Civic Intelligence

Thedacare Inc.

990 • Fiscal year 2016 • EIN 39-1509362

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 23, 2017

122 East College AvenueAppleton, WI 54911

(920) 735-5560

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

98th percentile

1.49x

Higher debt load relative to assets than 98% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

92nd percentile

3.92x

Higher debt load relative to revenue than 92% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

6th percentile

-26%

Higher net margin than 6% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

82nd percentile

$1,848,707

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

46th percentile

1.3%

Faster asset growth than 46% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

42nd percentile

1.4%

Faster revenue growth than 42% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Up

$738,327,198

Up $9,339,355 (+1.3%) from 2015

Net Assets

Down

-$363,142,324

Down $63,026,672 (-21%) from 2015

Liabilities

Up

$1,101,469,522

Up $72,366,027 (+7.0%) from 2015

Revenue

Up

$281,339,874

Up $3,776,365 (+1.4%) from 2015

Expenses

Up

$354,870,302

Up $31,331,030 (+9.7%) from 2015

Net Income

Down

-$73,530,428

Down $27,554,665 (-60%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.0B$0-$1.0BAssets 2010: $241,298,868Liabilities 2010: $459,587,454Net Assets 2010: -$218,288,5862010Assets 2011: $433,132,372Liabilities 2011: $696,190,372Net Assets 2011: -$263,058,0002011Assets 2012: $486,244,062Liabilities 2012: $760,776,189Net Assets 2012: -$274,532,1272012Assets 2013: $539,996,111Liabilities 2013: $740,845,487Net Assets 2013: -$200,849,3762013Assets 2014: $701,674,312Liabilities 2014: $910,144,606Net Assets 2014: -$208,470,2942014Assets 2015: $728,987,843Liabilities 2015: $1,029,103,495Net Assets 2015: -$300,115,6522015Assets 2016: $738,327,198Liabilities 2016: $1,101,469,522Net Assets 2016: -$363,142,3242016Assets 2017: $816,169,819Liabilities 2017: $1,191,325,533Net Assets 2017: -$375,155,7142017Assets 2018: $832,833,769Liabilities 2018: $1,376,872,636Net Assets 2018: -$544,038,8672018Assets 2019: $865,028,252Liabilities 2019: $1,446,524,287Net Assets 2019: -$581,496,0352019Assets 2020: $920,144,650Liabilities 2020: $1,505,607,361Net Assets 2020: -$585,462,7112020Assets 2021: $691,025,693Liabilities 2021: $1,231,541,508Net Assets 2021: -$540,515,8152021Assets 2022: $1,136,849,886Liabilities 2022: $1,859,846,836Net Assets 2022: -$722,996,9502022Assets 2023: $1,208,993,624Liabilities 2023: $1,933,436,807Net Assets 2023: -$724,443,1832023Assets 2024: $1,333,239,937Liabilities 2024: $1,980,259,471Net Assets 2024: -$647,019,5342024

Highlighted filing

2016

Assets$738,327,198
Liabilities$1,101,469,522
Net Assets-$363,142,324

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $256,147,9322010Revenue 2011: $264,521,249Expenses 2011: $266,684,185Net Income 2011: -$2,162,9362011Expenses 2012: $279,601,7602012Revenue 2013: $292,270,308Expenses 2013: $294,393,326Net Income 2013: -$2,123,0182013Revenue 2014: $304,800,800Expenses 2014: $295,849,781Net Income 2014: $8,951,0192014Revenue 2015: $277,563,509Expenses 2015: $323,539,272Net Income 2015: -$45,975,7632015Revenue 2016: $281,339,874Expenses 2016: $354,870,302Net Income 2016: -$73,530,4282016Revenue 2017: $335,393,064Expenses 2017: $399,996,116Net Income 2017: -$64,603,0522017Revenue 2018: $338,349,418Expenses 2018: $430,111,591Net Income 2018: -$91,762,1732018Revenue 2019: $398,205,794Expenses 2019: $453,645,584Net Income 2019: -$55,439,7902019Revenue 2020: $356,821,046Expenses 2020: $369,249,187Net Income 2020: -$12,428,1412020Revenue 2021: $439,639,874Expenses 2021: $397,371,471Net Income 2021: $42,268,4032021Revenue 2022: $372,166,724Expenses 2022: $412,618,147Net Income 2022: -$40,451,4232022Revenue 2023: $365,643,869Expenses 2023: $500,558,723Net Income 2023: -$134,914,8542023Revenue 2024: $210,835,328Expenses 2024: $236,139,295Net Income 2024: -$25,303,9672024

Highlighted filing

2016

Revenue$281,339,874
Expenses$354,870,302
Net Income-$73,530,428
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 23, 2017
Return Version
2016v3.0
Gross Receipts
$284,673,636
Mission and Program Overview

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.

