REGIONAL WEST MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: REGIONAL WEST MEDICAL CENTER (EIN 47-0385129)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202013219349304316
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T09:25:53-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	476097913	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SEIM JOHNSON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT STREET SUITE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470385129	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	REGI	BusinessNameControlTxt
Phone	3086353711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	693614602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL ICKOWSKI	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3086353711	PhoneNum
Signature	2020-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WENDY R COOLEY	PreparerPersonNm
PTIN	P01523804	PTIN
Phone	4023302660	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	163.116.133.113	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	08:57:11	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B319C935D5CD5DD24452FA9CD51ABCBD1A9C8C2C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL ICKOWSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	693614602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$247,865,599	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RWHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	REGIONAL WEST MEDICAL CENTER IS A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND A LEVEL II TRAUMA CENTER. THE HOSPITAL PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO PEOPLE OF WESTERN NEBRASKA AND SURROUNDING PORTIONS OF SOUTH DAKOTA, WYOMING AND COLORADO.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1441	TotalEmployeeCnt
Total Volunteers	75	TotalVolunteersCnt
Total Gross UBI	$4,224,986	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,422,127	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,253,549	PYContributionsGrantsAmt
CY Contributions Grants	$9,025,257	CYContributionsGrantsAmt
PY Program Service Revenue	$212,878,686	PYProgramServiceRevenueAmt
CY Program Service Revenue	$225,962,100	CYProgramServiceRevenueAmt
PY Investment Income	$11,828,687	PYInvestmentIncomeAmt
CY Investment Income	$2,881,503	CYInvestmentIncomeAmt
PY Other Revenue	$4,593,608	PYOtherRevenueAmt
CY Other Revenue	$4,378,875	CYOtherRevenueAmt
PY Total Revenue	$236,554,530	PYTotalRevenueAmt
CY Total Revenue	$242,247,735	CYTotalRevenueAmt
PY Grants And Similar Paid	$32,661,625	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,551,413	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,305,221	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,983,108	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$132,896,308	PYOtherExpensesAmt
CY Other Expenses	$149,667,024	CYOtherExpensesAmt
PY Total Expenses	$248,863,154	PYTotalExpensesAmt
CY Total Expenses	$266,201,545	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,308,624	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$23,953,810	CYRevenuesLessExpensesAmt
Total Assets BOY	$181,148,781	TotalAssetsBOYAmt
Total Assets EOY	$164,376,818	TotalAssetsEOYAmt
Total Liabilities BOY	$111,683,970	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$120,068,639	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$69,464,811	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$44,308,179	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NONE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$108,456,908	ExpenseAmt
Grant	$36,416,230	GrantAmt
Revenue	$61,776,727	RevenueAmt
Desc	REGIONAL WEST MEDICAL CENTER (RWMC) IS A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND LEVEL II TRAUMA CENTER. THE HOSPITAL PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO PEOPLE OF WESTERN NEBRASKA AND SURROUNDING PORTIONS OF SOUTH DAKOTA, WYOMING AND COLORADO. THE PROVISION OF COMPREHENSIVE AND ADVANCED MEDICAL CARE INCLUDES SERVICES IN MANY SPECIALTIES OF MEDICINE. AREAS OF CARE INCLUDE BRAIN & SPINE, CANCER, FAMILY & CHILDREN, HEART & LUNG REHABILITATION & PAIN MANAGEMENT, SKIN AND PLASTIC SURGERY, SURGICAL CLINICS, TRAUMA & EMERGENCY, WEIGHT MANAGEMENT & WELLNESS, BEHAVIORAL HEALTH, AND END-OF-LIFE CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$62,146,634	ExpenseAmt
Revenue	$115,272,805	RevenueAmt
Desc	AS A REGIONAL HOSPITAL, RWMC ALSO PROVIDES ANCILLARY SERVICES TO SUPPORT ITS PRIMARY MISSION OF HOSPITAL CARE. THESE SERVICES INCLUDE LABORATORY, RADIOLOGY, REHABILITATION AND THERAPY FOR PATIENTS IN THE REGION. THESE DEPARTMENTS SUPPORT BOTH INPATIENT AND OUTPATIENT PROCEDURES FOR PATIENTS OF RWMC AND AFFILIATED ORGANIZATIONS AS WELL AS THE COMMUNITY. THE LAB ALSO PROVIDES OUTREACH LABORATORY SERVICES TO PROVIDERS LOCATED IN WYOMING, SOUTH DAKOTA, IOWA AND ACROSS THE STATE OF NEBRASKA. AS A PART OF ENSURING ONGOING SERVICES THROUGH QUALIFIED TECHNICIANS, RWMC OPERATES A SCHOOL OF RADIOLOGY TECHNOLOGY FOR STUDENTS PROVIDING HANDS-ON TRAINING THROUGH THE RADIOLOGY DEPARTMENTS. RWMC OPERATES TWO PHARMACIES, AN INPATIENT PHARMACY FOR PATIENTS IN THE HOSPITAL AND A RETAIL PHARMACY THAT IS AVAILABLE FOR THE COMMUNITY TO USE. THROUGH THE REHAB DEPARTMENT, PHYSICIAN, OCCUPATIONAL, SPEECH, AND MASSAGE THERAPISTS PROVIDE SERVICES TO PATIENTS. THE REHAB DEPARTMENT ALSO PROVIDES ONGOING REHAB CLINICS FOR PATIENTS AS PART OF THEIR SERVICES IN PROMOTING ONGOING WELLNESS FOR RECOVERY. AS PART OF COMMUNITY OUTREACH THE REHAB DEPT EMPLOYS ATHLETIC TRAINERS WHO WORK IN THE LOCAL SCHOOLS' ATHLETIC PROGRAMS PROVIDING SUPPORT AND INJURY DETECTION AND PREVENTION FOR THE ATHLETES AND COACHES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,762,173	ExpenseAmt
Revenue	$2,958,804	RevenueAmt
Desc	RWMC OPERATES PROVIDER BASED CLINICS ONSITE AS AN EXTENSION OF THE HOSPITAL CARE AND AN ENHANCEMENT OF THE CARE PROVIDED THROUGH AFFILIATED ORGANIZATIONS. THE CLINICS OPERATED BY RWMC INCLUDE SPINE CENTER, WOUND CLINIC, SLEEP LAB, HEART CENTER, INFUSIONS CENTER, ANTI-COAGULATION, CHEMOTHERAPY, AND COMMUNITY HEALTH IMMUNIZATION CLINICS. THE COMMUNITY HEALTH CLINIC OPERATES ALONGSIDE SCOTTSBLUFF COUNTY IN PROVIDING COUNTY NURSING SERVICES. THE CLINIC ALSO PROVIDES A COMMUNITY IMMUNIZATION CLINIC AS A PART OF THE COUNTY HEALTH NURSE SERVICES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$65,378,787	ExpenseAmt
Grant	$135,183	GrantAmt
Revenue	$45,586,926	RevenueAmt
