REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201733199349313308
Schema version: 2016v3.0
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T13:37:32-07:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	363314157	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST HEALTH SERVICES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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 CNTR	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	2017-11-15	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY HOLZWORTH CPA	PreparerPersonNm
PTIN	P00284207	PTIN
Phone	3086302823	PhoneNum
Preparation	2017-11-15	PreparationDt

Filing Security Information FilingSecurityInformation

Field	Value	IRS element (for citing)
At Submission Creation Device Id	6942DBE293EE23EAAFB65441E4C497608E5EF7E2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B2BB5585633D9CEC42876CC1229D0C6C419A2363	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN MENTGEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$207,440,637	GrossReceiptsAmt
Group Return For Affiliates	false	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 A 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.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1579	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$11,868,783	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$821,014	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,219	PYContributionsGrantsAmt
CY Contributions Grants	$5,322,672	CYContributionsGrantsAmt
PY Program Service Revenue	$168,581,721	PYProgramServiceRevenueAmt
CY Program Service Revenue	$184,839,362	CYProgramServiceRevenueAmt
PY Investment Income	$1,218,075	PYInvestmentIncomeAmt
CY Investment Income	$1,884,541	CYInvestmentIncomeAmt
PY Other Revenue	$27,242,609	PYOtherRevenueAmt
CY Other Revenue	$14,801,222	CYOtherRevenueAmt
PY Total Revenue	$197,047,624	PYTotalRevenueAmt
CY Total Revenue	$206,847,797	CYTotalRevenueAmt
CY Grants And Similar Paid	$22,959,200	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$80,874,220	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$83,484,130	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$91,148,051	PYOtherExpensesAmt
CY Other Expenses	$100,170,612	CYOtherExpensesAmt
PY Total Expenses	$172,022,271	PYTotalExpensesAmt
CY Total Expenses	$206,613,942	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,025,353	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$233,855	CYRevenuesLessExpensesAmt
Total Assets BOY	$170,757,188	TotalAssetsBOYAmt
Total Assets EOY	$192,116,377	TotalAssetsEOYAmt
Total Liabilities BOY	$77,043,354	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$95,726,278	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,713,834	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$96,390,099	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NONE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$79,952,460	ExpenseAmt
Grant	$22,959,200	GrantAmt
Revenue	$76,396,539	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 2016 RWMC PROVIDED 28,642 DAYS OF INPATIENT CARE TO 6,266 PATIENTS AND REGISTERED 8,989 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. RWMC PROVIDED 42,364,470 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 77,155,617 OF COMMUNITY BENEFITS, INCLUDING THE MEDICARE SHORTFALL.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$51,838,648	ExpenseAmt
Revenue	$110,346,714	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, MASSAGE THERAPISTS PROVIDE SERVICES TO PATIENTS. THE REHAB DEPARTMENT ALSO PROVIDES ONGOING REHAB CLINICS FOR PATIENTS AS PART OF THEIR SERVICES IN PROMOTING ONGOING WELLNESS FOR RECOVERY. AS PART OF COMMUNITY OUTREACH THE REHAB DEPT EMPLOYS ATHLETIC TRAINERS WHO WORK IN THE LOCAL SCHOOLS' ATHLETIC PROGRAMS PROVIDING SUPPORT AND INJURY DETECTION AND PREVENTION FOR THE ATHLETES AND COACHES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,527,032	ExpenseAmt
Revenue	-$915,326	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	$21,229,731	ExpenseAmt
Revenue	$10,310,649	RevenueAmt
Desc	ALL 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 SCHOOLS. THROUGH THE OUTREACH SERVICES DEPARTMENT RWMC HAS NETWORK AFFILIATIONS WITH FIVE CRITICAL ACCESS HOSPITALS (CAHS)WITHIN ITS SERVICE REGION. RWMC PROVIDED NEEDED MANAGEMENT EXPERTISE AND CERTAIN MEDICAL SUPPORT SERVICES INCLUDING PHARMACY, OCCUPATIONAL THERAPY, BLOOD PROCESSING & COLLECTION, AND LABORATORY MANAGEMENT SERVICES THROUGH CONTRACT AGREEMENTS WITH THE CAHS. THE CONTINUED OPERATION AND SUCCESS OF THE CAHS IS CRUCIAL TO MINIMIZE THE DISTANCE AND TIME PATIENTS WOULD HAVE TO TRAVEL FOR MEDICAL CARE. SERVICES TO CAHS ARE PROVIDED AT OR BELOW OPERATING COSTS TO RWMC.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$21,229,731	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$10,310,649	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$156,547,871	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	Yes (true)	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1579	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL ICKOWSKI	PersonNm
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 (30 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEFFREY HOLLOWAY MD
BOARD MEMBER	0.50	45.00	Yes (X)	$0	$707,634	$43,513
MATTHEW BRUNER MD
BOARD MEMBER	0.50	45.00	Yes (X)	$0	$554,691	$43,619
DAVID HOLDT MD
BOARD MEMBER	0.50	45.00	Yes (X)	$0	$408,840	$113,508
SHEILA WEBB-BOWLES
BOARD MEMBER	0.50	45.00	Yes (X)	$0	$397,880	$79,020
TADD GREENFIELD
PRESIDENT	0.50	45.00	Yes (X)	$0	$246,040	$50,771	Yes (X)
MICHAEL ICKOWSKI
