2018-11-15T13:05:09-07:00 2017-12-31 363314157 REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 693614602 990 2017-01-01 391904975 REGIONAL WEST GARDEN COUNTY REGI 4021 AVENUE B SCOTTSBLUFF NE 69361 MICHAEL ICKOWSKI CFO 3086301149 2018-11-15 true AMY HOLZWORTH CPA P00284207 3086302823 2018-11-15 167.68.16.49 2018-11-15 14:05:09 CS P BD55BCBAF3C68CDF1F389F5BA574DD8D29DEB7E8 BD55BCBAF3C68CDF1F389F5BA574DD8D29DEB7E8 2017 2019-02-21 02:37:17Z MICHAEL ICKOWSKI 7766260 false X WWW.GCHEALTH.ORG X 1984 NE THE MISSION OF REGIONAL WEST GARDEN COUNTY IS TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE TO ENHANCE THE QUALITY OF LIFE OF THE COMMUNITIES SERVED. 7 4 120 0 88574 468431 7593812 7283820 3359 6720 138925 7289 7824670 7766260 0 0 5500953 5865761 0 0 2925224 2557801 8426177 8423562 -601507 -657302 2997224 2570209 4080508 4310795 -1083284 -1740586 X THE MISSION OF REGIONAL WEST GARDEN COUNTY IS TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE TO ENHANCE THE QUALITY OF LIFE OF THE COMMUNITIES SERVED. false false 2899216 4545333 REGIONAL WEST GARDEN COUNTY IS A NONPROFIT FACILITY CRITICAL ACCESS HOSPITAL THAT INCLUDES A 10 BE ACUTE CARE UNIT DESIGNED TO PROVIDE SPECIAL CARE FOR ACUTELY ILL PATIENTS. 1478318 1872574 REGIONAL WEST GARDEN COUNTY INCLUDES A 40 BED NURSING HOME INTERMEDICATE LONG TERM CARE FACILITY. ITS PURPOSE IS TO PROVIDE 24 HOUR LICENSED NURSING CARE THAT ASSISTS RESIDENTS IN MEETING THEIR DAILY NEEDS AND HELPS THEM MAINTAIN THEIR OPTIMUM FUNCTIONAL LEVEL WITHIN AN ATMOSPHERE OF COMFORT AND DIGNITIY. REGIONAL WEST GARDEN COUNTY NURSING HOME ALSO OFFERS ADULT DAY CARE, RESPITE CARE, AND HOSPICE SERVICES. 1082821 859969 REGIONAL WEST GARDEN COUNTY CLINIC IS A RURAL HEALTH CLINIC THAT PROVIDES PHYSICIAN APPOINTMENTS AND WALK IN CARE FOR RESIDENTS IN THE SOUTHEASTERN NEBRASKA PANHANDLE. 2963207 18233 REGIONAL WEST GARDEN COUNTY ALSO PROVIDES ADMINISTRATIVE SUPPORT SERVICES NECESSARY TO ACCOMPLISH THE PRIMARY PROGRAM SERVICES OF THE HOSPITAL. THESE SERVICES ARE ADMINISTRATIVE, TECHNOLOGY, HUMAN RESOURCES, BILLING, HOUSEKEEPING, MEDICAL RECORDS AND OTHER SERVICES NECESSARY TO KEEP OPERATIONS RUNNING. 2963207 18233 8423562 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 19 0 120 true false false false false false false false false false false X 7 4 false false false false false false false true true false false true true true true true true true false false X MICHAEL ICKOWSKI 3086301111 4021 AVENUE B SCOTTSBLUFF NE 69361 PAUL HOFMEISTER BOARD MEMBER 1.00 40.00 X 0 538124 97091 HOD KOSMAN BOARD MEMBER 1.00 X 0 0 0 MARY MATHER BOARD MEMBER 1.00 X 0 0 0 CASPER CORFIELD BOARD MEMBER 1.00 X 0 0 0 BEV KRAJEWSKI BOARD MEMBER 1.00 X 0 0 0 JOHN MENTGEN CHAIRMAN 1.00 40.00 X 0 513036 249768 MICHAEL ICKOWSKI CFO 1.00 40.00 X 0 305591 71001 EVELYN YORK SECRETARY 1.00 40.00 X 0 57198 36946 STEPHEN BOYER MEDICAL DIRE 40.00 X 304399 0 48401 WYATT KRAMER PA 40.00 X 209110 0 15135 LAURIE SOPER APRN 40.00 X 206625 0 19721 DAVID GRIFFITHS TREASURER X 0 382483 0 MATTHEW HASLAM DIRECTOR 40.00 X 0 292748 43445 720134 2089180 581508 4 true true false PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 68103 AGENCY STAFF 152070 QUADRA MED PO BOX 74008556 CHICAGO IL 606748556 MAINTENANCE CON 147286 MEDICAL SOLUTIONS PO BOX 310737 DES MOINES IA 503310737 AGENCY STAFF 135770 STAT STAFFING LLC PO BOX 45 101 E AVE F OSHKOSH NE 69154 AGENCY STAFF 109340 4 2111 466320 468431 NET HOSPITAL PATIENT REVENUE 623000 4454317 4454317 NURSING HOME PATIENT REVENUE 623000 1872574 1872574 HEALTH CLINIC PATIENT REVENUE 621110 859560 859560 OTHER OPERATING REVENUE 623000 97369 97369 7283820 1720 1720 5000 5000 5000 5000 OTHER NON-OPERATING REVENUE 7089 7089 SALE OF MINOR EQUIPMENT 200 200 7289 7766260 7296109 1720 152244 152244 4014289 4014289 136938 136938 1291140 1291140 271150 271150 28695 28695 36 36 32094 32094 300990 300990 14668 14668 10559 