Tomah Health

What it reported doing in 2024

Tomah Health has provided for the health and well-being of the residents of Tomah and the surrounding communities for nearly sixty-five years. The Hospital provides a broad spectrum of health and wellness services to the community, including general medical/surgical and swing bed inpatient care, diagnostic laboratory, and radiology services, general and specialty surgical services, 24-hour emergency care services, obstetric services, rehabilitative services, occupational health and wellness programs, and a community outreach program. Key volume indicators for the fiscal year ended September 30, 2025 are as follows:(Continued on Schedule O)* 1,169 inpatient discharges* 3,609 inpatient days* 21,923 emergency room and urgent care visits* 2,046 surgical and endoscopic procedures* 21,238 radiology procedures (including CT and MRI)* 101,758 laboratory tests* 57,025 rehabilitative services proceduresIn furtherance of its charitable mission, the Hospital provided approximately $458 thousand of free and discounted care to area residents (cost of care approximately $190 thousand) and wrote off $3.79 million of uncollectible accounts (cost equal to approximately $1.58 million). Additionally, based on its most recently completed community benefits survey, the Hospital incurred approximately $2.31 million in net losses related to providing care for individuals with health insurance provided by either the Medicaid program or other governmental insurance programs. The Hospital subsidizes several programs that are deemed vital services for the community, including in-home hospice and palliative care services, a hospice residence, a walk-in clinic located in the rural community of Warrens, WI, and a dedicated community outreach department that provides health and wellness services to area employers and the Tomah community. Subsidies for these programs for fiscal 2025 approximated $3.08 million. Additional details regarding the hospice program and the Warrens Walk-In Clinic can be found below in 4b and 4c. In addition to providing high quality healthcare services, the Hospital encourages employees to become actively involved in community organizations and projects that provide other benefits to local communities. The Hospital provides many free services to the community, including health and wellness presentations to area school children, CPR and AED training to various organizations, wellness fairs devoted to women and senior citizens, and meeting space to various non-profit and civic organizations.

Financial Efficiency

• Mission deployment rate: 84.1%; rating input score 84
• Program expense ratio: 86.2%; rating input score 86
• Fundraising efficiency: $1.98 raised per $1 spent on fundraising; rating input score 6; 6th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.1%; rating input score 48; 48th percentile among comparable filings
• Total-asset coverage ratio: 1.58; rating input score 55; 55th percentile among comparable filings
• Liabilities to assets ratio: 0.33; rating input score 53; 53rd percentile among comparable filings
• Officer compensation ratio: 2.2%; rating input score 51; 51st percentile among comparable filings

Growth

• Program expense growth: 7.5% per year; rating input score 100; 60th percentile among comparable filings
• Revenue growth: 7.1% per year; rating input score 100; 61st percentile among comparable filings
• Asset growth: 8.9% per year; rating input score 100; 64th percentile among comparable filings