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REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202333189349310233
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T13:38:23-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT ST STE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470385129EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREGIBusinessNameControlTxt
Phone3086353711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP693614602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALAN TOWNSENDPersonNm
Person TitleINTERIM CFO/TREASURERPersonTitleTxt
Phone3086353711PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALANPersonFirstNm
Person LastTOWNSENDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEY CPAPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum
Preparation2023-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMEL MCNEAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP693614602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$256,006,614GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RWHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPREHENSIVE AND ADVANCED MEDICAL CARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1231TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI$2,763,080TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$139,142NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,694,296PYContributionsGrantsAmt
CY Contributions Grants$2,117,581CYContributionsGrantsAmt
PY Program Service Revenue$271,920,788PYProgramServiceRevenueAmt
CY Program Service Revenue$250,330,217CYProgramServiceRevenueAmt
PY Investment Income$224,922PYInvestmentIncomeAmt
CY Investment Income$197,664CYInvestmentIncomeAmt
PY Other Revenue$2,426,366PYOtherRevenueAmt
CY Other Revenue$3,260,402CYOtherRevenueAmt
PY Total Revenue$280,266,372PYTotalRevenueAmt
CY Total Revenue$255,905,864CYTotalRevenueAmt
PY Grants And Similar Paid$31,705,437PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,728,513CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$71,287,356PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$66,856,664CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$169,620,378PYOtherExpensesAmt
CY Other Expenses$201,241,726CYOtherExpensesAmt
PY Total Expenses$272,613,171PYTotalExpensesAmt
CY Total Expenses$289,826,903CYTotalExpensesAmt
PY Revenues Less Expenses$7,653,201PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,921,039CYRevenuesLessExpensesAmt
Total Assets BOY$194,287,213TotalAssetsBOYAmt
Total Assets EOY$137,980,711TotalAssetsEOYAmt
Total Liabilities BOY$138,248,595TotalLiabilitiesBOYAmt
Total Liabilities EOY$117,296,179TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,038,618NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,684,532NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNONEMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$118,978,941ExpenseAmt
Grant$21,728,513GrantAmt
Revenue$104,500,279RevenueAmt
DescREGIONAL WEST MEDICAL CENTER (RWMC) IS A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND LEVEL II TRAUMA CENTER. THE HOSPITAL PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO PEOPLE OF WESTERN NEBRASKA AND SURROUNDING PORTIONS OF SOUTH DAKOTA, WYOMING AND COLORADO. THE PROVISION OF COMPREHENSIVE AND ADVANCED MEDICAL CARE INCLUDES SERVICES IN MANY SPECIALTIES OF MEDICINE. AREAS OF CARE INCLUDE BRAIN & SPINE, CANCER, FAMILY & CHILDREN, HEART & LUNG REHABILITATION & PAIN MANAGEMENT, SKIN AND PLASTIC SURGERY, SURGICAL CLINICS, TRAUMA & EMERGENCY, WEIGHT MANAGEMENT & WELLNESS, BEHAVIORAL HEALTH, AND END-OF-LIFE CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$70,490,285ExpenseAmt
Revenue$137,645,907RevenueAmt
DescAS A REGIONAL HOSPITAL, RWMC ALSO PROVIDES ANCILLARY SERVICES TO SUPPORT ITS PRIMARY MISSION OF HOSPITAL CARE. THESE SERVICES INCLUDE LABORATORY, RADIOLOGY, REHABILITATION AND THERAPY FOR PATIENTS IN THE REGION. THESE DEPARTMENTS SUPPORT BOTH INPATIENT AND OUTPATIENT PROCEDURES FOR PATIENTS OF RWMC AND AFFILIATED ORGANIZATIONS AS WELL AS THE COMMUNITY. THE LAB ALSO PROVIDES OUTREACH LABORATORY SERVICES TO PROVIDERS LOCATED IN WYOMING, SOUTH DAKOTA, IOWA AND ACROSS THE STATE OF NEBRASKA. AS A PART OF ENSURING ONGOING SERVICES THROUGH QUALIFIED TECHNICIANS, RWMC OPERATES A SCHOOL OF RADIOLOGY TECHNOLOGY FOR STUDENTS PROVIDING HANDS-ON TRAINING THROUGH THE RADIOLOGY DEPARTMENTS. RWMC OPERATES TWO PHARMACIES, AN INPATIENT PHARMACY FOR PATIENTS IN THE HOSPITAL AND A RETAIL PHARMACY THAT IS AVAILABLE FOR THE COMMUNITY TO USE. THROUGH THE REHAB DEPARTMENT, PHYSICIAN, OCCUPATIONAL, SPEECH, AND MASSAGE THERAPISTS PROVIDE SERVICES TO PATIENTS. THE REHAB DEPARTMENT ALSO PROVIDES ONGOING REHAB CLINICS FOR PATIENTS AS PART OF THEIR SERVICES IN PROMOTING ONGOING WELLNESS FOR RECOVERY. AS PART OF COMMUNITY OUTREACH THE REHAB DEPT EMPLOYS ATHLETIC TRAINERS WHO WORK IN THE LOCAL SCHOOLS' ATHLETIC PROGRAMS PROVIDING SUPPORT AND INJURY DETECTION AND PREVENTION FOR THE ATHLETES AND COACHES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,319,808ExpenseAmt
Revenue$4,976,858RevenueAmt
DescRWMC OPERATES PROVIDER BASED CLINICS ONSITE AS AN EXTENSION OF THE HOSPITAL CARE AND AN ENHANCEMENT OF THE CARE PROVIDED THROUGH AFFILIATED ORGANIZATIONS. THE CLINICS OPERATED BY RWMC INCLUDE SPINE CENTER, WOUND CLINIC, SLEEP LAB, HEART CENTER, INFUSIONS CENTER, ANTI-COAGULATION, CHEMOTHERAPY, AND COMMUNITY HEALTH IMMUNIZATION CLINICS. THE COMMUNITY HEALTH CLINIC OPERATES ALONGSIDE SCOTTSBLUFF COUNTY IN PROVIDING COUNTY NURSING SERVICES. THE CLINIC ALSO PROVIDES A COMMUNITY IMMUNIZATION CLINIC AS A PART OF THE COUNTY HEALTH NURSE SERVICES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$62,140,671ExpenseAmt
Revenue$3,619,565RevenueAmt
DescOTHER PROGRAM SERVICES OF RWMC INCLUDE THE SCHOOL OF NURSING, WHICH IS OPERATED IN PARTNERSHIP WITH WESTERN NEBRASKA COMMUNITY COLLEGE (WNCC), AND UNMC. SOME OF THE OTHER PROGRAMS INCLUDE THE OVERHEAD DEPARTMENTS OF RWMC: FACILITIES MANAGEMENT, BIO-MEDICAL, SECURITY, HOUSEKEEPING, LINEN, PURCHASING, REGISTRATION, CODING, INFORMATION AND TECHNOLOGY SERVICES, PATIENT FINANCIAL SERVICES, FINANCE, CASE MANAGEMENT, QUALITY, HUMAN RESOURCES, ADMINISTRATION, MARKETING, PROJECT MANAGEMENT, EDUCATION AND OUTREACH SERVICES. THE EDUCATION DEPARTMENT SERVICES NOT ONLY THE EMPLOYEES OF RWMC AND AFFILIATED ORGANIZATIONS, BUT ALSO PROVIDES ONGOING TRAINING AND EDUCATION FOR REGIONAL HEALTH CARE PROFESSIONALS, VOLUNTEERS, STUDENTS AND THE COMMUNITY THROUGH CPR, ATLS, PALS, AND NRP CLASSES IN PARTNERSHIP WITH AREA EMT'S, WNCC, AND SCHOOOLS. THROUGH THE OUTREACH SERVICES DEPARTMENT RWMC HAS NETWORK AFFILIATIONS WITH FIVE CRITICAL ACCESS HOSPITALS (CAHS) WITHIN ITS SERVICE REGION. RWMC PROVIDED NEEDED MANAGEMENT EXPERTISE AND CERTAIN MEDICAL SUPPORT SERVICES INCLUDING PHARMACY, OCCUPATIONAL THERAPY, BLOOD PROCESSING & COLLECTION, AND LABORATORY MANAGEMENT SERVICES THROUGH CONTRACT AGREEMENTS WITH THE CAHS. THE CONTINUED OPERATION AND SUCCESS OF THE CAHS IS CRUCIAL TO MINIMIZE THE DISTANCE AND TIME PATIENTS WOULD HAVE TO TRAVEL FOR MEDICAL CARE. SERVICES TO CAHS ARE PROVIDED AT OR BELOW OPERATING COSTS TO RWMC.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$62,140,671TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$3,619,565TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$256,929,705TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document91IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1231EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALAN TOWNSENDPersonNm