10559 198193 198193 23006 23006 5665 5665 10551 10551 150351 150351 66959 66959 OTHER PURCHASED SVCS 1048288 1048288 PATIENT BILLABLE SUPPLIES 210606 210606 NONBILLABLE PATIENT SUPPL 116164 116164 SERVICE CONTRACT 90849 90849 250127 250127 8423562 8423562 0 0 1095478 753858 1291872 883091 121556 126382 8581 1118 1298492 492732 479737 805760 2997224 2570209 200461 135415 156501 80673 3723546 4094707 4080508 4310795 X -1083284 -1740586 -1083284 -1740586 2997224 2570209 -657302 X false true X true false X 1298492 492732 805760 805760 DUE TO AFFILIATES 2965452 DUE TO THIRD PARTY PAYOR 483595 SALARIES & BENEFITS PAYABLE 367975 LEASEHOLD PAYABLE GCHS 277685 4094707 true true true X true X true false true true 26081 26081 0.00310 133186 133186 0.01580 159267 159267 0.01890 159267 159267 0.01890 true 293873 3029408 4109492 -1080084 X true true 1 1 REGIONAL WEST GARDEN COUNTY 1100 WEST 2ND OSHKOSH NE 69154 X REGIONAL WEST GARDEN COUNTY 1 false false true X X X X X X X 17 true false true true X WWW.GCHEALTH.ORG true 17 true GCHEALTH.ORG false false true X 100.000000000000 250.000000000000 X X X true true X X X X X true X X X X true X false true X false false FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 5 REGIONAL WEST GARDEN COUNTY PARTICIPATED WITH OTHER HOSPITALS IN THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN) IN A JOINT PLANNING PROCESS FACILITATED BY PANHANDLE PUBLIC HEALTH DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IS A PARTNERSHIP-BASED FRAMEWORK TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. MAPP EMPHASIZES THE PARTNERSHIP WITH ALL SECTORS OF THE PUBLIC HEALTH SYSTEM TO EVALUATE THE HEALTH STATUS OF THE REGION IT SERVES, IDENTIFY PRIORITY AREAS, AND DEVELOP PLANS FOR IMPLEMENTATION. RWGC HOSTED FOCUS GROUPS FOR RESIDENTS OF THE SERVICE AREA IN MAY 2014 AS PART OF THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE HOSPITAL, PUBLIC SCHOOL SYSTEM, GARDEN COUNTY, AND LOCAL BUSINESSES. FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 6B GARDEN COUNTY WORKED WITH THE REST OF THE MEMBERS OF THE RNHN NETWORK FOR IDEAS AND WITH THE PANHANDLE PUBLIC HEALTH DISTRICT (PPHD). FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, 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 THE HOSPITAL HAS CURRENTLY. NEEDS THAT WERE NOT ADDRESSED IN THE IMPLEMENTATION STRATEGY EITHER WERE BETTER ADDRESSED BY OTHER AGENCIES OR ORGANIZATIONS IN THE REGION, OR WERE OUTSIDE OF THE SPECIFIC PURPOSE AND MISSION OF THE HOSPITAL AND COULD NOT BE ADDRESSED USING THE CURRENT RESOURCES. NEEDS IDENTIFIED FOR THE IMPLEMENTATION STRATEGY WERE THOSE THE BOARD BELIEVED THAT THE HOSPITAL COULD MOST EFFECTIVELY ADDRESS WITH THE RESOURCES AVAILABLE. FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 15E RWGC FOLLOWS THE FINANCIAL ASSISTANCE POLICY OF REGIONAL WEST MEDICAL CENTER, A RELATED TAX-EXEMPT HOSPITAL UNDER THE CONTROL OF REGIONAL WEST HEALTH SERVICES. FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 16J REGIONAL WEST GARDEN COUNTY DID NOT POST SPANISH-TRANSLATED VERSIONS OF ITS FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. THE FAILURE TO POST THESE TRANSLATED DOCUMENTS ON RWGC'S WEBSITE WAS INADVERTENT, BUT RWGC BELIEVES INDIVIDUAL PATIENTS WERE NOT HARMED. THE ISSUES WERE DISCOVERED DURING AN AUDIT OF RWMC'S 501(R) PRACTICES. ALTHOUGH DISCOVERED DURING THE AUDIT, THE ISSUES WERE CORRECTED WHEN RWGC POSTED TRANSLATED DOCUMENTS ON ITS WEBSITE IN 2017. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS IS STATED IN TERMS OF UNREALIZABLE REVENUE, RATHER THAN AT THE ACTUAL COSTS ASSOCIATED WITH THE BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO THE BAD DEBT EXPENSE TO ESTIMATE THE COST OF THE BAD DEBT. A SIMILAR METHOD IS USED TO DETERMINE THE COSTS OF THE CHARITY CARE FOR THE ORGANIZATION. PART III, LINE 8 - MEDICARE EXPLANATION APPROXIMATELY 39% 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 RWGC SERVES. MEDICARE COST IS THE ALLOWABLE COSTS AS REPORTED ON THE RWGC COST REPORT FOR 2016. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE COLLECTION POLICY AND THE RELATED CHARITY CARE POLICY, STATES THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLOWWING TREATMENT AT RWGC. ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT, OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE FINACIAL ASSITANCE TEAM OF RWGC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT. SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO THE RWGC POLICY, ARE: ABILITY TO PAY, EXHAUSTION OF MEDICARE OR MEDICAID BENEFITS COMBINED WITH INABILITY TO PAY, DISCOUNTED CARE FOR THOSE UNABLE TO PAY; ALL OTHER POSSIBLE SOURCES OF COLLECTION USING SOUND BUSINESS PRACTICES HAVE BEEN MADE TO ENABLE THE PATIENT TO PAY; CARE PROVIDED TO A DECEASED PATIENT WITH NO ESTATE; OR CARE PROVIDED TO A PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENT'S ACCOUNT. X X X false true false false false false false false false PAUL HOFMEISTER BOARD MEMBER 295889 242235 71273 25818 635215 231046 JOHN MENTGEN CHAIRMAN 483171 29865 214819 34949 762804 MICHAEL ICKOWSKI CFO 290718 14873 61286 9715 376592 STEPHEN BOYER MEDICAL DIRECTOR 303251 1148 12735 35666 352800 WYATT KRAMER PA 209110 15129 6 224245 LAURIE SOPER APRN 206625 17999 1722 226346 DAVID GRIFFITHS TREASURER 382483 382483 382483 MATTHEW HASLAM DIRECTOR 275509 15615 1624 10685 32760 336193 SCHEDULE J, PAGE 1, PART I, LINE 4 PAUL HOFMEISTER 0 242,781 0 JOHN MENTGEN 0 111,027 0 MICHAEL ICKOWSKI 0 51,214 0 DAVID GRIFFITHS 0 382,483 0 FORM 990, PAGE 2, PART III, LINE 4D REGIONAL WEST GARDEN COUNTY ALSO PROVIDES ADMINISTRATIVE SUPPORT SERVICES NECESSARY TO ACCOMPLISH THE PRIMARY PROGRAM SERVICES OF THE HOSPITAL. THESE SERVICES ARE ADMINISTRATIVE, TECHNOLOGY, HUMAN RESOURCES, BILLING, HOUSEKEEPING, MEDICAL RECORDS AND OTHER SERVICES NECESSARY TO KEEP OPERATIONS RUNNING. FORM 990, PAGE 6, PART VI, LINE 11B FORM WAS PRESENTED TO AND REVIEWED BY THE BOARD IN THE MONTH PRIOR TO THE FILING DEADLINE. FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL DISCLOSURE BY BOARD MEMBERS OF ANY CONFLICT OF INTEREST, AS SET FORTH IN THE POLICIES, IS REQUIRED. FOR ANY POSSIBLE CONFLICT OF INTEREST IDENTIFIED, THE REMAINING BOARD DETERMINES IF IT ACTUALLY CONSTITUTES A CONFLICT OF INTEREST WITHOUT THE CONFLICTED BOARD MEMBER PRESENT. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD, LESS THE CONFLICTED MEMBER, WILL THEN DECIDE THE LEVEL OF INVOLVEMENT OF THE MEMBER IN DECISION MAKING FOR THE ENTITY, IF THERE IS AN ALTERNATIVE ARRANGEMENT THAT WILL ELIMINATE THE CONFLICT OF INTEREST, AND THE APPROPRIATENESS OF THE CONFLICTED MEMBER CONTINUING AS A BOARD MEMBER. FAILURE TO DISCLOSE A CONFLICT OF INTEREST CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION FOR THE CONFLICTED MEMBER. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS FROM THE PARENT COMPANY. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC THROUGH BEING POSTED ON THE ORGANIZATION'S WEBSITE. REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 ADMIN SUPP NE 501C3 12A NA false REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385129 HOSPITAL 501C3 3 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 FDRAISING 501C3 12A RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 RETIREMENT 501C3 10 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 DR CLINICS 501C3 3 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST HEALTH SERVICES & AFF 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLA NE 501C9 12C RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL CARE INC 4021 AVE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C CORP 4541709 3121000 false false false false false false false false false false false false false true false false true false false false REGIONAL WEST MEDICAL CENTER M 845375 CASH