Civic Intelligence

Regional West Health Services

EIN 36-3314157 • 501(c)3 • Scottsbluff, NE

View Organization Page

Profile

Health care services for the people of western nebraska and eastern wyoming.

4021 Ave BScottsbluff, NE 69361

www.rwhs.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.50x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

90th percentile

3.24x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

5th percentile

-45%

Higher net margin than 5% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

80th percentile

18%

Faster asset growth than 80% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Revenue Growth

14th percentile

-14%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Balance Sheet
Liabilities / Assets72nd percentile

Assets

Up

$97,533,182

Up $16,321,966 (+20%) from 2023

Liabilities

Up

$48,962,023

Up $22,546,907 (+85%) from 2023

Net Assets

Down

$48,571,159

Down $6,224,941 (-11%) from 2023

Operations
Liabilities / Revenue90th percentileNet Margin5th percentile

Revenue

Down

$15,089,380

Down $9,857,165 (-40%) from 2023

Expenses

Down

$21,846,080

Down $88,987 (-0.4%) from 2023

Net Income

Down

-$6,756,700

Down $9,768,178 (-324%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth80th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2010: $15,094,742Liabilities 2010: $2,787,686Net Assets 2010: $12,307,0562010Assets 2011: $17,003,586Liabilities 2011: $1,856,473Net Assets 2011: $15,147,1132011Assets 2012: $19,628,359Liabilities 2012: $1,679,304Net Assets 2012: $17,949,0552012Assets 2017: $47,584,482Liabilities 2017: $8,875,401Net Assets 2017: $38,709,0812017Assets 2018: $47,670,406Liabilities 2018: $6,898,940Net Assets 2018: $40,771,4662018Assets 2019: $54,221,427Liabilities 2019: $9,961,788Net Assets 2019: $44,259,6392019Assets 2020: $60,804,964Liabilities 2020: $12,650,752Net Assets 2020: $48,154,2122020Assets 2021: $68,282,327Liabilities 2021: $12,864,945Net Assets 2021: $55,417,3822021Assets 2022: $70,119,074Liabilities 2022: $17,452,897Net Assets 2022: $52,666,1772022Assets 2023: $81,211,216Liabilities 2023: $26,415,116Net Assets 2023: $54,796,1002023Assets 2024: $97,533,182Liabilities 2024: $48,962,023Net Assets 2024: $48,571,1592024

Highlighted filing

2024

Assets$97,533,182
Liabilities$48,962,023
Net Assets$48,571,159
Open 2024 Filing

Operations Trend

Revenue Growth14th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $9,847,1992010Expenses 2011: $10,561,0572011Expenses 2012: $10,254,9502012Revenue 2017: $23,246,735Expenses 2017: $16,935,673Net Income 2017: $6,311,0622017Revenue 2018: $22,659,407Expenses 2018: $20,284,119Net Income 2018: $2,375,2882018Revenue 2019: $27,660,501Expenses 2019: $24,641,353Net Income 2019: $3,019,1482019Revenue 2020: $28,320,489Expenses 2020: $24,757,221Net Income 2020: $3,563,2682020Revenue 2021: $27,300,935Expenses 2021: $20,592,768Net Income 2021: $6,708,1672021Revenue 2022: $20,434,948Expenses 2022: $22,407,149Net Income 2022: -$1,972,2012022Revenue 2023: $24,946,545Expenses 2023: $21,935,067Net Income 2023: $3,011,4782023Revenue 2024: $15,089,380Expenses 2024: $21,846,080Net Income 2024: -$6,756,7002024

Highlighted filing

2024

Revenue$15,089,380
Expenses$21,846,080
Net Income-$6,756,700
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$97,533,182
Liabilities
$48,962,023
Net assets
$48,571,159
Revenue
$15,089,380
Expenses
$21,846,080
Net income
-$6,756,700
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$97.5$49.0$48.6$15.1$21.8$6.76
2023Detailed filing. Detailed filing data is available for this year.$81.2$26.4$54.8$24.9$21.9$3.01
2022Detailed filing. Detailed filing data is available for this year.$70.1$17.5$52.7$20.4$22.4$1.97
2021Detailed filing. Detailed filing data is available for this year.$68.3$12.9$55.4$27.3$20.6$6.71
2020Detailed filing. Detailed filing data is available for this year.$60.8$12.7$48.2$28.3$24.8$3.56
2019Detailed filing. Detailed filing data is available for this year.$54.2$9.96$44.3$27.7$24.6$3.02
2018Detailed filing. Detailed filing data is available for this year.$47.7$6.90$40.8$22.7$20.3$2.38
2017Detailed filing. Detailed filing data is available for this year.$47.6$8.88$38.7$23.2$16.9$6.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$1.68$17.9$10.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.0$1.86$15.1$10.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.1$2.79$12.3$9.85
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$15,089,380
Mission and Program Overview

Mission

Health care services for the people of western nebraska and eastern wyoming.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$62,138,921$90,887,195▲ $28,748,274
Intangible Assets-$4,698,179-
Other Notes and Loans Receivable, Net$777,848$1,151,852▲ $374,004
Savings and Temporary Cash Investments$13,020,909$466,491▼ $12,554,418
Accounts Receivable$231,794$197,259▼ $34,535
Prepaid Expenses and Deferred Charges$5,041,744$132,206▼ $4,909,538
Total Assets$81,211,216$97,533,182▲ $16,321,966
Liabilities
Other Liabilities$21,956,861$32,836,967▲ $10,880,106
Accounts Payable and Accrued Expenses$4,458,255$12,825,056▲ $8,366,801
Mortgage Notes Payable Secured by Investment Property-$3,300,000-
Total Liabilities$26,415,116$48,962,023▲ $22,546,907
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$54,796,100$48,571,159▼ $6,224,941
Total Net Assets Fund Balance$54,796,100$48,571,159▼ $6,224,941
Total Liabilities and Net Assets / Fund Balance$81,211,216$97,533,182▲ $16,321,966

