REGIONAL WEST PHYSICIANS CLINIC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL WEST PHYSICIANS CLINIC (EIN 36-3314159)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201123189349306027
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T15:14:52-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONTRYMAN ASSOCIATES PC CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2246 | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363314159 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST PHYSICIANS CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REGI | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID GRIFFITHS | Name |
| Title | TREASURER | Title |
| Date Signed | 2001-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAN W CHARRON CPA CMA | Name |
| Phone | 3086357705 | Phone |
| Date Prepared | 2011-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID GRIFFITHS TREASURER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 59227859 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RWHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | PROVIDE HEALTH CARE TO THE UNDERSERVED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 385 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1712040 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8050000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43787322 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51131185 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -10277 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1240 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 17210 | OtherRevenuePriorYear |
| Other Revenue Current Year | 38893 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 45506295 | TotalRevenuePriorYear |
| Total Revenue Current Year | 59221318 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36713864 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 42722687 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17271825 | OtherExpensePriorYear |
| Other Expenses Current Year | 18924494 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 53985689 | TotalExpensesPriorYear |
| Total Expenses Current Year | 61647181 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8479394 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2425863 | RevenuesLessExpensesCY |
| Total Assets BOY | 6030041 | TotalAssetsBOY |
| Total Assets EOY | 5752277 | TotalAssetsEOY |
| Total Liabilities BOY | 4073632 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5171731 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1956409 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 580546 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HEALTH CARE TO THE UNDERSERVED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 61622506 | Expense |
| Revenue | 51169580 | Revenue |
| Description | REGIONAL 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. | Description |
| Total Program Service Expense | 61622506 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 45 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 385 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID GRIFFITHS | NamePerson |
| Telephone Number | 3086301111 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | TitleTitle | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| OMAR JIMENEZ MD | |||||||||
| 40.00 | X | 1969015 | 0 | 19152 | |||||
| VINCENT BJORLING MD | |||||||||
| 40.00 | X | 789159 | 0 | 27927 | CEO | X | |||
| ARMANDO MAGANA MD | |||||||||
| 40.00 | X | 750835 | 0 | 27882 | |||||
| TIMOTHY FRIEDLEIN MD | |||||||||
| 40.00 | X | 649658 | 0 | 21930 | |||||
| DAVID HOLDT MD | |||||||||
| 40.00 | X | 544756 | 0 | 28747 | PRESIDENT | X | |||
| ROMMIE HUGHES MD | |||||||||
| 40.00 | X | 529340 | 0 | 28127 | |||||
| JON MORGAN MD | |||||||||
| 40.00 | X | 522469 | 0 | 10926 | |||||
| TODD SORENSEN MD | |||||||||
| 1.00 | X | 0 | 481872 | 74874 | X | ||||
| MICHELE ARNOLD MD | |||||||||
| 40.00 | X | 475942 | 0 | 27850 | VP OF MED | ||||
| JAMES MASSEY MD | |||||||||
| 40.00 | X | 470370 | 0 | 18683 | VP OF SURGER | ||||
| LISA SCHEPPERS MD | |||||||||
| 40.00 | X | 369539 | 0 | 32867 | |||||
| SHEILA WEBB-BOWLES MD | |||||||||
| 40.00 | X | 331985 | 0 | 38908 | |||||
| KENT LACEY MD | |||||||||
| 40.00 | X | 249177 | 0 | 26817 | |||||
| DAVID GRIFFITHS | |||||||||
| 2.00 | X | 0 | 227106 | 33983 | TREASURER | X | |||
| SAL AZIZ | |||||||||
| 40.00 | X | 205356 | 0 | 33431 | COO | X | |||
| MILTON JOHNSON MD | |||||||||
| 40.00 | X | 159776 | 0 | 15917 | |||||
| SHIRLEY GOMPERT | |||||||||
| 40.00 | 33187 | 0 | 19558 | SECRETARY | X | ||||
| ERIC WIEBE MD | |||||||||
| 40.00 | 373752 | 0 | 27859 | X | |||||
| MICHAEL SHEDD MD | |||||||||
| 40.00 | 348374 | 0 | 13044 | X | |||||
| REGINA LECONTE MD | |||||||||
| 40.00 | 252446 | 0 | 23456 | X | |||||
| JOE JETER PAC | |||||||||
| 40.00 | 234499 | 0 | 14197 | X | |||||
| TERRY HANEY MD | |||||||||
| 40.00 | 226228 | 0 | 5031 | X | |||||
| TIMO QUICKERT MD | |||||||||
| 40.00 | 799713 | 0 | 18298 | X | |||||
| ANTHONY SANCHEZ MD | |||||||||
| 712406 | 0 | 27692 | X | ||||||
| GREG HARBACH MD | |||||||||
| 40.00 | 682455 | 0 | 54785 | X | |||||
| STEVE PURVIS MD | |||||||||
| 40.00 | 549009 | 0 | 15067 | X | |||||
| GLEN FORNEY MD | |||||||||
| 40.00 | 532695 | 0 | 27427 | X | |||||
| SHAWN ACINO MD | |||||||||
| 40.00 | 377021 | 0 | 15987 | X | |||||
| WILLIAM MICHAEL MD | |||||||||
| 40.00 | 361450 | 0 | 20125 | X | |||||
