Civic Intelligence

Regional West Garden County

EIN 39-1904975 • 501(c)3 • Scottsbluff, NE

Profile

The mission of regional west garden county is to provide high quality health care by combining clinical and service excellence to enhance the quality of life of the communities served.

Refreshing map…

4021 Ave BScottsbluff, NE 69361

www.gchealth.org

Siviq Scores

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

Liabilities / Assets

100th percentile

16.08x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

94th percentile

2.94x

Higher debt load relative to revenue than 94% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

4th percentile

-80%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

97th percentile

$436,361

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 13.2% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

2nd percentile

-89%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

2nd percentile

-70%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$602,494

Down $4,880,241 (-89%) from 2023

Liabilities

Up

$9,685,831

Up $533,621 (+5.8%) from 2023

Net Assets

Down

-$9,083,337

Down $5,413,862 (-148%) from 2023

Revenue

Down

$3,298,933

Down $7,531,597 (-70%) from 2023

Expenses

Down

$5,942,088

Down $5,136,860 (-46%) from 2023

Net Income

Down

-$2,643,155

Down $2,394,737 (-964%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$10M$0-$10MAssets 2011: $944,819Liabilities 2011: $137,462Net Assets 2011: $807,3572011Assets 2012: $1,093,155Liabilities 2012: $197,638Net Assets 2012: $895,5172012Assets 2013: $914,686Liabilities 2013: $356,245Net Assets 2013: $558,4412013Assets 2014: $5,807,624Liabilities 2014: $6,442,563Net Assets 2014: -$634,9392014Assets 2015: $2,623,659Liabilities 2015: $3,105,436Net Assets 2015: -$481,7772015Assets 2016: $2,997,224Liabilities 2016: $4,080,508Net Assets 2016: -$1,083,2842016Assets 2017: $2,570,209Liabilities 2017: $4,310,795Net Assets 2017: -$1,740,5862017Assets 2018: $3,102,927Liabilities 2018: $5,321,779Net Assets 2018: -$2,218,8522018Assets 2019: $3,148,031Liabilities 2019: $5,433,447Net Assets 2019: -$2,285,4162019Assets 2020: $9,598,650Liabilities 2020: $11,300,518Net Assets 2020: -$1,701,8682020Assets 2021: $8,237,628Liabilities 2021: $11,316,969Net Assets 2021: -$3,079,3412021Assets 2022: $6,047,276Liabilities 2022: $9,468,333Net Assets 2022: -$3,421,0572022Assets 2023: $5,482,735Liabilities 2023: $9,152,210Net Assets 2023: -$3,669,4752023Assets 2024: $602,494Liabilities 2024: $9,685,831Net Assets 2024: -$9,083,3372024

Highlighted filing

2024

Assets$602,494
Liabilities$9,685,831
Net Assets-$9,083,337

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2011: $1,699,1172011Expenses 2012: $1,762,6062012Revenue 2013: $1,446,737Expenses 2013: $1,844,715Net Income 2013: -$397,9782013Revenue 2014: $4,206,432Expenses 2014: $5,033,534Net Income 2014: -$827,1022014Revenue 2015: $8,363,168Expenses 2015: $8,210,006Net Income 2015: $153,1622015Revenue 2016: $7,824,670Expenses 2016: $8,426,177Net Income 2016: -$601,5072016Revenue 2017: $7,766,260Expenses 2017: $8,423,562Net Income 2017: -$657,3022017Revenue 2018: $8,241,339Expenses 2018: $8,719,605Net Income 2018: -$478,2662018Revenue 2019: $9,416,532Expenses 2019: $9,483,096Net Income 2019: -$66,5642019Revenue 2020: $10,464,148Expenses 2020: $9,880,600Net Income 2020: $583,5482020Revenue 2021: $9,384,115Expenses 2021: $10,761,588Net Income 2021: -$1,377,4732021Revenue 2022: $10,123,513Expenses 2022: $10,465,229Net Income 2022: -$341,7162022Revenue 2023: $10,830,530Expenses 2023: $11,078,948Net Income 2023: -$248,4182023Revenue 2024: $3,298,933Expenses 2024: $5,942,088Net Income 2024: -$2,643,1552024

