FURP.ORG / PUBLIC DATA EXPLORER

REGIONAL WEST PHYSICIANS CLINIC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
REGIONAL WEST PHYSICIANS CLINIC (EIN 36-3314159)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201443219349303254
Schema version
2013v3.1
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)
Return2014-11-17T09:51:13-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470623143PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CONTRYMAN ASSOCIATES PC CPA'SBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2246AddressLine1
CitySCOTTSBLUFFCity
StateNEState
ZIP Code69363ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363314159EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL WEST PHYSICIANS CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlREGIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1
CitySCOTTSBLUFFCity
StateNEState
ZIP Code69361ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID GRIFFITHSPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2014-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAN W CHARRON CPA CMAPreparerPersonNm
PTINP00036203PTIN
Phone3086357705PhoneNum
Preparation2014-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID GRIFFITHS TREASURERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1
CitySCOTTSBLUFFCity
StateNEState
ZIP Code69361ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$54,986,559GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RWHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionPROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee455TotalEmployeeCnt
Total Gross UBI$97,529TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$117NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,206,899PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$54,462,073PYProgramServiceRevenueAmt
CY Program Service Revenue$54,622,704CYProgramServiceRevenueAmt
CY Investment Income-$3,106CYInvestmentIncomeAmt
PY Other Revenue$54,018PYOtherRevenueAmt
CY Other Revenue$179,646CYOtherRevenueAmt
PY Total Revenue$70,722,990PYTotalRevenueAmt
CY Total Revenue$54,799,244CYTotalRevenueAmt
PY Grants And Similar Paid$53,673PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$35,838CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,930,907PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$50,017,436CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,925,759PYOtherExpensesAmt
CY Other Expenses$22,694,567CYOtherExpensesAmt
PY Total Expenses$70,910,339PYTotalExpensesAmt
CY Total Expenses$72,747,841CYTotalExpensesAmt
PY Revenues Less Expenses-$187,349PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,948,597CYRevenuesLessExpensesAmt
Total Assets BOY$5,762,282TotalAssetsBOYAmt
Total Assets EOY$5,145,470TotalAssetsEOYAmt
Total Liabilities BOY$5,664,658TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,099,689TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$97,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$954,219NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,662,461ExpenseAmt
Grant$35,838GrantAmt
DescREGIONAL WEST PHYSICIANS CLINIC IS A MULTI-SPECIALTY MEDICAL GROUP OF MORE THAN 50 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$72,662,461TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee455EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
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)
PersonDAVID GRIFFITHSPersonNm
Phone3086301111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1
CitySCOTTSBLUFFCity
StateNEState
ZIP Code69361ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

