2025-11-14T12:43:15-06:00 2024-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-01-01 363314159 REGIONAL WEST PHYSICIANS CLINIC REGI 3086302877 4021 AVE B SCOTTSBLUFF NE 69361 ANDREW SHEA CFO/TREASURER 3086302877 2025-11-14 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-11-14 2024 2025-03-06 01:10:19Z NED RESCH 4021 AVE B SCOTTSBLUFF NE 69361 50139332 0 X WWW.RWHS.ORG X 1984 NE PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. 3 0 290 0 0 0 21659200 14659200 37008429 35478342 0 0 3616 1790 58671245 50139332 2733 0 0 0 39921689 45959416 0 0 0 30165083 27622286 70089505 73581702 -11418260 -23442370 9380374 9242693 19635347 42940036 -10254973 -33697343 PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED. 0 0 67582747 35480132 REGIONAL WEST PHYSICIANS CLINIC IS A MULTI-SPECIALTY MEDICAL GROUP OF MORE THAN 70 PHYSICIANS AND ASSOCIATED HEALTH CARE PROVIDERS. THE CLINIC IS A PHYSICIAN-LED, PHYSICIAN-GOVERNED SUBSIDIARY 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. 67582747 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 61 0 1 290 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANDREW SHEA 3086302244 4021 AVENUE B SCOTTSBLUFF NE 69361 MARK HARTMAN MD CHAIR 40.00 1.00 X X 1603432 0 65034 PAUL HOFMEISTER DIRECTOR 1.00 43.00 X 0 393817 42544 MEL MCNEA CEO/PRESIDENT 1.00 45.00 X X 0 405730 26640 JEANNE MCKERRIGAN CFO/TREASURER 1.00 45.00 X 0 230377 50621 ALAN TOWNSEND INTERIM CFO/TREASURER THRU 3/2024 1.00 45.00 X 93548 0 0 CHELSEA JOHNSTON SECRETARY 40.00 0.00 X 28635 0 9377 LISA BECKER SECRETARY THRU 9/2024 40.00 0.00 X 17337 0 1980 OMAR JIMENEZ MD PHYSICIAN 40.00 0.00 X 1731554 0 65034 RODNEY MARK SAMUELSON MD PHYSICIAN 40.00 0.00 X 1002711 0 48415 WENDY REEVES MD PHYSICIAN 40.00 0.00 X 637857 0 43515 KARISSA JOHNSON MD PHYSICIAN 40.00 0.00 X 610643 0 64034 KRISTIN LEE HARKINS MD PHYSICIAN 40.00 0.00 X 616120 0 15164 ARMANDO MAGANA MD PHYSICIAN 40.00 0.00 X 1264827 0 53283 ROMMIE HUGHES MD PHYSICIAN 40.00 0.00 X 1006337 0 47092 SEROZAN AMROLIWALLA MD PHYSICIAN 40.00 0.00 X 928017 0 64034 MICHELLE CHELOHA MD PHYSICIAN 40.00 0.00 X 900058 0 62670 JEFFREY HOLLOWAY MD PHYSICIAN 40.00 1.00 X 883847 0 65034 11324923 1029924 724471 77 0 1 1 MCPHILAMY BONE & JOINT 4021 AVENUE B SCOTTSBLUFF NE 69361 MEDICAL SERVICES 1023401 KEVIN ANDERSON TWO WEST 42ND STREET SUITE 120 SCOTTSBLUFF NE 69361 MEDICAL SERVICES 800181 NATHAN ULLRICH TWO WEST 42ND STREET SUITE 120 SCOTTSBLUFF NE 69361 MEDICAL SERVICES 765621 TREASURE STATE UROLOGY LLC 2311 SPRUCE STREET BILLINGS MT 59101 MEDICAL SERVICES 685193 VANDANKUMAR PATEL 3911 AVENUE B SUITE 1100 SCOTTSBLUFF NE 69361 MEDICAL SERVICES 669718 13 14659200 14659200 PHYSICIAN SERVICES 621110 29275917 29275917 CONSULTING SERVICES 621110 5997237 5997237 205188 205188 35478342 PURCHASE DISCOUNTS 621110 1790 1790 1790 50139332 35480132 0 0 X 6564142 6564142 33065222 32513353 551869 859646 835419 24227 3681029 3539163 141866 1789377 1744393 44984 16288944 15656597 632347 3942 3942 598029 586283 11746 107869 13574 94295 1627717 1569614 58103 89906 52593 37313 261 261 3827 3827 96132 95837 295 CORPORATE ALLOCATION 4400827 4400827 MEDICAL EXPENSES 4175905 4175083 822 DUES & LICENSES 152814 152814 0 MISCELLANEOUS 76113 76113 73581702 67582747 5998955 0 1733374 1594339 6744798 6475092 456549 442800 115514 499667 3802445 3571650 330139 230795 9380374 