Highlighted filing

2024

Revenue$3,298,933
Expenses$5,942,088
Net Income-$2,643,155

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.60$9.69$9.08$3.30$5.94$2.64
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.48$9.15$3.67$10.8$11.1$0.25
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.05$9.47$3.42$10.1$10.5$0.34
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.24$11.3$3.08$9.38$10.8$1.38
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.60$11.3$1.70$10.5$9.88$0.58
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.15$5.43$2.29$9.42$9.48$0.07
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.10$5.32$2.22$8.24$8.72$0.48
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.57$4.31$1.74$7.77$8.42$0.66
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.00$4.08$1.08$7.82$8.43$0.60
2015Detailed filing. Detailed filing data is available for this year.$2.62$3.11$0.48$8.36$8.21$0.15
2014Summary only. Only limited summary data is available for this year.$5.81$6.44$0.63$4.21$5.03$0.83
2013Detailed filing. Detailed filing data is available for this year.$0.91$0.36$0.56$1.45$1.84$0.40
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.09$0.20$0.90$1.76
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.94$0.14$0.81$1.70
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jan 23, 2026
Return Version
2024v5.5
Gross Receipts
$3,298,933
Mission and Program Overview

Mission

The mission of regional west garden county is to provide high quality health care by combining clinical and service excellence to enhance the quality of life of the communities served.

To provide high quality health care by combining clinical and service excellence.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$710,500$0▼ $710,500
Accounts Receivable$3,242,383$602,494▼ $2,639,889
Savings and Temporary Cash Investments$569,705$0▼ $569,705
Land, Buildings, and Equipment, Net$528,333$0▼ $528,333
Inventories for Sale or Use$220,244$0▼ $220,244
Prepaid Expenses and Deferred Charges$119,866$0▼ $119,866
Total Assets$5,482,735$602,494▼ $4,880,241
Other Assets Total$91,704$0▼ $91,704
Liabilities
Other Liabilities$7,817,548$9,685,831▲ $1,868,283
Accounts Payable and Accrued Expenses$949,442$0▼ $949,442
Mortgage Notes Payable Secured by Investment Property$284,369$0▼ $284,369
Unsecured Notes Loans Payable$100,851$0▼ $100,851
Total Liabilities$9,152,210$9,685,831▲ $533,621
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,669,475$-9,083,337▼ $5,413,862
Total Net Assets Fund Balance$-3,669,475$-9,083,337▼ $5,413,862
Total Liabilities and Net Assets / Fund Balance$5,482,735$602,494▼ $4,880,241

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

Employees

NameTitleFull / Part TimeBaseOtherTotal
Laurie SoperAprnFT$279,540$11,946$291,486
Brad HowellCEO - Rwgc/directorFT$95,690$5,513$101,203
Alan TownsendInterim Treasurer/CFO Thru 3/2024-$93,548-$93,548
Brett RiceSecretary--$50,326$50,326

Board Members and Trustees

NameTitle
Mel McneaPresident/CEO
Paul HofmeisterVice Chair
Bev KrajewskiDirector
Hod KosmanDirector
Mary MatherDirector
Terry KrauterDirector
Jeanne MckerriganCFO/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Fusion Medical StaffingStaffing Services18881 W DODGE RD STE 300W, Elkhorn, NE 68022$149,065
Prime Time Healthcare LLCAgency StaffC/O AMERICAN NATIONAL BANK PO BOX 3, Omaha, NE 68103$111,745
Keywest ConsultingMedical Services680 SOUTH CACHE ST STE 101-10219, Jackson, WY 83001$102,490
Revenue and Support

