Regional West Health Services

Nonprofit profile at a glance

EIN
363314157
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Scottsbluff, NE, USA
Phone
3086353711
Rating
86
Verdict
STRONG
Rating confidence
Moderate
Sector
Nonmonetary Support N.E.C.

Official website

Reported finances

Revenue
$15,089,380
Expenses
$21,846,080
Assets
$97,533,182
Liabilities
$48,962,023

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • MEL MCNEA (CEO/PRESIDENT)
  • ANDREA EATON (INTERIM EXECUTIVE DIRECTOR OF FINANCE)

Highest reported compensation

  • BRADLEY HERTZLER (DIRECTOR): $917,499 total reported compensation
  • JEFFREY SALISBURY (DIRECTOR): $663,123 total reported compensation
  • TROY DEAN (DIRECTOR): $610,937 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Health care services for the people of western Nebraska and eastern Wyoming.

What it reported doing in 2024

Regional 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.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and reported officer compensation is a large share of total spending, which may reflect staffing concentration.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 89
  • Accountability: 88
  • Sustainability: 30
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 99%; rating input score 99
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 80%; rating input score 80; 16th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -44.8%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 4.46; rating input score 83; 83rd percentile among comparable filings
  • Liabilities to assets ratio: 0.5; rating input score 29; 29th percentile among comparable filings
  • Officer compensation ratio: 11.9%; rating input score 14; 14th percentile among comparable filings

Growth

  • Program expense growth: 1.6% per year; rating input score 100; 17th percentile among comparable filings
  • Revenue growth: 4.4% per year; rating input score 100; 38th percentile among comparable filings
  • Asset growth: 10.6% per year; rating input score 100; 67th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 99% of spending went to programs
  • Governance: 12 of 15 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $21.6M in reported program spending
  • Leadership: top reported pay $917K · 25 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $661K reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 10 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 2/100.
  • High — Sustainability: Officer compensation ratio scored 14/100.
  • High — Sustainability: Liabilities to assets ratio scored 29/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.