2017-11-15T13:37:32-07:00 2016-12-31 363314157 REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 693614602 990 2016-01-01 470385129 REGIONAL WEST MEDICAL CNTR REGI 3086353711 4021 AVENUE B SCOTTSBLUFF NE 693614602 MICHAEL ICKOWSKI CFO 3086353711 2017-11-15 AMY HOLZWORTH CPA P00284207 3086302823 2017-11-15 6942DBE293EE23EAAFB65441E4C497608E5EF7E2 B2BB5585633D9CEC42876CC1229D0C6C419A2363 2016 2021-01-29 14:40:06Z JOHN MENTGEN 4021 AVE B SCOTTSBLUFF NE 69361 207440637 false X WWW.RWHS.ORG X 1941 NE 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. 15 9 1579 9 11868783 -821014 5219 5322672 168581721 184839362 1218075 1884541 27242609 14801222 197047624 206847797 22959200 0 80874220 83484130 0 0 91148051 100170612 172022271 206613942 25025353 233855 170757188 192116377 77043354 95726278 93713834 96390099 X NONE false false 79952460 22959200 76396539 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. 51838648 110346714 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. 3527032 -915326 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. 21229731 10310649 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. 21229731 10310649 156547871 true true true false false false false false false true true false false false true true true true false false false false false false false false true true true false true true false false false false false false false true false true true false false false false true true true false false true 108 0 1579 true true true false false false false false false false false false X 15 9 false false false false true false false true true false false true true true true true true true true false X MICHAEL ICKOWSKI 3086301111 4021 AVENUE B SCOTTSBLUFF NE 693614602 JEFFREY HOLLOWAY MD BOARD MEMBER 0.50 45.00 X 0 707634 43513 MATTHEW BRUNER MD BOARD MEMBER 0.50 45.00 X 0 554691 43619 DAVID HOLDT MD BOARD MEMBER 0.50 45.00 X 0 408840 113508 SHEILA WEBB-BOWLES BOARD MEMBER 0.50 45.00 X 0 397880 79020 TADD GREENFIELD PRESIDENT 0.50 45.00 X X 0 246040 50771 MICHAEL ICKOWSKI CFO 0.50 45.00 X X 0 52526 11802 TOM HOLYOKE BOARD MEMBER 0.50 X 6286 0 0 H HOD KOSMAN BOARD MEMBER 0.50 X 0 0 0 JIM TRUMBULL CHAIRMAN 0.50 X 0 0 0 REV LAUREN EKDAHL BOARD MEMBER 0.50 X 0 0 0 JIM DARNELL BOARD MEMBER 0.50 X 0 0 0 MARK GILLAM BOARD MEMBER 0.50 X 0 0 0 JULIE MARSHALL BOARD MEMBER 0.50 X 0 0 0 DONALD GENTRY MD BOARD MEMBER 0.50 X 0 0 0 DENNIS HADDEN BOARD MEMBER 0.50 X 0 0 0 LEE GLENN BOARD MEMBER 0.50 X 0 0 0 JOHN MENTGEN CEO 0.50 45.00 X 0 520293 289783 JENNIFER BROOKER SECRETARY 40.00 X 0 71313 37384 THOMAS DREDLA IV CRNA 45.00 X 213145 0 43526 JANET HANSON CRNA 45.00 X 205779 0 25288 RALPH PHELPS CRNA 45.00 X 204929 0 32821 CINDY BRAMAN CRNA 45.00 X 204457 0 45986 ANDREW REINER CRNA 45.00 X 197655 0 41053 MARK HARTMAN MD BOARD MEMBER 45.00 X 0 659145 37050 LISA SCHEPPERS BOARD MEMBER 45.00 X 0 421253 108164 TODD S SORENSEN CEO X 0 104213 4162 JON MORGAN MD VP OF MEDICA 45.00 X 0 259092 42361 SHIRLEY KNODEL CHIEF OF NUR X 186313 0 0 LISA BEWLEY VP OF IT 45.00 X 0 116671 17830 HAROLD KRUEGER EXEC OF CAH 45.00 X 185699 0 57832 1404263 4519591 1125473 7 true true false BECKENHAUER CONSTRUCTION INC 1901 RIVERSIDE BLVD NORFOLK NE 68701 CONSTRUCTION 2978923 MCKESSON INFORMATION SYSTEMS PO BOX 98347 CHICAGO IL 606938347 SVC MTN & EQUIP 2345190 SODEXO CTM INC PO BOX 415000 NASHVILLE TN 372415000 OUTSOURCE MGMT 2171035 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 68103 AGENCY STAFFING 