2026-06-24T17:17:48-05:00 2025-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2024-10-01 390799566 Tomah Memorial Hospital TOMA 6083722181 501 Gopher Drive Tomah WI 54660 Joseph Zeps Chief Financial Officer 6083722181 2026-06-24 1 1 Kim Hunwardsen CPA P00484560 6122536500 2026-06-23 2024 2025-03-06 01:10:19Z Tomah Health Derek Daly 501 Gopher Drive Tomah WI 54660 99748237 0 X www.tomahhospital.org X 1948 WI To promote and provide quality health care to patients in a hospital setting 10 9 546 26 0 0 298403 76631 90324234 91796545 2319545 2272280 -1704 0 92940478 94145456 0 0 0 0 42246291 45242004 0 0 38654 44707224 45972304 86953515 91214308 5986963 2931148 140787498 144076870 47534632 46877897 93252866 97198973 X 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. 0 0 72256024 88606312 Tomah 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, 2025 are as follows:(Continued on Schedule O)* 1,169 inpatient discharges* 3,609 inpatient days* 21,923 emergency room and urgent care visits* 2,046 surgical and endoscopic procedures* 21,238 radiology procedures (including CT and MRI)* 101,758 laboratory tests* 57,025 rehabilitative services proceduresIn furtherance of its charitable mission, the Hospital provided approximately $458 thousand of free and discounted care to area residents (cost of care approximately $190 thousand) and wrote off $3.79 million of uncollectible accounts (cost equal to approximately $1.58 million). Additionally, based on its most recently completed community benefits survey, the Hospital incurred approximately $2.31 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 2025 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. 5321819 2760592 Hospice ProgramThe Hospital provides in-home, inpatient, and residential hospice care to residents of Tomah and the surrounding communities. Residential care is provided via the operation of an eight-bed hospice house located off campus. Despite subsidizing the financial losses incurred by the program, the services are deemed vital to the community and represent a necessary component of patient care. For the year ended September 30, 2025, the Hospice program experienced 10,931 program days and 1,331 hospice residence days. 1053104 429641 Warrens Walk-In ClinicThe Hospital began operating an off-site walk-in care clinic several years ago to better serve the needs of the residents of Warrens, Wisconsin. For the fiscal year ended September 30, 2025, the clinic accommodated 2,581 patient visits. The clinic provides residents with a close-to-home, low-cost option for healthcare services (including basic laboratory tests and x-ray capabilities) related to minor injuries and illnesses, and all services provided are supported by the Hospital's Emergency Department. Despite incurring a negative gross contribution margin during 2025, the Hospital's Board of Directors believes the clinic is an important asset to the residents of Warrens and remains committed to supporting it until it achieves a sustainable level of financial performance. 78630947 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 7 0 1 546 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X Joseph Zeps 6083778681 501 Gopher Drive Tomah WI 54660 Greg Gaarder Chair 1.00 X X 0 0 0 B Scott Nicol Vice Chair 1.00 X X 0 0 0 Deb Buswell Treasurer 1.00 X X 0 0 0 Sue Playter Mubarak Secretary 1.00 X X 0 0 0 Diana Gerke Director 0.50 X 0 0 0 Tiffany Casper DO Director 0.50 X 0 0 0 Beth Arity Director 0.50 X 0 0 0 Wes Revels Director 0.50 X 0 0 0 Jennifer Drexler DO Director 0.50 X 0 0 0 Todd Torkelson Director 0.50 X 0 0 0 Joseph Zeps Chief Financial Officer 40.00 X 295165 0 41593 Derek Daly CEO 40.00 X 0 0 0 Tracy Myhre CCO/CNO 40.00 X 259690 0 40174 Michelle Masters Nurse Practitioner 36.00 X 273114 0 39342 Gerald Fushianes Physician Assistant 36.00 X 278553 0 40928 Jill Boulden Director of Medical Operations 34.80 X 255948 0 1578 Todd Chapman Pharmacy Director 40.00 X 234469 0 9379 Scott Mihalovic Pharmacist 40.00 X 220635 0 38612 1817574 0 211606 76 0 1 0 Gundersen Lutheran Health Systems NCA1-01 1900 South Ave La Crosse WI 54601 Contracted ER physicians/dietician 3881560 Novus PO Box 12766 Pensacola FL 32591 Contracted CRNA 2676582 Medical X-ray Consultants PO Box 202229 Dallas TX 75320 Contracted radiologist 1977929 Pinnacle Orthopedics PO Box 124 West Salem WI 54669 Contracted orthopedic surgeon 1499574 Market & Johnson 2350 Galloway St Eau Claire WI 54703 Construction 1285495 20 23504 19427 33700 76631 Patient Service Revenue 621110 91352950 91352950 443595 443595 91796545 2027865 2027865 5844035 3161 5602781 0 241254 3161 244415 244415 94145456 91796545 