9242693 11673608 15576480 7961739 27363556 19635347 42940036 X -10254973 -33697343 -10254973 -33697343 9380374 9242693 -23442370 0 X X 0 1 X 1 0 X 40691016 32538292 21659200 21659200 14659200 131206908 40176927 44741223 41619187 37012045 35480132 199029514 80867943 77279515 63278387 58671245 50139332 330236422 0 0 0 330236422 2847 2847 2847 2847 9312 8271 17583 80880102 77287786 63278387 58671245 50139332 330256852 0.99990 0.99990 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6420776 23198 88394 90608 6441760 5887872 544587 55824 67507 6420776 8807244 182428 -2055429 1046371 5887872 7307997 190018 1350185 40956 8807244 6188204 324798 824828 29833 7307997 0.00000 0.19830 0.80170 0 1 1 233303 181891 51412 3557285 3377902 179383 11857 11857 0 230795 LEASE LIABILITY 32679 AFFILIATE PAYABLE 27330877 27363556 X PART V, LINE 4: ENDOWMENT FUNDS ARE RESTRICTED BY DONORS FOR HEALTHCARE RESEARCH, HEALTHCARE EDUCATION SCHOLARSHIPS, AND FOR CAPITAL PROJECTS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 0 0 0 0 0 0 0 1 0 OMAR JIMENEZ MD PHYSICIAN 1087497 0 642782 0 1275 0 13800 0 51238 0 1796592 0 0 0 MARK HARTMAN MD CHAIR 987769 0 615663 0 0 0 13800 0 52046 0 1669278 0 0 0 ARMANDO MAGANA MD PHYSICIAN 1166651 0 98176 0 0 0 13800 0 40237 0 1318864 0 0 0 ROMMIE HUGHES MD PHYSICIAN 913937 0 92400 0 0 0 12769 0 35135 0 1054241 0 0 0 RODNEY MARK SAMUELSON MD PHYSICIAN 756820 0 245891 0 0 0 13800 0 34619 0 1051130 0 0 0 SEROZAN AMROLIWALLA MD PHYSICIAN 272194 0 655823 0 0 0 13800 0 50976 0 992793 0 0 0 MICHELLE CHELOHA MD PHYSICIAN 395051 0 505007 0 0 0 13800 0 49650 0 963508 0 0 0 JEFFREY HOLLOWAY MD PHYSICIAN 853367 0 30480 0 0 0 13800 0 52046 0 949693 0 0 0 WENDY REEVES MD PHYSICIAN 523848 0 114009 0 0 0 13800 0 30527 0 682184 0 0 0 KARISSA JOHNSON MD PHYSICIAN 495353 0 115290 0 0 0 13800 0 51044 0 675487 0 0 0 KRISTIN LEE HARKINS MD PHYSICIAN 363026 0 253094 0 0 0 13800 0 2123 0 632043 0 0 0 PAUL HOFMEISTER DIRECTOR 0 361893 0 0 0 31924 0 12361 0 30877 0 437055 0 0 MEL MCNEA CEO/PRESIDENT 0 405730 0 0 0 0 0 12430 0 14943 0 433103 0 0 JEANNE MCKERRIGAN CFO/TREASURER 0 230377 0 0 0 0 0 7127 0 44197 0 281701 0 0 PART I, LINE 3 THE CEO AND CFO ARE COMPENSATED BY REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION. METHODS USED TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS INCLUDE THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 7 PHYSICIANS RECEIVE QUARTERLY RECONCILIATION PAYMENTS BASED UPON PROVIDER WORK PRODUCTION. THE FOLLOWING PHYSICIANS RECEIVED QUARTERLY RECONCILIATION ADJUSTMENTS DURING THE YEAR: OMAR JIMENEZ, MD MARK HARTMAN, MD ARMANDO MAGANA, MD ROMMIE HUGHES, MD RODNEY MARK SAMUELSON, MD SEROZAN AMROLIWALLA, MD MICHELLE CHELOHA, MD JEFFREY HOLLOWAY, MD WENDY REEVES, MD KARISSA JOHNSON, MD KRISTIN LEE HARKINS, MD SCHEDULE J, PART II: REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $93,548 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE CHAIRMAN, VICE PRESIDENT OF MEDICINE, VICE PRESIDENT OF SURGERY, QUALITY COMMITTEE CHAIR, FM MEDICAL DOCTOR, IT DIRECTOR, HOSPITALIST AND SURGERY REPRESENTATIVES, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION'S SOLE MEMBER IS REGIONAL WEST HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, APPOINTS 3 EX-OFFICIO VOTING DIRECTORS TO THE BOARD: THE PRESIDENT/CEO OF RWHS, THE CFO OF RWHS, AND THE PRESIDENT