2024-11-06T13:46:52-06:00 2023-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-01-01 237171022 REGIONAL WEST FOUNDATION REGI 3086301485 4021 AVE B SCOTTSBLUFF NE 69361 JEANNE MCKERRIGAN CFO/TREASURER 3086301485 2024-11-06 1 1 WENDY R COOLEY CPA P01523804 4023302660 2024-11-06 2023 2024-10-15 13:58:12Z MEL MCNEA 4021 AVE B SCOTTSBLUFF NE 69361 1527710 0 X WWW.RWHS.ORG/WAYS-GIVE/FOUNDATION X 1972 NE TO SEEK AND ADMINISTER DONATIONS IN SUPPORT OF QUALITY HEALTH CARE SERVICES AND EDUCATION. 21 14 2 14 0 0 310952 685304 0 0 262957 816856 -17665 -18980 556244 1483180 1078058 500208 0 0 237589 166986 0 0 0 53403 62591 1369050 729785 -812806 753395 13139500 14038837 537787 404089 12601713 13634748 TO SERVE THE REGIONAL COMMUNITY IN COOPERATION WITH REGIONAL WEST MEDICAL CENTER BY SEEKING AND ADMINISTERING DONATIONS IN SUPPORT OF QUALITY HEALTH CARE SERVICES AND EDUCATION. 0 0 700860 476623 REGIONAL WEST FOUNDATION RAISES, MANAGES AND DISTRIBUTES FUNDS TO ENHANCE THE SERVICES, PROGRAMS, AND PROJECTS OF REGIONAL WEST HEALTH SERVICES AND ITS AFFILIATED ENTITIES. THE FOUNDATION SUPPORTS PROJECTS TO STRENGTHEN HEALTH CARE SERVICES THAT ARE ESSENTIAL TO THE QUALITY AND GROWTH OF OUR LOCAL MEDICAL COMMUNITY, INCLUDING NEW TECHNOLOGY AND BUILDING IMPROVEMENTS. 23585 23585 SCHOLARSHIPS - REGIONAL WEST FOUNDATION AWARDS SCHOLARSHIPS INCLUDING MEDICAL STUDENT, NURSING AND OTHER HEALTH RELATED SCHOLARSHIPS. REGIONAL WEST FOUNDATION BELIEVES ASSISTING WITH THE EDUCATION OF THOSE IN THE MEDICAL PROFESSION IS OF GREAT BENEFIT NOT ONLY TO REGIONAL WEST MEDICAL CENTER BUT TO ALL MEDICAL FACILITIES INCLUDING PHYSICIAN OFFICES IN OUR ENTIRE REGION. 724445 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 14 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEANNE MCKERRIGAN 3086302244 4021 AVE B SCOTTSBLUFF NE 69361 MARK HARTMAN MD DIRECTOR 1.00 40.00 X 0 920218 58386 JEFFREY HOLLOWAY MD DIRECTOR 1.00 40.00 X 0 742446 63193 MEL MCNEA CEO/PRESIDENT 1.00 45.00 X X 0 419351 21572 PAUL E HOFMEISTER DIRECTOR 1.00 41.00 X 0 355120 64247 PETER MEYER MD DIRECTOR 1.00 40.00 X 0 331660 61076 MICHAEL ICKOWSKI CFO/TREASURER THRU 5/2023 1.00 45.00 X X 0 227368 44990 ALAN TOWNSEND INTERIM CFO/TREASURER 1.00 45.00 X X 184211 0 0 JODI WILLATS DIRECTOR 1.00 40.00 X 0 65043 52937 JOHN MASSEY CHAIR 1.00 2.00 X X 0 0 0 KEVIN KELLEY VICE CHAIR 1.00 0.00 X X 0 0 0 JACK BAKER DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH BURFORD DIRECTOR 1.00 0.00 X 0 0 0 MIKE DOWNEY DIRECTOR 1.00 0.00 X 0 0 0 TOM COOPER DIRECTOR 1.00 0.00 X 0 0 0 DENNIS HADDEN DIRECTOR 1.00 1.00 X 0 0 0 TODD LEWIS DIRECTOR 1.00 0.00 X 0 0 0 PAUL MOHR DIRECTOR 1.00 0.00 X 0 0 0 DAWNE WOLFE DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL YUNG MD DIRECTOR 1.00 0.00 X 0 0 0 AMY DOLL DIRECTOR 1.00 0.00 X 0 0 0 DUSTIN JONES DIRECTOR 1.00 0.00 X 0 0 0 RYAN WINDHORST DIRECTOR 1.00 0.00 X 0 0 0 JEANNE MCKERRIGAN FOUNDATION DIRECTOR 20.00 20.00 X 76506 53095 46910 ALICIA PALU SECRETARY 40.00 0.00 X 43679 0 1747 AMANDA VICK FORMER INTERIM CEO/PRESIDENT 0.00 43.00 X 0 329424 38657 JOHN MENTGEN FORMER CEO/PRESIDENT 0.00 0.00 X 0 260392 38551 304396 3704117 492266 1 1 1 1 0 124368 560936 19094 685304 816856 816856 25550 124368 44530 -18980 -18980 1483180 0 0 797876 476623 476623 23585 23585 151518 151518 6587 6587 8881 8881 537 537 937 937 21639 21639 14007 14007 2147 2147 CORPORATE ALLOCATION 21360 16020 5340 DIETARY 1230 1230 MISCELLANEOUS 436 436 DUES & SUBSCRIPTIONS 298 298 729785 724445 5340 0 469583 4014244 4685378 5158826 59109 18307 11773 11773 5996 4397 65280 52028 15399 13252 7892262 4818038 13139500 14038837 41996 27198 255686 240105 376891 537787 404089 X 6713841 7213972 5887872 6420776 12601713 13634748 13139500 14038837 X 753395 236807 42833 X X 0 1 X 1 0 X X 4 REGIONAL WEST