Average Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtTitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TIMOTHY FRIEDLEIN MD
40.00Yes (X)$857,372$0$9,800
ARMANDO MAGANA MD
40.00Yes (X)$851,982$0$10,200
JASON WALSH MD
40.00Yes (X)$640,564$0$10,200
ROMMIE HUGHES MD
40.00Yes (X)$639,982$0$10,200
JEFFREY HOLLOWAY MD
40.00Yes (X)$639,203$0$10,200
JAMES MASSEY MD
40.00Yes (X)$625,772$0$10,200VP OF SURGER
TODD SORENSEN MD
1.00Yes (X)$0$516,124$64,97940.00Yes (X)
JON MORGAN MD
Yes (X)$16,558$381,923$10,20040.00
LISA SCHEPPERS MD
40.00Yes (X)$393,526$0$14,125
VINCENT BJORLING MD
40.00Yes (X)$358,140$0$10,200CHAIRPERSONYes (X)
SHEILA WEBB-BOWLES MD
40.00Yes (X)$352,511$0$10,200
KENT LACEY MD
40.00Yes (X)$267,047$0$8,210
DAVID GRIFFITHS
1.00Yes (X)$0$255,460$38,699TREASURER40.00Yes (X)
SAL AZIZ
40.00Yes (X)$214,772$0$7,667COOYes (X)
MILTON JOHNSON MD
40.00Yes (X)$141,582$0$5,711
DAVID HOLDT MD
40.00Yes (X)$0$0$0PRESIDENTYes (X)
SHIRLEY GOMPERT
40.00$33,545$0$1,782SECRETARYYes (X)
MATTHEW BRUNER
40.00$490,535$0$4,298Yes (X)
DORISA POLK
40.00$439,771$0$10,200Yes (X)
EMILY MCCARTY
40.00$432,440$0$10,200Yes (X)
CLINTON MERRILL
40.00$373,561$0$10,200Yes (X)
KATE PAINTER
40.00$373,008$0$10,200Yes (X)
REGINA LECONTE MD
40.00$361,515$0$10,200Yes (X)
DAVID KANAR
40.00$337,093$0$34,716Yes (X)
ERIC WIEBE MD
40.00$310,241$0$10,200Yes (X)
MUEEN GHANI
40.00$298,975$0$8,797Yes (X)
ERNEST BUSSINGER MD
40.00$229,373$0$9,419Yes (X)
JOE JETER PAC
40.00$217,922$0$9,525Yes (X)
JAROSLAW ANISZEWSKI
40.00$208,875$0$3,077Yes (X)
HECTOR SANTIAGO
40.00$160,386$0$17,016Yes (X)
OMAR JIMENEZ MD
40.00$2,093,170$0$0Yes (X)
ERIC GARDNER
40.00$685,724$0$27,794Yes (X)
MELISSA STADE MD
40.00$635,038$0$10,200Yes (X)
SHAWN ACINO MD
40.00$584,494$0$10,200Yes (X)
JULIAN HENLEY
40.00$474,650$0$34,496Yes (X)
WILLIAM MICHAEL MD
40.00$344,865$0$6,919Yes (X)
MICHELE ARNOLD MD
40.00$269,875$0$9,214Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,354,067TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,153,507TotReportableCompRltdOrgAmt
Total Other Compensation$479,444TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
RURAL PARTNERS IN MEDICINE
PO BOX 772519STEAMBOAT SPRINGSCO80477PROFESSIONAL$1,295,497
COMPHEALTH ASSOCIATES INC
PO BOX 972670DALLASTX753972670PROFESSIONAL$707,458
QUALITY SYSTEMS INC
795 HORSHAM ROADHORSHAMPA19044PROFESSIONAL$637,381
MEDLINK STAFFING INC
163 HAMPTON POINT DRIVEST AUGUSTINEFL32092PROFESSIONAL$511,778
KEY WEST CONSULTING
PO BOX 32CRAWFORDNE69339PROFESSIONAL$405,551
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUES$49,014,387$49,014,387
CONSULTING REVENUE$5,608,317$5,608,317
FieldValueIRS element (for citing)
Total Program Service Revenue$54,622,704TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,800SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,906SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,106SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,106TotalRevenueColumnAmt
Related Or Exempt Func Income-$3,106RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$278,938GrossSalesOfInventoryAmt
Cost Of Goods Sold$181,409CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,529TotalRevenueColumnAmt
Unrelated Business Revenue$97,529UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS OTHER REVENUEDesc
Total Revenue Column$82,117TotalRevenueColumnAmt
Related Or Exempt Func Income$82,117RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$82,117OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,799,244TotalRevenueColumnAmt
Related Or Exempt Func Income$54,701,715RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$97,529UnrelatedBusinessRevenueAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$35,838TotalAmt
Program Services$35,838ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,853,137TotalAmt
Program Services$10,853,137ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$645,608TotalAmt
Program Services$645,608ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,071,033TotalAmt
Program Services$31,071,033ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,115,127TotalAmt
Program Services$1,115,127ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,442,113TotalAmt
Program Services$4,442,113ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,890,418TotalAmt
Program Services$1,890,418ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,255TotalAmt
Program Services$5,255ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$85,380TotalAmt
Management And General$85,380ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,406,130TotalAmt
Program Services$6,406,130ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$200,655TotalAmt
Program Services$200,655ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$188,082TotalAmt
Program Services$188,082ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,395TotalAmt
Program Services$45,395ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,108,426TotalAmt
Program Services$2,108,426ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$300,199TotalAmt
Program Services$300,199ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$129,566TotalAmt
Program Services$129,566ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$450,725TotalAmt
Program Services$450,725ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$581,178TotalAmt
Program Services$581,178ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACY$7,098,489$7,098,489
BAD DEBT$1,726,098$1,726,098
MEDICAL SUPPLIES$1,414,825$1,414,825
OTHER PURCHASED SERVICES$1,097,285$1,097,285

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$856,879TotalAmt
Program Services$856,879ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,747,841TotalAmt
Program Services$72,662,461ProgramServicesAmt
Management And General$85,380ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$329,004BOYAmt
EOY$307,756EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,848,710BOYAmt
EOY$3,486,201EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$215,980BOYAmt
EOY$227,038EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,125BOYAmt
EOY$159,343EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,784,538LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,894,617LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,209,053BOYAmt
EOY$889,921EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$77,410BOYAmt
EOY$75,211EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,762,282BOYAmt
EOY$5,145,470EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,314,658BOYAmt
EOY$6,099,689EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$350,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,664,658BOYAmt
EOY$6,099,689EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,624BOYAmt
EOY-$954,219EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,624BOYAmt
EOY-$954,219EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,762,282BOYAmt
EOY$5,145,470EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$17,948,597ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$16,896,754OtherChangesInNetAssetsAmt
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,857OtherCostOrOtherBasisAmt
Book Value$11,857BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,922OtherCostOrOtherBasisAmt
Depreciation$53,566DepreciationAmt
Book Value$51,356BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,623,992OtherCostOrOtherBasisAmt
Depreciation$2,841,051DepreciationAmt
Book Value$782,941BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,767OtherCostOrOtherBasisAmt
Book Value$43,767BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$889,921TotalBookValueLandBuildingsAmt

