West Holt Memorial Hospital
Nonprofit profile at a glance
- EIN
- 470544098
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Atkinson, NE, USA
- Phone
- 4029252811
- Rating
- 75
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $18,533,686
- Expenses
- $17,790,294
- Assets
- $18,860,597
- Liabilities
- $7,371,871
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
16 people listed
Executive titles in this filing
- TRENT SCHAAF (PRESIDENT)
- BRYAN RENTSCHLER (FIRST VICE PRESIDENT)
- TOM DVORAK (SECOND VICE PRESIDENT)
- JEREMY BAUER (CEO)
Highest reported compensation
- SAMANTHA SHOLES (PHYSICIAN): $279,930 total reported compensation
- JEREMY BAUER (CEO): $232,689 total reported compensation
- LORETTA DANIELS (PHYSICIAN ASSISTANT): $195,718 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide comprehensive healthcare with respect and compassion.
What it reported doing in 2024
West holt memorial hospital (whmh) is a 15 licensed-bed critical access hospital: services provided by whmh include emergency services, laboratory, physical and occupational therapy, respiratory therapy, speech therapy, diagnostic imaging test, cardiology tests, ekg, nuclear medicine tests, iv therapy, sleep studies, op surgery, and a variety of specialty clinics. During 2025, whmh had 665 emergency room visits and performed 162 outpatient surgeries. The laboratory performed 26,829 tests, diagnostic imaging performed 3,810 tests and physical/occupational/speech therapy services provided 12,682 treatments.the hospital provides charity care to patients who are financially unable to pay for the healthcare services they receive. It is the policy of the hospital not to pursue collection of amounts determined to qualify as charity care. Accordingly, the hospital does not report these amounts in patient service revenue. The hospital determines the costs associated with providing charity care by aggregating the direct and indirect costs, including salaries, benefits, supplies, and other operating expenses, based on an overall cost to charge ratio. The costs of caring for these patients for the years ended june 30, 2025 and 2024, was approximately $52,000 and $99,000, respectively.
Operating model
- Revenue model
- Other-operating. 98% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 77
- Transparency & Controls: 74
- Accountability: 76
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 85.2%; rating input score 85
- Program expense ratio: 88.5%; rating input score 88
- Fundraising efficiency: $0.93 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 66.7%; rating input score 67; 11th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 4%; rating input score 50; 50th percentile among comparable filings
- Total-asset coverage ratio: 1.06; rating input score 38; 38th percentile among comparable filings
- Liabilities to assets ratio: 0.39; rating input score 37; 37th percentile among comparable filings
- Officer compensation ratio: 7.4%; rating input score 33; 33rd percentile among comparable filings
Growth
- Program expense growth: 7.8% per year; rating input score 100; 60th percentile among comparable filings
- Revenue growth: 6.9% per year; rating input score 100; 59th percentile among comparable filings
- Asset growth: 7.4% per year; rating input score 100; 51st percentile among comparable filings
Details
- Where the money goes: 85.2% of revenue deployed · 88.5% of spending went to programs
- Governance: 6 of 9 board members independent · 8 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $15.7M in reported program spending
- Leadership: top reported pay $280K · 16 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.5M reported
- Consistency: 33 of 33 current checks pass
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Related organizations: Filed and resolved organization relationships.
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 2/100.
- Review — Sustainability: Operating margin scored 50/100.
- Review — Accountability: Governance controls: Other executive compensation review process not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 38/100.
- Moderate — Sustainability: Officer compensation ratio scored 33/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 37/100.