
    $0 + $126,132 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $761,992 related

  • IMRAN ANDRABI MD

    PRESIDENT & CEO - SYSTEM

    Total calculated
    $5,238,377
    From this org
    $0
    From related orgs
    $4,591,338
    Other
    $647,039
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,794,100 related
    Bonus
    $0 + $2,564,672 related
    Other
    $0 + $232,566 related
    Deferred
    $0 + $620,140 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $5,238,377 related

  • MAGGIE LUND

    CHIEF CULTURE AND INTEGRATION OFFICER

    Total calculated
    $1,418,528
    From this org
    $0
    From related orgs
    $1,355,811
    Other
    $62,717
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,136 related
    Bonus
    $0 + $714,014 related
    Other
    $0 + $166,661 related
    Deferred
    $0 + $53,500 related
    Nontaxable benefits
    $0 + $9,217 related
    Filer's total
    $0 + $1,418,528 related

  • WILLIAM FLETT

    CHIEF FINANCIAL OFFICER

    Total calculated
    $802,030
    From this org
    $0
    From related orgs
    $623,899
    Other
    $178,131
    Hours/week
    4 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $478,381 related
    Bonus
    $0 + $134,891 related
    Other
    $0 + $10,627 related
    Deferred
    $0 + $151,232 related
    Nontaxable benefits
    $0 + $26,899 related
    Filer's total
    $0 + $802,030 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 — 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 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.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
14 May 2026
IRS schema version
2024v5.1
Source object
202611349349311661

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