2026-01-26T07:24:52-06:00 2024-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-01-01 391904975 REGIONAL WEST GARDEN COUNTY REGI 3087723283 4021 AVE B SCOTTSBLUFF NE 69361 ANDREW SHEA INTERIM CFO/TREASURER 3087723283 2026-01-23 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2026-01-23 2024 2025-03-06 01:10:19Z NED RESCH 4021 AVE B SCOTTSBLUFF NE 69361 3298933 0 X WWW.GCHEALTH.ORG X 1984 NE TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE. X 8 4 111 4 0 0 114922 171235 10689967 3121024 21457 3736 4184 2938 10830530 3298933 0 0 0 0 7105339 3527640 0 0 0 3973609 2414448 11078948 5942088 -248418 -2643155 5482735 602494 9152210 9685831 -3669475 -9083337 X ADVANCE THE HEALTH AND WELLNESS OF THE INDIVIDUALS AND COMMUNITIES WE ARE HONORED TO SERVE. 0 1 2386980 1284597 REGIONAL WEST GARDEN COUNTY IS A NON-PROFIT FACILITY CRITICAL ACCESS HOSPITAL THAT INCLUDES A 10 BED ACUTE CARE UNIT DESIGNED TO PROVIDE SPECIAL CARE FOR ACUTELY ILL PATIENTS. THIS CRITICAL ACCESS HOSPITAL OFFERS A VARIETY OF ANCILLARY SERVICES. 940407 1265881 REGIONAL WEST GARDEN COUNTY INCLUDES A 40 BED NURSING HOME INTERMEDIATE LONG TERM CARE FACILITY. ITS PURPOSE IS TO PROVIDE 24 HOUR LICENSED NURSING CARE THAT ASSISTS RESIDENTS IN MEETING THEIR DAILY NEEDS AND HELPS THEM MAINTAIN THEIR OPTIMUM FUNCTIONAL LEVEL WITHIN AN ATMOSPHERE OF COMFORT AND DIGNITY. REGIONAL WEST GARDEN COUNTY NURSING HOME ALSO OFFERS ADULT DAY CARE, RESPITE CARE, AND HOSPICE SERVICES. 600589 504658 REGIONAL WEST GARDEN COUNTY CLINIC IS A RURAL HEALTH CLINIC THAT PROVIDES PHYSICIAN APPOINTMENTS AND WALK IN CARE FOR RESIDENTS IN THE SOUTHEASTERN NEBRASKA PANHANDLE. 951749 68826 REGIONAL WEST GARDEN COUNTY ALSO PROVIDES ADMINISTRATIVE SUPPORT SERVICES NECESSARY TO ACCOMPLISH THE PRIMARY PROGRAM SERVICES OF THE HOSPITAL. THESE SERVICES ARE ADMINISTRATIVE, TECHNOLOGY, HUMAN RESOURCES, BILLING, HOUSEKEEPING, MEDICAL RECORDS AND OTHER SERVICES NECESSARY TO KEEP OPERATIONS RUNNING. 951749 68826 4879725 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 12 0 1 111 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANDREW SHEA 3086302244 4021 AVENUE B SCOTTSBLUFF NE 69361 PAUL HOFMEISTER VICE CHAIR 1.00 43.00 X X 0 393817 42544 MEL MCNEA PRESIDENT/CEO 1.00 45.00 X X 0 405730 26640 JEANNE MCKERRIGAN CFO/TREASURER 1.00 45.00 X X 0 230377 50621 BRAD HOWELL CEO - RWGC/DIRECTOR 40.00 0.00 X X 95690 0 5513 ALAN TOWNSEND INTERIM TREASURER/CFO THRU 3/2024 1.00 45.00 X X 93548 0 0 HOD KOSMAN DIRECTOR 1.00 3.00 X 0 0 0 BEV KRAJEWSKI DIRECTOR 1.00 0.00 X 0 0 0 TERRY KRAUTER DIRECTOR 1.00 0.00 X 0 0 0 MARY MATHER DIRECTOR 1.00 0.00 X 0 0 0 BRETT RICE SECRETARY 1.00 40.00 X 0 48390 1936 LAURIE SOPER APRN 40.00 0.00 X 279540 0 11944 468778 1078314 139198 1 0 1 1 FUSION MEDICAL STAFFING 18881 W DODGE RD STE 300W ELKHORN NE 68022 STAFFING SERVICES 149065 PRIME TIME HEALTHCARE LLC C/O AMERICAN NATIONAL BANK PO BOX 3 OMAHA NE 68103 AGENCY STAFF 111745 KEYWEST CONSULTING 680 SOUTH CACHE ST STE 101-10219 JACKSON WY 83001 MEDICAL SERVICES 102490 3 171235 171235 NET HOSPITAL PATIENT R 623000 1284597 1284597 NURSING HOME PATIENT R 623000 1265881 1265881 HEALTH CLINIC PATIENT 621110 504658 504658 OTHER OPERATING REVENU 623000 65888 65888 3121024 3736 3736 OTHER NON-OPERATING RE 900099 2938 2938 2938 3298933 3123962 0 3736 X 101539 101539 2684927 2587775 97152 92772 89325 3447 449656 425238 24418 198746 184022 