Desc	OTHER PROGRAM SERVICES OF RWMC INCLUDE THE SCHOOL OF NURSING, WHICH IS OPERATED IN PARTNERSHIP WITH WESTERN NEBRASKA COMMUNITY COLLEGE (WNCC), AND UNMC. SOME OF THE OTHER PROGRAMS INCLUDE THE OVERHEAD DEPARTMENTS OF RWMC: FACILITIES MANAGEMENT, BIO-MEDICAL, SECURITY, HOUSEKEEPING, LINEN, PURCHASING, REGISTRATION, CODING, INFORMATION AND TECHNOLOGY SERVICES, PATIENT FINANCIAL SERVICES, FINANCE, CASE MANAGEMENT, QUALITY, HUMAN RESOURCES, ADMINISTRATION, MARKETING, PROJECT MANAGEMENT, EDUCATION AND OUTREACH SERVICES. THE EDUCATION DEPARTMENT SERVICES NOT ONLY THE EMPLOYEES OF RWMC AND AFFILIATED ORGANIZATIONS, BUT ALSO PROVIDES ONGOING TRAINING AND EDUCATION FOR REGIONAL HEALTH CARE PROFESSIONALS, VOLUNTEERS, STUDENTS AND THE COMMUNITY THROUGH CPR, ATLS, PALS, AND NRP CLASSES IN PARTNERSHIP WITH AREA EMT'S, WNCC, AND SCHOOOLS. THROUGH THE OUTREACH SERVICES DEPARTMENT RWMC HAS NETWORK AFFILIATIONS WITH FIVE CRITICAL ACCESS HOSPITALS (CAHS) WITHIN ITS SERVICE REGION. RWMC PROVIDED NEEDED MANAGEMENT EXPERTISE AND CERTAIN MEDICAL SUPPORT SERVICES INCLUDING PHARMACY, OCCUPATIONAL THERAPY, BLOOD PROCESSING & COLLECTION, AND LABORATORY MANAGEMENT SERVICES THROUGH CONTRACT AGREEMENTS WITH THE CAHS. THE CONTINUED OPERATION AND SUCCESS OF THE CAHS IS CRUCIAL TO MINIMIZE THE DISTANCE AND TIME PATIENTS WOULD HAVE TO TRAVEL FOR MEDICAL CARE. SERVICES TO CAHS ARE PROVIDED AT OR BELOW OPERATING COSTS TO RWMC.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$65,378,787	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$135,183	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$45,586,926	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$240,744,502	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	118	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1441	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL ICKOWSKI	PersonNm
Phone	3086301111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	693614602	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY HOLLOWAY MD
DIRECTOR	1.00	42.00	Yes (X)	$0	$722,004	$59,473
JOHN MENTGEN
CEO/PRESIDENT	1.00	45.00	Yes (X)	$0	$516,678	$115,947	Yes (X)
MATTHEW BRUNER MD
DIRECTOR THRU 10/2019	1.00	41.00	Yes (X)	$0	$534,315	$59,535
VINCE BJORLING MD
DIRECTOR THRU 02/2019	1.00	41.00	Yes (X)	$0	$439,334	$48,901
DONALD THOMAS MD
DIRECTOR THRU 11/2019	1.00	2.00	Yes (X)	$0	$412,375	$0
MICHAEL ICKOWSKI
CFO/TREASURER	1.00	45.00	Yes (X)	$0	$314,245	$90,566	Yes (X)
THOMAS DREDLA IV
CRNA	40.00	0.00		$256,922	$0	$58,507		Yes (X)
CINDY BRAMAN
CRNA	40.00	0.00		$248,021	$0	$58,160		Yes (X)
CHARLIE BELL
CRNA	40.00	0.00		$230,776	$0	$56,917		Yes (X)
LESLIE MILLER
CRNA	40.00	0.00		$218,907	$0	$61,097		Yes (X)
JANET HANSON
CRNA	40.00	0.00		$243,196	$0	$26,944		Yes (X)
JOHN MASSEY
DIRECTOR	1.00	2.00	Yes (X)	$0	$117,500	$0
MELODY BIBB
SECRETARY	1.00	41.00		$0	$65,628	$49,443	Yes (X)
JIM TRUMBULL
CHAIR	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
REV LAUREN EKDAHL
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
CAROLYN ESCAMILLA
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
MARK GILLAM
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
LEE GLENN
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
DENNIS HADDEN
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
TODD HOLCOMB EDD
DIRECTOR THRU 03/2019	1.00	1.00	Yes (X)	$0	$0	$0
THOMAS HOLYOKE
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
HOD KOSMAN
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
DENNIS MILLER
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,197,822	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,122,079	TotReportableCompRltdOrgAmt
Total Other Compensation	$685,490	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BECKENHAUER CONSTRUCTION INC
1901 RIVERSIDE BLVD	NORFOLK	NE	68701	CONSTRUCTION	$10,982,864
MEDIREVV
2600 UNIVERSITY PARKWAY	CORALVILLE	IA	52241	REVENUE CYCLE SERVICES	$10,274,497
MEDIFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	AGENCY STAFFING	$4,330,706
PHILIPS HEALTHCARE
13560 MORRIS ROAD	ALPHARETTA	GA	30004	SERVICE CONTRACTS	$1,787,587
POUDRE VALLEY MEDICAL GROUP LLC
2315 EAST HARMONY ROAD SUITE 200	FORT COLLINS	CO	80528	OUTREACH CARDIOLOGY CONTRACT	$1,375,259

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,743,386	RelatedOrganizationsAmt
Government Grants	$232,587	GovernmentGrantsAmt
All Other Contributions	$49,284	AllOtherContributionsAmt
Total Contributions	$9,025,257	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
COMMERCIAL & SELF-PAY	621300	$137,789,294	$133,583,069	$4,206,225
MEDICARE	621300	$65,998,943	$65,998,943
MEDICAID	621300	$11,915,821	$11,915,821
PHARMACY - IP & RETAIL	621910	$6,999,290	$6,999,290
RENTAL INCOME - AFFIL/OTHER	531120	$1,410,394	$1,410,394

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,848,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,397,047	RelatedOrExemptFuncIncomeAmt
Exclusion	$451,311	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$225,962,100	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,997	TotalRevenueColumnAmt
Exclusion	$545,997	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,847	TotalRevenueColumnAmt
Exclusion	$39,847	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$23,181	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$23,181	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,181	TotalRevenueColumnAmt
Exclusion	$23,181	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,816,000	SecuritiesAmt
Other	$1,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,471,801	SecuritiesAmt
Other	$9,893	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,344,199	SecuritiesAmt
Other	-$8,693	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,335,506	TotalRevenueColumnAmt
Exclusion	$2,335,506	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$142,558	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$136,170	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,388	TotalRevenueColumnAmt
Exclusion	$6,388	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SETTLEMENT PROCEEDS	900099	$2,200,000	$2,200,000
AIRLINK FIXED WING INCOME	900099	$861,083	$861,083
REFERENCE LABORATORY	621500	$18,761		$18,761

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,229,615	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,229,615	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,309,459	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,247,735	TotalRevenueColumnAmt
Related Or Exempt Func Income	$225,595,262	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,224,986	UnrelatedBusinessRevenueAmt
Exclusion	$3,402,230	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$36,551,413	TotalAmt
