FURP.ORG / PUBLIC DATA EXPLORER

REGIONAL WEST PHYSICIANS CLINIC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
REGIONAL WEST PHYSICIANS CLINIC (EIN 36-3314159)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-10-28
IRS object ID
201633029349300348
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-10-28T12:33:13-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470623143PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CONTRYMAN ASSOCIATES PC CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2246AddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69363ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363314159EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST PHYSICIANS CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREGIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69361ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTAN MOSERPersonNm
Person TitleINTERIM CFOPersonTitleTxt
Phone3086353711PhoneNum
Signature2016-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAN W CHARRON CPA CMAPreparerPersonNm
PTINP00036203PTIN
Phone3086357705PhoneNum
Preparation2016-10-28PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTAN MOSERPrincipalOfficerNm
Gross Receipts$54,332,178GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RWHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee328TotalEmployeeCnt
Total Gross UBI$117,528TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$52,383,813PYProgramServiceRevenueAmt
CY Program Service Revenue$53,716,029CYProgramServiceRevenueAmt
CY Investment Income-$1,970CYInvestmentIncomeAmt
PY Other Revenue$265,059PYOtherRevenueAmt
CY Other Revenue$462,098CYOtherRevenueAmt
PY Total Revenue$52,648,872PYTotalRevenueAmt
CY Total Revenue$54,176,157CYTotalRevenueAmt
PY Grants And Similar Paid$35,956PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$38,221CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,742,092PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$46,323,475CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,864,484PYOtherExpensesAmt
CY Other Expenses$26,217,435CYOtherExpensesAmt
PY Total Expenses$67,642,532PYTotalExpensesAmt
CY Total Expenses$72,579,131CYTotalExpensesAmt
PY Revenues Less Expenses-$14,993,660PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$18,402,974CYRevenuesLessExpensesAmt
Total Assets BOY$5,081,938TotalAssetsBOYAmt
Total Assets EOY$5,666,509TotalAssetsEOYAmt
Total Liabilities BOY$4,995,563TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,873,034TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,375NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$206,525NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,492,551ExpenseAmt
Grant$38,221GrantAmt
Revenue$53,716,029RevenueAmt
DescREGIONAL 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.Desc
Total Program Service Expenses$72,492,551TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee328EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTAN MOSERPersonNm
Phone3086301111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69361ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ARMANDO MAGANA
PHYSICIAN40.00Yes (X)$796,877$0$40,769
TIMOTHY FRIEDLEIN
PHYSICIAN40.00Yes (X)$796,397$0$30,795
ROMMIE HUGHES
PHYSICIAN40.00Yes (X)$751,411$0$39,772
JASON WALSH
PHYSICIAN40.00Yes (X)$680,449$0$39,604
JEFFREY HOLLOWAY
PHYSICIAN40.00Yes (X)$666,293$0$39,669
VINCENT BJORLING
CHAIRPERSON40.00Yes (X)$536,188$0$37,013Yes (X)
JON MORGAN
PHYSICIAN10.00Yes (X)$41,321$376,629$84,32830.00
DAVID HOLDT
PRESIDENT40.00Yes (X)$410,208$0$100,664Yes (X)
JAMES MASSEY
VP OF SURGER40.00Yes (X)$402,844$0$33,988
LISA SCHEPPERS
PHYSICIAN40.00Yes (X)$398,593$0$60,197
SHEILA WEBB-BOWLES
PHYSICIAN40.00Yes (X)$389,728$0$68,748
USMAN AKHTAR
PHYSICIAN40.00Yes (X)$288,929$0$51,711
KENT LACEY
PHYSICIAN40.00Yes (X)$260,314$0$40,332
JOHN MENTGEN
CEO2.00$0$482,881$311,901Yes (X)40.00
SHIRLEY GOMPERT
SECRETARY40.00$34,456$0$24,175Yes (X)
STAN MOSER
INTERIM CFO$0$0$0Yes (X)
MATTHEW BRUNER
PHYSICIAN40.00$458,788$0$39,704Yes (X)
DORISA POLK
PHYSICIAN40.00$443,602$0$38,948Yes (X)
WENDY REEVES
PHYSICIAN40.00$408,955$0$38,515Yes (X)
REGINA LECONTE
PHYSICIAN40.00$371,765$0$21,664Yes (X)
MUEEN GHANI
PHYSICIAN40.00$328,100$0$22,270Yes (X)
KATE PAINTER
PHYSICIAN40.00$318,852$0$34,434Yes (X)
MOHAMMED SIDDIQUI
PHYSICIAN40.00$300,516$0$18,444Yes (X)
ERIC WIEBE
PHYSICIAN40.00$287,768$0$39,402Yes (X)
JOE JETER
PHYSICIAN AS40.00$196,400$0$26,749Yes (X)
JONATHAN MCNEELY
PHYSICIAN40.00$195,758$0$21,078Yes (X)
DAVID JOHNSON
PHYSICIAN40.00$160,617$0$26,052Yes (X)
AMANULLAH BILAL
PHYSICIAN40.00$159,421$0$19,300Yes (X)
RAQEEB HAQUE
PHYSICIAN40.00$848,692$0$24,642Yes (X)
OMAR JIMENEZ
PHYSICIAN40.00$833,003$0$29,069Yes (X)
JOHN BLOMSTEDT
