REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201203189349304725
- Schema version
- 2011v1.2
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T16:44:22-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONTRYMAN ASSOCIATES PC CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470385129 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CNTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REGI | NameControl |
| Phone | 3086353711 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID GRIFFITHS | Name |
| Title | CFO & VP OF FINANCE | Title |
| Phone | 3086353711 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAN W CHARRON CPA CMA | Name |
| Phone | 3086357705 | Phone |
| Date Prepared | 2012-11-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 190244435 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RWHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | PROVIDING MEDICAL CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1585 | TotalNbrEmployees |
| Total Gross UBI | 15714657 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -877021 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 21423 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 42601 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 156098838 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 164717785 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1845207 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1292808 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 23974298 | OtherRevenuePriorYear |
| Other Revenue Current Year | 24037791 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 181939766 | TotalRevenuePriorYear |
| Total Revenue Current Year | 187505369 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8050000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 12099996 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 75623749 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 80476812 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 83001268 | OtherExpensePriorYear |
| Other Expenses Current Year | 89572755 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 166675017 | TotalExpensesPriorYear |
| Total Expenses Current Year | 182149563 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15264749 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5355806 | RevenuesLessExpensesCY |
| Total Assets BOY | 155804021 | TotalAssetsBOY |
| Total Assets EOY | 159858108 | TotalAssetsEOY |
| Total Liabilities BOY | 80348009 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 87219015 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 75456012 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 72639093 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING MEDICAL CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 144388250 | Expense |
| Grants | 12099996 | Grants |
| Description | REGIONAL WEST MEDICAL CENTER PROVIDED 34,372 DAYS OF INPATIENT CARE TO 6,715 PATIENTS AND REGISTERED APPROXIMATELY 54,737 OUTPATIENTS. REGIONAL WEST MEDICAL CENTER PROVIDED 20,304,353 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 46,265,366 OF COMMUNITY BENEFITS INCLUDING THE MEDICARE SHORTFALL. | Description |
| Total Program Service Expense | 144388250 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 112 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1585 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID GRIFFITHS | NamePerson |
| Telephone Number | 3086301111 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| TODD S SORENSEN | |||||||||
| CEO | 1.00 | X | X | 0 | 820138 | 74916 | |||
| TOM HOLYOKE | |||||||||
| 1.00 | X | 23607 | 0 | 0 | |||||
| H HOD KOSMAN | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| JANE HUNTER | |||||||||
| 1.00 | X | X | 0 | 0 | 0 | ||||
| MARK HARTMAN MD | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| JIM TRUMBULL | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| JEFFREY HOLLOWAY MD | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| REV LAUREN EKDAHL | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| DORA OLIVARES | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| JIM DARNELL | |||||||||
| 1.00 | X | 0 | 0 | 0 | |||||
| DAVID GRIFFITHS | |||||||||
| 1.00 | X | 0 | 259400 | 41800 | |||||
| JENNIFER BROOKER | |||||||||
| SECRETARY | 1.00 | X | 0 | 43142 | 27912 | ||||
| FRANK CARLTON | |||||||||
| INTERIM VP O | 55.00 | 327022 | 0 | 0 | X | ||||
| SHIRLEY KNODEL | |||||||||
| CHIEF OF NUR | 55.00 | 186920 | 0 | 41829 | X | ||||
| JAN TAYLOR | |||||||||
| VP OF ANCILL | 55.00 | 182217 | 0 | 55751 | X | ||||
| THOMAS DREDLA IV | |||||||||
| CRNA | 40.00 | 202060 | 0 | 28064 | X | ||||
| JANET HANSON | |||||||||
| CRNA | 40.00 | 197953 | 0 | 25099 | X | ||||
| CINDY BRAMAN | |||||||||
| CRNA | 40.00 | 197458 | 0 | 28021 | X | ||||
| RALPH PHELPS | |||||||||
| CRNA | 40.00 | 193239 | 0 | 31696 | X | ||||
| THOMAS DREDLA III | |||||||||
| CRNA | 40.00 | 188627 | 0 | 27441 | X | ||||
| LISA BEWLEY | |||||||||
| 0 | 187098 | 33637 | X | ||||||
| STEVE HODGES | |||||||||
| 0 | 164668 | 39932 | X | ||||||
| STUART FULKS | |||||||||
| 0 | 150157 | 30109 | X | ||||||
| JAMES MCHUGH | |||||||||
| VP OF MED | 112876 | 0 | 361 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1811979 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1624603 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 486568 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MA MORTENSON COMPANY | |||||
| 1621 EIGHTEENTH STREET STE 400 | DENVER | CO | 80202 | CONSTRUCTION | 4214089 |
| MCKESSON INFORMATION SYSTEMS | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | SVC MTN & EQUIP | 3458874 |
