REGIONAL WEST MEDICAL CENTER - SCOTTSBLUFF, NE

Institution representatives - add corrected or new information about REGIONAL WEST MEDICAL CENTER »

Addresss:
4021 AVE B
SCOTTSBLUFF, NE, 69361
Phone (make sure to verify first before calling): (308) 635-3711

Hospital Type: Acute Care Hospitals
Hospital Owner: Voluntary non-profit - Other
Emergency Services: Yes
Type: Rehabilitation Units

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: 1 Star

Employment Full-Time Equivalent
Licensed Practical Or Vocational Nurses : 54.88
Registered Professional Nurses : 183.03
Other Salaried Personnel : 576.25
Certified Registered Nurse Anesthetists (CRNA) : 0.05
Dieticians : 3.00
Occupational Therapists : 7.25
Physical Therapists : 15.00
Registered Pharmacists : 10.00
Respiratory Therapists : 7.25
Speech Pathologists Or Audiologists : 2.25
Physicians : 4.25
Medical Social Workers : 12.50

Number Of Beds
Total: 165
Total Certified: 165
Psychiatric Unit Beds: 18
Rehabilitation Unit Beds: 18

Provided Services
Nuclear Medicine Services
Acute Renal Dialysis Services
Anatomical Laboratory Services
Anesthesia Services
Blood Bank Services
Clinical Laboratory Services
Diagnostic Radiology Services
Dietary Services
Emergency Services
Home Health Services
Hospice Services
ICU - Medical/Surgical Services
Inpatient Rehabilitiation (Not Carf Accredited) Services
Inpatient Surgical Services
Long Term Care (Swing-Beds) Services
Neonatal Nursery Services
Obstetric Services
Occupational Therapy Services
Operating Room Services
Outpatient Services
Outpatient Surgery Unit Services
Pediatric Services
Pharmacy Services
Physical Therapy Services
Postoperative Recovery Room Services
Psychiatric Services
Respiratory Care Services
Social Services
Speech Pathology Services
Therapeutic Radiology Services

Process of Care

Heart Attack

Percent of Patients Given Aspirin at Arrival
This Hospital:

100.0%
State:

99.7%
Percent of Patients Given Aspirin at Discharge
Here:

100.0%
State:

99.7%
Percent of Patients Given Beta Blocker at Discharge
This Hospital:

100.0%
State:

99.7%
Average number of minutes before outpatients with chest pain or possible heart attack got an ECG
This Hospital:

5
Nebraska:

7
Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival
This Hospital:

98.0%
Nebraska:

96.9%
Patients Given a Prescription for a Statin at Discharge
Here:

83.0%
State:

98.5%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)
Here:

100.0%
State:

97.3%
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
This Hospital:

88.0%
Nebraska:

96.8%
Percent of Patients Given Discharge Instructions
This Hospital:

85.0%
State:

93.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
This Hospital:

98.0%
State:

97.3%
Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics
This Hospital:

96.0%
State:

98.1%
Percent of Patients Given Smoking Cessation Advice/Counseling
This Hospital:

100.0%
State:

97.1%
Percent of Patients Given the Most Appropriate Initial Antibiotic(s)
This Hospital:

100.0%
State:

94.1%
Percent of Patients Assessed and Given Influenza Vaccination
Here:

100.0%
Nebraska:

93.8%
Percent of Patients Assessed and Given Pneumococcal Vaccination
Here:

99.0%
State:

93.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection
Here:

98.0%
Nebraska:

97.0%
Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
This Hospital:

98.0%
Nebraska:

97.0%
Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection
Here:

99.0%
State:

98.6%
Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot
This Hospital:

98.0%
Nebraska:

97.5%
Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
This Hospital:

98.0%
Nebraska:

98.5%
Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method
This Hospital:

99.0%
Nebraska:

100.0%
Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery
This Hospital:

90.0%
Nebraska:

