2026-01-26T07:24:42-06:00 2024-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-01-01 470385129 REGIONAL WEST MEDICAL CENTER REGI 3086353711 4021 AVE B SCOTTSBLUFF NE 693614602 ANDREW SHEA INTERIM CFO 3086353711 2026-01-23 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2026-01-23 2024 2025-03-06 01:10:19Z NED RESCH 4021 AVE B SCOTTSBLUFF NE 693614602 255801863 0 X WWW.RWHS.ORG X 1941 NE TO PROVIDE COMPREHENSIVE AND ADVANCED MEDICAL CARE. 15 12 1088 60 1911116 0 872732 2461735 225051574 247539274 2949117 122885 1533377 5675774 230406800 255799668 21698555 14677427 0 0 72304274 75673036 0 0 0 164735176 161966091 258738005 252316554 -28331205 3483114 119872244 138982614 120514641 136153366 -642397 2829248 X WE ARE COMMITTED TO ADVANCING THE HEALTH AND WELLNESS OF THE INDIVIDUALS AND COMMUNITIES WE ARE HONORED TO SERVE. 0 0 122329837 14677427 105225540 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. 69739972 136709201 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. 3998076 4764052 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. 29232993 4393755 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. 29232993 4393755 225300878 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 90 0 1 1088 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X ANDREW SHEA 3086302244 4021 AVENUE B SCOTTSBLUFF NE 693614602 BRADLEY HERTZLER DIRECTOR 1.00 42.00 X 0 850265 67234 JEFFREY SALISBURY DIRECTOR 1.00 42.00 X 0 596036 67087 TROY DEAN DIRECTOR 1.00 42.00 X 0 547210 63728 JIM TRUMBULL CHAIR 1.00 2.00 X X 0 0 0 SETH COVALT DIRECTOR 1.00 2.00 X 0 0 0 REV LAUREN EKDAHL DIRECTOR 1.00 2.00 X 0 0 0 CAROLYN ESCAMILLA DIRECTOR 1.00 2.00 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 THOMAS HOLYOKE DIRECTOR 1.00 1.00 X 0 0 0 HOD KOSMAN DIRECTOR 1.00 3.00 X 0 0 0 MATT LARSEN DIRECTOR 1.00 2.00 X 0 0 0 KATY REICHERT DIRECTOR 1.00 2.00 X 0 0 0 JOHN MASSEY DIRECTOR 1.00 3.00 X 0 0 0 RANDALL WILLIAMS DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL YUNG MD DIRECTOR THRU 3/2024 1.00 2.00 X 0 0 0 MEL MCNEA CEO/PRESIDENT 1.00 45.00 X 0 405730 26640 JEANNE MCKERRIGAN CFO/TREASURER 1.00 45.00 X 0 230377 50621 MELODY BIBB SECRETARY 1.00 42.00 X 0 89063 51942 ALAN TOWNSEND INTERIM CFO/TREASURER THRU 2/2024 1.00 45.00 X 93548 0 0 GEMMA TACTACAN RN 40.00 0.00 X 236643 0 61641 CRAIG NOE PHARMACIST 40.00 0.00 X 237643 0 44216 TODD CHRISTENSEN MEDICAL PHYSICIST 40.00 0.00 X 220991 0 59648 RELIBELLE HERNANDEZ RN 40.00 0.00 X 199190 0 55191 ERIKA CARMODY CHIEF NURSING OFFICER 40.00 0.00 X 210857 0 9217 1198872 2718681 557165 109 0 1 1 NORTHSTAR ANESTHESIA OF NEBRASKA LLC 6225 N STATE HWY 161 STE 200 IRVING TX 75038 ANESTHESIA CONTRACT 6291938 PANHANDLE ENDOVASCULAR 2001 EAST 33RD ST SCOTTSBLUFF NE 69361 MEDICAL SERVICES 1500000 POUDRE VALLEY MEDICAL GROUP LLC 2315 EAST HARMONY ROAD SUITE 200 FORT COLLINS CO 80528 NURSING CONTRACT 1347456 ASSOCIATED REGIONAL & UNIVERSITY PATHOLO PO BOX 27964 SALT LAKE CITY UT 84127 REFERENCE LAB 939070 RADIOLOGY IMAGING OF NEBRASKA 10700 E GEDDES AVE SUITE 200 ENGLEWOOD CO 80112 RADIOLOGY SERVICES 699949 17 2447020 6007 8708 2461735 NET PATIENT SERVICE REVENUE 621300 240113693 238202577 1911116 PHARMACY - IP & RETAIL 621910 5074007 5074007 RENTAL INCOME - AFFIL/OTHER 531120 1521461 1521461 830113 830113 247539274 95684 95684 50120 50120 145714 0 145714 145714 145714 27201 0 27201 27201 27201 17745 2195 15550 15550 AIRLINK FIXED WING INCOME 900099 2087312 2087312 3377078 3377078 5464390 255799668 251092548 1911116 334269 X 14677427 