2016-10-26T18:05:24-05:00 2014-12-31 470623143 CONTRYMAN ASSOCIATES PC CPA'S PO BOX 2246 SCOTTSBLUFF NE 69363 990 2014-01-01 363314159 REGIONAL WEST PHYSICIANS CLINIC REGI 4021 AVENUE B SCOTTSBLUFF NE 69361 JAMES STRONG INTERIM CFO 2015-11-15 true DAN W CHARRON CPA CMA P00036203 3086357705 2016-10-26 2014 2017-02-10 21:41:12Z JAMES STRONG 4021 AVENUE B SCOTTSBLUFF NE 69361 52886324 false X WWW.RWHS.ORG X 1984 NE PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. 16 0 437 174130 -12013 0 54622704 52383813 -3106 0 179646 265059 54799244 52648872 35838 35956 0 50017436 44742092 0 0 22694567 22864484 72747841 67642532 -17948597 -14993660 5145470 5081938 6099689 4995563 -954219 86375 PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. false false 67555952 35956 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. 67555952 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 34 0 437 true true true false false false false false false false false false false false X 16 0 false false false false false false false true true false false true true true true true true true true false X JIM STRONG 3086301111 4021 AVENUE B SCOTTSBLUFF NE 69361 TIMOTHY FRIEDLEIN BOARD MEMBER 40.00 X 869258 0 0 ARMANDO MAGANA BOARD MEMBER 40.00 X 853584 0 10400 JEFFREY HOLLOWAY BOARD MEMBER 40.00 X 697753 0 10400 ROMMIE HUGHES BOARD MEMBER 40.00 X 696951 0 10400 JASON WALSH BOARD MEMBER 40.00 X 696639 0 10400 TODD SORENSEN CEO 1.00 40.00 X X 0 655373 71055 DAVID HOLDT PRESIDENT 40.00 X X 550383 0 10400 JAMES MASSEY VP OF SURGER 40.00 X 430177 0 10400 USMAN AKHTAR BOARD MEMBER 40.00 X 321059 72909 10322 SHEILA WEBB-BOWLES BOARD MEMBER 40.00 X 383422 0 10400 JON MORGAN BOARD MEMBER 1.00 40.00 X 0 375691 10400 VINCENT BJORLING CHAIRPERSON 40.00 X X 369333 0 10400 LISA SCHEPPERS BOARD MEMBER 40.00 X 361076 0 10400 DAVID GRIFFITHS TREASURER 1.00 40.00 X X 0 259025 74291 KENT LACEY BOARD MEMBER 40.00 X 222916 0 8358 MILTON JOHNSON BOARD MEMBER 40.00 X 85921 0 3420 SHIRLEY GOMPERT SECRETARY 40.00 X 34265 0 1545 MATTHEW BRUNER PHYSICIAN 40.00 X 456169 0 10400 HECTOR SANTIAGO PHYSICIAN 40.00 X 400987 14134 7385 REGINA LECONTE PHYSICIAN 40.00 X 396455 11101 10400 DORISA POLK PHYSICIAN 40.00 X 368549 0 10400 WENDY REEVES PHYSICIAN 40.00 X 303096 65138 9231 KATE PAINTER PHYSICIAN 40.00 X 322554 0 10400 MUEEN GHANI PHYSICIAN 40.00 X 322470 0 10400 DAVID KANAR PHYSICIAN 40.00 X 262044 51843 10400 ERIC WIEBE PHYSICIAN 40.00 X 306159 0 10400 JAROSLAW ANISZEWSKI PHYSICIAN 40.00 X 252261 26102 10384 JOE JETER PHYSICIAN AS 40.00 X 222778 0 8905 EMILY MCCARTY PHYSICIAN 40.00 X 201531 0 8014 ERNEST BUSSINGER PHYSICIAN 40.00 X 162424 0 6668 OMAR JIMENEZ PHYSICIAN 40.00 X 1436751 0 0 ERIC GARDNER PHYSICIAN 40.00 X 622001 160596 10400 BRADLEY COOTS PHYSICIAN 40.00 X 516533 103753 10400 BRENT ELLISON PHYSICIAN 40.00 X 473281 61985 10400 JOHN BLOMSTEDT PHYSICIAN 40.00 X 468129 52571 10400 SAL AZIZ COO X 309578 0 3591 JULIAN HENLEY X 418176 26836 10400 SHAWN ACINO X 324418 0 6207 MELISSA STADE 40.00 X 323789 0 10400 15442870 1937057 468576 34 true true false RURAL PARTNERS IN MEDICINE PO BOX 772519 STEAMBOAT SPRINGS CO 80477 PROFESSIONAL 1811610 COMPHEALTH ASSOCIATES INC PO BOX 972670 DALLAS TX 753972670 PROFESSIONAL 939613 QUALITY SYSTEMS INC 795 HORSHAM ROAD HORSHAM PA 19044 PROFESSIONAL 646280 MEDLINK STAFFING INC 163 HAMPTON POINT DRIVE ST AUGUSTINE FL 32092 PROFESSIONAL 459229 KEY WEST CONSULTING PO BOX 32 CRAWFORD NE 69339 PROFESSIONAL 341194 11 NET PATIENT REVENUES 46152408 46152408 CONSULTING REVENUE 6231405 6231405 52383813 411582 237452 174130 174130 MISCELLANEOUS OTHER REVENUE 90929 90929 90929 52648872 52474742 174130 35956 35956 10550214 10550214 1383483 1383483 26229101 26229101 982871 982871 3846294 3846294 1750129 1750129 40227 40227 86580 86580 6565202 6565202 144593 144593 162321 162321 5746 5746 2045021 2045021 248880 248880 124089 124089 337613 337613 686557 686557 PHARMACY 7620410 7620410 OTHER PURCHASED SERVICES 1669991 1669991 BAD DEBT 1476872 1476872 