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Nonprofiteer
← TRI-COUNTY MEMORIAL HOSPITAL INC

Form 990 for tax year 2024

Filed by TRI-COUNTY MEMORIAL HOSPITAL INC.

Totals

Total revenue
$45,144,967
Total expenses
$42,537,881
Contributions and grants received
$694,212
Grants paid
$1,181,432
Program service revenue
$44,062,277
Investment income
$116,978
Other revenue
$271,500
Total assets, end of year
$75,180,360
Total liabilities, end of year
$51,647,687
Net assets or fund balances, end of year
$23,532,673
Program services expenses (Part IX)
$33,381,412
Management and general expenses
$9,156,469
Fundraising expenses
$0
Program service expenses (Part III)
$33,381,412

Program services were 78.5% 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.

  • 1e · Government grants (contributions)

    $671,664

  • 1f · All other contributions, gifts and grants

    $22,548

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $30,092,604 · related or exempt $30,092,604

  • 2b · Program service revenue: PHARMACY REVENUE

    total $13,355,932 · related or exempt $13,355,932

  • 2c · Program service revenue: ASSISTED LIVING REVENUE

    total $454,882 · related or exempt $454,882

  • 2d · Program service revenue: OTHER PROGRAM SERVICES REVENUE

    total $158,859 · related or exempt $158,859

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $116,978 · excluded $116,978

  • 6a · Gross rents

    real property $20,536

  • 6c · Rental income or loss

    real property $20,536 · personal property $0

  • 6d · Net rental income or loss

    total $20,536 · excluded $20,536

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: DIETARY

    total $250,964 · excluded $250,964

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $250,964

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $1,181,432 · program services $1,181,432

  • 7 · Other salaries and wages

    total $19,345,167 · program services $17,520,977 · management and general $1,824,190

  • 8 · Pension plan contributions

    total $1,802,115 · program services $1,706,743 · management and general $95,372

  • 9 · Other employee benefits

    total $2,473,072 · program services $2,208,395 · management and general $264,677

  • 10 · Payroll taxes

    total $1,082,900 · program services $977,353 · management and general $105,547

  • 11a · Fees: management

    total $1,174,860 · program services $22,008 · management and general $1,152,852

  • 11b · Fees: legal

    total $1,769 · management and general $1,769

  • 11c · Fees: accounting

    total $39,700 · management and general $39,700

  • 11d · Fees: lobbying

    total $6,283 · management and general $6,283

  • 11g · Fees: other

    total $2,163,286 · program services $2,040,581 · management and general $122,705 · fundraising $0

  • 12 · Advertising and promotion

    total $94,854 · program services $465 · management and general $94,389

  • 13 · Office expenses

    total $497,179 · program services $311,936 · management and general $185,243

  • 14 · Information technology

    total $26,979 · program services $23,399 · management and general $3,580

  • 16 · Occupancy

    total $430,263 · program services $175,504 · management and general $254,759

  • 17 · Travel

    total $59,461 · program services $58,137 · management and general $1,324

  • 20 · Interest

    total $849,559 · management and general $849,559

  • 22 · Depreciation, depletion and amortization

    total $3,594,417 · program services $996,236 · management and general $2,598,181

  • 23 · Insurance

    total $96,238 · management and general $96,238

  • 24a · Other expenses: MEDICAL SUPPLIES & EQUIPMENT

    total $5,613,261 · program services $5,613,261

  • 24b · Other expenses: PROVISIONS FOR BAD DEBT

    total $1,204,106 · management and general $1,204,106

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $258,395 · program services $126,243 · management and general $132,152

  • 24d · Other expenses: DIETARY FOOD EXPENSE

    total $243,595 · program services $239,036 · management and general $4,559

  • 24e · All other expenses

    total $298,990 · program services $179,706 · management and general $119,284 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $24,397 · end of year $24,954

  • 2 · Savings and temporary cash investments

    beginning of year $9,330,550 · end of year $14,637,992

  • 4 · Accounts receivable

    beginning of year $7,269,204 · end of year $10,671,388

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $645,805 · end of year $765,462

  • 9 · Prepaid expenses and deferred charges

    beginning of year $64,991 · end of year $63,979

  • 10a · Land, buildings and equipment: cost or other basis

    $59,926,246

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,072,341

  • 10c · Land, buildings and equipment, net

    beginning of year $50,193,089 · end of year $47,853,905

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $402,933 · end of year $1,162,680

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,341,991 · end of year $3,606,483

  • 19 · Deferred revenue

    beginning of year $57,398 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $38,920,833 · end of year $37,832,292

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $1,501,973 · end of year $1,449,761

  • 25 · Other liabilities

    beginning of year $4,183,187 · end of year $8,759,151

  • 27 · Net assets without donor restrictions

    beginning of year $20,925,587 · end of year $23,532,673

Mission and programs · 2024

Mission

TOGETHER, WE INSPIRE YOUR BEST LIFE BY RELENTLESSLY CARING, LEARNING AND INNOVATING.