Program Services	$36,551,413	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$56,438,778	TotalAmt
Program Services	$55,097,343	ProgramServicesAmt
Management And General	$1,341,435	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,900,893	TotalAmt
Program Services	$1,845,070	ProgramServicesAmt
Management And General	$55,823	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,680,166	TotalAmt
Program Services	$17,203,337	ProgramServicesAmt
Management And General	$476,829	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,963,271	TotalAmt
Program Services	$3,870,978	ProgramServicesAmt
Management And General	$92,293	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,156	TotalAmt
Management And General	$35,156	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$194,369	TotalAmt
Management And General	$194,369	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$83,757	TotalAmt
Management And General	$83,757	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,110,823	TotalAmt
Program Services	$26,972,065	ProgramServicesAmt
Management And General	$19,138,758	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$616,565	TotalAmt
Program Services	$40,406	ProgramServicesAmt
Management And General	$576,159	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,688,079	TotalAmt
Program Services	$1,481,858	ProgramServicesAmt
Management And General	$206,221	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$122,093	TotalAmt
Program Services	$105,936	ProgramServicesAmt
Management And General	$16,157	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,301,410	TotalAmt
Program Services	$2,953,066	ProgramServicesAmt
Management And General	$348,344	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$817,469	TotalAmt
Program Services	$658,334	ProgramServicesAmt
Management And General	$159,135	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$483,780	TotalAmt
Program Services	$476,643	ProgramServicesAmt
Management And General	$7,137	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,427,855	TotalAmt
Program Services	$2,079,117	ProgramServicesAmt
Management And General	$348,738	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,851,186	TotalAmt
Program Services	$12,222,442	ProgramServicesAmt
Management And General	$628,744	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,320,727	TotalAmt
Program Services	$1,136,955	ProgramServicesAmt
Management And General	$183,772	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$41,859,851	$41,789,942	$69,909
BAD DEBT	$24,795,243	$24,795,243
MISCELLANEOUS	$10,488,077	$9,286,015	$1,202,062
MINOR EQUIPMENT	$1,081,400	$982,028	$99,372

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,389,184	TotalAmt
Program Services	$1,196,311	ProgramServicesAmt
Management And General	$192,873	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$266,201,545	TotalAmt
Program Services	$240,744,502	ProgramServicesAmt
Management And General	$25,457,043	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,759,782	BOYAmt
EOY	$3,677,899	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,549,303	BOYAmt
EOY	$6,395,175	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,948,719	BOYAmt
EOY	$39,470,471	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,138,721	BOYAmt
EOY	$4,301,975	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,998,661	BOYAmt
EOY	$4,769,496	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,109,014	BOYAmt
EOY	$8,345,706	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$276,561,546	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$204,220,748	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$59,738,045	BOYAmt
EOY	$72,340,798	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$13,559,773	BOYAmt
EOY	$5,456,841	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$775,832	BOYAmt
EOY	$750,248	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,570,931	BOYAmt
EOY	$17,395,912	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,472,297	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,148,781	BOYAmt
EOY	$164,376,818	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,626,422	BOYAmt
EOY	$27,110,515	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$159,465	BOYAmt
EOY	$156,935	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$85,394,161	BOYAmt
EOY	$83,500,319	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,048,461	BOYAmt
EOY	$5,386,031	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,455,461	BOYAmt
EOY	$3,914,839	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,683,970	BOYAmt
EOY	$120,068,639	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,464,811	BOYAmt
EOY	$44,308,179	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$69,464,811	BOYAmt
EOY	$44,308,179	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$181,148,781	BOYAmt
EOY	$164,376,818	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$23,953,810	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,202,822	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$12,029	OtherActivitiesAmt
Total Lobbying Expenditures	$12,029	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	RWMC IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NEBRASKA HOSPITAL ASSOCIATION (NHA). A PORTION OF THE ANNUAL DUES PAID TO THESE ASSOCIATIONS ARE USED FOR LOBBYING AND POLITICAL ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,837,335	BeginningYearBalanceAmt
Contributions	$719,879	ContributionsAmt
Investment Earnings Or Losses	$1,352,989	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$98,684	GrantsOrScholarshipsAmt
Other Expenditures	$623,315	OtherExpendituresAmt
End Year Balance	$6,188,204	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,551,048	BeginningYearBalanceAmt
Contributions	$538,883	ContributionsAmt
Investment Earnings Or Losses	-$191,365	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$61,231	GrantsOrScholarshipsAmt
End Year Balance	$4,837,335	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,507,319	BeginningYearBalanceAmt
Contributions	$106,517	ContributionsAmt
Investment Earnings Or Losses	$296,128	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$358,916	GrantsOrScholarshipsAmt
End Year Balance	$4,551,048	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,546,780	BeginningYearBalanceAmt
Contributions	$153,000	ContributionsAmt
Investment Earnings Or Losses	$72,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$265,090	GrantsOrScholarshipsAmt
