Civic Intelligence

Pederson Trust Fund for the Benefit of Tomah Memorial Hospital and Hom

990 • Fiscal year 2017 • EIN 39-6173790

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 08, 2018

Organization ProfileN/A
321 Butts AveTomah, WI 54660

(608) 374-0307

Siviq Scores

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

Liabilities / Assets

26th percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

26th percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

81st percentile

26%

Higher net margin than 81% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

76th percentile

18%

Faster asset growth than 76% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

49th percentile

3.9%

Faster revenue growth than 49% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets26th percentile

Assets

Up

$584,913

Up $90,191 (+18%) from 2016

Net Assets

Up

$584,913

Up $90,191 (+18%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin81st percentile

Revenue

Up

$14,609

Up $554 (+3.9%) from 2016

Expenses

Up

$10,869

Up $487 (+4.7%) from 2016

Net Income

Up

$3,740

Up $67 (+1.8%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth76th percentile

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

$1.0M$500K$0Assets 2010: $289,449Liabilities 2010: $0Net Assets 2010: $289,4492010Assets 2011: $303,300Liabilities 2011: $0Net Assets 2011: $303,3002011Assets 2012: $336,277Liabilities 2012: $0Net Assets 2012: $336,2772012Assets 2013: $419,654Liabilities 2013: $0Net Assets 2013: $419,6542013Assets 2014: $471,646Liabilities 2014: $0Net Assets 2014: $471,6462014Assets 2015: $445,328Liabilities 2015: $0Net Assets 2015: $445,3282015Assets 2016: $494,722Liabilities 2016: $0Net Assets 2016: $494,7222016Assets 2017: $584,913Liabilities 2017: $0Net Assets 2017: $584,9132017Assets 2018: $556,676Liabilities 2018: $0Net Assets 2018: $556,6762018Assets 2019: $684,127Liabilities 2019: $0Net Assets 2019: $684,1272019Assets 2020: $674,091Liabilities 2020: $0Net Assets 2020: $674,0912020Assets 2021: $821,457Liabilities 2021: $0Net Assets 2021: $821,4572021Assets 2022: $742,791Liabilities 2022: $0Net Assets 2022: $742,7912022Assets 2023: $798,809Liabilities 2023: $0Net Assets 2023: $798,8092023Assets 2024: $919,127Liabilities 2024: $0Net Assets 2024: $919,1272024

Highlighted filing

2017

Assets$584,913
Liabilities$0
Net Assets$584,913
Open 2017 Filing

Operations Trend

Revenue Growth49th percentile

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

$80K$60K$40K$20K$0Expenses 2010: $7,9502010Expenses 2011: $7,3512011Expenses 2012: $9,6332012Revenue 2013: $11,555Expenses 2013: $10,887Net Income 2013: $6682013Revenue 2014: $12,772Expenses 2014: $11,559Net Income 2014: $1,2132014Revenue 2015: $13,445Expenses 2015: $9,852Net Income 2015: $3,5932015Revenue 2016: $14,055Expenses 2016: $10,382Net Income 2016: $3,6732016Revenue 2017: $14,609Expenses 2017: $10,869Net Income 2017: $3,7402017Revenue 2018: $16,797Expenses 2018: $11,347Net Income 2018: $5,4502018Revenue 2019: $22,433Expenses 2019: $12,866Net Income 2019: $9,5672019Revenue 2020: $22,169Expenses 2020: $17,090Net Income 2020: $5,0792020Revenue 2021: $23,467Expenses 2021: $16,352Net Income 2021: $7,1152021Revenue 2022: $24,743Expenses 2022: $17,972Net Income 2022: $6,7712022Revenue 2023: $74,580Expenses 2023: $18,866Net Income 2023: $55,7142023Revenue 2024: $35,551Expenses 2024: $21,408Net Income 2024: $14,1432024

Highlighted filing

2017

Revenue$14,609
Expenses$10,869
Net Income$3,740
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 8, 2018
Return Version
2017v2.3
Gross Receipts
$14,609
Mission and Program Overview

Mission

The Pederson Trust was established to provide permanent financial support to Tomah Memorial Hospital.

To provide support to Tomah Memorial Hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$494,722$584,913▲ $90,191
Investments in Publicly Traded Securities$480,844$567,295▲ $86,451
Savings and Temporary Cash Investments$13,878$17,618▲ $3,740
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$494,722$584,913▲ $90,191
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$494,722$584,913▲ $90,191
Total Liabilities and Net Assets / Fund Balance$494,722$584,913▲ $90,191
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Wes RevelsChair
Cynthia ErdmanVice Chair
Jill Boulden MDTrustee
Kurt OlsonTrustee
Michael Sauders MDTrustee
Patty ClarkTrustee
Terrie GaarderTrustee
Tom BramwellTrustee
James QuartemontSecretary
Paul PotterTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$14,609
Other Revenue
$0
Change in Net Assets
$3,740
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$10,541
Other Expenses$328
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$10,541--$10,541
Other Expenses-$328-$328
Total Functional Expenses$10,541$328$0$10,869
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Tomah Memorial HospitalTomah, WI501(c)(3)To support Tomah Memorial Hospital in their mission of providing healthcare.$10,541
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
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
No
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 7A

“Officers of the Pederson Trust Fund board are appointed by Tomah Memorial Hospital as they serve in these positions on the Hospital's board. Trustees are the board members of Tomah Memorial Hospital.”