91.2%
Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them
Here:

93.0%
State:

96.1%
Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
Here:

94.0%
State:

95.6%
Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
This Hospital:

99.0%
Nebraska:

97.2%
Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal
This Hospital:

99.0%
State:

99.8%

Outcome of Care

30-Day Mortality Rates from Heart Attack
This Hospital:

16.4%
Nebraska:

15.2%
30-Day Mortality Rates from Heart Failure
This Hospital:

13.3%
Nebraska:

12.4%
30-Day Mortality Rates from Pneumonia
Here:

12.3%
Nebraska:

12.3%
30-Day Readmission Rates from Heart Attack
This Hospital:

18.5%
Nebraska:

19.6%
30-Day Readmission Rates from Heart Failure
This Hospital:

22.5%
State:

24.4%
30-Day Readmission Rates from Pneumonia
This Hospital:

16.5%
Nebraska:

18.4%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: 300 or more
Survey Response Rate: 38%

How often did nurses communicate well with patients?

Sometimes or never
This Hospital:

5%
State:

3%
Usually
This Hospital:

20%
State:

16%
Always
Here:

75%
State:

81%

How often did doctors communicate well with patients?

Sometimes or never
Here:

3%
State:

2%
Usually
This Hospital:

18%
State:

14%
Always
Here:

79%
Nebraska:

84%

How often did patients receive help quickly from hospital staff?

Sometimes or never
Here:

8%
Nebraska:

5%
Usually
Here:

31%
State:

23%
Always
This Hospital:

61%
State:

72%

How often was patients' pain well controlled?

Sometimes or never
Here:

7%
Nebraska:

4%
Usually
This Hospital:

24%
State:

25%
Always
This Hospital:

69%
State:

71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never
This Hospital:

19%
Nebraska:

15%
Usually
This Hospital:

22%
Nebraska:

21%
Always
Here:

59%
State:

64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never
Here:

11%
State:

6%
Usually
This Hospital:

20%
State:

16%
Always
This Hospital:

69%
Nebraska:

78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never
Here:

9%
Nebraska:

7%
Usually
Here:

38%
Nebraska:

30%
Always
Here:

53%
Nebraska:

63%

Were patients given information about what to do during their recovery at home?

Yes
Here:

87%
State:

87%
No
This Hospital:

13%
Nebraska:

13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower
This Hospital:

8%
State:

5%
7 or 8
This Hospital:

25%
Nebraska:

21%
9 or 10
This Hospital:

67%
Nebraska:

74%

Would patients recommend the hospital to friends and family?

No
Here:

4%
State:

2%
Yes, probably
Here:

29%
State:

23%
Yes, definitely
This Hospital:

67%
State:

75%

Quality Measures

Percent of short-stay residents who self-report moderate to severe pain
This Hospital:

41.5%
Nebraska:

27.0%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

71.9%
Nebraska:

88.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

98.2%
State:

83.7%

Hospital Acquired Conditions

Objects Accidentally Left in the Body After Surgery
Here:

0.184%
State:

0.169%
Falls and injuries
This Hospital:

0.919%
Nebraska:

1.214%
Blood infection from a catheter in a large vein
Here:

0.551%
State:

0.387%
Severe pressure sores (bed sores)
This Hospital:

0.184%
Nebraska:

0.212%

Inpatient Prospective Payment System (IPPS) - Medicare Provider Charge Data

Acute Myocardial Infarction, Discharged Alive with Complications
Average Covered Charges
Here:

$19,860
Nebraska:

$27,880
Average Total Payments
This Hospital:

$7,675
Nebraska:

$7,773
Number of discharges: 17
Here:

1.09%
Nebraska:

0.56%
Acute Myocardial Infarction, Discharged Alive without Complications
Average Covered Charges
This Hospital:

$21,507
State:

$25,739
Average Total Payments
This Hospital:

$5,887
State:

$5,686
Number of discharges: 24
Here:

1.54%
State:

0.32%
Atherosclerosis without Major Complications
Average Covered Charges
Here:

$14,430
State:

$13,062
Average Total Payments
Here:

$4,166
State:

$4,191
Number of discharges: 11
Here:

0.71%
Nebraska:

0.11%
Back and Neck Procedures Except Spinal Fusion without Complications
Average Covered Charges
Here:

$31,159
State:

$24,689
Average Total Payments
This Hospital:

$8,482
Nebraska:

$6,698
Number of discharges: 19
This Hospital:

1.22%
Nebraska:

0.80%
Cardiac Arrhythmia and Conduction Disorders with Complications
Average Covered Charges
This Hospital:

$19,386
State:

$17,632
Average Total Payments
This Hospital:

$6,489
Nebraska:

$5,536
Number of discharges: 22
Here:

1.41%
Nebraska:

1.62%
Cardiac Arrhythmia and Conduction Disorders with Major Complications
Average Covered Charges
Here:

$35,034
State:

$26,283
Average Total Payments
This Hospital:

$10,140
State:

$8,240
Number of discharges: 12
This Hospital:

0.77%
State:

0.82%
Cardiac Arrhythmia and Conduction Disorders without Complications
Average Covered Charges
Here:

$13,159
Nebraska:

$12,629
Average Total Payments
This Hospital:

$4,085
State:

$3,825
Number of discharges: 27
Here:

1.73%
Nebraska:

1.90%
Cellulitis without Major Complications
Average Covered Charges
This Hospital:

$14,268
Nebraska:

$15,796
Average Total Payments
This Hospital:

$6,385
State:

$5,579
Number of discharges: 46
Here:

2.95%
Nebraska:

1.81%
Cervical Spinal Fusion without Complications
Average Covered Charges
Here:

$65,049
Nebraska:

$46,543
Average Total Payments
Here:

$16,260
Nebraska:

$13,663
Number of discharges: 15
This Hospital:

0.96%
State:

0.40%
Chest Pain
Average Covered Charges
This Hospital:

$14,976
State:

$14,499
Average Total Payments
This Hospital:

$4,067
Nebraska:

$4,124
Number of discharges: 69
Here:

4.42%
State:

1.53%
Chronic Obstructive Pulmonary Disease with Complications
Average Covered Charges
This Hospital:

$20,503
Nebraska:

$22,825
Average Total Payments
This Hospital:

$6,895
State:

$6,118
Number of discharges: 19
This Hospital:

1.22%
State:

1.94%
Chronic Obstructive Pulmonary Disease with Major Complications
Average Covered Charges
This Hospital:

$23,761
Nebraska:

$29,531
Average Total Payments
Here:

$8,699
Nebraska:

$7,751
Number of discharges: 24
This Hospital:

1.54%
State:

2.10%
Chronic Obstructive Pulmonary Disease without Complications
Average Covered Charges
This Hospital:

$14,448
Nebraska:

$18,363
Average Total Payments
This Hospital:

$5,253
Nebraska:

$4,796
Number of discharges: 33
This Hospital:

2.12%
Nebraska:

1.39%
Circulatory Disorders Except Acute Myocardial Infarction, with Card Cath without Major Complications
Average Covered Charges
This Hospital:

$29,073
Nebraska:

$29,201
Average Total Payments
Here:

$9,293
State:

$7,150
Number of discharges: 12
Here:

0.77%
State:

1.68%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders with Major Complications
Average Covered Charges
This Hospital:

$23,926
Nebraska:

$28,779
Average Total Payments
This Hospital:

$8,067
Nebraska:

$8,002
Number of discharges: 16
Here:

1.03%
Nebraska:

0.48%
Esophagitis, Gastroent and Miscellaneous Digestive Disorders without Major Complications
Average Covered Charges
Here:

$15,828
State:

$17,373
Average Total Payments
Here:

$5,378
State:

$4,872
Number of discharges: 82
Here:

5.26%
Nebraska:

3.45%
Extracranial Procedures without Complications
Average Covered Charges
This Hospital:

$35,409
State:

$17,837
Average Total Payments
This Hospital:

$8,985
Nebraska:

$6,373
Number of discharges: 16
This Hospital:

1.03%
Nebraska:

0.80%
G.I. Hemorrhage with Complications
Average Covered Charges
Here:

$19,692
State:

$20,594
Average Total Payments
This Hospital:

$8,190
Nebraska:

$6,675
Number of discharges: 37
This Hospital:

2.37%
State:

2.03%
G.I. Hemorrhage with Major Complications
Average Covered Charges
Here:

$46,471
State:

$41,311
Average Total Payments
This Hospital:

$15,778
Nebraska:

$12,293
Number of discharges: 16
This Hospital:

1.03%
State:

0.50%
G.I. Hemorrhage without Complications
Average Covered Charges
Here:

$15,023
State:

$15,608
Average Total Payments
Here:

$6,216
Nebraska:

$4,799
Number of discharges: 29
This Hospital:

1.86%
State:

0.45%
G.I. Obstruction with Complications
Average Covered Charges
This Hospital:

$14,477
State:

$17,962
Average Total Payments
This Hospital:

$6,642
State:

$6,191
Number of discharges: 30
Here:

1.92%
Nebraska:

0.93%
G.I. Obstruction without Complications
Average Covered Charges
This Hospital:

$14,997
Nebraska:

$13,222
Average Total Payments
Here:

$5,444
State:

$4,342
Number of discharges: 26
This Hospital:

1.67%
State:

0.61%
Heart Failure and Shock with Complications
Average Covered Charges
Here:

$21,624
State:

$21,193
Average Total Payments
This Hospital:

$7,413
State:

$6,633
Number of discharges: 51
This Hospital:

3.27%
State:

2.95%
Heart Failure and Shock with Major Complications
Average Covered Charges
This Hospital:

$32,602
Nebraska:

$32,565
Average Total Payments
This Hospital:

$12,225
Nebraska:

$9,703
Number of discharges: 13
Here:

0.83%
State:

1.90%
Heart Failure and Shock without Complications
Average Covered Charges
Here:

$13,580
State:

$15,196
Average Total Payments
Here:

$4,866
Nebraska:

$4,482
Number of discharges: 28
Here:

1.79%
Nebraska:

1.10%
Hip and Femur Procedures Except Major Joint with Complications
Average Covered Charges
This Hospital:

$42,957
Nebraska:

$38,153
Average Total Payments
Here:

$13,437
State:

$12,156
Number of discharges: 55
Here:

3.53%
State:

1.77%
Hip and Femur Procedures Except Major Joint with Major Complications
Average Covered Charges
Here:

$51,633
State:

$52,785
Average Total Payments
Here:

$20,953
Nebraska:

$18,982
Number of discharges: 18
This Hospital:

1.15%
Nebraska:

0.38%
Hip and Femur Procedures Except Major Joint without Complications
Average Covered Charges
This Hospital:

$34,306
State:

$29,452
Average Total Payments
Here:

$10,790
Nebraska:

$9,705
Number of discharges: 14
Here:

0.90%
Nebraska:

0.36%
Intracranial Hemorrhage or Cerebral Infarction with Complications
Average Covered Charges
This Hospital:

$22,057
State:

$25,437
Average Total Payments
Here:

$8,142
State:

$7,381
Number of discharges: 25
This Hospital:

1.60%
State:

1.55%
Intracranial Hemorrhage or Cerebral Infarction with Major Complications
Average Covered Charges
Here:

$25,596
State:

$39,603
Average Total Payments
This Hospital:

$12,286
State:

$12,941
Number of discharges: 24
Here:

1.54%
Nebraska:

0.72%
Intracranial Hemorrhage or Cerebral Infarction without Complications
Average Covered Charges
Here:

$19,163
Nebraska:

$18,932
Average Total Payments
This Hospital:

$7,984
State:

$5,652
Number of discharges: 20
Here:

1.28%
State:

0.83%
Kidney and Urinary Tract Infections with Major Complications
Average Covered Charges
This Hospital:

$17,938
State:

$22,812
Average Total Payments
This Hospital:

$8,331
State:

$7,424
Number of discharges: 11
Here:

0.71%
Nebraska:

0.66%
Kidney and Urinary Tract Infections without Major Complications
Average Covered Charges
This Hospital:

$14,612
State:

$16,292
Average Total Payments
This Hospital:

$5,899
State:

$5,051
Number of discharges: 42
Here:

2.69%
Nebraska:

2.40%
Laparoscopic Cholecystectomy without C.D.E. without Complications
Average Covered Charges
Here:

$28,519
Nebraska:

$27,751
Average Total Payments
Here:

$10,385
Nebraska:

$7,820
Number of discharges: 14
Here:

0.90%
Nebraska:

0.27%
Major Cardiovasc Procedures without Major Complications
Average Covered Charges
This Hospital:

$96,720
State:

$62,453
Average Total Payments
This Hospital:

$23,929
Nebraska:

$20,711
Number of discharges: 11
This Hospital:

0.71%
State:

0.67%
Major Joint Replacement or Reattachment of Lower Extremity without Major Complications
Average Covered Charges
Here:

$53,965
Nebraska:

$41,415
Average Total Payments
Here:

$15,949
State:

$13,621
Number of discharges: 146
Here:

9.36%
Nebraska:

10.93%
Major Small and Large Bowel Procedures with Complications
Average Covered Charges
Here:

$60,387
State:

$58,606
Average Total Payments
Here:

$20,695
State:

$17,045
Number of discharges: 24
This Hospital:

1.54%
State:

1.11%
Major Small and Large Bowel Procedures with Major Complications
Average Covered Charges
Here:

$75,930
Nebraska:

$124,251
Average Total Payments
This Hospital:

$36,410
Nebraska:

$38,147
Number of discharges: 12
This Hospital:

0.77%
State:

0.87%
Medical Back Problems without Major Complications
Average Covered Charges
This Hospital:

$19,668
Nebraska:

$18,170
Average Total Payments
This Hospital:

$6,884
Nebraska:

$5,416
Number of discharges: 21
Here:

1.35%
State:

1.07%
Misc Disorders of Nutrition, Metabolism, Fluids or Electrolytes without Major Complications
Average Covered Charges
Here:

$15,920
State:

$14,536
Average Total Payments
Here:

$5,071
State:

$4,721
Number of discharges: 45
Here:

2.88%
State:

2.14%
Other Digestive System Diagnoses with Complications
Average Covered Charges
This Hospital:

$22,398
State:

$25,376
Average Total Payments
Here:

$7,118
State:

$6,763
Number of discharges: 13
This Hospital:

0.83%
State:

0.61%
Peripheral Vascular Disorders with Complications
Average Covered Charges
Here:

$20,987
State:

$17,324
Average Total Payments
This Hospital:

$6,648
State:

$6,076
Number of discharges: 15
This Hospital:

0.96%
Nebraska:

0.49%
Poisoning and Toxic Effects of Drugs without Major Complications
Average Covered Charges
This Hospital:

$14,340
State:

$13,575
Average Total Payments
Here:

$4,452
State:

$4,290
Number of discharges: 15
Here:

0.96%
Nebraska:

0.39%
Red Blood Cell Disorders without Major Complications
Average Covered Charges
Here:

$12,914
State:

$18,005
Average Total Payments
Here:

$5,769
Nebraska:

$5,448
Number of discharges: 11
Here:

0.71%
Nebraska:

0.98%
Renal Failure with Complications
Average Covered Charges
Here:

$17,658
State:

$21,735
Average Total Payments
Here:

$6,968
State:

$6,612
Number of discharges: 12
This Hospital:

0.77%
State:

1.85%
Respiratory Infections and Inflammations with Complications
Average Covered Charges
This Hospital:

$31,208
Nebraska:

$32,629
Average Total Payments
Here:

$10,131
Nebraska:

$9,162
Number of discharges: 12
This Hospital:

0.77%
State:

0.78%
Respiratory System Diagnosis with Ventilator Support <96 Hours
Average Covered Charges
This Hospital:

$43,955
State:

$57,319
Average Total Payments
Here:

$16,330
State:

$15,649
Number of discharges: 23
Here:

1.47%
State:

0.99%
Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with Major Complications
Average Covered Charges
Here:

$34,041
Nebraska:

$44,748
Average Total Payments
This Hospital:

$13,182
State:

$12,923
Number of discharges: 36
This Hospital:

2.31%
State:

2.83%
Signs and Symptoms without Major Complications
Average Covered Charges
This Hospital:

$15,121
State:

$14,968
Average Total Payments
Here:

$4,914
Nebraska:

$4,420
Number of discharges: 15
This Hospital:

0.96%
Nebraska:

0.98%
Simple Pneumonia and Pleurisy with Complications
Average Covered Charges
This Hospital:

$22,614
Nebraska:

$23,784
Average Total Payments
Here:

$7,572
State:

$6,549
Number of discharges: 72
This Hospital:

4.62%
State:

3.84%
Simple Pneumonia and Pleurisy with Major Complications
Average Covered Charges
This Hospital:

$29,012
Nebraska:

$35,930
Average Total Payments
Here:

$10,607
State:

$9,661
Number of discharges: 26
This Hospital:

1.67%
Nebraska:

1.96%
Simple Pneumonia and Pleurisy without Complications
Average Covered Charges
This Hospital:

$15,742
Nebraska:

$16,735
Average Total Payments
Here:

$5,620
Nebraska:

$4,700
Number of discharges: 37
Here:

2.37%
State:

1.48%
Spinal Fusion Except Cervical without Major Complications
Average Covered Charges
This Hospital:

$79,372
Nebraska:

$81,640
Average Total Payments
This Hospital:

$28,913
State:

$25,168
Number of discharges: 59
This Hospital:

3.78%
Nebraska:

1.55%
Syncope and Collapse
Average Covered Charges
This Hospital:

$15,801
Nebraska:

$16,920
Average Total Payments
Here:

$5,533
Nebraska:

$4,930
Number of discharges: 24
Here:

1.54%
State:

1.37%
Transient Ischemia
Average Covered Charges
This Hospital:

$13,242
State:

$17,521
Average Total Payments
This Hospital:

$5,645
State:

$4,792
Number of discharges: 14
This Hospital:

0.90%
Nebraska:

0.88%

Complaint Deficiency

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.
Here:

33.800%
Nebraska:

37.588%
Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.
Here:

9.500%
Nebraska:

9.790%
Outpatient CT scans of the abdomen that were combination (double) scans.
Here:

0.156%
Nebraska:

0.126%
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery
This Hospital:

4.600%
State:

5.403%
Outpatients with brain CT scans who got a sinus CT scan at the same time
This Hospital:

5.100%
Nebraska:

2.485%

User Contributions:

Comment about this article, ask questions, or add new information about this topic:




Hospital-data.com does not guarantee the accuracy or timeliness of any information on this site.  Use at your own risk.  This data has been compiled from multiple government and commercial sources. 

This web site and associated pages are not associated with, endorsed by, or sponsored by REGIONAL WEST MEDICAL CENTER and has no official or unofficial affiliation with REGIONAL WEST MEDICAL CENTER.

Some parts © 2003-2024 Advameg, Inc.