973853 RADIOLOGY IMAGING OF NEBRASKA 10700 E GEDDES AVE STE 200 ENGLEWOOD CO 80112 PROFESSIONAL 967611 129 5294352 28320 27000 5322672 NET PATIENT SERVICE REVENUE 621300 172414922 172414922 PHARMACY - IP & RETAIL 621910 6957224 6957224 RENTAL INCOME - AFFIL/OTHER 531120 1420560 1420560 MEDICAL AIR TRANSPORTATION 621300 1208861 1208861 CAH MGMT SERVICES 621990 1028870 1028870 1808925 1005273 803652 184839362 1324544 1324544 25325 25325 17232 5748 11484 11484 11484 1058000 4900 491343 11560 566657 -6660 559997 -6660 566657 87843 84189 3654 3654 REFERENCE LABORATORY 621500 11868783 11868783 MISCELLANEOUS FEES 900099 1117852 1117852 SERVICES TO PROVIDERS 900099 701847 701847 1072277 1072277 14760759 206847797 186921026 11868783 2735316 X 22959200 22959200 6286 6286 387378 387378 58542869 48022820 10520049 1899398 1567820 331578 18434146 13788868 4645278 4214053 3466839 747214 202747 202747 50425 50425 36354428 17937146 18417282 1505224 999237 505987 2429924 1611465 818459 563155 356716 206439 326980 275251 51729 2283065 1875499 407566 9610513 5215628 4394885 1587961 889145 698816 SUPPLIES 30838291 30305293 532998 EQUIPMENT RENTAL & MAINT 7865653 3499116 4366537 MISCELLANEOUS 3244871 1248035 1996836 MINOR EQUIPMENT 1669411 1000024 669387 1637964 1142391 495573 206613942 156547871 50066071 0 X 42035 58139 20594164 35042554 31468541 37058102 8719490 5826442 5133639 4551813 3357765 235097997 180991855 56214107 54106142 46154006 49857730 1895590 2000036 535616 257654 170757188 192116377 16244658 14641752 106915 55254371 78101105 789620 5544325 2086886 77043354 95726278 X 93713834 96390099 93713834 96390099 170757188 192116377 233855 1840518 601892 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11723 false false SCHEDULE C, PART I-A, LINE 1 RWMC IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA)AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). A PORTION OF THE ANNUAL DUES PAID TO THESE ASSOCIATIONS ARE USED FOR LOBBYING AND POLITAL ACTIVITIES. 4546780 153000 72629 265090 4507319 4853177 255505 -56366 505590 4546780 5289569 452644 179311 1068347 4853177 2278727 32105 642737 103808 5289569 1991153 129620 76042 126105 2278727 0.36000 0.64000 false true true 5739184 5739184 122462484 92393514 30068970 103839946 88598341 15241605 3056383 3056383 54106142 LTD MALPRACTICE RESERVE 1065000 DUE TO 3RD PARTY PAYORS 1021886 2086886 X 209290207 1840518 601892 2442410 206847797 206847797 206613942 206613942 206613942 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 true true true X true X true true true false false 3673053 3673053 0.01780 11279291 11279291 0.05460 14952344 14952344 0.07240 366544 10000 356544 0.00170 1456393 48443 1407950 0.00680 23968435 7880 23960555 0.11600 461846 461846 0.00220 26253218 66323 26186895 0.12670 41205562 66323 41139239 0.19910 1181237 1181237 0.00570 43994 43994 0.00020 1225231 1225231 0.00590 true 2434305 41457075 76248223 -34791148 X true true 1 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 X X X X REGIONAL WEST MEDICAL CENTER 1 false false true X X X X X X X X 15 true false false true X WWW.RWHS.ORG X true 15 true RWHS.ORG false false true X 100.000000000000 250.000000000000 false true X X X true X ADDED TO WEBSITE IN 2017 X ADDED TO WEBSITE IN 2017 X ADDED TO WEBSITE IN 2017 X X X X X X X true X false X X X true X false false 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. 