End Year Balance	$4,507,319	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,853,177	BeginningYearBalanceAmt
Contributions	$255,505	ContributionsAmt
Investment Earnings Or Losses	-$56,312	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$505,590	GrantsOrScholarshipsAmt
End Year Balance	$4,546,780	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.20240	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.79760	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,143,930	OtherCostOrOtherBasisAmt
Book Value	$2,143,930	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,337,709	OtherCostOrOtherBasisAmt
Depreciation	$100,185,717	DepreciationAmt
Book Value	$26,151,992	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,282	OtherCostOrOtherBasisAmt
Depreciation	$18,934	DepreciationAmt
Book Value	$88,348	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,681,515	OtherCostOrOtherBasisAmt
Depreciation	$100,484,484	DepreciationAmt
Book Value	$13,197,031	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,291,110	OtherCostOrOtherBasisAmt
Depreciation	$3,531,613	DepreciationAmt
Book Value	$30,759,497	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$72,340,798	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LTD MALPRACTICE RESERVE	$800,000
DUE TO THIRD PARTY PAYORS	$3,114,839

Field	Value	IRS element (for citing)
Total Liability	$3,914,839	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$216,165,913	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,202,822	NetUnrealizedGainsInvstAmt
Other Revenue	-$24,795,243	OtherRevenueAmt
Revenue Not Reported	-$25,998,065	RevenueNotReportedAmt
Revenue Subtotal	$242,163,978	RevenueSubtotalAmt
Investment Expenses Not Incld	$83,757	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$83,757	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$242,247,735	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$241,322,545	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$241,322,545	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$83,757	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$24,795,243	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$24,879,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$266,201,545	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	RESTRICTED FUNDS ARE HELD BY REGIONAL WEST FOUNDATION, A RELATED ORGANIZATION. THESE FUNDS ARE RESTRICTED PRIMARILY FOR SCHOLARSHIPS FOR NURSING AND HEALTH CARE PROFESSION STUDENTS. A PORTION OF THE RESTRICTED FUNDS ARE FOR CAPITAL IMPROVEMENTS FOR RWMC.
PART X, LINE 2:	THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER HAS REALIZED CERTAIN INCOME WHICH THE INTERNAL REVENUE SERVICE CONSIDERS TO BE UNRELATED BUSINESS INCOME SUBJECT TO INCOME TAX. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2019 AND 2018, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE -24,795,243.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 24,795,243.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,688,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,688,618	NetCommunityBenefitExpnsAmt
Total Expense	0.04430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,716,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,896,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,819,554	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,405,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,896,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,508,172	NetCommunityBenefitExpnsAmt
Total Expense	0.07670	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$368,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,519	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$327,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,477,117	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,795	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,437,322	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,225,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,355	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,219,013	NetCommunityBenefitExpnsAmt
Total Expense	0.15830	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,958	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$290,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,361,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,275,244	NetCommunityBenefitExpnsAmt
Total Expense	0.16690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,766,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,983,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,783,416	NetCommunityBenefitExpnsAmt
Total Expense	0.24360	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,099,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,099,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,447	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,447	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,138,617	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,138,617	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,795,243	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,539,786	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,445,890	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,906,104	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.RWHS.ORG	WebsiteAddressTxt
State License	700001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	RWHS.ORG/OUR-NETWORK/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.RWHS.ORG/OUR-NETWORK/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.RWHS.ORG/ABOUT-YOUR-BILL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.RWHS.ORG/ABOUT-YOUR-BILL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.RWHS.ORG/ABOUT-YOUR-BILL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REGIONAL WEST MEDICAL CENTER	PART V, SECTION B, LINE 5: REGIONAL WEST MEDICAL CENTER (RWMC) PARTICIPATED IN A COMMUNITY NEEDS ASSESSMENT CONDUCTED IN 2017 BY THE SCOTTSBLUFF 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 WERE THE PRIMARY TOOLS USED BY THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN. THE PLAN OUTLINES HOW THE HOSPITAL WILL GIVE BACK TO THE COMMUNITY IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. REGIONAL WEST HEALTH SERVICES, THE SOLE MEMBER OF RWMC, THEN BROUGHT A GROUP TOGETHER TO REVIEW THE MAPP AND CHIP REPORT AND COMPARED IT TO THE ALREADY ESTABLISHED COMMUNITY BENEFITS PROVIDED BY THE ORGANIZATION. THE REVIEW FOCUSED ON GAPS IN SERVICES AS WELL AS DUPLICATION OF SERVICES. AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE REGIONAL WEST HEALTH SERVICES BOARD.
