REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2017-12-13
- IRS object ID
- 201723479349300722
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-12-13T10:18:40-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 476097913 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470385129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REGI | BusinessNameControlTxt |
| Phone | 3086353711 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 693614602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL ICKOWSKI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3086353711 | PhoneNum |
| Signature | 2017-12-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARBARA J FAJEN | PreparerPersonNm |
| PTIN | P00400874 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | MICHAEL ICKOWSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 693614602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $192,159,784 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RWHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | REGIONAL WEST MEDICAL CENTER IS A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND LEVEL III TRAUMA CENTER. THE HOSPITAL PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO PEOPLE OF WESTERN NEBRASKA AND SURROUNDING PORTIONS OF SOUTH DAKOTA, WYOMING AND COLORADO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1551 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $11,055,216 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$728,131 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,471 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,083,477 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,500,003 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $173,806,948 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,536,133 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,820,663 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,597,670 | PYOtherRevenueAmt |
| CY Other Revenue | $14,358,195 | CYOtherRevenueAmt |
| PY Total Revenue | $194,648,277 | PYTotalRevenueAmt |
| CY Total Revenue | $191,069,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,332,321 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $82,250,357 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $77,539,279 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,692,674 | PYOtherExpensesAmt |
| CY Other Expenses | $106,832,992 | CYOtherExpensesAmt |
| PY Total Expenses | $171,943,031 | PYTotalExpensesAmt |
| CY Total Expenses | $200,704,592 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,705,246 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,635,309 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $157,306,867 | TotalAssetsBOYAmt |
| Total Assets EOY | $164,008,672 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,626,619 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $79,819,228 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,680,248 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,189,444 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NONE | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $75,286,378 | ExpenseAmt |
| Grant | $16,332,321 | GrantAmt |
| Revenue | $71,014,689 | RevenueAmt |
| Desc | 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. DURING 2014, RWMC PROVIDED 28,561 DAYS OF INPATIENT CARE TO 6,568 PATIENTS AND REGISTERED 52,846 FOR OUTPATIENT PROCEDURES IN THE HOSPITAL. 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. REGIONAL WEST MEDICAL CENTER PROVIDED 32,167,225 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 50,291,976 OF COMMUNITY BENEFITS, INCLUDING THE MEDICARE SHORTFALL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,857,390 | ExpenseAmt |
| Revenue | $86,158,260 | RevenueAmt |
| Desc | 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 SERVICE 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 SERVICING PATIENTS IN THE HOSPITAL AND A RETAIL PHARMACY THAT IS AVAILABLE FOR THE COMMUNITY TO USE. THROUGH THE REHAB DEPARTMENT, PHYSICAL, OCCUPATIONAL, SPEECH, AND MASSAGE THERAPISTS PROVIDE SERVICES TO PATIENTS. THE REHAB DEPARTMENT ALSO PROVIDES ONGOING REHAB CLINICS FOR PATIENTS AS PART OF THEIR SERVIES 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,969,225 | ExpenseAmt |
| Revenue | $1,538,530 | RevenueAmt |
| Desc | 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 SCOTTS BLUFF 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $33,657,869 | ExpenseAmt |
| Revenue | $11,334,986 | RevenueAmt |