| BRANDON TAYLOR DO | |||||||||
| 40.00 | 307097 | 0 | 13044 | X | |||||
| ERNEST BUSSINGER MD | |||||||||
| 40.00 | 294829 | 0 | 25923 | X | |||||
| WILLIAM PACKARD MD | |||||||||
| 40.00 | 23131 | 0 | 508 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 14125669 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 708978 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 790022 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| NEXTGEN | |
| ADMINISTRATIVE | 468736 |
| RADIOLOGY DYNAMICS PC | |
| MEDICAL PROF | 428343 |
| DELAND TRANSCRIPTION LLC | |
| PROFESSIONAL | 397353 |
| VISTA STAFFING | |
| MEDICAL PROF | 389421 |
| PREMIER ANESTHESIA SERVICES PC | |
| MEDICAL PROF | 302861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 8050000 | AllOtherContributions |
| Total Contributions | 8050000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| NET PATIENT REVENUES | 47193994 | 47193994 |
| CONSULTING REVENUE | 3937191 | 3937191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51131185 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1733 | TotalRevenueColumn |
| Exclusion | $1,733 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6048 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6541 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -493 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -493 | TotalRevenueColumn |
| Related Or Exempt Function Income | -493 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS OTHER REVENUE | Description |
| Total Revenue Column | 38893 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38893 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 38893 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59221318 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51169585 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,733 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9485858 | Total |
| Program Services | 9485858 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1370103 | Total |
| Program Services | 1370103 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26419807 | Total |
| Program Services | 26419807 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 908194 | Total |
| Program Services | 908194 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2951444 | Total |
| Program Services | 2951444 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1587281 | Total |
| Program Services | 1587281 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14449 | Total |
| Management And General | 14449 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91406 | Total |
| Program Services | 81180 | ProgramServices |
| Management And General | 10226 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3080931 | Total |
| Program Services | 3080931 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184539 | Total |
| Program Services | 184539 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188668 | Total |
| Program Services | 188668 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3589 | Total |
| Program Services | 3589 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1833933 | Total |
| Program Services | 1833933 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297672 | Total |
| Program Services | 297672 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 137825 | Total |
| Program Services | 137825 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8940 | Total |
| Program Services | 8940 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625417 | Total |
| Program Services | 625417 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 809344 | Total |
| Program Services | 809344 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHARMACY | 6146624 | 6146624 |
| BAD DEBT | 2246464 | 2246464 |
| MEDICAL SUPPLIES | 1419151 | 1419151 |
| OTHER PURCHASED SERVICES | 1091214 | 1091214 |
| TELEPHONE | 289779 | 289779 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 454549 | Total |
| Program Services | 454549 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61647181 | Total |
| Program Services | 61622506 | ProgramServices |
| Management And General | 24675 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 429092 | BOY |
| EOY | 200857 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3427916 | BOY |
| EOY | 3837364 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193510 | BOY |
| EOY | 163638 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56957 | BOY |
| EOY | 50468 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3104148 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1651450 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1842281 | BOY |
| EOY | 1452698 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80285 | BOY |
| EOY | 47252 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6030041 | BOY |
| EOY | 5752277 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3888545 | BOY |
| EOY | 5105940 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 172892 | BOY |
| EOY | 65791 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12195 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4073632 | BOY |
| EOY | 5171731 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1956409 | BOY |
| EOY | 580546 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1956409 | BOY |
| EOY | 580546 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6030041 | BOY |
