2011-11-14T15:14:52-06:00 2010-12-31 CONTRYMAN ASSOCIATES PC CPA'S PO BOX 2246 SCOTTSBLUFF NE 69363 990 2010-01-01 363314159 REGIONAL WEST PHYSICIANS CLINIC REGI 4021 AVENUE B SCOTTSBLUFF NE 69361 DAVID GRIFFITHS 2001-11-15 true DAN W CHARRON CPA CMA 3086357705 2011-11-14 2010 2016-02-24 21:20:13Z DAVID GRIFFITHS TREASURER 4021 AVENUE B SCOTTSBLUFF NE 69361 59227859 false X WWW.RWHS.ORG X PROVIDE HEALTH CARE TO THE UNDERSERVED. 15 0 385 0 1712040 8050000 43787322 51131185 -10277 1240 17210 38893 45506295 59221318 0 0 36713864 42722687 0 0 17271825 18924494 53985689 61647181 -8479394 -2425863 6030041 5752277 4073632 5171731 1956409 580546 PROVIDE HEALTH CARE TO THE UNDERSERVED. false false 61622506 51169580 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. 61622506 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 45 0 385 true false false false false false false X 15 0 false false false false false false false true true false false true true true true true true true true false X DAVID GRIFFITHS 3086301111 4021 AVENUE B SCOTTSBLUFF NE 69361 OMAR JIMENEZ MD 40.00 X 1969015 0 19152 VINCENT BJORLING MD 40.00 X X 789159 0 27927 ARMANDO MAGANA MD 40.00 X 750835 0 27882 TIMOTHY FRIEDLEIN MD 40.00 X 649658 0 21930 DAVID HOLDT MD 40.00 X X 544756 0 28747 ROMMIE HUGHES MD 40.00 X 529340 0 28127 JON MORGAN MD 40.00 X 522469 0 10926 TODD SORENSEN MD 1.00 X X 0 481872 74874 MICHELE ARNOLD MD 40.00 X 475942 0 27850 JAMES MASSEY MD 40.00 X 470370 0 18683 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 X 0 227106 33983 SAL AZIZ 40.00 X X 205356 0 33431 MILTON JOHNSON MD 40.00 X 159776 0 15917 SHIRLEY GOMPERT 40.00 X 33187 0 19558 ERIC WIEBE MD 40.00 X 373752 0 27859 MICHAEL SHEDD MD 40.00 X 348374 0 13044 REGINA LECONTE MD 40.00 X 252446 0 23456 JOE JETER PAC 40.00 X 234499 0 14197 TERRY HANEY MD 40.00 X 226228 0 5031 TIMO QUICKERT MD 40.00 X 799713 0 18298 ANTHONY SANCHEZ MD X 712406 0 27692 GREG HARBACH MD 40.00 X 682455 0 54785 STEVE PURVIS MD 40.00 X 549009 0 15067 GLEN FORNEY MD 40.00 X 532695 0 27427 SHAWN ACINO MD 40.00 X 377021 0 15987 WILLIAM MICHAEL MD 40.00 X 361450 0 20125 BRANDON TAYLOR DO 40.00 X 307097 0 13044 ERNEST BUSSINGER MD 40.00 X 294829 0 25923 WILLIAM PACKARD MD 40.00 X 23131 0 508 14125669 708978 790022 34 true true false 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 9 8050000 8050000 NET PATIENT REVENUES 47193994 47193994 CONSULTING REVENUE 3937191 3937191 51131185 1733 1733 6048 6541 -493 -493 -493 MISCELLANEOUS OTHER REVENUE 38893 38893 38893 59221318 51169585 1733 9485858 9485858 1370103 1370103 26419807 26419807 908194 908194 2951444 2951444 1587281 1587281 14449 14449 91406 81180 10226 3080931 3080931 184539 184539 188668 188668 3589 3589 1833933 1833933 297672 297672 137825 137825 8940 8940 625417 625417 809344 809344 PHARMACY 6146624 6146624 BAD DEBT 2246464 2246464 MEDICAL SUPPLIES 1419151 1419151 OTHER PURCHASED SERVICES 1091214 1091214 TELEPHONE 289779 289779 454549 454549 61647181 61622506 24675 0 429092 200857 3427916 3837364 193510 163638 56957 50468 3104148 1651450 1842281 1452698 80285 47252 6030041 5752277 3888545 5105940 172892 65791 12195 4073632 5171731 X 1956409 580546 1956409 580546 6030041 5752277 X -2425863 1050000 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 13882 13882 125510 41955 83555 2948444 1609495 1338949 1436386 59221318 61647181 -2425863 -8050000 -8050000 -10475863 51171318 51171318 8050000 8050000 59221318 61647181 61647181 61647181 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 X X true true X X X X true true false false false false false false false OMAR JIMENEZ MD 1379173 587585 2257 19152 1988167 1667492 VINCENT BJORLING MD 537917 250000 1242 9800 18127 817086 621671 ARMANDO MAGANA MD 563455 186138 1242 9800 18082 778717 669582 TIMOTHY FRIEDLEIN MD 504199 144344 1115 9800 12130 671588 715663 DAVID HOLDT MD 541617 3139 9800 18947 573503 645849 ROMMIE HUGHES MD 528026 1314 9800 18327 557467 595867 JON MORGAN MD 488923 32583 963 9800 1126 533395 103070 TODD SORENSEN MD 465106 16766 57548 17326 556746 MICHELE ARNOLD MD 475537 405 14970 12880 503792 485045 JAMES MASSEY MD 452874 15704 1792 9800 8883 489053 552035 LISA SCHEPPERS MD 262109 107219 211 9800 23067 402406 337205 SHEILA WEBB-BOWLES MD 330315 1670 21000 17908 370893 377389 KENT LACEY MD 181993 65574 1610 8063 18754 275994 247925 DAVID GRIFFITHS 217043 10063 33068 915 261089 SAL AZIZ 181909 23447 24298 9133 238787 242919 MILTON JOHNSON MD 145385 13052 1339 5958 9959 175693 190780 ERIC WIEBE MD 266447 106967 338 9800 18059 401611 343052 MICHAEL SHEDD MD 244434 103591 349 9800 3244 361418 288306 REGINA LECONTE MD 252323 123 18539 4917 275902 JOE JETER PAC 109014 125449 36 8081 6116 248696 201437 TERRY HANEY MD 182384 42793 1051 5031 231259 222518 TIMO QUICKERT MD 797726 1987 9800 8498 818011 864804 ANTHONY SANCHEZ MD 710938 1468 9800 17892 740098 GREG HARBACH MD 680468 1987 35633 19152 737240 STEVE PURVIS MD 548129 880 9800 5267 564076 623027 GLEN FORNEY MD 527684 5011 9800 17627 560122 591975 SHAWN ACINO MD 376080 941 15987 393008 464550 WILLIAM MICHAEL MD 360383 1067 6657 13468 381575 289842 BRANDON TAYLOR DO 286654 18732 1711 9800 3244 320141 391074 ERNEST BUSSINGER MD 291100 3729 9800 16123 320752 343942 WILLIAM PACKARD MD 23131 508 23639 323210 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 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 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. REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 HEALTH SVC NE 501C3 11A N/A false false false false false false false false false false false false false false false false false false true REGIONAL WEST HEALTH SERVICES R 1050000