14724 28897 28897 1225833 1082558 143275 2242 1159 1083 83355 46746 36609 6615 6615 228903 109064 119839 16567 16567 5836 585 5251 80902 65018 15884 25865 6383 19482 MISCELLANEOUS 325288 7821 317467 MEDICAL SUPPLIES 199357 199357 0 CORPORATE ALLOCATION 132666 0 132666 FOOD 47041 46411 630 5081 5081 5942088 4879725 1062363 0 710500 0 569705 0 3242383 602494 220244 0 119866 0 0 0 528333 0 91704 0 5482735 602494 949442 0 284369 0 100851 0 7817548 9685831 9152210 9685831 X -3669475 -9083337 -3669475 -9083337 5482735 602494 X -2643155 -2770707 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6420776 23198 88394 90608 6441760 5887872 544587 55824 67507 6420776 8807244 182428 -2055429 1046371 5887872 7307997 190018 1350185 40956 8807244 6188204 324798 824828 29833 7307997 0.00000 0.19830 0.80170 0 1 1 0 DUE TO AFFILIATES 9685831 9685831 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE RESTRICTED FOR HEALTHCARE RESEARCH, HEALTHCARE EDUCATIONAL SCHOLARSHIPS, AND CAPITAL PROJECTS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 1 X 1 1 0 0 36932 36932 0.00620 656350 142225 514125 0.08650 693282 142225 551057 0.09270 2519177 282070 2237107 0.37650 2519177 282070 2237107 0.37650 3212459 424295 2788164 0.46920 1 3273 282 868185 876294 -8109 X 1 1 1 1 REGIONAL WEST GARDEN COUNTY 1100 WEST 2ND OSHKOSH NE 69154 8200000 X X X X REGIONAL WEST GARDEN COUNTY 1 0 0 1 X X X X X X X X 23 1 1 1 1 X WWW.GCHEALTH.ORG/OUR-ORGANIZATION/ X 1 23 1 WWW.GCHEALTH.ORG/OUR-ORGANIZATION/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://GCHEALTH.ORG/COSTS-AND-BILLING/ X HTTPS://GCHEALTH.ORG/COSTS-AND-BILLING/ X HTTPS://GCHEALTH.ORG/COSTS-AND-BILLING/ X X X X X X 1 X 0 X X X X 1 X 0 0 REGIONAL WEST GARDEN COUNTY PART V, SECTION B, LINE 5: REGIONAL WEST GARDEN COUNTY (RWGC) PARTICIPATED WITH OTHER HOSPITALS IN THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN) JOINT PLANNING PROCESS FACILITATED BY PANHANDLE PUBLIC HEALTH DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) IS A PARTNERSHIP-BASED FRAMEWORK TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. MAPP EMPHASIZES THE PARTNERSHIP WITH ALL SECTORS OF THE PUBLIC HEALTH SYSTEM TO EVALUATE THE HEALTH STATUS OF THE REGION IT SERVES, IDENTIFY PRIORITY AREAS, AND DEVELOP PLANS FOR IMPLEMENTATION. RWGC DISTRIBUTED THE COMMUNITY HEALTH SURVEY TO PANHANDLE RESIDENTS IN OCTOBER AND NOVEMBER OF 2023 VIA PAPER AND ELECTRONIC SURVEYS. A COPY OF THE SURVEY CAN BE FOUND IN THE REGIONAL CHA. PAPER COPIES OF THE SURVEY WERE DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS. THE ELECTRONIC COPY WAS ADMINISTERED USING QUALTRICS AND SHARED ONLINE BY WEBSITE, SOCIAL MEDIA, AND EMAIL BY PPHD, LOCAL HOSPITALS, AND OTHER COMMUNITY ORGANIZATIONS. COUNTS AND PERCENTAGES FROM THE SURVEY RESPONSES WERE CALCULATED USING MICROSOFT EXCEL. THE INFORMATION INCLUDES RESPONSES FROM GARDEN COUNTY RESIDENTS AND THOSE WHO INDICATED THAT REGIONAL WEST WAS THEIR PRIMARY HEALTHCARE FACILITY. REGIONAL WEST GARDEN COUNTY PART V, SECTION B, LINE 6A: - BOX BUTTE GENERAL HOSPITAL- CHADRON COMMUNITY HOSPITAL- GORDON MEMORIAL HOSPITAL- KIMBALL HEALTH SERVICES- MORRILL COUNTY COMMUNITY HOSPITAL- PERKINS COUNTY HEALTH SERVICES- REGIONAL WEST MEDICAL CENTER- SIDNEY REGIONAL MEDICAL CENTER REGIONAL WEST GARDEN COUNTY PART V, SECTION B, LINE 6B: - RURAL NEBRASKA HEALTHCARE NETWORK- SCOTTS BLUFF COUNTY HEALTH DEPARTMENT- PANHANDLE