2024-11-07T09:14:18-06:00 2023-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-01-01 363314157 REGIONAL WEST HEALTH SERVICES REGI 3086353711 4021 AVE B SCOTTSBLUFF NE 69361 JEANNE MCKERRIGAN CFO/TREASURER 3086353711 2024-11-06 1 1 WENDY R COOLEY CPA P01523804 4023302660 2024-11-04 2023 2024-10-15 13:58:12Z MEL MCNEA 4021 AVE B SCOTTSBLUFF NE 69361 77093853 0 X WWW.RWHS.ORG X 1984 NE HEALTH CARE SERVICES FOR THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING. 17 11 145 12 0 0 0 0 15754281 15494286 70628 2942852 4610039 6509407 20434948 24946545 4730 0 0 0 19803408 17138683 0 0 0 2599011 4796384 22407149 21935067 -1972201 3011478 70119074 81211216 17452897 26415116 52666177 54796100 X HEALTH CARE SERVICES FOR THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING. 0 0 21608679 22003693 REGIONAL WEST HEALTH SERVICES, (RWHS), PROVIDES A CONTINUUM OF CARE THROUGH PROGRAMS DEVELOPED IN ACUTE, SKILLED, INTERMEDIATE, RESIDENTIAL, HOME AND AMBULATORY CARE FOR THE PEOPLE IN THE REGION OF WESTERN NEBRASKA AND EASTERN WYOMING. RWHS IS A SUPPORTING ORGANIZATION TO REGIONAL WEST MEDICAL CENTER, REGIONAL WEST GARDEN COUNTY, REGIONAL WEST PHYSICIANS CLINIC, REGIONAL WEST FOUNDATION, AND REGIONAL WEST VILLAGE. REGIONAL WEST MEDICAL CENTER PROVIDES COMPREHENSIVE AND ADVANCED MEDICAL CARE TO THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING THROUGH A LICENSED 182-BED HOSPITAL WHICH IS A REGIONAL REFERRAL CENTER AND LEVEL II TRAUMA CENTER. REGIONAL WEST MEDICAL CENTER ALSO PROVIDES ANCILLARY SERVICES TO SUPPORT ITS PRIMARY MISSION OF COMPREHENSIVE AND ADVANCED MEDICAL CARE. REGIONAL WEST GARDEN COUNTY IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES HIGH QUALITY HEALTH CARE TO THE REGION THROUGH A 10-BED ACUTE CARE UNIT, A 40-BED NURSING HOME FACILITY, AND A RURAL HEALTH CLINIC. REGIONAL WEST PHYSICIANS CLINIC IS A MULTI-SPECIALTY MEDICAL GROUP OF MORE THAN 70 PHYSICIANS AND ASSOCIATED HEALTH CARE PROVIDERS. REGIONAL WEST VILLAGE OPERATES A RETIREMENT AND ASSISTED LIVING FACILITY ADJACENT TO THE REGIONAL WEST MEDICAL CENTER CAMPUS. REGIONAL WEST VILLAGE PROVIDES TWENTY FOUR HOUR COVERAGE OF ITS FACILITY AND ASSISTS RESIDENTS WITH MEALS, TRANSPORTATION, AND MEDICATIONS IN AN EFFORT TO PROVIDE A CONTINUUM OF CARE TO THE ELDERLY IN THE NEBRASKA PANHANDLE. 21608679 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 43 0 1 145 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEANNE MCKERRIGAN 3086302244 4021 AVENUE B SCOTTSBLUFF NE 69361 JEFFREY HOLLOWAY MD DIRECTOR 1.00 42.00 X 0 742446 63193 DORISA POLK MD DIRECTOR 1.00 41.00 X 0 449837 62193 MEL MCNEA CEO/PRESIDENT 40.00 6.00 X X 419351 0 21572 AMANDA VICK DIRECTOR 40.00 2.00 X 329424 0 38657 MICHAEL ICKOWSKI CFO/TREASURER THRU 5/2023 40.00 6.00 X X 227368 0 44990 ERIC WIEBE MD DIRECTOR 1.00 41.00 X 0 215303 38179 ALAN TOWNSEND INTERIM CFO/TREASURER 40.00 6.00 X X 184211 0 0 HOD KOSMAN CHAIR 1.00 3.00 X X 0 0 0 JIM TRUMBALL DIRECTOR 1.00 1.00 X 0 0 0 REV LAUREN EKDAHL DIRECTOR 1.00 2.00 X 0 0 0 CAROLYN ESCAMILLA DIRECTOR 1.00 1.00 X 0 0 0 