Civic Intelligence

Tomah Memorial Hospital

EIN 39-0799566 • 501(c)3 • Tomah, WI

Profile

The mission of Tomah Memorial Hospital, Inc. is to promote and provide quality health care based on customer needs and expectations. In fulfillment of its mission, Tomah Memorial Hospital is committed to view its customers and employees through a holistic approach without consideration to economic status, gender, ethnic origin or personal limitations.

501 Gopher DriveTomah, WI 54660

www.tomahhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

57th percentile

0.34x

Higher debt load relative to assets than 57% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

55th percentile

0.51x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

57th percentile

6.4%

Higher net margin than 57% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

29th percentile

$328,517

Higher top officer pay than 29% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

61st percentile

8.6%

Faster asset growth than 61% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

53rd percentile

8.0%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$140,787,498

Up $11,196,945 (+8.6%) from 2023

Liabilities

Up

$47,534,632

Up $2,274,609 (+5.0%) from 2023

Net Assets

Up

$93,252,866

Up $8,922,336 (+11%) from 2023

Revenue

Up

$92,940,478

Up $6,861,388 (+8.0%) from 2023

Expenses

Up

$86,953,515

Up $8,073,245 (+10%) from 2023

Net Income

Down

$5,986,963

Down $1,211,857 (-17%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $39,730,220Liabilities 2010: $11,619,049Net Assets 2010: $28,111,1712010Assets 2011: $42,438,239Liabilities 2011: $12,921,768Net Assets 2011: $29,516,4712011Assets 2012: $47,193,219Liabilities 2012: $12,418,477Net Assets 2012: $34,774,7422012Assets 2013: $49,454,772Liabilities 2013: $11,026,021Net Assets 2013: $38,428,7512013Assets 2014: $54,053,243Liabilities 2014: $10,394,612Net Assets 2014: $43,658,6312014Assets 2015: $57,907,603Liabilities 2015: $9,688,435Net Assets 2015: $48,219,1682015Assets 2016: $62,359,385Liabilities 2016: $8,366,956Net Assets 2016: $53,992,4292016Assets 2017: $68,749,924Liabilities 2017: $10,154,800Net Assets 2017: $58,595,1242017Assets 2018: $111,844,534Liabilities 2018: $50,166,608Net Assets 2018: $61,677,9262018Assets 2019: $114,912,986Liabilities 2019: $51,439,146Net Assets 2019: $63,473,8402019Assets 2020: $119,360,699Liabilities 2020: $56,904,528Net Assets 2020: $62,456,1712020Assets 2021: $122,784,056Liabilities 2021: $46,552,158Net Assets 2021: $76,231,8982021Assets 2022: $124,121,322Liabilities 2022: $46,871,425Net Assets 2022: $77,249,8972022Assets 2023: $129,590,553Liabilities 2023: $45,260,023Net Assets 2023: $84,330,5302023Assets 2024: $140,787,498Liabilities 2024: $47,534,632Net Assets 2024: $93,252,8662024

Highlighted filing

2024

Assets$140,787,498
Liabilities$47,534,632
Net Assets$93,252,866

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $31,098,1412010Expenses 2011: $32,830,1992011Expenses 2012: $33,237,1092012Revenue 2013: $40,602,251Expenses 2013: $37,394,258Net Income 2013: $3,207,9932013Revenue 2014: $44,708,719Expenses 2014: $40,416,734Net Income 2014: $4,291,9852014Revenue 2015: $48,460,191Expenses 2015: $42,265,570Net Income 2015: $6,194,6212015Revenue 2016: $49,271,309Expenses 2016: $45,349,506Net Income 2016: $3,921,8032016Revenue 2017: $55,006,021Expenses 2017: $51,735,462Net Income 2017: $3,270,5592017Revenue 2018: $62,770,708Expenses 2018: $58,264,145Net Income 2018: $4,506,5632018Revenue 2019: $62,690,311Expenses 2019: $61,577,487Net Income 2019: $1,112,8242019Revenue 2020: $65,345,149Expenses 2020: $66,539,405Net Income 2020: -$1,194,2562020Revenue 2021: $81,760,815Expenses 2021: $68,576,610Net Income 2021: $13,184,2052021Revenue 2022: $76,753,424Expenses 2022: $72,887,260Net Income 2022: $3,866,1642022Revenue 2023: $86,079,090Expenses 2023: $78,880,270Net Income 2023: $7,198,8202023Revenue 2024: $92,940,478Expenses 2024: $86,953,515Net Income 2024: $5,986,9632024

