2018-11-15T13:05:09-07:00 2017-12-31 363314157 REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 693614602 990 2017-01-01 363314159 REGIONAL WEST PHYSICIANS CLINIC REGI 4021 AVENUE B SCOTTSBLUFF NE 69361 MICHAEL ICKOWSKI CFO 3086301111 2018-11-15 true AMY HOLZWORTH CPA P00284207 3086302823 2018-11-15 167.68.16.49 2018-11-15 14:05:09 CS P BD55BCBAF3C68CDF1F389F5BA574DD8D29DEB7E8 BD55BCBAF3C68CDF1F389F5BA574DD8D29DEB7E8 2017 2019-02-21 02:37:17Z 67634538 false X WWW.RWHS.ORG X 1984 NE PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. 14 0 412 38114 -11818 22959200 23359200 52147499 44101030 566 966 382136 115734 75489401 67576930 78671 28392 0 46896480 44014606 0 0 28263385 24140161 75238536 68183159 250865 -606229 5961423 4615240 5917083 5177129 44340 -561889 PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. false false 68096579 28392 REGIONAL WEST PHYSICIANS CLINIC IS A MULTI-SPECIALTY MEDICAL GROUP OF MORE THAN 70 PHYSICIANS AND ASSOCIATED HEALTH CARE PROVIDERS. THE CLINIC IS A PHYSICIAN-LED, PHYSICIAN-GOVERNED SUBIDIARY OF REGIONAL WEST HEALTH SERVICES. IN THE TRADITION OF THE MAYO CLINIC AND OTHER SUCCESSFUL EXAMPLES OF PHYSICIAN HOSPITAL INTEGRATION, REGIONAL WEST PHYSICIANS CLINIC IS COMMITTED TO PROVIDING THE HIGHEST QUALITY PATIENT CARE AND SERVICE, PATIENT-DRIVEN HEALTH CARE GOVERNANCE AND LEADERSHIP, AND COMMUNITY OUTREACH TO THE REGION. 68096579 true false false false false false false false false false true false false false false false false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 47 0 412 true true true false false false false false false false false false false false X 14 0 false false false false false false false true true false false true true true true true true true true false X MICHAEL ICKOWSKI 3086301111 4021 AVENUE B SCOTTSBLUFF NE 69361 ARMANDO MAGANA PHYSICIAN 40.00 X 780818 0 46664 MARK HARTMAN PHYSICIAN 40.00 X 643023 10657 41544 JASON WALSH PHYSICIAN 40.00 X 544212 0 44760 JEFFREY HOLLOWAY PHYSICIAN 40.00 X 508222 0 45564 BRENT ELLISON PHYSICIAN 40.00 X 480291 15498 39370 JAMES MASSEY VP OF SURGER 40.00 X 493275 0 28721 JOSEPH MARGHEIM PHYSICIAN 40.00 X 452918 16826 53988 DAVID HOLDT PRESIDENT 40.00 X X 449223 0 80925 DORISA POLK PHYSICIAN 40.00 X 442000 0 44306 SHEILA WEBB-BOWLES PHYSICIAN 40.00 X 433251 0 90204 LISA SCHEPPERS BOARD MEMBER 1.00 40.00 X 0 394866 130603 VINCENT BJORLING CHAIRPERSON 40.00 X X 364939 0 43576 KENT LACEY PHYSICIAN 40.00 X 311854 0 44809 TADD GREENFIELD COO 1.00 40.00 X 0 116169 29273 LISA SCHEPPERS CMO X 0 0 0 JOHN MENTGEN CEO 1.00 40.00 X 0 513036 249768 MICHAEL ICKOWSKI CFO 1.00 40.00 X 0 305591 71001 SHIRLEY GOMPERT SECRETARY 40.00 X 36115 0 28167 TIMOTHY FRIEDLEIN PHYSICIAN 40.00 X 791404 0 39260 ROMMIE HUGHES PHYSICIAN 40.00 X 724227 0 44914 JASON LATOWSKY PHYSICIAN 40.00 X 504325 55858 44761 MATTHEW BRUNER PHYSICIAN 40.00 2.00 X 517803 0 45126 DANIEL ROWLAND PHYSICIAN 40.00 X 325129 61943 29591 MICHELLE CHELOHA PHYSICIAN 40.00 X 386010 0 43518 KATE PAINTER PHYSICIAN 40.00 X 359360 0 39580 WENDY REEVES PHYSICIAN 40.00 X 284762 51788 34127 LODEWYK PAPENFUS PHYSICIAN 40.00 X 315468 0 44545 AARON CISAR PHYSICIAN 40.00 X 222471 81587 38802 LINDSEY MOSEL PHYSICIAN 40.00 X 237834 51755 38248 TARA LONGORIA PHYSICIAN 40.00 X 267040 0 44883 PATRICK BROWN PHYSICIAN 40.00 X 194399 0 36907 SONDRA HOLLOWAY PHYSICIAN 40.00 X 191572 0 44358 MONICA SARAWAGI PHYSICIAN 40.00 X 174638 