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Nonprofiteer
← REGIONAL WEST GARDEN COUNTY

Form 990 for tax year 2022

Filed by REGIONAL WEST GARDEN COUNTY.

Totals

Total revenue
$10,123,513
Total expenses
$10,465,229
Contributions and grants received
$209,625
Grants paid
$0
Program service revenue
$9,850,456
Investment income
$22,147
Other revenue
$41,285
Total assets, end of year
$6,047,276
Total liabilities, end of year
$9,468,333
Net assets or fund balances, end of year
-$3,421,057
Program services expenses (Part IX)
$8,993,122
Management and general expenses
$1,472,107
Fundraising expenses
$0
Program service expenses (Part III)
$8,993,122

Program services were 85.9% 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)

    $208,797

  • 1f · All other contributions, gifts and grants

    $828

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

    total $6,555,490 · related or exempt $6,555,490

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

    total $2,128,744 · related or exempt $2,128,744

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

    total $1,065,339 · related or exempt $1,065,339

  • 2d · Program service revenue: OTHER OPERATING REVENUE

    total $100,883 · related or exempt $100,883

  • 3 · Investment income

    total $19,647 · excluded $19,647

  • 7a · Gross sales of assets other than inventory

    other assets $2,500

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

    other assets $0

  • 7c · Gain or loss

    other assets $2,500

  • 7d · Net gain or loss

    total $2,500 · excluded $2,500

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

    total $41,285 · related or exempt $41,285

  • 11e · Other revenue, total

    $41,285

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $188,971 · management and general $188,971

  • 7 · Other salaries and wages

    total $4,149,694 · program services $3,973,598 · management and general $176,096

  • 8 · Pension plan contributions

    total $142,435 · program services $130,209 · management and general $12,226

  • 9 · Other employee benefits

    total $1,234,420 · program services $1,112,901 · management and general $121,519

  • 10 · Payroll taxes

    total $291,134 · program services $262,904 · management and general $28,230

  • 11c · Fees: accounting

    total $8,962 · management and general $8,962

  • 11g · Fees: other

    total $2,811,973 · program services $2,325,514 · management and general $486,459

  • 12 · Advertising and promotion

    total $31,775 · program services $23,000 · management and general $8,775

  • 13 · Office expenses

    total $151,807 · program services $95,043 · management and general $56,764

  • 14 · Information technology

    total $6,923 · program services $6,923

  • 16 · Occupancy

    total $164,015 · program services $160,199 · management and general $3,816

  • 17 · Travel

    total $40,725 · program services $40,228 · management and general $497

  • 20 · Interest

    total $45,493 · program services $319 · management and general $45,174

  • 22 · Depreciation, depletion and amortization

    total $177,579 · program services $160,741 · management and general $16,838

  • 23 · Insurance

    total $57,867 · program services $6,323 · management and general $51,544

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $500,006 · program services $500,006 · management and general $0

  • 24b · Other expenses: CORPORATE ALLOCATION

    total $265,332 · program services $0 · management and general $265,332

  • 24c · Other expenses: IMPLICIT PRICE CONCESSI

    total $84,229 · program services $84,229 · management and general $0

  • 24d · Other expenses: FOOD

    total $80,523 · program services $80,523 · management and general $0

  • 24e · All other expenses

    total $31,366 · program services $30,462 · management and general $904

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $969,102 · end of year $564,533

  • 2 · Savings and temporary cash investments

    beginning of year $3,464,048 · end of year $2,727,526

  • 4 · Accounts receivable

    beginning of year $2,694,553 · end of year $1,772,306

  • 8 · Inventories for sale or use

    beginning of year $173,529 · end of year $186,027

  • 9 · Prepaid expenses and deferred charges

    beginning of year $122,013 · end of year $157,513

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

    $2,044,490

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

    $1,429,614

  • 10c · Land, buildings and equipment, net

    beginning of year $778,583 · end of year $614,876

  • 15 · Other assets

    beginning of year $35,800 · end of year $24,495

  • 17 · Accounts payable and accrued expenses

    beginning of year $182,825 · end of year $215,138

  • 23 · Secured mortgages and notes payable

    beginning of year $326,876 · end of year $279,555

  • 24 · Unsecured notes and loans payable

    beginning of year $1,783,488 · end of year $510,557

  • 25 · Other liabilities

    beginning of year $9,023,780 · end of year $8,463,083

  • 27 · Net assets without donor restrictions

    beginning of year -$3,079,341 · end of year -$3,421,057

Mission and programs · 2022

Mission

THE MISSION OF REGIONAL WEST GARDEN COUNTY IS TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE TO ENHANCE THE QUALITY OF LIFE OF THE COMMUNITIES SERVED.

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 CRITICIAL 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 $4,007,292 · Revenue $6,555,490

  • 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 $2,105,397 · Revenue $2,128,744

  • 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 $972,275 · Revenue $1,065,339

  • 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 $1,908,158 · Revenue $142,168

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

    PRESIDENT/CEO THRU 10/2022

    Total calculated
    $820,525
    From this org
    $0
    From related orgs
    $695,971
    Other
    $124,554
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $686,629 related
    Bonus
    $0
    Other
    $0 + $9,342 related
    Deferred
    $0 + $75,199 related
    Nontaxable benefits
    $0 + $49,355 related
    Filer's total
    $0 + $820,525 related

  • Paul Hofmeister

    VICE CHAIR

    Total calculated
    $478,543
    From this org
    $0
    From related orgs
    $436,749
    Other
    $41,794
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

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

  • Mike Ickowski

    TREASURER/CFO

    Total calculated
    $415,299
    From this org
    $0
    From related orgs
    $369,241
    Other
    $46,058
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,860 related
    Bonus
    $0
    Other
    $0 + $10,381 related
    Deferred
    $0 + $45,300 related
    Nontaxable benefits
    $0 + $758 related
    Filer's total
    $0 + $415,299 related

  • Amanda Vick

    INTERIM PRESIDENT/CEO THRU 12/2022

    Total calculated
    $340,576
    From this org
    $0
    From related orgs
    $300,625
    Other
    $39,951
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

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

  • Laurie Soper

    APRN

    Total calculated
    $333,151
    From this org
    $319,811
    From related orgs
    $0
    Other
    $13,340
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $319,811
    Bonus
    $0
    Other
    $0
    Deferred
    $11,559
    Nontaxable benefits
    $1,781
    Filer's total
    $333,151

  • Brad Howell

    CEO - RWGC/DIRECTOR

    Total calculated
    $188,971
    From this org
    $181,154
    From related orgs
    $0
    Other
    $7,817
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,733
    Bonus
    $0
    Other
    $1,421
    Deferred
    $7,189
    Nontaxable benefits
    $628
    Filer's total
    $188,971

  • Holly Dobrinski

    NURSE PRACTITIONER

    Total calculated
    $184,940
    From this org
    $125,875
    From related orgs
    $0
    Other
    $59,065
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,740
    Bonus
    $0
    Other
    $135
    Deferred
    $5,586
    Nontaxable benefits
    $53,479
    Filer's total
    $184,940

  • Stephanie Todd

    SECRETARY

    Total calculated
    $115,452
    From this org
    $0
    From related orgs
    $83,703
    Other
    $31,749
    Hours/week
    1 + 40 related

  • Mel McNea

    PRESIDENT/CEO

    Total calculated
    $8,654
    From this org
    $0
    From related orgs
    $8,654
    Other
    $0
    Hours/week
    1 + 45 related

  • 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

  • Terry Krauter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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: JOHN MENTGEN 64,199 MICHAEL ICKOWSKI 33,700 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

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349305131

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