REGIONAL WEST MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE HELP OF SCOTTSBLUFF COUNTY HEALTH DEPARTMENT (SBCHD) AND THE PANHANDLE PUBLIC HEALTH DEPARTMENT (PPHD).
REGIONAL WEST MEDICAL CENTER	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 IDENTIFIED FOR THE IMPLEMENTATION STRATEGY WERE THOSE THE BOARD BELIEVED THAT THE HOSPITAL COULD MOST EFFECTIVELY ADDRESS WITH THE RESOURCES AVAILABLE. THESE NEEDS INCLUDED: CHRONIC DISEASES INCLUDING CARDIOVASCULAR DISEASE, DIABETES AND CANCER, UNINTENTIONAL AND INTENTIONAL INJURY PREVENTION, AND BEHAVIORAL HEALTH AND ACCESS TO CARE. NEEDS IDENTIFIED BUT NOT ADDRESSED INCLUDE A SHORTAGE OF HEALTH PROFESSIONALS THE NEED FOR STRONGER ELDER CARE, AND OTHER NEEDS FOCUSED ON SOCIO-ECONOMIC FACTORS THAT ARE NOT DIRECTLY IDENTIFIED AS HEALTH-RELATED. 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.
REGIONAL WEST MEDICAL CENTER	PART V, SECTION B, LINE 13B: SEE OTHER CRITERIA USED IN EXPLANATION TO PART I, LINE 3C OF SCHEDULE H.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FPG, RWMC MAY ALSO REQUEST SUPPORTING DOCUMENTS SUCH AS BANK STATEMENTS, PROOF OF ALL HOUSEHOLD INCOME, MOST RECENT TAX RETURN, DOCUMENTS OF ELIGIBILITY FOR OTHER ASSISTANCE PROGRAMS, INFORMATION ON AVAILABLE ASSETS OR OTHER FINANCIAL RESOURCES, EXTERNAL PUBLIC SOURCES SUCH AS CREDIT SCORES. IF THE PATIENT IS UNABLE, OR FAILS, TO SUPPLY REQUESTED INFORMATION, RWMC MAY REFER TO EXTERNAL SOURCES TO DETERMINE POSSIBLE ELIGIBILITY WHEN THE PATIENT IS HOMELESS WITH NO DEPENDENTS, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE, VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING BASED ON WRITTEN CONFIRMATION FROM THE HOUSING AUTHORITY, RECEIVES DOCUMENTED FREE CARE FROM A COMMUNITY CLINIC, OR A COLLECTION AGENCY HAS VERIFIED THAT THE PATIENT HAS NO ASSETS OR INCOME.
PART I, LINE 6A:	THE ORGANIZATION DID NOT PREPARE A COMMUNITY BENEFIT REPORT DURING THE YEAR.
PART I, LINE 7G:	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-SPECIALITY 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 A LARGER VOID IN MEDICAL CARE IN THE ALREADY MEDICALLY UNDERSERVED RURAL AREA. SOME OF THE SPECIALTY CLINICS THAT RWPC IS ABLE TO PROVIDE BECAUSE OF THE SUBSIDIZATION INCLUDE: UROLOGY, WOMEN'S HEALTH, ORTHOPEDICS, SURGICAL VASCULAR DIAGNOSTICS, ENT SURGERY, NEUROSURGERY, INTERNAL MEDICINE, DIABETES CARE, FAMILY MEDICINE IN SCOTTSBLUFF, MORRILL AND GERING, PSYCHIATRY AND BEHAVIORAL HEALTH, NEUROLOGY, REHAB MEDICINE, PAIN MANAGEMENT, AND PEDIATRICS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24,795,243.
PART II, COMMUNITY BUILDING ACTIVITIES:	RWMC'S MAJOR COMMUNITY BUILDING ACTIVITIES INCLUDE DISASTER READINESS SUPPORT SYSTEM ENHANCEMENT FOR THE IMMEDIATE COMMUNITY AND SCOTTSBLUFF 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 LOCAL SCHOOLS THROUGH PROMOTING ACTIVITIES, RAISING FUNDS, AND HELPING TO SERVE LUNCHES, ETC. RWMC, AS A HOSPITAL THAT PROVIDES SERVICES 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:	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 METHODOLOGY AND COST TO CHARGE RATIO CHARGES FOR NEW SERVICES 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 3:	BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. AT THIS TIME THE COMMUNITY BENEFIT DOES NOT INCLUDE ANY BAD DEBT AMOUNTS.