Phone3086301111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP693614602ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN MENTGEN
CEO/PRESIDENT THRU 10/20221.0045.00Yes (X)Yes (X)$0$695,971$124,554
JEFFREY HOLLOWAY MD
DIRECTOR1.0042.00Yes (X)$0$697,686$61,955
DORISA POLK MD
DIRECTOR1.0041.00Yes (X)$0$552,196$59,594
MICHAEL ICKOWSKI
CFO/TREASURER1.0045.00Yes (X)Yes (X)$0$369,241$46,058
LINDSEY MOSEL MD
DIRECTOR THRU 6/20221.0041.00Yes (X)$0$324,799$56,928
AMANDA VICK
INTERIM CEO/PRESIDENT THRU 12/20221.0045.00Yes (X)Yes (X)$0$300,625$39,951
ERIC WIEBE MD
DIRECTOR1.0041.00Yes (X)$0$244,047$47,857
TODD CHRISTENSEN
CRNA40.000.00$203,224$0$57,588Yes (X)
CRAIG KRENTZ
CRNA40.000.00$188,081$0$57,220Yes (X)
CRAIG NOE
PHARMACIST40.000.00$198,262$0$40,364Yes (X)
LA DONNA BENZEL
HOUSE SUPERVISOR40.000.00$171,268$0$54,379Yes (X)
THERESA MEYER
CRNA40.000.00$198,419$0$3,456Yes (X)
MELODY BIBB
SECRETARY1.0041.00Yes (X)$0$70,871$50,823
MEL MCNEA
CEO/PRESIDENT1.0045.00Yes (X)Yes (X)$0$8,654$0
JIM TRUMBULL
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
REV LAUREN EKDAHL
DIRECTOR1.002.00Yes (X)$0$0$0
CAROLYN ESCAMILLA
DIRECTOR1.001.00Yes (X)$0$0$0
MARK GILLAM
DIRECTOR1.001.00Yes (X)$0$0$0
LEE GLENN
DIRECTOR1.001.00Yes (X)$0$0$0
DENNIS HADDEN
DIRECTOR1.003.00Yes (X)$0$0$0
THOMAS HOLYOKE
DIRECTOR1.001.00Yes (X)$0$0$0
HOD KOSMAN
DIRECTOR1.003.00Yes (X)$0$0$0
JOHN MASSEY
DIRECTOR1.002.00Yes (X)$0$0$0
DENNIS MILLER
DIRECTOR1.001.00Yes (X)$0$0$0
MICHAEL YUNG MD
DIRECTOR1.002.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$959,254TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,264,090TotReportableCompRltdOrgAmt
Total Other Compensation$700,727TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDEFIS
PO BOX 5068NEW YORKNY10087NURSING CONTRACT$23,294,177
MEDIREVV
2600 UNIVERSITY PARKWAYCORALVILLEIA52241REVENUE CYCLE SERVICES$17,368,384
NW NEBRASKA HOSPITAL MEDICINE ASSOCIATES
1643 NW 136TH AVE STE 100SUNRISEFL33323NURSING CONTRACT$7,770,152
NORTHSTAR ANESTHESIA OF NEBRASKA LLC
6225 N STATE HWY 161 STE 200IRVINGTX75038ANESTHESIA CONTRACT$5,765,884
CERNER CORPORATION
2800 ROCK CREEK PKWYKANSAS CITYKS80528IT SERVICES$3,662,965
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Related Organizations$1,004,578RelatedOrganizationsAmt
Government Grants$575,474GovernmentGrantsAmt
All Other Contributions$537,529AllOtherContributionsAmt
Noncash Contributions$149,035NoncashContributionsAmt
Total Contributions$2,117,581TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
COMMERCIAL & SELF-PAY621300$155,341,262$152,578,182$2,763,080
MEDICARE621300$67,685,829$67,685,829
MEDICAID621300$16,923,331$16,923,331
PHARMACY - IP & RETAIL621910$6,877,490$6,877,490
RENTAL INCOME - AFFIL/OTHER531120$1,727,701$1,727,701

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,774,604TotalRevenueColumnAmt
Related Or Exempt Func Income$1,774,604RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$250,330,217TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,963TotalRevenueColumnAmt
Exclusion$219,963ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,914TotalRevenueColumnAmt
Exclusion$55,914ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,570RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,570RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,570TotalRevenueColumnAmt
Exclusion$17,570ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$850OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$23,149OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$22,299OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,299TotalRevenueColumnAmt
Exclusion-$22,299ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$89,047GrossSalesOfInventoryAmt
Cost Of Goods Sold$77,601CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,446TotalRevenueColumnAmt
Exclusion$11,446ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescAIRLINK FIXED WING INCOMEDesc
Business900099BusinessCd
Total Revenue Column$781,844TotalRevenueColumnAmt
Related Or Exempt Func Income$781,844RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,393,628TotalRevenueColumnAmt
Related Or Exempt Func Income$2,393,628RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,175,472OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$255,905,864TotalRevenueColumnAmt
Related Or Exempt Func Income$250,742,609RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,763,080UnrelatedBusinessRevenueAmt
Exclusion$282,594ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,728,513TotalAmt
Program Services$21,728,513ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,446,863TotalAmt
Program Services$46,892,085ProgramServicesAmt
Management And General$1,554,778ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,572,385TotalAmt
Program Services$1,572,385ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,491,614TotalAmt
Program Services$12,651,590ProgramServicesAmt
Management And General$840,024ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,345,802TotalAmt
Program Services$3,245,811ProgramServicesAmt
Management And General$99,991ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$385,965TotalAmt
Management And General$385,965ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$169,779TotalAmt
Management And General$169,779ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,510TotalAmt
Management And General$22,510ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,276,357TotalAmt
Program Services$68,147,272ProgramServicesAmt
Management And General$17,129,085ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,333,349TotalAmt
Program Services$62,918ProgramServicesAmt
Management And General$1,270,431ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,284,147TotalAmt
Program Services$3,639,314ProgramServicesAmt
Management And General$644,833ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,713,044TotalAmt
Program Services$4,211,049ProgramServicesAmt
Management And General$501,995ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$754,812TotalAmt
Program Services$532,955ProgramServicesAmt
Management And General$221,857ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,115,011TotalAmt
Program Services$2,678,909ProgramServicesAmt
