REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201433219349303453
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T09:51:13-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470623143 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONTRYMAN ASSOCIATES PC CPA'S | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2246 | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID GRIFFITHS | PersonNm |
| Person Title | CFO & VP OF FINANCE | PersonTitleTxt |
| Phone | 3086353711 | PhoneNum |
| Signature | 2014-11-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAN W CHARRON CPA CMA | PreparerPersonNm |
| PTIN | P00036203 | PTIN |
| Phone | 3086357705 | PhoneNum |
| Preparation | 2014-11-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $202,087,199 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RWHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | PROVIDING MEDICAL CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1627 | TotalEmployeeCnt |
| Total Gross UBI | $15,732,813 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,227,895 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $116,066 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,471 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,370,656 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $163,500,003 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,835,296 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,536,133 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,160,117 | PYOtherRevenueAmt |
| CY Other Revenue | $26,597,670 | CYOtherRevenueAmt |
| PY Total Revenue | $193,482,135 | PYTotalRevenueAmt |
| CY Total Revenue | $194,648,277 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,199,994 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $85,380,479 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,250,357 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $94,029,262 | PYOtherExpensesAmt |
| CY Other Expenses | $89,692,674 | CYOtherExpensesAmt |
| PY Total Expenses | $195,609,735 | PYTotalExpensesAmt |
| CY Total Expenses | $171,943,031 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,127,600 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $22,705,246 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $152,667,143 | TotalAssetsBOYAmt |
| Total Assets EOY | $157,254,980 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,977,922 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $82,626,619 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $71,689,221 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $74,628,361 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING MEDICAL CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $132,137,139 | ExpenseAmt |
| Desc | REGIONAL WEST MEDICAL CENTER PROVIDED 32,363 DAYS OF INPATIENT CARE TO 7,648 PATIENTS AND REGISTERED APPROXIMATELY 52,046 OUTPATIENTS. REGIONAL WEST MEDICAL CENTER PROVIDED 20,648,459 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 47,056,6406 OF COMMUNITY BENEFITS INCLUDING THE MEDICARE SHORTFALL. | Desc |
| Total Program Service Expenses | $132,137,139 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | 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 | false | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | 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 | false | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1627 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | false | 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 | DAVID GRIFFITHS | PersonNm |
| Phone | 3086301111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 693614602 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| 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 | TitleTitleTxt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY HOLLOWAY MD | ||||||||||
| 1.00 | 40.00 | Yes (X) | $0 | $639,203 | $10,200 | |||||
| DAVID HOLDT MD | ||||||||||
| 1.00 | 40.00 | Yes (X) | $0 | $559,614 | $10,200 | |||||
| TODD S SORENSEN | ||||||||||
| 1.00 | 40.00 | Yes (X) | $0 | $516,124 | $64,979 | CEO | Yes (X) | |||
| JON MORGAN MD | ||||||||||
| 40.00 | Yes (X) | $381,923 | $16,558 | $10,200 | VP OF MEDICA | |||||
| LISA SCHEPPERS | ||||||||||
| 1.00 | 40.00 | Yes (X) | $0 | $393,526 | $14,125 | |||||
| MARK HARTMAN MD | ||||||||||
| 1.00 | Yes (X) | $53,580 | $0 | $0 | ||||||
| TOM HOLYOKE | ||||||||||
| 1.00 | Yes (X) | $16,156 | $0 | $0 | ||||||
| H HOD KOSMAN | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | CHAIRMAN | Yes (X) | ||||
| GLEN FORNEY MD | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| JANE HUNTER | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| JIM TRUMBULL | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| REV LAUREN EKDAHL | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| JIM DARNELL | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| MARK GILLAM | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| JULIE MARSHALL | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| DONALD GENTRY MD | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| DENNIS HADDEN | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| LEE GLENN | ||||||||||