PART III, LINE 4:	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. FOOTNOTES TITLED "PATIENT RECEIVABLES," "PATIENT SERVICE REVENUE, AND "FINANCIAL ASSISTANCE/CHARITY CARE" CAN BE FOUND ON PAGES 7, 9, AND 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	APPROXIMATED 35% OF REVENUE IS FROM PATIENTS PARTICIPATING IN THE MEDICARE PROGRAM, THUS PROVIDING SERVICES TO MEDICARE PATIENTS IS A PROMOTION OF HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE POPULATION OF THE COMMUNITY AND REGION THAT RWMC SERVES. MEDICARE COST IS THE ALLOWABLE COSTS AS REPORTED ON THE REGIONAL WEST MEDICAL CENTER COST REPORT FOR 2019.
PART III, LINE 9B:	THE COLLECTION POLICY OF RWMC, AND THE RELATED CHARITY CARE POLICY, STATE THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE SERVICES CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLLOWING TREATMENT AT RWMC. ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT, OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE FINANCIAL ASSISTANCE TEAM OF RWMC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT. SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO RWMC POLICY, ARE: ABILITY TO PAY, EXHAUSTION OF MEDICARE OR MEDICAID BENEFITS COMBINED WITH INABILITY TO PAY, DISCOUNTED CARE FOR THOSE UNABLE TO PAY; ALL OTHER POSSIBLE SOURCES OF COLLECTION USING SOUND BUSINESS PRACTICES HAVE BEEN MADE TO ENABLE THE PATIENT TO PAY; CARE PROVIDED TO A DECEASED PATIENT WITH NO ESTATE; OR CARE PROVIDED TO PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENTS ACCOUNT.
PART VI, LINE 2:	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 IN 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 ADDRESING THEM. THE NEBRASKA STATE DEPARTMENT OF HEALTH IS A MAJOR RESOURCE FOR DATA USED IN THE NEEDS ASSESSMENT. AN ASSESSMENT IS DONE OF THE GRANTS OFFERED 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 RMWC WITH MONTHLY CALLS ON REPORTABLE DISEASE SURVEILLANCE WHICH HELPS RWMC DIRECT EDUCATION PROGRAMS AND RESOURCES TOWARDS AREAS OF CONCERN.
PART VI, LINE 3:	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 OCCASSIONALLY BY THEIR PHYSICIAN ABOUT THE FINANCIAL ASSISTANCE AND THE PAYMENT POLICIES OF RWMC. RWMC HAS A TIME OF SERVICES (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 LIASONS 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. THE COMPLETED APPLICATION IS THEN EVALUATED TO DETERMINE THE PATIENT'S ABILITY, OR INABILITY, TO PAY, USING A MEASUREMENT OF INCOME BASED ON THE MOST RECENTLY PUBLISHED POVERTY GUIDELINES FROM THE FEDERAL REGISTER. DECISIONS REGARDING FINANCIAL ASSISTANCE ARE THEN COMMUNICATED TO THE PATIENT IN A LETTER. DISCLOSURE RELATED 501(R) PROCEDURES:RWMC'S FINANCIAL ASSISTANCE POLICY, SETS FORTH THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE AND REFERENCES HOW MEMBERS OF THE PUBLIC CAN ACCESS SUCH INFORMATION, INCLUDES A LIST OF PROVIDERS WHO BOTH ARE AND ARE NOT SUBJECT TO THE POLICY, REFERENCES HOW MEMBERS OF THE PUBLIC CAN ACCESS SUCH INFORMATION AND REFERENCES HOW MEMBERS OF THE PUBLIC CAN OBTAIN RWMC'S BILLING AND COLLECTION POLICY.
PART VI, LINE 4:	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 POPULATION, 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 35% OF ITS REVENUE IS DERIVED FROM MEDICAL TREAMENT OF PATIENTS COVERED BY MEDICARE; 6% OF REVENUE IS DERIVED FROM PATIENTS COVERED BY MEDICAID.
PART VI, LINE 5:	REGIONAL WEST MEDICAL CENTER IS COMMITTED TO BEING A GOOD CORPORATE CITIZEN, BY CONTRIBUTING TIME, MONEY, AND RESOURCES IN SUPPORT OF WORTHY CAUSES, BOTH LOCALLY AND REGIONALLY. REGIONAL WEST SUPPORTED LOCAL SCHOOLS, COMMUNITY ORGANIZATIONS, HEALTH ORGANIZATIONS, AND MORE WITH CASH AND IN-KIND DONATIONS.AMONG THE DOZENS OF ORGANIZATIONS TO RECEIVE DONATIONS WERE CASA AND CAPSTONE, PANHANDLE HUMANE SOCIETY, THEATRE WEST, GORDON MEMORIAL HOSPITAL, CHADRON COMMUNITY HOSPITAL, SCOTTS BLUFF COUNTY YMCA, UNITED WAY OF WESTERN NEBRASKA AND NEBRASKA MISSION OF MERCY. IN ADDITION, THE MEDICAL CENTER PROVIDED MONIES IN CHARITY HEALTH CARE TO AREA RESIDENTS.CASE MANAGEMENT: TO HELP PATIENTS AND THEIR FAMILIES COPE WITH THE UNEXPECTED, REGIONAL WEST HAS SOCIAL WORK STAFF THROUGHOUT THE ORGANIZATION TO GUIDE, EDUCATE, AND EMPOWER PATIENTS AND THEIR FAMILIES DURING HOSPITALIZATION AND AS PATIENTS PREPARE FOR DISMISSAL.GUEST RELATIONS: GUEST RELATIONS REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS AND FAMILIES AT ANY TIME PRIOR TO OR DURING HOSPITALIZATION.PASTORAL CARE: OUR CHAPLAIN OR VOLUNTEER CLERGY IS AVAILABLE 24 HOURS A DAY TO PROVIDE SPIRITUAL SUPPORT FOR YOU AND YOUR FAMILY, AND OUR CHAPEL IS OPEN TO PATIENTS AND VISITORS AT ALL TIMES.RAPID RESPONSE TEAM: WHEN A PATIENT SHOWS SIGNS OF DISTRESS OR CHANGES IN VITAL SIGNS, THE RAPID RESPONSE TEAM IS CALLED TO THE BEDSIDE WITHIN MINUTES FOR RAPID ASSESSMENT AND TREATMENT. THE TEAM INCLUDES A CRITICAL CARE NURSE AND RESPIRATORY THERAPIST. THEIR RESPONSE IS CRUCIAL BECAUSE PATIENT SURVIVAL RATES ARE DIRECTLY IMPACTED BY HOW QUICKLY THE PATIENT CAN BE ASSESSED AND TREATED.ROOM SERVICE: REGIONAL WEST'S ROOM SERVICE DINING ALLOWS PATIENTS TO ORDER WHAT THEY WANT TO EAT, WHEN THEY WANT IT, AND THEIR MEAL IS DELIVERED WITHIN 45 MINUTES OF PLACING THEIR ORDER. BREAKFAST IS AVAILABLE ALL DAY AND PATIENTS' GUESTS MAY PURCHASE A MEAL FOR A NOMINAL FEE.VALET SERVICE: FREE VALET SERVICE IS AVAILABLE MONDAY THROUGH FRIDAY FROM 9 A.M. TO 4 P.M. AT THE MAIN ENTRANCE, MEDICAL PLAZA NORTH, MEDICAL PLAZA SOUTH, AND THE REHAB CENTER. OUR VALETS ASSIST PATIENTS INTO AND OUT OF THEIR VEHICLES, PARK THE VEHICLES, AND DELIVER THEM BACK TO THE BUILDING ENTRANCE WHEN PATIENTS AND GUESTS ARE READY TO LEAVE. NO NEED TO TIP; TIPS ARE NOT ACCEPTED.VOLUNTEERS: VOLUNTEERS DELIVER PATIENT MAIL, MAGAZINES, AND FLOWERS; WORK IN THE GIFT SHOP; THE HOSPITAL INFORMATION CENTERS, THE SURGICAL WAITING ROOM, AND PATIENT CARE UNITS; AND PROVIDE CLERICAL, NON-CLINICAL, TECHNICAL SUPPORT THROUGHOUT THE HOSPITAL. OUR MOST CREATIVE VOLUNTEERS ALSO MAKE PEDIATRIC PALS FOR PEDIATRIC PATIENTS, LAP ROBES, BABY BOOTIES, CRIB BLANKETS, AND CREATE SILK FLOWER ARRANGEMENTS.
PART VI, LINE 6:	THE AFFILIATED HEALTH CARE SYSTEM INCLUDES:REGIONAL WEST MEDICAL CENTER - 182-BED HOSPITAL, LEVEL II TRAUMA CENTER, AND REGIONAL REFERRAL CENTERREGIONAL WEST HEALTH SERVICES - STRATEGIC PLANNING AND MANAGEMENTREGIONAL WEST GARDEN COUNTY - CRITICAL ACCESS HOSPITALREGIONAL 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
REGIONAL WEST PHYSICIANS CLINIC
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314159	501(C)(3)	$35,237,795	TO PROVIDE SUPPORT TO AFFILIATED CHARITABLE ORGANIZATION.
REGIONAL WEST VILLAGE
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314162	501(C)(3)	$1,176,935	TO PROVIDE SUPPORT TO AFFILIATED CHARITABLE ORGANIZATION.
SCOTTSBLUFF BOOSTER CLUB
PO BOX 1144	SCOTTSBLUFF	NE	69361	470666981	501(C)(3)	$12,500	GENERAL SUPPORT
WESTERN NEBRASKA COMMUNITY COLLEGE FOUNDATION
1601 E 27TH STREET	SCOTTSBLUFF	NE	69361	237137706	501(C)(3)	$7,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS ARE ONLY MADE TO AFFILIATED CHARITABLE ORGANIZATIONS. REGIONAL WEST HEALTH SERVICES, A SUPPORTING ORGANIZATION AND PARENT ENTITY MANAGES THE ENTIRE AFFILIATED GROUP OF ORGANIZATIONS, AND OVERSEES THE USE OF ALL FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY HOLLOWAY MD
DIRECTOR	$0	$692,777	$0	$27,985	$0	$1,242	$0	$11,200	$0	$48,273	$0	$781,477	$0	$0
JOHN MENTGEN
CEO/PRESIDENT	$0	$507,405	$0	$0	$0	$9,273	$0	$67,145	$0	$48,802	$0	$632,625	$0	$0
MATTHEW BRUNER MD
DIRECTOR THRU 10/2019	$0	$480,885	$0	$52,967	$0	$463	$0	$11,200	$0	$48,335	$0	$593,850	$0	$0
VINCE BJORLING MD
DIRECTOR THRU 02/2019	$0	$352,375	$0	$84,472	$0	$2,487	$0	$11,200	$0	$37,701	$0	$488,235	$0	$0
DONALD THOMAS MD
DIRECTOR THRU 11/2019	$0	$412,375	$0	$0	$0	$0	$0	$0	$0	$0	$0	$412,375	$0	$0
MICHAEL ICKOWSKI
CFO/TREASURER	$0	$304,228	$0	$0	$0	$10,017	$0	$55,778	$0	$34,788	$0	$404,811	$0	$0
THOMAS DREDLA IV
CRNA	$255,719	$0	$0	$0	$1,203	$0	$10,736	$0	$47,771	$0	$315,429	$0	$0	$0
CINDY BRAMAN
CRNA	$247,525	$0	$0	$0	$496	$0	$9,906	$0	$48,254	$0	$306,181	$0	$0	$0
CHARLIE BELL
CRNA	$230,614	$0	$0	$0	$162	$0	$9,191	$0	$47,726	$0	$287,693	$0	$0	$0
LESLIE MILLER
CRNA	$218,754	$0	$0	$0	$153	$0	$8,894	$0	$52,203	$0	$280,004	$0	$0	$0
JANET HANSON
CRNA	$241,865	$0	$0	$0	$1,331	$0	$8,708	$0	$18,236	$0	$270,140	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	IN THE CURRENT YEAR, THE ORGANIZATION PAID FOR ONE MONTH OF A MEMBERSHIP TO THE YMCA FOR ANY EMPLOYEE WHO CHOSE TO ENROLL. THIS AMOUNT WAS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. THE ONLY DIRECTOR, OFFICER, OR HIGHEST COMPENSATED EMPLOYEE WHO RECEIVED THIS BENEFIT IN THE CURRENT YEAR WAS CINDY BRAMAN.