0 14052 RAQEEB HAQUE PHYSICIAN 40.00 X 846087 36661 92173 OMAR JIMENEZ PHYSICIAN 40.00 X 649823 0 34664 TROY DEAN PHYSICIAN 40.00 X 478014 0 92350 PETER MEYER ER PHYSICIAN 40.00 X 454240 0 81454 THOMAS TOLOMEO ANESTHESIOLO X 446478 0 37592 JON MORGAN PHYSICIAN 40.00 X 242697 0 37102 AMANULLAH BILAL PHYSICIAN 40.00 X 328564 67660 37681 JONATHAN MCNEELY PHYSICIAN 40.00 X 323075 67660 38975 REGINA LECONTE PHYSICIAN 40.00 X 345870 0 25864 ERIC WIEBE PHYSICIAN 40.00 X 280529 0 45510 JOE JETER PHYSICIAN AS 40.00 X 199438 0 30139 MARY TOMPKINS APRN 40.00 X 118486 0 55469 REBECCA BOWMAN APRN 40.00 X 109566 0 44594 SUE SCHOENEMAN APRN 40.00 X 0 103814 12154 JOHN BLOMSTEDT PHYSICIAN 40.00 X 389035 0 44263 ANDREW JAHODA PHYSICIAN 40.00 X 280842 104883 24709 JONATHAN GOCHNOUR PHYSICIAN 40.00 X 333026 51683 16838 17262353 2107935 2447446 43 true true false COMPHEALTH ASSOCIATES INC PO BOX 972670 DALLAS TX 753972670 PROFESSIONAL 3447363 RURAL PARTNERS IN MEDICINE PO BOX 772519 STEAMBOAT SPRINGS CO 80477 PROFESSIONAL 1109355 HEALTH MOUNT LLC 1326 MONTGOMERY LN SOUTHLAKE TX 76092 PROFESSIONAL 1089678 GLOBAL HOSPITALIST SOLUTIONS LLC 5865 RIDGEWAY CENTER PARKWAY MEMPHIS TN 38120 MEDICAL SVCS 835667 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PROFESSIONAL 659743 14 23359200 23359200 NET PATIENT REVENUES 38343769 38343769 CONSULTING REVENUE 5757261 5757261 44101030 966 966 95722 57608 38114 38114 MISCELLANEOUS OTHER REVENUE 77620 77620 77620 67576930 44178650 38114 966 X 28392 28392 10108972 10108972 2811289 2811289 22809993 22809993 957111 957111 5614192 5614192 1713049 1713049 6057 6057 86580 86580 12611150 12611150 55251 55251 172566 172566 2133 2133 2091342 2091342 189860 189860 105065 105065 354 354 227938 227938 711302 711302 PHARMACY 2813261 2813261 OTHER PURCHASED SERVICES 2078195 2078195 BAD DEBT 1567753 1567753 MEDICAL SUPPLIES 783828 783828 637526 637526 68183159 68096579 86580 0 73822 140203 3705294 3352874 85831 319976 232224 102523 3983211 3361178 806973 622033 1057279 77631 5961423 4615240 5901201 5177129 15882 5917083 5177129 X 44340 -561889 44340 -561889 5961423 4615240 -606229 X false true X false false X 206302 121578 84724 3776909 3239600 537309 622033 true SCOTTS BLUFF COUNTY FAIR 10625 CO RD E MITCHELL NE 69357 GOV 5368 X true true X X X X false true false false false false false false false ARMANDO MAGANA PHYSICIAN 646218 131036 3564 10800 35864 827482 MARK HARTMAN PHYSICIAN 641781 1242 10657 10800 30744 684567 10657 JASON WALSH PHYSICIAN 505320 38082 810 10800 33960 588972 JEFFREY HOLLOWAY PHYSICIAN 506980 1242 10800 34764 553786 BRENT ELLISON PHYSICIAN 479855 436 15498 5565 33805 519661 15498 JAMES MASSEY VP OF SURGER 452061 41214 10800 17921 521996 JOSEPH MARGHEIM PHYSICIAN 452482 436 16826 17395 36593 506906 16826 DAVID HOLDT PRESIDENT 398343 50880 48077 32848 530148 DORISA POLK PHYSICIAN 356857 84599 544 10800 33506 486306 SHEILA WEBB-BOWLES PHYSICIAN 432815 436 55142 35062 523455 LISA SCHEPPERS BOARD MEMBER 386358 8508 97325 33278 525469 VINCENT BJORLING CHAIRPERSON 354696 7864 2379 10800 32776 408515 KENT LACEY PHYSICIAN 309988 1866 8905 35904 356663 JOHN MENTGEN CEO 483171 29865 214819 34949 762804 MICHAEL ICKOWSKI CFO 290718 14873 61286 9715 376592 TIMOTHY FRIEDLEIN PHYSICIAN 448651 340668 2085 10800 28460 830664 ROMMIE HUGHES PHYSICIAN 585690 137295 1242 10800 34114 769141 JASON LATOWSKY PHYSICIAN 408968 94967 390 55858 10800 33961 