0 2272280 X 785764 312686 473078 371646 371646 34073929 29346971 4697063 29895 996114 954994 40143 977 6531418 5607307 918451 5660 2483133 2125098 355913 2122 577458 577458 111546 111546 105057 105057 3747 3747 16135638 14296120 1839518 288312 288312 2243283 1057847 1185436 690357 690357 210418 171865 38553 229912 195421 34491 1122354 998895 123459 5937623 5284484 653139 250723 250723 Medical Supplies 15072348 15069817 2531 Repairs and Maintenance 2339017 1673521 665496 654511 219448 435063 91214308 78630947 12544707 38654 34991823 35099687 10617921 11226813 1479917 1461553 2025123 1851941 89702157 36451139 52858981 53251018 37473205 39916190 1340528 1269668 140787498 144076870 5936995 6480048 10391832 9855791 28364403 27581586 2841402 2960472 47534632 46877897 X 90152562 93999286 3100304 3199687 93252866 97198973 140787498 144076870 X 2931148 925008 89951 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3747 0 0 0 3747 0 Part II-B, Line 1: Tomah Memorial Hospital paid dues to the American Hospital Association where 39% of the annual dues amount of $9,606 were attributable to lobbying. 1868505 23343 146668 24917 2013599 1596177 38871 254563 21106 1868505 1489183 45183 80673 18862 1596177 1508753 61894 -63467 17997 1489183 1335008 35758 154311 16324 1508753 0.00000 1.00000 0.00000 0 0 2301146 2301146 56763191 17358276 39404915 25695667 18574040 7121627 4942153 518823 4423330 53251018 Estimated Third Party Payor Settlement 655000 Capital Lease Obligation 221274 Constructions Payable 2084198 2960472 X 95160415 925008 89951 1014959 94145456 0 94145456 91214308 0 91214308 0 91214308 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 89,951. 1 1 X 1 X 1 X 1 1 1 0 1 1 1 209 191000 191000 0.00210 1 11038 28097525 25769408 2328117 0.02550 1 7962 29311875 28024617 1287258 0.01410 3 19209 57600400 53794025 3806375 0.04170 20 129044 129044 0.00140 3 2797 6374923 3190233 3184690 0.03490 3 2817 6503967 3190233 3313734 0.03630 6 22026 64104367 56984258 7120109 0.07800 1 3787963 371220 17775051 17813120 -38069 X 1 1 1 1 Tomah Memorial Hospital 501 Gopher Drive Tomah WI 54660 www.tomahhealth.org 1023 X X X Warrens Walk-In Clinic - provider based Tomah Memorial Hospital 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X See Part V, Page 8 X 1 24 1 See Part V, Page 8 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X X 1 X 0 X X X X 1 X 0 0 Tomah Memorial Hospital Part V, Section B, Line 5: The Hospital participates in a collaborative community health needs assessment project with other area healthcare providers and county health departments. A new assessment is performed once every three years, and the process is coordinated by the Great Rivers United Way. The collaboration conducted a region-wide assessment via surveys, focus groups, and a detailed review of county and state demographic information. The assessment was used to identify and prioritize the health needs of Monroe County. The results of the assessment are used to affirm existing programs, develop new strategies, and ultimately improve the overall health of the community. Tomah Memorial Hospital Part V, Section B, Line 6a: Gundersen Health System (including LaCrosse, Hillsboro, and Whitehall locations)Mayo Health System (including LaCrosse and Sparta locations)Vernon Memorial Healthcare Tomah Memorial Hospital Part V, Section B, Line 6b: Great Rivers United WayHouston County (MN) Health DepartmentLaCrosse Community FoundationLaCrosse County Health DepartmentMonroe County Health DepartmentTrempealeau County Health DepartmentVernon County Health Department Tomah Memorial Hospital Part V, Section B, Line 11: The Hospital's most recent CHNA identified the following needs:- Food scarcity, lack of adequate nutrition education, and obesity- Inadequate access to mental health services- High prevalence of alcohol and other drug misuseThe following activities were undertaken during 2025 to address the areas of need identified in the most recent CHNA:Food scarcity, lack of adequate nutrition education, and obesity:The Hospital partnered with the UW-Extension Monroe Count and the Community Education Group HCE to offer several free nutrition-related educational offerings, including "Canning with Confidence", "What's for Dinner? Pantry Class", and "Feeding your baby in the first year". Additionally, the Hospital became an active participant in the Monroe County Nutrition Coalition, which aims to improve the health of Monroe County residents "one bite at a time". Finally, the Hospital partnered with the local food pantry to create handouts with tips and recipes for items commonly available at the pantry.Access to mental health services:The