  • TRI-COUNTY MEMORIAL HOSPITAL, INC. ("TRI-COUNTY") PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY INCLUDING THE HEALTH OF LOW INCOME PATIENTS. THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL AND PROVIDES INPATIENT ACUTE CARE AND SWING BED SERVICES, ALONG WITH AN EMERGENCY DEPARTMENT, WHICH IS OPEN TWENTY-FOUR HOURS PER DAY, AND OTHER OUTPATIENT SERVICES. VISITING SPECIALISTS FROM AN AFFILIATED ORGANIZATION, GUNDERSEN CLINIC, LTD., PERFORM OUTPATIENT GASTROENTEROLOGY, ORTHOPEDIC, AND OPHTHALMIC SURGICAL PROCEDURES AT THE FACILITY AS WELL. TRI-COUNTY ALSO OPERATES AN ASSISTED LIVING FACILITY, THREE RURAL HEALTH CLINICS, AND AN AMBULANCE SERVICE. THE CRITICAL ACCESS HOSPITAL HAD 852 INPATIENT ACUTE DAYS, 54 RESPITE DAYS, 3277 SWING BED DAYS, 660 SURGICAL OPERATIONS, AND 8616 ER VISITS IN THE PERIOD OCTOBER 1 THROUGH SEPTEMBER 30, 2025. CONSISTENT WITH THE MISSION OF TRI-COUNTY, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF TRI-COUNTY'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN TRI-COUNTY'S CHARITY CARE POLICY, AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES. THE AMOUNT OF HOSPITAL AND CLINIC CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY DURING 2025 TOTALED $1,181,432. IN ADDITION, DISCOUNTS TO THE MEDICAID PROGRAM FOR HOSPITAL AND CLINIC SERVICES AMOUNTED TO $5,209,289. BENEFITS FOR SERVING THE COMMUNITY ALSO INCLUDE UNPAID COSTS OF TREATING THE ELDERLY, HEALTH SCREENINGS, COMMUNITY EDUCATION THROUGH SEMINARS AND CLASSES, AND OTHER HEALTH-RELATED SERVICES.

    Expenses $32,841,944 · Grants $1,181,432 · Revenue $43,607,395

  • TRI-COUNTY ALSO OPERATES AN ASSISTED LIVING FACILITY LOCATED DIRECTLY EAST ACROSS THE STREET OF TRI-COUNTY HOSPITAL. THIS CARE IS PROVIDED TO RESIDENTS IN AN EFFORT BY TRI COUNTY TO PROVIDE A CONTINUUM OF CARE FOR PATIENTS OF THE SURROUNDING COMMUNITIES. SERVICES OFFERED AND PROVIDED TO RESIDENTS INCLUDE ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING, MEAL PREPARATION, LAUNDRY SERVICES, APARTMENT MAINTENANCE SERVICES, DAILY RECREATIONAL ACTIVITIES, AMONG MANY SERVICE OFFERINGS. RESIDENTS OF THE ASSISTED LIVING FACILITY ALSO HAVE ACCESS TO NURSING STAFF IN THE EVENT OF AN EMERGENCY TWENTY-FOUR HOURS A DAY PROVIDED BY TRI-COUNTY'S NURSING SERVICES STAFF. SOME OF THE RESIDENTS SERVED ARE LOW-INCOME PATIENTS, WHICH ARE SUBSIDIZED THROUGH THE WISCONSIN FAMILY CARE PROGRAM, WHICH OFTEN REIMBURSES TRI-COUNTY AT COST OR BELOW THE TRUE COST OF CARING FOR THESE RESIDENTS. DESPITE RECEIVING REIMBURSEMENT AT AMOUNTS BELOW COST, TRI-COUNTY CONTINUES THIS SERVICE AS IT FURTHERS ITS MISSION IN THE COMMUNITY.

    Expenses $539,468 · Revenue $454,882

As filed on the 2024 return.