| Desc | RWMC CONDUCTS ADDITIONAL PROGRAM SERVICE ACTIVITIES, ALL IN FURTHERANCE OF THE PROVISION OF MEDICAL CARE TO INDIVIDUALS IN ITS SERVICE AREA. THESE ACTIVITIES INCLUDE MEDICAL OFFICE RENTALS TO AFFILIATES AND NON-AFFILIATED MEDICAL SERVICE PROVIDERS, DISPATCH AND OTHER ACTIVITIES WHICH FACILITIATE MEDICAL AIR TRANSPORTATION, PATIENT AND FAMILY LODGING, AND LIFELINE SERVICES AMONG OTHERS. RWMC RECEIVED MEDICAID MEANINGFUL USE REVENUE OF $1,399,954 DURING 2014.ADDITIONALLY, RWMC PROVIDED CRITICAL ACCESS HOSPITAL (CAH) MANAGEMENT, THERAPY, CODING AND PHARMACY SERVICES. REGIONAL WEST HEALTH SERVICES, RWMC'S SOLE MEMBER, WAS THE CONTRACTING PARTY WITH THE CAHS FOR MANAGEMENT SERVICES. CONTRACTS WERE FULFILLED WITH RWMC PERSONNEL AND $830,587 REVENUE WAS RECORDED ON RWMC'S BOOKS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $33,657,869 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $11,334,986 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $158,770,862 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1551 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES STRONG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3086301111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 693614602 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY HOLLOWAY MD | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $697,753 | $41,969 | ||||
| TODD S SORENSEN | ||||||||||
| CEO | 1.00 | 40.00 | Yes (X) | $0 | $655,373 | $90,397 | Yes (X) | |||
| DAVID HOLDT MD | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $550,383 | $36,437 | ||||
| SHEILA WEBB-BOWLES | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $383,422 | $39,266 | ||||
| LISA SCHEPPERS | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $361,076 | $43,134 | ||||
| DAVID GRIFFITHS | ||||||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $259,025 | $75,124 | Yes (X) | |||
| MARK HARTMAN MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $30,000 | $0 | $0 | |||||
| TOM HOLYOKE | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $9,198 | $0 | $0 | |||||
| H HOD KOSMAN | ||||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| JANE HUNTER | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JIM TRUMBULL | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| REV LAUREN EKDAHL | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JIM DARNELL | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MARK GILLAM | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JULIE MARSHALL | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DONALD GENTRY MD | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| DENNIS HADDEN | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| LEE GLENN | ||||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JENNIFER BROOKER | ||||||||||
| SECRETARY | 1.00 | 40.00 | $0 | $53,984 | $3,911 | Yes (X) | ||||
| JON MORGAN MD | ||||||||||
| VP OF MEDICA | 40.00 | $375,691 | $0 | $37,739 | Yes (X) | |||||
| JAN TAYLOR | ||||||||||
| VP OF ANCILL | 40.00 | $204,883 | $0 | $47,043 | Yes (X) | |||||
| SHIRLEY KNODEL | ||||||||||
| CHIEF OF NUR | 40.00 | $197,890 | $0 | $45,631 | Yes (X) | |||||
| THOMAS DREDLA IV | ||||||||||
| CRNA | 40.00 | $223,052 | $0 | $44,271 | Yes (X) | |||||
| THOMAS DREDLA III | ||||||||||
| CRNA | 40.00 | $215,924 | $0 | $26,838 | Yes (X) | |||||
| RALPH PHELPS | ||||||||||
| CRNA | 40.00 | $214,978 | $0 | $29,004 | Yes (X) | |||||
| JANET HANSON | ||||||||||
| CRNA | 40.00 | $212,790 | $0 | $27,412 | Yes (X) | |||||
| CINDY BRAMAN | ||||||||||
| CRNA | 40.00 | $210,525 | $0 | $37,834 | Yes (X) | |||||
| STEVE HODGES | ||||||||||
| FORMER OFFICER | 0.00 | $0 | $330,768 | $45,240 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,894,931 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,291,784 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $671,250 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON INFORMATION SYSTEMS | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | SVC MTN & EQUIP | $6,950,344 |
| ABM HEALTHCARE SUPPORT SERVICES INC | |||||
| PO BOX 935695 | ATLANTA | GA | 31193 | HOUSEKEEPING | $2,312,430 |
| ANDERSON AND SHAW CONSTRUCTION | |||||
| 710 AVENUE I | SCOTTSBLUFF | NE | 69361 | CONSTRUCTION | $1,829,088 |
| FOCUSONE SOLUTIONS LLC | |||||
| PO BOX 3037 | OMAHA | NE | 68103 | AGENCY STAFFING | $1,170,093 |
| RADIOLOGY IMAGING OF NEBRASKA | |||||
| 10700 E GEDDES AVE STE 200 | ENGLEWOOD | CO | 80112 | PROFESSIONAL | $887,095 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,000,000 | RelatedOrganizationsAmt |
