2011-11-14T15:14:52-06:00 2010-12-31 CONTRYMAN ASSOCIATES PC CPA'S PO BOX 2246 SCOTTSBLUFF NE 69363 990 2010-01-01 470385129 REGIONAL WEST MEDICAL CNTR REGI 3086353711 4021 AVENUE B SCOTTSBLUFF NE 693614602 DAVID GRIFFITHS 3086353711 2011-11-15 DAN W CHARRON CPA CMA 3086357705 2011-11-14 2010 2016-02-24 21:20:13Z 183656392 false X WWW.RWHS.ORG X PROVIDING MEDICAL CARE 14 9 1518 15127665 -1879567 57750 21423 133367134 156098838 1131843 1845207 21678011 23974298 156234738 181939766 1712040 8050000 0 71469762 75623749 0 0 75507338 83001268 148689140 166675017 7545598 15264749 145479201 155804021 86021905 80348009 59457296 75456012 PROVIDING MEDICAL CARE false false 130942774 8050000 165477559 REGIONAL WEST MEDICAL CENTER PROVIDED 34,372 DAYS OF INPATIENT CARE TO 6,715 PATIENTS AND REGISTERED APPROXIMATELY 54,737 OUTPATIENTS. REGIONAL WEST MEDICAL CENTER PROVIDED 20,304,353 IN BENEFITS TO THE COMMUNITY, EXCLUDING MEDICARE SHORTFALL, AND 46,265,366 OF COMMUNITY BENEFITS INCLUDING THE MEDICARE SHORTFALL. 130942774 true true false false false false false false false false true false false false true false true false false false false false false false false false true false true false true true false true false false false false false true false true false false false false false true false false false false true 107 0 1518 true true true false false false false false X 14 9 false false false false false false false true true false false true true true true true true true true false X DAVID GRIFFITHS 3086301111 4021 AVENUE B SCOTTSBLUFF NE 693614602 TODD S SORENSEN 55.00 X X 0 481871 74874 TOM HOLYOKE 1.00 X 84021 0 0 H HOD KOSMAN 1.00 X X 0 0 0 GLEN FORNEY MD 1.00 X 0 0 0 JANE HUNTER 1.00 X X 0 0 0 ROBERT KELLEY 1.00 X 0 0 0 MARK HARTMAN MD 1.00 X 0 0 0 JIM TRUMBULL 1.00 X 0 0 0 JEFFREY HOLLOWAY MD 1.00 X 0 0 0 REV LAUREN EKDAHL 1.00 X 0 0 0 DORA OLIVARES 1.00 X 0 0 0 JIM DARNELL 1.00 X 0 0 0 DAVID GRIFFITHS 55.00 X 0 227106 33983 JENNIFER BROOKER 40.00 X 0 33627 16840 SHIRLEY KNODEL 55.00 X 174212 0 32943 JAN TAYLOR 55.00 X 161851 0 42091 RALPH PHELPS 40.00 X 202677 0 23155 THOMAS DREDLA IV 40.00 X 202169 0 24363 JANET HANSON 40.00 X 201895 0 39607 THOMAS DREDLA III 40.00 X 199114 0 42480 CINDY BRAMAN 40.00 X 199013 0 41940 JAMES MCHUGH 55.00 X X 179308 0 10708 LISA BEWLEY 55.00 X X 0 175191 30894 STEVE HODGES 55.00 X X 0 149546 35642 STUART FULKS 55.00 X X 0 143595 25981 1604260 1210936 475501 13 true true false MCKESSON INFORMATION SYSTEMS PO BOX 98347 CHICAGO IL 606938347 SVC MTN & EQUIP 2771484 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 REFERENCE LAB 813604 WESTERN PATHOLOGY CONSULTANTS PC LABORATORY 774102 MAGNET SOLUTIONS PO BOX 1826 SCOTTSBLUFF NE 69361 A/R COLLECTIONS 659982 PHILIPS MEDICAL SYSTEMS PO BOX 406629 ATLANTA GA 303843262 SVC CONTRACTS 627944 112 21423 21423 NET PATIENT SERVICE REVENUE 156098838 156098838 156098838 1153118 1153118 2408715 1716626 692089 692089 692089 REFERENCE LABORATORY 621500 11063860 11063860 PHARMACY SALES 446110 4063805 4063805 ADMINISTRATIVE & MISC 3822061 3822061 5024572 1290526 3734046 23974298 181939766 158081453 15127665 8709225 8050000 8050000 336062 336062 179308 179308 56544601 46027281 10517320 2443036 2014247 428789 12148679 9338592 2810087 3972063 3250141 721922 360591 360591 58992 58992 4683840 4655443 28397 1000852 699651 301201 1642512 1140674 501838 530092 275876 254216 370162 304987 65175 3174065 2589020 585045 10238716 6849548 3389168 796397 565251 231146 SUPPLIES 30368563 29939062 429501 OTHER PURCHASED SERVICES 18477146 8371476 10105670 EQUIPMENT RENTAL & MAINT 7102236 3813322 3288914 MISCELLANEOUS 1569586 769572 800014 MINOR EQUIPMENT 889024 469661 419363 1738494 1303600 434894 166675017 130942774 35732243 0 X 67248 71732 11554857 12216496 24247096 30580238 1220232 1698478 4583398 4702846 1712817 2315455 174171847 118049807 58270063 56122040 42517495 46970621 1305995 1126115 145479201 155804021 19681479 17177043 63693597 59303631 2646829 3867335 86021905 80348009 X 59457296 75456012 59457296 75456012 145479201 155804021 15264749 733967 X true true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 2783590 2783590 168030958 118049807 49981151 3357299 3357299 56122040 MARKET VALUE OF INTEREST RATE SWAP 3867335 3867335 181939766 166675017 15264749 3080292 -2346325 733967 15998716 186939769 3080292 1924177 5004469 181935300 4466 4466 181939766 170941053 4270506 4270506 166670547 4470 4470 166675017 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS 1,924,177 FRIENDS OF REGIONAL WEST -4,466 FUND BALANCE TRANSFERS TO AFFILIATES -3,050,000 CHANGE IN FMV OF INTEREST RATE SWAP -1,220,506 FRIENDS OF REGIONAL WEST 4,470 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS 1,924,177 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B FRIENDS OF REGIONAL WEST 4,466 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D FUND BALANCE TRANSFERS TO AFFILIATES 3,050,000 CHANGE IN FMV OF INTEREST RATE SWAP 1,220,506 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B FRIENDS OF REGIONAL WEST 4,470 true true true X true X true true true false true true 7333252 7333252 0.04400 5751053 5751053 0.03450 13084305 13084305 0.07850 516685 33920 482765 0.00290 1424392 29649 1394743 0.00840 429404 429404 0.00260 5628982 5628982 0.03380 7999463 63569 7935894 0.04760 21083768 63569 21020199 0.12610 9937 9937 0.00010 1114773 1114773 0.00670 1124710 1124710 0.00670 true 4404434 35969912 61930925 -25961013 X true true 1 1 REGIONAL WEST MEDICAL CENTER

4021 AVENUE B SCOTTSBLUFF NE 69361

X X X X REGIONAL WEST MEDICAL CENTER 1 false true true 100.0 true 250.0 true X X X X X true true X X X X X X true X X false X X X X true false false COMMUNITY BUILDING ACTIVITIES PART II RWMCS MAJOR COMMUNITY BUILDING ACTIVITIES INCLUDE DISASTER READINESS SUPPORT SYSTEM ENHANCEMENT FOR THE IMMEDIATE COMMUNITY AND SCOTTS BLUFF COUNTY ADOPTASCHOOL INVOLVMENT AND PHYSICIAN RECRUITMENT THE DISASTER READINESS SUPPORT INCLUDES COMMUNITY WIDE DRILLS COMMUNITY DISEASE AWARENESS MEETINGS COUNTY LEVEL DISASTER MEETINGS AND COOPERATION WITH THE LOCAL POLICE DEPARTMENT TO PROVIDE DISASTER SUPPORT FOR THE COMMUNITY RWMC REPRESENTATIVES ALSO VISIT LOCAL BUSINESSES AND SCHOOLS TO PROVIDE INFORMATION ON ANY VIRUS OUTBREAKS OR ALERTS SUCH AS THE H1N1 CRISIS IN 2009 RWMC IS INVOLVED WITH THE VARIOUS COMMUNITYWIDE SCHOOL PROGRAMS THEREBY PROVIDING SUPPORT TO A LOCAL SCHOOLS THROUGH PROMOTING ACTIVITIES RAISING FUNDS AND HELPING TO SERVE LUNCHES ETC RWMC AS A HOSPITAL THAT PROVIDES SERVICE TO A MEDICALLY UNDERSERVED AREA IS ACTIVELY INVOLVED IN RECRUITING QUALITY PHYSICIANS AND MEDICAL SPECIALISTS TO THE AREA TO PROVIDE NEEDED MEDICAL SERVICES THIS ONGOING RECRUITMENT ACTIVITY IS ESSENTIAL TO THE COMMUNITY AND REGION IN ORDER TO ENSURE THAT RESIDENTS HAVE REGIONAL ACCESSIBILITY TO NEEDED MEDICAL SERVICES BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE PORTION OF THE NOTES TO THE FINANCIAL STATEMENTS OF THE AUDIT REPORT THAT ADDRESSES BAD DEBT IS UNDER THE PATIENT RECEIVABLES NET PARAGRAPH IN NOTE 1 DESCRIPTION OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES IN THIS SECTION THE NOTES STATE ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT IT IS IMPORTANT TO NOTE THAT THE BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS IS STATED IN TERMS OF UNREALIZABLE REVENUE RATHER THAN AT THE ACTUAL COSTS ASSOCIATED WITH THE BAD DEBT RWMC HAS COST ACCOUNTING SOFTWARE FROM WHICH THE ACTUAL COSTS OF THE BAD DEBT AS REPORTED ABOVE WERE OBTAINED THE COST OF BAD DEBT EXPENSE USING THIS SOFTWARE IS CALCULATED BY ADDING THE DIRECT COSTS OF THE MEDICAL SERVICES PROVIDED ALONG WITH A COMBINATION OF AN ALLOCATION OF OVERHEAD BASED ON COST ACCOUNTING METHODOLGY AND COST TO RATIO CHARGES FOR NEW SERVICE CODES RWMC USES A METHOD SIMILAR TO THE METHOD OF CALCULATING CHARITY CARE COST TO CALCULATE BAD DEBT AT COST THE TOTAL COST OF THE BAD DEBT OBTAINED FROM THE COST ACCOUNTING SYSTEM IS REDUCED BY PAYMENTS THAT WERE MADE AND ANY RECOVERIES THAT WERE REALIZED ON THE ACCOUNTS AFTER ELIMINATING ANY CREDIT BALANCES THE REMAINING COST IS DETERMINED TO BE A REASONABLE ESTIMATE OF THE COST OF BAD DEBT AT THIS TIME THE COMMUNITY BENEFIT DOES NOT INCLUDE ANY BAD DEBT AMOUNTS MEDICARE EXPLANATION PART III LINE 8 APPROXIMATED 47 OF THE NET PATIENT SERVICES REVENUE IS FROM PATIENTS PARTICIPATING IN THE MEDICARE PROGRAM THUS PROVIDING SERVICES TO MEDICARE PATIENTS IS A PROMOTION OF HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE POPULATION OF THE COMMUNITY AND REGION THAT RWMC SERVES MEDICARE COST IS THE ALLOWABLE COSTS AS REPORTED ON THE REGIONAL WEST MEDICAL CENTER COST REPORT FOR 2010 COLLECTION PRACTICES EXPLANATION PART III LINE 9B THE COLLECTION POLICY OF RWMC AND THE RELATED CHARITY CARE POLICY STATES THAT SINCE A PATIENTS ABILITY TO PAY FOR HEALTHCARE SERVICES CAN CHANGE A CHARITY DETERMINATION CAN BE MADE PRIOR TO DURING OR FOLLOWING TREATMENT AT RWMC ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION THE FINANCIAL ASSISTANCE TEAM OF RWMC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT SOME ITEMS CONSIDERED IN THE DETERMINATION ACCORDING TO RWMC POLICY ARE ABILITY TO PAY EXHAUSTION OF MEDICARE OR MEDICAID BENEFITS COMBINED WITH INABILITY TO PAY DISCOUNTED CARE FOR THOSE UNABLE TO PAYALL OTHER POSSIBLE SOURCES OF COLLECTION USING SOUND BUSINESS PRACTICES HAVE BEEN MADE TO ENABLE THE PATIENT TO PAY CARE PROVIDED TO A DECEASED PATIENT WITH NO ESTATE OR CARE PROVIDED TO PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENTS ACCOUNT NEEDS ASSESSMENT PART VI COMMUNITY NEEDS ARE ASSESSED BY USING UNRELATED DATA COLLECTION SOURCES AND THROUGH THE ACTIVE OBSERVATION AND INVOLVEMENT OF THE ENTITIES EMPLOYEES THROUGHOUT THE COMMUNITIES AND REGION SERVED ONE OF THE MAIN DATA COLLECTION SOURCES USED IS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM BFRSS THIS ANNUAL SURVEY COLLECTS DATA ON THE PREVALENCE OF MAJOR HEALTH RISK FACTORS AMONG ADULTS RESIDING THE THE STATE THIS INFORMATION IS USED TO TARGET HEALTH EDUCATION AND RISK REDUCTION ACTIVITIES THROUGHOUT THE STATE AND GIVES RWMC A STARTING POINT FOR PROGRAM IDEAS RWMC IS ALSO INVOLVED WITH THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS MAPP PROCESS WITH PANHANDLE PUBLIC HEALTH DISTRICT THIS IS A COMMUNITY WIDE STRATEGIC PLANNING TOOL FOR IMPROVING COMMUNITY HEALTH WHICH IS FACILITATED BY PUBLIC HEALTH LEADERSHIP AND HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES FOR ADDRESSING THEM THE NEBRASKA STATE DEPARTMENT OF HEALTH IS A MAJOR RESOURCE FOR DATA USED IN NEEDS ASSESSMENT AN ASSESSMENT IS DONE OF THE GRANTS OFFERRED BY THE STATE TO DETERMINE IF THE GRANT COULD BE USED TO ADDRESS A NEED IN THE COMMUNITIES SERVED AND IF THE PROGRAM WOULD BE SUSTAINABLE ONCE STARTED COMMUNICATION WITH OTHER GROUPS IN THE REGION IS ONGOING SO THAT SERVICES ARE NOT DUPLICATED THE STATE DEPARTMENT OF HEALTH PROVIDES RWMC WITH MONTHLY CALLS ON REPORTABLE DISEASE SURVEILLANCE WHICH HELPS RWMC DIRECT EDUCATION PROGRAMS AND RESOURCES TOWARDS AREAS OF CONCERN PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PATIENTS ARE NOTIFIED AT ONE OR MORE TIMES THROUGHOUT THE PROCESS OF SCHEDULING INHOUSE THROUGH STATEMENTS LETTERSAT THE POINT OF DISCHARGE IN THE ADMISSIONS PACKET AND OCCASIONALLY BY THIER PHYSICIAN ABOUT THE FINANCIAL ASSISTANCE AND THE PAYMENT POLICIES OF RWMC RWMC HAS A TIME OF SERVICE TOSCOLLECTION POLICY THAT IS COMMUNICATED TO THE PATIENT OR THE PATIENTS FAMILY PRIOR TO OR FOLLOWING TREATMENT AT THE FACILITY DURING THIS CONFERENCE THE PATIENT IS ALSO GIVEN MATERIALS EXPLAINING THE FINANCIAL ASSISTANCE AVAILABLE THE VERBAL COMMUNICATION OF THIS POLICY PROVIDES RWMC AN OPPORTUNITY TO ASSESS IF PATIENTS HAVE A FINANCIAL NEED SO THAT THE FINANCIAL LIASIONS OF RWMC WILL BE ABLE TO PROACTIVELY WORK WITH THE PATIENTS TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE AT THIS TIME PAYMENT OPTIONS