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Nonprofiteer
← REGIONAL WEST FOUNDATION

Form 990 for tax year 2023

Filed by REGIONAL WEST FOUNDATION.

Totals

Total revenue
$1,483,180
Total expenses
$729,785
Contributions and grants received
$685,304
Grants paid
$500,208
Program service revenue
$0
Investment income
$816,856
Other revenue
-$18,980
Total assets, end of year
$14,038,837
Total liabilities, end of year
$404,089
Net assets or fund balances, end of year
$13,634,748
Program services expenses (Part IX)
$724,445
Management and general expenses
$5,340
Fundraising expenses
$0
Program service expenses (Part III)
$724,445

Program services were 99.3% 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.

  • 1c · Fundraising events

    $124,368

  • 1f · All other contributions, gifts and grants

    $560,936

  • 1g · Noncash contributions included above

    $19,094

  • 3 · Investment income

    total $816,856 · excluded $816,856

  • 8a · Fundraising events: gross income

    $25,550

  • 8a · Fundraising events: contributions included on line 1c

    $124,368

  • 8b · Fundraising events: direct expenses

    $44,530

  • 8c · Net income from fundraising events

    total -$18,980 · excluded -$18,980

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $476,623 · program services $476,623

  • 2 · Grants to domestic individuals

    total $23,585 · program services $23,585

  • 5 · Compensation of officers, directors and key employees

    total $151,518 · program services $151,518

  • 7 · Other salaries and wages

    total $6,587 · program services $6,587

  • 10 · Payroll taxes

    total $8,881 · program services $8,881

  • 12 · Advertising and promotion

    total $537 · program services $537

  • 13 · Office expenses

    total $937 · program services $937

  • 16 · Occupancy

    total $21,639 · program services $21,639

  • 20 · Interest

    total $14,007 · program services $14,007

  • 22 · Depreciation, depletion and amortization

    total $2,147 · program services $2,147

  • 24a · Other expenses: CORPORATE ALLOCATION

    total $21,360 · program services $16,020 · management and general $5,340

  • 24b · Other expenses: DIETARY

    total $1,230 · program services $1,230

  • 24c · Other expenses: MISCELLANEOUS

    total $436 · program services $436

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $298 · program services $298

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $469,583 · end of year $4,014,244

  • 2 · Savings and temporary cash investments

    beginning of year $4,685,378 · end of year $5,158,826

  • 3 · Pledges and grants receivable

    beginning of year $59,109 · end of year $18,307

  • 8 · Inventories for sale or use

    beginning of year $11,773 · end of year $11,773

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,996 · end of year $4,397

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

    $65,280

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

    $52,028

  • 10c · Land, buildings and equipment, net

    beginning of year $15,399 · end of year $13,252

  • 11 · Investments: publicly traded securities

    beginning of year $7,892,262 · end of year $4,818,038

  • 17 · Accounts payable and accrued expenses

    beginning of year $41,996 · end of year $27,198

  • 19 · Deferred revenue

    beginning of year $255,686

  • 25 · Other liabilities

    beginning of year $240,105 · end of year $376,891

  • 27 · Net assets without donor restrictions

    beginning of year $6,713,841 · end of year $7,213,972

  • 28 · Net assets with donor restrictions

    beginning of year $5,887,872 · end of year $6,420,776

Mission and programs · 2023

Mission

TO SERVE THE REGIONAL COMMUNITY IN COOPERATION WITH REGIONAL WEST MEDICAL CENTER BY SEEKING AND ADMINISTERING DONATIONS IN SUPPORT OF QUALITY HEALTH CARE SERVICES AND EDUCATION.

Activities or mission (Part I)

TO SEEK AND ADMINISTER DONATIONS IN SUPPORT OF QUALITY HEALTH CARE SERVICES AND EDUCATION.