| All Other Contributions | $83,477 | AllOtherContributionsAmt |
| Total Contributions | $1,083,477 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $162,015,554 | $162,015,554 | |
| COMMUNITY PHARMACY | 446110 | $6,364,075 | $6,364,075 | |
| RENTAL INCOME - AFFILIATES/NON-AF | 531120 | $1,273,085 | $1,273,085 | |
| MEDICAL AIR TRANSPORTION | 621910 | $1,091,036 | $1,091,036 | |
| CAH MANAGEMENT SERVICES | 541900 | $830,587 | $830,587 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,232,611 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,472,734 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $759,877 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $173,806,948 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,151,930 | TotalRevenueColumnAmt |
| Exclusion | $1,151,930 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,158 | TotalRevenueColumnAmt |
| Exclusion | $68,158 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,888 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,363 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,525 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,525 | TotalRevenueColumnAmt |
| Exclusion | $6,525 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,522,500 | SecuritiesAmt |
| Other | $140,480 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $994,247 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $528,253 | SecuritiesAmt |
| Other | $140,480 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $668,733 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $140,480 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $528,253 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $100,198 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $94,891 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,307 | TotalRevenueColumnAmt |
| Exclusion | $5,307 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| OUTREACH LABORATORY | 621500 | $11,055,216 | $11,055,216 | |
| OTHER MISC. REVENUE | 900099 | $1,505,279 | $1,505,279 | |
| MEDICAID MEANINGFUL USE | 900099 | $1,399,954 | $1,399,954 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $317,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $317,756 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,278,205 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,069,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,046,465 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,055,216 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,884,125 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,332,321 | TotalAmt |
| Program Services | $16,332,321 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,464 | TotalAmt |
| Program Services | $778,464 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,482 | TotalAmt |
| Program Services | $9,482 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,314,658 | TotalAmt |
| Program Services | $47,409,485 | ProgramServicesAmt |
| Management And General | $9,905,173 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,177,920 | TotalAmt |
| Program Services | $1,823,605 | ProgramServicesAmt |
| Management And General | $354,315 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,182,081 | TotalAmt |
| Program Services | $9,880,471 | ProgramServicesAmt |
| Management And General | $3,301,610 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,076,674 | TotalAmt |
| Program Services | $3,387,367 | ProgramServicesAmt |
| Management And General | $689,307 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,230 | TotalAmt |
| Management And General | $134,230 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,269 | TotalAmt |
| Management And General | $35,269 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,995,091 | TotalAmt |
| Program Services | $8,882,831 | ProgramServicesAmt |
| Management And General | $112,260 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,896 | TotalAmt |
| Program Services | $841,272 | ProgramServicesAmt |
| Management And General | $473,624 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,443,754 | TotalAmt |
| Program Services | $1,709,202 | ProgramServicesAmt |
| Management And General | $734,552 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,654 | TotalAmt |
| Program Services | $273,659 | ProgramServicesAmt |
| Management And General | $213,995 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,718 | TotalAmt |