PARTNERSHIP- PANHANDLE AREA DEVELOPMENT DISTRICT- NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES REGIONAL WEST GARDEN COUNTY PART V, SECTION B, 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 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. THERE WERE NO NEEDS IDENTITIED IN THE CURRENT CHNA THAT ARE NOT BEING ADDRESSED. NEEDS IDENTIFIED INCLUDE THE FOLLOWING: CHRONIC CARE IMPROVEMENTS, MENTAL HEALTH RESOURCES, AND ACCESS TO CARE.THE HOSPITAL CONTRACTED THE INHOUSE MENTAL HEALTH COUNSELOR TO DO OUTREACH AT OUR LOCAL ELEMENTARY SCHOOL, JUNIOR HIGH AND HIGH SCHOOL. IN ADDITION, THE INHOUSE MENTAL HEALTH COUNSELOR PROVIDED SERVICES IN OUR RURAL HEALTH CLINIC. THE FACILITY WORKS CLOSELY WITH THE LOCAL GARDEN COUNTY TRANSPORTATION SO PATIENTS CAN GET TO APPOINTMENTS ON TIME. THE FACILITY CONTINUES TO PROMOTE THE WALKING PATH ON THE GROUNDS TO SUPPORT WELLNESS FOR OUR COMMUNITY AND OUR STAFF. THE FACILITY USES MEDICAL MINUTES IN OUR LOCAL PAPER TO HIGHLIGHT SERVICES THAT ARE AVAILABLE IN OSHKOSH OR ARE PROVIDED BY VISITING PROVIDERS THAT COME FROM NORTH PLATTE AND SCOTTSBLUFF. REGIONAL WEST GARDEN COUNTY PART V, SECTION B, LINE 13H: SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO THE RWGC 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 A PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENT'S ACCOUNT. 2 1 - REGIONAL WEST GARDEN COUNTY NURSING HOME 1100 WEST 2ND OSHKOSH NE 69154 ASSISTED LIVING FACILITY 2 - REGIONAL WEST GARDEN COUNTY CLINIC 1100 WEST 2ND OSHKOSH NE 69154 RURAL HEALTH CLINIC PART I, LINE 3C: IN ADDITION TO FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE. SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO THE RWGC 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 A PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENT'S ACCOUNT. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B, AND SUBSIDIZED HEALTH SERVICES, LINE 7G, WERE CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. RWGC DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 8.6% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGE 15 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES RENDERED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATIONS PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $3,666.MEDICARE FEE SCHEDULE REVENUE $6,340MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $10,006NET (SHORTAGE) $(3,666) PART III, LINE 9B: THE COLLECTION POLICY AND THE RELATED CHARITY CARE POLICY STATES THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLLOWING TREATMENT AT RWGC. ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT, OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE FINANCIAL ASSISTANCE TEAM OF RWGC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVCES THROUGH THE RURAL HEALTH CLINIC AND EMERENCY ROOOM VISITS. THE FACILITY IS NOW PART OF AN ACCOUNTABLE CARE ORGANIZATION WHERE SEVERAL PUBLICATIONS GO OUT TO MEDICARE RECIPIENTS EACH YEAR HIGHLIGHTING SPECIFIC SERVICES. MEDICARE RECIPIENTS ARE ONE OF THE HOSPITAL'S LARGEST POPULATIONS SERVED. PART VI, LINE 3: AT THE TIME OF PRE-REGISTRATION BY PHONE, OR REGISTRATION ON THE DATE OF SERVICE, THE REGISTRATION CLERK MAKES PAYMENT ARRANGEMENTS WITH THE PATIENT OR GUARANTOR. THE STAFF ARE ALL TRAINED TO EXPLAIN THE FINANCIAL ASSISTANCE POLICY AND HELP THE PATIENT OR GUARANTOR WITH THE APPLICATION. SOCIAL SERVICES