Civic Intelligence

Tomah Memorial Hospital Foundation

EIN 39-1823757 • 501(c)3 • Tomah, WI

Profile

The mission of Tomah Memorial Hospital Foundation is to support the community of Tomah and the healthcare providers that serve its residents.

501 Gopher DrTomah, WI 54660

www.tomahhospital.org

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

94th percentile

68%

Higher net margin than 94% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$166,970

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 381.7% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

75th percentile

19%

Faster asset growth than 75% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

44th percentile

2.9%

Faster revenue growth than 44% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Up

$703,142

Up $114,133 (+19%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$703,142

Up $114,133 (+19%) from 2023

Revenue

Up

$43,748

Up $1,244 (+2.9%) from 2023

Expenses

Up

$14,148

Up $366 (+2.7%) from 2023

Net Income

Up

$29,600

Up $878 (+3.1%) from 2023

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2010: $405,676Liabilities 2010: $0Net Assets 2010: $405,6762010Assets 2011: $412,924Liabilities 2011: $0Net Assets 2011: $412,9242011Assets 2012: $460,545Liabilities 2012: $0Net Assets 2012: $460,5452012Assets 2013: $510,286Liabilities 2013: $5,082Net Assets 2013: $505,2042013Assets 2014: $540,595Liabilities 2014: $0Net Assets 2014: $540,5952014Assets 2015: $548,675Liabilities 2015: $0Net Assets 2015: $548,6752015Assets 2016: $593,215Liabilities 2016: $0Net Assets 2016: $593,2152016Assets 2017: $658,763Liabilities 2017: $276,234Net Assets 2017: $382,5292017Assets 2018: $644,758Liabilities 2018: $220,000Net Assets 2018: $424,7582018Assets 2019: $615,702Liabilities 2019: $165,000Net Assets 2019: $450,7022019Assets 2020: $578,827Liabilities 2020: $110,000Net Assets 2020: $468,8272020Assets 2021: $618,320Liabilities 2021: $55,000Net Assets 2021: $563,3202021Assets 2022: $523,068Liabilities 2022: $0Net Assets 2022: $523,0682022Assets 2023: $589,009Liabilities 2023: $0Net Assets 2023: $589,0092023Assets 2024: $703,142Liabilities 2024: $0Net Assets 2024: $703,1422024

Highlighted filing

2024

Assets$703,142
Liabilities$0
Net Assets$703,142

Operations Trend

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

$400K$200K$0-$200K-$400KRevenue 2010: $30,885Expenses 2010: $59,168Net Income 2010: -$28,2832010Revenue 2011: $28,581Expenses 2011: $11,583Net Income 2011: $16,9982011Revenue 2012: $35,148Expenses 2012: $7,905Net Income 2012: $27,2432012Revenue 2013: $35,925Expenses 2013: $15,654Net Income 2013: $20,2712013Revenue 2014: $28,875Expenses 2014: $15,843Net Income 2014: $13,0322014Revenue 2015: $37,726Expenses 2015: $20,421Net Income 2015: $17,3052015Revenue 2016: $42,446Expenses 2016: $16,650Net Income 2016: $25,7962016Revenue 2017: $47,588Expenses 2017: $289,900Net Income 2017: -$242,3122017Revenue 2018: $38,735Expenses 2018: $18,069Net Income 2018: $20,6662018Revenue 2019: $38,972Expenses 2019: $16,357Net Income 2019: $22,6152019Revenue 2020: $27,500Expenses 2020: $17,577Net Income 2020: $9,9232020Revenue 2021: $44,386Expenses 2021: $14,537Net Income 2021: $29,8492021Revenue 2022: $45,270Expenses 2022: $13,645Net Income 2022: $31,6252022Revenue 2023: $42,504Expenses 2023: $13,782Net Income 2023: $28,7222023Revenue 2024: $43,748Expenses 2024: $14,148Net Income 2024: $29,6002024

Highlighted filing

2024

Revenue$43,748
Expenses$14,148
Net Income$29,600

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$7.03$0.00$7.03$0.44$0.14$0.30
2023Detailed filing. Detailed filing data is available for this year.$5.89$0.00$5.89$0.43$0.14$0.29
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.23$0.00$5.23$0.45$0.14$0.32
2021Detailed filing. Detailed filing data is available for this year.$6.18$0.55$5.63$0.44$0.15$0.30
2020Summary only. Only limited summary data is available for this year.$5.79$1.10$4.69$0.28$0.18$0.10
2019Detailed filing. Detailed filing data is available for this year.$6.16$1.65$4.51$0.39$0.16$0.23
2018Detailed filing. Detailed filing data is available for this year.$6.45$2.20$4.25$0.39$0.18$0.21
2017Detailed filing. Detailed filing data is available for this year.$6.59$2.76$3.83$0.48$2.90$2.42
2016Detailed filing. Detailed filing data is available for this year.$5.93$0.00$5.93$0.42$0.17$0.26
2015Detailed filing. Detailed filing data is available for this year.$5.49$0.00$5.49$0.38$0.20$0.17
2014Detailed filing. Detailed filing data is available for this year.$5.41$0.00$5.41$0.29$0.16$0.13
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.10$0.05$5.05$0.36$0.16$0.20
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.61$0.00$4.61$0.35$0.08$0.27
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.13$0.00$4.13$0.29$0.12$0.17
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.06$0.00$4.06$0.31$0.59$0.28
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
$53,490
Mission and Program Overview

