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Nonprofiteer
← REGIONAL WEST PHYSICIANS CLINIC

Form 990 for tax year 2023

Filed by REGIONAL WEST PHYSICIANS CLINIC.

Totals

Total revenue
$58,671,245
Total expenses
$70,089,505
Contributions and grants received
$21,659,200
Grants paid
$2,733
Program service revenue
$37,008,429
Investment income
$0
Other revenue
$3,616
Total assets, end of year
$9,380,374
Total liabilities, end of year
$19,635,347
Net assets or fund balances, end of year
-$10,254,973
Program services expenses (Part IX)
$63,387,515
Management and general expenses
$6,701,990
Fundraising expenses
$0
Program service expenses (Part III)
$63,387,515

Program services were 90.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $21,659,200

  • 2a · Program service revenue: PHYSICIAN SERVICES

    total $31,169,171 · related or exempt $31,169,171

  • 2b · Program service revenue: CONSULTING SERVICES

    total $5,839,258 · related or exempt $5,839,258

  • 11a · Other revenue: PURCHASE DISCOUNTS

    total $3,616 · related or exempt $3,616

  • 11e · Other revenue, total

    $3,616

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,733 · program services $2,733

  • 5 · Compensation of officers, directors and key employees

    total $11,449,405 · program services $11,449,405

  • 6 · Compensation of disqualified persons

    total $239,128 · program services $239,128

  • 7 · Other salaries and wages

    total $22,629,385 · program services $21,690,625 · management and general $938,760

  • 8 · Pension plan contributions

    total $665,478 · program services $640,035 · management and general $25,443

  • 9 · Other employee benefits

    total $3,318,109 · program services $3,153,891 · management and general $164,218

  • 10 · Payroll taxes

    total $1,620,184 · program services $1,519,234 · management and general $100,950

  • 11g · Fees: other

    total $18,574,199 · program services $17,779,293 · management and general $794,906

  • 12 · Advertising and promotion

    total $6,928 · program services $6,928

  • 13 · Office expenses

    total $590,708 · program services $568,094 · management and general $22,614

  • 14 · Information technology

    total $298,843 · program services $5,367 · management and general $293,476

  • 16 · Occupancy

    total $1,633,075 · program services $1,556,565 · management and general $76,510

  • 17 · Travel

    total $113,715 · program services $95,404 · management and general $18,311

  • 19 · Conferences, conventions and meetings

    total $1,608 · program services $23 · management and general $1,585

  • 20 · Interest

    total $7,411 · program services $7,377 · management and general $34

  • 22 · Depreciation, depletion and amortization

    total $130,521 · program services $130,220 · management and general $301

  • 24a · Other expenses: MEDICAL EXPENSES

    total $4,432,059 · program services $4,431,569 · management and general $490

  • 24b · Other expenses: CORPORATE ALLOCATION

    total $4,250,517 · management and general $4,250,517

  • 24c · Other expenses: DUES & LICENSES

    total $125,499 · program services $111,624 · management and general $13,875

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $330,230 · end of year $1,733,374

  • 4 · Accounts receivable

    beginning of year $6,105,500 · end of year $6,744,798

  • 8 · Inventories for sale or use

    beginning of year $489,141 · end of year $456,549

  • 9 · Prepaid expenses and deferred charges

    beginning of year $61,285 · end of year $115,514

  • 10a · Land, buildings and equipment: cost or other basis

    $3,802,445

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,472,306

  • 10c · Land, buildings and equipment, net

    beginning of year $411,956 · end of year $330,139

  • 15 · Other assets

    beginning of year $55,101 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,152,032 · end of year $11,673,608

  • 25 · Other liabilities

    beginning of year $137,894 · end of year $7,961,739

  • 27 · Net assets without donor restrictions

    beginning of year $1,163,287 · end of year -$10,254,973

Mission and programs · 2023

Mission

PROVIDE HEALTH CARE TO THE REGION INCLUDING THE UNDERSERVED.