14677427 53334642 51593551 1741091 1767562 1722221 45341 16823695 15512834 1310861 3747137 3638473 108664 22583 22583 109859 109859 239006 239006 77386704 58740399 18646305 588007 62380 525627 5201305 4288727 912578 1776 1546 230 5101041 4762042 338999 291080 179921 111159 2701454 2313416 388038 8517987 7924462 593525 19748 16933 2815 INCOME TAX 23958 23958 MEDICAL SUPPLIES 50497669 50497669 0 CORPORATE ALLOCATION 9684144 8293109 1391035 DUES & LICENSES 1431337 1075768 355569 148433 148433 252316554 225300878 27015676 0 31665 31665 2107734 3813094 40681917 59824761 36500 24000 6246871 7097265 2902386 2221674 301476533 244262766 59143442 57213767 129638 126936 561380 561380 1007909 0 7022802 8068072 119872244 138982614 33175465 55169099 29397 30189 60959249 57637103 4198552 2567188 22151978 20749787 120514641 136153366 X -642397 2829248 -642397 2829248 119872244 138982614 3483114 -11469 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7957 7957 0 PART II-B, LINE 1: RWMC IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION (NHA). A PORTION OF THE ANNUAL DUES PAID TO THESE ASSOCIATIONS ARE USED FOR LOBBYING AND POLITICAL ACTIVITIES. 6420776 23198 88394 90608 6441760 5887872 544587 55824 67507 6420776 8807244 182428 -2055429 1046371 5887872 7307997 190018 1350185 40956 8807244 6188204 324798 824828 29833 7307997 0.00000 0.19830 0.80170 0 1 1 2143930 2143930 154089899 120544905 33544994 171928 65951 105977 130033593 118674197 11359396 15037183 4977713 10059470 57213767 RIGHT-OF-USE ASSETS - OPERATING LEASES 9848 OTHER RECEIVABLES 8058224 8068072 LTD MALPRACTICE RESERVE 700000 DUE TO THIRD PARTY PAYORS 1902566 AFFILIATE PAYABLE 17194305 CHECKS ISSUED IN EXCESS OF BANK BALANCE 952916 20749787 X 255549193 -11469 -11469 255560662 239006 239006 255799668 252077548 0 252077548 239006 239006 252316554 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 BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE MEDICAL CENTER WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 1 X 1 1 1 0 1 0 3700000 3700000 0.01470 26825648 19050433 7775215 0.03080 30525648 19050433 11475215 0.04550 1689 74 1615 0.00000 780652 3293 777359 0.00310 8228323 4531334 3696989 0.01470 18227 18227 0.00010 9028891 4534701 4494190 0.01790 39554539 23585134 15969405 0.06340 1 13354556 1736092 55370092 66324395 -10954303 X 1 1 1 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 WWW.RWHS.ORG 700001 X X X X REGIONAL WEST MEDICAL CENTER 1 0 0 1 X X X X X X X X 23 1 1 1 1 X PART V, PAGE 8 X 1 23 1 PART V, PAGE 8 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.RWHS.ORG/ABOUT-YOUR-BILL X WWW.RWHS.ORG/ABOUT-YOUR-BILL X WWW.RWHS.ORG/ABOUT-YOUR-BILL X X X X X X 1 X 0 X X X X 1 X 0 0 REGIONAL WEST MEDICAL CENTER PART V, SECTION B, LINE 5: REGIONAL WEST MEDICAL CENTER (RWMC) PARTICIPATED WITH OTHER HOSPITALS IN THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN) JOINT PLANNING PROCESS FACILITATED BY PANHANDLE PUBLIC HEALTH DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (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.RWMC DISTRIBUTED THE COMMUNITY HEALTH SURVEY TO PANHANDLE RESIDENTS IN OCTOBER AND NOVEMBER OF 2023 VIA PAPER AND ELECTRONIC SURVEYS. A COPY OF THE SURVEY CAN BE FOUND IN THE REGIONAL CHA. PAPER COPIES OF THE SURVEY WERE DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS. THE ELECTRONIC COPY WAS ADMINISTERED USING QUALTRICS AND SHARED ONLINE BY WEBSITE, SOCIAL MEDIA, AND EMAIL BY PPHD, LOCAL HOSPITALS, AND OTHER COMMUNITY ORGANIZATIONS. COUNTS AND PERCENTAGES FROM THE SURVEY RESPONSES WERE CALCULATED USING MICROSOFT EXCEL. THE INFORMATION INCLUDES RESPONSES FROM SCOTTSBLUFF COUNTY RESIDENTS AND THOSE WHO INDICATED THAT REGIONAL WEST WAS THEIR PRIMARY HEALTHCARE FACILITY. 