Highlighted filing

2024

Revenue$92,940,478
Expenses$86,953,515
Net Income$5,986,963

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$141$47.5$93.3$92.9$87.0$5.99
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$130$45.3$84.3$86.1$78.9$7.20
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$46.9$77.2$76.8$72.9$3.87
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$123$46.6$76.2$81.8$68.6$13.2
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$119$56.9$62.5$65.3$66.5$1.19
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$115$51.4$63.5$62.7$61.6$1.11
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$112$50.2$61.7$62.8$58.3$4.51
2017Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$68.7$10.2$58.6$55.0$51.7$3.27
2016Detailed filing. Detailed filing data is available for this year.$62.4$8.37$54.0$49.3$45.3$3.92
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$57.9$9.69$48.2$48.5$42.3$6.19
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$54.1$10.4$43.7$44.7$40.4$4.29
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$49.5$11.0$38.4$40.6$37.4$3.21
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.2$12.4$34.8$33.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.4$12.9$29.5$32.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$39.7$11.6$28.1$31.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 12, 2025
Return Version
2023v6.0
Gross Receipts
$102,227,085
Mission and Program Overview

Mission

The mission of tomah memorial hospital, inc. Is to promote and provide quality health care based on customer needs and expectations. In fulfillment of its mission, tomah memorial hospital is committed to view its customers and employees through a holistic approach without consideration to economic status, gender, ethnic origin or personal limitations.

To promote and provide quality health care to patients in a hospital setting

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$55,499,384$52,858,981▼ $2,640,403
Investments in Publicly Traded Securities$33,926,690$37,473,205▲ $3,546,515
Savings and Temporary Cash Investments$25,357,331$34,991,823▲ $9,634,492
Accounts Receivable$9,916,775$10,617,921▲ $701,146
Prepaid Expenses and Deferred Charges$2,273,522$2,025,123▼ $248,399
Inventories for Sale or Use$1,318,834$1,479,917▲ $161,083
Total Assets$129,590,553$140,787,498▲ $11,196,945
Other Assets Total$1,298,017$1,340,528▲ $42,511
Liabilities
Mortgage Notes Payable Secured by Investment Property$29,125,342$28,364,403▼ $760,939
Tax Exempt Bond Liabilities$10,909,225$10,391,832▼ $517,393
Accounts Payable and Accrued Expenses$4,290,574$5,936,995▲ $1,646,421
Other Liabilities$934,882$2,841,402▲ $1,906,520
Total Liabilities$45,260,023$47,534,632▲ $2,274,609
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$80,625,242$90,152,562▲ $9,527,320
Net Assets With Donor Restrictions$3,705,288$3,100,304▼ $604,984
Total Net Assets Fund Balance$84,330,530$93,252,866▲ $8,922,336
Total Liabilities and Net Assets / Fund Balance$129,590,553$140,787,498▲ $11,196,945

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$41,642,103$14,786,920$56,429,023
Equipment$8,191,234$16,061,579$24,252,813
Land$2,005,488-$2,005,488
Other Land Buildings$1,020,156$411,878$1,432,034

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,596,177$38,871▲ $254,563$21,106$1,868,505
2023$1,489,183$45,183▲ $80,673$18,862$1,596,177
2022$1,508,753$61,894▼ $63,467$17,997$1,489,183
2021$1,335,008$35,758▲ $154,311$16,324$1,508,753
2020$1,322,711$31,230▼ $1,818$17,115$1,335,008
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michelle MastersNurse PractitionerFT$290,548$39,112$329,660
Gerald FushianesPhysician AssistantFT$264,126$41,175$305,301
Joseph ZepsChief Financial OfficerFT$254,424$43,741$298,165
Tracy MyhreCNOFT$214,721$45,923$260,644
Laura MillerNurse PractitionerPT$223,181$24,357$247,538
Todd ChapmanPharmacy DirectorFT$209,280$21,215$230,495
Kelly ThayerNurse PractitionerFT$187,915$30,330$218,245