549086 55858 MATTHEW BRUNER PHYSICIAN 428481 88865 457 10800 34326 562929 DANIEL ROWLAND PHYSICIAN 324269 860 61943 29591 354720 61943 MICHELLE CHELOHA PHYSICIAN 363623 21811 576 10800 32718 429528 KATE PAINTER PHYSICIAN 255953 103155 252 10800 28780 398940 WENDY REEVES PHYSICIAN 224123 60425 214 51788 10800 23327 318889 51788 LODEWYK PAPENFUS PHYSICIAN 294841 19316 1311 10800 33745 360013 AARON CISAR PHYSICIAN 222471 81587 8201 30601 261273 81587 LINDSEY MOSEL PHYSICIAN 226931 10748 155 51755 9662 28586 276082 51755 TARA LONGORIA PHYSICIAN 222876 43944 220 10800 34083 311923 PATRICK BROWN PHYSICIAN 193998 401 7932 28975 231306 SONDRA HOLLOWAY PHYSICIAN 191572 4200 40158 235930 MONICA SARAWAGI PHYSICIAN 143014 31522 102 6149 7903 188690 RAQEEB HAQUE PHYSICIAN 845601 486 36661 76132 16041 938260 36661 OMAR JIMENEZ PHYSICIAN 648581 1242 34664 684487 TROY DEAN PHYSICIAN 477579 435 58569 33781 570364 PETER MEYER ER PHYSICIAN 452365 1875 47702 33752 535694 THOMAS TOLOMEO ANESTHESIOLOGIST 444396 2082 4188 33404 484070 JON MORGAN PHYSICIAN 242697 4137 32965 279799 AMANULLAH BILAL PHYSICIAN 328286 278 67660 10800 26881 366245 67660 JONATHAN MCNEELY PHYSICIAN 322580 495 67660 23156 15819 362050 67660 REGINA LECONTE PHYSICIAN 345332 538 10800 15064 371734 ERIC WIEBE PHYSICIAN 280062 467 10800 34710 326039 JOE JETER PHYSICIAN ASSISTANT 65267 134147 24 16549 13590 229577 MARY TOMPKINS APRN 117436 658 392 24059 31410 173955 REBECCA BOWMAN APRN 109500 66 9771 34823 154160 SUE SCHOENEMAN APRN 103814 9279 2875 115968 JOHN BLOMSTEDT PHYSICIAN 291292 97443 300 10800 33463 433298 ANDREW JAHODA PHYSICIAN 280437 405 104883 10600 14109 305551 104883 JONATHAN GOCHNOUR PHYSICIAN 332807 219 51683 16838 349864 51683 SCHEDULE J, PAGE 1, PART I, LINE 4 DAVID HOLDT 0 800 0 LISA SCHEPPERS 0 39,800 0 TADD GREENFIELD 0 13,009 0 JOHN MENTGEN 0 111,027 0 MICHAEL ICKOWSKI 0 51,214 0 FORM 990, PAGE 6, PART VI, LINE 11B FORM IS 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 COO 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. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR THE CEO AND KEY EMPLOYEES 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, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC THROUGH BEING POSTED ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G MEDICAL TRANSCRIPTION & BILLI 336,629 0 0 LOCUM MEDICAL COVERAGE FEES 12,274,521 0 0 TOTAL 12,611,150 0 0 REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 SUPPORT NE 501C3 12A N/A false REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUF NE 69361 470385129 HOSPITAL 501C3 3 N/A false REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUF NE 69361 391904975 CAH 501C3 3 RWHS REGIONAL WEST HEALTH SERVICES false REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUF NE 69361 237171022 FDRAISING 501C3 12B N/A false REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUF NE 69361 363314162 RETIREMENT 501C3 10 N/A false REGIONAL WEST HEALTH SERVICES & AFF 4021 AVENUE B SCOTTSBLUF NE 69361 470658690 HEALTH PLA 501C9 N/A false REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUF NE 69361 470760050 TPA N/A false false true true false false false false false false false false false false false false true false false false REGIONAL WEST MEDICAL CENTER K 1374296 CASH REGIONAL WEST FOUNDATION B 4880 CASH REGIONAL WEST MEDICAL CENTER C 23359200 CASH REGIONAL WEST MEDICAL CENTER M 338364 CASH