| EOY | 5752277 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2425863 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1050000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13882 | OtherCostOrOtherBasis |
| Book Value | 13882 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125510 | OtherCostOrOtherBasis |
| Depreciation | 41955 | Depreciation |
| Book Value | 83555 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2948444 | OtherCostOrOtherBasis |
| Depreciation | 1609495 | Depreciation |
| Book Value | 1338949 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1436386 | TotalOfBookValueLandBuildings |
| Total Revenue | 59221318 | TotalRevenue |
| Total Expenses | 61647181 | TotalExpenses |
| Excess Or Deficit For Year | -2425863 | ExcessOrDeficitForYear |
| Other | -$8,050,000 | OtherAmount |
| Total Adjustments | -8050000 | TotalAdjustments |
| Excess Or Deficit Per FS | -10475863 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 51171318 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 51171318 | RevenueSubtotal |
| Other Revenues Not Included | 8050000 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 8050000 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 59221318 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 61647181 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 61647181 | ExpensesSubtotal |
| Total Expenses Per Form990 | 61647181 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | CONTRIBUTION FROM REGIONAL WEST MEDICAL CENTER -8,050,000 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | CONTRIBUTION FROM REGIONAL WEST MEDICAL CENTER 8,050,000 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OMAR JIMENEZ MD | |||||||||||
| 1379173 | 587585 | 2257 | 19152 | 1988167 | 1667492 | ||||||
| VINCENT BJORLING MD | |||||||||||
| 537917 | 250000 | 1242 | 18127 | 817086 | 621671 | 9800 | |||||
| ARMANDO MAGANA MD | |||||||||||
| 563455 | 186138 | 1242 | 18082 | 778717 | 669582 | 9800 | |||||
| TIMOTHY FRIEDLEIN MD | |||||||||||
| 504199 | 144344 | 1115 | 12130 | 671588 | 715663 | 9800 | |||||
| DAVID HOLDT MD | |||||||||||
| 541617 | 3139 | 18947 | 573503 | 645849 | 9800 | ||||||
| ROMMIE HUGHES MD | |||||||||||
| 528026 | 1314 | 18327 | 557467 | 595867 | 9800 | ||||||
| JON MORGAN MD | |||||||||||
| 488923 | 32583 | 963 | 1126 | 533395 | 103070 | 9800 | |||||
| TODD SORENSEN MD | |||||||||||
| 465106 | 16766 | 57548 | 17326 | 556746 | |||||||
| MICHELE ARNOLD MD | |||||||||||
| 475537 | 405 | 12880 | 503792 | 485045 | 14970 | ||||||
| JAMES MASSEY MD | |||||||||||
| 452874 | 15704 | 1792 | 8883 | 489053 | 552035 | 9800 | |||||
| LISA SCHEPPERS MD | |||||||||||
| 262109 | 107219 | 211 | 23067 | 402406 | 337205 | 9800 | |||||
| SHEILA WEBB-BOWLES MD | |||||||||||
| 330315 | 1670 | 17908 | 370893 | 377389 | 21000 | ||||||
| KENT LACEY MD | |||||||||||
| 181993 | 65574 | 1610 | 18754 | 275994 | 247925 | 8063 | |||||
| DAVID GRIFFITHS | |||||||||||
| 217043 | 10063 | 33068 | 915 | 261089 | |||||||
| SAL AZIZ | |||||||||||
| 181909 | 23447 | 9133 | 238787 | 242919 | 24298 | ||||||
| MILTON JOHNSON MD | |||||||||||
| 145385 | 13052 | 1339 | 9959 | 175693 | 190780 | 5958 | |||||
| ERIC WIEBE MD | |||||||||||
| 266447 | 106967 | 338 | 18059 | 401611 | 343052 | 9800 | |||||
| MICHAEL SHEDD MD | |||||||||||
| 244434 | 103591 | 349 | 3244 | 361418 | 288306 | 9800 | |||||
| REGINA LECONTE MD | |||||||||||
| 252323 | 123 | 4917 | 275902 | 18539 | |||||||
| JOE JETER PAC | |||||||||||
| 109014 | 125449 | 36 | 6116 | 248696 | 201437 | 8081 | |||||
| TERRY HANEY MD | |||||||||||
| 182384 | 42793 | 1051 | 5031 | 231259 | 222518 | ||||||
| TIMO QUICKERT MD | |||||||||||
| 797726 | 1987 | 8498 | 818011 | 864804 | 9800 | ||||||
| ANTHONY SANCHEZ MD | |||||||||||
| 710938 | 1468 | 17892 | 740098 | 9800 | |||||||
| GREG HARBACH MD | |||||||||||
| 680468 | 1987 | 19152 | 737240 | 35633 | |||||||
| STEVE PURVIS MD | |||||||||||
| 548129 | 880 | 5267 | 564076 | 623027 | 9800 | ||||||
| GLEN FORNEY MD | |||||||||||
| 527684 | 5011 | 17627 | 560122 | 591975 | 9800 | ||||||
| SHAWN ACINO MD | |||||||||||
| 376080 | 941 | 15987 | 393008 | 464550 | |||||||
| WILLIAM MICHAEL MD | |||||||||||
| 360383 | 1067 | 13468 | 381575 | 289842 | 6657 | ||||||
| BRANDON TAYLOR DO | |||||||||||
| 286654 | 18732 | 1711 | 3244 | 320141 | 391074 | 9800 | |||||
| ERNEST BUSSINGER MD | |||||||||||
| 291100 | 3729 | 16123 | 320752 | 343942 | 9800 | ||||||
| WILLIAM PACKARD MD | |||||||||||
| 23131 | 508 | 23639 | 323210 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | Identifier |
| Return Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | ReturnReference |
| Explanation | TODD SORENSEN, MD 0 164,980 0 DAVID GRIFFITHS 0 20,445 0 SAL AZIZ 0 24,477 0 STEVE PURVIS, MD 123,500 0 0 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | CONTRIBUTION FROM REGIONAL WEST MEDICAL SERVICES TO ENABLE REGIONAL WEST PHYSICIANS CLINIC TO CONTINUE TO PROVIDE NECESSARY SPECIALIZED HEALTH CARE SERVICES FOR THE BENEFIT OF THE COMMUNITY. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4021 AVENUE B | AddressLine1 |
| City | SCOTTSBLUFF | City |
| State | NE | State |
| ZIP Code | 69361 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363314157 | EIN |
| Primary Activities | HEALTH SVC | PrimaryActivities |
| Legal Domicile State | NE | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL WEST HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionType |
| Amount Involved | 1050000 | AmountInvolved |
Comments