Board Members and Trustees

NameTitle
Greg GaardnerChair
B Scott Nicol - Secretarythen Vice Chair (as of Jan 24)
Keith LaugenVice Chair (until Jan 24)
Beth ArityDirector
Diana GerkeDirector
Tiffany Casper DODirector
Wes RevelsDirector
Jennifer Drexler DODirector (until Jan 24)
Robert Holness MDDirector (until Jan 24)
Todd TorkelsonDirector (until Jan 24)
Derek DalyCEO
Sue Playter Mubarak-Directorthe Secretary (as of Jan 24)
Deb BuswellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Gundersen Lutheran Health SystemsContracted ER physicians/dietician1900 South Ave, LaCrosse, WI 54601$4,222,620
NovusContracted CRNA Services501 Gopher Dr, Tomah, WI 54660$2,451,020
Medical X-ray ConsultantsContracted radiologist900 W Clairemont Avenue, Eau Claire, WI 54701$1,553,151
Pinnacle OrthopedicsContracted orthopedic surgeon501 Gopher Dr, Tomah, WI 54660$1,457,250
Mayo Clinic Health SystemContracted hospitalists201 W Center St, Rochester, MN 55902$1,242,224
Revenue and Support

Revenue Composition

Contributions and Grants
$298,403
Program Service Revenue
$90,324,234
Investment Income
$2,319,545
Other Revenue
$-1,704
All Other Contributions
$274,454
Change in Net Assets
$5,986,963

Audited Revenue Reconciliation

Revenue per Audited Statements
$92,940,478
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$2,935,373
Total Revenue per Audited Statements
$95,875,851
Total Revenue per Form 990
$92,940,478
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$44,707,224
Salaries, Compensation, and Employee Benefits$42,246,291
Total Fundraising Expense$39,342
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,153,271$4,376,576$31,014$32,560,861
Fees for Services Other$13,499,196$1,232,678-$14,731,874
Depreciation Depletion$5,581,294$689,823-$6,271,117
Other Employee Benefits$4,734,135$749,193$5,197$5,488,525
Payroll Taxes$2,040,857$331,807$2,212$2,374,876
Office Expenses$1,143,858$1,220,502-$2,364,360
Other Expenses$1,348,730$595,010-$1,943,740
Interest$1,038,651$128,373-$1,167,024
Pension Plan Contributions$829,765$128,058$919$958,742
Fees for Services Management-$938,321-$938,321
All Other Expenses$252,426$487,956-$740,382
Current Officers, Directors, Trustees, and Key Employees$279,792$316,963-$596,755
Occupancy$569,886--$569,886
Advertising-$285,916-$285,916
Comp Disqual Persons$266,532--$266,532
Conferences and Meetings$189,492$55,691-$245,183
Insurance$201,124--$201,124
Travel$150,006$41,532-$191,538
Fees for Services Accounting-$86,481-$86,481
Fees for Services Legal-$10,575-$10,575
Fees for Services Lobbying$2,897--$2,897
Total Functional Expenses$75,235,716$11,678,457$39,342$86,953,515

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$86,953,515
Total Expenses per Audited Statements$86,953,515
Total Expenses per Form 990$86,953,515
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Steve LogingFamily member of CNO, Tracy MyhreEmployee compensationNo$143,344
Jessye BuswellFamily member of Director, Deb BuswellEmployee compensationNo$123,188
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor$2,448,500
Capital Lease Obligation$392,902

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWisconsin Health and Educational Facilities Authority2017-11-09$13,000,000Construction of replacement facility

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$13,000,000-$2,436,225-

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
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 35% controlled entity
No
Business relationship with family members
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee includes the Corporation's officers and Chairmen of Standing Committees. The Executive Committee has power to transact all regular business of the Corporation during the period between the meetings of the Board of Directors subject to any prior limitation imposed by the Articles of Incorporation, these Bylaws, or the Board, and with the understanding that all matters of major importance will be referred to the Board of Directors. The Chairman of the Board presides as Chairman of Executive Committee and the Treasurer presides in the Chairman's absence. Actions of the Executive Committee are subjected to approval or disapproval at the next regular Board of Directors meeting except for those actions taken pursuant to delegation by the Board of Directors.

Form 990, Part VI, Section A, line 3

Derek Daly, CEO of Tomah Memorial Hospital, is employed by HealthTechS3, an unrelated management company. This position has the responsibility of supervising the management, administration and operation of the organization. HealthTechS3 was compensated $482,208 for Derek's services provided to Tomah Memorial Hospital.

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

A copy of the Form 990 is provided to the Board before it is filed. The CEO, CFO, and Executive/Finance Committee review the draft in detail.

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

All members of the Board and Administration team are covered by the conflict of interest policy. Potential conflicts are contracts or transactions between the Hospital and a Director or another corporation, firm, association, or entity in which there is a material financial interest. The Hospital administration reviews annual statements for potential conflicts. If the Hospital Administration determines there is a conflict, the person involved must abstain from voting on any matter related to the conflict.