| Program Services | $218,939 | ProgramServicesAmt |
| Management And General | $41,779 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,536,361 | TotalAmt |
| Program Services | $2,104,719 | ProgramServicesAmt |
| Management And General | $431,642 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,242,390 | TotalAmt |
| Program Services | $6,898,392 | ProgramServicesAmt |
| Management And General | $4,343,998 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,225,118 | TotalAmt |
| Program Services | $770,641 | ProgramServicesAmt |
| Management And General | $454,477 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND OTHER SUPPL | $27,677,798 | $27,231,062 | $446,736 |
| NON-PROFESSIONAL SERVIC | $20,284,685 | $8,027,367 | $12,257,318 |
| LOSS ON TERM OF PENSION | $10,081,480 | $8,362,817 | $1,718,663 |
| BAD DEBT EXPENSE | $7,902,572 | $7,902,572 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,210,976 | TotalAmt |
| Program Services | $5,926,194 | ProgramServicesAmt |
| Management And General | $6,284,782 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,704,592 | TotalAmt |
| Program Services | $158,770,862 | ProgramServicesAmt |
| Management And General | $41,933,730 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,074 | BOYAmt |
| EOY | $44,788 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,395,244 | BOYAmt |
| EOY | $10,505,795 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,376,794 | BOYAmt |
| EOY | $28,431,913 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,248,475 | BOYAmt |
| EOY | $5,791,764 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,926,462 | BOYAmt |
| EOY | $4,575,209 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,282,372 | BOYAmt |
| EOY | $7,917,024 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $220,976,680 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $162,369,836 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,681,788 | BOYAmt |
| EOY | $58,606,844 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,825,062 | BOYAmt |
| EOY | $46,095,096 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,412,098 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,935 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,469,661 | BOYAmt |
| EOY | $628,141 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,306,867 | BOYAmt |
| EOY | $164,008,672 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,410,081 | BOYAmt |
| EOY | $14,538,043 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,630,541 | BOYAmt |
| EOY | $59,707,406 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,882 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,115 | BOYAmt |
| EOY | $5,573,779 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,626,619 | BOYAmt |
| EOY | $79,819,228 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,680,248 | BOYAmt |
| EOY | $84,189,444 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,680,248 | BOYAmt |
| EOY | $84,189,444 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,306,867 | BOYAmt |
| EOY | $164,008,672 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,635,309 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,583,589 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $16,560,916 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,627,543 | OtherCostOrOtherBasisAmt |
| Book Value | $1,627,543 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,074,194 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,562,184 | DepreciationAmt |
| Book Value | $24,512,010 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,500,450 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,062,247 | DepreciationAmt |
| Book Value | $26,438,203 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,774,493 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,745,405 | DepreciationAmt |
| Book Value | $6,029,088 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,606,844 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MARKET VALUE OF INTEREST RATE SWAP | $4,708,761 |
| DUE TO 3RD PARTY PAYORS | $865,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,573,779 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $198,868,267 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,583,589 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $5,235,639 | OtherRevenueAmt |
| Revenue Not Reported | $7,819,228 | RevenueNotReportedAmt |
| Revenue Subtotal | $191,049,039 | RevenueSubtotalAmt |
