2023-11-14T13:38:23-06:00 2022-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-01-01 470385129 REGIONAL WEST MEDICAL CENTER REGI 3086353711 4021 AVE B SCOTTSBLUFF NE 693614602 ALAN TOWNSEND INTERIM CFO/TREASURER 3086353711 2023-11-14 1 ALAN TOWNSEND 999009999 1 WENDY R COOLEY CPA P01523804 4023302660 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEL MCNEA 4021 AVE B SCOTTSBLUFF NE 693614602 256006614 0 X WWW.RWHS.ORG X 1941 NE TO PROVIDE COMPREHENSIVE AND ADVANCED MEDICAL CARE. 16 11 1231 90 2763080 139142 5694296 2117581 271920788 250330217 224922 197664 2426366 3260402 280266372 255905864 31705437 21728513 0 0 71287356 66856664 0 0 0 169620378 201241726 272613171 289826903 7653201 -33921039 194287213 137980711 138248595 117296179 56038618 20684532 X NONE 0 0 118978941 21728513 104500279 REGIONAL 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. 70490285 137645907 AS 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. 5319808 4976858 RWMC 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. 62140671 3619565 OTHER 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. 62140671 3619565 256929705 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 91 0 1 1231 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ALAN TOWNSEND 3086301111 4021 AVENUE B SCOTTSBLUFF NE 693614602 JOHN MENTGEN CEO/PRESIDENT THRU 10/2022 1.00 45.00 X X 0 695971 124554 JEFFREY HOLLOWAY MD DIRECTOR 1.00 42.00 X 0 697686 61955 DORISA POLK MD DIRECTOR 1.00 41.00 X 0 552196 59594 MICHAEL ICKOWSKI CFO/TREASURER 1.00 45.00 X X 0 369241 46058 LINDSEY MOSEL MD DIRECTOR THRU 6/2022 1.00 41.00 X 0 324799 56928 AMANDA VICK INTERIM CEO/PRESIDENT THRU 12/2022 1.00 45.00 X X 0 300625 39951 ERIC WIEBE MD DIRECTOR 1.00 41.00 X 0 244047 47857 TODD CHRISTENSEN CRNA 40.00 0.00 X 203224 0 57588 CRAIG KRENTZ CRNA 40.00 0.00 X 188081 0 57220 CRAIG NOE PHARMACIST 40.00 0.00 X 198262 0 40364 LA DONNA BENZEL HOUSE SUPERVISOR 40.00 0.00 X 171268 0 54379 THERESA MEYER CRNA 40.00 0.00 X 198419 0 3456 MELODY BIBB SECRETARY 1.00 41.00 X 0 70871 50823 MEL MCNEA CEO/PRESIDENT 1.00 45.00 X X 0 8654 0 JIM TRUMBULL CHAIR 1.00 1.00 X X 0 0 0 REV LAUREN EKDAHL DIRECTOR 1.00 2.00 X 0 0 0 CAROLYN ESCAMILLA DIRECTOR 1.00 1.00 X 0 0 0 MARK GILLAM DIRECTOR 1.00 1.00 X 0 0 0 LEE GLENN DIRECTOR 1.00 1.00 X 0 0 0 DENNIS HADDEN DIRECTOR 1.00 3.00 X 0 0 0 THOMAS HOLYOKE DIRECTOR 1.00 1.00 X 0 0 0 HOD KOSMAN DIRECTOR 1.00 3.00 X 0 0 0 JOHN MASSEY DIRECTOR 1.00 2.00 X 0 0 0 DENNIS MILLER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL YUNG MD DIRECTOR 1.00 2.00 X 0 0 0 959254 3264090 700727 81 0 1 0 MEDEFIS PO BOX 5068 NEW YORK NY 10087 NURSING CONTRACT 23294177 MEDIREVV 2600 UNIVERSITY PARKWAY CORALVILLE IA 52241 REVENUE CYCLE SERVICES 17368384 NW NEBRASKA HOSPITAL MEDICINE ASSOCIATES 1643 NW 136TH AVE STE 100 SUNRISE FL 33323 NURSING CONTRACT 7770152 NORTHSTAR ANESTHESIA OF NEBRASKA LLC 6225 N STATE HWY 161 STE 200 IRVING TX 75038 ANESTHESIA CONTRACT 5765884 CERNER CORPORATION 2800 ROCK CREEK PKWY KANSAS CITY KS 80528 IT SERVICES 3662965 23 1004578 575474 537529 149035 2117581 COMMERCIAL & SELF-PAY 621300 155341262 152578182 2763080 MEDICARE 621300 67685829 67685829 MEDICAID 621300 16923331 16923331 PHARMACY - IP & RETAIL 621910 