PHYSICIAN40.00$492,958$0$39,028Yes (X)
BRENT ELLISON
PHYSICIAN40.00$460,607$0$38,974Yes (X)
JONATHAN GOCHNOUR
PHYSICIAN40.00$433,860$0$44,183Yes (X)
TODD SORENSEN
FORMER CEO$1,155$1,134,556$15,721Yes (X)
DAVID GRIFFITHS
TREASURER$0$331,003$35,633Yes (X)
CLINTON MERRILL
PHYSICIAN$207,626$0$0Yes (X)
JULIAN HENLEY
PHYSICIAN40.00$277,289$0$39,181Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,639,740TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,325,069TotReportableCompRltdOrgAmt
Total Other Compensation$1,616,657TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RURAL PARTNERS IN MEDICINE
PO BOX 772519STEAMBOAT SPRINGSCO80477PROFESSIONAL$2,233,931
COMPHEALTH ASSOCIATES INC
PO BOX 972670DALLASTX753972670PROFESSIONAL$1,536,898
WEATHERBYY LOCUMS INC
PO BOX 972633DALLASTX753972633PROFESSIONAL$731,035
QUALITY SYSTEMS INC
795 HORSHAM ROADHORSHAMPA19044PROFESSIONAL$536,006
KEY WEST CONSULTING
PO BOX 32CRAWFORDNE69339PROFESSIONAL$289,021
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUES$47,956,776$47,956,776
CONSULTING REVENUE$5,759,253$5,759,253
FieldValueIRS element (for citing)
Total Program Service Revenue$53,716,029TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,970SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,970SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,970TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,970RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$271,579GrossSalesOfInventoryAmt
Cost Of Goods Sold$154,051CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,528TotalRevenueColumnAmt
Unrelated Business Revenue$117,528UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS OTHER REVENUEDesc
Total Revenue Column$344,570TotalRevenueColumnAmt
Related Or Exempt Func Income$344,570RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$344,570OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,176,157TotalRevenueColumnAmt
Related Or Exempt Func Income$54,058,629RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$117,528UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,221TotalAmt
Program Services$38,221ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,549,293TotalAmt
Program Services$10,549,293ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$514,694TotalAmt
Program Services$514,694ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,617,862TotalAmt
Program Services$27,617,862ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,008,725TotalAmt
Program Services$1,008,725ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,884,855TotalAmt
Program Services$4,884,855ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,748,046TotalAmt
Program Services$1,748,046ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$171,704TotalAmt
Program Services$171,704ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,580TotalAmt
Management And General$86,580ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,753,411TotalAmt
Program Services$7,753,411ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$53,029TotalAmt
Program Services$53,029ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$159,250TotalAmt
Program Services$159,250ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,584TotalAmt
Program Services$1,584ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,013,124TotalAmt
Program Services$2,013,124ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$200,311TotalAmt
Program Services$200,311ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$127,281TotalAmt
Program Services$127,281ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$292TotalAmt
Program Services$292ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$283,480TotalAmt
Program Services$283,480ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$677,490TotalAmt
Program Services$677,490ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACY$10,130,437$10,130,437
OTHER PURCHASED SERVICES$1,771,052$1,771,052
BAD DEBT$1,392,143$1,392,143
MEDICAL SUPPLIES$808,782$808,782

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$587,485TotalAmt
Program Services$587,485ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,579,131TotalAmt
Program Services$72,492,551ProgramServicesAmt
Management And General$86,580ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$502,021BOYAmt
EOY$487,460EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,153,756BOYAmt
EOY$3,980,460EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$317,825BOYAmt
EOY$338,193EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,009BOYAmt
EOY$69,544EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,610,549LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,918,917LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$939,000BOYAmt
EOY$691,632EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$119,327BOYAmt