| Other Revenues Not Included | $20,244 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $20,244 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $191,069,283 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $193,678,047 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $876,027 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $876,027 | ExpensesNotReportedAmt |
| Expenses Subtotal | $192,802,020 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,902,572 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,902,572 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $200,704,592 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 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, 2014 AND 2013, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED. WITH FEW EXCEPTIONS, THE MEDICAL CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN PERIODIC PENSION COST 13,136,848. BAD DEBT EXPENSE -7,902,572. REAL ESTATE RENTAL EXPENSES 1,363. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ADJUSTMENT TO AUXILARY 20,244. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FMV OF INTEREST RATE SWAP 874,664. REAL ESTATE RENTAL EXPENSES 1,363. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 7,902,572. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,391,976 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,391,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,505,968 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,505,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04740 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,897,944 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,897,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $329,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $288,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,410,409 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,364,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,227,077 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,222,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $199,703 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $199,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,166,808 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,075,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,064,752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,973,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14940 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,615,686 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,615,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $577,995 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $577,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,193,681 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,193,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,890,548 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $51,586,105 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,710,856 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,124,751 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 693614602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RWHS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.RWHS.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | 0 | AppFinancialAsstExplnInd |
| Includes Publicity Measures | 0 | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | REGIONAL WEST MEDICAL CENTER | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 22D: UNINSURED DISCOUNT POLICY: THIS POLICY APPLIES TO ANY PATIENT WHO DOES NOT HAVE HEALTH INSURANCE OR THIRD PARTY COVERAGE TO ASSIST IN THE PAYMENT FOR HEALTHCARE SERVICES. THE UNINSURED DISCOUNT APPLIES ONLY TO MEDICALLY NECESSARY SERVICES. IT IS NOT AVAILABLE FOR COSMETIC SERVICES, SERVICES DEEMED NOT MEDICALLY NECESSARY, OR FOR PATIENT RESPONSIBILITY THAT REMAINS AFTER INSURANCE PROCESSING. IF IT IS DETERMINED THAT A PATIENT HAS INSURANCE COVERAGE AFTER THE UNINSURED DISCOUNT HAS BEEN PROVIDED, THE DISCOUNT WILL BE REVERSED AND INSURANCE WILL BE BILLED AT FULL CHARGES. THE UNINSURED DISCOUNT RATE APPLIED TO ALL ACCOUNTS UPON TIME OF FINAL BILL IS 45%. PATIENTS MAY QUALIFY FOR AN ADDITIONAL 5% REDUCTION IF THE ACCOUNT IS PAID IN FULL WITHIN 30 DAYS. PATIENTS WHO QUALIFY FOR THE UNINSURED DISCOUNT AND ARE ALSO ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE DISCOUNTS WILL RECEIVE THE HIG HEST DISCOUNT FOR WHICH THEY ARE QUALIFIED, BUT NOT BOTH. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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-SPECIALTY 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 LARGER VOID IN MEDICAL CARE IN THIS ALREADY MEDICALLY UNDERSERVED RURAL AREA. A SUMMARY OF THE RWPC CLINICS SUBSIDIZED BY RWMC AND THE DOLLARS USED TO SUPPORT THE PATIENT CARE PROVIDED BY THESE CLINICS ARE AS FOLLOWS: EMERGENCY MEDICINE 15,000; UROLOGY 292,000; WOMENS CENTER 756,000; ORTHOPEDICS 1,509,000; SURGICAL VASCULAR DIAGNOSTICS 132,000; EAR, NOSE & THROAT HEAD & NECK SURGERY 324,000; NEUROSURGERY 1,664,000; PLASTIC SURGERY 643,000; INTERNAL MEDICINE 2,081,000; DIABETES CARE CENTER 268,000; FAMILY MEDICINE SCOTTSBLUFF 422,000; FAMILY MEDICINE GERING 256,000; FAMILY MEDICINE MORRILL 74,000; PSYCHIATRY & BEHAVIORAL HEALTH 711,000; NEUROLOGY 573,000; REHABILITATION MEDICINE 183,000; PAIN MANAGEMENT 664,000; ANESTHSIA 1,069,000; HOSPITALIST PROGRAM 1,290,000; RADIOLOGY 237,000. |
| PART III, LINE 2: | THE PORTION OF THE NOTES TO THE FINANCIAL STATEMENTS OF THE AUDIT REPORT THAT ADDRESSES BAD DEBT IS UNDER THE "PATIENT RECEIVABLES, NET" PARAGRAPH IN NOTE 1 DESCRIPTION OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES. IN THIS SECTION THE NOTES STATE 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 TEH 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 METHODOLGY AND COST TO RATIO CHARGES FOR NEW SERVICE 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 II - COMMUNITY BUILDING ACTIVITIES | RWMC'S MAJOR COMMUNITY BUILDING ACTIVITIES INCLUDE DISASTER READINESS SUPPORT SYSTEM ENHANCEMENT FOR THE IMMEDIATE COMMUNITY AND SCOTTSBLUFF COUNTY, AND PHYSICIAN RECRUITMENT. THE DISASTER READINESS SUPPORT INCLUDES COMMUNITY WIDE DRILLS, COMMUNITY DISEASE AWARENESS MEETINGS, COUNTY LEVEL DISASTER MEETINGS AND COOPERATION WITH THE LOCAL POLICE DEPARTMENT TO PROVIDE DISASTER SUPPORT FOR THE COMMUNITY. RWMC REPRESENTATIVES ALSO VISIT LOCAL BUSINESSES AND SCHOOLS TO PROVIDE INFORMATION ON ANY VIRUS OUTBREAKS OR ALERTS, SUCH AS THE H1N1 CRISIS IN 2009. RWMC IS INVOLVED WITH THE VARIOUS COMMUNITY-WIDE SCHOOL PROGRAMS THEREBY PROVIDING SUPPORT TO A LOCAL SCHOOLS THROUGH PROMOTING ACTIVITIES, RAISING FUNDS, AND HELPING TO SERVE LUNCHES, ETC. RWMC, AS A HOSPITAL THAT PROVIDES SERVICE TO A MEICALLY UNDERSERVED AREA, IS ACTIVELY INVOLVED IN RECRUITING QUALITY PHYSICIANS AND MEDICAL SPECIALISTS TO THE AREA TO PROVIDE NEEDED MEDICAL SERVICES. THIS ONGOING RECRUITMENT ACTIVITY IS ESSENTIAL TO THE COMMUNITY AND REGION IN ORDER TO ENSURE THAT RESIDENTS HAVE REGIONAL ACCESSIBILITY TO NEEDED MEDICAL SERVICES. |
| PART III, LINE 8: | APPROXIMATED 47% 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 2014. |
| PART III, LINE 9B: | THE COLLECTION POLICY OF RWMC, AND THE RELATED CHARITY CARE POLICY, STATES THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE SERVICES CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLLOWNG 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 PATIENT'S 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 (BRFSS). 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 ADDRESSING THEM. THE NEBRASKA STATE DEPARTMENT OF HEALTH IS A MAJOR RESOURCE FOR DATA USED IN NEEDS ASSESSMENT. AN ASSESSMENT IS DOEN 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 ONE STARTED. COMMUNICATION WITH OTHER GROUPS IN THE REGION IS ONGOING SO THAT SERVIES ARE NOT DUPLICATED. THE STATE DEPARTMENT OF HEALTH PROVIDES RWMC 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 STATEMETNS, LETTERS, AT THE POINT OF DISCHARGE, IN THE ADMISSIONS PACKET, AND OCCASIONALLY BY THEIR PHYSICIAN ABOUT THE FINANCIAL ASSISTANCE AND THE PAYMENT POLICIES OF RWMC. RWMC HAS A TIME OF SERVICE (TOS) COLLECTION POLICY THAT IS COMMUNICATED TO THE PATIENT OR THE PATIENT'S 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 LIASIONS 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 TO FILL OUT THAT 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. |
| 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 50,295 FOR A FAMILY OF 3. THE 2010 CENSUS PROJECTED THE POPULATION OF THE AREA TO BE 37,000 IN 2011. OF THIS POPULATION, 30% IS ESTIMATED TO BE OVER THE AGE OF 65. IN THE REGION THERE ARE 5 OTHER SMALLER HOSPITALS, BUT RWMC IS THE ONY 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. RWMC ESTIMATES THAT 47% OF ITS REVENUE IS DERIVED FROM MEDICAL TREATMENT OF PATIENTS COVERED BY MEDICARE, 13% OF REVENUE IS DERIVED FROM PATIENTS COVERED BY MEDICAID. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| REGIONAL WEST PHYSICIAN'S CLINIC | |||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314159 | 501(C)(3) | $16,190,004 | SUPPORT OPERATIONS |