  • 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.

    Expenses $63,387,515 · Grants $2,733 · Revenue $37,012,045

As filed on the 2023 return.

Listed in Part VII

  • ARMANDO MAGANA MD

    DIRECTOR

    Total calculated
    $1,096,223
    From this org
    $1,039,890
    From related orgs
    $0
    Other
    $56,333
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,039,890
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $43,887
    Filer's total
    $1,096,977

  • MARK HARTMAN MD

    CHAIR

    Total calculated
    $978,604
    From this org
    $920,218
    From related orgs
    $0
    Other
    $58,386
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $920,218
    Bonus
    $0
    Other
    $0
    Deferred
    $8,393
    Nontaxable benefits
    $50,805
    Filer's total
    $979,416

  • SEROZAN AMROLIWALLA MD

    DIRECTOR

    Total calculated
    $892,067
    From this org
    $836,734
    From related orgs
    $0
    Other
    $55,333
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $836,734
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $42,874
    Filer's total
    $892,808

  • JEFFREY HOLLOWAY MD

    PRESIDENT

    Total calculated
    $805,639
    From this org
    $742,446
    From related orgs
    $0
    Other
    $63,193
    Hours/week
    40 + 3 related

    Schedule J breakdown matched by us

    Base
    $742,446
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $50,805
    Filer's total
    $806,451

  • BRADLEY HERTZLER MD

    DIRECTOR

    Total calculated
    $790,859
    From this org
    $727,866
    From related orgs
    $0
    Other
    $62,993
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $727,866
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $50,605
    Filer's total
    $791,671

  • TROY DEAN MD

    DIRECTOR

    Total calculated
    $611,074
    From this org
    $549,187
    From related orgs
    $0
    Other
    $61,887
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $549,187
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,270
    Filer's total
    $611,657

  • DORISA POLK MD

    DIRECTOR

    Total calculated
    $525,723
    From this org
    $463,530
    From related orgs
    $0
    Other
    $62,193
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $463,530
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,766
    Filer's total
    $526,496

  • JOSEPH MARGHEIM MD

    DIRECTOR

    Total calculated
    $478,822
    From this org
    $410,129
    From related orgs
    $0
    Other
    $68,693
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $410,129
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $56,295
    Filer's total
    $479,624

  • MEL MCNEA

    CEO/PRESIDENT

    Total calculated
    $440,923
    From this org
    $0
    From related orgs
    $419,351
    Other
    $21,572
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $419,351 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,477 related
    Nontaxable benefits
    $0 + $14,646 related
    Filer's total
    $0 + $441,474 related

  • AMANDA VICK

    DIRECTOR

    Total calculated
    $368,081
    From this org
    $0
    From related orgs
    $329,424
    Other
    $38,657
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $328,074 related
    Bonus
    $0
    Other
    $0 + $1,350 related
    Deferred
    $0 + $38,657 related
    Nontaxable benefits
    $0 + $754 related
    Filer's total
    $0 + $368,835 related

  • MICHAEL ICKOWSKI

    TREASURER/CFO THRU 5/2023

    Total calculated
    $272,358
    From this org
    $0
    From related orgs
    $227,368
    Other
    $44,990
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,018 related
    Bonus
    $0
    Other
    $0 + $1,350 related
    Deferred
    $0 + $44,990 related
    Nontaxable benefits
    $0 + $348 related
    Filer's total
    $0 + $272,706 related

  • ELIZABETH CLEMENS

    DIRECTOR

    Total calculated
    $186,430
    From this org
    $136,000
    From related orgs
    $0
    Other
    $50,430
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,000
    Bonus
    $0
    Other
    $0
    Deferred
    $5,807
    Nontaxable benefits
    $45,097
    Filer's total
    $186,904

  • ALAN TOWNSEND

    INTERIM CFO/TREASURER

    Total calculated
    $184,211
    From this org
    $184,211
    From related orgs
    $0
    Other
    $0
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $184,211
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $184,211