| 1.00 | Yes (X) | $0 | $0 | $0 | ||||||
| DAVID GRIFFITHS | ||||||||||
| 1.00 | 40.00 | $0 | $255,460 | $38,699 | TREASURER | Yes (X) | ||||
| JENNIFER BROOKER | ||||||||||
| 1.00 | 40.00 | $0 | $46,314 | $6,318 | SECRETARY | Yes (X) | ||||
| SHIRLEY KNODEL | ||||||||||
| 40.00 | $213,234 | $0 | $25,503 | CHIEF OF NUR | Yes (X) | |||||
| JAN TAYLOR | ||||||||||
| 40.00 | $211,178 | $0 | $28,324 | VP OF ANCILL | Yes (X) | |||||
| THOMAS DREDLA IV | ||||||||||
| 40.00 | $222,644 | $0 | $14,633 | CRNA | Yes (X) | |||||
| THOMAS DREDLA III | ||||||||||
| 40.00 | $207,230 | $0 | $9,987 | CRNA | Yes (X) | |||||
| JANET HANSON | ||||||||||
| 40.00 | $202,033 | $0 | $13,925 | CRNA | Yes (X) | |||||
| CINDY BRAMAN | ||||||||||
| 40.00 | $201,808 | $0 | $16,015 | CRNA | Yes (X) | |||||
| STEVE HODGES | ||||||||||
| $0 | $182,180 | $22,727 | Yes (X) | |||||||
| LISA BEWLEY | ||||||||||
| $0 | $141,688 | $10,561 | Yes (X) | |||||||
| RALPH PHELPS | ||||||||||
| 40.00 | $195,266 | $0 | $24,585 | CRNA | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,905,052 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,750,667 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $320,981 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2 |
|---|---|---|---|---|---|---|
| MCKESSON INFORMATION SYSTEMS | ||||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | SVC MTN & EQUIP | $3,444,445 | |
| MAYO MEDICAL LABORATORIES | ||||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | REFERENCE LAB | $1,434,677 | |
| FOCUSONE SOLUTIONS LLC | ||||||
| PO BOX 3037 | OMAHA | NE | 68103 | AGENCY STAFFING | $832,899 | |
| O GRADY PEYTON | ||||||
| 4441 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | AGENCY STAFFING | $784,486 | |
| RADIOLOGY IMAGING OF NEBRASKA | ||||||
| 10700 E GEDDES AVE | ENGLEWOOD | CO | 80112 | PROFESSIONAL | $783,063 | STE 200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 61 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $14,471 | AllOtherContributionsAmt |
| Total Contributions | $14,471 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Total Revenue Column | $163,500,003 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,500,003 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $163,500,003 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,088,677 | TotalRevenueColumnAmt |
| Exclusion | $1,088,677 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,886,378 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,438,922 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,447,456 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,447,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,447,456 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| REFERENCE LABORATORY | 621500 | $11,028,409 | $11,028,409 | |
| ADMINISTRATIVE & MISC | $5,389,511 | $5,389,511 | ||
| PHARMACY SALES | 446110 | $4,704,404 | $4,704,404 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,475,346 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,316,134 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,159,212 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,597,670 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,648,277 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $168,263,593 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $15,732,813 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,637,400 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,336 | TotalAmt |
| Program Services | $806,336 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,266 | TotalAmt |
| Program Services | $195,266 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,412,312 | TotalAmt |
| Program Services | $49,034,310 | ProgramServicesAmt |
| Management And General | $11,378,002 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,502 | TotalAmt |
| Program Services | $1,131,836 | ProgramServicesAmt |
| Management And General | $256,666 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,170,230 | TotalAmt |
| Program Services | $11,027,408 | ProgramServicesAmt |
| Management And General | $4,142,822 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,277,711 | TotalAmt |
| Program Services | $3,494,027 | ProgramServicesAmt |
| Management And General | $783,684 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,973 | TotalAmt |
| Management And General | $89,973 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,459 | TotalAmt |
| Management And General | $63,459 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,984,142 | TotalAmt |
| Program Services | $7,819,572 | ProgramServicesAmt |
| Management And General | $164,570 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,286,173 | TotalAmt |
| Program Services | $846,306 | ProgramServicesAmt |
| Management And General | $439,867 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,005,307 | TotalAmt |