Hospital remains an active member of the Monroe County Mental Health Coalition, and co-leads the Education Sub-Committee of the Mental Health Coalition. The Coalition's current strategic plan is focused on mental health education and training, systems change and advocacy, trauma-informed care, and increasing coalition mental engagement. The Hospital also sponsors and hosts significant health events, including a Health Aging Expo, Women's Health Night, and Men's Health Night, each of which includes various mental health components.Alcohol and drug misuse: The Hospital is an active member of the Monroe County Safe Community Coalition, which aims to reduce alcohol, tobacco, and other drug use, enhance traffic safety, and promote health choices. The Hospital sponsored the Coalition's "Substance Use Prevention Day", where Monroe County sophomores learned about the dangers of vaping, inattentive driving, and opioid misuse. The Hospital continues to subsidize a suboxone clinic to help those struggling with opioid addiction, and provides various information to Emergency Room patients on addiction resources. Additionally, the Hospital offers a Peer Recovery Coaching Program where patients with substance use disorders can meet with a peer coach who has overcome substance misuse and can provide support. Tomah Memorial Hospital Part V, Section B, Line 16j: Brochures containing information about financial assistance are available to patients. The Hospital's website contains information regarding community care and financial assistance. Contact information regarding community care and financial assistance is included on billing statements. Summary and contact information is also included in the emergency room, waiting rooms, and business office. The Hospital employs a full-time, dedicated patient benefit specialist who works with uninsured and underinsured patients regarding community care applications and financial assistance. Part V, line 7a, Community Health Needs Assessment website: https://www.tomahhealth.org/about-us/community-health-needs-assessment Part V, line 10a, Implementation Strategy website: https://www.tomahhealth.org/about-us/community-health-needs-assessment/ Part V, line 16a, FAP website: https://www.tomahhealth.org/patients-visitors/billing-insurance/general-hospital-billing-info/ Part V, line 16a, FAP Application website: https://www.tomahhealth.org/patients-visitors/billing-insurance/general-hospital-billing-info/ Part V, line 16a, FAP Plain Language Summary website: https://www.tomahhealth.org/patients-visitors/billing-insurance/general-hospital-billing-info/ 1 1 - Hospice Touch Serenity House 601 Straw Street Tomah WI 54660 Hospice residence Part I, Line 6a: Annual Community Benefit reporting process, which is released to the public via a written report distributed to member hospitals as well as the WHA's website. This reporting initiative attempts to quantify the amount of community benefits provided by the Hospital, and includes figures related to community care write-offs, bad debt write-offs, Medicare and Medicaid shortfalls, and programs operated at a loss.The Organization also prepares a quarterly newsletter that is distributed to the public via a mass-mailing. The quarterly newsletter is intended to provide the communities the Hospital serves information regarding Hospital operations, financial results, and programs/initiatives intended to fulfill the Hospital's commitment to community. The newsletter also contains financial highlights from the WHA community benefit report. Current and prior editions of the newsletter are available on the Hospital's website. Part I, Line 7: The methodology for determining charity care and Medicaid/Tricare shortfalls at cost was as follows: a cost to charge ratio was computed using totals from the Hospital's audited financial statements; this ratio was applied to charity care charges, and gross Medicaid/Tricare revenue. Actual reimbursement received from Medicaid/Tricare was then compared to the estimated cost (computed by multiplying the CCR by gross charges) to determine the shortfall. All other items were based on actual program expenses. Also worth noting that the methodology used for charity care/Tricare/Medicaid is the same as the methodology used by the Wisconsin Hospital Association in compiling their annual community benefit report. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The estimated amount of the Organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy is determined by using the percentage of residents with income below the poverty level in Tomah, WI. The percentage was 9.8% per the US Census Bureau QuickFacts for Monroe County, WI, estimates as of 7/1/25. Part III, Line 4: The financial statement footnote regarding implicit price concessions may be found on pages 13 and 14 of the audited financial statements. Part III, Line 8: Tomah Memorial Hospital follows the CHA guidelines in reporting community benefits and therefore any Medicare shortfall would be excluded from the Hospital's community benefit report. The Hospital had a Medicare shortage for fiscal year 2025. Providing services to Medicare patients is essential to these patients and the community and increases their access to healthcare services, which is a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by The Centers for Medicaid and Medicare services.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have increased by $994,552.Medicare fee schedule revenue $ 722,232Medicare estimated costs of care relating to payments (1,716,783)Net (Shortage) $ ( 994,552) Part III, Line 9b: Tomah Health attempts to screen all elective/scheduled patients prior to the receipt of service regarding community care eligibility and works with patient financial services staff to identify emergent/unscheduled patients who may be eligible for community care (generally after receipt of service). Patients without insurance are offered a 42.5% discount. Patients that express an interest in community care assistance, are in the process of applying for community care assistance or waiting on a determination of community care assistance will not have collection efforts imposed on their accounts. After a determination of community care assistance is made, any personal portion due by the patient will follow the same collection procedures as other patients. Part VI, Line 2: Tomah Health currently operates on a three-year strategic planning cycle. At the beginning of each cycle, a strategic planning retreat is held during which an analysis is conducted of the services the Hospital currently provides and areas of need that should be addressed by the Hospital. The retreat is open to all Hospital staff, Hospital Board Members, and members of the Hospital's medical staff. The Hospital's medical staff is comprised primarily of physicians employed by other area healthcare providers (e.g. Mayo, Gundersen Health System), and as such their input into the strategic planning process allows the Hospital to work collaboratively with other hospitals and health systems in assessing the needs of the community. The strategic planning process is facilitated by a representative of HealthTechS3 (contracted management organization), and the three-year plan that is adopted by the Hospital's governance serves as a blueprint for ensuring the Hospital is addressing the needs of the community.In addition to the formal strategic planning process, the Hospital engages in ongoing discussions with various stakeholders (area businesses, physicians, patients, and community members) regarding the services offered at the Hospital, and Hospital leadership evaluates all suggestions offered for improving the many ways in which the Hospital serves its community.Finally, the Hospital participated in a collaborative community health needs assessment project with other area healthcare providers and county health departments. The final report and the Hospital's implementation plan are published on the Hospital's website at www.tomahhealth.org. Part VI, Line 3: Tomah Health makes available brochures containing information about financial assistance to all patients seen in the emergency room/urgent care areas, and any patient that registers for a non-emergent service is questioned by admissions or nursing staff regarding any concerns they might have about the cost of their Hospital services. The Hospital employs a full-time, dedicated patient benefit specialist who works with uninsured and underinsured patients regarding community care applications and financial assistance. Additionally, a review is conducted of all accounts that become delinquent to ensure that an attempt to contact the patient has been made by Hospital staff. Part VI, Line 4: Tomah Memorial Hospital, Inc. d/b/a Tomah Health is a 25-bed Critical Access Hospital located in Tomah, Wisconsin. The Hospital's primary service area consists of Tomah, WI, and the outlying communities of Camp Douglas, Warrens, Oakdale, and Wilton. Tomah is located in rural western Wisconsin, and as such a significant portion of the Hospital's patient base is comprised of agricultural workers and members of the Amish community. Additionally, Tomah's proximity to two military installations results in a large portion of services provided to members of