Regional West
Legal name: Regional West Medical Center
Nonprofit profile at a glance
- EIN
- 470385129
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Scottsbluff, NE, United States
- Phone
- 3086353711
- Rating
- 76
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $255,799,668
- Expenses
- $252,316,554
- Assets
- $138,982,614
- Liabilities
- $136,153,366
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)
Highest reported compensation
- BRADLEY HERTZLER (DIRECTOR): $917,499 total reported compensation
- JEFFREY SALISBURY (DIRECTOR): $663,123 total reported compensation
- TROY DEAN (DIRECTOR): $610,938 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide comprehensive and advanced medical care. The building was intended to be a hotel, but was never completed. With support from the Methodist Church, local businessmen and the Chamber of Commerce joined together to raise money to purchase the building for use as a hospital. Click here to read more! Thank you for your interest in a career with Regional West Health Services! Our employees work together to provide excellence in service to our patients, their families, our visitors, and each other. As one of our team members, you will not only enjoy great benefits and competitive pay, but you will also become a part of our health services "community.".
What it reported doing in 2024
Other program services of rwmc include the school of nursing, which is operated in partnership with western Nebraska community college (wncc), and unmc. Some of the other programs include the overhead departments of rwmc: facilities management, bio-medical, security, housekeeping, linen, purchasing, registration, coding, information and technology services, patient financial services, finance, case management, quality, human resources, administration, marketing, project management, education and outreach services. The education department services not only the employees of rwmc and affiliated organizations, but also provides ongoing training and education for regional health care professionals, volunteers, students and the community through cpr, atls, pals, and nrp classes in partnership with area emt's, wncc, and schoools. Through the outreach services department rwmc has network affiliations with five critical access hospitals (cahs) within its service region. Rwmc provided needed management expertise and certain medical support services including pharmacy, occupational therapy, blood processing & collection, and laboratory management services through contract agreements with the cahs. The continued operation and success of the cahs is crucial to minimize the distance and time patients would have to travel for medical care. Services to cahs are provided at or below operating costs to rwmc.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 93% 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
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 79
- Transparency & Controls: 71
- Accountability: 88
- Sustainability: 35
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 88.1%; rating input score 88
- Program expense ratio: 89.3%; rating input score 89
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 99.9%; rating input score 100; 46th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 80%; rating input score 80; 28th 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: 1.4%; rating input score 39; 39th percentile among comparable filings
- Total-asset coverage ratio: 0.55; rating input score 21; 21st percentile among comparable filings
- Liabilities to assets ratio: 0.98; rating input score 8; 8th percentile among comparable filings
- Officer compensation ratio: 0.7%; rating input score 80; 80th percentile among comparable filings
Growth
- Program expense growth: 5.7% per year; rating input score 100; 46th percentile among comparable filings
- Revenue growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
- Asset growth: -0.8% per year; rating input score 0; 6th percentile among comparable filings
Details
- What they do: 6 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 88.1% of revenue deployed · 89.3% of spending went to programs
- Governance: 12 of 15 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $225.3M in reported program spending
- Leadership: top reported pay $917K · 25 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $10.8M reported
- Consistency: 34 of 34 current checks pass
- Schedules: 10 filed schedules · includes major donors, grants, and executive pay
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Related organizations: 9 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.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Moderate — Sustainability: Operating margin scored 39/100.
- High — Sustainability: Total-asset coverage ratio scored 21/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 8/100.