Skip to content
Nonprofiteer
← TRICOUNTY MEMORIAL FOUNDATION INC

Form 990 for tax year 2023

Filed by TRICOUNTY MEMORIAL FOUNDATION INC.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2023 , filed 13 August 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$179,641 changed to $178,267
Total expenses
$26,626 changed to $74,077
Contributions and grants received
$152,798 changed to $135,856
Grants paid
$3,775 changed to $11,979
Investment income
$18,740 changed to $37,953
Other revenue
$8,103 changed to $4,458
Total assets, end of year
$1,354,908 changed to $1,459,674
Total liabilities, end of year
$395,008 changed to $395,584
Net assets or fund balances, end of year
$959,900 changed to $1,064,090
Program services expenses
$26,626 changed to $74,077
Program service expenses (Part III)
$26,626 changed to $74,077

Listed only on the earlier return

  • Dave Pientok

Listed only on the later return

  • John Ceelen

Listed under a different title

  • Gerald Oetzel: CFO-GHS (THRU 08/23) then FORMER CFO-BGHS
  • Glen Johnson: TRUSTEE then TRUSTEE (THRU 10/2023)
  • Scott Rathgaber: CEO-GHS then CEO-BGHS
  • Steve Little: CFO-GHS (BEG 08/23) then CFO-BGHS (THRU 02/2024)

Totals

Total revenue
$179,641
Total expenses
$26,626
Contributions and grants received
$152,798
Grants paid
$3,775
Program service revenue
$0
Investment income
$18,740
Other revenue
$8,103
Total assets, end of year
$1,354,908
Total liabilities, end of year
$395,008
Net assets or fund balances, end of year
$959,900
Program services expenses (Part IX)
$26,626
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$26,626

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $152,798

  • 3 · Investment income

    total $18,740 · excluded $18,740

  • 8a · Fundraising events: gross income

    $12,309

  • 8b · Fundraising events: direct expenses

    $4,445

  • 8c · Net income from fundraising events

    total $7,864 · excluded $7,864

  • 11d · All other revenue

    total $239 · excluded $239

  • 11e · Other revenue, total

    $239

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,775 · program services $3,775

  • 13 · Office expenses

    total $285 · program services $285

  • 24a · Other expenses: PROGRAM EXPENSES

    total $22,566 · program services $22,566

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,119,806 · end of year $1,305,010

  • 3 · Pledges and grants receivable

    beginning of year $81,273 · end of year $49,898

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $350

  • 25 · Other liabilities

    beginning of year $394,194 · end of year $394,658

  • 27 · Net assets without donor restrictions

    beginning of year $319,925 · end of year $319,420

  • 28 · Net assets with donor restrictions

    beginning of year $486,960 · end of year $640,480

Mission and programs · 2023

Mission

TRI-COUNTY MEMORIAL FOUNDATION, INC. EXISTS TO SUPPORT THE MISSION OF TRI-COUNTY MEMORIAL HOSPITAL, INC. WHICH IS TO DISTINGUISH OURSELVES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND IMPROVED HEALTH IN THE COMMUNITIES WE SERVE.

  • TRI-COUNTY MEMORIAL FOUNDATION, INC. PROVIDES SUPPORT TRI-COUNTY MEMORIAL HOSPITAL, INC., COMMUNITY ORGANIZATIONS, AND INDIVIDUALS TO FURTHER THE PURPOSE OF HEALTH AND EDUCATIONAL NEEDS. TRI-COUNTY MEMORIAL HOSPITAL, INC. PROVIDES HEALTH SERVICES TO THEIR LOCAL AREAS. THE SERVICE AREA IS ABOUT A 25-MILE RADIUS AROUND THE FACILITY AND INCLUDES ABOUT 15,000 INDIVIDUALS. TRI-COUNTY MEMORIAL FOUNDATION, INC. PROVIDES SUPPORT TO TRI-COUNTY HOSPITAL, CLINICS, ASSISTED LIVING, AND NURSING HOME. AT TIMES, EQUIPMENT IS PURCHASED TO SUPPORT THE HOSPITAL, CLINICS, ASSISTED LIVING, AND NURSING HOME. DURING THE PERIOD JANUARY 1, 2023 THROUGH SEPTEMBER 30, 2023, $3,200 IN SCHOLARSHIPS WERE GRANTED TO STUDENTS IN THE AREA PURSUING CAREERS IN MEDICAL FIELDS.

    Expenses $26,626 · Grants $3,775

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Scott Rathgaber

    CEO-GHS

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • Gerald Oetzel

    CFO-GHS (THRU 08/23)

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • Steve Little

    CFO-GHS (BEG 08/23)

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • Joni Olson

    ADMINISTRATOR

    Total calculated
    $0
    Hours/week
    0.5 + 40 related

  • Kristy Millering

    FINANCE ADMINISTRATOR

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • Kurt Johnson

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Rachel Risberg

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Fred Boe

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Dohn Galstad

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Glen Johnson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Shirley Miller

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Dave Pientok

    TRUSTEE (TERMED AUG)

    Total calculated
    $0
    Hours/week
    0.5

  • J Michael Warner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GUNDERSEN LUTHERAN ENVISION LLC

    C · RENEWABLE ENERGY · WI · controlled entity

  • GUNDERSEN EDGE LLC

    C · OTHER · WI · controlled entity

  • BEL-REGIONAL HOME MEDICAL INC

    C · DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS · WI · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
12 August 2024
IRS schema version
2023v5.1
Source object
202402279349302100

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.