CFO	0.50	45.00	Yes (X)	$0	$52,526	$11,802	Yes (X)
TOM HOLYOKE
BOARD MEMBER	0.50		Yes (X)	$6,286	$0	$0
H HOD KOSMAN
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
JIM TRUMBULL
CHAIRMAN	0.50		Yes (X)	$0	$0	$0
REV LAUREN EKDAHL
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
JIM DARNELL
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
MARK GILLAM
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
JULIE MARSHALL
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
DONALD GENTRY MD
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
DENNIS HADDEN
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
LEE GLENN
BOARD MEMBER	0.50		Yes (X)	$0	$0	$0
JOHN MENTGEN
CEO	0.50	45.00		$0	$520,293	$289,783	Yes (X)
JENNIFER BROOKER
SECRETARY	40.00			$0	$71,313	$37,384	Yes (X)
THOMAS DREDLA IV
CRNA	45.00			$213,145	$0	$43,526		Yes (X)
JANET HANSON
CRNA	45.00			$205,779	$0	$25,288		Yes (X)
RALPH PHELPS
CRNA	45.00			$204,929	$0	$32,821		Yes (X)
CINDY BRAMAN
CRNA	45.00			$204,457	$0	$45,986		Yes (X)
ANDREW REINER
CRNA	45.00			$197,655	$0	$41,053		Yes (X)
MARK HARTMAN MD
BOARD MEMBER		45.00		$0	$659,145	$37,050			Yes (X)
LISA SCHEPPERS
BOARD MEMBER		45.00		$0	$421,253	$108,164			Yes (X)
TODD S SORENSEN
CEO				$0	$104,213	$4,162			Yes (X)
JON MORGAN MD
VP OF MEDICA		45.00		$0	$259,092	$42,361			Yes (X)
SHIRLEY KNODEL
CHIEF OF NUR				$186,313	$0	$0			Yes (X)
LISA BEWLEY
VP OF IT		45.00		$0	$116,671	$17,830			Yes (X)
HAROLD KRUEGER
EXEC OF CAH	45.00			$185,699	$0	$57,832			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,404,263	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,519,591	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,125,473	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
BECKENHAUER CONSTRUCTION INC
1901 RIVERSIDE BLVD	NORFOLK	NE	68701	CONSTRUCTION	$2,978,923
MCKESSON INFORMATION SYSTEMS
PO BOX 98347	CHICAGO	IL	606938347	SVC MTN & EQUIP	$2,345,190
SODEXO CTM INC
PO BOX 415000	NASHVILLE	TN	372415000	OUTSOURCE MGMT	$2,171,035
FOCUSONE SOLUTIONS LLC
PO BOX 3037	OMAHA	NE	68103	AGENCY STAFFING	$973,853
RADIOLOGY IMAGING OF NEBRASKA
10700 E GEDDES AVE	ENGLEWOOD	CO	80112	PROFESSIONAL	$967,611	STE 200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	129	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,294,352	RelatedOrganizationsAmt
All Other Contributions	$28,320	AllOtherContributionsAmt
Noncash Contributions	$27,000	NoncashContributionsAmt
Total Contributions	$5,322,672	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$172,414,922	$172,414,922
PHARMACY - IP & RETAIL	621910	$6,957,224	$6,957,224
RENTAL INCOME - AFFIL/OTHER	531120	$1,420,560	$1,420,560
MEDICAL AIR TRANSPORTATION	621300	$1,208,861	$1,208,861
CAH MGMT SERVICES	621990	$1,028,870	$1,028,870

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,808,925	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,005,273	RelatedOrExemptFuncIncomeAmt
Exclusion	$803,652	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$184,839,362	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,324,544	TotalRevenueColumnAmt
Exclusion	$1,324,544	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,325	TotalRevenueColumnAmt
Exclusion	$25,325	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$17,232	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,748	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$11,484	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,484	TotalRevenueColumnAmt
Exclusion	$11,484	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,058,000	SecuritiesAmt
Other	$4,900	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$491,343	SecuritiesAmt
Other	$11,560	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$566,657	SecuritiesAmt
Other	-$6,660	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$559,997	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$6,660	RelatedOrExemptFuncIncomeAmt
Exclusion	$566,657	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$87,843	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$84,189	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,654	TotalRevenueColumnAmt
Exclusion	$3,654	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REFERENCE LABORATORY	621500	$11,868,783	$11,868,783
MISCELLANEOUS FEES	900099	$1,117,852		$1,117,852
SERVICES TO PROVIDERS	900099	$701,847		$701,847

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,072,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,072,277	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,760,759	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,847,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,921,026	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,868,783	UnrelatedBusinessRevenueAmt
Exclusion	$2,735,316	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$22,959,200	TotalAmt
Program Services	$22,959,200	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,286	TotalAmt
Management And General	$6,286	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$387,378	TotalAmt
Program Services	$387,378	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,542,869	TotalAmt
Program Services	$48,022,820	ProgramServicesAmt
Management And General	$10,520,049	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,899,398	TotalAmt
Program Services	$1,567,820	ProgramServicesAmt
Management And General	$331,578	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,434,146	TotalAmt
Program Services	$13,788,868	ProgramServicesAmt
Management And General	$4,645,278	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,214,053	TotalAmt
Program Services	$3,466,839	ProgramServicesAmt