| PAUL REED CONSTRUCTION | |||||
| 2970 10TH ST | GERING | NE | 69341 | CONSTRUCTION | 1132776 |
| CST MECHANICAL INC | |||||
| 1402 AVE B | SCOTTSBLUFF | NE | 69361 | MECHANICAL SVCS | 1021113 |
| RUSCH'S GENERAL CONTRACTING | |||||
| PO BOX 559 | SCOTTSBLUFF | NE | 69361 | CONSTRUCTION | 836116 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 152 | NumberOfContractorsGT100K |
| All Other Contributions | 42601 | AllOtherContributions |
| Noncash Contributions | 42601 | NoncashContributions |
| Total Contributions | 42601 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Total Revenue Column | 164717785 | TotalRevenueColumn |
| Related Or Exempt Function Income | 164717785 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 164717785 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1446258 | TotalRevenueColumn |
| Exclusion | $1,446,258 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2739066 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2739066 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2739066 | TotalRevenueColumn |
| Related Or Exempt Function Income | -2739066 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| REFERENCE LABORATORY | 621500 | 11241301 | 11241301 | |
| PHARMACY SALES | 446110 | 4473356 | 4473356 | |
| ADMINISTRATIVE & MISC | 3216236 | $3,216,236 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5106898 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1377625 | RelatedOrExemptFunctionIncome |
| Exclusion | $3,729,273 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 24037791 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187505369 | TotalRevenueColumn |
| Related Or Exempt Function Income | 163356344 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 15714657 | UnrelatedBusinessRevenue |
| Exclusion | $8,391,767 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12099996 | Total |
| Program Services | 12099996 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 620352 | Total |
| Program Services | 620352 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112876 | Total |
| Management And General | 112876 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59785906 | Total |
| Program Services | 48531223 | ProgramServices |
| Management And General | 11254683 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2251231 | Total |
| Program Services | 1856445 | ProgramServices |
| Management And General | 394786 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13469360 | Total |
| Program Services | 10325893 | ProgramServices |
| Management And General | 3143467 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4237087 | Total |
| Program Services | 3446534 | ProgramServices |
| Management And General | 790553 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139352 | Total |
| Management And General | 139352 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61404 | Total |
| Management And General | 61404 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5490766 | Total |
| Program Services | 5424934 | ProgramServices |
| Management And General | 65832 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1163399 | Total |
| Program Services | 810117 | ProgramServices |
| Management And General | 353282 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1873642 | Total |
| Program Services | 1311988 | ProgramServices |
| Management And General | 561654 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 651131 | Total |
| Program Services | 342903 | ProgramServices |
| Management And General | 308228 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470636 | Total |
| Program Services | 377034 | ProgramServices |
| Management And General | 93602 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2925698 | Total |
| Program Services | 2382009 | ProgramServices |
| Management And General | 543689 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10436955 | Total |
| Program Services | 7073957 | ProgramServices |
| Management And General | 3362998 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 842167 | Total |
| Program Services | 601333 | ProgramServices |
| Management And General | 240834 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 32316330 | 31840772 | 475558 |
| OTHER PURCHASED SERVICES | 21752184 | 10881090 | 10871094 |
| EQUIPMENT RENTAL & MAINT | 7376153 | 3984686 | 3391467 |
| MISCELLANEOUS | 1460880 | 757886 | 702994 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2612058 | Total |
| Program Services | 1719098 | ProgramServices |
| Management And General | 892960 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182149563 | Total |
| Program Services | 144388250 | ProgramServices |
| Management And General | 37761313 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71732 | BOY |
| EOY | 7790 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12216496 | BOY |
| EOY | 5506893 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30580238 | BOY |
| EOY | 31190022 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1698478 | BOY |
| EOY | 374029 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4702846 | BOY |
| EOY | 4730958 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2315455 | BOY |
| EOY | 3799187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 184338470 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 121582366 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56122040 | BOY |
| EOY | 62756104 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46970621 | BOY |
| EOY | 50290123 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1126115 | BOY |