EOY$99,220EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,081,938BOYAmt
EOY$5,666,509EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,995,563BOYAmt
EOY$5,838,916EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$34,118EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,995,563BOYAmt
EOY$5,873,034EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,375BOYAmt
EOY-$206,525EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,375BOYAmt
EOY-$206,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,081,938BOYAmt
EOY$5,666,509EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$18,402,974ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$18,110,074OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$206,302OtherCostOrOtherBasisAmt
Depreciation$86,105DepreciationAmt
Book Value$120,197BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,404,247OtherCostOrOtherBasisAmt
Depreciation$2,832,812DepreciationAmt
Book Value$571,435BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$691,632TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE PAYABLE$34,118
DEFERRED REVENUE
FieldValueIRS element (for citing)
Total Liability$34,118TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SCOTTS BLUFF COUNTY FAIRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110625 CO RD EAddressLine1Txt
CityMITCHELLCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69357ZIPCd
FieldValueIRS element (for citing)
IRC SectionGOVIRCSectionDesc
Cash Grant$6,109CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
ARMANDO MAGANA
PHYSICIAN$609,383$185,172$2,322$10,600$30,169$837,646
TIMOTHY FRIEDLEIN
PHYSICIAN$457,221$337,091$2,085$10,600$20,195$827,192
ROMMIE HUGHES
PHYSICIAN$579,814$170,355$1,242$10,600$29,172$791,183
JASON WALSH
PHYSICIAN$509,335$170,574$540$10,600$29,004$720,053
JEFFREY HOLLOWAY
PHYSICIAN$494,905$170,578$810$10,600$29,069$705,962
VINCENT BJORLING
CHAIRPERSON$354,568$180,000$1,620$10,600$26,413$573,201
JON MORGAN
PHYSICIAN$41,321$4,165$5,823$51,309$375,264$1,365$51,491$22,849$450,969
DAVID HOLDT
PRESIDENT$406,174$4,034$74,545$26,119$510,872
JAMES MASSEY
VP OF SURGER$402,844$10,600$23,388$436,832
LISA SCHEPPERS
PHYSICIAN$389,148$9,200$245$28,948$31,249$458,790
SHEILA WEBB-BOWLES
PHYSICIAN$389,368$360$39,732$29,016$458,476
USMAN AKHTAR
PHYSICIAN$288,707$222$41,120$10,591$340,640
KENT LACEY
PHYSICIAN$241,007$18,317$990$8,594$31,738$300,646
JOHN MENTGEN
CEO$465,602$17,279$282,900$29,001$794,782
MATTHEW BRUNER
PHYSICIAN$428,421$29,950$417$10,600$29,104$498,492
DORISA POLK
PHYSICIAN$353,497$89,743$362$10,600$28,348$482,550
WENDY REEVES
PHYSICIAN$296,153$112,543$259$10,600$27,915$447,470
REGINA LECONTE
PHYSICIAN$346,382$24,845$538$10,600$11,064$393,429
MUEEN GHANI
PHYSICIAN$327,650$450$10,600$11,670$350,370
KATE PAINTER
PHYSICIAN$256,663$61,937$252$10,600$23,834$353,286
MOHAMMED SIDDIQUI
PHYSICIAN$299,998$518$17,994$450$318,960
ERIC WIEBE
PHYSICIAN$287,249$519$10,600$28,802$327,170
JOE JETER
PHYSICIAN ASSISTANT$58,161$138,174$65$16,691$10,058$223,149
JONATHAN MCNEELY
PHYSICIAN$195,593$165$11,984$9,094$216,836
DAVID JOHNSON
PHYSICIAN$107,408$52,310$899$6,523$19,529$186,669
AMANULLAH BILAL
PHYSICIAN$159,388$33$9,913$9,387$178,721
RAQEEB HAQUE
PHYSICIAN$848,226$466$14,580$10,062$873,334
OMAR JIMENEZ
PHYSICIAN$831,761$1,242$29,069$862,072
JOHN BLOMSTEDT
PHYSICIAN$291,149$201,509$300$10,600$28,428$531,986
BRENT ELLISON
PHYSICIAN$454,160$4,400$2,047$10,600$28,374$499,581
JONATHAN GOCHNOUR
PHYSICIAN$432,246$1,614$16,003$28,180$478,043
TODD SORENSEN
FORMER CEO$1,155$1,155$64,170$1,070,386$15,678$43$1,150,277
DAVID GRIFFITHS
TREASURER$322,806$8,197$34,903$730$366,636
CLINTON MERRILL
PHYSICIAN$207,626$207,626
JULIAN HENLEY
PHYSICIAN$246,849$30,440$10,600$28,581$316,470

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4FormAndLineReferenceDesc
ExplanationJON MORGAN 0 38,341 0 DAVID HOLDT 0 37,806 0 JOHN MENTGEN 0 216,706 0 TODD SORENSEN 0 1,083,200 0 DAVID GRIFFITHS 0 25,355 0ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM IS PRESENTED TO AND REVIEWED BY THE BOARD IN THE MONTH PRIOR TO THE FILING DEADLINE.
FORM 990, PAGE 6, PART VI, LINE 12CANNUAL 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 15ACOMPENSATION 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 15BCOMPENSATION 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 19GOVERNING DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC THROUGH BEING POSTED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART IX, LINE 11GMEDICAL TRANSCRIPTION & BILLI 251,195 0 0 LOCUM MEDICAL COVERAGE FEES 7,502,216 0 0
FORM 990, PART XI, LINE 9TRANSFER TO AFFILIATE -4,260 TRANSFERS FROM REGIONAL WEST MEDICAL CENTER 18,164,334 TRANSFER TO REGIONAL WEST FOUNDATION -50,000 TOTAL 18,110,074