IS ALSO CONSULTED FOR HELP WITH THIS PROCESS AND ALSO HELPS WITH APPLYING FOR GOVERNMENT PROGRAMS THAT CAN HELP PAY FOR THE SERVICES. PART VI, LINE 4: RWGC SERVES GARDEN COUNTY NEBRASKA AND PARTS OF SURROUNDING COUNTIES (PRIMARILY DEUEL COUNTY). TOTAL POPULATION IN THE SERVICE AREA IS LESS THAN 5,000. THE COUNTY POPULATION CONTAINED 19.2% UNDER THE AGE OF 19, 15.6% FROM 20 TO 39, 31.3% FROM 40 TO 59, 25.4% FROM 60 TO 79, AND 8.5% WHO WERE 80 YEARS OF AGE OR OLDER. THE PERCENT OF THE POPULATION BELOW THE POVERTY LINE IS SLIGHTLY LESS THAN THE STATEWIDE AVERAGE, AND THE POVERTY RATE FOR CHILDREN UNDER AGE 18 IS ONE OF THE LOWEST IN THE REGION. PART VI, LINE 5: RWGC HAS PRIMARY CARE AND SPECIALTY CARE AVAILABLE THROUGH A RURAL HEALTH CLINIC ON SITE. ADDITIONAL SERVICES ARE ADDED AS AVAILABLE PRIMARILY THROUGH TELEMEDICINE. SERVICES ADDED RECENTLY INCLUDED CHIROPRACTIC CARE ON-SITE AND BEHAVIORAL HEALTH COUNSELING SERVICES ON-SITE. WE ARE LOOKING TO ADD A PAIN MANAGEMENT SPECIALIST THROUGH TELEMEDICINE SOON. IN ADDITION OUTREACH SERVICES TO SURROUNDING COMMUNITIES AND SENIOR CENTERS PROVIDES BLOOD PRESSURE CHECKS AND LAB DRAWS. WE ALSO PROVIDE SEVERAL REMOTE AREAS THAT SURROUND US WITH FLU SHOT CLINICS IN THE COMMUNITIES. WE ALSO PROVIDE EDUCATION THROUGH NEWSPAPER ARTICLES IN THE LOCAL NEWSPAPER. WE PLAN ON ADDING A WALKING TRACK AROUND THE HOSPITAL FOR COMMUNITY USE FOR WELLNESS. PART VI, LINE 6: THE AFFILIATED HEALTH CARE SYSTEM INCLUDES:REGIONAL WEST GARDEN COUNTY - CRITICAL ACCESS HOSPITALREGIONAL WEST HEALTH SERVICES - STRATEGIC PLANNING AND MANAGEMENTREGIONAL WEST MEDICAL CENTER - 182-BED HOSPITAL, LEVEL II TRAUMA CENTER, AND REGIONAL REFERRAL CENTERREGIONAL WEST PHYSICIANS CLINIC - MULTI-SPECIALTY MEDICAL GROUPREGIONAL WEST VILLAGE - INDEPENDENT AND ASSISTED LIVING CENTERREGIONAL WEST FOUNDATION - RAISES FUNDS, MANAGES INVESTMENTS, AND ADMINISTERS SCHOLARSHIP PROGRAMREGIONAL WEST HEALTH SERVICES AND AFFILIATES - 501(C)(9) ORGANIZATION PROVIDING EMPLOYEE HEALTH CAREREGIONAL CARE, INC. - A FOR-PROFIT ORGANIZATION PROVIDING TPA SERVICES. 0 0 0 0 0 0 0 0 0 PAUL HOFMEISTER VICE CHAIR 0 361893 0 0 0 31924 0 12361 0 30877 0 437055 0 0 MEL MCNEA PRESIDENT/CEO 0 405730 0 0 0 0 0 12430 0 14943 0 433103 0 0 LAURIE SOPER APRN 279540 0 0 0 0 0 11204 0 742 0 291486 0 0 0 JEANNE MCKERRIGAN CFO/TREASURER 0 230377 0 0 0 0 0 7127 0 44197 0 281701 0 0 PART I, LINE 3 THE CEO AND CFO ARE COMPENSATED BY REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION. METHODS USED TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS INCLUDE THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART II: REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $93,548 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO. ALL ASSETS RELATED TO THE OPERATIONS OF THE HOSPITAL, NURSING HOME AND RURAL HEALTH CLINIC 2024-06-30 2770707 BOOK VALUE 470526224 GARDEN COUNTY HOSPITAL AND NURSING HOME 1100 W 2ND STREET OSHKOSH NE 69154 GOVERNMENTAL 1 0 0 0 PART II, LINE 2E: PERSON(S) INVOLVED: BEV KRAJEWSKI AND MARY MATHER, DIRECTORS FORM 990, PART III, LINE 3 EFFECTIVE JUNE 30, 2024, THE OPERATING LEASE WITH GARDEN COUNTY HOSPITAL AND NURSING HOME WAS TERMINATED. REGIONAL WEST GARDEN COUNTY IS NO LONGER OPERATING THE TEN BED CRITICAL ACCESS HOSPITAL WITH ATTACHED NURSING HOME AND RURAL HEALTH CLINIC IN OSHKOSH, NEBRASKA. OPERATIONS OF THESE SERVICES IS NOW BEING PERFORMED BY GARDEN COUNTY HOSPITAL AND NURSING HOME. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO ACT FOR AND ON BEHALF OF THE CORPORATION AND ITS BOARD OF DIRECTORS AS NECESSARY AND REQUIRED BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 REGIONAL WEST HEALTH SERVICES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, HAS THE ABILITY TO APPOINT 7 PERSONS TO THE BOARD OF DIRECTORS. THE REMAINING DIRECTORS MUST BE APPROVED BY RWHS. FORM 990, PART VI, SECTION A, LINE 7B REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, MUST APPROVE ALL MATTERS PERTAINING TO THE MERGER, CONSOLIDATION, LIQUIDATION OR AMENDMENT TO THE ARTICLES OF INCORPORATE OR BYLAWS OF THE CORPORATION. THE ANNUAL BUDGET OF THE CORPORATION IS ALSO SUBJECT TO THE APPROVAL OF RWHS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL HAVE AN OPPORTUNITY TO REVIEW DRAFTS ELECTRONICALLY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE BY BOARD MEMBERS OF ANY CONFLICT OF INTEREST, AS SET FORTH IN THE POLICIES, IS REQUIRED. FOR ANY POSSIBLE CONFLICT OF INTEREST IDENTIFIED, THE REMAINING BOARD DETERMINES IF IT ACTUALLY CONSTITUTES A CONFLICT OF INTEREST WITHOUT THE CONFLICTED BOARD MEMBER PRESENT. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD, LESS THE CONFLICTED MEMBER, WILL THEN DECIDE THE LEVEL OF INVOLVEMENT OF THE MEMBER IN DECISION MAKING FOR THE ENTITY, 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, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: COMPENSATION FOR THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE RWHS BOARD. THE DETERMINATION IS BASED ON MARKET DATA AND RECOMMENDATIONS FROM AN INDEPENDENT CONSULTING FIRM WHO COLLECTS THAT INFORMATION FOR COMPARISON PURPOSES. MINUTES ARE KEPT OF THESE MEETINGS. COMPENSATION PROCESS FOR OFFICERS: COMPENSATION FOR OTHER OFFICERS IS REVIEWED BY AN INDEPENDENT CONSULTANT ON AN ANNUAL BASIS TO ENSURE THE COMPENSATION PLAN MEETS REASONABLENESS TESTING COMPARED TO MGMA COMPENSATION SURVEY. THE COMPENSATION MODEL IS ALSO REVIEWED BY LEGAL COUNSEL FOR REASONABLENESS AND COMPLIANCE WITH IRS REQUIREMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 970,119. MANAGEMENT AND GENERAL EXPENSES 137,236. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,107,355. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 101,377. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,377. CONSULTING: PROGRAM SERVICE EXPENSES 11,062. MANAGEMENT AND GENERAL EXPENSES 6,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,101. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO GARDEN COUNTY HOSPITAL & NURSING HOME -2,770,707. FORM 990, PART XII, LINE 2C: THE CFO OF REGIONAL WEST HEALTH SERVICES, THE SOLE MEMBER OF THE ORGANIZATION, IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 ADMIN SUPPORT NE 501(C)(3) LINE 12B, II N/A 0 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385129 HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 FUNDRAISING NE 501(C)(3) LINE 12A, I REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 RETIREMENT FACILITY NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 DR. CLINICS NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST HEALTH SERVICES & AFFILIATES 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 0 REGIONAL CARE INC 4201 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 REGIONAL WEST HEALTH SERVICES & AFFILIATE R 396233 CASH