Form 990 for tax year 2024
Filed by TRICOUNTY MEMORIAL FOUNDATION INC.
Totals
- Total revenue
- $107,735
- Total expenses
- $23,126
- Contributions and grants received
- $33,816
- Grants paid
- $9,000
- Program services expenses (Part IX)
- $23,126
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $23,126
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
KURT JOHNSON
BOARD OF DIRECTORS, CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2
-
RACHEL RISBERG
BOARD OF DIRECTORS, VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2
-
DOHN GALSTAD
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2
-
FRED BOE
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2
-
J MICHAEL WARNER
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2
-
LEAH JACOBS
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2
-
SHIRLEY MILLER
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2
-
DANIEL COENEN
ADMINISTRATOR
- Total calculated
- $213,171
- From this org
- $0
- From related orgs
- $165,449
- Other
- $47,722
- Hours/week
- 20 + 30 related
Schedule J breakdown matched by us
- Base
- $0 + $133,985 related
- Bonus
- $0
- Other
- $0 + $31,464 related
- Deferred
- $0 + $23,568 related
- Nontaxable benefits
- $0 + $24,154 related
- Filer's total
- $0 + $213,171 related
-
JOHN CEELEN
CHIEF FINANCIAL OFFICER
- Total calculated
- $782,368
- From this org
- $0
- From related orgs
- $728,316
- Other
- $54,052
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $598,104 related
- Bonus
- $0 + $129,468 related
- Other
- $0 + $744 related
- Deferred
- $0 + $29,147 related
- Nontaxable benefits
- $0 + $24,905 related
- Filer's total
- $0 + $782,368 related
-
KRISTY MILLERING
FINANCE ADMINISTRATOR
- Total calculated
- $173,754
- From this org
- $0
- From related orgs
- $131,354
- Other
- $42,400
- Hours/week
- 16 + 34 related
Schedule J breakdown matched by us
- Base
- $0 + $130,279 related
- Bonus
- $0
- Other
- $0 + $1,075 related
- Deferred
- $0 + $18,798 related
- Nontaxable benefits
- $0 + $23,602 related
- Filer's total
- $0 + $173,754 related
-
SCOTT RATHGABER MD
CEO
- Total calculated
- $1,397,550
- From this org
- $0
- From related orgs
- $1,324,275
- Other
- $73,275
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $1,278,368 related
- Bonus
- $0
- Other
- $0 + $45,907 related
- Deferred
- $0 + $48,300 related
- Nontaxable benefits
- $0 + $24,975 related
- Filer's total
- $0 + $1,397,550 related
-
JONI OLSON
ADMINISTRATOR, (END 9.30.24)
- Total calculated
- $210,613
- From this org
- $0
- From related orgs
- $169,390
- Other
- $41,223
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $165,292 related
- Bonus
- $0
- Other
- $0 + $4,098 related
- Deferred
- $0 + $23,561 related
- Nontaxable benefits
- $0 + $17,662 related
- Filer's total
- $0 + $210,613 related
-
STEVE LITTLE
FORMER CHIEF FINANCIAL OFFICER
- Total calculated
- $209,856
- From this org
- $0
- From related orgs
- $209,856
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $209,856 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $209,856 related
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 — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
- A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE
- SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
- CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II, PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTUTE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: JOHN CEELEN
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
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.
-
BELLIN GUNDERSEN HEALTH SYSTEM INC
501(C)(3) · SUPPORT ORG · WI
Directly controlled by NA
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORT ORG · WI
Directly controlled by BGHS
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
501(C)(3) · SUPPORT ORG · WI
Directly controlled by GLHS
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by GLHS
-
TRI-COUNTY MEMORIAL HOSPITAL INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
HARMONY COUMMUNITY HEALTHCARE INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
TWEETEN LUTHERAN HEALTHCARE CENTER INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
501(C)(3) · MEDICAL TRANSPORT · WI
Directly controlled by GLHS
-
TRI-STATE REGIONAL AMBULANCE INC
501(C)(3) · MEDICAL TRANSPORT · WI
Directly controlled by GLHS
-
LUTHERAN REAL ESTATE HOLDING CORPORATION
501(C)(3) · HOUSING · WI
Directly controlled by GLHS
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI
Directly controlled by LREH CORP
-
LUTHERAN HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI
Directly controlled by LREH CORP
-
ST JOSEPH'S HEALTH SERVICES INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
ST JOSEPH MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by STJ HLTH SVC
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
PALMER LUTHERAN HEALTH CENTER INC
501(C)(3) · HEALTHCARE · IA
Directly controlled by GLHS
-
MOUNDVIEW MEMORIAL HOSPITALS AND CLINICS
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
MEMORIAL HEALTHCARE FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by MDV HOSP
-
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
501(C)(3) · SUPPORT ORG · WI
Directly controlled by BGHS
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORT ORG · WI
Directly controlled by BHS
-
501(C)(3) · EDUCATION · WI
Directly controlled by BHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by BHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by BHS
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by BHS
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by BMH
Provenance
- Return type
- form_990
- Tax year
- 2024
- IRS schema version
- 2024v5.1
- Source object
- 202602259349301725
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