  • REGIONAL WEST FOUNDATION RAISES, MANAGES AND DISTRIBUTES FUNDS TO ENHANCE THE SERVICES, PROGRAMS, AND PROJECTS OF REGIONAL WEST HEALTH SERVICES AND ITS AFFILIATED ENTITIES. THE FOUNDATION SUPPORTS PROJECTS TO STRENGTHEN HEALTH CARE SERVICES THAT ARE ESSENTIAL TO THE QUALITY AND GROWTH OF OUR LOCAL MEDICAL COMMUNITY, INCLUDING NEW TECHNOLOGY AND BUILDING IMPROVEMENTS.

    Expenses $700,860 · Grants $476,623

  • SCHOLARSHIPS - REGIONAL WEST FOUNDATION AWARDS SCHOLARSHIPS INCLUDING MEDICAL STUDENT, NURSING AND OTHER HEALTH RELATED SCHOLARSHIPS. REGIONAL WEST FOUNDATION BELIEVES ASSISTING WITH THE EDUCATION OF THOSE IN THE MEDICAL PROFESSION IS OF GREAT BENEFIT NOT ONLY TO REGIONAL WEST MEDICAL CENTER BUT TO ALL MEDICAL FACILITIES INCLUDING PHYSICIAN OFFICES IN OUR ENTIRE REGION.

    Expenses $23,585 · Grants $23,585

As filed on the 2023 return.

Listed in Part VII

  • Mark Hartman MD

    DIRECTOR

    Total calculated
    $978,604
    From this org
    $0
    From related orgs
    $920,218
    Other
    $58,386
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $920,218 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,393 related
    Nontaxable benefits
    $0 + $50,805 related
    Filer's total
    $0 + $979,416 related
  • Jeffrey Holloway MD

    DIRECTOR

    Total calculated
    $805,639
    From this org
    $0
    From related orgs
    $742,446
    Other
    $63,193
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $742,446 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $50,805 related
    Filer's total
    $0 + $806,451 related
  • Mel McNea

    CEO/PRESIDENT

    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
  • Paul E Hofmeister

    DIRECTOR

    Total calculated
    $419,367
    From this org
    $0
    From related orgs
    $355,120
    Other
    $64,247
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $353,770 related
    Bonus
    $0
    Other
    $0 + $1,350 related
    Deferred
    $0 + $34,764 related
    Nontaxable benefits
    $0 + $30,173 related
    Filer's total
    $0 + $420,057 related
  • Peter Meyer MD

    DIRECTOR

    Total calculated
    $392,736
    From this org
    $0
    From related orgs
    $331,660
    Other
    $61,076
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $331,660 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $11,083 related
    Nontaxable benefits
    $0 + $50,785 related
    Filer's total
    $0 + $393,528 related
  • Michael Ickowski

    CFO/TREASURER 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 Townsend

    INTERIM CFO/TREASURER

    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
  • Jodi Willats

    DIRECTOR

    Total calculated
    $117,980
    From this org
    $0
    From related orgs
    $65,043
    Other
    $52,937
    Hours/week
    1 + 40 related
  • John Massey

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Kevin Kelley

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Jack Baker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Joseph Burford

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mike Downey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tom Cooper

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dennis Hadden

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Todd Lewis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Paul Mohr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dawne Wolfe

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Michael Yung MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Amy Doll

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dustin Jones

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ryan Windhorst

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jeanne McKerrigan

    FOUNDATION DIRECTOR

    Total calculated
    $176,511
    From this org
    $76,506
    From related orgs
    $53,095
    Other
    $46,910
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $71,506 + $53,095 related
    Bonus
    $5,000
    Other
    $0
    Deferred
    $2,431 + $1,675 related
    Nontaxable benefits
    $27,004 + $16,260 related
    Filer's total
    $105,941 + $71,030 related
  • Alicia Palu

    SECRETARY

    Total calculated
    $45,426
    From this org
    $43,679
    From related orgs
    $0
    Other
    $1,747
    Hours/week
    40
  • Amanda Vick

    FORMER INTERIM CEO/PRESIDENT

    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 CEO/PRESIDENT

    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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 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

  • REGIONAL WEST MEDICAL CENTER

    $397,741

    FOR PURCHASE OF MEDICAL EQUIPMENT

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
6 November 2024
IRS schema version
2023v5.1
Source object
202403119349300220

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