318 PEOPLE WERE CAPTURED IN THIS GROUP. REGIONAL WEST MEDICAL CENTER PART V, SECTION B, LINE 6A: - BOX BUTTE GENERAL HOSPITAL- CHADRON COMMUNITY HOSPITAL- GORDON MEMORIAL HOSPITAL- KIMBALL HEALTH SERVICES- MORRILL COUNTY COMMUNITY HOSPITAL- PERKINS COUNTY HEALTH SERVICES- REGIONAL WEST GARDEN COUNTY- SIDNEY REGIONAL MEDICAL CENTER REGIONAL WEST MEDICAL CENTER PART V, SECTION B, LINE 6B: - RURAL NEBRASKA HEALTHCARE NETWORK- SOCTTS BLUFF COUNTY HEALTH DEPARTMENT- PANHANDLE PARTNERSHIP- PANHANDLE AREA DEVELOPMENT DISTRICT- NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES REGIONAL WEST MEDICAL CENTER PART V, SECTION B, LINE 11: NEEDS IDENTIFIED INCLUDE THE FOLLOWING: ACCESS TO CARE, COMMUNITY OUTREACH AND COLLABORATION, MENTAL HEALTH SERVICES AND HEALTH, WELLNESS AND EQUITY.WORKING IN CONJUNCTION WITH PANHANDLE PUBLIC HEALTH DISTRICT, THERE WAS A FOCUS ON COMMUNITY SCREENING AND EDUCATIONAL EVENTS. THESE INCLUDE EVENTS LIKE NATIONAL NIGHT OUT AND FARM AND RANCH MUSEUM EXPOSITION, WITH INFORMATION ON COLON CANCER SCREENING, VACCINES, AND OTHER HEALTH TOPICS. REGIONAL WEST ALSO PROVIDED IMMUNIZATION CLINICS, WORKING CLOSELY WITH AREA SCHOOLS. TO REDUCE UNINTENTIONAL AND INTENTIONAL INJURIES, OUR TRAUMA COORDINATOR AND AIR LINK TEAMS PARTICIPATE IN MANY EDUCATIONAL ACTIVITIES IN THE REGION, INCLUDING THEIR STOP THE BLEED PROGRAM. WE HAVE MONTHLY MEETINGS WITH LONG TERM CARE FACILITIES IN THE REGION WITH A FOCUS ON IMPROVED COLLABORATION TO BENEFIT OUR AGING POPULATION. AS PART OF THIS COLLABORATION WE HAVE HIRED AN APRN WHO IS LOCATED IN THE AREA SKILLED NURSING FACILITIES AND IMPROVED PROCESSES FOR HAND-OFF FOR PATIENTS DISCHARGING FROM ACUTE CARE. OUR FOCUS ON PREVENTION AND MANAGEMENT OF CHRONIC DISEASE CENTERED ON INCREASED CHRONIC CARE MANAGEMENT VISITS IN THE CLINIC.THERE WERE NO SIGNIFICANT NEEDS IDENTIFIED THAT ARE NOT CURRENTLY BEING ADDRESSED. REGIONAL WEST MEDICAL CENTER PART V, SECTION B, LINE 13H: 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. SCHEDULE H, PART V, SECTION B, LINE 7A AND 10A: COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WEBSITE:RWHS.ORG/OUR-NETWORK/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-PLAN PART I, LINE 3C: IN ADDITION TO THE FPG, RWMC ALSO USES THE FOLLOWING TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS. 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 I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, HEALTH PROFESSIONS EDUCATION, LINE 7F, SUBSIDIZED HEALTH SERVICES, LINE 7G, AND CONTRIBUTIONS FOR COMMUNITY BENEFIT, LINE 7I, ARE REPORTED BASED ON AMOUNTS INCLUDED IN THE MEDICARE COST REPORT. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON AN APPROXIMATE 13.0% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 9, 12 AND 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ENTIRE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM EVEN THOUGH THE HOSPITAL KNOWS THEY WILL NOT RECOVER ALL OF THE COSTS FROM PROVIDING THE SERVICES. THIS PROGRAM IS CONSIDERED SUBSIDIZED BY THE HOSPITAL AND OTHER PAYORS. PATIENTS RELY ON THESE SERVICES FOR THEIR HEALTH AND WELL-BEING AND ARE ESSENTIAL FOR THEIR ACCESS TO HEALTHCARE. TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES RENDERED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATIONS PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $435,836.MEDICARE FEE SCHEDULE REVENUE $1,645,460MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $2,081,297NET (SHORTAGE) $(435,836) 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. 