Form 990 for tax year 2023
Filed by REGIONAL WEST HEALTH SERVICES & AFFILIATED EMPLOYEE BENEFIT TRUST.
Totals
- Total revenue
- $29,314,135
- Total expenses
- $29,949,397
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $29,241,775
- Investment income
- $72,360
- Other revenue
- $0
- Total assets, end of year
- $818,855
- Total liabilities, end of year
- $8,373,196
- Net assets or fund balances, end of year
- -$7,554,341
- Program services expenses (Part IX)
- not reported
- Management and general expenses
- not reported
- Fundraising expenses
- not reported
- Program service expenses (Part III)
- $29,894,358
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.
-
2a · Program service revenue: EMPLOYER CONTRIBUTIONS
total $25,859,608 · related or exempt $25,859,608
-
2b · Program service revenue: EMPLOYEE CONTRIBUTIONS
total $3,279,752 · related or exempt $3,279,752
-
2f · All other program service revenue
total $102,415 · related or exempt $102,415
-
3 · Investment income
total $72,360 · unrelated business $72,360
Functional expenses
Part IX, the statement of functional expenses.
-
4 · Benefits paid to or for members
total $29,550,421
-
11g · Fees: other
total $398,976
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $281,973 · end of year $240,422
-
4 · Accounts receivable
beginning of year $188,218 · end of year $67,487
-
11 · Investments: publicly traded securities
beginning of year $1,229,872
-
15 · Other assets
beginning of year $0 · end of year $510,946
-
17 · Accounts payable and accrued expenses
beginning of year $206,932 · end of year $2,450
-
25 · Other liabilities
beginning of year $8,679,650 · end of year $8,370,746
-
27 · Net assets without donor restrictions
beginning of year -$7,186,519 · end of year -$7,554,341
Mission and programs · 2023
Mission
NONE
Activities or mission (Part I)
SELF FUNDED EMPLOYEE BENEFIT PLAN.
-
THE PLAN PROVIDES MEDICAL (HOSPITAL, SURGICAL AND MAJOR MEDICAL) AND DENTAL BENEFITS TO ALL FULL-TIME AND PART-TIME (20 HOURS OR MORE PER WEEK) EMPLOYEES ENROLLED IN THE PLAN.
Expenses $29,894,358 · Revenue $29,241,775
As filed on the 2023 return.
Listed in Part VII
-
Dennis HaddenDENNIS HADDEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Hod KosmanHOD KOSMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Mel McNeaMEL MCNEA
CEO
- Total calculated
- $440,923
- From this org
- $0
- From related orgs
- $419,351
- Other
- $21,572
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $419,351 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $7,477 related
- Nontaxable benefits
- $0 + $14,646 related
- Filer's total
- $0 + $441,474 related
-
Michael IckowskiMICHAEL ICKOWSKI
CFO THRU 5/2023
- Total calculated
- $272,358
- From this org
- $0
- From related orgs
- $227,368
- Other
- $44,990
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $226,018 related
- Bonus
- $0
- Other
- $0 + $1,350 related
- Deferred
- $0 + $44,990 related
- Nontaxable benefits
- $0 + $348 related
- Filer's total
- $0 + $272,706 related
-
Alan TownsendALAN TOWNSEND
INTERIM CFO
- Total calculated
- $184,211
- From this org
- $184,211
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $184,211
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $184,211
-
John MentgenJOHN MENTGEN
FORMER CEO
- Total calculated
- $298,943
- From this org
- $0
- From related orgs
- $260,392
- Other
- $38,551
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $258,367 related
- Bonus
- $0
- Other
- $0 + $2,025 related
- Deferred
- $0 + $29,712 related
- Nontaxable benefits
- $0 + $9,042 related
- Filer's total
- $0 + $299,146 related
-
Amanda VickAMANDA VICK
FORMER INTERIM CEO
- Total calculated
- $368,081
- From this org
- $0
- From related orgs
- $329,424
- Other
- $38,657
- Hours/week
- 0 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $328,074 related
- Bonus
- $0
- Other
- $0 + $1,350 related
- Deferred
- $0 + $38,657 related
- Nontaxable benefits
- $0 + $754 related
- Filer's total
- $0 + $368,835 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
The filer's explanations (Part III)
- PART I, LINE 3
- THE CEO AND CFO ARE COMPENSATED BY REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION. METHODS USED TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS INCLUDE THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 4B
- THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL ICKOWSKI 25,275 AMANDA VICK 22,051 JOHN MENTGEN 16,050
- SCHEDULE J, PART II:
- REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $184,211 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO.
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.
-
501(C)(3) · HOSPITAL · NE
Directly controlled by REGIONAL WEST HEALTH SERVICES
-
501(C)(3) · RETIREMENT FACILITY · NE
Directly controlled by REGIONAL WEST HEALTH SERVICES
-
501(C)(3) · CRITICAL ACCESS HOSPITAL · NE
Directly controlled by REGIONAL WEST HEALTH SERVICES
-
501(C)(3) · ADMIN SUPPORT · NE
-
501(C)(3) · FUNDRAISING · NE
Directly controlled by REGIONAL WEST HEALTH SERVICES
-
REGIONAL WEST PHYSICIANS CLINIC
501(C)(3) · DR. CLINICS · NE
Directly controlled by REGIONAL WEST HEALTH SERVICES
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.
-
REGIONAL CARE INC
C · TPA · NE
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 6 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403129349301715
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