Management And General	$747,214	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$202,747	TotalAmt
Management And General	$202,747	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$50,425	TotalAmt
Management And General	$50,425	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,354,428	TotalAmt
Program Services	$17,937,146	ProgramServicesAmt
Management And General	$18,417,282	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,505,224	TotalAmt
Program Services	$999,237	ProgramServicesAmt
Management And General	$505,987	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,429,924	TotalAmt
Program Services	$1,611,465	ProgramServicesAmt
Management And General	$818,459	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$563,155	TotalAmt
Program Services	$356,716	ProgramServicesAmt
Management And General	$206,439	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$326,980	TotalAmt
Program Services	$275,251	ProgramServicesAmt
Management And General	$51,729	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,283,065	TotalAmt
Program Services	$1,875,499	ProgramServicesAmt
Management And General	$407,566	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,610,513	TotalAmt
Program Services	$5,215,628	ProgramServicesAmt
Management And General	$4,394,885	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,587,961	TotalAmt
Program Services	$889,145	ProgramServicesAmt
Management And General	$698,816	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$30,838,291	$30,305,293	$532,998
EQUIPMENT RENTAL & MAINT	$7,865,653	$3,499,116	$4,366,537
MISCELLANEOUS	$3,244,871	$1,248,035	$1,996,836
MINOR EQUIPMENT	$1,669,411	$1,000,024	$669,387

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,637,964	TotalAmt
Program Services	$1,142,391	ProgramServicesAmt
Management And General	$495,573	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$206,613,942	TotalAmt
Program Services	$156,547,871	ProgramServicesAmt
Management And General	$50,066,071	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Joint Costs	Yes (X)	JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$42,035	BOYAmt
EOY	$58,139	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,594,164	BOYAmt
EOY	$35,042,554	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,468,541	BOYAmt
EOY	$37,058,102	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,719,490	BOYAmt
EOY	$5,826,442	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,133,639	BOYAmt
EOY	$4,551,813	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$3,357,765	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$235,097,997	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$180,991,855	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$56,214,107	BOYAmt
EOY	$54,106,142	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$46,154,006	BOYAmt
EOY	$49,857,730	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,895,590	BOYAmt
EOY	$2,000,036	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$535,616	BOYAmt
EOY	$257,654	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,757,188	BOYAmt
EOY	$192,116,377	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,244,658	BOYAmt
EOY	$14,641,752	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$106,915	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,254,371	BOYAmt
EOY	$78,101,105	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$789,620	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,544,325	BOYAmt
EOY	$2,086,886	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,043,354	BOYAmt
EOY	$95,726,278	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,713,834	BOYAmt
EOY	$96,390,099	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,713,834	BOYAmt
EOY	$96,390,099	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$170,757,188	BOYAmt
EOY	$192,116,377	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$233,855	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,840,518	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$601,892	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$11,723	PoliticalExpendituresAmt
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART I-A, LINE 1	FormAndLineReferenceDesc
Explanation	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 POLITAL ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,546,780	BeginningYearBalanceAmt
Contributions	$153,000	ContributionsAmt
Investment Earnings Or Losses	$72,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$265,090	GrantsOrScholarshipsAmt
End Year Balance	$4,507,319	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,853,177	BeginningYearBalanceAmt
Contributions	$255,505	ContributionsAmt
Investment Earnings Or Losses	-$56,366	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$505,590	GrantsOrScholarshipsAmt
End Year Balance	$4,546,780	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,289,569	BeginningYearBalanceAmt
Contributions	$452,644	ContributionsAmt
Investment Earnings Or Losses	$179,311	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,068,347	GrantsOrScholarshipsAmt
End Year Balance	$4,853,177	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,278,727	BeginningYearBalanceAmt
Contributions	$32,105	ContributionsAmt
Investment Earnings Or Losses	$642,737	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$103,808	GrantsOrScholarshipsAmt
End Year Balance	$5,289,569	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,991,153	BeginningYearBalanceAmt
Contributions	$129,620	ContributionsAmt
Investment Earnings Or Losses	$76,042	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$126,105	GrantsOrScholarshipsAmt