Improving the health of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$351,341,740$345,714,009▼ $5,627,731
Land, Buildings, and Equipment, Net$144,976,470$162,762,423▲ $17,785,953
Investments Other Securities$142,258,990$136,669,200▼ $5,589,790
Savings and Temporary Cash Investments$30,572,132$37,811,529▲ $7,239,397
Accounts Receivable$39,475,976$34,419,236▼ $5,056,740
Prepaid Expenses and Deferred Charges$11,500,579$13,152,753▲ $1,652,174
Inventories for Sale or Use$551,626$463,208▼ $88,418
Total Assets$728,987,843$738,327,198▲ $9,339,355
Other Assets Total$8,310,330$7,334,840▼ $975,490
Liabilities
Other Liabilities$619,694,051$644,744,228▲ $25,050,177
Tax Exempt Bond Liabilities$320,393,396$282,649,936▼ $37,743,460
Deferred Revenue$1,441,886$100,935,263▲ $99,493,377
Accounts Payable and Accrued Expenses$87,574,162$73,140,095▼ $14,434,067
Total Liabilities$1,029,103,495$1,101,469,522▲ $72,366,027
Net Assets / Fund Balance
Temporarily Rstr Net Assets$210,023$221,603▲ $11,580
Permanently Rstr Net Assets$10,000$10,000→ $0
Unrestricted Net Assets$-300,335,675$-363,373,927▼ $63,038,252
Total Net Assets Fund Balance$-300,115,652$-363,142,324▼ $63,026,672
Total Liabilities and Net Assets / Fund Balance$728,987,843$738,327,198▲ $9,339,355

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$20,335,193$121,953,308$142,288,501
Buildings$99,134,814$34,827,075$133,961,889
Other Land Buildings$30,951,412-$30,951,412
Land$12,042,982-$12,042,982
Leasehold Improvements$298,022$709,943$1,007,965
Other Securities$9,572,304--
Closely Held Equity Interests$127,096,896--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Erickson Eric MdPhysicianFT$715,560$1,133,147$1,848,707
Devine GregVP Sr Provider StrategyFT$683,014$610,920$1,293,934
Kleist Kenneth MdPhysicianFT$792,967$356,368$1,149,335
Jones David MdPhysicianFT$920,705$188,137$1,108,842
Sears Brian MdPhysicianFT$496,614$456,533$953,147
Gruner DeanBoard Member/CEO - SystemPT$254,561$199,088$453,649
Edelman Gary MdBoard Member/physicianFT$358,282$66,798$425,080
Moard Douglas MdBoard Member/physicianFT$252,785$77,850$330,635
Redman-schell JenniferVP Sr Phys, Behav, TransPT$190,668$50,291$240,959
Livingston KeithVP Sr CIOPT$113,518$80,500$194,018
Olson TimVP CFO SystemPT$139,566$36,057$175,623
Pistone MaureenVP Sr Hr ServicesPT$97,404$71,996$169,400

Board Members and Trustees

NameTitle
Davis JohnBoard Chair
Timm TerryBoard Vice-chair
Bergstrom TimBoard Member
Brennan Patrick MdBoard Member
Burstein MarkBoard Member
Henson PamBoard Member
Klister PaulBoard Member
Koeper David MdBoard Member
LaMONTAGNE GRANTBoard Member
Meyer JimBoard Member
Timberlake KarenBoard Member
Van Laanen MariaBoard Member
Walsh Cyril P MdBoard Member
Turk Norma MdBoard Member/physician
Kotek JimBoard Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
RADIATION ONCOLOGY specialistsMedical Services424 e wisconsin ave, appleton, WI 54912$34,718,754
Laughlin Constable INCAdvertisingPO BOX 8435, Carol Stream, IL 60197-8435$2,636,812
Daily Care HospitalistsMedical ServicesPO BOX 11934, Green Bay, WI 54307-1934$1,115,080
carefusion solutionsMedical Services25082 NETWORK PLACE, Chicago, IL 60673$978,144
Godfrey & Kahn ScLegal ServicesBIN 318, Milwaukee, WI 53228-0318$558,734
Revenue and Support