Management And General$436,102ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,108,251TotalAmt
Program Services$12,528,626ProgramServicesAmt
Management And General$579,625ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,459,869TotalAmt
Program Services$1,259,848ProgramServicesAmt
Management And General$200,021ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INCOME TAX$22,533$22,533
MEDICAL SUPPLIES$53,228,767$53,228,306$461
BAD DEBT$21,594,252$21,594,252$0
CORPORATE ALLOCATION$9,684,144$1,579,654$8,104,490

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,088,936TotalAmt
Program Services$1,353,685ProgramServicesAmt
Management And General$735,251ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$289,826,903TotalAmt
Program Services$256,929,705ProgramServicesAmt
Management And General$32,897,198ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,228,074BOYAmt
EOY$1,454,822EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,333,499BOYAmt
EOY$5,374,069EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,355,174BOYAmt
EOY$43,046,201EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,096,371BOYAmt
EOY$2,287,610EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,984,725BOYAmt
EOY$6,258,562EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,560,861BOYAmt
EOY$4,359,155EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$292,451,826LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$229,294,681LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,941,581BOYAmt
EOY$63,157,145EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,231,033BOYAmt
EOY$5,934,778EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$545,030BOYAmt
EOY$545,030EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,527,093BOYAmt
EOY$5,302,644EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$483,772BOYAmt
EOY$260,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$194,287,213BOYAmt
EOY$137,980,711EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,950,498BOYAmt
EOY$36,913,328EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$98,565BOYAmt
EOY$18,145EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,385,847BOYAmt
EOY$64,188,911EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,731,064BOYAmt
EOY$5,173,364EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,082,621BOYAmt
EOY$11,002,431EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$138,248,595BOYAmt
EOY$117,296,179EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,038,618BOYAmt
EOY$20,684,532EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,038,618BOYAmt
EOY$20,684,532EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$194,287,213BOYAmt
EOY$137,980,711EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$33,921,039ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,433,047NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,748OtherActivitiesAmt
Total Lobbying Expenditures$12,748TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRWMC IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). A PORTION OF THE ANNUAL DUES PAID TO THESE ASSOCIATIONS ARE USED FOR LOBBYING AND POLITICAL ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,807,244BeginningYearBalanceAmt
Contributions$182,428ContributionsAmt
Investment Earnings Or Losses-$2,055,429InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,046,371GrantsOrScholarshipsAmt
End Year Balance$5,887,872EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,307,997BeginningYearBalanceAmt
Contributions$190,018ContributionsAmt
Investment Earnings Or Losses$1,350,185InvestmentEarningsOrLossesAmt
Grants Or Scholarships$40,956GrantsOrScholarshipsAmt
End Year Balance$8,807,244EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,188,204BeginningYearBalanceAmt
Contributions$324,798ContributionsAmt
Investment Earnings Or Losses$824,828InvestmentEarningsOrLossesAmt
Grants Or Scholarships$29,833GrantsOrScholarshipsAmt
End Year Balance$7,307,997EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,837,335BeginningYearBalanceAmt
Contributions$719,879ContributionsAmt
Investment Earnings Or Losses$1,352,989InvestmentEarningsOrLossesAmt
Grants Or Scholarships$98,684GrantsOrScholarshipsAmt
Other Expenditures$623,315OtherExpendituresAmt
End Year Balance$6,188,204EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,551,048BeginningYearBalanceAmt
Contributions$538,883ContributionsAmt
Investment Earnings Or Losses-$191,365InvestmentEarningsOrLossesAmt
Grants Or Scholarships$61,231GrantsOrScholarshipsAmt
End Year Balance$4,837,335EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20420PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.79580TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,143,930OtherCostOrOtherBasisAmt
Book Value$2,143,930BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,568,963OtherCostOrOtherBasisAmt
Depreciation$46,957,057DepreciationAmt
Book Value$26,611,906BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$123,028OtherCostOrOtherBasisAmt
Depreciation$39,312DepreciationAmt
Book Value$83,716BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,983,694OtherCostOrOtherBasisAmt
Depreciation$178,581,605DepreciationAmt
Book Value$30,402,089BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,632,211OtherCostOrOtherBasisAmt
Depreciation$3,716,707DepreciationAmt
Book Value$3,915,504BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$63,157,145TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LTD MALPRACTICE RESERVE$800,000
DUE TO THIRD PARTY PAYORS$4,022,522
MEDICARE ADVANCE PAYMENTS - CONTRACT LIABILITY$2,396,927
AFFILIATE PAYABLE$3,782,982
FieldValueIRS element (for citing)
Total Liability$11,002,431TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$232,856,056TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,433,047NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,433,047RevenueNotReportedAmt
Revenue Subtotal$234,289,103RevenueSubtotalAmt
Investment Expenses Not Incld$22,509InvestmentExpensesNotIncldAmt
Other Revenues Not Included$21,594,252OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$21,616,761RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$255,905,864TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$268,210,142TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$268,210,142ExpensesSubtotalAmt
Investment Expenses Not Incld2$22,509InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$21,594,252OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$21,616,761ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$289,826,903TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:RESTRICTED FUNDS ARE HELD BY REGIONAL WEST FOUNDATION, A RELATED ORGANIZATION. THESE FUNDS ARE RESTRICTED PRIMARILY FOR SCHOLARSHIPS FOR NURSING AND HEALTH CARE PROFESSION STUDENTS. A PORTION OF THE RESTRICTED FUNDS ARE FOR CAPITAL IMPROVEMENTS FOR RWMC.