End Year Balance	$2,278,727	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.36000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.64000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,739,184	OtherCostOrOtherBasisAmt
Book Value	$5,739,184	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,462,484	OtherCostOrOtherBasisAmt
Depreciation	$92,393,514	DepreciationAmt
Book Value	$30,068,970	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,839,946	OtherCostOrOtherBasisAmt
Depreciation	$88,598,341	DepreciationAmt
Book Value	$15,241,605	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,056,383	OtherCostOrOtherBasisAmt
Book Value	$3,056,383	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,106,142	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LTD MALPRACTICE RESERVE	$1,065,000
DUE TO 3RD PARTY PAYORS	$1,021,886

Field	Value	IRS element (for citing)
Total Liability	$2,086,886	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$209,290,207	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,840,518	NetUnrealizedGainsInvstAmt
Other Revenue	$601,892	OtherRevenueAmt
Revenue Not Reported	$2,442,410	RevenueNotReportedAmt
Revenue Subtotal	$206,847,797	RevenueSubtotalAmt
Total Revenue Per Form990	$206,847,797	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$206,613,942	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$206,613,942	ExpensesSubtotalAmt
Total Expenses Per Form990	$206,613,942	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	RESTRICTED FUNDS ARE HELD BY THE FOUNDATION. 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.
SCHEDULE D, PAGE 3, PART X	THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE 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 FINANCIAL ACCOUNTING STANDARDS BOARD (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, 2016 AND 2015, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	CHANGE IN FMV OF INTEREST RATE SWAP 601,892

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,673,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,673,053	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,279,291	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,279,291	NetCommunityBenefitExpnsAmt
Total Expense	0.05460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,952,344	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,952,344	NetCommunityBenefitExpnsAmt
Total Expense	0.07240	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,544	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$356,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,456,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,407,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,968,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,880	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,960,555	NetCommunityBenefitExpnsAmt
Total Expense	0.11600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$461,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$461,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,253,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,323	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,186,895	NetCommunityBenefitExpnsAmt
Total Expense	0.12670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,205,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,323	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,139,239	NetCommunityBenefitExpnsAmt
Total Expense	0.19910	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,181,237	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,181,237	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,994	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,994	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,225,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,225,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,434,305	BadDebtExpenseAmt
Reimbursed By Medicare	$41,457,075	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$76,248,223	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,791,148	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	69361	ZIPCd

Field	Value	IRS element (for citing)
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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.RWHS.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	RWHS.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	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	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	ADDED TO WEBSITE IN 2017	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	ADDED TO WEBSITE IN 2017	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	ADDED TO WEBSITE IN 2017	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, REGIONAL WEST MEDICAL CENTER - PART V, LINE 5	REGIONAL WEST MEDICAL CENTER PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2014 BY THE SCOTTS BLUFF COUNTY HEALTH DEPARTMENT (SBCHD) AND THE PANHANDLE PUBLIC HEALTH DEPARTMENT (PPHD). THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) NEEDS ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DEVELOPED FROM THIS COLLABORATION WAS THE PRIMARY TOOL USED BY THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN. THE PLAN OUTLINES HOW THE HOSPITAL WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. REGIONAL WEST HEALTH SERVICES, THE SOLE MEMBER OF RWMC, THEN BROUGHT A GROUP TOGETHER TO REVIEW THE MAPP AND CHIP REPORT AND COMPARED IT TO THE ALREADY ESTABLISHED COMMUNITY BENEFITS PROVIDED BY THE ORGANIZATION. THE REVIEW FOCUSED ON GAPS IN SERVICES AS WELL AS DUPLICATION OF SERVICES. AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE REGIONAL WEST HEALTH SERVICES BOARD.