LEE GLENN DIRECTOR 1.00 1.00 X 0 0 0 DENNIS HADDEN DIRECTOR 1.00 3.00 X 0 0 0 JOHN MASSEY DIRECTOR 1.00 2.00 X 0 0 0 THOMAS HOLYOKE DIRECTOR 1.00 1.00 X 0 0 0 MARK GILLAM DIRECTOR 1.00 1.00 X 0 0 0 DENNIS MILLER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL YUNG MD DIRECTOR 1.00 1.00 X 0 0 0 MELODY BIBB SECRETARY 40.00 2.00 X 75606 0 50718 DAVID CORNUTT MEDICAL DIRECTOR 40.00 0.00 X 443899 0 7925 PAUL HOFMEISTER GENERAL COUNSEL 40.00 2.00 X 355120 0 64247 STACIE KALLSEN CHIEF HR OFFICER 40.00 0.00 X 178640 0 38130 NATHAN HOUGH CEO - CHADRON 40.00 0.00 X 151177 0 31610 KENNETH HUNTER CEO - KIMBALL 40.00 0.00 X 172439 0 4979 JOHN MENTGEN FORMER CEO/PRESIDENT 40.00 6.00 X 260392 0 38551 2797627 1407586 504944 21 1 1 1 CLINE WILLIAMS WRIGHT JOHNSON & OLDFATHE 233 SOUTH 13TH STREET LINCOLN NE 68508 LEGAL SERVICES 164019 CALEB WILSON 1207 STARSTONE COURT HENDERSON NV 89014 PHYSICIAN SERVICES 121600 EIDE BAILLY LLP 18081 BURT STREET STE 200 OMAHA NE 68022 ACCOUNTING SERVICES 116630 PAUL BUTLER 10443 JOHANNA AVENUE SUNLAND CA 91040 IT SERVICES 107500 4 MANAGEMENT SERVICES REVENUE 561000 15486289 15486289 7997 7997 15494286 1008147 1008147 54082013 52147308 1934705 1934705 1934705 MEDICAL CENTER OF THE ROCKIES 523000 6059813 6059813 RCI INCOME 523000 449594 449594 6509407 24946545 22003693 0 2942852 1393862 1393862 299146 299146 7373245 7373245 161905 161905 7283794 7283794 626731 626731 326388 326388 1496175 1496175 250 250 3185 3185 36364 36364 73894 73894 2359608 2359608 PHYSICIAN RECRUITMENT 481753 481753 LICENSES AND ASSOCIATIO 18767 18767 21935067 21608679 326388 0 533213 13020909 77164 231794 522453 777848 7543 5041744 4203904 52109295 62138921 12665502 0 70119074 81211216 8639588 4458255 8813309 21956861 17452897 26415116 X 52666177 54796100 52666177 54796100 70119074 81211216 3011478 -881555 0 X X 0 1 X 1 0 X X X 5 REGIONAL WEST MEDICAL CENTER 470385129 3 1 0 0 REGIONAL WEST GARDEN COUNTY 391904975 3 0 0 0 REGIONAL WEST FOUNDATION 237171022 10 0 0 0 REGIONAL WEST PHYSICIANS CLINIC 363314159 10 0 0 0 REGIONAL WEST VILLAGE 363314162 10 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: REGIONAL WEST HEALTH SERVICES' (RWHS') ARTICLES OF ORGANIZATION PROVIDE THAT IT WILL SUPPORT REGIONAL WEST MEDICAL CENTER AND RWHS' "OTHER TAX EXEMPT SUBSIDIARIES IN THEIR COLLECTIVE MISSION OF THE OPERATION, MANAGEMENT AND CONTROL OF A REGIONAL MEDICAL FACILITY PROVIDING HEALTH CARE AND RELATED SERVICES". ALL OF THE SUPPORTED ORGANIZATIONS ARE CONTROLLED BY RWHS. 5887872 544587 55824 67507 6420776 8807244 182428 -2055429 1046371 5887872 7307997 190018 1350185 40956 8807244 6188204 324798 824828 29833 7307997 4837335 719879 1352989 98684 623315 6188204 0.19650 0.80350 0 1 1 0 INVESTMENT IN MED CTR OF THE ROCKIES 48564296 C EXECUTIVE BENEFIT PLANS 8904620 F INVESTMENT IN REGIONAL CARE INC 4670005 C 62138921 DEFERRED COMPENSATION 8904620 AFFILIATE PAYABLES 13052241 21956861 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE RESTRICTED FOR HEALTHCARE RESEARCH, HEALTHCARE EDUCATIONAL SCHOLARSHIPS, AND CAPITAL