Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Nebraska · Ranked 740 of 1033 by CEO pay.

Regional West Medical Center

Mel Mcnea, CEO/President. Fiscal year ending 2024-12.

$432,370
CEO total compensation
Form 990 Part VII, columns D+E+F
1.45%
of expenses spent on charity care
Schedule H Part I line 7a
11.6%
CEO pay as a share of all charity care

Most of the reported compensation ($405,730 of $432,370) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$259,098,601
Total expenses
$258,258,642
Net assets
−$6,254,089
Employees
1,199
Hospitals covered
2 facilities across 2 filings
Charity care, net
$3,736,932
Bad debt
$13,357,829
Medicare surplus (shortfall), as filed
($10,962,412)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$405,730
Other compensation, including deferred pay and nontaxable benefits (col. F)
$26,640
CEO total compensation (D+E+F)
$432,370 to Mel Mcnea

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Regional West Medical Center, EIN 47-0385129, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$18.8M Of which charity care to patients who could not pay (line 7a)$3.7M (20%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($13.4M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Regional West Medical Center47-03851292024-12$255.8M$3.7M1.47%990
Regional West Garden County39-19049752024-12$3.3M$36,9320.62%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Regional West Medical Center: CEO pay $432,370, charity care 1.45% of expenses