| Program Services | $1,404,576 | ProgramServicesAmt |
| Management And General | $600,731 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,458 | TotalAmt |
| Program Services | $279,365 | ProgramServicesAmt |
| Management And General | $250,093 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,510 | TotalAmt |
| Program Services | $276,036 | ProgramServicesAmt |
| Management And General | $65,474 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,513,093 | TotalAmt |
| Program Services | $2,051,292 | ProgramServicesAmt |
| Management And General | $461,801 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,531,628 | TotalAmt |
| Program Services | $7,550,156 | ProgramServicesAmt |
| Management And General | $3,981,472 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,129,846 | TotalAmt |
| Program Services | $757,509 | ProgramServicesAmt |
| Management And General | $372,337 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $30,978,085 | $30,531,213 | $446,872 |
| OTHER PURCHASED SERVICES | $18,692,429 | $8,422,175 | $10,270,254 |
| EQUIPMENT RENTAL & MAINT | $7,499,703 | $4,162,317 | $3,337,386 |
| MISCELLANEOUS | $2,874,686 | $1,008,732 | $1,865,954 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,182 | TotalAmt |
| Program Services | $1,338,707 | ProgramServicesAmt |
| Management And General | $834,475 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,943,031 | TotalAmt |
| Program Services | $132,137,139 | ProgramServicesAmt |
| Management And General | $39,805,892 | 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 | -$2,844 | BOYAmt |
| EOY | $8,187 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,016,224 | BOYAmt |
| EOY | $13,395,244 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,022,692 | BOYAmt |
| EOY | $30,376,794 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $614,592 | BOYAmt |
| EOY | $2,248,475 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,857,035 | BOYAmt |
| EOY | $4,926,462 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,158,154 | BOYAmt |
| EOY | $5,282,372 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $198,595,442 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $142,913,654 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,848,883 | BOYAmt |
| EOY | $55,681,788 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,568,511 | BOYAmt |
| EOY | $41,825,062 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $40,935 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,583,896 | BOYAmt |
| EOY | $3,469,661 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,667,143 | BOYAmt |
| EOY | $157,254,980 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,268,369 | BOYAmt |
| EOY | $18,410,081 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,447,052 | BOYAmt |
| EOY | $58,630,541 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,721,190 | BOYAmt |
| EOY | $485,882 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,541,311 | BOYAmt |
| EOY | $5,100,115 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,977,922 | BOYAmt |
| EOY | $82,626,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,689,221 | BOYAmt |
| EOY | $74,628,361 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,689,221 | BOYAmt |
| EOY | $74,628,361 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,667,143 | BOYAmt |
| EOY | $157,254,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $22,705,246 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,840,771 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$21,606,877 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,522,831 | OtherCostOrOtherBasisAmt |
| Book Value | $3,522,831 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $193,467,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $142,913,654 | DepreciationAmt |
| Book Value | $50,553,828 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,605,129 | OtherCostOrOtherBasisAmt |
| Book Value | $1,605,129 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $55,681,788 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MARKET VALUE OF INTEREST RATE SWAP | $3,834,097 |
| DUE TO 3RD PARTY PAYORS | $1,266,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,100,115 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $199,285,443 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,840,771 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,796,395 | OtherRevenueAmt |
| Revenue Not Reported | $4,637,166 | RevenueNotReportedAmt |
| Revenue Subtotal | $194,648,277 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $194,648,277 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $175,558,610 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,615,579 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,615,579 | ExpensesNotReportedAmt |
| Expenses Subtotal | $171,943,031 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $171,943,031 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN FMV OF INT RATE SWAP 2,707,214 CHANGE IN NET PERIODIC PENSION COST 0 BANK CHARGES RECLASSIFIED ON RETURN 0 TRANSFER FROM FOUNDATION 89,181 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | FRIENDS OF REGIONAL WEST 0 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | CHANGE IN NET PERIODIC PENSION EXPENSE 3,615,579 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BANK CHARGES RECLASSIFIED ON RETURN 0 |
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 | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,479,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,479,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,432,628 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,432,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,912,178 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,912,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09250 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $396,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $355,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,679,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,633,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,709,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,300 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,704,775 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07970 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $366,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $366,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,151,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,059,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,063,312 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,972,104 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18590 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,462,796 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,462,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,462,796 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,462,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,547,920 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $39,230,565 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $67,481,631 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$28,251,066 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.RWHS.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, REGIONAL WEST MEDICAL CENTER - PART V, LINE 3 | REGIONAL WEST MEDICAL CENTER PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2011 AND EARLY 2012 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 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 20D | UNINSURED DISCOUNT POLICY THIS POLICY APPLIES TO ANY PATIENT WHO DOES NOT HAVE HEALTH INSURANCE OR THIRD PARTY PAYER COVERAGE TO ASSIST IN THE PAYMENT FOR HEALTHCARE SERVICES. THE UNINSURED DISCOUNT APPLIES ONLY TO MEDICALLY NECESSARY SERVICES. IT IS NOT AVAILABLE FOR COSMETIC SERVICES, SERVICES DEEMED NOT MEDICALLY NECESSARY, OR FOR PATIENT RESPONSIBILITY THAT REMAINS AFTER INSURANCE PROCESSING. IF IT IS DETERMINED THAT A PATIENT HAS INSURANCE COVERAGE AFTER THE UNINSURED DISCOUNT HAS BEEN PROVIDED, THE DISCOUNT WILL BE REVERSED AND INSURANCE WILL BE BILLED AT FULL CHARGES.THE UNINSURED DISCOUNT RATE APPLIED TO ALL ACCOUNTS UPON TIME OF FINAL BILL IS 45%. PATIENTS MAY QUALIFY FOR AN ADDITIONAL 5% REDUCTION IF THE ACCOUNT IS PAID IN FULL WITHIN 30 DAYS. PATIENTS WHO QUALIFY FOR THE UNINSURED DISCOUNT AND ARE ALSO ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE DISCOUNTS WILL RECEIVE THE HIGHEST DISCOUNT FOR WHICH THEY ARE QUALIFIED, BUT NOT BOTH. |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. A SUMMARY OF THE RWPC CLINICS SUBSIDIZED BY RWMC AND THE DOLLARS USED TO SUPPORT THE PATIENT CARE PROVIDED BY THESE CLINICS ARE AS FOLLOWS: UROLOGY 413,000 WOMENS CENTER 833,000 ORTHOPEDICS 1,614,000 SURGICAL VASCULAR DIAGNOSTICS 337,000 EAR, NOSE & THROAT HEAD & NECK SURGERY 384,000 NEUROSURGERY 1,247,000 CARDIOLOGY 128,000 PLASTIC SURGERY 503,000 INTERNAL MEDICINE 1,950,000 DIABETES CARE CENTER 359,000 FAMILY MEDICINE SCOTTSBLUFF 327,000 FAMILY MEDICINE GERING 618,000 FAMILY MEDICINE MORRILL 73,000 FAMILY MEDICINE MITCHELL 7,000 PEDIATRICS 331,000 PSYCHIATRY & BEHAVIORAL HEALTH 856,000 NEUROLOGY 602,000 REHABILITATION MEDICINE 623,000 PAIN MANAGEMENT 795,000 |
| 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 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 THE NET PATIENT SERVICES 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 2011. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | THE COLLECTION POLICY OF RWMC, AND THE RELATED CHARITY CARE POLICY, STATES THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE SERVICES CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR 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. |
| 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| 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 (15 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | TitleTitleTxt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY HOLLOWAY MD | |||||||||||||
| $497,370 | $141,023 | $810 | $10,200 | $28,430 | $649,403 | ||||||||
| DAVID HOLDT MD | |||||||||||||
| $535,004 | $21,691 | $2,919 | $10,200 | $22,452 | $569,814 | ||||||||
| TODD S SORENSEN | |||||||||||||
| $502,745 | $13,379 | $64,979 | $17,923 | $581,103 | CEO | $61,620 | |||||||
| JON MORGAN MD | |||||||||||||
| $16,558 | $673 | $981 | $17,231 | VP OF MEDICAL STAFF | $381,262 | $661 | $9,527 | $23,421 | $391,450 | ||||
| LISA SCHEPPERS | |||||||||||||
| $382,627 | $9,100 | $1,799 | $14,125 | $28,218 | $407,651 | ||||||||
| DAVID GRIFFITHS | |||||||||||||
| $246,352 | $9,108 | $38,699 | $23,518 | $294,159 | TREASURER | $4,881 | |||||||
| SHIRLEY KNODEL | |||||||||||||
| CHIEF OF NURSING | $203,678 | $9,556 | $25,503 | $13,124 | $238,737 | ||||||||
| JAN TAYLOR | |||||||||||||
| VP OF ANCILL | $200,528 | $10,650 | $28,324 | $23,099 | $239,502 | $33,869 | |||||||
| THOMAS DREDLA IV | |||||||||||||
| CRNA | $221,489 | $1,155 | $14,633 | $25,282 | $237,277 | ||||||||
| THOMAS DREDLA III | |||||||||||||
| CRNA | $206,192 | $1,038 | $9,987 | $23,332 | $217,217 | ||||||||
| JANET HANSON | |||||||||||||
| CRNA | $201,357 | $676 | $13,925 | $20,525 | $215,958 | ||||||||
| CINDY BRAMAN | |||||||||||||
| CRNA | $201,651 | $157 | $16,015 | $25,663 | $217,823 | ||||||||
| STEVE HODGES | |||||||||||||
| $173,382 | $8,798 | $22,727 | $21,025 | $204,907 | $19,599 | ||||||||
| LISA BEWLEY | |||||||||||||
| $141,688 | $10,561 | $560 | $152,249 | ||||||||||
| RALPH PHELPS | |||||||||||||
| CRNA | $194,012 | $1,254 | $24,585 | $25,281 | $219,851 | ||||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | TODD S SORENSEN 0 174,023 0 DAVID GRIFFITHS 0 26,014 0 SHIRLEY KNODEL 0 23,381 0 JAN TAYLOR 0 23,194 0 STEVE HODGES 0 20,017 0 LISA BEWLEY 0 7,892 0 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2 | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY NO 1 OF SB CO NE | ||||||
| A | SERIES 2012 A REVENUE BONDS | 2012-02-23 | $23,161,032 | false | false | false |
| HOSPITAL AUTHORITY NO 1 SB CO NE | ||||||
| B | SERIES 2012B REVENUE BOND | 2012-04-25 | $32,544,735 | false | false | false |
| HOSPITAL AUTHORITY NO 1 SERIES 2013 | ||||||
| C | 2013-09-27 | $6,000,000 | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|
| A | Yes (true) | Yes (true) | Yes (true) | false |
| B | Yes (true) | Yes (true) | Yes (true) | false |
| C | false | false | false | false |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false |
| C | false | false | false | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | Yes (true) | false | false | false | false |
| C | false | false | false | false | false | false | false | false | false |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|
| CHALOUPKA HOLYOKE HOFMEISTER | ||
| DIRECTOR | LEGAL SERVICES | false |
| REGIONAL RADIATION ONCOLOGY CARE | ||
| DIRECTOR | MEDICAL DIRECTOR | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 THROUGH POSTING ON THE ORGANIZATION'S WEBSITE. |
| FORM 990, PART XI, LINE 9 | CHANGE IN FMV OF INT RATE SWAP 2,707,214 CHANGE IN NET PERIODIC PENSION COST 0 BANK CHARGES RECLASSIFIED ON RETURN 0 TRANSFER FROM FOUNDATION 89,181 FRIENDS OF REGIONAL WEST 0 CHANGE IN NET PERIODIC PENSION EXPENSE -3,615,579 BANK CHARGES RECLASSIFIED ON RETURN 0 |
| FORM 990, PART XI, LINE 9 | TRANSFER FROM PANHANDLE HEALTH PROPERTIES 2,393,372 TRANSFER FROM FOUNDATION 236,162 TRANSFER TO PANHANDLE HEALTH PROPERTIES 6,389,807 TRANSFER TO RWPC 16,900,004 TRANSFER TO FOUNDATION 127,416 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL WEST HEALTH SERVICES | ||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314157 | HEALTH SVC | NE | 501C3 | 11A | N/A | false |
| REGIONAL WEST FOUNDATION | ||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 237171022 | SUPPORT | NE | 501C3 | 11A | N/A | false |
| REGIONAL WEST VILLAGE | ||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314162 | ASSIS LIV | NE | 501C3 | 9 | N/A | false |
| PANHANDLE HEALTH PROPERTIES | ||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 363314161 | MED RENTAL | NE | 501C2 | N/A | false | |
| REGIONAL WEST HEALTH SERVICES EMPLO | ||||||||||
| 4021 AVENUE B | SCOTTSBLUFF | NE | 69361 | 470658690 | HEALTH PLA | NE | 501C9 | N/A | false | |
| PRAIRIE HAVEN HOSPICE | ||||||||||
| 4021 AVENUE B | SCOTTSBLUF | NE | 69361 | 391904975 | 501C3 | 3 | N/A | false | ||
| REGIONAL WEST PHYSICIANS CLINIC | ||||||||||
| 4021 AVENUE B | SCOTTSBLUF | NE | 69361 | 363314159 | 501C3 | 3 | N/A | false | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CARE INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
| 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 | false | 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 | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PANHANDLE HEALTH PROPERTIES | ||
| B | $3,996,435 | CASH |
| PANHANDLE HEALTH PROPERTIES | ||
| H | $2,393,372 | NET BOOK VALUE |
| REGIONAL WEST PHYSICIANS CLINIC | ||
| B | $16,900,004 | CASH |
| REGIONAL WEST FOUNDATION | ||
| C | $197,927 | CASH |
| PANHANDLE HEALTH PROPERTIES | ||
| K | $671,776 | CASH |