MEDICAL CENTER 470385129 3 1 397741 0 REGIONAL WEST GARDEN COUNTY 391904975 3 0 0 0 REGIONAL WEST VILLAGE 363314162 10 0 0 0 REGIONAL WEST PHYSICIANS CLINIC 363314159 10 0 0 0 4 397741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: REGIONAL WEST MEDICAL CENTER IS DESIGNATED BY NAME IN REGIONAL WEST FOUNDATION'S ARTICLES OF ORGANIZATION. OTHER SUPPORTED ORGANIZATIONS ARE DESCRIBED AS "RELATED CORPORATE ENTITIES IN THEIR MINISTRY OF HEALING, TEACHING AND RESEARCH, AND IN ALL THEIR OTHER RELATED HEALTH AND HUMANITARIAN ENDEAVORS". RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 0.00000 0.19650 0.80350 0 0 65280 52028 13252 13252 CHARITABLE GIFT ANNUITIES 220873 DUE TO AFFILIATES 156018 376891 X PART V, LINE 4: 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 REGIONAL WEST MEDICAL CENTER, THE SUPPORTED ORGANIZATION. PART X, LINE 2: THE ORGANIZATION 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. GOLF TOURNAMENT 66072 40522 25550 4550 3847 6080 3639 0 5005 GALA 83846 83846 0 14795 3619 896 450 1649 149918 124368 25550 4550 18642 9699 4535 450 6654 44530 -18980 1 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385219 501(C)(3) 397741 0 FOR PURCHASE OF MEDICAL EQUIPMENT 1 0 SCHOLARSHIPS 48 23585 PART I, LINE 2: GRANTS ARE MADE TO AFFILIATED CHARITABLE ORGANIZATIONS. REGIONAL WEST HEALTH SERVICES, A SUPPORTING ORGANIZATION AND PARENT ENTITY MANAGES THE ENTIRE AFFILIATED GROUP OF ORGANIZATIONS, AND OVERSEES THE USE OF ALL FUNDS. SCHOLARSHIPS ARE PAID DIRECTLY TO THE SCHOOL OR SCHOOL DOCUMENTATION IS REQUIRED. X X X X 0 1 0 0 0 0 0 0 0 MARK HARTMAN MD DIRECTOR 0 920218 0 0 0 0 0 8393 0 50805 0 979416 0 0 JEFFREY HOLLOWAY MD DIRECTOR 0 742446 0 0 0 0 0 13200 0 50805 0 806451 0 0 MEL MCNEA CEO/PRESIDENT 0 419351 0 0 0 0 0 7477 0 14646 0 441474 0 0 PAUL E HOFMEISTER DIRECTOR 0 353770 0 0 0 1350 0 34764 0 30173 0 420057 0 0 PETER MEYER MD DIRECTOR 0 331660 0 0 0 0 0 11083 0 50785 0 393528 0 0 AMANDA VICK FORMER INTERIM CEO/PRESIDENT 0 328074 0 0 0 1350 0 38657 0 754 0 368835 0 0 JOHN MENTGEN FORMER CEO/PRESIDENT 0 258367 0 0 0 2025 0 29712 0 9042 0 299146 0 0 MICHAEL ICKOWSKI CFO/TREASURER THRU 5/2023 0 226018 0 0 0 1350 0 44990 0 348 0 272706 0 0 ALAN TOWNSEND INTERIM CFO/TREASURER 184211 0 0 0 0 0 0 0 0 0 184211 0 0 0 JEANNE MCKERRIGAN FOUNDATION DIRECTOR 71506 53095 5000 0 0 0 2431 1675 27004 16260 105941 71030 0 0 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. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE CHAIR, VICE CHAIR, PRESIDENT AND TREASURER, 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 7B REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, MUST APPROVE ALL MATTERS PERTAINING TO THE MERGER, CONSOLIDATION, LIQUIDATION OR AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION AS WELL AS ANY PROPOSAL TO SELL, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION SHALL BE SUBMITTED TO THE VOTE OF THE SOLE VOTING MEMBER. THE ANNUAL BUDGET OF THE CORPORATION IS ALSO SUBJECT TO THE APPROVAL OF RWHS. 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. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 42,833. PART XII, LINE 2C: THE CFO OF REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, 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 MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385129 HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 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 GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CAH NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 RETIREMENT FACILITY NE 501(C)(3) LINE 10 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 WEST HEALTH SERVICES & AFFILIATES 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 0 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 0 0 1 0