Mission

The mission of tomah memorial hospital foundation is to support the community of tomah and the healthcare providers that serve its residents.

Support of Tomah Memorial Hospital and surrounding community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$589,009$703,142▲ $114,133
Rtn Earn Endowment Incm Other Fnds$589,009$703,142▲ $114,133
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$589,009$703,142▲ $114,133
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$589,009$703,142▲ $114,133
Total Liabilities and Net Assets / Fund Balance$589,009$703,142▲ $114,133
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eric PriseDirector of Public RelationsPT$132,358$35,480$167,838

Board Members and Trustees

NameTitle
Brian EirschelePresident
Jeremy HaldemanVice President
Alex EgstadDirector
Dustin PowellDirector
Jenny McCoyDirector
Kyle Von HadenDirector
Tonya GnewikowDirector
Joseph ZepsCFO Tomah Memorial Hospital
Erin DawleySecretary
Deb WelchTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$27,302
Program Service Revenue
$0
Investment Income
$15,450
Other Revenue
$996
All Other Contributions
$8,900
Change in Net Assets
$29,600
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$14,000
Other Expenses$148
Total Fundraising Expense$148
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$9,500--$9,500
Grants to Domestic Individuals$4,500--$4,500
Other Expenses--$119$119
Office Expenses--$29$29
Total Functional Expenses$14,000$0$148$14,148
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$9,717
Fundraising Gross Income$7,178
Gaming Gross Income$3,560
Gaming Direct Expenses$25
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Event$25,580$7,178$217$6,961
Total Events$25,580$7,178$9,717$-2,539
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 8B

The Organization does not have committees with authority to act on behalf of the governing body.

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

The 990 is provided to the board members before it is filed. The CFO of Tomah Memorial Hospital reviews the Form 990.

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

Officers and board members complete a conflict of interest policy annually. The Board reviews any potential conflicts. If the Board determined a conflict existed, the person involved would abstain from voting on any matter related to the conflict.

Form 990, Part VI, Section C, line 19

The Organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Tomah Health Community Foundation Inc
EIN
39-1823757
Phone
6083722181
Address
501 Gopher Dr, Tomah, WI 54660

Signing Officer

Name
Joseph Zeps
Title
CFO - Tomah Memorial Hospital
Phone
6083722181
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brian Eirschele
Formed
1996
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
9