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 $56,588 FOR A FAMILY OF 3, WHICH IS WELL BELOW THE MEDIAN FOR BOTH NEBRASKA AND THE NATION. TOTAL POPULATION OF SCOTTS BLUFF COUNTY IS AROUND 37,000, OF WHICH 18% IS 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. 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. 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 - 188-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. 1 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 501(C)(3) 14659200 0 TO PROVIDE SUPPORT TO AFFILIATED CHARITABLE ORGANIZATION. 1 0 PART I, LINE 2: REGIONAL WEST HEALTH SERVICES, A SUPPORTING ORGANIZATION AND PARENT ENTITY MANAGES THE ENTIRE AFFILIATED GROUP OF ORGANIZATIONS, AND OVERSEES THE USE OF ALL FUNDS. 0 0 0 0 0 0 0 0 0 BRADLEY HERTZLER DIRECTOR 0 850265 0 0 0 0 0 13800 0 54246 0 918311 0 0 JEFFREY SALISBURY DIRECTOR 0 596036 0 0 0 0 0 13800 0 54095 0 663931 0 0 TROY DEAN DIRECTOR 0 359892 0 187318 0 0 0 13800 0 50712 0 611722 0 0 MEL MCNEA CEO/PRESIDENT 0 405730 0 0 0 0 0 12430 0 14943 0 433103 0 0 GEMMA TACTACAN RN 234643 0 2000 0 0 0 10107 0 51925 0 298675 0 0 0 CRAIG NOE PHARMACIST 237643 0 0 0 0 0 9971 0 34829 0 282443 0 0 0 JEANNE MCKERRIGAN CFO/TREASURER 0 230377 0 0 0 0 0 7127 0 44197 0 281701 0 0 TODD CHRISTENSEN MEDICAL PHYSICIST 220991 0 0 0 0 0 9414 0 50958 0 281363 0 0 0 RELIBELLE HERNANDEZ RN 199190 0 0 0 0 0 8426 0 47106 0 254722 0 0 0 ERIKA CARMODY CHIEF NURSING OFFICER 210857 0 0 0 0 0 7420 0 2513 0 220790 0 0 0 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. SCHEDULE J, PART II: REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $93,548 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO. A HOSPITAL AUTHORITY NO I OF SCOTTS BLUFF COUNTY NEBRASKA 470676786 810143EM5 2016-11-30 84139686 SEE PART VI 0 0 0 A 26045683 84139686 1025837 30003842 53110007 2019 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HOSPITAL AUTHORITY NO. I OF SCOTTS BLUFF COUNTY, NEBRASKA DATE THE REBATE COMPUTATION WAS PERFORMED: 11/30/2022 PART I, LINE 1, COLUMN (F): 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. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS, HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. 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 OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 50,899,444. MANAGEMENT AND GENERAL EXPENSES 16,598,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,498,109. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 7,840,955. MANAGEMENT AND GENERAL EXPENSES 2,047,640. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,888,595. 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. FRIENDS OF REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 010382302 AUXILIARY NE 6834 65260 REGIONAL WEST MEDICAL CENTER 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 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 ASSISTED LIVING NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST HEALTH SERVICES & AFF 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CRITICAL ACCESS HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B SCOTTSBLUFF NE 69361 363314159 DR. CLINICS NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 REGIONAL WEST HEALTH SERVICES & AFFILIATE R 10189856 CASH