Revenue Composition

Contributions and Grants
$4,865,530
Program Service Revenue
$263,895,927
Investment Income
$3,650,057
Other Revenue
$8,928,360
All Other Contributions
$911,186
Change in Net Assets
$-73,530,428
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$236,825,738
Other Expenses$115,325,696
Grants and Similar Amounts Paid$2,718,868
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$177,100,723$12,136,643-$189,237,366
Fees for Services Other$33,406,708$2,456,523-$35,863,231
Other Employee Benefits$22,988,260$8,520,564-$31,508,824
Office Expenses$19,096,730$455,130-$19,551,860
Occupancy$14,086,576$2,858,860-$16,945,436
Payroll Taxes$8,075,038$2,405,698-$10,480,736
Depreciation Depletion$5,557,427$1,021,124-$6,578,551
Advertising$4,298,422$832,044-$5,130,466
Pension Plan Contributions$2,933,959$675,490-$3,609,449
Grants to Domestic Orgs$2,718,868--$2,718,868
Interest$1,582,035$661,154-$2,243,189
Current Officers, Directors, Trustees, and Key Employees$755,715$1,233,648-$1,989,363
Conferences and Meetings$1,510,875$122,797-$1,633,672
Travel$1,242,841$111,279-$1,354,120
Insurance$1,045,871$115,192-$1,161,063
Fees for Service Investment Mgmnt Fees$894,043$223,511-$1,117,554
Fees for Services Legal$538,860$104,406-$643,266
Other Expenses$311,134$27,954-$339,088
Fees for Services Management$42,981$10,746-$53,727
Total Functional Expenses$319,062,069$35,808,233$0$354,870,302
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
thedacare family of foundations incappleton, WI501(c)(3)General$1,931,957
United Way of the Fox CitiesNeenah, WI501(c)(3)General$105,606
ymcaappleton, WI501(c)(3)general$85,000
Partnership Community Health CenterAppleton, WI501(c)(3)General$72,100
uw oshkosh llcoshkosh, WIGovernmentgeneral$30,000
fox valley technical collegeappleton, WI501(c)(3)general$25,000
appleton med center volunteersappleton, WI501(c)(3)general$20,000
wisconsiN MEDICAL SOCIETYmadiSON, WI501(c)(3)general$20,000
boys and girls clubshawano, WI501(c)(3)general$10,000
community foundationappleton, WI501(c)(3)general$10,000

International Summary

Offices
0
Employees
0
Spending
$98,452,413

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestmentsN/a00$98,452,413
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$644,744,228

Bond Issues

BondIssuerIssuedIssue PricePurpose
BWhefa Rev Bond 20152015-01-07$140,628,056Refunding and facility contstruction reno
AWHEFA Rev Bond 2009A2009-06-16$88,469,772Facility Construction Renovation and Remodeling
DWHEFA Rev Bond 2012a2012-10-19$49,745,000REFUNDING
BWHEFA Rev Bond 2009B2009-06-16$36,717,948REFUNDING
CWHEFA Rev Bond 20102010-05-25$25,508,288REFUNDING
AWhefa Rev Bond 2014a2014-08-06$11,544,244REFUNDING

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$140,958,729--$1,236,782
A$87,896,508$34,558,000$1,910,000$1,018,634
D$49,745,000$11,463,643$400,000$279,179
B$36,717,948$25,175,981$2,710,000$425,525
C$25,508,288$49,465,821$1,490,000$332,397
A$11,544,244$46,470,904$1,700,000$90,600

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

A draft of the form 990 is provided to the organization's designated committee of the board of directors for review and discussion. The final version of the form 990 is emailed to the entire board before the return is filed.

Form 990, Part VI, Section B, line 12C

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, Section B, line 15

Thedacare hires an outside consulting firm to conduct a thorough market review of executive compensation every other year. Internally, a compensation committee reaffirms the compensation policy, reviews data from consultants, and with input from the senior vice president of human resources, advises, validates, and approves a range for ceo compensation. The committee also ratifies the at-risk compensation plan.