OF THE CORPORATION. EACH OF THE REMAINING NOMINEES SHALL BE SUBJECT TO APPROVAL AND ELECTION BY THE BOARD OF DIRECTORS OF RWHS. FORM 990, PART VI, SECTION A, LINE 7B REGIONAL WEST HEALTH SERVICES (RWHS), THE SOLE MEMBER, MUST APPROVE ALL MATTERS PERTAINING TO THE MERGER, CONSOLIDATION, LIQUIDATION OR AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION AS WELL AS ANY PROPOSAL TO SELL, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION SHALL BE SUBMITTED TO THE VOTE OF THE SOLE VOTING MEMBER. THE ANNUAL BUDGET OF THE CORPORATION IS ALSO SUBJECT TO THE APPROVAL OF RWHS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL HAVE AN OPPORTUNITY TO REVIEW DRAFTS OF THE FORM 990 ELECTRONICALLY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE BY BOARD MEMBERS OF ANY CONFLICT OF INTEREST, AS SET FORTH IN THE POLICIES, IS REQUIRED. FOR ANY POSSIBLE CONFLICT OF INTEREST IDENTIFIED, THE REMAINING BOARD DETERMINES IF IT ACTUALLY CONSTITUTES A CONFLICT OF INTEREST WITHOUT THE CONFLICTED BOARD MEMBER PRESENT. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD, LESS THE CONFLICTED MEMBER, WILL THEN DECIDE THE LEVEL OF INVOLVEMENT OF THE MEMBER IN DECISION MAKING FOR THE ENTITY, IF THERE IS AN ALTERNATIVE ARRANGEMENT THAT WILL ELIMINATE THE CONFLICT OF INTEREST, AND THE APPROPRIATENESS OF THE CONFLICTED MEMBER CONTINUING AS A BOARD MEMBER. FAILURE TO DISCLOSE A CONFLICT OF INTEREST CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION FOR THE CONFLICTED MEMBER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: COMPENSATION FOR THE CEO 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: COMPENSATION FOR OTHER OFFICERS 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, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 873,044. MANAGEMENT AND GENERAL EXPENSES 595,782. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,468,826. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,781,565. MANAGEMENT AND GENERAL EXPENSES 2,625. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,784,190. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,988. MANAGEMENT AND GENERAL EXPENSES 33,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,928. PART XII, LINE 2C: THE CFO OF REGIONAL WEST HEALTH SERVICES, THE SOLE MEMBER OF THE ORGANIZATION, IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. REGIONAL WEST HEALTH SERVICES 4021 AVENUE B SCOTTSBLUFF NE 69361 363314157 ADMIN SUPPORT NE 501(C)(3) LINE 12B, II N/A 0 REGIONAL WEST MEDICAL CENTER 4021 AVENUE B SCOTTSBLUFF NE 69361 470385129 HOSPITAL NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST GARDEN COUNTY 4021 AVENUE B SCOTTSBLUFF NE 69361 391904975 CAH NE 501(C)(3) LINE 3 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST FOUNDATION 4021 AVENUE B SCOTTSBLUFF NE 69361 237171022 FUNDRAISING NE 501(C)(3) LINE 12A, I REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST VILLAGE 4021 AVENUE B SCOTTSBLUFF NE 69361 363314162 RETIREMENT FACILITY NE 501(C)(3) LINE 10 REGIONAL WEST HEALTH SERVICES 0 REGIONAL WEST HEALTH SERVICES & AFFILIATES 4021 AVENUE B SCOTTSBLUFF NE 69361 470658690 HEALTH PLAN NE 501(C)(9) REGIONAL WEST HEALTH SERVICES 0 REGIONAL CARE INC 4021 AVENUE B SCOTTSBLUFF NE 69361 470760050 TPA NE N/A C 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 0 REGIONAL WEST HEALTH SERVICES & AFFILIATE R 3695188 CASH