PROJECTS. PART X, LINE 2: RWHS ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740 INCOME TAXES. RWHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2023 AND 2022, RWHS HAD NO UNCERTAIN TAX POSITIONS ACCRUED. X X X X 0 1 0 0 0 0 0 0 0 JEFFREY HOLLOWAY MD DIRECTOR 0 742446 0 0 0 0 0 13200 0 50805 0 806451 0 0 DORISA POLK MD DIRECTOR 0 449837 0 0 0 0 0 13200 0 49766 0 512803 0 0 DAVID CORNUTT MEDICAL DIRECTOR 443899 0 0 0 0 0 0 0 8230 0 452129 0 0 0 MEL MCNEA CEO/PRESIDENT 419351 0 0 0 0 0 7477 0 14646 0 441474 0 0 0 PAUL HOFMEISTER GENERAL COUNSEL 353770 0 0 0 1350 0 34764 0 30173 0 420057 0 0 0 AMANDA VICK DIRECTOR 328074 0 0 0 1350 0 38657 0 754 0 368835 0 0 0 JOHN MENTGEN FORMER CEO/PRESIDENT 258367 0 0 0 2025 0 29712 0 9042 0 299146 0 0 0 MICHAEL ICKOWSKI CFO/TREASURER THRU 5/2023 226018 0 0 0 1350 0 44990 0 348 0 272706 0 0 0 ERIC WIEBE MD DIRECTOR 0 215303 0 0 0 0 0 8999 0 29670 0 253972 0 0 STACIE KALLSEN CHIEF HR OFFICER 178640 0 0 0 0 0 18761 0 20020 0 217421 0 0 0 ALAN TOWNSEND INTERIM CFO/TREASURER 184211 0 0 0 0 0 0 0 0 0 184211 0 0 0 NATHAN HOUGH CEO - CHADRON 151177 0 0 0 0 0 6338 0 25717 0 183232 0 0 0 KENNETH HUNTER CEO - KIMBALL 172439 0 0 0 0 0 4979 0 578 0 177996 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JOHN MENTGEN 16,050 MICHAEL ICKOWSKI 25,275 AMANDA VICK 22,051 STACIE KALLSEN 11,381 SCHEDULE J, PART II: REGIONAL WEST HEALTH SERVICES PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $184,211 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE CHAIRMAN OF RWHS, CHAIRMAN OF REGIONAL WEST MEDICAL CENTER, CEO/PRESIDENT, CHAIRMAN OF THE FINANCE COMMITTEE OF RWHS, AND TWO OTHER INDEPENDENT DIRECTORS RECOMMENDED BY THE CEO/PRESIDENT AND APPOINTED BY THE BOARD OF DIRECTORS, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL HAVE AN OPPORTUNITY TO REVIEW DRAFTS OF THE FORM 990 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. PART XII, LINE 2C: THE CFO IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. REGIONAL WEST HEALTH SERVICES & AFFILIATES 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 1 REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CRITICAL ACCESS HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 1 REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 FUNDRAISING NE 501(C)(3) LINE 12A, I REGIONAL WEST HEALTH SERVICES 1 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 DR. CLINICS NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 1 REIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 RETIREMENT FACILITY NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385129 HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 1 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE REGIONAL WEST HEALTH SERVICES C 5431991 5315955 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 REGIONAL WEST MEDICAL CENTER L 9684144 FMV REGIONAL WEST HEALTH SERVICES & AFFILIATE R 3954929 CASH REGIONAL WEST PHYSICIANS CLINIC L 4460196 FMV REGIONAL CARE INC L 140256 FMV REGIONAL WEST GARDEN COUNTY L 265332 FMV REGIONAL WEST VILLAGE L 130056 FMV