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Nonprofiteer
← REGIONAL WEST GARDEN COUNTY

Form 990 for tax year 2023

Filed by REGIONAL WEST GARDEN COUNTY.

Totals

Total revenue
$10,830,530
Total expenses
$11,078,948
Contributions and grants received
$114,922
Grants paid
$0
Program service revenue
$10,689,967
Investment income
$21,457
Other revenue
$4,184
Total assets, end of year
$5,482,735
Total liabilities, end of year
$9,152,210
Net assets or fund balances, end of year
-$3,669,475
Program services expenses (Part IX)
$9,708,024
Management and general expenses
$1,370,924
Fundraising expenses
$0
Program service expenses (Part III)
$9,708,024

Program services were 87.6% 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.

  • 1e · Government grants (contributions)

    $95,346

  • 1f · All other contributions, gifts and grants

    $19,576

  • 2a · Program service revenue: NET HOSPITAL PATIENT REVENUE

    total $6,570,947 · related or exempt $6,570,947

  • 2b · Program service revenue: NURSING HOME PATIENT REVENUE

    total $2,828,551 · related or exempt $2,828,551

  • 2c · Program service revenue: HEALTH CLINIC PATIENT REVENUE

    total $1,181,497 · related or exempt $1,181,497

  • 2d · Program service revenue: OTHER OPERATING REVENUE

    total $108,972 · related or exempt $108,972

  • 3 · Investment income

    total $12,178 · excluded $12,178

  • 7a · Gross sales of assets other than inventory

    other assets $30,006

  • 7b · Less cost or other basis and sales expenses

    other assets $20,727

  • 7c · Gain or loss

    other assets $9,279

  • 7d · Net gain or loss

    total $9,279 · excluded $9,279

  • 11a · Other revenue: OTHER NON-OPERATING REVENUE

    total $4,184 · related or exempt $4,184

  • 11e · Other revenue, total

    $4,184

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $188,563 · management and general $188,563

  • 7 · Other salaries and wages

    total $5,257,930 · program services $5,051,644 · management and general $206,286

  • 8 · Pension plan contributions

    total $159,757 · program services $153,158 · management and general $6,599

  • 9 · Other employee benefits

    total $1,127,878 · program services $1,086,298 · management and general $41,580

  • 10 · Payroll taxes

    total $371,211 · program services $346,762 · management and general $24,449

  • 11c · Fees: accounting

    total $38,322 · management and general $38,322

  • 11g · Fees: other

    total $2,353,509 · program services $1,922,745 · management and general $430,764

  • 12 · Advertising and promotion

    total $9,112 · program services $4,559 · management and general $4,553

  • 13 · Office expenses

    total $190,782 · program services $132,588 · management and general $58,194

  • 14 · Information technology

    total $11,344 · program services $11,344

  • 16 · Occupancy

    total $185,923 · program services $183,290 · management and general $2,633

  • 17 · Travel

    total $35,404 · program services $34,413 · management and general $991

  • 20 · Interest

    total $13,506 · program services $1,849 · management and general $11,657

  • 22 · Depreciation, depletion and amortization

    total $161,191 · program services $121,094 · management and general $40,097

  • 23 · Insurance

    total $50,352 · management and general $50,352

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $498,103 · program services $498,103

  • 24b · Other expenses: CORPORATE ALLOCATION

    total $265,332 · management and general $265,332

  • 24c · Other expenses: FOOD

    total $99,406 · program services $99,406

  • 24d · Other expenses: MISCELLANEOUS

    total $44,618 · program services $44,618

  • 24e · All other expenses

    total $16,705 · program services $16,153 · management and general $552

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $564,533 · end of year $710,500

  • 2 · Savings and temporary cash investments

    beginning of year $2,727,526 · end of year $569,705

  • 4 · Accounts receivable

    beginning of year $1,772,306 · end of year $3,242,383

  • 8 · Inventories for sale or use

    beginning of year $186,027 · end of year $220,244

  • 9 · Prepaid expenses and deferred charges

    beginning of year $157,513 · end of year $119,866

  • 10a · Land, buildings and equipment: cost or other basis

    $2,123,329

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,594,996

  • 10c · Land, buildings and equipment, net

    beginning of year $614,876 · end of year $528,333

  • 15 · Other assets

    beginning of year $24,495 · end of year $91,704

  • 17 · Accounts payable and accrued expenses

    beginning of year $215,138 · end of year $949,442

  • 23 · Secured mortgages and notes payable

    beginning of year $279,555 · end of year $284,369

  • 24 · Unsecured notes and loans payable

    beginning of year $510,557 · end of year $100,851

  • 25 · Other liabilities

    beginning of year $8,463,083 · end of year $7,817,548

  • 27 · Net assets without donor restrictions

    beginning of year -$3,421,057 · end of year -$3,669,475

Mission and programs · 2023

Mission

ADVANCE THE HEALTH AND WELLNESS OF THE INDIVIDUALS AND COMMUNITIES WE ARE HONORED TO SERVE.