| EOY | 1203002 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155804021 | BOY |
| EOY | 159858108 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17177043 | BOY |
| EOY | 21603283 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59303631 | BOY |
| EOY | 56018554 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2939465 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3867335 | BOY |
| EOY | 6657713 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80348009 | BOY |
| EOY | 87219015 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75456012 | BOY |
| EOY | 72639093 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75456012 | BOY |
| EOY | 72639093 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155804021 | BOY |
| EOY | 159858108 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 5355806 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -8172725 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3209597 | OtherCostOrOtherBasis |
| Book Value | 3209597 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169416664 | OtherCostOrOtherBasis |
| Depreciation | 121582366 | Depreciation |
| Book Value | 47834298 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11712209 | OtherCostOrOtherBasis |
| Book Value | 11712209 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 62756104 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MARKET VALUE OF INTEREST RATE SWAP | Description |
| Amount | $6,657,713 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6657713 | TotalOfAmounts |
| Total Revenue | 187505369 | TotalRevenue |
| Total Expenses | 182149563 | TotalExpenses |
| Excess Or Deficit For Year | 5355806 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 76898 | NetUnrealizedGLOnInvestments |
| Other | -$8,258,647 | OtherAmount |
| Total Adjustments | -8181749 | TotalAdjustments |
| Excess Or Deficit Per FS | -2825943 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 187573247 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 76898 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 76898 | RevenueNotRptdF990 |
| Revenue Subtotal | 187496349 | RevenueSubtotal |
| Other Revenues Not Included | 9020 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 9020 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 187505369 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 190399190 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 8249627 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 8249627 | ExpensesNotRptdF990 |
| Expenses Subtotal | 182149563 | ExpensesSubtotal |
| Total Expenses Per Form990 | 182149563 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | FRIENDS OF REGIONAL WEST -9,020 FUND BALANCE TRANSFERS TO AFFILIATES -2,386,548 CHANGE IN FMV OF INTEREST RATE SWAP -2,790,378 NET PERIODIC PENSION COST -3,072,701 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | FRIENDS OF REGIONAL WEST 9,020 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | FUND BALANCE TRANSFERS TO AFFILIATES 2,386,548 CHANGE IN FMV OF INTEREST RATE SWAP 2,790,378 NET PERIODIC PENSION COST 3,072,701 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3497156 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3497156 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01920 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6949267 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6949267 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03820 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10446423 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10446423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05740 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 366888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 328882 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1435818 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1435818 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1036683 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1036683 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12627437 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12627437 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06930 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15466826 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15428820 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08470 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25913249 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25875243 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14210 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10495 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10495 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1220133 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1220133 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1230628 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1230628 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,017,999 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 38096478 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 68153674 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -30057196 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 250.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BUILDING ACTIVITIES | PART II | RWMCS 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 COMMUNITYWIDE 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 |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | 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 |