| REGIONAL WEST FOUNDATION | |||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 237171022 | 501(C)(3) | $43,078 | SUPPORT OPERATIONS |
| REGIONAL WEST GARDEN COUNTY | |||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 391904975 | 501(C)(3) | $99,239 | EXCESS OF HOSPICE SERVICES LIABILITIES ASSUMED OVER HOSPICE SERVICES ASSETS RECEIVED FROM REGIONAL WEST GARDEN COUNTY. THIS PROGRAM SERVICE ACTIVITY WAS TRANSFERRED TO RWMC DURING 2014. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE ONLY MADE TO AFFILIATED CHARITABLE ORGANIZATIONS. REGIONAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY HOLLOWAY MD | ||||||||||||||
| BOARD MEMBER | $0 | $515,797 | $0 | $181,146 | $0 | $810 | $0 | $10,400 | $0 | $31,569 | $0 | $739,722 | $0 | $0 |
| TODD S SORENSEN | ||||||||||||||
| CEO | $0 | $457,401 | $0 | $141,459 | $0 | $56,513 | $0 | $71,055 | $0 | $19,342 | $0 | $745,770 | $0 | $44,506 |
| DAVID HOLDT MD | ||||||||||||||
| BOARD MEMBER | $0 | $536,284 | $0 | $12,048 | $0 | $2,051 | $0 | $10,400 | $0 | $26,037 | $0 | $586,820 | $0 | $0 |
| SHEILA WEBB-BOWLES | ||||||||||||||
| BOARD MEMBER | $0 | $383,098 | $0 | $0 | $0 | $324 | $0 | $10,400 | $0 | $28,866 | $0 | $422,688 | $0 | $0 |
| LISA SCHEPPERS | ||||||||||||||
| BOARD MEMBER | $0 | $351,236 | $0 | $9,600 | $0 | $240 | $0 | $10,400 | $0 | $32,734 | $0 | $404,210 | $0 | $0 |
| DAVID GRIFFITHS | ||||||||||||||
| TREASURER | $0 | $249,221 | $0 | $0 | $0 | $9,804 | $0 | $74,291 | $0 | $833 | $0 | $334,149 | $0 | $0 |
| JON MORGAN MD | ||||||||||||||
| VP OF MEDICA | $375,274 | $0 | $0 | $0 | $417 | $0 | $10,400 | $0 | $27,339 | $0 | $413,430 | $0 | $0 | $0 |
| JAN TAYLOR | ||||||||||||||
| VP OF ANCILL | $172,599 | $0 | $0 | $0 | $32,284 | $0 | $21,375 | $0 | $25,668 | $0 | $251,926 | $0 | $0 | $0 |
| SHIRLEY KNODEL | ||||||||||||||
| CHIEF OF NUR | $183,473 | $0 | $0 | $0 | $14,417 | $0 | $35,142 | $0 | $10,489 | $0 | $243,521 | $0 | $0 | $0 |
| THOMAS DREDLA IV | ||||||||||||||
| CRNA | $222,899 | $0 | $0 | $0 | $153 | $0 | $15,913 | $0 | $28,358 | $0 | $267,323 | $0 | $0 | $0 |
| THOMAS DREDLA III | ||||||||||||||
| CRNA | $214,692 | $0 | $0 | $0 | $1,232 | $0 | $7,372 | $0 | $19,466 | $0 | $242,762 | $0 | $0 | $0 |
| RALPH PHELPS | ||||||||||||||
| CRNA | $213,977 | $0 | $0 | $0 | $1,001 | $0 | $10,739 | $0 | $18,265 | $0 | $243,982 | $0 | $0 | $0 |
| JANET HANSON | ||||||||||||||
| CRNA | $212,114 | $0 | $0 | $0 | $676 | $0 | $12,883 | $0 | $14,529 | $0 | $240,202 | $0 | $0 | $0 |
| CINDY BRAMAN | ||||||||||||||
| CRNA | $210,292 | $0 | $0 | $0 | $233 | $0 | $9,090 | $0 | $28,744 | $0 | $248,359 | $0 | $0 | $0 |
| STEVE HODGES | ||||||||||||||
| FORMER OFFICER | $0 | $159,638 | $0 | $0 | $0 | $171,130 | $0 | $25,741 | $0 | $19,499 | $0 | $376,008 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | TODD S SORENSEN $44,506, DAVID GRIFFITHS $1,367, JAN TAYLOR $23,194, SHIRLEY KNODEL $5,381, AND STEVE HODGES $163,161. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|
| HOSPITAL AUTHORITY NO 1 OF SB CO NE SERIES 2012 A REVENUE BONDS | |||||
| A | 2012-02-23 | $23,161,032 | 0 | 0 | 0 |
| HOSPITAL AUTHORITY NO 1 SB CO NE SERIES 2012B REVENUE BOND | |||||
| B | 2012-04-25 | $32,544,735 | 0 | 0 | 0 |
| HOSITAL AUTHORITY NO 1 SERIES 2013 | |||||
| C | 2013-09-27 | $6,000,000 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|
| A | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CHALOUPKA HOLYOKE | |||
| DIRECTOR | $9,198 | LEGAL SERVICES | 0 |
| REGIONAL RADIATION ONCOLOGY CARE | |||
| DIRECTOR | $30,000 | MEDICAL DIRECTOR | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | DURING 2014, PANHANDLE HEALTH PROPERTIES (PHH), AN AFFILIATED 501(C)(2) ORGANIZATION, MERGED INTO REGIONAL WEST MEDICAL CENTER (RWMC). RWMC WAS THE SURVIVING ORGANIZATION. PRIOR TO THE MERGER, PHH OWNED THE LAND, BUILDINGS AND LAND AND BUILDING IMPROVEMENTS IN WHICH RWMC AND OTHER AFFILIATED ORGANIZATIONS OPERATED. FOLLOWING THE MERGER, RWMC, AS THE NEW OWNER OF THESE PROPERTIES, LEASED PORTIONS OF THE PROPERTIES TO AFFILIATED ORGANIZATIONS, AND TO NON-AFFILIATED, HEATH CARE ORGANIZATIONS. ACCORDINGLY, RWMC BECAME A LESSOR OF MEDICAL OFFICE BUILDINGS. |