FACILITY 1, REGIONAL WEST MEDICAL CENTER - PART V, 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 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 FOR THE IMPLEMENTATION STRATEGY WERE THOSE THE BOARD BELIEVED THAT THE HOSPITAL COULD MOST EFFECTIVELY ADDRESS WITH THE RESOURCES AVAILABLE.
FACILITY 1, REGIONAL WEST MEDICAL CENTER - PART V, LINE 13B	SEE OTHER CRITERIA USED IN EXPLANATION TO PART I, LINC 3C OF SCHEDULE H.
FACILITY 1, REGIONAL WEST MEDICAL CENTER - PART V, LINE 16J	RWMC DID NOT POST SPANISH-TRANSLATED VERSIONS OF ITS FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. THE FAILURE TO POST THESE THANSLATED DOCUMENTS ON RWMC'S WEBSITE WAS INADVERTENT, BUT RWMC BELIEVES INDIVIDUAL PATIENTS WERE NOT HARMED. THE ISSUES WERE DISCOVERED DURING AN AUDIT OF RWMC'S 501(R) PRACTICES. ALTHOUGH DISCOVERED DURING THE AUDIT, THE ISSUES WERE CORRECTED WHEN RWMC POSTED TRANSLATED DOCUMENTS ON ITS WEBSITE ON 10/31/17.

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	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 CONDSIDERED 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 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	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. SOME OF THE SPECIALTY CLINICS THAT RWPC IS ABLE TO PROVIDE BECAUSE OF THE SUBSIDIZATION INCLUDE: UROLOGY, WOMENS HEALTH, ORTHOPEDICS, SUGICAL VASCULAR DIAGNOSTICS, ENT SURGERY, NEROSURGERY, INTERNAL MEDICINE, DIABETES CARE, FAMILY MEDICINE IN SCOTTSBLUFF, MORRILL AND GERING, PSYCHIATRY AND BEHAVIORAL HEALTH, NEUROLOGY, REHAB MEDICINE, PAIN MANAGEMENT, AND PEDIATRICS.
PART II - COMMUNITY BUILDING ACTIVITIES	RWMC'S MAJOR COMMUNITY BUILDING ACTIVITIES INCLUDE DISASTER READINESS SUPPORT SYSTEM ENHANCEMENT FOR THE IMMEDIATE COMMUNITY AND SCOTTS BLUFF 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 MEDICALLY 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 2 - BAD DEBT EXPENSE METHODOLOGY	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 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 METHODOLGY AND COST TO CHARGE 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 III, LINE 8 - MEDICARE EXPLANATION	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 2016.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	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 - NEEDS ASSESSMENT	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 THE 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 DONE OF THE GRANTS OFFERRED 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 RWMC WITH MONTHLY CALLS ON REPORTABLE DISEASE SURVEILLANCE WHICH HELPS RWMC DIRECT EDUCATION PROGRAMS AND RESOURCES TOWARDS AREAS OF CONCERN.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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 OCCASIONALLY BY THIER 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 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 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. DISCLOSURE RELATED TO 501(R)PROCEDURES RWMC'S FINANCIAL ASSISTANCE POLICY, AS IT EXISTED PRIOR TO 10/26/17, (I)DID NOT SET FORTH THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE OR REFERENCE HOW MEMBERS OF THE PUBLIC COULD ACCESS SUCH INFORMATION, (II)DID NOT INCLUDE A LIST OF PROVIDERS WHO BOTH ARE AND ARE NOT SUBJECT TO THE POLICY OR REFERENCE HOW MEMBERS OF THE PUBLIC COULD ACCESS SUCH INFORMATION, AND (III)DID NOT REFERENCE HOW MEMBERS OF THE PUBLIC COULD OBTAIN RWMC'S BILLING AND COLLECTION POLICY. THE FAILURE TO INCLUDE THIS LANGUAGE IN THE POLICY WAS INADVERTENT, BUT RWMC BELIEVES INDIVIDUAL PATIENTS WERE NOT HARMED. THE ISSUES WERE DISCOVERED DURING AN AUDIT OF RWMC'S 501(R) PRACTICES. ALTHOUGH DISCOVERED DURING THE AUDIT, THE ISSUES WERE CORRECTED WHEN RWMC'S BOARD OF DIRECTORS ADOPTED ITS CURRENT FINANCIAL ASSISTANCE POLICY ON 10/26/17, AND THE MISSING DOCUMENTS WERE TRANSLATED AND ADDED TO RWMC'S WEBSITE ON OR BEFORE 10/31/17.