Listed in Part VII

  • Beth Lisowski

    BOARD OF DIRECTORS, CHAIRMAN (BEG 1.1.25)

    Total calculated
    $0
    Hours/week
    2

  • Dennis Stephenson

    BOARD OF DIRECTORS, CHAIRMAN (END 12.31.24)

    Total calculated
    $0
    Hours/week
    2

  • Kathleen Klock

    BOARD OF DIRECTORS, SECRETARY, (END 12.31.24)

    Total calculated
    $0
    Hours/week
    2

  • Marilu Bintz MD

    BOARD OF DIRECTORS, SECRETARY, (BEG 1.1.25)

    Total calculated
    $299,787
    From this org
    $0
    From related orgs
    $261,160
    Other
    $38,627
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $0 + $109,201 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $51,959 related
    Deferred
    $0 + $36,295 related
    Nontaxable benefits
    $0 + $2,332 related
    Filer's total
    $0 + $299,787 related

  • Ron Guza

    BOARD OF DIRECTORS, TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Vickie Bakalars

    BOD, VICE CHAIRMAN, CLINICAL OPERATIONS DIRECTOR

    Total calculated
    $206,743
    From this org
    $0
    From related orgs
    $157,306
    Other
    $49,437
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,710 related
    Bonus
    $0
    Other
    $0 + $1,596 related
    Deferred
    $0 + $22,779 related
    Nontaxable benefits
    $0 + $26,658 related
    Filer's total
    $0 + $206,743 related

  • Kimberly Breidenbach

    BOARD OF DIRECTORS, MD

    Total calculated
    $448,794
    From this org
    $0
    From related orgs
    $376,827
    Other
    $71,967
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $345,356 related
    Bonus
    $0 + $27,000 related
    Other
    $0 + $4,471 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $23,667 related
    Filer's total
    $0 + $448,794 related

  • Laura Kloss

    BOD, CLINICAL OPERATIONS DIRECTOR, (BEG 1.1.25)

    Total calculated
    $207,136
    From this org
    $0
    From related orgs
    $156,831
    Other
    $50,305
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $149,379 related
    Bonus
    $0
    Other
    $0 + $7,452 related
    Deferred
    $0 + $23,341 related
    Nontaxable benefits
    $0 + $26,964 related
    Filer's total
    $0 + $207,136 related

  • Marlys Kolstad

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Therese Binfet

    BOD, CLINICAL OPERATIONS DIRECTOR

    Total calculated
    $233,828
    From this org
    $0
    From related orgs
    $184,133
    Other
    $49,695
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,921 related
    Bonus
    $0
    Other
    $0 + $2,212 related
    Deferred
    $0 + $26,028 related
    Nontaxable benefits
    $0 + $23,667 related
    Filer's total
    $0 + $233,828 related

  • Tim Holtan

    BOARD OF DIRECTORS (BEG 1.1.25)

    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
    28 + 22 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
    18 + 32 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

  • Carla Sendelbach

    RN, ACUTE HOSPITAL - TRI-COUNTY

    Total calculated
    $197,377
    From this org
    $152,457
    From related orgs
    $0
    Other
    $44,920
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $142,636
    Bonus
    $5,912
    Other
    $3,909
    Deferred
    $21,730
    Nontaxable benefits
    $23,190
    Filer's total
    $197,377

  • Ganesh Ram

    PA - TRI COUNTY ER

    Total calculated
    $231,698
    From this org
    $203,135
    From related orgs
    $0
    Other
    $28,563
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $201,636
    Bonus
    $0
    Other
    $1,499
    Deferred
    $28,229
    Nontaxable benefits
    $334
    Filer's total
    $231,698

  • Jasmine Folkedahl

    RN, ACUTE HOSPITAL (WEO) - TRI-COUNTY

    Total calculated
    $208,572
    From this org
    $168,334
    From related orgs
    $0
    Other
    $40,238
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $163,312
    Bonus
    $4,906
    Other
    $116
    Deferred
    $23,737
    Nontaxable benefits
    $16,501
    Filer's total
    $208,572

  • Kathleen Cain

    MANAGER, PHARMACY

    Total calculated
    $246,379
    From this org
    $200,688
    From related orgs
    $0
    Other
    $45,691
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $195,436
    Bonus
    $4,858
    Other
    $394
    Deferred
    $27,921
    Nontaxable benefits
    $17,770
    Filer's total
    $246,379

  • Wade Bertelsen

    RN, ACUTE HOSPITAL - TRI-COUNTY

    Total calculated
    $203,838
    From this org
    $156,491
    From related orgs
    $0
    Other
    $47,347
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $150,318
    Bonus
    $4,579
    Other
    $1,594
    Deferred
    $22,559
    Nontaxable benefits
    $24,788
    Filer's total
    $203,838

  • Joni Olson

    ADMINISTRATOR

    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, and on a Form 990-PF Part VIII's — 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 OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
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.

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 EDGE LLC

    C CORPORATION · OTHER · WI

    Directly controlled by NA

  • BEL-REGIONAL HOME MEDICAL INC

    C CORPORATION · DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS · WI

    Directly controlled by NA

  • GUNDERSEN ENVISION LLC

    C CORPORATION · RENEWABLE ENERGY · WI

    Directly controlled by NA

  • BG ASSURANCE COMPANY

    C CORPORATION · SELF INSURANCE · CJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
13 August 2026
IRS schema version
2024v5.1
Source object
202632259349302283

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