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Nonprofiteer
← REGIONAL WEST HEALTH SERVICES

Form 990 for tax year 2022

Filed by REGIONAL WEST HEALTH SERVICES.

Totals

Total revenue
$20,434,948
Total expenses
$22,407,149
Contributions and grants received
$0
Grants paid
$4,730
Program service revenue
$15,754,281
Investment income
$70,628
Other revenue
$4,610,039
Total assets, end of year
$70,119,074
Total liabilities, end of year
$17,452,897
Net assets or fund balances, end of year
$52,666,177
Program services expenses (Part IX)
$22,257,406
Management and general expenses
$149,743
Fundraising expenses
$0
Program service expenses (Part III)
$22,257,406

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.

  • 2a · Program service revenue: MANAGEMENT SERVICES REVENUE

    total $15,754,281 · related or exempt $15,754,281

  • 3 · Investment income

    total $70,628 · excluded $70,628

  • 11a · Other revenue: MEDICAL CENTER OF THE ROCKIES

    total $4,324,886 · related or exempt $4,324,886

  • 11b · Other revenue: RCI INCOME

    total $285,153 · related or exempt $285,153

  • 11e · Other revenue, total

    $4,610,039

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,730 · program services $4,730

  • 5 · Compensation of officers, directors and key employees

    total $1,706,748 · program services $1,706,748

  • 7 · Other salaries and wages

    total $8,831,479 · program services $8,831,479

  • 8 · Pension plan contributions

    total $138,100 · program services $138,100

  • 9 · Other employee benefits

    total $8,473,424 · program services $8,473,424

  • 10 · Payroll taxes

    total $653,657 · program services $653,657

  • 11b · Fees: legal

    total $142,243 · management and general $142,243

  • 11c · Fees: accounting

    total $7,500 · management and general $7,500

  • 11g · Fees: other

    total $1,129,967 · program services $1,129,967

  • 12 · Advertising and promotion

    total $18,823 · program services $18,823

  • 13 · Office expenses

    total $21,916 · program services $21,916

  • 16 · Occupancy

    total $6,043 · program services $6,043

  • 17 · Travel

    total $3,574 · program services $3,574

  • 23 · Insurance

    total $278 · program services $278

  • 24a · Other expenses: PHYSICIAN RECRUITMENT

    total $715,976 · program services $715,976

  • 24b · Other expenses: MISCELLANEOUS

    total $300,194 · program services $300,194

  • 24c · Other expenses: LICENSES AND ASSOCIATIO

    total $162,497 · program services $162,497

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $90,000 · program services $90,000

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,836,089 · end of year $533,213

  • 4 · Accounts receivable

    beginning of year $306,204 · end of year $77,164

  • 7 · Other notes and loans receivable

    beginning of year $4,079,399 · end of year $522,453

  • 9 · Prepaid expenses and deferred charges

    beginning of year $161,475 · end of year $7,543

  • 11 · Investments: publicly traded securities

    beginning of year $4,884,275 · end of year $4,203,904

  • 12 · Investments: other securities

    beginning of year $51,962,199 · end of year $52,109,295

  • 15 · Other assets

    beginning of year $5,052,686 · end of year $12,665,502

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,919,252 · end of year $8,639,588

  • 25 · Other liabilities

    beginning of year $9,945,693 · end of year $8,813,309

  • 27 · Net assets without donor restrictions

    beginning of year $55,417,382 · end of year $52,666,177

Mission and programs · 2022

Mission

HEALTH CARE SERVICES FOR THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING.

  • REGIONAL WEST HEALTH SERVICES, (RWHS), PROVIDES A CONTINUUM OF CARE THROUGH PROGRAMS DEVELOPED IN ACUTE, SKILLED, INTERMEDIATE, RESIDENTIAL, HOME AND AMBULATORY CARE FOR THE PEOPLE IN THE REGION OF WESTERN NEBRASKA AND EASTERN WYOMING. RWHS IS A SUPPORTING ORGANIZATION TO REGIONAL WEST MEDICAL CENTER, REGIONAL WEST GARDEN COUNTY, REGIONAL WEST PHYSICIANS CLINIC, REGIONAL WEST FOUNDATION, AND REGIONAL WEST VILLAGE. REGIONAL WEST MEDICAL CENTER PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING THROUGH A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND LEVEL II TRAUMA CENTER. REGIONAL WEST MEDICAL CENTER ALSO PROVIDES ANCILLARY SERVICES TO SUPPORT ITS PRIMARY MISSION OF COMPREHENSIVE AND ADVANCED MEDICAL CARE. REGIONAL WEST GARDEN COUNTY IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES HIGH QUALITY HEALTH CARE TO THE REGION THROUGH A 10-BED ACUTE CARE UNIT, A 40-BED NURSING HOME FACILITY, AND A RURAL HEALTH CLINIC. REGIONAL WEST PHYSICIANS CLINIC IS A MULTI-SPECIALTY MEDICAL GROUP OF MORE THAN 70 PHYSICIANS AND ASSOCIATED HEALTH CARE PROVIDERS. REGIONAL WEST VILLAGE OPERATES A RETIREMENT AND ASSISTED LIVING FACILITY ADJACENT TO THE REGIONAL WEST MEDICAL CENTER CAMPUS. REGIONAL WEST VILLAGE PROVIDES TWENTY FOUR HOUR COVERAGE OF ITS FACILITY AND ASSISTS RESIDENTS WITH MEALS, TRANSPORTATION, AND MEDICATIONS IN AN EFFORT TO PROVIDE A CONTINUUM OF CARE TO THE ELDERLY IN THE NEBRASKA PANHANDLE.

