Civic Intelligence

Regional West Garden County

990 • Fiscal year 2016 • EIN 39-1904975

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

4021 Avenue BScottsbluff, NE 69361

(308) 630-1111

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

96th percentile

1.36x

Higher debt load relative to assets than 96% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

71st percentile

0.52x

Higher debt load relative to revenue than 71% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

22nd percentile

-7.7%

Higher net margin than 22% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

97th percentile

$810,076

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 10.4% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

79th percentile

14%

Faster asset growth than 79% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

27th percentile

-6.4%

Faster revenue growth than 27% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Assets

Up

$2,997,224

Up $373,565 (+14%) from 2015

Net Assets

Down

-$1,083,284

Down $601,507 (-125%) from 2015

Liabilities

Up

$4,080,508

Up $975,072 (+31%) from 2015

Revenue

Down

$7,824,670

Down $538,498 (-6.4%) from 2015

Expenses

Up

$8,426,177

Up $216,171 (+2.6%) from 2015

Net Income

Down

-$601,507

Down $754,669 (-493%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2016

Assets$2,997,224
Liabilities$4,080,508
Net Assets-$1,083,284

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$7,824,670
Expenses$8,426,177
Net Income-$601,507
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$7,824,670
Mission and Program Overview

Mission

Advance the health and wellness of the individuals and communities we are honored to serve.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,093,727$1,291,872▲ $198,145
Cash and Non-Interest-Bearing Accounts$1,047,433$1,095,478▲ $48,045
Land, Buildings, and Equipment, Net$347,141$479,737▲ $132,596
Inventories for Sale or Use$127,900$121,556▼ $6,344
Prepaid Expenses and Deferred Charges$7,458$8,581▲ $1,123
Total Assets$2,623,659$2,997,224▲ $373,565
Liabilities
Other Liabilities$2,867,151$3,723,546▲ $856,395
Accounts Payable and Accrued Expenses$139,549$200,461▲ $60,912
Mortgage Notes Payable Secured by Investment Property$98,736$156,501▲ $57,765
Total Liabilities$3,105,436$4,080,508▲ $975,072
Net Assets / Fund Balance
Unrestricted Net Assets$-481,777$-1,083,284▼ $601,507
Total Net Assets Fund Balance$-481,777$-1,083,284▼ $601,507
Total Liabilities and Net Assets / Fund Balance$2,623,659$2,997,224▲ $373,565

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$479,737$516,261$995,998
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
John MentgenChairmanFT$272,988$48,215$321,203
Stephen BoyerMedical Dire-$274,501$46,702$321,203
Stephen BoyerMedical Director-$207,256$45,670$252,926
Laurie SoperAprn-$204,408$12,820$217,228
Evelyn YorkSecretaryFT-$64,471$64,471
Michael IckowskiCFOFT-$63,205$63,205
Allen GambleInterim CEO-$11,152-$11,152

Board Members and Trustees

NameTitle
Todd SorensenPresident
Casper CorfieldBoard Member
Matthew HaslamDirector
Wyatt KramerPa
Revenue and Support

Revenue Composition

Contributions and Grants
$88,574
Program Service Revenue
$7,593,812
Investment Income
$3,359
Other Revenue
$138,925
All Other Contributions
$88,574
Change in Net Assets
$-601,507
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,500,953
Other Expenses$2,925,224
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,974,805--$3,974,805
Other Employee Benefits$1,132,691--$1,132,691
Office Expenses$376,588--$376,588
All Other Expenses$313,585--$313,585
Payroll Taxes$263,130--$263,130
Occupancy$183,150--$183,150
Fees for Services Other$165,462--$165,462
Other Expenses$137,410--$137,410
Depreciation Depletion$133,625--$133,625
Pension Plan Contributions$119,175--$119,175
Fees for Services Management$71,236--$71,236
Insurance$44,684--$44,684
Advertising$28,543--$28,543
Travel$25,937--$25,937
Fees for Services Accounting$16,878--$16,878
Interest$13,789--$13,789
Current Officers, Directors, Trustees, and Key Employees$11,152--$11,152
Conferences and Meetings$8,705--$8,705
Total Functional Expenses$8,426,177$0$0$8,426,177
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$2,120,077
Due to Third Party Payor$1,010,118
Salaries & Benefits Payable$315,666
Leasehold Payable Gchs$277,685
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
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, Page 6, Part VI, Line 11B

Form was presented to and reviewed by the board in the month prior to the filing deadline.

Form 990, Page 6, Part VI, 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, Page 6, Part VI, Line 15A

Compensation for the executive director is determined by an independent compensation committee made up of board members from the parent company.

Form 990, Page 6, Part VI, Line 19

Governing documents and policies are made available to the public through being posted on the organization's website.