Form 990, Part VI, Section B, line 15

The Administrator and CEO positions are employed by HealthTechS3. The Board approves the contract on a three-year period with two one-year renewal clauses. Comparability data is used during this process and the decision is documented. The contract was renewed for five years from 7/1/22 through 6/30/27 with an out clause on 6/30/25 provided 120 days notice is given. The CEO makes recommendations to the Finance/Executive Committee of the Board for other officers. Comparability data is used during this process and the decisions are documented. This is an annual process completed each fiscal year.

Form 990, Part VI, Section C, line 19

The Organization's governing documents and conflict of interest policy are not available to the general public. Financial statements are available through the Organization's bond issuer on the internet, and the Organization presents an annual report to the community, open to the general public, in which a financial report is presented. Additionally, an annual financial report is included in the quarterly mailings the Organization sends to all community members.

Filing and Contact Details

Filer

Filer Name
Tomah Memorial Hospital
EIN
39-0799566
Phone
6083722181
Address
501 Gopher Drive, Tomah, WI 54660
Doing Business As
Tomah Health

Signing Officer

Name
Joseph Zeps
Title
Chief Financial Officer
Phone
6083722181
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Derek Daly
Formed
1948
Legal Domicile
Wi
Voting Board Members
8
Independent Board Members
7
Employees
538
Volunteers
31

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Purchased services: Program service expenses 13,499,196. Management and general expenses 558,509. Fundraising expenses 0. Total expenses 14,057,705. Professional fees: Program service expenses 0. Management and general expenses 674,169. Fundraising expenses 0. Total expenses 674,169.

Form 990, Part XI, line 9:

Net change in fair value of beneficial interest in perpetual trust 197,427.

Financial Statement Notes

Part V, Line 4:

Permanently restricted net assets are restricted to the Hospice endowment fund and the beneficial interest in a perpetual trust. The interest earned can be used for hospice expenditures.

Part X, Line 2:

The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Net change in fair value of beneficial interest in a perpetual trust 197,427.

Raw XML AppendixShowing 400 of 1,049 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd00
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IRS990/Desc0Tomah Health has provided for the health and well-being of the residents of Tomah and the surrounding communities for nearly sixty-five years. The Hospital provides a broad spectrum of health and wellness services to the community, including general medical/surgical and swing bed inpatient care, diagnostic laboratory, and radiology services, general and specialty surgical services, 24-hour emergency care services, obstetric services, rehabilitative services, occupational health and wellness programs, and a community outreach program. Key volume indicators for the fiscal year ended September 30, 2024 are as follows:(Continued on Schedule O)* 1,229 inpatient discharges* 3,540 inpatient days* 23,124 emergency room and urgent care visits* 2,093 surgical and endoscopic procedures* 20,681 radiology procedures (including CT and MRI)* 106,683 laboratory tests* 57,087 rehabilitative services proceduresIn furtherance of its charitable mission, the Hospital provided approximately $521 thousand of free and discounted care to area residents (cost of care approximately $211 thousand) and wrote off $3.78 million of uncollectible accounts (cost equal to approximately $1.52 million). Additionally, based on its most recently completed community benefits survey, the Hospital incurred approximately $2.43 million in net losses related to providing care for individuals with health insurance provided by either the Medicaid program or other governmental insurance programs. The Hospital subsidizes several programs that are deemed vital services for the community, including in-home hospice and palliative care services, a hospice residence, a walk-in clinic located in the rural community of Warrens, WI, and a dedicated community outreach department that provides health and wellness services to area employers and the Tomah community. Subsidies for these programs for fiscal 2024 approximated $3.08 million. Additional details regarding the hospice program and the Warrens Walk-In Clinic can be found below in 4b and 4c. In addition to providing high quality healthcare services, the Hospital encourages employees to become actively involved in community organizations and projects that provide other benefits to local communities. The Hospital provides many free services to the community, including health and wellness presentations to area school children, CPR and AED training to various organizations, wellness fairs devoted to women and senior citizens, and meeting space to various non-profit and civic organizations.
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IRS990/Form990PartVIISectionAGrp/PersonNm8Keith Laugen
IRS990/Form990PartVIISectionAGrp/PersonNm9B Scott Nicol - Secretary
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Nurse Practitioner
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IRS990/Form990PartVIISectionAGrp/TitleTxt3CNO
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Pharmacy Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt10Treasurer
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IRS990/MissionDesc0The mission of Tomah Memorial Hospital, Inc. is to promote and provide quality health care based on customer needs and expectations. In fulfillment of its mission, Tomah Memorial Hospital is committed to view its customers and employees through a holistic approach without consideration to economic status, gender, ethnic origin or personal limitations.
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