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$2,418,925--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$6,420,776$23,198▲ $88,394-$6,441,760
2023$5,887,872$544,587▲ $55,824-$6,420,776
2022$8,807,244$182,428▼ $2,055,429-$5,887,872
2021$7,307,997$190,018▲ $1,350,185-$8,807,244
2020$6,188,204$324,798▲ $824,828-$7,307,997
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paul HofmeisterGeneral CounselFT$361,893$75,162$437,055
Mel McneaCEO/presidentFT$405,730$27,373$433,103
Amanda VickCOO - RwhsFT$349,707$36,735$386,442
Jeanne MckerriganCFO/treasurerFT$230,377$51,324$281,701
Andrea EatonInterim Executive Director of Financ-$186,810$53,260$240,070
Andrea EatonInterim Executive Director of FinanceFT$186,810$52,607$239,417
Stacie KallsenChief Hr OfficerFT$189,368$27,615$216,983
Jason PalomoDirector of Information SystemsFT$128,534$49,657$178,191
Melody BibbSecretaryFT$89,063$51,942$141,005
Alan TownsendInterim CFO/treasurer Thru 3/2024FT$93,548-$93,548

Board Members and Trustees

NameTitle
Jim TrumballChair
Bradley HertzlerDirector
Carolyn EscamillaDirector
Dennis HaddenDirector
Hod KosmanDirector
Jeffrey SalisburyDirector
John MasseyDirector
Katy ReichertDirector
Lee GlennDirector
Matt LarsenDirector
Randall WilliamsDirector
Rev Lauren EkdahlDirector
Seth CovaltDirector
Thomas HolyokeDirector
Troy DeanDirector
Michael Yung MdDirector Thru 3/2024

Highest Paid Contractors

ContractorServicesLocationCompensation
Paul ButlerIt Services10443 JOHANNA AVENUE, Sunland, CA 91040$258,000
Shaunee CrosbyIt Services4021 AVENUE B, Scottsbluff, NE 69361$208,567
Caleb WilsonPhysician Services1207 STARSTONE COURT, Henderson, NV 89014$194,400
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$14,621,615
Investment Income
$718,845
Other Revenue
$-251,080
Change in Net Assets
$-6,756,700
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,736,544
Other Expenses$5,109,536
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Employee Benefits$7,926,926--$7,926,926
Other Salaries and Wages$7,150,728--$7,150,728
Insurance$2,521,520--$2,521,520
Fees for Services Other$1,573,427--$1,573,427
Current Officers, Directors, Trustees, and Key Employees$856,171--$856,171
Payroll Taxes$469,796--$469,796
Pension Plan Contributions$209,509--$209,509
Depreciation Depletion$195,757--$195,757
Fees for Services Legal-$178,395-$178,395
Comp Disqual Persons$123,414--$123,414
Fees for Services Accounting-$49,036-$49,036
Occupancy$47,500--$47,500
Interest$20,516--$20,516
Office Expenses$14,214--$14,214
Other Expenses$105--$105
Total Functional Expenses$21,618,649$227,431$0$21,846,080
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Scott BibbSpouse of Melody Bibb, SecretaryEMPLOYEE'S W-2 WAGESNo$123,414
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Affiliate Payables$22,833,841
Deferred Compensation$10,003,126
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.”

Filing and Contact Details

Filer

Filer Name
Regional West Health Services
EIN
36-3314157
Phone
3086353711
Address
4021 AVE B, SCOTTSBLUFF, NE 69361

Signing Officer

Name
Andrew Shea
Title
CFO/treasurer
Phone
3086353711
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ned Resch
Formed
1984
Legal Domicile
Ne
Voting Board Members
15
Independent Board Members
12
Employees
96
Volunteers
13

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Megan L Koziol CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

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.”

Financial Statement Notes

PART V, LINE 4:

“The endowment funds are restricted for healthcare research, healthcare educational scholarships, and capital projects.”

PART X, LINE 2:

“The organization 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 organization 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.”

Raw XML AppendixShowing 400 of 945 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/AccountsReceivableGrp/EOYAmt0197259
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0HEALTH CARE SERVICES FOR THE PEOPLE OF WESTERN NEBRASKA AND EASTERN WYOMING.
IRS990/AnnualDisclosureCoveredPrsnInd01
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IRS990/BackupWthldComplianceInd01
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IRS990/CreditCounselingInd00
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IRS990/Desc0REGIONAL 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. DURING THE YEAR, REGIONAL WEST GARDEN COUNTY TERMINATED ITS LEASE WITH GARDEN COUNTY HOSPITAL & NURSING HOME, AND IS NO LONGER OPERATING THE HOSPITAL SERVICES. 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt17CFO/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt18SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt19INTERIM CFO/TREASURER THRU 3/2024
IRS990/Form990PartVIISectionAGrp/TitleTxt20GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt21COO - RWHS
IRS990/Form990PartVIISectionAGrp/TitleTxt22INTERIM EXECUTIVE DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF HR OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR OF INFORMATION SYSTEMS
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