PART X, LINE 2:THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2022 AND 2021, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 21,594,252.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 21,594,252.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,335,934TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,335,934NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,710,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,923,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,787,355NetCommunityBenefitExpnsAmt
Total Expense0.05140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,046,620TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,923,331DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,123,289NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$825,775TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,869DirectOffsettingRevenueAmt
Net Community Benefit Expns$753,906NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$986,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,684DirectOffsettingRevenueAmt
Net Community Benefit Expns$985,102NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,659,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,659,200NetCommunityBenefitExpnsAmt
Total Expense0.08070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,405TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,405NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,534,166TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,460,613NetCommunityBenefitExpnsAmt
Total Expense0.08740TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,580,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,996,884DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,583,902NetCommunityBenefitExpnsAmt
Total Expense0.15120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$21,594,252BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$55,133,065ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$73,361,606CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,228,541MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69361ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RWHS.ORGWebsiteAddressTxt
State License700001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.RWHS.ORG/ABOUT-YOUR-BILLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.RWHS.ORG/ABOUT-YOUR-BILLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.RWHS.ORG/ABOUT-YOUR-BILLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REGIONAL WEST MEDICAL CENTERPART V, SECTION B, LINE 5: REGIONAL WEST MEDICAL CENTER (RWMC) PARTICIPATED WITH OTHER HOSPITALS IN THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN) IN A JOINT PLANNING PROCESS FACILITATED BY PANHANDLE PUBLIC HEALTH DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) IS A PARTNERSHIP-BASED FRAMEWORK TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. MAPP EMPHASIZES THE PARTNERSHIP WITH ALL SECTORS OF THE PUBLIC HEALTH SYSTEM TO EVALUATE THE HEALTH STATUS OF THE REGION IT SERVES, IDENTIFY PRIORITY AREAS, AND DEVELOP PLANS FOR IMPLEMENTATION. RWMC HOSTED FOCUS GROUPS FOR RESIDENTS OF THE SERVICE AREA IN SPRING 2020 AS PART OF THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. BECAUSE OF THE COVID-19 PANDEMIC, A HANDFUL OF FOCUS GROUPS WERE COMPLETED VIA OPEN-ENDED SURVEY RATHER THAN IN PERSON. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE HOSPITAL, PUBLIC SCHOOL SYSTEM, SCOTTSBLUFF COUNTY, AND LOCAL BUSINESSES.
REGIONAL WEST MEDICAL CENTERPART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE REST OF THE MEMBERS OF THE RNHN NETWORK FOR IDEAS AND WITH THE PANHANDLE PUBLIC HEALTH DISTRICT (PPHD) AND SCOTTSBLUFF COUNTY HEALTH DEPARTMENT.
REGIONAL WEST MEDICAL CENTERPART V, SECTION B, LINE 11: NEEDS WERE ADDRESSED USING A PRIORITIZATION MATRIX TO HELP IDENTIFY THE AREAS OF NEED THAT MAY BE BETTER ADDRESSED BY OTHER ORGANIZATIONS OR AGENCIES IN THE REGION WITH A PRIMARY FUNCTION THAT DIRECTLY FOCUSED ON THOSE AREAS, AND ALSO TO IDENTIFY THE NEEDS THAT MOST CLOSELY ALIGNED WITH BOTH THE PURPOSE AND MISSION OF THE HOSPITAL AND COULD BE ADDRESSED EFFECTIVELY WITH THE RESOURCES THAT THE HOSPITAL HAS CURRENTLY. NEEDS THAT WERE NOT ADDRESSED IN THE IMPLEMENTATION STRATEGY EITHER WERE BETTER ADDRESSED BY OTHER AGENCIES OR ORGANIZATIONS IN THE REGION, OR WERE OUTSIDE OF THE SPECIFIC PURPOSE AND MISSION OF THE HOSPITAL AND COULD NOT BE ADDRESSED USING THE CURRENT RESOURCES. NEEDS IDENTIFIED INCLUDE THE FOLLOWING: AGING POPULATION, INJURY PREVENTION, AND PREVENTION MANAGEMENT AND SERVICES. EACH OF THESE PRIORITIES HAD OVERARCHING THEMES INCLUDING ACCESS TO SERVICES, POVERTY AND ECONOMIC HARDSHIP, AND MENTAL HEALTH AND WELL-BEING.AGING POPULATION: OUR CONCERN FOR OLDER POPULATIONS IS INJURY AND FALL PREVENTION. FALLS ARE THE LEADING CAUSE OF INJURY AND ARE A MAJOR CAUSE OF DEATH FOR OLDER ADULTS AND DEATHS RELATED TO FALLS HAVE INCREASED IN RECENT YEARS. INCREASING PHYSICAL ACTIVITY AMONG THIS GROUP IS A RECOGNIZED APPROACH TO PREVENTING FALLS. OBJECTIVES WILL BE TO REDUCE THE RATE OF EMERGENCY DEPARTMENT VISITS DUE TO FALLS AMONG OLDER ADULTS AND INCREASE COMMUNITY QUALITY OF LIFE BY MAINTAINING THE AGING POPULATION CONNECTION TO THEIR COMMUNITY.INJURY PREVENTION: THE GOAL IS TO REDUCE DETRIMENTAL HEALTH EFFECTS OF UNINTENTIONAL AND INTENTIONAL INJURIES BY: 1) REDUCING UNINTENTIONAL VEHICLE INJURIES CAUSED BY DEVICE USE THROUGHOUT THE PANHANDLE, 2) INCREASING THE PROPORTION OF PEOPLE WITH SUBSTANCE USE AND MENTAL HEALTH DISORDERS WHO GET TREATMENT FOR BOTH, 3) INCREASING THE PROPORTION OF ADOLESCENTS WHO THINK SUBSTANCE ABUSE IS RISKY.PREVENTION AND MANAGEMENT SERVICES: CHRONIC ILLNESSES ARE DEFINED AS CONDITIONS THAT LAST LONGER THAN A YEAR AND REQUIRE ONGOING MEDICAL ATTENTION OR LIMIT ACTIVITIES OF DAILY LIVING OR BOTH. THE GOAL IS TO INCREASE PREVENTION OF CHRONIC ILLNESSES BY: 1) IMPROVE CARDIOVASCULAR HEALTH IN ADULTS, 2) INCREASE THE PROPORTION OF PEOPLE WHO DISCUSS INTERVENTIONS TO PREVENT CANCER WITH THEIR PROVIDERS, 3) INCREASE THE PROPORTION OF ADOLESCENTS WHO GET RECOMMENDED DOSES OF THE HPV VACCINE, AND 4) INCREASE THE PROPORTION OF PEOPLE WITH HEALTH INSURANCE.