6877490 6877490 RENTAL INCOME - AFFIL/OTHER 531120 1727701 1727701 1774604 1774604 250330217 219963 219963 55914 55914 17570 0 17570 17570 17570 850 23149 -22299 -22299 -22299 89047 77601 11446 11446 AIRLINK FIXED WING INCOME 900099 781844 781844 2393628 2393628 3175472 255905864 250742609 2763080 282594 X 21728513 21728513 48446863 46892085 1554778 1572385 1572385 13491614 12651590 840024 3345802 3245811 99991 385965 385965 169779 169779 22510 22510 85276357 68147272 17129085 1333349 62918 1270431 4284147 3639314 644833 4713044 4211049 501995 754812 532955 221857 3115011 2678909 436102 13108251 12528626 579625 1459869 1259848 200021 INCOME TAX 22533 22533 MEDICAL SUPPLIES 53228767 53228306 461 BAD DEBT 21594252 21594252 0 CORPORATE ALLOCATION 9684144 1579654 8104490 2088936 1353685 735251 289826903 256929705 32897198 0 38228074 1454822 5333499 5374069 45355174 43046201 9096371 2287610 6984725 6258562 4560861 4359155 292451826 229294681 66941581 63157145 7231033 5934778 545030 545030 9527093 5302644 483772 260695 194287213 137980711 36950498 36913328 98565 18145 69385847 64188911 4731064 5173364 27082621 11002431 138248595 117296179 X 56038618 20684532 56038618 20684532 194287213 137980711 -33921039 -1433047 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12748 12748 0 PART II-B, LINE 1: RWMC 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. 8807244 182428 -2055429 1046371 5887872 7307997 190018 1350185 40956 8807244 6188204 324798 824828 29833 7307997 4837335 719879 1352989 98684 623315 6188204 4551048 538883 -191365 61231 4837335 0.00000 0.20420 0.79580 0 1 1 2143930 2143930 73568963 46957057 26611906 123028 39312 83716 208983694 178581605 30402089 7632211 3716707 3915504 63157145 LTD MALPRACTICE RESERVE 800000 DUE TO THIRD PARTY PAYORS 4022522 MEDICARE ADVANCE PAYMENTS - CONTRACT LIABILITY 2396927 AFFILIATE PAYABLE 3782982 11002431 X 232856056 -1433047 -1433047 234289103 22509 21594252 21616761 255905864 268210142 0 268210142 22509 21594252 21616761 289826903 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. 1 1 X 1 X 1 X 1 1 1 0 1 0 3335934 3335934 0.01240 30710686 16923331 13787355 0.05140 34046620 16923331 17123289 0.06380 825775 71869 753906 0.00280 986786 1684 985102 0.00370 21659200 21659200 0.08070 62405 62405 0.00020 23534166 73553 23460613 0.08740 57580786 16996884 40583902 0.15120 1 21594252 0 55133065 73361606 -18228541 X 1 1 1 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 WWW.RWHS.ORG 700001 X X X X REGIONAL WEST MEDICAL CENTER 1 0 0 1 X X X X X X X X 20 1 0 1 1 X PART V, PAGE 8 X 1 20 1 PART V, PAGE 8 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X 1 X WWW.RWHS.ORG/ABOUT-YOUR-BILL X WWW.RWHS.ORG/ABOUT-YOUR-BILL X WWW.RWHS.ORG/ABOUT-YOUR-BILL X X X X X X 1 X 0 X X X X 1 X 0 0 REGIONAL WEST MEDICAL CENTER PART 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 CENTER PART 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 CENTER PART 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 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. 