| MEDICARE EXPLANATION | PART III LINE 8 | 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 |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | THE COLLECTION POLICY OF RWMC AND THE RELATED CHARITY CARE POLICY STATES THAT SINCE A PATIENTS 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 PAYALL 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 |
| NEEDS ASSESSMENT | PART VI | 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 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | PATIENTS ARE NOTIFIED AT ONE OR MORE TIMES THROUGHOUT THE PROCESS OF SCHEDULING INHOUSE THROUGH STATEMENTS LETTERSAT 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 TOSCOLLECTION 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 PATIENTPATIENTS FAMILY A FINANCIAL ASSISTANCE APPLICATION IF APPLICABLE IS PROVIDED FOR THE PATIENT TO FILL OUT THAT IS THEN EVALUATED TO DETERMINE THE PATIENTS 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 |
| COMMUNITY INFORMATION | PART VI | 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 50295 FOR A FAMILY OF 3 THE 2010 CENSUS PROJECTED THE POPULATION OF THE AREA TO BE 37000 IN 2011 OF THIS POPUATION 30 IS ESTIMATED TO BE OVER THE AGE OF 65 IN THE REGION THERE ARE 5 OTHER SMALLER HOSPITALS BUT RWMC IS THE ONLY HOSPITAL IN THE PANHANDLE OF NEBRASKA TO BE DESIGNATED A TRAUMA CENTER AND AS THE LARGEST FACILITY PROVIDES SUPPORT SERVICES TO THE SMALLER HOSPITALS IN THE REGION RWMC ESTIMATES THAT 47 OF ITS REVENUE IS DERIVED FROM MEDICAL TREATMENT OF PATIENTS COVERED BY MEDICARE 13 OF REVENUE IS DERIVED FROM PATIENTS COVERED BY MEDICAID |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST PHYSICIANS CLINIC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 363314159 | EINOfRecipient |
| IRC Section | 3 | IRCSection |
| Amount Of Cash Grant | 12099996 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| TODD S SORENSEN | ||||||||||
| 441564 | 378574 | 74013 | 903 | 895054 | ||||||
| DAVID GRIFFITHS | ||||||||||
| 249221 | 10179 | 40967 | 833 | 301200 | ||||||
| FRANK CARLTON | ||||||||||
| 320024 | 6998 | 327022 | ||||||||
| SHIRLEY KNODEL | ||||||||||
| 175916 | 11004 | 228749 | 41056 | 773 | ||||||
| JAN TAYLOR | ||||||||||
| 169812 | 12405 | 237968 | 54984 | 767 | ||||||
| THOMAS DREDLA IV | ||||||||||
| 201927 | 133 | 230124 | 27300 | 764 | ||||||
| JANET HANSON | ||||||||||
| 194049 | 3904 | 223052 | 24335 | 764 | ||||||
| CINDY BRAMAN | ||||||||||
| 194618 | 2840 | 225479 | 27257 | 764 | ||||||
| RALPH PHELPS | ||||||||||
| 189596 | 3643 | 224935 | 30993 | 703 | ||||||
| THOMAS DREDLA III | ||||||||||
| 184396 | 4231 | 216068 | 26678 | 763 | ||||||
| LISA BEWLEY | ||||||||||
| 177084 | 10014 | 32870 | 767 | 220735 | ||||||
| STEVE HODGES | ||||||||||
| 154047 | 10621 | 39181 | 751 | 204600 | ||||||
| STUART FULKS | ||||||||||
| 139465 | 10692 | 29382 | 727 | 180266 | ||||||
| JAMES MCHUGH | ||||||||||
| 112876 | 113237 | 19 | 342 | 112876 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | ReturnReference |
| Explanation | TODD S SORENSEN 0 162,016 0 DAVID GRIFFITHS 0 25,367 0 SHIRLEY KNODEL 0 23,381 0 JAN TAYLOR 0 23,194 0 LISA BEWLEY 0 19,483 0 STEVE HODGES 0 20,017 0 STUART FULKS 0 17,351 0 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Business Name Line2IssuerName/BusinessNameLine2 | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2008 BONDS | 470676786 | 2008-12-23 | 10000000 | BUILDING IMPROVEMENT AND PROPERTY ACQUISITION | false | false | false |
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2009 BONDS | 470676786 | 2009-01-21 | 10000000 | BUILDING IMPROVEMENT AND PROPERTY ACQUISITION | false | false | false |
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2009A BONDS | 470676786 | 2009-12-02 | 20000000 | PROVIDE FUNDS TO REFUND 12/15/2005 BONDS | false | false | false |
| HOSPITAL REVENUE BONDS SERIES 2010 | |||||||
| 2010 BONDS | 470676786 | 2010-03-01 | 10500000 | ADVANCE REFUNDING OF SERIES 2005 BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|
| 2008 | false | false | true | true |
| 2009 | false | false | true | true |
| 2009 | true | false | true | true |
| true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
| false | false | false | false | false | false |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Business Name Line2IssuerName/BusinessNameLine2 | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2008 BONDS | 470676786 | 2008-12-23 | 10000000 | BUILDING IMPROVEMENT AND PROPERTY ACQUISITION | false | false | false |
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2009 BONDS | 470676786 | 2009-01-21 | 10000000 | BUILDING IMPROVEMENT AND PROPERTY ACQUISITION | false | false | false |
| HOSP AUTH NO1 OF SB CO NE | |||||||
| 2009A BONDS | 470676786 | 2009-12-02 | 20000000 | PROVIDE FUNDS TO REFUND 12/15/2005 BONDS | false | false | false |
| HOSPITAL REVENUE BONDS SERIES 2010 | |||||||
| 2010 BONDS | 470676786 | 2010-03-01 | 10500000 | ADVANCE REFUNDING OF SERIES 2005 BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|
| 2008 | false | false | true | true |
| 2009 | false | false | true | true |
| 2009 | true | false | true | true |
| true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | true |
| false | false | false | false | false | false | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
| false | false | false | false | false | false |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHALOUPKA HOLYOKE HOFMEISTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DIRECTOR | Relationship |
| Amount Of Transaction | 23607 | AmountOfTransaction |
| Description Of Transaction | LEGAL SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 42601 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE COMPENSATION PROCESS FOR CEO. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |