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Nonprofiteer
← REGIONAL WEST MEDICAL CENTER

Form 990 for tax year 2023

Filed by REGIONAL WEST MEDICAL CENTER.

Totals

Total revenue
$230,406,800
Total expenses
$258,738,005
Contributions and grants received
$872,732
Grants paid
$21,698,555
Program service revenue
$225,051,574
Investment income
$2,949,117
Other revenue
$1,533,377
Total assets, end of year
$119,872,244
Total liabilities, end of year
$120,514,641
Net assets or fund balances, end of year
-$642,397
Program services expenses (Part IX)
$232,133,096
Management and general expenses
$26,604,909
Fundraising expenses
$0
Program service expenses (Part III)
$232,133,096

Program services were 89.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $397,741

  • 1e · Government grants (contributions)

    $405,753

  • 1f · All other contributions, gifts and grants

    $69,238

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $210,288,668 · related or exempt $207,962,202 · unrelated business $2,326,466

  • 2b · Program service revenue: PHARMACY - IP & RETAIL

    total $6,709,486 · related or exempt $6,709,486

  • 2c · Program service revenue: AFFILIATE SERVICES

    total $5,623,386 · related or exempt $5,623,386

  • 2d · Program service revenue: RENTAL INCOME - AFFIL/OTHER

    total $1,669,855 · related or exempt $1,669,855

  • 2f · All other program service revenue

    total $760,179 · related or exempt $760,179

  • 3 · Investment income

    total $2,484,876 · excluded $2,484,876

  • 5 · Royalties

    total $56,016 · excluded $56,016

  • 6a · Gross rents

    real property $18,889

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $18,889

  • 6d · Net rental income or loss

    total $18,889 · excluded $18,889

  • 7a · Gross sales of assets other than inventory

    other assets $650,615

  • 7b · Less cost or other basis and sales expenses

    other assets $186,374

  • 7c · Gain or loss

    other assets $464,241

  • 7d · Net gain or loss

    total $464,241 · excluded $464,241

  • 10a · Gross sales of inventory

    $56,246

  • 10b · Cost of goods sold

    $46,828

  • 10c · Net income from sales of inventory

    total $9,418 · excluded $9,418

  • 11a · Other revenue: AIRLINK FIXED WING INCOME

    total $1,002,967 · related or exempt $1,002,967

  • 11d · All other revenue

    total $446,087 · related or exempt $446,087

  • 11e · Other revenue, total

    $1,449,054

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $21,698,555 · program services $21,698,555

  • 7 · Other salaries and wages

    total $52,969,439 · program services $51,608,004 · management and general $1,361,435

  • 8 · Pension plan contributions

    total $1,835,216 · program services $1,780,199 · management and general $55,017

  • 9 · Other employee benefits

    total $13,741,623 · program services $12,756,434 · management and general $985,189

  • 10 · Payroll taxes

    total $3,757,996 · program services $3,664,818 · management and general $93,178

  • 11b · Fees: legal

    total $6,817 · management and general $6,817

  • 11c · Fees: accounting

    total $128,000 · management and general $128,000

  • 11g · Fees: other

    total $74,993,755 · program services $56,218,420 · management and general $18,775,335

  • 12 · Advertising and promotion

    total $904,147 · program services $45,653 · management and general $858,494

  • 13 · Office expenses

    total $4,129,196 · program services $3,578,715 · management and general $550,481

  • 16 · Occupancy

    total $5,113,714 · program services $4,640,577 · management and general $473,137

  • 17 · Travel

    total $610,094 · program services $408,612 · management and general $201,482

  • 20 · Interest

    total $3,037,250 · program services $2,600,978 · management and general $436,272

  • 22 · Depreciation, depletion and amortization

    total $12,614,987 · program services $12,042,531 · management and general $572,456

  • 23 · Insurance

    total $801 · management and general $801

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $50,805,802 · program services $50,804,892 · management and general $910

  • 24b · Other expenses: CORPORATE ALLOCATION

    total $9,684,144 · program services $8,293,109 · management and general $1,391,035

  • 24c · Other expenses: DUES & LICENSES

    total $1,766,399 · program services $1,379,351 · management and general $387,048

  • 24d · Other expenses: MISCELLANEOUS

    total $940,070 · program services $612,248 · management and general $327,822

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,454,822 · end of year $31,665

  • 2 · Savings and temporary cash investments

    beginning of year $5,374,069 · end of year $2,107,734

  • 4 · Accounts receivable

    beginning of year $43,046,201 · end of year $40,681,917

  • 7 · Other notes and loans receivable

    beginning of year $2,287,610 · end of year $36,500

  • 8 · Inventories for sale or use

    beginning of year $6,258,562 · end of year $6,246,871

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,359,155 · end of year $2,902,386

  • 10a · Land, buildings and equipment: cost or other basis

    $296,088,932

  • 10b · Land, buildings and equipment: accumulated depreciation

    $236,945,490

  • 10c · Land, buildings and equipment, net

    beginning of year $63,157,145 · end of year $59,143,442

  • 11 · Investments: publicly traded securities

    beginning of year $5,934,778 · end of year $129,638

  • 13 · Investments: program-related

    beginning of year $545,030 · end of year $561,380

  • 14 · Intangible assets

    beginning of year $5,302,644 · end of year $1,007,909

  • 15 · Other assets

    beginning of year $260,695 · end of year $7,022,802

  • 17 · Accounts payable and accrued expenses

    beginning of year $36,913,328 · end of year $33,175,465

  • 19 · Deferred revenue

    beginning of year $18,145 · end of year $29,397

  • 20 · Tax-exempt bond liabilities

    beginning of year $64,188,911 · end of year $60,959,249

  • 23 · Secured mortgages and notes payable

    beginning of year $5,173,364 · end of year $4,198,552

  • 25 · Other liabilities

    beginning of year $11,002,431 · end of year $22,151,978

  • 27 · Net assets without donor restrictions

    beginning of year $20,684,532 · end of year -$642,397

Mission and programs · 2023

Mission

NONE

Activities or mission (Part I)

TO PROVIDE COMPREHENSIVE AND ADVANCED MEDICAL CARE.

  • REGIONAL WEST MEDICAL CENTER (RWMC) IS A LICENSED 188-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.

    Expenses $118,447,841 · Grants $21,698,555 · Revenue $93,643,651

  • 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.

    Expenses $65,645,599 · Revenue $121,348,983

  • 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.

    Expenses $4,536,917 · Revenue $4,161,304

  • 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.

    Expenses $43,502,739 · Revenue $5,020,224

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • JEFFREY HOLLOWAY MD

    DIRECTOR

    Total calculated
    $805,639
    From this org
    $0
    From related orgs
    $742,446
    Other
    $63,193
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $742,446 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $50,805 related
    Filer's total
    $0 + $806,451 related

  • DORISA POLK MD

    DIRECTOR

    Total calculated
    $512,030
    From this org
    $0
    From related orgs
    $449,837
    Other
    $62,193
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,837 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $49,766 related
    Filer's total
    $0 + $512,803 related

  • MEL MCNEA

    CEO/PRESIDENT

    Total calculated
    $440,923
    From this org
    $0
    From related orgs
    $419,351
    Other
    $21,572
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $419,351 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,478 related
    Nontaxable benefits
    $0 + $14,646 related
    Filer's total
    $0 + $441,475 related

  • AMANDA VICK

    DIRECTOR

    Total calculated
    $368,081
    From this org
    $0
    From related orgs
    $329,424
    Other
    $38,657
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $328,074 related
    Bonus
    $0
    Other
    $0 + $1,350 related
    Deferred
    $0 + $38,657 related
    Nontaxable benefits
    $0 + $754 related
    Filer's total
    $0 + $368,835 related

  • MICHAEL ICKOWSKI

    CFO/TREASURER THRU 5/2023

    Total calculated
    $272,358
    From this org
    $0
    From related orgs
    $227,368
    Other
    $44,990
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,018 related
    Bonus
    $0
    Other
    $0 + $1,350 related
    Deferred
    $0 + $44,990 related
    Nontaxable benefits
    $0 + $348 related
    Filer's total
    $0 + $272,706 related

  • ERIC WIEBE MD

    DIRECTOR

    Total calculated
    $253,482
    From this org
    $0
    From related orgs
    $215,303
    Other
    $38,179
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,303 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,999 related
    Nontaxable benefits
    $0 + $29,670 related
    Filer's total
    $0 + $253,972 related

  • ALAN TOWNSEND

    INTERIM CFO/TREASURER

    Total calculated
    $184,211
    From this org
    $184,211
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $184,211
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $184,211

  • JIM TRUMBULL

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • REV LAUREN EKDAHL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CAROLYN ESCAMILLA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK GILLAM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LEE GLENN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DENNIS HADDEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • THOMAS HOLYOKE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • HOD KOSMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JOHN MASSEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • DENNIS MILLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MICHAEL YUNG MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MELODY BIBB

    SECRETARY

    Total calculated
    $126,324
    From this org
    $0
    From related orgs
    $75,606
    Other
    $50,718
    Hours/week
    1 + 41 related

  • LA DONNA BENZEL

    HOUSE SUPERVISOR

    Total calculated
    $258,664
    From this org
    $203,167
    From related orgs
    $0
    Other
    $55,497
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,167
    Bonus
    $2,000
    Other
    $0
    Deferred
    $6,504
    Nontaxable benefits
    $49,376
    Filer's total
    $259,047

  • GEMMA TACTACAN

    CLINICAL RESOURCE NUSE

    Total calculated
    $249,155
    From this org
    $192,255
    From related orgs
    $0
    Other
    $56,900
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,255
    Bonus
    $2,000
    Other
    $0
    Deferred
    $8,220
    Nontaxable benefits
    $49,041
    Filer's total
    $249,516

  • TODD CHRISTENSEN

    MEDICAL PHYSICIST

    Total calculated
    $243,717
    From this org
    $186,724
    From related orgs
    $0
    Other
    $56,993
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,724
    Bonus
    $0
    Other
    $0
    Deferred
    $8,000
    Nontaxable benefits
    $49,706
    Filer's total
    $244,430

  • CRAIG NOE

    PHARMACIST

    Total calculated
    $238,110
    From this org
    $196,301
    From related orgs
    $0
    Other
    $41,809
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,301
    Bonus
    $0
    Other
    $0
    Deferred
    $8,276
    Nontaxable benefits
    $33,989
    Filer's total
    $238,566

  • CINDY MCGAUGHY

    HOUSE SUPERVISOR

    Total calculated
    $219,015
    From this org
    $193,513
    From related orgs
    $0
    Other
    $25,502
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,513
    Bonus
    $2,000
    Other
    $0
    Deferred
    $8,279
    Nontaxable benefits
    $17,645
    Filer's total
    $219,437

  • JOHN MENTGEN

    FORMER CEO

    Total calculated
    $298,943
    From this org
    $0
    From related orgs
    $260,392
    Other
    $38,551
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $258,367 related
    Bonus
    $0
    Other
    $0 + $2,025 related
    Deferred
    $0 + $29,712 related
    Nontaxable benefits
    $0 + $9,042 related
    Filer's total
    $0 + $299,146 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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: MICHAEL ICKOWSKI 25,275 AMANDA VICK 22,051 JOHN MENTGEN 16,050
SCHEDULE J, PART II:
REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $184,211 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202443189349310024

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