SCHEDULE H, PART V, SECTION B, LINE 7A AND 10A:COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WEBSITE:RWHS.ORG/OUR-NETWORK/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FPG, RWMC MAY ALSO REQUEST SUPPORTING DOCUMENTS SUCH AS BANK STATEMENTS, PROOF OF ALL HOUSEHOLD INCOME, MOST RECENT TAX RETURN, DOCUMENTS OF ELIGIBILITY FOR OTHER ASSISTANCE PROGRAMS, INFORMATION ON AVAILABLE ASSETS OR OTHER FINANCIAL RESOURCES, EXTERNAL PUBLIC SOURCES SUCH AS CREDIT SCORES. IF THE PATIENT IS UNABLE, OR FAILS, TO SUPPLY REQUESTED INFORMATION, RWMC MAY REFER TO EXTERNAL SOURCES TO DETERMINE POSSIBLE ELIGIBILITY WHEN THE PATIENT IS HOMELESS WITH NO DEPENDENTS, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE, VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING BASED ON WRITTEN CONFIRMATION FROM THE HOUSING AUTHORITY, RECEIVES DOCUMENTED FREE CARE FROM A COMMUNITY CLINIC, OR A COLLECTION AGENCY HAS VERIFIED THAT THE PATIENT HAS NO ASSETS OR INCOME.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT WAS NOT PREPARED BY A RELATED ORGANIZATION.
PART I, LINE 7:THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST-TO-CHARGE RATIO. THE RATIO WAS DERIVED FROM WORKSHEET 2.
PART I, LINE 7G:INCLUDED IN THE COSTS REPORTED AS SUBSIDIZED HEALTH SERVICES ARE FUNDS USED TO HELP SUPPORT REGIONAL WEST PHYSICIANS CLINIC, A RELATED ORGANIZATION OF REGIONAL WEST MEDICAL CENTER (RWMC). REGIONAL WEST PHYSICIANS CLINIC (RWPC) IS A NOT-FOR-PROFIT ORGANIZATION OF MULTI-SPECIALITY PHYSICIAN CLINICS LOCATED IN SCOTTSBLUFF, NE. RWMC IS COMMITTED TO SUBSIDIZING THE CLINICS OF RWPC TO ENSURE THAT QUALITY MEDICAL CARE, BOTH IN FAMILY PRACTICE AND IN THE SPECIALTY AREAS COVERED BY THE RWPC CLINICS, CONTINUES TO BE PROVIDED FOR THE COMMUNITY OF SCOTTSBLUFF AND THE REGION SERVED BY THE HOSPITAL. WITHOUT THE FUNDING PROVIDED BY RWMC, MANY OF THE CLINICS THAT ARE WITHIN RWPC WOULD NOT BE ABLE TO CONTINUE TO PROVIDE MEDICAL CARE IN THE AREA, WHICH WOULD RESULT IN A LARGER VOID IN MEDICAL CARE IN THE ALREADY MEDICALLY UNDERSERVED RURAL AREA. SOME OF THE SPECIALTY CLINICS THAT RWPC IS ABLE TO PROVIDE BECAUSE OF THE SUBSIDIZATION INCLUDE: UROLOGY, WOMEN'S HEALTH, ORTHOPEDICS, SURGICAL VASCULAR DIAGNOSTICS, ENT SURGERY, NEUROSURGERY, INTERNAL MEDICINE, DIABETES CARE, FAMILY MEDICINE IN SCOTTSBLUFF, MORRILL AND GERING, PSYCHIATRY AND BEHAVIORAL HEALTH, NEUROLOGY, REHAB MEDICINE, PAIN MANAGEMENT, AND PEDIATRICS.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $21,594,252.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES DURING THE YEAR.
PART III, LINE 2:ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. IT IS IMPORTANT TO NOTE THAT THE BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS IS STATED IN TERMS OF UNREALIZABLE REVENUE, RATHER THAN AT THE ACTUAL COSTS ASSOCIATED WITH THE BAD DEBT. RWMC HAS COST ACCOUNTING SOFTWARE FROM WHICH THE ACTUAL COSTS OF THE BAD DEBT AS REPORTED ABOVE WERE OBTAINED. THE COST OF BAD DEBT EXPENSE, USING THIS SOFTWARE, IS CALCULATED BY ADDING THE DIRECT COSTS OF THE MEDICAL SERVICES PROVIDED ALONG WITH A COMBINATION OF AN ALLOCATION OF OVERHEAD BASED ON COST ACCOUNTING METHODOLOGY AND COST TO CHARGE RATIO CHARGES FOR NEW SERVICES CODES. RWMC USES A METHOD SIMILAR TO THE METHOD OF CALCULATING CHARITY CARE COST TO CALCULATE BAD DEBT AT COST. THE TOTAL COST OF THE BAD DEBT, OBTAINED FROM THE COST ACCOUNTING SYSTEM, IS REDUCED BY PAYMENTS THAT WERE MADE AND ANY RECOVERIES THAT WERE REALIZED ON THE ACCOUNTS. AFTER ELIMINATING ANY CREDIT BALANCES, THE REMAINING COST IS DETERMINED TO BE A REASONABLE ESTIMATE OF THE COST OF BAD DEBT. AT THIS TIME THE COMMUNITY BENEFIT DOES NOT INCLUDE ANY BAD DEBT AMOUNTS.
PART III, LINE 3:BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. AT THIS TIME THE COMMUNITY BENEFIT DOES NOT INCLUDE ANY BAD DEBT AMOUNTS.
PART III, LINE 4:THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT RECEIVABLES," "PATIENT SERVICE REVENUE, AND "FINANCIAL ASSISTANCE/CHARITY CARE" CAN BE FOUND ON PAGES 8, 10 AND 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:APPROXIMATED 31% OF REVENUE IS FROM PATIENTS PARTICIPATING IN THE MEDICARE PROGRAM, THUS PROVIDING SERVICES TO MEDICARE PATIENTS IS A PROMOTION OF HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE POPULATION OF THE COMMUNITY AND REGION THAT RWMC SERVES. MEDICARE COST IS THE ALLOWABLE COSTS AS REPORTED ON THE REGIONAL WEST MEDICAL CENTER COST REPORT FOR 2022.
PART III, LINE 9B:THE COLLECTION POLICY OF RWMC, AND THE RELATED CHARITY CARE POLICY, STATE THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE SERVICES CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLLOWING TREATMENT AT RWMC. ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT, OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE FINANCIAL ASSISTANCE TEAM OF RWMC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT. SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO RWMC POLICY, ARE: ABILITY TO PAY, EXHAUSTION OF MEDICARE OR MEDICAID BENEFITS COMBINED WITH INABILITY TO PAY, DISCOUNTED CARE FOR THOSE UNABLE TO PAY; ALL OTHER POSSIBLE SOURCES OF COLLECTION USING SOUND BUSINESS PRACTICES HAVE BEEN MADE TO ENABLE THE PATIENT TO PAY; CARE PROVIDED TO A DECEASED PATIENT WITH NO ESTATE; OR CARE PROVIDED TO PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENTS ACCOUNT.