Filing and Contact Details

Filer

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

Signing Officer

Name
Michael Ickowski
Title
CFO
Phone
3086301149
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Ickowski
Formed
1984
Legal Domicile
Ne
Voting Board Members
7
Independent Board Members
4
Employees
126

Preparer

Firm
Regional West Health Services
Address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
Preparer
Amy Holzworth CPA
Phone
3086302823
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IRS990/OtherRevenueTotalAmt0138925
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03974805
IRS990/OtherSalariesAndWagesGrp/TotalAmt03974805
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt0263130
IRS990/PayrollTaxesGrp/TotalAmt0263130
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0119175
IRS990/PensionPlanContributionsGrp/TotalAmt0119175
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt07458
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt08581
IRS990/PrincipalOfficerNm0MICHAEL ICKOWSKI
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt07593812
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07593812
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0107773
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0100
IRS990/PYInvestmentIncomeAmt0-4117
IRS990/PYOtherExpensesAmt02650770
IRS990/PYOtherRevenueAmt0145381
IRS990/PYProgramServiceRevenueAmt08114131
IRS990/PYRevenuesLessExpensesAmt0153162
IRS990/PYSalariesCompEmpBnftPaidAmt05559136
IRS990/PYTotalExpensesAmt08210006
IRS990/PYTotalRevenueAmt08363168
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-601507
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt07593812
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0479737
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0516261
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0995998
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt02120077
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11010118
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2315666
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt3277685
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO THIRD PARTY PAYOR
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2SALARIES & BENEFITS PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3LEASEHOLD PAYABLE GCHS
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0479737
IRS990ScheduleD/TotalLiabilityAmt03723546
IRS990ScheduleH/AnnualCommunityBnftReportInd0true
IRS990ScheduleH/BadDebtExpenseAmt0169254
IRS990ScheduleH/BadDebtExpenseReportedInd0true
IRS990ScheduleH/CostingMethodologyUsedGrp/CostToChargeRatioInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt03648326
IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt040284
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt040284
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct00.00480
IRS990ScheduleH/FinancialAssistanceBudgetInd0false
IRS990ScheduleH/FinancialAssistancePolicyInd0true
IRS990ScheduleH/FinancialAssistancePrvsnInd0true
IRS990ScheduleH/FPGReferenceDiscountedCareInd0true
IRS990ScheduleH/FPGReferenceFreeCareInd0true
IRS990ScheduleH/FreeCareMedicallyIndigentInd0true
IRS990ScheduleH/HospitalFacilitiesCnt01
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt0REGIONAL WEST GARDEN COUNTY
IRS990ScheduleH/HospitalFacilitiesGrp/CriticalAccessHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum01
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt01100 WEST 2ND
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm0OSHKOSH
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd0NE
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd069154
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithNonFcltsInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithOtherFcltsInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedYr014
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAReportWidelyAvailableInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDefinitionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDemographicsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHealthNeedsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHlthNeedsIdProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ConsultingProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedInfoInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedSuprtDocInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExistingResourcesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FacilityNum01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FirstLicensedCYOrPYInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtDscntCarePct0250.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct0100.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeDscntInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine1Txt0REGIONAL WEST GARDEN COUNTY
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HowDataObtainedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ImplementationStrategyAdoptInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ImplementationStrategyAdptYr014
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/InsuranceStatusCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/LookBackMedicarePrivateInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MedicalIndigencyCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherHealthIssuesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherMethodInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherPublicityInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OwnWebsiteURLTxt0WWW.GCHEALTH.ORG
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PermitNoActionsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedHospitalContactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedNonprofitContactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/RptAvailableOnOwnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyAttachedInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyPostedWebsiteInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyWebsiteURLTxt0GCHEALTH.ORG
