2022-08-05T08:50:03-05:00 2021-09-30 411765929 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-10-01 391823757 Tomah Health Community Foundation Inc TOMA 6083722181 501 Gopher Dr Tomah WI 54660 Joseph Zeps CFO - Tomah Memorial Hospital 6083722181 2022-08-03 1 Joseph Zeps 999009999 Kim Hunwardsen CPA P00484560 9529446166 2022-07-29 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Peter Reichardt 501 Gopher Dr Tomah WI 54660 52691 0 X www.tomahhospital.org X 1996 WI Support of Tomah Memorial Hospital and surrounding community. 9 9 0 11 0 0 14530 32544 0 0 12970 9270 0 2572 27500 44386 13700 12000 0 0 0 0 0 0 0 3877 2537 17577 14537 9923 29849 578827 618320 110000 55000 468827 563320 The mission of Tomah Health Community Foundation, Inc. is to support the community of Tomah and the healthcare providers that serve its residents. 0 0 12437 12000 Tomah 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 its 2020 fiscal year, the Foundation provided support to various community and healthcare organizations, including area PTO groups, a local food pantry, youth leadership programs, the county health department, and a free healthcare clinic. Additionally, the Foundation granted scholarships to area students that are pursuing careers in the healthcare field. 12437 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 WI X Joseph Zeps 6083740307 501 Gopher Drive Tomah WI 54660 Peter Reichardt President 1.00 X X 0 0 0 Brian Eirschele Vice President 1.00 X X 0 0 0 Erin Dawley Secretary 1.00 X X 0 0 0 Deb Welch Treasurer 1.00 X X 0 0 0 Jeremy Haldeman Director 1.00 X 0 0 0 Derek Burnstad Director until March 2021 1.00 X 0 0 0 Jenny McCoy Director 1.00 X 0 0 0 Tonya Gnewikow Director 1.00 X 0 0 0 Dustin Powell Director starting March 2021 1.00 X 0 0 0 Kelsey Remus Director starting March 2021 1.00 X 0 0 0 Eric Prise Director of Public Relations 5.00 X 10740 0 3677 Joseph Zeps CFO Tomah Memorial Hospital 1.00 X 0 0 0 10740 0 3677 0 0 0 1 0 20990 11554 32544 9270 9270 7420 20990 7218 202 202 3457 1087 2370 2370 44386 0 0 11842 7500 7500 4500 4500 2100 2100 Dues and fees 300 300 137 137 14537 12437 2100 0 578827 618320 578827 618320 110000 55000 110000 55000 X 0 0 0 0 468827 563320 468827 563320 578827 618320 29849 64644 0 X 0 0 0 X 40255 29210 34780 14530 32544 151319 40255 29210 34780 14530 32544 151319 151319 5462 6576 9083 12970 9270 43361 1871 2949 890 2572 8282 202962 0.74560 0.76710 X Golf Event 28410 20990 7420 2907 3443 868 28410 20990 7420 2907 3443 868 7218 202 0 0 0 0 0 0 0 0 0 Eric Prise Director of Public Relations 10740 0 0 0 0 0 462 0 3302 0 14504 0 0 0 Schedule J, Compensation from Unrelated Organization: Eric 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. 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.