PART VI, LINE 4 - COMMUNITY INFORMATION	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 POPUATION, 30% IS ESTIMATED TO BE 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. 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	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST PHYSICIANS CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	363314159	RecipientEIN
IRC Section	3	IRCSectionDesc
Cash Grant	$22,959,200	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, 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)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY HOLLOWAY MD
BOARD MEMBER	$494,405	$211,987	$1,242	$10,600	$32,913	$751,147
MATTHEW BRUNER MD
BOARD MEMBER	$427,897	$126,377	$417	$10,600	$33,019	$598,310
DAVID HOLDT MD
BOARD MEMBER	$390,651		$18,189	$83,953	$29,555	$522,348
SHEILA WEBB-BOWLES
BOARD MEMBER	$397,509		$371	$46,163	$32,857	$476,900
TADD GREENFIELD
PRESIDENT	$213,570	$15,000	$17,470	$33,646	$17,125	$296,811
JOHN MENTGEN
CEO	$465,002		$55,291	$256,234	$33,549	$810,076
THOMAS DREDLA IV
CRNA							$212,975	$170	$11,100	$32,426	$256,671
JANET HANSON
CRNA							$204,741	$1,038	$10,461	$14,827	$231,067
RALPH PHELPS
CRNA							$204,375	$554	$11,048	$21,773	$237,750
CINDY BRAMAN
CRNA							$204,221	$236	$13,386	$32,600	$250,443
ANDREW REINER
CRNA							$197,524	$131	$8,136	$32,917	$238,708
MARK HARTMAN MD
BOARD MEMBER	$657,903		$1,242	$10,712	$26,338	$696,195
LISA SCHEPPERS
BOARD MEMBER	$413,437		$7,816	$77,275	$30,889	$529,417
TODD S SORENSEN
CEO	$104,213			$4,162		$108,375						$103,013
JON MORGAN MD
VP OF MEDICAL STAFF	$257,128	$1,890	$74	$9,332	$33,029	$301,453
SHIRLEY KNODEL
CHIEF OF NURSING							$177,567	$8,746			$186,313
LISA BEWLEY
VP OF IT	$116,671			$17,002	$828	$134,501
HAROLD KRUEGER
EXEC OF CAH							$184,708	$991	$33,029	$24,803	$243,531

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PAGE 1, PART I, LINE 4	FormAndLineReferenceDesc
Explanation	DAVID HOLDT MD 0 40,260 0 TADD GREENFIELD 0 31,842 0 MICHAEL ICKOWSKI 0 5,467 0 JOHN MENTGEN 0 156,205 0 LISA SCHEPPERS 0 29,250 0 JON MORGAN, MD 0 260 0 SHIRLEY KNODEL 177,567 0 0	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSP REVENUE BONDS SERIES 2016A
A	470676786	EMS810143	2016-11-30	$73,265,081	REFUNDING OF SERIES 2012A AND 2012B BOND ISSUANCES AND ADDITIONAL FUNDING	false	false	false
HOSP REVENUE BONDS SERIES 2016B
B	470676786		2016-11-30	$10,874,605	REFUNDING OF SERIES 2013 BONDS AND ADDITIONAL FUNDING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$73,265,081	$25,000,000	$47,281,039	$979,837	$4,205	Yes (true)	false	Yes (true)	Yes (true)
B	$10,874,605	$5,000,000	$5,828,605	$46,000		Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION	FormAndLineReferenceDesc
Explanation	HOSP REVENUE BONDS SERIES 2016A FOR CAPITAL IMPROVEMENTS HOSP REVENUE BONDS SERIES 2016B FOR CAPITAL IMPROVEMENTS	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHALOUPKA HOLYOKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$6,286	TransactionAmt
Transaction	LEGAL SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	TOM HOLYOKE: LEGAL SERVICES TO THE ORGANIZATION.	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$27,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	PURCHASE PRICE OF EQUIP	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	MANAGEMENT & WELLNESS, BEHAVIORAL HEALTH, AND END-OF-LIFE CARE. RWMC PROVIDED 42,364,470 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 77,155,617 OF COMMUNITY BENEFITS, INCLUDING THE MEDICARE SHORTFALL.
