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Nonprofiteer
← TRICOUNTY MEMORIAL FOUNDATION INC

Form 990 for tax year 2023

Filed by TRICOUNTY MEMORIAL FOUNDATION INC.

What the amendment changed

Compared with the return it replaced , filed 12 August 2024. 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
$178,267
Total expenses
$74,077
Contributions and grants received
$135,856
Grants paid
$11,979
Program service revenue
$0
Investment income
$37,953
Other revenue
$4,458
Total assets, end of year
$1,459,674
Total liabilities, end of year
$395,584
Net assets or fund balances, end of year
$1,064,090
Program services expenses (Part IX)
$74,077
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$74,077

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.

  • 1c · Fundraising events

    $8,846

  • 1f · All other contributions, gifts and grants

    $127,010

  • 1g · Noncash contributions included above

    $28,702

  • 3 · Investment income

    total $37,953 · excluded $37,953

  • 8a · Fundraising events: gross income

    $13,219

  • 8a · Fundraising events: contributions included on line 1c

    $8,846

  • 8b · Fundraising events: direct expenses

    $8,761

  • 8c · Net income from fundraising events

    total $4,458 · excluded $4,458

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $11,979 · program services $11,979

  • 13 · Office expenses

    total $285 · program services $285

  • 24a · Other expenses: PROGRAM EXPENSES

    total $61,813 · program services $61,813

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,305,010 · end of year $1,438,101

  • 3 · Pledges and grants receivable

    beginning of year $49,898 · end of year $21,573

  • 17 · Accounts payable and accrued expenses

    beginning of year $350 · end of year $0

  • 25 · Other liabilities

    beginning of year $394,658 · end of year $395,584

  • 27 · Net assets without donor restrictions

    beginning of year $319,420 · end of year $332,263

  • 28 · Net assets with donor restrictions

    beginning of year $640,480 · end of year $731,827

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, AND ASSISTED LIVING. AT TIMES, EQUIPMENT IS PURCHASED TO SUPPORT THE HOSPITAL, CLINICS, AND ASSISTED LIVING. DURING THE PERIOD OCTOBER 1, 2023, THROUGH SEPTEMBER 30, 2024, $3,200 IN SCHOLARSHIPS WERE GRANTED TO STUDENTS IN THE AREA PURSUING CAREERS IN MEDICAL FIELDS.THE NURSING HOME AT TRI-COUNTY WAS CLOSED IN THE SUMMER OF 2023.

    Expenses $74,077 · Grants $11,979

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

Listed in Part VII

  • Kurt Johnson

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Rachel Risberg

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Fred Boe

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Dohn Galstad

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Glen Johnson

    TRUSTEE (THRU 10/2023)

    Total calculated
    $0
    Hours/week
    2

  • Shirley Miller

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • J Michael Warner

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Scott Rathgaber

    CEO-BGHS

    Total calculated
    $1,712,949
    From this org
    $0
    From related orgs
    $1,644,221
    Other
    $68,728
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,274,504 related
    Bonus
    $0 + $200,000 related
    Other
    $0 + $169,717 related
    Deferred
    $0 + $45,225 related
    Nontaxable benefits
    $0 + $23,503 related
    Filer's total
    $0 + $1,712,949 related

  • Steve Little

    CFO-BGHS (THRU 02/2024)

    Total calculated
    $333,317
    From this org
    $0
    From related orgs
    $333,317
    Other
    $0
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $258,317 related
    Bonus
    $0 + $75,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $333,317 related

  • Joni Olson

    ADMINISTRATOR

    Total calculated
    $248,846
    From this org
    $0
    From related orgs
    $218,263
    Other
    $30,583
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,282 related
    Bonus
    $0
    Other
    $0 + $4,981 related
    Deferred
    $0 + $8,691 related
    Nontaxable benefits
    $0 + $21,892 related
    Filer's total
    $0 + $248,846 related

  • Kristy Millering

    FINANCE ADMINISTRATOR

    Total calculated
    $101,145
    From this org
    $0
    From related orgs
    $85,720
    Other
    $15,425
    Hours/week
    2 + 48 related

  • John Ceelen

    CFO-BGHS (BEG. 02/2024)

    Total calculated
    $0
    Hours/week
    2 + 48 related

  • Gerald Oetzel

    FORMER CFO-BGHS

    Total calculated
    $573,176
    From this org
    $0
    From related orgs
    $555,068
    Other
    $18,108
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $480,094 related
    Bonus
    $0 + $70,000 related
    Other
    $0 + $4,974 related
    Deferred
    $0 + $12,220 related
    Nontaxable benefits
    $0 + $5,888 related
    Filer's total
    $0 + $573,176 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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)

PART I, LINE 3
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.

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 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

  • BG ASSURANCE

    C · SELF INSURANCE · CJ · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
13 August 2025
IRS schema version
2023v6.0
Source object
202542259349302184

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