1 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 501(C)(3) 21659200 0 TO PROVIDE SUPPORT TO AFFILIATED CHARITABLE ORGANIZATION. WESTERN NEBRASKA COMMUNITY COLLEGE FOUNDATION 1601 E 27TH STREET SCOTTSBLUFF NE 69361 237133706 501(C)(3) 7500 0 GENERAL SUPPORT FRIENDS OF THE MIDWEST THEATER PO BOX 276 SCOTTSBLUFF NE 69361 391944215 501(C)(3) 20000 0 GENERAL SUPPORT 3 0 PART I, LINE 2: REGIONAL WEST HEALTH SERVICES, A SUPPORTING ORGANIZATION AND PARENT ENTITY MANAGES THE ENTIRE AFFILIATED GROUP OF ORGANIZATIONS, AND OVERSEES THE USE OF ALL FUNDS. 0 1 0 0 0 0 0 0 0 JOHN MENTGEN CEO/PRESIDENT THRU 10/2022 0 686629 0 0 0 9342 0 75199 0 49355 0 820525 0 0 JEFFREY HOLLOWAY MD DIRECTOR 0 695364 0 0 0 2322 0 11600 0 50355 0 759641 0 0 DORISA POLK MD DIRECTOR 0 551298 0 0 0 898 0 11600 0 47994 0 611790 0 0 MICHAEL ICKOWSKI CFO/TREASURER 0 358860 0 0 0 10381 0 45300 0 758 0 415299 0 0 LINDSEY MOSEL MD DIRECTOR THRU 6/2022 0 324624 0 0 0 175 0 11600 0 45328 0 381727 0 0 AMANDA VICK INTERIM CEO/PRESIDENT THRU 12/2022 0 292250 0 0 0 8375 0 39212 0 739 0 340576 0 0 ERIC WIEBE MD DIRECTOR 0 243722 0 0 0 325 0 9674 0 38183 0 291904 0 0 TODD CHRISTENSEN CRNA 202807 0 0 0 417 0 8332 0 49256 0 260812 0 0 0 CRAIG KRENTZ CRNA 187722 0 0 0 359 0 8037 0 49183 0 245301 0 0 0 CRAIG NOE PHARMACIST 197878 0 0 0 384 0 8275 0 32089 0 238626 0 0 0 LA DONNA BENZEL HOUSE SUPERVISOR 171229 0 0 0 39 0 5533 0 48846 0 225647 0 0 0 THERESA MEYER CRNA 198289 0 0 0 130 0 3110 0 346 0 201875 0 0 0 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 A HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA 470676786 EMS810143 2016-11-30 79135049 SEE PART VI 0 0 0 B HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA 470676786 000000000 2019-11-25 5004637 CAPITAL IMPROVEMENTS TO HOSPITAL AND NONHOSPITAL FACILITIES 0 0 0 A 15634584 79424207 1025837 25003842 53110007 1 0 1 1 B 2400110 5004637 5004637 2019 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART I, LINE 1, COLUMN (F): 2016A 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. X 3 149035 AVG HIGH-LOW VALUE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 1A THE 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 6 THE CORPORATION'S SOLE MEMBER IS REGIONAL WEST HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A REGIONAL 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 7B REGIONAL 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 11B THE BOARD WILL HAVE AN OPPORTUNITY TO REVIEW DRAFTS ELECTRONICALLY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL 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 15 COMPENSATION 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER 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. FRIENDS OF REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 010382302 AUXILIARY NE 29617 82587 REGIONAL WEST MEDICAL CENTER REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 ADMIN SUPPORT NE 501(C)(3) LINE 12B, II N/A 0 REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 FUNDRAISING NE 501(C)(3) LINE 12A, I REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 ASSISTED LIVING NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST HEALTH SERVICES & AFF 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CRITICAL ACCESS HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 DR. CLINICS NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 REGIONAL WEST HEALTH SERVICES & AFFILIATE R 10774015 CASH