| FORM 990, PART VI, SECTION A, LINE 6 | REGIONAL WEST HEALTH SERVICES, AN AFFILIATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF REGIONAL WEST MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, REGIONAL WEST HEALTH SERVICES, AN AFFILIATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD MEMBERS OF REGIONAL WEST MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7B | REGIONAL WEST HEALTH SERVICES (RWHS), AN AFFILIATED 501(C)(3) ORGANIZATION IS THE SOLE MEMBER OF REGIONAL WEST MEDICAL CENTER (RWMC). RWMC'S BYLAWS RESERVE CERTAIN DECISIONS TO RWHS, INCLUDING REMOVAL OF A DIRECTOR FOR CAUSE, APPROVAL OR CHANGE OF LONG-TERM AND MASTER STRATEGIC BUSINESS PLANS, APPROVAL OF ANNUAL AND LONG-TERM OPERATING AND CAPITAL BUDGETS AND ANY CHANGES THERETO EXCEEDING $100,000, APPROVAL OF NON-BUDGETED OPERATING EXPENSES AND CAPITAL EXPENDITURES IN EXCESS OF $100,000, APPROVAL OF ANY INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY DEBT, AND OTHER ITEMS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PRESENTED TO AND REVIEWED BY THE BOARD IN THE MONTH PRIOR TO THE FILING DEADLINE. |
| 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, WHETHER 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 IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE RWHS BOARD FOR THE CEO AND EXECUTIVE TEAM BASED ON MARKET DATA AND RECOMMENDATIONS FROM AN INDEPENDENT CONSULTING FIRM WHO COLLECTS THAT DATA FOR COMPARISON PURPOSES. MINUTES ARE KEPT OF THESE MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND POLOCIES ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE ORGANIZATION'S WEBSITE |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET PERIODIC PENSION COST 13,136,848. CHANGE IN FMV OF INTEREST RATE SWAP -874,664. NBV OF ASSETS REC'D IN MERGER WITH PANHANDLE HEALTH PROPERTIES 4,318,976. ADJUSTMENT TO AUXILARY -20,244. |
| PART XII, LINE 2C | A BOARD COMMITTEE HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. NEITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS CHANGED DURING THE TAX YEAR. |
| REASON FOR AMENDED RETURN | FORM 990 IS BEING AMENDED TO PROVIDE MORE DETAIL REGARDING THE ORGANIZATION'S PROGRAM SERVICES ACTIVITIES, AND TO SHOW TRANSFERS BETWEEN RELATED 501(C)(3) ORGANIZATIONS AS GRANTS RECEIVED OR GRANTS PAID. PORTIONS OF THE RETURN WHICH HAVE BEEN CHANGED INCLUDE: - PART III, LINES 4A-4D, PROGRAM SERVICE DESCRIPTIONS - PART VIII, STATEMENT OF REVENUE - PART IX, STATEMENT OF FUNCTIONAL EXPENSES - SCHEDULE I HAS BEEN ADDED - SCHEDULE R |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF REGIONAL WEST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470385129 | EIN |
| Primary Activities | FUND-RAISING, GIFT SHOP OPERATION | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Total Income | $5,307 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL WEST HEALTH SERVICES | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314157 | STRATEGIC PLANNING & ADMIN SUPPORT | NE | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| REGIONAL WEST FOUNDATION | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 237171022 | INVESTMENT ASSET MGMT & FUNDRAISING | NE | 501(C)(3) | LINE 11A, I | Yes (1) | REGIONAL WEST HEALTH SERVICES | |
| REGIONAL WEST VILLAGE | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314162 | ASSISTED LIVING | NE | 501(C)(3) | LINE 7 | Yes (1) | REGIONAL WEST HEALTH SERVICES | |
| PANHANDLE HEALTH PROPERTIES | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314161 | MEDICAL REAL ESTATE RENTAL | NE | 501(C)(2) | Yes (1) | REGIONAL WEST HEALTH SERVICES | ||
| REGIONAL WEST HEALTH SERVICES EMPLO | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 470658690 | HEALTH PLAN | NE | 501(C)(9) | Yes (1) | REGIONAL WEST HEALTH SERVICES | ||
| PRAIRIE HAVEN HOSPICE | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 391904975 | HOSPICE SVCS / CRITICAL ACCESS HOSPITAL | NE | 501(C)(3) | LINE 9 | Yes (1) | REGIONAL WEST HEALTH SERVICES | |
| REGIONAL WEST PHYSICIANS CLINIC | |||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314159 | PHYSICIAN CLINICS | NE | 501(C)(3) | LINE 9 | Yes (1) | REGIONAL WEST HEALTH SERVICES | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CARE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1Txt |
| City | SCOTTSBLUFF | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470760050 | EIN |
| Primary Activities | THIRD PARTY ADMIN - INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| REGIONAL WEST GARDEN COUNTY | ||
| B | $99,239 | CASH |
| REGIONAL WEST PHYSICIANS CLINIC | ||
| B | $16,190,004 | CASH |
| REGIONAL WEST FOUNDATION | ||
| C | $1,000,000 | CASH |
| REGIONAL WEST PHYSICIANS CLINIC | ||
| J | $1,122,999 | CASH |
| PANHANDLE HEALTH PROPERTIES | ||
| S | $4,318,976 | NBV ASSETS |