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.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JOHN MENTGEN 55,945 MICHAEL ICKOWSKI 44,578

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA
A	470676786	EMS810143	2016-11-30	$79,135,049	SEE PART VI	0	0	0
NEBRASKA INVESTMENT FINANCE AUTHORITY
B	470613449		2017-06-20	$17,908,986	PURCHASER OF EMR SYSTEM FOR HOSPITAL	0	0	0
HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA
C	470676786		2020-11-25	$5,004,637	CAPITAL IMPROVEMENTS TO HOSPITAL AND NONHOSPITAL FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr
A	$8,636,669	$79,424,207	$1,025,837	$25,003,842	$53,110,007	Yes (1)	Yes (1)	Yes (1)
B	$8,695,136	$17,913,838	$129,261	$11,108,708		0	Yes (1)	Yes (1)	$6,675,869	2018
C	$117,485	$5,004,637		$5,004,637		0	0	Yes (1)		2019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1, COLUMN (F):	FormAndLineReferenceDesc
Explanation	2016A BONDS - CURRENT REFUNDING OF REVENUE BOND SERIES 2012A AND REVENUE BOND SERIES 2012B, AND TO PROVIDE CAPITAL IMPROVEMENTS TO HOSPITAL AND NONHOSPITAL FACILITIES. 2016B BOND - CURRENT REFUNDING OF REVENUE BOND SERIES 2013.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE CORPORATION'S SOLE MEMBER IS REGIONAL WEST HEALTH SERVICES.
FORM 990, PART VI, SECTION A, LINE 7A	REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, HAS THE ABILITY TO APPOINT 3 MEMBERS OF THE BOARD OF DIRECTORS, WHICH IS NOT A MAJORITY. RWHS ALSO HAS THE ABILITY TO ELECT BOARD MEMBERS TO FILL ANY VACANCY CREATED BY THE FAILURE OR INABILITY OF ANY ELECTED DIRECTOR TO SERVE.
FORM 990, PART VI, SECTION A, LINE 7B	REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, HAS THE POWER TO APPROVE OR CHANGE LONG-TERM AND MASTER STRATEGIC OR BUSINESS PLANS OF THE ORGANIZATION, APPROVE BUDGETS, THE MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, APPROVE OF OR CHANGE THE CHARITY CARE POLICIES AND PROCEDURES, AS WELL AS THE AMENDMENTS TO ANY GOVERNING DOCUMENTS.
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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	SHREDDING: PROGRAM SERVICE EXPENSES 29,013. MANAGEMENT AND GENERAL EXPENSES 5,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,443. RECRUITMENT: PROGRAM SERVICE EXPENSES 549,029. MANAGEMENT AND GENERAL EXPENSES 601,365. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,150,394. MEDICAL WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 175,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,623. LITHOTRIPSY CONTRACT: PROGRAM SERVICE EXPENSES 134,850. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,850. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 16,963,914. MANAGEMENT AND GENERAL EXPENSES 18,531,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,495,877. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,119,636. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,119,636.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FRIENDS OF REGIONAL WEST MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
EIN	010382302	EIN
Primary Activities	AUXILIARY	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Total Income	$41,368	TotalIncomeAmt
End Of Year Assets	$89,782	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST MEDICAL CENTER	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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 FOUNDATION
4021 AVENUE B	SCOTTSBLUFF	NE	69361	237171022	FUNDRAISING	NE	501(C)(3)	LINE 12A, I		0	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST VILLAGE
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314162	ASSISTED LIVING	NE	501(C)(3)	LINE 10		0	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST HEALTH SERVICES & AFF
4021 AVENUE B	SCOTTSBLUFF	NE	69361	470658690	HEALTH PLAN	NE	501(C)(9)			0	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST GARDEN COUNTY
4021 AVENUE B	SCOTTSBLUFF	NE	69361	391904975	CRITICAL ACCESS HOSPITAL	NE	501(C)(3)	LINE 3		0	REGIONAL WEST HEALTH SERVICES
REGIONAL WEST PHYSICIANS CLINIC
4021 AVENUE B	SCOTTSBLUFF	NE	69361	363314159	DR. CLINICS	NE	501(C)(3)	LINE 10		0	REGIONAL WEST HEALTH SERVICES

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL CARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4021 AVENUE B	AddressLine1Txt
City	SCOTTSBLUFF	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	69361	ZIPCd

Field	Value	IRS element (for citing)
EIN	470760050	EIN
Primary Activities	TPA	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL WEST HEALTH SERVICES & AFFILIATE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$17,764,988	InvolvedAmt
Method Of Amount Determination	CASH	MethodOfAmountDeterminationTxt