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Critical access hospital · Tomah, Wisconsin · 25 beds · CMS certification number 521320

Tomah Memorial Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 6, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$91.4M
$91,354,598 · G-3 line 3
Operating expenses
$91.2M
$91,216,940 · G-3 line 4
Result from patient care
$138K
$137,658 · G-3 line 5
Margin on patient care
0.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $3.6M in its first year on file (2002) to $91.4M in 2025.
  • Its result from patient care: $2.3M (2023), $3.0M (2024), $138K (2025).
  • 4 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 4.1% of its inpatient days and Medicare for 32.1%.

Every statement is drawn from figures on this page; nothing is estimated.

24 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2002
settled
$3.6M
$14.0M
2003
settled
$16.6M
$15.1M
2004
settled
$16.8M
$16.0M
2005
settled
$21.0M
$18.7M
2006
settled
$24.1M
$22.4M
2007
settled
$26.3M
$24.6M
2008
settled
$29.2M
$27.9M
2009
settled
$31.3M
$30.5M
2010
reopened
$32.7M
$31.2M
2011
reopened
$34.0M
$32.9M
2012
settled
$37.1M
$35.6M
2013
settled
$38.2M
$34.7M
2014
settled
$42.9M
$37.8M
2015
settled
$46.6M
$40.5M
2016
settled with audit
$46.7M
$43.6M
2017
settled
$51.0M
$49.2M
2018
settled
$55.5M
$54.9M
2019
settled
$61.0M
$61.7M
2020
settled with audit
$65.6M
$69.1M
2021
settled
$71.4M
$71.0M
2022
settled
$76.7M
$75.2M
2023
settled
$81.2M
$78.9M
2024
as submitted
$89.9M
$87.0M
2025
as submitted
$91.4M
$91.2M

Beside its peers

Critical access hospitals in Wisconsin with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Tomah Memorial Hospital25$91,354,598$91,216,9400.1%
Adventhealth Durand, Durand25$20,504,259$19,148,4426.6%
Amery Hospital & Clinic, Amery25$91,255,557$85,208,2766.6%
Aspirus Eagle River Hospital, Eagle River25$21,407,672$17,753,43117.1%
Gundersen Moundview Hospital and Clinics, Friendship25$25,938,508$26,843,965−3.5%
Gundersen St. Joseph's Hospital and Clinics, Hillsboro25$46,891,316$41,642,72111.2%

Patients and payers

Discharges
947
S-3 line 14, col 15
Inpatient days
3,463
S-3 line 14, col 8
Beds in use, on an average day
9.5
days ÷ days in year
Occupancy
38.0%
days ÷ bed days
Medicare share of days
32.1%
S-3 cols 6 ÷ 8
Medicaid share of days
4.1%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Tomah Memorial Hospital (employer identification number 390799566) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$6,770,454IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$250,000IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$3,045,635IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$4,059,894IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$2,710,560IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0858IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202402209349300545. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by Tomah Memorial Hospital (employer identification number 390799566) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
B Scot Nicol-DirectorJan 23/Secretary as of Jan 23)Trustee/director, Officer$0$0$0
Beth ArityDirector (as of Jan 23)Trustee/director$0$0$0
Deb Buswell-DirectorJan 23/Treasurer as of Jan 23)Trustee/director, Officer$0$0$0
Derek DalyCEOOfficer$0$0$0
Diana GerkeDirector (as of Jan 23)Trustee/director$0$0$0
Gerald Fushianes PA-CPhysician AssistantHighest-compensated employee$243,774$0$41,175
Greg GaardnerChairTrustee/director, Officer$0$0$0
Jeffrey Cavaness MDDirector (until Jan 23)Trustee/director$0$0$0
John LaufenbergTreasurer (Until Jan 23)Trustee/director, Officer$0$0$0
Joseph ZepsChief Financial OfficerOfficer$225,309$0$43,550
Keith LaugenVice ChairTrustee/director, Officer$0$0$0
Kelly Thayer APNPNurse PractitionerHighest-compensated employee$179,730$0$20,485
Laura Miller APNPNurse PractitionerHighest-compensated employee$176,788$0$18,919
Michelle Masters APNP DNPEmergency Medicine, UrgentHighest-compensated employee$208,389$0$41,772
Penny Precour-BerryDirector (until Jan 23)Trustee/director$0$0$0
Robert Holness MDDirectorTrustee/director$0$0$0
Spencer StephensSecretary (Until Jan 23)Trustee/director, Officer$0$0$0
Sue Playter MubarakDirectorTrustee/director$0$0$0
Tiffany Casper DODirector (as of Jan 23)Trustee/director$0$0$0
Todd ChapmanPharmacistHighest-compensated employee$213,678$0$7,010
Tracy MyhreCNOKey employee$197,204$0$42,373
Wes RevelsDirector (as of Jan 23)Trustee/director$0$0$0

E-file object id 202402209349300545. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 521320. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 6, 2026.