ARE COMMUNICATED AND DISCUSSED WITH THE PATIENTPATIENTS FAMILY A FINANCIAL ASSISTANCE APPLICATION IF APPLICABLE IS PROVIDED FOR THE PATIENT TO FILL OUT THAT IS THEN EVALUATED TO DETERMINE THE PATIENTS ABILITY OR INABILITY TO PAY USING A MEASUREMENT OF INCOME BASED ON THE MOST RECENTLY PUBLISHED POVERTY GUIDELINES FROM THE FEDERAL REGISTER DECISIONS REGARDING FINANCIAL ASSISTANCE ARE THEN COMMUNICATED TO THE PATIENT IN A LETTER COMMUNITY INFORMATION PART VI RWMC SERVES THE REGIONAL AREA INCLUDING THE PANHANDLE OF NEBRASKA EASTERN WYOMING SOUTHWESTERN SOUTH DAKOTA AND NORTHERN COLORADO THIS AREA IS MAINLY RURAL WITH AGRICULTURE BEING THE BIGGEST INDUSTRY THE AVERAGE ANNUAL INCOME FOR THE IMMEDIATE SCOTTS BLUFF COUNTY AREA IS APPROXIMATELY 44900 FOR A FAMILY OF 4 THE 2000 CENSUS PROJECTED THE POPULATION OF THE AREA TO BE 39000 IN 2010 OF THIS POPUATION 50 IS ESTIMATED TO BE OVER THE AGE OF 54 IN THE REGION THERE ARE 5 OTHER SMALLER HOSPITALS BUT RWMC IS THE ONLY HOSPITAL IN THE PANHANDLE OF NEBRASKA TO BE DESIGNATED A TRAUMA CENTER AND AS THE LARGEST FACILITY PROVIDES SUPPORT SERVICES TO THE SMALLER HOSPITALS IN THE REGION RWMC ESTIMATES THAT 47 OF ITS REVENUE IS DERIVED FROM MEDICAL TREATMENT OF PATIENTS COVERED BY MEDICARE 13 OF REVENUE IS DERIVED FROM PATIENTS COVERED BY MEDICAID false REGIONAL WEST PHYSICIANS CLINIC 4021 AVE B SCOTTSBLUFF NE 69361 363314159 3 8050000 X true true X X X X false true false false false false false false false TODD S SORENSEN 465105 16766 57548 17326 556745 554933 DAVID GRIFFITHS 217043 10063 33068 915 261089 239600 SHIRLEY KNODEL 163076 11136 23613 9330 207155 205825 JAN TAYLOR 149771 12080 25232 16859 203942 199529 RALPH PHELPS 201755 922 8251 14904 225832 230884 THOMAS DREDLA IV 200092 2077 6622 17741 226532 233850 JANET HANSON 198948 2947 24643 14964 241502 232849 THOMAS DREDLA III 194894 4220 25239 17241 241594 232990 CINDY BRAMAN 194946 4067 24199 17741 240953 233266 JAMES MCHUGH 173321 5987 4121 6587 190016 212928 LISA BEWLEY 164970 10221 25870 5024 206085 209067 STEVE HODGES 149546 20169 15473 185188 181004 STUART FULKS 143595 18296 7685 169576 167510 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 TODD S SORENSEN 0 164,980 0 DAVID GRIFFITHS 0 20,445 0 SHIRLEY KNODEL 0 21,283 0 JAN TAYLOR 0 20,217 0 JAMES MCHUGH 0 575 0 LISA BEWLEY 0 17,564 0 STEVE HODGES 0 17,797 0 STUART FULKS 0 16,470 0 HOSP AUTH NO1 OF SB CO NE 2008 BONDS 470676786 2008-12-23 10000000 BUILDING IMPROVEMENT AND PROPERTY ACQUISITION false false false HOSP AUTH NO1 OF SB CO NE 2009 BONDS 470676786 2009-01-21 10000000 BUILDING IMPROVEMENT AND PROPERTY ACQUISITION false false false HOSP AUTH NO1 OF SB CO NE 2009A BONDS 470676786 2009-12-02 20000000 PROVIDE FUNDS TO REFUND 12/15/2005 BONDS false false false HOSPITAL REVENUE BONDS SERIES 2010 2010 BONDS 470676786 2010-03-01 10500000 ADVANCE REFUNDING OF SERIES 2005 BONDS false false false 2008 false false true true 2009 false false true true 2009 true false true true 10500000 40500 true false true true false false false false false true false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false HOSP AUTH NO1 OF SB CO NE 2008 BONDS 470676786 2008-12-23 10000000 BUILDING IMPROVEMENT AND PROPERTY ACQUISITION false false false HOSP AUTH NO1 OF SB CO NE 2009 BONDS 470676786 2009-01-21 10000000 BUILDING IMPROVEMENT AND PROPERTY ACQUISITION false false false HOSP AUTH NO1 OF SB CO NE 2009A BONDS 470676786 2009-12-02 20000000 PROVIDE FUNDS TO REFUND 12/15/2005 BONDS false false false HOSPITAL REVENUE BONDS SERIES 2010 2010 BONDS 470676786 2010-03-01 10500000 ADVANCE REFUNDING OF SERIES 2005 BONDS false false false 2008 false false true true 2009 false false true true 2009 true false true true 10500000 40500 true false true true false false false false false true false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false CHALOUPKA HOLYOKE HOFMEISTER DIRECTOR 84021 LEGAL SERVICES false ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B FORM IS PRESENTED TO AND REVIEWED BY THE BOARD IN THE MONTH PRIOR TO THE FILING DEADLINE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL DISCLOSURE BY BOARD MEMBERS OF ANY CONFLICT OF INTEREST, AS SET FORTH IN THE POLICIES, IS REQUIRED. FOR ANY POSSIBLE CONFLICT OF INTEREST IDENTIFIED, THE REMAINING BOARD DETERMINES IF IT ACTUALLY CONSTITUTES A CONFLICT OF INTEREST WITHOUT THE CONFLICTED BOARD MEMBER PRESENT. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD, LESS THE CONFLICTED MEMBER, WILL THEN DECIDE THE LEVEL OF INVOLVEMENT OF THE MEMBER IN DECISION MAKING FOR THE ENTITY, IF THERE IS AN ALTERNATIVE ARRANGEMENT THAT WILL ELIMINATE THE CONFLICT OF INTEREST, AND THE APPROPRIATENESS OF THE CONFLICTED MEMBER CONTINUING AS A BOARD MEMBER. FAILURE TO DISCLOSE A CONFLICT OF INTEREST CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION FOR THE CONFLICTED MEMBER. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE RWHS BOARD FOR THE CEO AND EXECUTIVE TEAM BASED ON MARKET DATA AND RECOMMENDATIONS FROM AN INDEPENDENT CONSULTING FIRM WHO COLLECTS THAT DATA FOR COMPARISON PURPOSES. MINUTES ARE KEPT OF THESE MEETINGS. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE COMPENSATION PROCESS FOR CEO. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC THROUGH POSTING ON THE ORGANIZATION'S WEBSITE. REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 HEALTH SVC NE 501C3 11A N/A false REGIONAL WEST FOUNDATIONS 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 SUPPORT NE 501C3 11A N/A false REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 ASSIS LIV NE 501C3 9 N/A false PANHANDLE HEALTH PROPERTIES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314161 MED RENTAL NE 501C2 N/A false REGIONAL WEST HEALTH SERVICES EMPLO 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLA NE 501C9 N/A false false false false false false false false false false false false false false false false false true false REGIONAL WEST HEALTH SERVICES Q 3050000