PART VI, LINE 2:COMMUNITY NEEDS ARE ASSESSED BY USING UNRELATED DATA COLLECTION SOURCES AND THROUGH THE ACTIVE OBSERVATION AND INVOLVEMENT OF THE ENTITIES' EMPLOYEES THROUGHOUT THE COMMUNITIES AND REGION SERVED. ONE OF THE MAIN DATA COLLECTION SOURCES USED IS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BFRSS). THIS ANNUAL SURVEY COLLECTS DATA ON THE PREVALENCE OF MAJOR HEALTH RISK FACTORS AMONG ADULTS RESIDING IN THE STATE. THIS INFORMATION IS USED TO TARGET HEALTH EDUCATION AND RISK REDUCTION ACTIVITIES THROUGHOUT THE STATE AND GIVES RWMC A STARTING POINT FOR PROGRAM IDEAS. RWMC IS ALSO INVOLVED WITH THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS WITH PANHANDLE PUBLIC HEALTH DISTRICT. THIS IS A COMMUNITY WIDE STRATEGIC PLANNING TOOL FOR IMPROVING COMMUNITY HEALTH WHICH IS FACILITATED BY PUBLIC HEALTH LEADERSHIP AND HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES FOR ADDRESING THEM. THE NEBRASKA STATE DEPARTMENT OF HEALTH IS A MAJOR RESOURCE FOR DATA USED IN THE NEEDS ASSESSMENT. AN ASSESSMENT IS DONE OF THE GRANTS OFFERED BY THE STATE TO DETERMINE IF THE GRANT COULD BE USED TO ADDRESS A NEED IN THE COMMUNITIES SERVED AND IF THE PROGRAM WOULD BE SUSTAINABLE ONCE STARTED. COMMUNICATION WITH OTHER GROUPS IN THE REGION IS ONGOING SO THAT SERVICES ARE NOT DUPLICATED. THE STATE DEPARTMENT OF HEALTH PROVIDES RMWC WITH MONTHLY CALLS ON REPORTABLE DISEASE SURVEILLANCE WHICH HELPS RWMC DIRECT EDUCATION PROGRAMS AND RESOURCES TOWARDS AREAS OF CONCERN.
PART VI, LINE 3:PATIENTS ARE NOTIFIED AT ONE OR MORE TIMES THROUGHOUT THE PROCESS OF SCHEDULING, IN-HOUSE, THROUGH STATEMENTS, LETTERS, AT THE POINT OF DISCHARGE, IN THE ADMISSIONS PACKET, AND OCCASSIONALLY BY THEIR PHYSICIAN ABOUT THE FINANCIAL ASSISTANCE AND THE PAYMENT POLICIES OF RWMC. RWMC HAS A TIME OF SERVICES (TOS) COLLECTION POLICY THAT IS COMMUNICATED TO THE PATIENT OR THE PATIENTS FAMILY PRIOR TO, OR FOLLOWING TREATMENT, AT THE FACILITY. DURING THIS CONFERENCE, THE PATIENT IS ALSO GIVEN MATERIALS EXPLAINING THE FINANCIAL ASSISTANCE AVAILABLE. THE VERBAL COMMUNICATION OF THIS POLICY PROVIDES RWMC AN OPPORTUNITY TO ASSESS IF PATIENTS HAVE A FINANCIAL NEED SO THAT THE FINANCIAL LIASONS OF RWMC WILL BE ABLE TO PROACTIVELY WORK WITH THE PATIENTS TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. AT THIS TIME PAYMENT OPTIONS ARE COMMUNICATED AND DISCUSSED WITH THE PATIENT/PATIENT'S FAMILY. A FINANCIAL ASSISTANCE APPLICATION, IF APPLICABLE, IS PROVIDED FOR THE PATIENT. THE COMPLETED APPLICATION IS THEN EVALUATED TO DETERMINE THE PATIENT'S ABILITY, OR INABILITY, TO PAY, USING A MEASUREMENT OF INCOME BASED ON THE MOST RECENTLY PUBLISHED POVERTY GUIDELINES FROM THE FEDERAL REGISTER. DECISIONS REGARDING FINANCIAL ASSISTANCE ARE THEN COMMUNICATED TO THE PATIENT IN A LETTER. DISCLOSURE RELATED 501(R) PROCEDURES:RWMC'S FINANCIAL ASSISTANCE POLICY, SETS FORTH THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE AND REFERENCES HOW MEMBERS OF THE PUBLIC CAN ACCESS SUCH INFORMATION, INCLUDES A LIST OF PROVIDERS WHO BOTH ARE AND ARE NOT SUBJECT TO THE POLICY, REFERENCES HOW MEMBERS OF THE PUBLIC CAN ACCESS SUCH INFORMATION AND REFERENCES HOW MEMBERS OF THE PUBLIC CAN OBTAIN RWMC'S BILLING AND COLLECTION POLICY.
PART VI, LINE 4:RWMC SERVES THE REGIONAL AREA INCLUDING THE PANHANDLE OF NEBRASKA, EASTERN WYOMING, SOUTHWESTERN SOUTH DAKOTA, AND NORTHERN COLORADO, THIS AREA IS MAINLY RURAL WITH AGRICULTURE BEING THE BIGGEST INDUSTRY. THE AVERAGE ANNUAL INCOME FOR THE IMMEDIATE SCOTTS BLUFF COUNTY AREA IS APPROXIMATELY $47,975 FOR A FAMILY OF 3. TOTAL POPULATION OF SCOTTS BLUFF COUNTY IS AROUND 37,000, OF WHICH 18% IS OVER THE AGE OF 65.IN THE REGION THERE ARE 5 OTHER SMALLER HOSPITALS, BUT RWMC IS THE ONLY HOSPITAL IN THE PANHANDLE OF NEBRASKA TO BE DESIGNATED A TRAUMA CENTER, AND AS THE LARGEST FACILITY, PROVIDES SUPPORT SERVICES TO THE SMALLER HOSPITALS IN THE REGION.