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

“There are no other committees with authority to act on behalf of the board.”

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

“The Trustees are provided a copy of the 990 for review and approval before filing. The 990 is reviewed by the Vice President of Finance of Tomah Memorial Hospital.”

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

“The Trustees of the Pederson Trust are required to comply with the conflict of interest policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust. The Trustees review the policies and if a conflict exists, the person involved must abstain from voting on the matter.”

Form 990, Part VI, Section C, line 19

“The Pederson Trust does not make its governing documents, conflict of interest policy or financial statements available to the public.”

Form 990, Part VI, Section B - Policies, Line 13:

“The Pederson Trust does not have an official whistleblower policy adopted; however, the Trustees of the Pederson Trust are required to comply with the whistleblower policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.”

Form 990, Part VI, Section B - Policies, Line 14:

“The Pederson Trust does not have an official document retention and destruction policy adopted; however, the Trustees of the Pederson Trust are required to comply with the document retention and destruction policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.”

Filing and Contact Details

Filer

Filer Name
Pederson Trust Fund for the Benefit of
EIN
39-6173790
Phone
6083740307
Address
321 Butts Ave, Tomah, WI 54660

Signing Officer

Name
Wes Revels
Title
Chair
Phone
6083740307
Signed
2018-10-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wes Revels
Formed
1970
Legal Domicile
Wi
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
10

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
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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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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Annually, the Pederson Trust distributes 75% of the investment income earned to Tomah Memorial Hospital. The Trustees of Pederson Trust are also board members of Tomah Memorial Hospital. Through this relationship the Trustees can confirm all grant funds are used for Tomah, Wisconsin and surrounding communities.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Officers of the Pederson Trust Fund board are appointed by Tomah Memorial Hospital as they serve in these positions on the Hospital's board. Trustees are the board members of Tomah Memorial Hospital.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1There are no other committees with authority to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Trustees are provided a copy of the 990 for review and approval before filing. The 990 is reviewed by the Vice President of Finance of Tomah Memorial Hospital.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Trustees of the Pederson Trust are required to comply with the conflict of interest policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust. The Trustees review the policies and if a conflict exists, the person involved must abstain from voting on the matter.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Pederson Trust does not make its governing documents, conflict of interest policy or financial statements available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Pederson Trust does not have an official whistleblower policy adopted; however, the Trustees of the Pederson Trust are required to comply with the whistleblower policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The Pederson Trust does not have an official document retention and destruction policy adopted; however, the Trustees of the Pederson Trust are required to comply with the document retention and destruction policy formally adopted by Tomah Memorial Hospital, the supported organization of the Pederson Trust.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B - Policies, Line 13:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B - Policies, Line 14:
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Tomah
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
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IRS990ScheduleR/PerformOfServicesForOthOrgInd00
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IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
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IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt010541
IRS990/TotalFunctionalExpensesGrp/TotalAmt010869
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt014609
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IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0321 Butts Ave
IRS990/USAddress/CityNm0Tomah
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IRS990/USAddress/ZIPCd054660
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0N/A
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$584,913
Liabilities
$0
Net assets
$584,913
Revenue
$14,609
Expenses
$10,869
Net income
$3,740
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.19$0.00$9.19$0.36$0.21$0.14
2023Detailed filing. Detailed filing data is available for this year.$7.99$0.00$7.99$0.75$0.19$0.56
2022Detailed filing. Detailed filing data is available for this year.$7.43$0.00$7.43$0.25$0.18$0.07
2021Detailed filing. Detailed filing data is available for this year.$8.21$0.00$8.21$0.23$0.16$0.07
2020Detailed filing. Detailed filing data is available for this year.$6.74$0.00$6.74$0.22$0.17$0.05
2019Detailed filing. Detailed filing data is available for this year.$6.84$0.00$6.84$0.22$0.13$0.10
2018Detailed filing. Detailed filing data is available for this year.$5.57$0.00$5.57$0.17$0.11$0.05
2017Detailed filing. Detailed filing data is available for this year.$5.85$0.00$5.85$0.15$0.11$0.04
2016Detailed filing. Detailed filing data is available for this year.$4.95$0.00$4.95$0.14$0.10$0.04
2015Detailed filing. Detailed filing data is available for this year.$4.45$0.00$4.45$0.13$0.10$0.04
2014Detailed filing. Detailed filing data is available for this year.$4.72$0.00$4.72$0.13$0.12$0.01
2013Detailed filing. Detailed filing data is available for this year.$4.20$0.00$4.20$0.12$0.11$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.36$0.00$3.36$0.10
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.03$0.00$3.03$0.07
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.89$0.00$2.89$0.08