  • MARY ADAMS

    DIRECTOR

    Total calculated
    $144,810
    From this org
    $124,095
    From related orgs
    $0
    Other
    $20,715
    Hours/week
    40

  • LISA BECKER

    SECRETARY

    Total calculated
    $50,874
    From this org
    $35,030
    From related orgs
    $0
    Other
    $15,844
    Hours/week
    40

  • OMAR JIMENEZ MD

    PHYSICIAN

    Total calculated
    $1,289,133
    From this org
    $1,225,940
    From related orgs
    $0
    Other
    $63,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,225,940
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,996
    Filer's total
    $1,289,136

  • ROMMIE HUGHES MD

    PHYSICIAN

    Total calculated
    $910,012
    From this org
    $850,615
    From related orgs
    $0
    Other
    $59,397
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $850,615
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $47,009
    Filer's total
    $910,824

  • RODNEY MARK SAMUELSON MD

    PHYSICIAN

    Total calculated
    $816,108
    From this org
    $768,905
    From related orgs
    $0
    Other
    $47,203
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $768,905
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $34,006
    Filer's total
    $816,111

  • JASON LATOWSKY MD

    PHYSICIAN

    Total calculated
    $812,706
    From this org
    $750,513
    From related orgs
    $0
    Other
    $62,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $750,513
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,805
    Filer's total
    $813,518

  • KARISSA JOHNSON MD

    PHYSICIAN

    Total calculated
    $541,801
    From this org
    $479,327
    From related orgs
    $0
    Other
    $62,474
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $479,327
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $50,056
    Filer's total
    $542,583

  • KATHRYN PAINTER MD

    PHYSICIAN

    Total calculated
    $508,238
    From this org
    $446,045
    From related orgs
    $0
    Other
    $62,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $446,045
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,771
    Filer's total
    $509,016

  • JOHN BLOMSTEDT MD

    PHYSICIAN

    Total calculated
    $852,826
    From this org
    $790,782
    From related orgs
    $0
    Other
    $62,044
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $790,782
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $49,633
    Filer's total
    $853,615

  • SAED AWADALLAH MD

    PHYSICIAN

    Total calculated
    $808,132
    From this org
    $741,372
    From related orgs
    $0
    Other
    $66,760
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $741,372
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $54,372
    Filer's total
    $808,944

  • TIMOTHY FRIEDLEIN MD

    PHYSICIAN

    Total calculated
    $788,083
    From this org
    $736,650
    From related orgs
    $0
    Other
    $51,433
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $736,650
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $39,030
    Filer's total
    $788,880

  • MICHELLE CHELOHA MD

    PHYSICIAN

    Total calculated
    $677,512
    From this org
    $616,664
    From related orgs
    $0
    Other
    $60,848
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $616,664
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $48,427
    Filer's total
    $678,291

  • JEFFREY SALISBURY MD

    PHYSICIAN

    Total calculated
    $521,335
    From this org
    $456,092
    From related orgs
    $0
    Other
    $65,243
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $456,092
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $52,845
    Filer's total
    $522,137

  • JOHN MENTGEN

    FORMER PRESIDENT/CEO

    Total calculated
    $298,943
    From this org
    $0
    From related orgs
    $260,392
    Other
    $38,551
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $258,367 related
    Bonus
    $0
    Other
    $0 + $2,025 related
    Deferred
    $0 + $29,712 related
    Nontaxable benefits
    $0 + $9,042 related
    Filer's total
    $0 + $299,146 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL ICKOWSKI 25,275 AMANDA VICK 22,051 JOHN MENTGEN 16,050
SCHEDULE J, PART II:
REGIONAL WEST HEALTH SERVICES, A RELATED ORGANIZATION, PAID COMMUNITY HOSPITAL CONSULTING, AN UNRELATED ORGANIZATION, $184,211 FOR SERVICES PROVIDED BY ALAN TOWNSEND IN HIS ROLE AS INTERIM CFO.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202423139349303112

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