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Governance Register
US nonprofit · EIN 390799566 · Tomah, WIiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 390799566) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 30 September 2025: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Tomah Memorial Hospital Inc's network

10 people4 organisationsi10 people and 4 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (10). Violet dotted lines (12) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

10 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 10 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Greg Gaarder ChairChair2025
1 yr
B Scott NicolVice Chair2025
1 yr
Beth ArityDirector2023
3 yrs
Deb BuswellTreasurer2021
5 yrs
Diana GerkeDirector2023
3 yrs
Jennifer Drexler DODirector2024
2 yrs
Sue Playter MubarakCompany secretary2020
6 yrs
Tiffany Casper DODirector2023
3 yrs
Todd TorkelsonDirector2024
2 yrs
Wes RevelsDirector2023
3 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

18 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Andrew Jones CrnaAnesthesiasince 2020
Darla WilsonPharmacist2018
Derek DalyCEO as of August 2022since 2022
Gerald FushianesPhysician Assistantsince 2024
Gerald Fushianes PA-CPhysician Assistantsince 2018
James Piper CrnaCertified Registered Nurse Anesthetistsince 2018
Jill BouldenDirector of Medical Operations2025
Joseph ZepsChief Financial Officersince 2018
Kelly ThayerNurse Practitioner2024
Kelly Thayer ApnpNurse Practitionersince 2019
Laura MillerNurse Practitioner2024
Laura Miller ApnpNurse Practitionersince 2019
Michelle MastersNurse Practitionersince 2024
Michelle Masters Apnp DNPEmergency Medicine, Urgent Caresince 2018
Philip J StuartAdministrator until Sept 2022since 2018
Scott MihalovicPharmacist2025
Todd ChapmanPharmacy Directorsince 2018
Tracy MyhreCnosince 2019

Pay and hours

year to 30 September 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Joseph ZepsChief Financial Officer40$295k$42k
Gerald FushianesPhysician Assistant36$279k$41k
Michelle MastersNurse Practitioner36$273k$39k
Tracy MyhreCco/Cno40$260k$40k
Jill BouldenDirector of Medical Operations34.8$256k$2k
Todd ChapmanPharmacy Director40$234k$9k
Scott MihalovicPharmacist40$221k$39k
Greg GaarderChair1$0
B Scott NicolVice Chair1$0
Deb BuswellTreasurer1$0
Sue Playter MubarakSecretary1$0
Diana GerkeDirector0.5$0
Tiffany Casper DODirector0.5$0
Beth ArityDirector0.5$0
Wes RevelsDirector0.5$0
Jennifer Drexler DODirector0.5$0
Todd TorkelsonDirector0.5$0
Derek DalyCEO40$0

About

Legal name
Tomah Memorial Hospital Inc
EIN
390799566
Address
501 Gopher Dr, Tomah, WI, 54660-4513
State
Wisconsin
Mission
The mission of Tomah Memorial Hospital, Inc. is to promote and provide quality health care based on customer needs and expectations. In fulfillment of its mission, Tomah Memorial Hospital is committed to view its customers and employees through a holistic approach without consideration to economic status, gender, ethnic origin or personal limitations. (as filed on the Form 990)
Activity (NTEE)
E20 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
9 (IRS master file code)
Formed
1948
Principal officer
Derek Daly (as named on the Form 990)
IRS ruling date
1 November 1954
Status
Code 01 (unconditional exemption)
Form 990 filings on record
8, latest 2025
IRS Publication 78
PC (contributions deductible)

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥6years on the filingsSue Playter Mubarak
≥5years on the filingsDeb Buswell
≥3years on the filingsBeth Arity
≥3years on the filingsDiana Gerke

Latest return

year to 30 September 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 September 2025. US dollars, as filed.
Total assets
$144.1m
Total liabilities
$46.9m
Net assets or fund balances
$97.2m
Contributions and grants received
$77k
Program service revenue
$91.8m
Employees
546
Volunteers
26

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2023$92.9m$87m$6m

As filed on the IRS Form 990. US dollars.