FORM 990, PAGE 2, PART III, LINE 4B	FOR THE COMMUNITY TO USE. THROUGH THE REHAB DEPARTMENT, PHYSICAL, OCCUPATIONAL, SPEECH, 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.
FORM 990, PAGE 2, PART III, LINE 4D	ALL 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 SCHOOLS. 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.
FORM 990, PAGE 6, PART VI, LINE 6	REGIONAL WEST HEALTH SERVICES IS THE SOLE MEMBER OF RWMC.
FORM 990, PAGE 6, PART VI, LINE 11B	FORM IS PRESENTED TO AND REVIEWED BY THE BOARD IN THE MONTH PRIOR TO THE FILING DEADLINE.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A	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, PAGE 6, PART VI, LINE 15B	SEE COMPENSATION PROCESS FOR CEO.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST, AS WELL AS ONLINE WITH THE NEBRASKA SECRETARY OF STATE.
FORM 990, PART IX, LINE 11G	MEDICAL PROFESSIONAL FEES 4,787,973 77,235 0 MEDICAL PROFESSIONAL FEES 1,735,390 0 0 MEDICAL PROFESSIONAL FEES 1,359,780 0 0 MEDICAL PROFESSIONAL FEES 474,674 0 0 OTHER PURCHASED SERVICES 1,494,050 18,340,047 0 OTHER PURCHASED SERVICES 4,959,763 0 0 OTHER PURCHASED SERVICES 192,265 0 0 OTHER PURCHASED SERVICES 2,933,251 0 0 TOTAL 17,937,146 18,417,282 0
FORM 990, PART XI, LINE 9	CHANGE IN FMV OF INTEREST RATE SWAP 601,892

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt
REGIONAL WEST HEALTH SERVICES
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314157	ADMIN SUPP	NE	501C3	12A	NA	false
REGIONAL WEST FOUNDATION
4021 AVENUE B	SCOTTSBLUFF	NE	69361	237171022	FDRAISING	NE	501C3	12A	RWHS	false	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST VILLAGE
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314162	ASSIS LIV	NE	501C3	10	RWHS	false	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST HEALTH SERVICES EMPLO
4021 AVENUE B	SCOTTSBLUFF	NE	69361	470658690	HEALTH PLA	NE	501C9		RWHS	false	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST GARDEN COUNTY
4021 AVENUE B	SCOTTSBLUFF	NE	69361	391904975	CAH		501C3	3	RWHS	false	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST PHYSICIANS CLINIC
4021 AVENUE B	SCOTTSBLUF	NE	69361	363314159	DR CLINICS		501C3	3	RWHS	false	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	SCOTTSBLUF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
EIN	470760050	EIN
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
REGIONAL WEST PHYSICIANS CLINIC
B	$22,959,200	CASH
REGIONAL WEST FOUNDATION
C	$202,917	CASH
REGIONAL WEST HEALTH SERVICES
C	$5,091,435	CASH
REGIONAL WEST FOUNDATION
A	$8,160	CASH
REGIONAL WEST PHYSICIAN CLINIC
A	$1,374,549	CASH
REGIONAL WEST FOUNDATION
Q	$102,279	CASH
REGIONAL WEST PHYSICIANS CLINIC
L	$836,027	CASH
REGIONAL WEST GARDEN COUNTY
L	$593,392	CASH
REGIONAL CARE INC
L	$563,068	CASH
REGIONAL WEST HEALTH SERVICES
M	$1,825,220	CASH
REGIONAL WEST VILLAGE
L	$89,495	CASH