PART VI, LINE 5:REGIONAL WEST MEDICAL CENTER IS COMMITTED TO BEING A GOOD CORPORATE CITIZEN, BY CONTRIBUTING TIME, MONEY, AND RESOURCES IN SUPPORT OF WORTHY CAUSES, BOTH LOCALLY AND REGIONALLY. REGIONAL WEST SUPPORTED LOCAL SCHOOLS, COMMUNITY ORGANIZATIONS, HEALTH ORGANIZATIONS, AND MORE WITH CASH AND IN-KIND DONATIONS. IN ADDITION, THE MEDICAL CENTER PROVIDED MONIES IN CHARITY HEALTH CARE TO AREA RESIDENTS.CASE MANAGEMENT: TO HELP PATIENTS AND THEIR FAMILIES COPE WITH THE UNEXPECTED, REGIONAL WEST HAS SOCIAL WORK STAFF THROUGHOUT THE ORGANIZATION TO GUIDE, EDUCATE, AND EMPOWER PATIENTS AND THEIR FAMILIES DURING HOSPITALIZATION AND AS PATIENTS PREPARE FOR DISMISSAL.GUEST RELATIONS: GUEST RELATIONS REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS AND FAMILIES AT ANY TIME PRIOR TO OR DURING HOSPITALIZATION.PASTORAL CARE: OUR CHAPLAIN OR VOLUNTEER CLERGY IS AVAILABLE 24 HOURS A DAY TO PROVIDE SPIRITUAL SUPPORT FOR YOU AND YOUR FAMILY, AND OUR CHAPEL IS OPEN TO PATIENTS AND VISITORS AT ALL TIMES.RAPID RESPONSE TEAM: WHEN A PATIENT SHOWS SIGNS OF DISTRESS OR CHANGES IN VITAL SIGNS, THE RAPID RESPONSE TEAM IS CALLED TO THE BEDSIDE WITHIN MINUTES FOR RAPID ASSESSMENT AND TREATMENT. THE TEAM INCLUDES A CRITICAL CARE NURSE AND RESPIRATORY THERAPIST. THEIR RESPONSE IS CRUCIAL BECAUSE PATIENT SURVIVAL RATES ARE DIRECTLY IMPACTED BY HOW QUICKLY THE PATIENT CAN BE ASSESSED AND TREATED.ROOM SERVICE: REGIONAL WEST'S ROOM SERVICE DINING ALLOWS PATIENTS TO ORDER WHAT THEY WANT TO EAT, WHEN THEY WANT IT, AND THEIR MEAL IS DELIVERED WITHIN 45 MINUTES OF PLACING THEIR ORDER. BREAKFAST IS AVAILABLE ALL DAY AND PATIENTS' GUESTS MAY PURCHASE A MEAL FOR A NOMINAL FEE.VALET SERVICE: FREE VALET SERVICE IS AVAILABLE MONDAY THROUGH FRIDAY FROM 9 A.M. TO 4 P.M. AT THE MAIN ENTRANCE, MEDICAL PLAZA NORTH, MEDICAL PLAZA SOUTH, AND THE REHAB CENTER. OUR VALETS ASSIST PATIENTS INTO AND OUT OF THEIR VEHICLES, PARK THE VEHICLES, AND DELIVER THEM BACK TO THE BUILDING ENTRANCE WHEN PATIENTS AND GUESTS ARE READY TO LEAVE. NO NEED TO TIP; TIPS ARE NOT ACCEPTED.VOLUNTEERS: VOLUNTEERS DELIVER PATIENT MAIL, MAGAZINES, AND FLOWERS; WORK IN THE GIFT SHOP; THE HOSPITAL INFORMATION CENTERS, THE SURGICAL WAITING ROOM, AND PATIENT CARE UNITS; AND PROVIDE CLERICAL, NON-CLINICAL, TECHNICAL SUPPORT THROUGHOUT THE HOSPITAL. OUR MOST CREATIVE VOLUNTEERS ALSO MAKE PEDIATRIC PALS FOR PEDIATRIC PATIENTS, LAP ROBES, BABY BOOTIES, CRIB BLANKETS, AND CREATE SILK FLOWER ARRANGEMENTS.
PART VI, LINE 6:THE AFFILIATED HEALTH CARE SYSTEM INCLUDES:REGIONAL WEST MEDICAL CENTER - 182-BED HOSPITAL, LEVEL II TRAUMA CENTER, AND REGIONAL REFERRAL CENTERREGIONAL WEST HEALTH SERVICES - STRATEGIC PLANNING AND MANAGEMENTREGIONAL WEST GARDEN COUNTY - CRITICAL ACCESS HOSPITALREGIONAL WEST PHYSICIANS CLINIC - MULTI-SPECIALTY MEDICAL GROUPREGIONAL WEST VILLAGE - INDEPENDENT AND ASSISTED LIVING CENTERREGIONAL WEST FOUNDATION - RAISES FUNDS, MANAGES INVESTMENTS, AND ADMINISTERS SCHOLARSHIP PROGRAMREGIONAL WEST HEALTH SERVICES AND AFFILIATES - 501(C)(9) ORGANIZATION PROVIDING EMPLOYEE HEALTH CAREREGIONAL CARE, INC. - A FOR-PROFIT ORGANIZATION PROVIDING TPA SERVICES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
