Civic Intelligence

Tomah Health Community Foundation Inc.

990 • Fiscal year 2018 • EIN 39-1823757

Oct 01, 2017 to Sep 30, 2018 • Filed on Jul 29, 2019

Organization Profilewww.tomahhospital.org
321 Butts AvenueTomah, WI 54660

(608) 372-2181

Siviq Scores

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

Liabilities / Assets

80th percentile

0.34x

Higher debt load relative to assets than 80% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

97th percentile

5.68x

Higher debt load relative to revenue than 97% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

92nd percentile

53%

Higher net margin than 92% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

53rd percentile

$10,430

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 26.9% of source-year revenue.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

37th percentile

-2.1%

Faster asset growth than 37% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

16th percentile

-19%

Faster revenue growth than 16% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets80th percentile

Assets

Down

$644,758

Down $14,005 (-2.1%) from 2017

Net Assets

Up

$424,758

Up $42,229 (+11%) from 2017

Liabilities

Down

$220,000

Down $56,234 (-20%) from 2017

Revenue And Expenses
Liabilities / Revenue97th percentileNet Margin92nd percentile

Revenue

Down

$38,735

Down $8,853 (-19%) from 2017

Expenses

Down

$18,069

Down $271,831 (-94%) from 2017

Net Income

Up

$20,666

Up $262,978 (+109%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth37th percentile

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

$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

2018

Assets$644,758
Liabilities$220,000
Net Assets$424,758
Open 2018 Filing

Operations Trend

Revenue Growth16th percentile

Revenue, expenses, and net income across loaded years, with this 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

2018

Revenue$38,735
Expenses$18,069
Net Income$20,666
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2017 to Sep 30, 2018
Signed
Jul 29, 2019
Return Version
2017v2.3
Gross Receipts
$46,265
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$658,763$644,758▼ $14,005
Rtn Earn Endowment Incm Other Fnds$382,529$424,758▲ $42,229
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$658,763$644,758▼ $14,005
Liabilities
Grants Payable$275,000$220,000▼ $55,000
Accounts Payable and Accrued Expenses$1,234--
Total Liabilities$276,234$220,000▼ $56,234
Net Assets / Fund Balance
Total Net Assets Fund Balance$382,529$424,758▲ $42,229
Total Liabilities and Net Assets / Fund Balance$658,763$644,758▼ $14,005
Compensation and Service Providers
Top Officer Pay53rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eric PriseDirectorof Public RelationsPT$9,982$448$10,430

Board Members and Trustees

NameTitle
Peter ReichardtPresident
Brian EirscheleVice President
Derek BurnstadDirector
Jenny McCoyDirector
Jeremy HaldemanDirector
Erin DawleyDirector (began March 2018)
Tonya GnewikowDirector (began March 2018)
Chris PokelaDirector (until March 2018)
Joellyn EdgertonDirector (until March 2018)
Kate SchanhoferSecretary
Deb WelchTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$29,210
Program Service Revenue
$0
Investment Income
$6,576
Other Revenue
$2,949
All Other Contributions
$8,044
Change in Net Assets
$20,666
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$15,787
Other Expenses$2,282
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$11,287--$11,287
Grants to Domestic Individuals$4,500--$4,500
Fees for Services Accounting-$1,800-$1,800
Conferences and Meetings-$270-$270
Office Expenses-$122-$122
Other Expenses-$90-$90
Total Functional Expenses$15,787$2,282$0$18,069
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$9,259
Fundraising Direct Expenses$7,530
Gaming Gross Income$1,220
Gaming Direct Expenses$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf outing$30,425$9,259-$9,259
Total Events$30,425$9,259$7,530$1,729
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 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 Memorial Hospital Foundation
EIN
39-1823757
Phone
6083722181
Address
321 Butts Avenue, Tomah, WI 54660

Signing Officer

Name
Joseph Zeps
Title
CFO - Tomah Memorial Hospital
Phone
6083722181
Signed
2019-07-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Peter Reichardt
Formed
1996
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
11

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
9529446166
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt039482
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.87870
IRS990ScheduleA/PublicSupportPY170Pct00.88800
IRS990ScheduleA/PublicSupportTotal170Amt0165380
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt029210
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt040255
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt035429
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt033350
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt027136
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0165380
IRS990ScheduleA/TotalSupportAmt0188202
IRS990/ScheduleBRequiredInd00
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt0660
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt0660
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt021166
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt021166
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt07530
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Golf outing
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt03601
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt03601
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt030425
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt030425
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt09259
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt09259
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt01729
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt03269
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt03269
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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 the time spent on the Foundation.
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/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0658763
IRS990/TotalAssetsEOYAmt0644758
IRS990/TotalAssetsGrp/BOYAmt0658763
IRS990/TotalAssetsGrp/EOYAmt0644758
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt029210
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt02282
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt015787
IRS990/TotalFunctionalExpensesGrp/TotalAmt018069
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0276234
IRS990/TotalLiabilitiesEOYAmt0220000
IRS990/TotalLiabilitiesGrp/BOYAmt0276234
IRS990/TotalLiabilitiesGrp/EOYAmt0220000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0382529
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0424758
IRS990/TotalOtherCompensationAmt0448
IRS990/TotalProgramServiceExpensesAmt015787
IRS990/TotalReportableCompFromOrgAmt09982
IRS990/TotalRevenueGrp/ExclusionAmt09525
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt038735
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt011
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0658763
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0644758
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0321 Butts Avenue
IRS990/USAddress/CityNm0Tomah
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd054660
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0www.tomahhospital.org
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Joseph Zeps
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO - Tomah Memorial Hospital
ReturnHeader/BusinessOfficerGrp/PhoneNum06083722181
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-07-29
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Tomah Memorial Hospital Foundation
ReturnHeader/Filer/BusinessNameControlTxt0TOMA
ReturnHeader/Filer/EIN0391823757
ReturnHeader/Filer/PhoneNum06083722181
ReturnHeader/Filer/USAddress/AddressLine1Txt0321 Butts Avenue
ReturnHeader/Filer/USAddress/CityNm0Tomah
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd054660
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0D8A1E5117AA53286D53F57459EBB2DE5C7CA50FC
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0F9BEE9501A3B4F00F190E63700B8BF2BC70C7B96
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0199.247.44.58
ReturnHeader/FilingSecurityInformation/IPDt02019-07-29
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm013:42:11
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411765929
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
ReturnHeader/PreparerPersonGrp/PhoneNum09529446166
ReturnHeader/PreparerPersonGrp/PreparationDt02019-07-29
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Kim Hunwardsen CPA
ReturnHeader/ReturnTs02019-07-30T13:24:48-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-10-01

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$644,758
Liabilities
$220,000
Net assets
$424,758
Revenue
$38,735
Expenses
$18,069
Net income
$20,666
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