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← WASHINGTON REGIONAL MEDICORP

Form 990 for tax year 2022

Filed by WASHINGTON REGIONAL MEDICORP.

Totals

Total revenue
$10,404,252
Total expenses
$10,404,265
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$10,404,252
Investment income
$0
Other revenue
$0
Total assets, end of year
$33
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$33
Program services expenses (Part IX)
$10,404,265
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$10,404,265

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.

  • 2a · Program service revenue: MEDICARE & MEDICAID REV FOR PACE PROGRAM

    total $10,404,252 · related or exempt $10,404,252

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: FUNDS FOR PACE PROGRAM

    total $10,403,700 · program services $10,403,700 · management and general $0 · fundraising $0

  • 24b · Other expenses: SERVICE CHARGES

    total $565 · program services $565 · management and general $0 · fundraising $0

  • 24c · Other expenses: .

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24d · Other expenses: .

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $46 · end of year $33

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $46 · end of year $33

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

THE ORGANIZATION IS LICENSED TO OPERATE A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). THE ORGANIZATION HAS CONTRACTED WITH NWA PACE MANAGEMENT, LLC TO OPERATE THE PACE PROGRAM.

Activities or mission (Part I)

WASHINGTON REGIONAL MEDICORP HOLDS A LICENSE TO OPERATE A PACE PROGRAM AND CONTRACT WITH PACE OF THE OZARKS, LLC TO CARRY OUT OPERATIONS.

  • EXPENSES INCURRED IN THE PROVISION AND OPERATION OF A PACE PROGRAM

    Expenses $10,404,265 · Revenue $10,404,252

As filed on the 2022 return.

Listed in Part VII

  • LARRY SHACKELFORD

    VICE CHAIR

    Total calculated
    $1,038,452
    From this org
    $0
    From related orgs
    $1,014,949
    Other
    $23,503
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $741,018 related
    Bonus
    $0 + $65,963 related
    Other
    $0 + $207,968 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $8,253 related
    Filer's total
    $0 + $1,038,452 related

  • THOMAS OLMSTEAD

    GENERAL COUNSEL

    Total calculated
    $587,651
    From this org
    $0
    From related orgs
    $561,575
    Other
    $26,076
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,482 related
    Bonus
    $0 + $35,125 related
    Other
    $0 + $78,968 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $10,826 related
    Filer's total
    $0 + $587,651 related

  • DAVID RATCLIFF MD

    BOARD MEMBER

    Total calculated
    $558,479
    From this org
    $0
    From related orgs
    $535,024
    Other
    $23,455
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $419,837 related
    Bonus
    $0 + $34,283 related
    Other
    $0 + $80,904 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $8,205 related
    Filer's total
    $0 + $558,479 related

  • DANIEL ECKELS

    CHAIR

    Total calculated
    $553,157
    From this org
    $0
    From related orgs
    $527,091
    Other
    $26,066
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $431,187 related
    Bonus
    $0 + $35,470 related
    Other
    $0 + $60,434 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $10,816 related
    Filer's total
    $0 + $553,157 related

  • JACK MORRIS

    BOARD MEMBER

    Total calculated
    $198,169
    From this org
    $0
    From related orgs
    $181,116
    Other
    $17,053
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $167,513 related
    Bonus
    $0 + $12,507 related
    Other
    $0 + $1,096 related
    Deferred
    $0 + $9,001 related
    Nontaxable benefits
    $0 + $8,052 related
    Filer's total
    $0 + $198,169 related

  • ANGELIC FLACK

    EXECUTIVE DIRECTOR - PACE

    Total calculated
    $154,950
    From this org
    $0
    From related orgs
    $153,206
    Other
    $1,744
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $137,210 related
    Bonus
    $0 + $4,183 related
    Other
    $0 + $11,813 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,744 related
    Filer's total
    $0 + $154,950 related

  • BRAD BAILEY

    SECRETARY

    Total calculated
    $0
    Hours/week
    0

  • HANS SAUNDERS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • AMY WENGER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

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
  • 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)

FORM 990, SCHEDULE J, PART I, LINE 3
A RELATED ENTITY, WASHINGTON REGIONAL MEDICAL CENTER, USED THE FOLLOWING TO ESTABLISH THE ORGANIZATION'S CEO'S COMPENSATION: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, SCHEDULE J, PART I, LINE 4B
THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM PARTICIPATION IN A 457(F) PLAN: LARRY SHACKELFORD - $199,417 TOM OLMSTEAD - $76,548 DAVID RATCLIFF - $77,810 DAN ECKELS - $57,869

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • NWA PACE MGMT

    SENIOR CARE · AR

    Directly controlled by WRMC

  • DIALYSIS CENTER OF NORTHWEST

    RENAL DIALYSIS · AR

    Directly controlled by WRMC

  • FOUNTAIN PLAZA MEDICAL RENTALS

    HOLDING · AR

    Directly controlled by PLAZA HOLDINGS

  • FOUNTAIN PLAZA HOLDINGS LLC

    HOLDING · AR

    Directly controlled by MED SERVICES

  • WR-NWAHV LLC

    REAL ESTATE · AR

    Directly controlled by MED SERVICES

  • JOHNSON MOB HOLDINGS LLC

    HOLDING · AR

    Directly controlled by MED SERVICES

Provenance

Return type
form_990
Tax year
2022
Filed
11 November 2023
IRS schema version
2022v5.0
Source object
202313199349305501

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