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. false REGIONAL WEST PHYSICIANS CLINIC 4021 AVE B SCOTTSBLUFF NE 69361 363314159 3 22959200 SCHEDULE I, PAGE 1, PART I, LINE 2 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. X true true X X X X true true false false false false false false false JEFFREY HOLLOWAY MD BOARD MEMBER 494405 211987 1242 10600 32913 751147 MATTHEW BRUNER MD BOARD MEMBER 427897 126377 417 10600 33019 598310 DAVID HOLDT MD BOARD MEMBER 390651 18189 83953 29555 522348 SHEILA WEBB-BOWLES BOARD MEMBER 397509 371 46163 32857 476900 TADD GREENFIELD PRESIDENT 213570 15000 17470 33646 17125 296811 JOHN MENTGEN CEO 465002 55291 256234 33549 810076 THOMAS DREDLA IV CRNA 212975 170 11100 32426 256671 JANET HANSON CRNA 204741 1038 10461 14827 231067 RALPH PHELPS CRNA 204375 554 11048 21773 237750 CINDY BRAMAN CRNA 204221 236 13386 32600 250443 ANDREW REINER CRNA 197524 131 8136 32917 238708 MARK HARTMAN MD BOARD MEMBER 657903 1242 10712 26338 696195 LISA SCHEPPERS BOARD MEMBER 413437 7816 77275 30889 529417 TODD S SORENSEN CEO 104213 4162 108375 103013 JON MORGAN MD VP OF MEDICAL STAFF 257128 1890 74 9332 33029 301453 SHIRLEY KNODEL CHIEF OF NURSING 177567 8746 186313 LISA BEWLEY VP OF IT 116671 17002 828 134501 HAROLD KRUEGER EXEC OF CAH 184708 991 33029 24803 243531 SCHEDULE J, PAGE 1, PART I, LINE 4 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 A HOSP REVENUE BONDS SERIES 2016A 470676786 EMS810143 2016-11-30 73265081 REFUNDING OF SERIES 2012A AND 2012B BOND ISSUANCES AND ADDITIONAL FUNDING false false false B HOSP REVENUE BONDS SERIES 2016B 470676786 2016-11-30 10874605 REFUNDING OF SERIES 2013 BONDS AND ADDITIONAL FUNDING false false false A 73265081 25000000 47281039 979837 4205 true false true true B 10874605 5000000 5828605 46000 true true true true A false false false false false false true B false false false false false false true A false false false false false false false false true B false false false false false false false false true A false B false SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION HOSP REVENUE BONDS SERIES 2016A FOR CAPITAL IMPROVEMENTS HOSP REVENUE BONDS SERIES 2016B FOR CAPITAL IMPROVEMENTS CHALOUPKA HOLYOKE BOARD MEMBER 6286 LEGAL SERVICES false SCHEDULE L, PART V TOM HOLYOKE: LEGAL SERVICES TO THE ORGANIZATION. X 1 27000 PURCHASE PRICE OF EQUIP false false false 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 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 REGIONAL WEST HEALTH SERVICES false REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 ASSIS LIV NE 501C3 10 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST HEALTH SERVICES EMPLO 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLA NE 501C9 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CAH 501C3 3 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUF NE 69361 363314159 DR CLINICS 501C3 3 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUF NE 69361 470760050 N/A false true true true false false false false false false false false true true false false false true false false REGIONAL WEST PHYSICIANS CLINIC B 22959200 CASH REGIONAL WEST FOUNDATION C 202917 CASH REGIONAL WEST HEALTH SERVICES C 5091435 CASH REGIONAL WEST FOUNDATION A 8160 CASH REGIONAL WEST PHYSICIAN CLINIC A 1374549 CASH REGIONAL WEST FOUNDATION Q 102279 CASH REGIONAL WEST PHYSICIANS CLINIC L 836027 CASH REGIONAL WEST GARDEN COUNTY L 593392 CASH REGIONAL CARE INC L 563068 CASH REGIONAL WEST HEALTH SERVICES M 1825220 CASH REGIONAL WEST VILLAGE L 89495 CASH