the military and their families. The Hospital's payer mix is comprised of approximately 12.4% Medicaid, 41.8% Medicare, 13.5% military, 2.6% self-pay, and 29.6% commercial insurance. The reimbursement challenges associated with providing a high percentage of services to Medicaid/Medicare recipients and the uninsured have required the Hospital to operate at a high level of efficiency, ensuring that all services provided represent an excellent value to area community members. Although the Hospital has benefited from the additional reimbursement afforded through the Critical Access Hospital program, competition for market share with other area healthcare providers requires Hospital leadership to continually reevaluate service offerings and business lines for appropriateness given the healthcare needs of the community. Part VI, Line 5: Tomah Health's Board of Directors is comprised of community members that represent both a cross section of industry expertise (banking, manufacturing, attorneys, physicians, small business, etc.) as well as an appreciation of the healthcare needs of the community. The Hospital generally budgets for a targeted operating margin of between 1% and 3% each year. This target was established by the Hospital's Board of Directors and is believed to represent an appropriate balance between fulfilling the Hospital's charitable purpose and achieving financial results that allow for continued reinvestment in staff and equipment to remain competitive.The Hospital operates a fully staffed Community Health Initiatives Department dedicated to improving the health of the community through wellness education and preventative healthcare strategies. This Department maintains an active presence in the community, sponsoring such events as an annual Women's Health Night, an annual Senior Health and Safety Expo, and various other educational programs in area schools and businesses. Part VI, Line 7, Reports Filed With States WI X X X 0 0 0 0 0 0 0 1 0 Joseph Zeps Chief Financial Officer 285049 0 9186 0 930 0 11807 0 31064 0 338036 0 0 0 Gerald Fushianes Physician Assistant 274372 0 2500 0 1681 0 11142 0 30937 0 320632 0 0 0 Michelle Masters Nurse Practitioner 268848 0 3346 0 920 0 9555 0 30929 0 313598 0 0 0 Tracy Myhre CCO/CNO 243648 0 13686 0 2356 0 10388 0 31022 0 301100 0 0 0 Scott Mihalovic Pharmacist 203242 0 15634 0 1759 0 8825 0 31064 0 260524 0 0 0 Jill Boulden Director of Medical Operations 253124 0 2000 0 824 0 1578 0 1278 0 258804 0 0 0 Todd Chapman Pharmacy Director 231250 0 2500 0 719 0 9379 0 1278 0 245126 0 0 0 Part I, Line 3 Tomah Memorial Hospital does not pay compensation to the CEO directly. The CEO is compensated by an unrelated management company, HealthTechS3, and is considered a common law employee of the management company. The Hospital Board of Directors uses some of the processes described in Part I, Question 3 to help determine appropriate compensation for the CEO. The Board of Directors also approves the Organization's contract with the Management Company. Part I, Line 7 Bonuses are provided based on production and performance. The Board of Directors has authority to determine if a bonus should be granted or denied. A Wisconsin Health and Educational Facilities Authority 391337855 000000000 2017-11-09 13000000 Construction of replacement facility 0 0 0 A 2982375 13000000 13000000 2019 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 Date Rebate Computation Performed Issuer Name: Wisconsin Health and Educational Facilities Authority Date the Rebate Computation was Performed: 08/22/2023 Steve Loging Family member of CNO, Tracy Myhre 159135 Employee compensation 0 Jessye Buswell Family member of Director, Deb Buswell 170461 Employee compensation 0 Kristen Gerke Family member of Director, Diana Gerke 42050 Employee compensation 0 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 $548,771 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 CEO is 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. Form 990, Part IX, line 11g Purchased services: Program service expenses 14,296,120. Management and general expenses 1,058,264. Fundraising expenses 0. Total expenses 15,354,384. Professional fees: Program service expenses 0. Management and general expenses 781,254. Fundraising expenses 0. Total expenses 781,254. Form 990, Part XI, line 9: Net change in fair value of beneficial interest in perpetual trust 89,951. Pederson Trust Fund for the Benefit of Tomah Memorial Hospital 501 Gopher Dr Tomah WI 54660 396173790 Support Tomah Memorial Hospital WI 501(c)(3) Line 12b, II Tomah Memorial Hospital 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0