Revenue Composition

Contributions and Grants
$171,235
Program Service Revenue
$3,121,024
Investment Income
$3,736
Other Revenue
$2,938
All Other Contributions
$171,235
Change in Net Assets
$-2,643,155
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,527,640
Other Expenses$2,414,448
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,587,775$97,152-$2,684,927
Fees for Services Other$1,082,558$143,275-$1,225,833
Other Employee Benefits$425,238$24,418-$449,656
Occupancy$109,064$119,839-$228,903
Payroll Taxes$184,022$14,724-$198,746
Current Officers, Directors, Trustees, and Key Employees-$101,539-$101,539
Pension Plan Contributions$89,325$3,447-$92,772
Office Expenses$46,746$36,609-$83,355
Depreciation Depletion$65,018$15,884-$80,902
Other Expenses$46,411$630-$47,041
Fees for Services Accounting-$28,897-$28,897
Insurance$6,383$19,482-$25,865
Travel$16,567--$16,567
Information Technology$6,615--$6,615
Interest$585$5,251-$5,836
All Other Expenses$5,081--$5,081
Advertising$1,159$1,083-$2,242
Total Functional Expenses$4,879,725$1,062,363$0$5,942,088
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$9,685,831
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
No
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee shall have the power to act for and on behalf of the corporation and its board of directors as necessary and required between regular or special meetings of the board.

Form 990, Part VI, Section A, Line 6

Regional west health services is the sole member of the organization.

Form 990, Part VI, Section A, Line 7A

Regional west health services (rwhs), the sole member, has the ability to appoint 7 persons to the board of directors. The remaining directors must be approved by rwhs.

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 incorporate or bylaws of the corporation. 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 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, financial statements, and the conflict of interest policy are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Regional West Garden County
EIN
39-1904975
Phone
3087723283
Address
4021 AVE B, SCOTTSBLUFF, NE 69361

Signing Officer

Name
Andrew Shea
Title
Interim CFO/treasurer
Phone
3087723283
Signed
2026-01-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ned Resch
Formed
1984
Legal Domicile
Ne
Voting Board Members
8
Independent Board Members
4
Employees
111
Volunteers
4

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

Form 990, Part III, Line 3

Effective june 30, 2024, the operating lease with garden county hospital and nursing home was terminated. Regional west garden county is no longer operating the ten bed critical access hospital with attached nursing home and rural health clinic in oshkosh, nebraska. Operations of these services is now being performed by garden county hospital and nursing home.

Form 990, Part IX, Line 11G

Other purchased services: program service expenses 970,119. Management and general expenses 137,236. Fundraising expenses 0. Total expenses 1,107,355. Service contracts: program service expenses 101,377. Management and general expenses 0. Fundraising expenses 0. Total expenses 101,377. Consulting: program service expenses 11,062. Management and general expenses 6,039. Fundraising expenses 0. Total expenses 17,101.

FORM 990, PART XI, LINE 9:

Equity transfer to garden county hospital & nursing home -2,770,707.

FORM 990, 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.

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 895 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/ActivityOrMissionDesc0TO PROVIDE HIGH QUALITY HEALTH CARE BY COMBINING CLINICAL AND SERVICE EXCELLENCE.
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IRS990/ProgSrvcAccomActy3Grp/Desc0REGIONAL WEST GARDEN COUNTY CLINIC IS A RURAL HEALTH CLINIC THAT PROVIDES PHYSICIAN APPOINTMENTS AND WALK IN CARE FOR RESIDENTS IN THE SOUTHEASTERN NEBRASKA PANHANDLE.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0REGIONAL WEST GARDEN COUNTY ALSO PROVIDES ADMINISTRATIVE SUPPORT SERVICES NECESSARY TO ACCOMPLISH THE PRIMARY PROGRAM SERVICES OF THE HOSPITAL. THESE SERVICES ARE ADMINISTRATIVE, TECHNOLOGY, HUMAN RESOURCES, BILLING, HOUSEKEEPING, MEDICAL RECORDS AND OTHER SERVICES NECESSARY TO KEEP OPERATIONS RUNNING.
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