MEDICAL SUPPLIES 1020689 1020689 629693 629693 67642532 67555952 86580 0 307756 502021 3486201 3153756 227038 317825 159343 50009 3787648 2848648 889921 939000 75211 119327 5145470 5081938 6099689 4995563 6099689 4995563 X -954219 86375 -954219 86375 5145470 5081938 -14993660 16034254 X false true X true false X 206302 68368 137934 3581346 2780280 801066 939000 true SCOTTS BLUFF COUNTY FAIR 10625 CO RD E MITCHELL NE 69357 GOV 5982 X X true true X X X X true true false false false false false false false TIMOTHY FRIEDLEIN BOARD MEMBER 543417 324726 1115 20195 869258 ARMANDO MAGANA BOARD MEMBER 677103 174159 2322 10400 30069 863984 JEFFREY HOLLOWAY BOARD MEMBER 515797 181146 810 10400 31569 708153 ROMMIE HUGHES BOARD MEMBER 514303 181146 1502 10400 29069 707351 JASON WALSH BOARD MEMBER 514823 181146 670 10400 28611 707039 TODD SORENSEN CEO 457401 141459 56513 71055 19342 726428 44506 DAVID HOLDT PRESIDENT 536284 12048 2051 10400 26037 560783 JAMES MASSEY VP OF SURGER 429028 1149 10400 25099 440577 USMAN AKHTAR BOARD MEMBER 320857 202 72909 10322 10570 331381 72909 SHEILA WEBB-BOWLES BOARD MEMBER 383098 324 10400 28866 393822 JON MORGAN BOARD MEMBER 375274 417 10400 27339 386091 VINCENT BJORLING CHAIRPERSON 367713 1620 10400 29930 379733 LISA SCHEPPERS BOARD MEMBER 351236 9600 240 10400 32734 371476 DAVID GRIFFITHS TREASURER 249221 9804 74291 833 333316 KENT LACEY BOARD MEMBER 219196 2470 1250 8358 30738 231274 MATTHEW BRUNER PHYSICIAN 444049 11703 417 10400 29004 466569 HECTOR SANTIAGO PHYSICIAN 400601 386 14134 7385 24149 408372 14134 REGINA LECONTE PHYSICIAN 359799 36118 538 11101 10400 11064 406855 11101 DORISA POLK PHYSICIAN 367925 624 10400 28350 378949 WENDY REEVES PHYSICIAN 302826 270 65138 9231 27401 312327 65138 KATE PAINTER PHYSICIAN 322102 452 10400 28884 332954 MUEEN GHANI PHYSICIAN 321120 1350 10400 12350 332870 DAVID KANAR PHYSICIAN 261652 392 51843 10400 4232 272444 51843 ERIC WIEBE PHYSICIAN 279456 26365 338 10400 28802 316559 JAROSLAW ANISZEWSKI PHYSICIAN 251901 360 26102 10384 27574 262645 26102 JOE JETER PHYSICIAN ASSISTANT 59013 163729 36 8905 10293 231683 EMILY MCCARTY PHYSICIAN 201195 336 8014 18011 209545 ERNEST BUSSINGER PHYSICIAN 161609 815 6668 20773 169092 OMAR JIMENEZ PHYSICIAN 888109 547832 810 29069 1436751 ERIC GARDNER PHYSICIAN 620926 1075 160596 10400 23397 632401 160596 BRADLEY COOTS PHYSICIAN 514163 2370 103753 10400 27574 526933 103753 BRENT ELLISON PHYSICIAN 471360 1921 61985 10400 28232 483681 61985 JOHN BLOMSTEDT PHYSICIAN 302700 165000 429 52571 10400 28418 478529 52571 SAL AZIZ COO 212541 97037 3591 610 313169 95317 JULIAN HENLEY 415490 2686 26836 10400 28974 428576 26836 SHAWN ACINO 306818 16449 1151 6207 16274 330625 MELISSA STADE 190042 133565 182 10400 412 334189 SCHEDULE J, PAGE 1, PART I, LINE 4 TODD SORENSEN 0 44,506 0 DAVID GRIFFITHS 0 1,367 0 SAL AZIZ 183,000 95,317 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 XI, LINE 9 TRANSFERS FROM REGIONAL WEST MEDICAL CENTER 16,190,004 TRANSFER TO REGIONAL WEST FOUNDATION 155,750 REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 HEALTH SVC NE 501C3 11A N/A false REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUF NE 69361 470385129 501C3 3 N/A false PRAIRIE HAVEN HOSPICE 4021 AVENUE B SCOTTSBLUF NE 69361 391904975 501C3 3 N/A false REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUF NE 69361 237171022 501C3 11B N/A false PANHANDLE HEALTH PROPERTIES 4021 AVENUE B SCOTTSBLUF NE 69361 363314161 501C2 N/A false REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUF NE 69361 363314162 501C3 9 N/A false REGIONAL WEST HEALTH SERVICES & AFF 4021 AVENUE B SCOTTSBLUF NE 69361 470658690 501C9 N/A false REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUF NE 69361 470760050 N/A false false false true false false false false false false false true true true false false true false false false REGIONAL WEST MEDICAL CENTER S 12890004 CASH REGIONAL WEST HEALTH SERVICES M 81180 CASH REGIONAL WEST MEDICAL CENTER P 3300000 CASH