Activities or mission (Part I)

TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE.

  • REGIONAL WEST GARDEN COUNTY IS A NON-PROFIT FACILITY CRITICAL ACCESS HOSPITAL THAT INCLUDES A 10 BED ACUTE CARE UNIT DESIGNED TO PROVIDE SPECIAL CARE FOR ACUTELY ILL PATIENTS. THIS CRITICAL ACCESS HOSPITAL OFFERS A VARIETY OF ANCILLARY SERVICES.

    Expenses $4,364,623 · Revenue $6,570,947

  • REGIONAL WEST GARDEN COUNTY INCLUDES A 40 BED NURSING HOME INTERMEDIATE LONG TERM CARE FACILITY. ITS PURPOSE IS TO PROVIDE 24 HOUR LICENSED NURSING CARE THAT ASSISTS RESIDENTS IN MEETING THEIR DAILY NEEDS AND HELPS THEM MAINTAIN THEIR OPTIMUM FUNCTIONAL LEVEL WITHIN AN ATMOSPHERE OF COMFORT AND DIGNITY. REGIONAL WEST GARDEN COUNTY NURSING HOME ALSO OFFERS ADULT DAY CARE, RESPITE CARE, AND HOSPICE SERVICES.

    Expenses $2,215,453 · Revenue $2,828,551

  • REGIONAL WEST GARDEN COUNTY CLINIC IS A RURAL HEALTH CLINIC THAT PROVIDES PHYSICIAN APPOINTMENTS AND WALK IN CARE FOR RESIDENTS IN THE SOUTHEASTERN NEBRASKA PANHANDLE.

    Expenses $1,128,957 · Revenue $1,181,497

  • REGIONAL WEST GARDEN COUNTY ALSO PROVIDES ADMINISTRATIVE SUPPORT SERVICES NECESSARY TO ACCOMPLISH THE PRIMARY PROGRAM SERVICES OF THE HOSPITAL. THESE SERVICES ARE ADMINISTRATIVE, TECHNOLOGY, HUMAN RESOURCES, BILLING, HOUSEKEEPING, MEDICAL RECORDS AND OTHER SERVICES NECESSARY TO KEEP OPERATIONS RUNNING.

    Expenses $1,998,991 · Revenue $113,156

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Mel McNea

    PRESIDENT/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 Ickowski

    TREASURER/CFO THRU 05/2023

    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

  • Brad Howell

    CEO - RWGC/DIRECTOR

    Total calculated
    $187,943
    From this org
    $177,704
    From related orgs
    $0
    Other
    $10,239
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,704
    Bonus
    $0
    Other
    $0
    Deferred
    $7,189
    Nontaxable benefits
    $3,669
    Filer's total
    $188,562

  • Alan Townsend

    INTERIM TREASURER/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

  • Bev Krajewski

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Hod Kosman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Mary Mather

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Cynthia Gregg

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stephanie Todd

    SECRETARY

    Total calculated
    $127,477
    From this org
    $0
    From related orgs
    $94,850
    Other
    $32,627
    Hours/week
    1 + 40 related

  • Laurie Soper

    APRN

    Total calculated
    $340,655
    From this org
    $327,277
    From related orgs
    $0
    Other
    $13,378
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $327,277
    Bonus
    $0
    Other
    $0
    Deferred
    $11,600
    Nontaxable benefits
    $1,781
    Filer's total
    $340,658

  • Kevan Geiger

    EMT

    Total calculated
    $173,036
    From this org
    $151,223
    From related orgs
    $0
    Other
    $21,813
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,023
    Bonus
    $200
    Other
    $0
    Deferred
    $6,158
    Nontaxable benefits
    $15,838
    Filer's total
    $173,219

  • Robert Novak

    PHYSICIAN

    Total calculated
    $153,447
    From this org
    $148,749
    From related orgs
    $0
    Other
    $4,698
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $148,749
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $4,792
    Filer's total
    $153,541

  • Tamara Koubek

    CT TECHNOLOGIST

    Total calculated
    $146,630
    From this org
    $103,740
    From related orgs
    $0
    Other
    $42,890
    Hours/week
    40

  • April Toepfer

    CHIEF NURSING OFFICER

    Total calculated
    $136,001
    From this org
    $102,751
    From related orgs
    $0
    Other
    $33,250
    Hours/week
    40

  • Amanda Vick

    FORMER OFFICER

    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

  • John Mentgen

    FORMER OFFICER

    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

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)

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.

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
13 November 2024
IRS schema version
2023v5.1
Source object
202403189349309335

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