    Expenses $22,257,406 · Grants $4,730 · Revenue $20,364,320

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • John Mentgen

    CEO/PRESIDENT THRU 10/2022

    Total calculated
    $820,525
    From this org
    $695,971
    From related orgs
    $0
    Other
    $124,554
    Hours/week
    40 + 6 related

    Schedule J breakdown matched by us

    Base
    $686,629
    Bonus
    $0
    Other
    $9,342
    Deferred
    $75,199
    Nontaxable benefits
    $49,355
    Filer's total
    $820,525
  • Jeffrey Holloway MD

    DIRECTOR

    Total calculated
    $759,641
    From this org
    $0
    From related orgs
    $697,686
    Other
    $61,955
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $695,364 related
    Bonus
    $0
    Other
    $0 + $2,322 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $50,355 related
    Filer's total
    $0 + $759,641 related
  • Dorisa Polk MD

    DIRECTOR

    Total calculated
    $611,790
    From this org
    $0
    From related orgs
    $552,196
    Other
    $59,594
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $551,298 related
    Bonus
    $0
    Other
    $0 + $898 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $47,994 related
    Filer's total
    $0 + $611,790 related
  • David Cornutt

    DIRECTOR OF OUTREACH

    Total calculated
    $514,989
    From this org
    $492,946
    From related orgs
    $0
    Other
    $22,043
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $491,283
    Bonus
    $0
    Other
    $1,663
    Deferred
    $0
    Nontaxable benefits
    $22,043
    Filer's total
    $514,989
  • Paul Hofmeister

    GENERAL COUNSEL

    Total calculated
    $478,543
    From this org
    $436,749
    From related orgs
    $0
    Other
    $41,794
    Hours/week
    40 + 3 related

    Schedule J breakdown matched by us

    Base
    $425,048
    Bonus
    $0
    Other
    $11,701
    Deferred
    $11,600
    Nontaxable benefits
    $30,194
    Filer's total
    $478,543
  • Michael Ickowski

    CFO/TREASURER

    Total calculated
    $415,299
    From this org
    $369,241
    From related orgs
    $0
    Other
    $46,058
    Hours/week
    40 + 6 related

    Schedule J breakdown matched by us

    Base
    $358,860
    Bonus
    $0
    Other
    $10,381
    Deferred
    $45,300
    Nontaxable benefits
    $758
    Filer's total
    $415,299
  • Lindsay Mosel MD

    DIRECTOR THRU 6/2022

    Total calculated
    $381,727
    From this org
    $0
    From related orgs
    $324,799
    Other
    $56,928
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $324,624 related
    Bonus
    $0
    Other
    $0 + $175 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $45,328 related
    Filer's total
    $0 + $381,727 related
  • Amanda Vick

    INTERIM CEO/PRESIDENT THRU 12/2022

    Total calculated
    $340,576
    From this org
    $300,625
    From related orgs
    $0
    Other
    $39,951
    Hours/week
    40 + 6 related

    Schedule J breakdown matched by us

    Base
    $292,250
    Bonus
    $0
    Other
    $8,375
    Deferred
    $39,212
    Nontaxable benefits
    $739
    Filer's total
    $340,576
  • Kelly Oliver

    NURSE MANAGER

    Total calculated
    $293,402
    From this org
    $243,672
    From related orgs
    $0
    Other
    $49,730
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,228
    Bonus
    $0
    Other
    $8,444
    Deferred
    $31,258
    Nontaxable benefits
    $18,472
    Filer's total
    $293,402
  • Eric Wiebe MD

    DIRECTOR

    Total calculated
    $291,904
    From this org
    $0
    From related orgs
    $244,047
    Other
    $47,857
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,722 related
    Bonus
    $0
    Other
    $0 + $325 related
    Deferred
    $0 + $9,674 related
    Nontaxable benefits
    $0 + $38,183 related
    Filer's total
    $0 + $291,904 related
  • Margo Ferguson

    CHIEF QUALITY OFFICER

    Total calculated
    $269,559
    From this org
    $196,613
    From related orgs
    $0
    Other
    $72,946
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,143
    Bonus
    $0
    Other
    $8,470
    Deferred
    $26,367
    Nontaxable benefits
    $46,579
    Filer's total
    $269,559
  • Nathan Hough

    CHADRON COMMUNITY HOSP. CEO

    Total calculated
    $247,689
    From this org
    $197,579
    From related orgs
    $0
    Other
    $50,110
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,165
    Bonus
    $0
    Other
    $414
    Deferred
    $8,154
    Nontaxable benefits
    $41,956
    Filer's total
    $247,689
  • Melody Bibb

    SECRETARY

    Total calculated
    $121,694
    From this org
    $70,871
    From related orgs
    $0
    Other
    $50,823
    Hours/week
    40 + 2 related
  • Mel McNea

    CEO/PRESIDENT

    Total calculated
    $8,654
    From this org
    $8,654
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 6 related
  • Hod Kosman

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Rev Lauren Ekdahl

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Carolyn Escamilla

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mark Gillam

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lee Glenn

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dennis Hadden

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • John Massey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Thomas Holyoke

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dennis Miller

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jim Trumbull

    DIRECTOR

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

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 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: JOHN MENTGEN 64,199 MICHAEL ICKOWSKI 33,700 MARGO FERGUSON 18,400 KELLY OLIVER 24,000 AMANDA VICK 27,612

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 · 100% owned · share of income $5,189,650 · share of assets $4,815,617 · controlled entity

    Directly controlled by REGIONAL WEST HEALTH SERVICES

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349305126

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