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TakeIntoAccountOthersInputInd0true
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TaxExemptHospitalCYOrPYInd0false
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/UnderinsuranceStatCriteriaInd0X
IRS990ScheduleH/MedicareSurplusOrShortfallAmt0-82196
IRS990ScheduleH/Percent100Ind0X
IRS990ScheduleH/Percent250Ind0X
IRS990ScheduleH/ReimbursedByMedicareAmt03566130
IRS990ScheduleH/ReportPublicallyAvailableInd0true
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS IS STATED IN TERMS OF UNREALIZABLE REVENUE, RATHER THAN AT THE ACTUAL COSTS ASSOCIATED WITH THE BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO THE BAD DEBT EXPENSE TO ESTIMATE THE COST OF THE BAD DEBT. A SIMILAR METHOD IS USED TO DETERMINE THE COSTS OF THE CHARITY CARE FOR THE ORGANIZATION.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt1APPROXIMATELY 39% OF REVENUE IS FROM PATIENTS PARTICIPATING IN THE MEDICARE PROGRAM, THUS PROVIDING SERVICES TO MEDICARE PATIENTS IS A PROMOTION OF HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE POPULATION OF THE COMMUNITY AND REGION THAT RWGC SERVES. MEDICARE COST IS THE ALLOWABLE COSTS AS REPORTED ON THE RWGC COST REPORT FOR 2016.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt2THE COLLECTION POLICY AND THE RELATED CHARITY CARE POLICY, STATES THAT SINCE A PATIENT'S ABILITY TO PAY FOR HEALTHCARE CAN CHANGE, A CHARITY DETERMINATION CAN BE MADE PRIOR TO, DURING OR FOLOWWING TREATMENT AT RWGC. ONCE A PATIENT HAS DEMONSTRATED OR COMMUNICATED A NEED THROUGH NONPAYMENT, OR THROUGH A COMPLETED FINANCIAL ASSISTANCE APPLICATION, THE FINACIAL ASSITANCE TEAM OF RWGC WILL REVIEW THE ACCOUNT AND BASED ON FEDERAL POVERTY GUIDELINES WILL MAKE A DETERMINATION OF WHETHER THE ACCOUNT QUALIFIES FOR CHARITY CARE TREATMENT. SOME ITEMS CONSIDERED IN THE DETERMINATION, ACCORDING TO THE RWGC 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 A PATIENT AFTER WHICH A NEGOTIATED SETTLEMENT WAS MADE FOR THE PATIENT'S ACCOUNT.
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc1PART III, LINE 8 - MEDICARE EXPLANATION
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc2PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt0REGIONAL WEST GARDEN COUNTY PARTICIPATED WITH OTHER HOSPITALS IN THE RURAL NEBRASKA HEALTHCARE NETWORK (RNHN) IN A JOINT PLANNING PROCESS FACILITATED BY PANHANDLE PUBLIC HEALTH DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (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. RWGC HOSTED FOCUS GROUPS FOR RESIDENTS OF THE SERVICE AREA IN MAY 2014 AS PART OF THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE HOSPITAL, PUBLIC SCHOOL SYSTEM, GARDEN COUNTY, AND LOCAL BUSINESSES.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt1GARDEN COUNTY WORKED WITH THE REST OF THE MEMBERS OF THE RNHN NETWORK FOR IDEAS AND WITH THE PANHANDLE PUBLIC HEALTH DISTRICT (PPHD).
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt2THE ITEMS THAT WERE NOT ADDRESSED WERE NOT BECAUSE THEY WERE NOT IMPORTANT, BUT BECAUSE THIS WAS OUR FIRST MAPP. THE TEAM WAS TRYING TO LOOK AT HELPING THE GREATEST AMOUNT OF COMMUNITY MEMBERS. THE INJURY, ALCOHOL, AND CANCER ARE ALL IN THE COMMUNITY, BUT FELT THAT THE LARGER BENEFIT WAS THE THREE THAT WERE ADDRESSED.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt3RWGC FOLLOWS THE FINANCIAL ASSISTANCE POLICY OF REGIONAL WEST MEDICAL CENTER, A RELATED TAX-EXEMPT HOSPITAL UNDER THE CONTROL OF REGIONAL WEST HEALTH SERVICES.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt4REGIONAL WEST GARDEN COUNTY DID NOT POST SPANISH-TRANSLATED VERSIONS OF ITS FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. THE FAILURE TO POST THESE TRANSLATED DOCUMENTS ON RWGC'S WEBSITE WAS INADVERTENT, BUT RWGC BELIEVES INDIVIDUAL PATIENTS WERE NOT HARMED. THE ISSUES WERE DISCOVERED DURING AN AUDIT OF RWMC'S 501(R) PRACTICES. ALTHOUGH DISCOVERED DURING THE AUDIT, THE ISSUES WERE CORRECTED WHEN RWGC POSTED TRANSLATED DOCUMENTS ON ITS WEBSITE IN 2017.
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc0FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 5
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc1FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 6B
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc2FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 11
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc3FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 15E
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc4FACILITY 1, REGIONAL WEST GARDEN COUNTY - PART V, LINE 16J
IRS990ScheduleH/TotalCommunityBenefitsGrp/NetCommunityBenefitExpnsAmt0118182
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalCommunityBenefitExpnsAmt0118182
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalExpensePct00.01400
IRS990ScheduleH/TotalFinancialAssistanceTyp/NetCommunityBenefitExpnsAmt0118182
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalCommunityBenefitExpnsAmt0118182
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalExpensePct00.01400
IRS990ScheduleH/UnreimbursedMedicaidGrp/NetCommunityBenefitExpnsAmt077898
IRS990ScheduleH/UnreimbursedMedicaidGrp/TotalCommunityBenefitExpnsAmt077898
IRS990ScheduleH/UnreimbursedMedicaidGrp/TotalExpensePct00.00920
IRS990ScheduleH/WrittenDebtCollectionPolicyInd0true
IRS990ScheduleH/WrittenPolicyInd0true
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false

Document Assets

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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
2016Detailed filing. Detailed filing data is available for this year.$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