Form 990, Part VI, Section C, line 19

THEDACARE INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AnD INTERNAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.

Filing and Contact Details

Filer

Filer Name
ThedaCare Inc
EIN
39-1509362
Phone
9207355560
Address
122 East College Avenue, Appleton, WI 54911

Signing Officer

Name
Tim A Olson
Title
Chief Financial Officer
Phone
9207355560
Signed
2017-10-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim A Olson
Formed
1985
Legal Domicile
Wi
Voting Board Members
18
Independent Board Members
14
Employees
7,794
Volunteers
17

Preparer

Firm
Wipfli LLP
Address
PO Box 12237, Green Bay, WI 54307-2237
Preparer
Terri Rexrode CPA MST
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 5:

Number of employees: THEDACARE INC. CENTRALIZES PAYROLL AND TAX WITHHOLDING FUNCTIONS FOR A NUMBER OF AFFILIATED ENTITIES, WITH ALL FILINGS UNDER THEDACARE'S FEDERAL IDENTIFICATION NUMBER.

Form 990, Part V, Line 4A

Thedacare, 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, inc. Has answered "no", to part v, question, 4a on the 2015 form 990.

Form 990, Part IX, line 11G

Other Purchased Services: Program service expenses 11,969,840. Management and general expenses 889,680. Fundraising expenses 0. Total expenses 12,859,520. Contract labor: Program service expenses 6,180,179. Management and general expenses 222,173. Fundraising expenses 0. Total expenses 6,402,352. Patient Services: Program service expenses 1,626,636. Management and general expenses 187,237. Fundraising expenses 0. Total expenses 1,813,873. Contributions: Program service expenses 59,700. Management and general expenses 14,925. Fundraising expenses 0. Total expenses 74,625. Hospice Care: Program service expenses 3,723,166. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,723,166. Administration Purchased Services: Program service expenses 1,255,987. Management and general expenses 643,238. Fundraising expenses 0. Total expenses 1,899,225. Clinical Purchased Services: Program service expenses 580,554. Management and general expenses 0. Fundraising expenses 0. Total expenses 580,554. Facilities Management Purchased Services: Program service expenses 883,134. Management and general expenses 302,162. Fundraising expenses 0. Total expenses 1,185,296. Lab Purchased Services: Program service expenses 5,785,280. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,785,280. Occupational Health Purchased Services: Program service expenses 311,994. Management and general expenses 0. Fundraising expenses 0. Total expenses 311,994. Ortho Plus Purchased Services: Program service expenses 397,716. Management and general expenses 38,977. Fundraising expenses 0. Total expenses 436,693. TC ACO Purchased Services: Program service expenses 632,522. Management and general expenses 158,131. Fundraising expenses 0. Total expenses 790,653.

Form 990, Part XI, line 9:

Pension Related Changes -6,326,628. funds restriction reclass

FORM 990, PART XII, LINE 2C:

Oversight of audit: this process has not changed from the prior year.

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IRS990/Desc0THEDACARE OPERATES 34 MEDICAL CLINICS IN 23 COMMUNITIES THROUGHOUT THE FOX VALLEY AND SURROUNDING AREAS. THE SERVICES INCLUDE FAMILY AND GENERAL PRACTICES, INTERNAL MEDICINE, ORTHOPEDICS, ALLERGY/IMMUNOLOGY, AND PEDIATRICS. ALONG WITH ROUTINE PHYSICIAN AND NURSING CARE, SOME LOCATIONS PROVIDE OFFICE HOURS WITH SPECIALTY MEDICAL PROVIDERS. MOST CLINICS ALSO OFFER DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CAT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,333$1,980$647$211$236$25.3
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,209$1,933$724$366$501$135
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,137$1,860$723$372$413$40.5
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$691$1,232$541$440$397$42.3
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$920$1,506$585$357$369$12.4
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$865$1,447$581$398$454$55.4
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$833$1,377$544$338$430$91.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$816$1,191$375$335$400$64.6
2016Detailed filing. Detailed filing data is available for this year.$738$1,101$363$281$355$73.5
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$729$1,029$300$278$324$46.0
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$702$910$208$305$296$8.95
2013Detailed filing. Detailed filing data is available for this year.$540$741$201$292$294$2.12
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$486$761$275$280
2011Summary only. Only limited summary data is available for this year.$433$696$263$265$267$2.16
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$241$460$218$256