REGIONAL WEST PHYSICIANS CLINIC
4021 AVENUE BSCOTTSBLUFFNE69361363314159501(C)(3)$21,659,200$0TO PROVIDE SUPPORT TO AFFILIATED CHARITABLE ORGANIZATION.
WESTERN NEBRASKA COMMUNITY COLLEGE FOUNDATION
1601 E 27TH STREETSCOTTSBLUFFNE69361237133706501(C)(3)$7,500$0GENERAL SUPPORT
FRIENDS OF THE MIDWEST THEATER
PO BOX 276SCOTTSBLUFFNE69361391944215501(C)(3)$20,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationREGIONAL WEST HEALTH SERVICES, A SUPPORTING ORGANIZATION AND PARENT ENTITY MANAGES THE ENTIRE AFFILIATED GROUP OF ORGANIZATIONS, AND OVERSEES THE USE OF ALL FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN MENTGEN
CEO/PRESIDENT THRU 10/2022$0$686,629$0$0$0$9,342$0$75,199$0$49,355$0$820,525$0$0
JEFFREY HOLLOWAY MD
DIRECTOR$0$695,364$0$0$0$2,322$0$11,600$0$50,355$0$759,641$0$0
DORISA POLK MD
DIRECTOR$0$551,298$0$0$0$898$0$11,600$0$47,994$0$611,790$0$0
MICHAEL ICKOWSKI
CFO/TREASURER$0$358,860$0$0$0$10,381$0$45,300$0$758$0$415,299$0$0
LINDSEY MOSEL MD
DIRECTOR THRU 6/2022$0$324,624$0$0$0$175$0$11,600$0$45,328$0$381,727$0$0
AMANDA VICK
INTERIM CEO/PRESIDENT THRU 12/2022$0$292,250$0$0$0$8,375$0$39,212$0$739$0$340,576$0$0
ERIC WIEBE MD
DIRECTOR$0$243,722$0$0$0$325$0$9,674$0$38,183$0$291,904$0$0
TODD CHRISTENSEN
CRNA$202,807$0$0$0$417$0$8,332$0$49,256$0$260,812$0$0$0
CRAIG KRENTZ
CRNA$187,722$0$0$0$359$0$8,037$0$49,183$0$245,301$0$0$0
CRAIG NOE
PHARMACIST$197,878$0$0$0$384$0$8,275$0$32,089$0$238,626$0$0$0
LA DONNA BENZEL
HOUSE SUPERVISOR$171,229$0$0$0$39$0$5,533$0$48,846$0$225,647$0$0$0
THERESA MEYER
CRNA$198,289$0$0$0$130$0$3,110$0$346$0$201,875$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JOHN MENTGEN 64,199 MICHAEL ICKOWSKI 33,700 AMANDA VICK 27,612

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA
A470676786EMS8101432016-11-30$79,135,049SEE PART VI000
HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA
B4706767860000000002019-11-25$5,004,637CAPITAL IMPROVEMENTS TO HOSPITAL AND NONHOSPITAL FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$15,634,584$79,424,207$1,025,837$25,003,842$53,110,007Yes (1)0Yes (1)Yes (1)
B$2,400,110$5,004,637$5,004,637000Yes (1)2019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1, COLUMN (F):FormAndLineReferenceDesc
Explanation2016A BONDS - CURRENT REFUNDING OF REVENUE BOND SERIES 2012A AND REVENUE BOND SERIES 2012B, AND TO PROVIDE CAPITAL IMPROVEMENTS TO HOSPITAL AND NONHOSPITAL FACILITIES. 2016B BOND - CURRENT REFUNDING OF REVENUE BOND SERIES 2013.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$149,035NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG HIGH-LOW VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE, COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS, HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION'S SOLE MEMBER IS REGIONAL WEST HEALTH SERVICES.
FORM 990, PART VI, SECTION A, LINE 7AREGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, HAS THE ABILITY TO APPOINT 3 MEMBERS OF THE BOARD OF DIRECTORS, WHICH IS NOT A MAJORITY. RWHS ALSO HAS THE ABILITY TO ELECT BOARD MEMBERS TO FILL ANY VACANCY CREATED BY THE FAILURE OR INABILITY OF ANY ELECTED DIRECTOR TO SERVE.
FORM 990, PART VI, SECTION A, LINE 7BREGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, HAS THE POWER TO APPROVE OR CHANGE LONG-TERM AND MASTER STRATEGIC OR BUSINESS PLANS OF THE ORGANIZATION, APPROVE BUDGETS, THE MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, APPROVE OF OR CHANGE THE CHARITY CARE POLICIES AND PROCEDURES, AS WELL AS THE AMENDMENTS TO ANY GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD WILL HAVE AN OPPORTUNITY TO REVIEW DRAFTS ELECTRONICALLY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE BY BOARD MEMBERS OF ANY CONFLICT OF INTEREST, AS SET FORTH IN THE POLICIES, IS REQUIRED. FOR ANY POSSIBLE CONFLICT OF INTEREST IDENTIFIED, THE REMAINING BOARD DETERMINES IF IT ACTUALLY CONSTITUTES A CONFLICT OF INTEREST WITHOUT THE CONFLICTED BOARD MEMBER PRESENT. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD, LESS THE CONFLICTED MEMBER, WILL THEN DECIDE THE LEVEL OF INVOLVEMENT OF THE MEMBER IN DECISION MAKING FOR THE ENTITY, IF THERE IS AN ALTERNATIVE ARRANGEMENT THAT WILL ELIMINATE THE CONFLICT OF INTEREST, AND THE APPROPRIATENESS OF THE CONFLICTED MEMBER CONTINUING AS A BOARD MEMBER. FAILURE TO DISCLOSE A CONFLICT OF INTEREST CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION FOR THE CONFLICTED MEMBER.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR TOP OFFICIAL: COMPENSATION FOR THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE RWHS BOARD. THE DETERMINATION IS BASED ON MARKET DATA AND RECOMMENDATIONS FROM AN INDEPENDENT CONSULTING FIRM WHO COLLECTS THAT INFORMATION FOR COMPARISON PURPOSES. MINUTES ARE KEPT OF THESE MEETINGS. COMPENSATION PROCESS FOR OFFICERS: COMPENSATION FOR OTHER OFFICERS IS REVIEWED BY AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO ENSURE THE COMPENSATION PLAN MEETS REASONABLENESS TESTING COMPARED TO MGMA COMPENSATION SURVEY. THE COMPENSATION MODEL IS ALSO REVIEWED BY LEGAL COUNSEL FOR REASONABLENESS AND COMPLIANCE WITH IRS REQUIREMENTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 59,130,016. MANAGEMENT AND GENERAL EXPENSES 16,553,224. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,683,240. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 9,017,256. MANAGEMENT AND GENERAL EXPENSES 575,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,593,117.
PART XII, LINE 2C:THE CFO OF REGIONAL WEST HEALTH SERVICES, THE SOLE MEMBER OF THE ORGANIZATION, IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF REGIONAL WEST MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69361ZIPCd
FieldValueIRS element (for citing)
EIN010382302EIN
Primary ActivitiesAUXILIARYPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Total Income$29,617TotalIncomeAmt
End Of Year Assets$82,587EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REGIONAL WEST HEALTH SERVICES
4021 AVENUE BSCOTTSBLUFFNE69361363314157ADMIN SUPPORTNE501(C)(3)LINE 12B, IIN/A0
REGIONAL WEST FOUNDATION
4021 AVENUE BSCOTTSBLUFFNE69361237171022FUNDRAISINGNE501(C)(3)LINE 12A, I0REGIONAL WEST HEALTH SERVICES
REGIONAL WEST VILLAGE
4021 AVENUE BSCOTTSBLUFFNE69361363314162ASSISTED LIVINGNE501(C)(3)LINE 100REGIONAL WEST HEALTH SERVICES
REGIONAL WEST HEALTH SERVICES & AFF
4021 AVENUE BSCOTTSBLUFFNE69361470658690HEALTH PLANNE501(C)(9)0REGIONAL WEST HEALTH SERVICES
REGIONAL WEST GARDEN COUNTY
4021 AVENUE BSCOTTSBLUFFNE69361391904975CRITICAL ACCESS HOSPITALNE501(C)(3)LINE 30REGIONAL WEST HEALTH SERVICES
REGIONAL WEST PHYSICIANS CLINIC
4021 AVENUE BSCOTTSBLUFFNE69361363314159DR. CLINICSNE501(C)(3)LINE 100REGIONAL WEST HEALTH SERVICES

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL CARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69361ZIPCd
FieldValueIRS element (for citing)
EIN470760050EIN
Primary ActivitiesTPAPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST HEALTH SERVICES & AFFILIATEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$10,774,015InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt