2014-11-17T09:51:13-06:00 2013-12-31 470623143 CONTRYMAN ASSOCIATES PC CPA'S PO BOX 2246 SCOTTSBLUFF NE 69363 990 2013-01-01 470385129 REGIONAL WEST MEDICAL CNTR REGI 3086353711 4021 AVENUE B SCOTTSBLUFF NE 69361 DAVID GRIFFITHS CFO & VP OF FINANCE 3086353711 2014-11-15 DAN W CHARRON CPA CMA P00036203 3086357705 2014-11-17 2013 2015-11-30 17:44:51Z 202087199 false X WWW.RWHS.ORG X PROVIDING MEDICAL CARE 17 11 1627 15732813 -1227895 116066 14471 163370656 163500003 4835296 4536133 25160117 26597670 193482135 194648277 16199994 0 0 85380479 82250357 0 0 94029262 89692674 195609735 171943031 -2127600 22705246 152667143 157254980 80977922 82626619 71689221 74628361 PROVIDING MEDICAL CARE false false 132137139 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. 132137139 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true true false false false false false false false true false true false false false false false true false false false true 90 0 1627 true true true false false false false false false false false false false false X 17 11 false false false false false false false true true false false true true true true true true true true false X DAVID GRIFFITHS 3086301111 4021 AVENUE B SCOTTSBLUFF NE 693614602 JEFFREY HOLLOWAY MD 1.00 40.00 X 0 639203 10200 DAVID HOLDT MD 1.00 40.00 X 0 559614 10200 TODD S SORENSEN CEO 1.00 40.00 X X 0 516124 64979 JON MORGAN MD VP OF MEDICA 40.00 X 381923 16558 10200 LISA SCHEPPERS 1.00 40.00 X 0 393526 14125 MARK HARTMAN MD 1.00 X 53580 0 0 TOM HOLYOKE 1.00 X 16156 0 0 H HOD KOSMAN CHAIRMAN 1.00 X X 0 0 0 GLEN FORNEY MD 1.00 X 0 0 0 JANE HUNTER 1.00 X 0 0 0 JIM TRUMBULL 1.00 X 0 0 0 REV LAUREN EKDAHL 1.00 X 0 0 0 JIM DARNELL 1.00 X 0 0 0 MARK GILLAM 1.00 X 0 0 0 JULIE MARSHALL 1.00 X 0 0 0 DONALD GENTRY MD 1.00 X 0 0 0 DENNIS HADDEN 1.00 X 0 0 0 LEE GLENN 1.00 X 0 0 0 DAVID GRIFFITHS TREASURER 1.00 40.00 X 0 255460 38699 JENNIFER BROOKER SECRETARY 1.00 40.00 X 0 46314 6318 SHIRLEY KNODEL CHIEF OF NUR 40.00 X 213234 0 25503 JAN TAYLOR VP OF ANCILL 40.00 X 211178 0 28324 THOMAS DREDLA IV CRNA 40.00 X 222644 0 14633 THOMAS DREDLA III CRNA 40.00 X 207230 0 9987 JANET HANSON CRNA 40.00 X 202033 0 13925 CINDY BRAMAN CRNA 40.00 X 201808 0 16015 STEVE HODGES X 0 182180 22727 LISA BEWLEY X 0 141688 10561 RALPH PHELPS CRNA 40.00 X 195266 0 24585 1905052 2750667 320981 8 true true false MCKESSON INFORMATION SYSTEMS PO BOX 98347 CHICAGO IL 606938347 SVC MTN & EQUIP 3444445 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 REFERENCE LAB 1434677 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 68103 AGENCY STAFFING 832899 O GRADY PEYTON 4441 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 AGENCY STAFFING 784486 RADIOLOGY IMAGING OF NEBRASKA 10700 E GEDDES AVE STE 200 ENGLEWOOD CO 80112 PROFESSIONAL 783063 61 14471 14471 NET PATIENT SERVICE REVENUE 163500003 163500003 163500003 1088677 1088677 10886378 7438922 3447456 3447456 3447456 REFERENCE LABORATORY 621500 11028409 11028409 ADMINISTRATIVE & MISC 5389511 5389511 PHARMACY SALES 446110 4704404 4704404 5475346 1316134 4159212 26597670 194648277 168263593 15732813 10637400 806336 806336 195266 195266 60412312 49034310 11378002 1388502 1131836 256666 15170230 11027408 4142822 4277711 3494027 783684 89973 89973 63459 63459 7984142 7819572 164570 1286173 846306 439867 2005307 1404576 600731 529458 279365 250093 341510 276036 65474 2513093 2051292 461801 11531628 7550156 3981472 1129846 757509 372337 SUPPLIES 30978085 30531213 446872 OTHER PURCHASED SERVICES 18692429 8422175 10270254 EQUIPMENT RENTAL & MAINT 7499703 4162317 3337386 MISCELLANEOUS 2874686 1008732 1865954 2173182 1338707 834475 171943031 132137139 39805892 0 X -2844 8187 7016224 13395244 30022692 30376794 614592 2248475 4857035 4926462 5158154 5282372 198595442 142913654 57848883 55681788 45568511 41825062 40935 1583896 3469661 152667143 157254980 18268369 18410081 54447052 58630541 1721190 485882 6541311 5100115 80977922 82626619 X 71689221 74628361 71689221 74628361 152667143 157254980 22705246 1840771 -21606877 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3522831 3522831 193467482 142913654 50553828 1605129 1605129 55681788 MARKET VALUE OF INTEREST RATE SWAP 3834097 DUE TO 3RD PARTY PAYORS 1266018 5100115 199285443 1840771 2796395 4637166 194648277 194648277 175558610 3615579 3615579 171943031 171943031 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 true true true X true X true true true false true true 5479550 5479550 0.03190 10432628 10432628 0.06070 15912178 15912178 0.09250 396692 40908 355784 0.00210 1679283 46000 1633283 0.00950 13709075 4300 13704775 0.07970 366084 366084 0.00210 16151134 91208 16059926 0.09340 32063312 91208 31972104 0.18590 1462796 1462796 0.00850 1462796 1462796 0.00850 true 3547920 39230565 67481631 -28251066 X true true 1 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 X X X X REGIONAL WEST MEDICAL CENTER 1 true X X X X X X X X X X 13 true false true X WWW.RWHS.ORG X X X X true false true true 100.000000000000 true 250.000000000000 true X X X X X true true X X X X X X true false true X false false 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. 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. X true true X X X X true true false false false false false false false JEFFREY HOLLOWAY MD 497370 141023 810 10200 28430 649403 DAVID HOLDT MD 535004 21691 2919 10200 22452 569814 TODD S SORENSEN CEO 502745 13379 64979 17923 581103 61620 JON MORGAN MD VP OF MEDICAL STAFF 381262 16558 661 9527 673 23421 981 391450 17231 LISA SCHEPPERS 382627 9100 1799 14125 28218 407651 DAVID GRIFFITHS TREASURER 246352 9108 38699 23518 294159 4881 SHIRLEY KNODEL CHIEF OF NURSING 203678 9556 25503 13124 238737 JAN TAYLOR VP OF ANCILL 200528 10650 28324 23099 239502 33869 THOMAS DREDLA IV CRNA 221489 1155 14633 25282 237277 THOMAS DREDLA III CRNA 206192 1038 9987 23332 217217 JANET HANSON CRNA 201357 676 13925 20525 215958 CINDY BRAMAN CRNA 201651 157 16015 25663 217823 STEVE HODGES 173382 8798 22727 21025 204907 19599 LISA BEWLEY 141688 10561 560 152249 RALPH PHELPS CRNA 194012 1254 24585 25281 219851 SCHEDULE J, PAGE 1, PART I, LINE 4 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 A HOSPITAL AUTHORITY NO 1 OF SB CO NE SERIES 2012 A REVENUE BONDS 2012-02-23 23161032 false false false B HOSPITAL AUTHORITY NO 1 SB CO NE SERIES 2012B REVENUE BOND 2012-04-25 32544735 false false false C HOSPITAL AUTHORITY NO 1 SERIES 2013 2013-09-27 6000000 false false false A true true true false B true true true false C false false false false A false false false false false false false B false false false false false false false C false false false false false false false A false false false false false false false false false B false false false false true false false false false C false false false false false false false false false CHALOUPKA HOLYOKE HOFMEISTER DIRECTOR LEGAL SERVICES false REGIONAL RADIATION ONCOLOGY CARE DIRECTOR MEDICAL DIRECTOR false 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 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 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUF NE 69361 470760050 N/A false false true true false false false false true false false true false false false false false false false false PANHANDLE HEALTH PROPERTIES B 3996435 CASH PANHANDLE HEALTH PROPERTIES H 2393372 NET BOOK VALUE REGIONAL WEST PHYSICIANS CLINIC B 16900004 CASH REGIONAL WEST FOUNDATION C 197927 CASH PANHANDLE HEALTH PROPERTIES K 671776 CASH