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Raw XML AppendixShowing 400 of 408 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
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0Support of Tomah Memorial Hospital and surrounding community.
IRS990/AllOtherContributionsAmt08900
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Joseph Zeps
IRS990/BooksInCareOfDetail/PhoneNum06083740307
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0501 Gopher Drive
IRS990/BooksInCareOfDetail/USAddress/CityNm0Tomah
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WI
IRS990/BooksInCareOfDetail/USAddress/ZIPCd054660
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd01
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContriRptFundraisingEventAmt018402
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt027302
IRS990/CYGrantsAndSimilarPaidAmt014000
IRS990/CYInvestmentIncomeAmt015450
IRS990/CYOtherExpensesAmt0148
IRS990/CYOtherRevenueAmt0996
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt029600
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt014148
IRS990/CYTotalFundraisingExpenseAmt0148
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt043748
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0Tomah Health Community Foundation's focus of support continues to center on community-based wellness, facility upgrades, and the development of programs that benefit the local hospital and surrounding communities. During fiscal year 2024, the Foundation provided support to various community and healthcare organizations. Additionally, the Foundation granted scholarships to area students that are pursuing careers in the healthcare field.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt014000
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt95.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt101.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt932997
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/PersonNm0Brian Eirschele
IRS990/Form990PartVIISectionAGrp/PersonNm1Jeremy Haldeman
IRS990/Form990PartVIISectionAGrp/PersonNm2Erin Dawley
IRS990/Form990PartVIISectionAGrp/PersonNm3Deb Welch
IRS990/Form990PartVIISectionAGrp/PersonNm4Jenny McCoy
IRS990/Form990PartVIISectionAGrp/PersonNm5Tonya Gnewikow
IRS990/Form990PartVIISectionAGrp/PersonNm6Dustin Powell
IRS990/Form990PartVIISectionAGrp/PersonNm7Alex Egstad
IRS990/Form990PartVIISectionAGrp/PersonNm8Kyle Von Haden
IRS990/Form990PartVIISectionAGrp/PersonNm9Eric Prise
IRS990/Form990PartVIISectionAGrp/PersonNm10Joseph Zeps
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9133973
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director of Public Relations
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO Tomah Memorial Hospital
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01996
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt018402
IRS990/FundraisingDirectExpensesAmt09717
IRS990/FundraisingGrossIncomeAmt07178
IRS990/GamingActivitiesInd00
IRS990/GamingDirectExpensesAmt025
IRS990/GamingGrossIncomeAmt03560
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantAmt014000
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt04500
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt04500
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt09500
IRS990/GrantsToDomesticOrgsGrp/TotalAmt09500
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt053490
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt015450
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt015450
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WI
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0The mission of Tomah Health Community Foundation, Inc. is to support the community of Tomah and the healthcare providers that serve its residents.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0589009
IRS990/NetAssetsOrFundBalancesEOYAmt0703142
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-2539
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-2539
IRS990/NetIncomeFromGamingGrp/ExclusionAmt03535
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt03535
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt084533
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/FundraisingAmt029
IRS990/OfficeExpensesGrp/TotalAmt029
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Dues and fees
IRS990/OtherExpensesGrp/FundraisingAmt0119
IRS990/OtherExpensesGrp/TotalAmt0119
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Brian Eirschele
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt028643
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt013700
IRS990/PYInvestmentIncomeAmt012062
IRS990/PYOtherExpensesAmt082
IRS990/PYOtherRevenueAmt01799
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt028722
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt013782
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt042504
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt029600
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0589009
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0703142
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0589009
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0703142
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt027302
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt028643
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt034045
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt032544
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt014530
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0137064
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt015450
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt012062
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt09910
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt09270
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt012970
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt059662
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.67380
IRS990ScheduleA/PublicSupportPY170Pct00.70710
IRS990ScheduleA/PublicSupportTotal170Amt0137064
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt027302
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt028643
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt034045
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt032544
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt014530
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0137064
IRS990ScheduleA/TotalSupportAmt0203408
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearAmt0996
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt01799
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt01315
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt02572
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt06682
IRS990/ScheduleBRequiredInd00
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt0905
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt0905
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt018402
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt018402
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt09717
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Golf Event
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt03255
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt03255
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt025580
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt025580
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt07178
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt07178
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-2539
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt0800
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt0800
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0217
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0217
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt04540
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt04540
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0132358
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt05629
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt028236
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt01615
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Eric Prise
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Director of Public Relations
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0167838
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0Eric Prise, Director of Public Relations, is compensated by Tomah Memorial Hospital, an unrelated organization, for services provided to the Hospital and Foundation. Eric spends approximately 10% of his time on the Foundation. The compensation on Part VII reflects total 2023 W-2 compensation for services provided to the Foundation and Hospital.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Compensation from Unrelated Organization:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Organization does not have committees with authority to act on behalf of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The 990 is provided to the board members before it is filed. The CFO of Tomah Memorial Hospital reviews the Form 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Officers and board members complete a conflict of interest policy annually. The Board reviews any potential conflicts. If the Board determined a conflict existed, the person involved would abstain from voting on any matter related to the conflict.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, line 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0589009
IRS990/TotalAssetsEOYAmt0703142
IRS990/TotalAssetsGrp/BOYAmt0589009
IRS990/TotalAssetsGrp/EOYAmt0703142
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt027302
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0148
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt014000
IRS990/TotalFunctionalExpensesGrp/TotalAmt014148
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0589009
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0703142
IRS990/TotalOtherCompensationAmt032997
IRS990/TotalProgramServiceExpensesAmt014000
IRS990/TotalReportableCompFromOrgAmt0133973
IRS990/TotalRevenueGrp/ExclusionAmt016446
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt043748
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt09
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0589009
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0703142
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0501 Gopher Dr
IRS990/USAddress/CityNm0Tomah
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd054660
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0www.tomahhospital.org
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Joseph Zeps
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO - Tomah Memorial Hospital
ReturnHeader/BusinessOfficerGrp/PhoneNum06083722181
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-08-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Tomah Health Community Foundation Inc
ReturnHeader/Filer/BusinessNameControlTxt0TOMA
ReturnHeader/Filer/EIN0391823757
ReturnHeader/Filer/PhoneNum06083722181
ReturnHeader/Filer/USAddress/AddressLine1Txt0501 Gopher Dr
ReturnHeader/Filer/USAddress/CityNm0Tomah
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd054660
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Eide Bailly LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0800 Nicollet Mall Ste 1300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Minneapolis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0554027033

Document Assets

No mirrored PDF or thumbnail assets are attached yet.