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 FAIRBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110625 CO RD EAddressLine1
CityMITCHELLCity
StateNEState
ZIP Code69357ZIPCode
FieldValueIRS element (for citing)
IRC SectionGOVIRCSectionDesc
Cash Grant$5,881CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
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 (34 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
TIMOTHY FRIEDLEIN MD
$521,196$335,061$1,115$9,800$22,361$867,172
ARMANDO MAGANA MD
$693,133$156,527$2,322$10,200$26,961$862,182
JASON WALSH MD
$497,441$141,023$2,100$10,200$25,397$650,764
ROMMIE HUGHES MD
$496,175$141,023$2,784$10,200$25,678$650,182
JEFFREY HOLLOWAY MD
$497,370$141,023$810$10,200$28,430$649,403
JAMES MASSEY MD
$621,923$3,849$10,200$22,598$635,972VP OF SURGER
TODD SORENSEN MD
$502,745$13,379$64,979$17,923$581,103$61,620
JON MORGAN MD
$16,558$673$981$17,231$381,262$661$9,527$23,421$391,450
LISA SCHEPPERS MD
$382,627$9,100$1,799$14,125$28,218$407,651
VINCENT BJORLING MD
$356,509$1,631$10,200$26,818$368,340CHAIRPERSON
SHEILA WEBB-BOWLES MD
$350,686$1,825$10,200$25,288$362,711
KENT LACEY MD
$207,356$57,141$2,550$8,210$26,658$275,257
DAVID GRIFFITHS
TREASURER$246,352$9,108$38,699$23,518$294,159$4,881
SAL AZIZ
$189,320$25,452$7,667$13,262$222,439COO$19,935
MATTHEW BRUNER
$432,934$55,624$1,977$4,298$25,877$494,833
DORISA POLK
$367,090$70,743$1,938$10,200$25,317$449,971
EMILY MCCARTY
$363,704$66,823$1,913$10,200$31,316$442,640
CLINTON MERRILL
$369,484$4,077$10,200$31,875$383,761
KATE PAINTER
$334,566$36,533$1,909$10,200$25,902$383,208
REGINA LECONTE MD
$359,953$1,562$10,200$13,402$371,715
DAVID KANAR
$335,038$2,055$34,716$861$371,809
ERIC WIEBE MD
$279,903$30,000$338$10,200$25,710$320,441
MUEEN GHANI
$296,984$1,991$8,797$10,609$307,772
ERNEST BUSSINGER MD
$226,386$2,987$9,419$30,406$238,792
JOE JETER PAC
$56,945$160,941$36$9,525$8,896$227,447
JAROSLAW ANISZEWSKI
$208,875$3,077$21,308$211,952
HECTOR SANTIAGO
$160,386$17,016$12,283$177,402
OMAR JIMENEZ MD
$900,726$1,190,074$2,370$25,931$2,093,170
ERIC GARDNER
$683,678$2,046$27,794$25,931$713,518
MELISSA STADE MD
$504,230$128,939$1,869$10,200$1,008$645,238
SHAWN ACINO MD
$547,553$33,501$3,440$10,200$23,744$594,694
JULIAN HENLEY
$469,384$5,266$34,496$26,420$509,146
WILLIAM MICHAEL MD
$241,028$101,925$1,912$6,919$20,437$351,784
MICHELE ARNOLD MD
$269,643$232$9,214$11,127$279,089

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4FormAndLineReferenceDesc
ExplanationTODD SORENSEN, MD 0 174,023 0 DAVID GRIFFITHS 0 26,014 0 SAL AZIZ 0 34,610 0ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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 XI, LINE 9TRANSFERS FROM REGIONAL WEST MEDICAL CENTER 16,900,004 TRANSFER TO REGIONAL WEST FOUNDATION 3,250

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
REGIONAL WEST HEALTH SERVICES
4021 AVENUE BSCOTTSBLUFFNE69361363314157HEALTH SVCNE501C311AN/Afalse
REGIONAL WEST MEDICAL CENTER
4021 AVENUE BSCOTTSBLUFNE69361470385129501C33N/Afalse
PRAIRIE HAVEN HOSPICE
4021 AVENUE BSCOTTSBLUFNE69361391904975501C33N/Afalse
REGIONAL WEST FOUNDATION
4021 AVENUE BSCOTTSBLUFNE69361237171022501C311BN/Afalse
PANHANDLE HEALTH PROPERTIES
4021 AVENUE BSCOTTSBLUFNE69361363314161501C2N/Afalse
REGIONAL WEST VILLAGE
4021 AVENUE BSCOTTSBLUFNE69361363314162501C39N/Afalse
REGIONAL WEST HEALTH SERVICES & AFF
4021 AVENUE BSCOTTSBLUFNE69361470658690501C9N/Afalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL CARE INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14021 AVENUE BAddressLine1
CitySCOTTSBLUFCity
StateNEState
ZIP Code69361ZIPCode
FieldValueIRS element (for citing)
EIN470760050EIN
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
REGIONAL WEST MEDICAL CENTER
S$16,900,004CASH
PANHANDLE HEALTH PROPERTIES
K$556,564CASH
REGIONAL WEST HEALTH SERVICES
M$81,180CASH