HOT SPRINGS COUNTY HOSPITAL DIST: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOT SPRINGS COUNTY HOSPITAL DIST (EIN 83-6000182)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202321329349307792
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2023-05-12T15:24:13-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 836000182 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hot Springs County Hospital Dist | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOTS | BusinessNameControlTxt |
| Phone | 3078643121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E Arapahoe Street | AddressLine1Txt |
| City | Thermopolis | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Benson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3078643121 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Kevin | PersonFirstNm |
| Person Last | Benson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2023-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hot Springs Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Scott Alwin | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E Arapahoe Street | AddressLine1Txt |
| City | Thermopolis | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,293,298 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | hotspringshealth.com | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | Hosp. Dist. | OtherOrganizationDsc |
| Formation | 1944 | FormationYr |
| Legal Domicile State | WY | LegalDomicileStateCd |
| Activity Or Mission | Partnering with our community for quality health and healing. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 213 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,617,256 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,163,098 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,547,965 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,067,275 | CYProgramServiceRevenueAmt |
| PY Investment Income | $101,550 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,845 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,572,942 | PYOtherRevenueAmt |
| CY Other Revenue | $47,488 | CYOtherRevenueAmt |
| PY Total Revenue | $32,839,713 | PYTotalRevenueAmt |
| CY Total Revenue | $37,288,706 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,542,824 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,152,153 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,640,988 | PYOtherExpensesAmt |
| CY Other Expenses | $18,441,331 | CYOtherExpensesAmt |
| PY Total Expenses | $29,183,812 | PYTotalExpensesAmt |
| CY Total Expenses | $34,593,484 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,655,901 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,695,222 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,349,867 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,611,148 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,736,858 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,308,507 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,613,009 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,302,641 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Partnering with our community for quality health and healing. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,959,231 | ExpenseAmt |
| Revenue | $33,103,388 | RevenueAmt |
| Desc | Hot Springs County Hospital District (the Hospital), a not for profit and governmental hospital, provides compassionate medical care for all, regardless of their ability to pay. The Hospital offers 24/7 emergency care (2,504 visits), inpatient services (1,186 patient days), outpatient services (18,242 visits), HSH-Basin Clinic (4,013 visits), HSH-Thermopolis Clinic (12,407 visits), HSH-Worland Clinic (6,946 visits), HSH-Surgical Clinic (1,302 visits), HSH-Riverton Clinic (1,490 visits), and HSH-Shoshoni Clinic (803 visits).The Hospital has a financial assistance program under which services are provided for free or at a reduced rate. Charity Care awarded under the financial assistance program totaled $510,987. The cost of charity care for the year ended June 30, 2022 based on direct and indirect cost of providing charity care services was $350,026.Many employees are teachers in the education programs open to the public such as Certified Nursing Assistant and CardioPulmonary Resuscitation. An agreement with the University of Wyoming, Central Wyoming College and Northeastern Wyoming College encourages nursing, pharmacy, and social services students to intern at the Hospital. Health information links are available on the Hospital website.Comfort carts and free meals are available for families during stressful conditions. HSH-Clinics provide reduced or free exams for school athletics, medicine assistance, blood pressure screening and community education seminars. The Hospital offers scholarships to qualifying candidates wanting to advance their education to the betterment of the Hospital and Community. Community Resource Training for High School Students and the WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) medical education program, which promotes medical education in Western States, are two long-time programs in which the Hospital participates. | Desc |
| Total Program Service Expenses | $30,959,231 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 213 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Benson | PersonNm |
| Phone | 3078643121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E Arapahoe Street | AddressLine1Txt |
| City | Thermopolis | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Wade Bomengen | |||||||
| Family/ER/OB Physician | 40.00 | Yes (X) | $492,004 | $0 | $48,031 | ||
| Jason Weyer | |||||||
| Family/ER/OB Physician | 40.00 | Yes (X) | $456,363 | $0 | $47,327 | ||
| Hallie Bischoff | |||||||
| Family/ER/OB Physician | 40.00 | Yes (X) | $368,008 | $0 | $47,779 | ||
| Mathey Mattson | |||||||
| Family/ER/OB Physician | 40.00 | Yes (X) | $384,599 | $0 | $29,497 | ||
| Susan Bright | |||||||
| Family/ER/OB Physician | 40.00 | Yes (X) | $277,315 | $0 | $44,795 | ||
| Shelly Larson | |||||||
| CFO thru January 2022 | 40.00 | $145,662 | $0 | $28,307 | Yes (X) | ||
| Scott Alwin - CCO Dec-Mar | |||||||
| CEO starting April | 40.00 | $13,270 | $0 | $0 | Yes (X) | ||
| Margie Molitor | |||||||
| CEO until March | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Steve Miller | |||||||
| Interim CFO (Jan-Mar) | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Kevin Benson | |||||||
| CFO starting March 2022 | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| Bill Williams | |||||||
| Chairman | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Heath Overfield | |||||||
| Vice Chairman | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| David Koerwitz | |||||||
| Secretary | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Dan Herdt | |||||||
| Director thru December 2021 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Jessica Benefiel | |||||||
| Director starting January 2022 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Melissa Johnson | |||||||
| Director | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,137,221 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $245,736 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sletten Construction of WY | |||||
| 3225 Big Horn Ave | Cody | WY | 82414 | Construction | $3,207,296 |
| Healthtech Management Serv | |||||
| 5110 Maryland Way Suite 200 | Brentwood | TN | 37027 | Management/contract srv | $884,975 |
| Medical Solutions LLC | |||||
| PO Box 850861 | Minneapolis | MN | 55485 | Staffing agency | $782,380 |
| Holistic Pain Management | |||||
| 3780 N Garfield Ave Ste 101 | Loveland | CO | 80538 | Staffing agency | $572,220 |
| Mortimore Ambulance | |||||
| 620 Arapahoe Street | Thermopolis | WY | 82443 | Ambulance services | $335,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,153,229 | GovernmentGrantsAmt |
| All Other Contributions | $9,869 | AllOtherContributionsAmt |
| Total Contributions | $4,163,098 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $31,049,915 | $31,049,915 |
| Other Supporting Revenue | 900099 | $1,569,736 | $1,569,736 |
| Property Tax Revenue | 900099 | $447,624 | $447,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,067,275 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,845 | TotalRevenueColumnAmt |
| Exclusion | $10,845 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,967 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,592 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,375 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,375 | TotalRevenueColumnAmt |
| Exclusion | $11,375 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Insurance Proceeds | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $36,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,113 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $36,113 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,288,706 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,103,388 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,220 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,667 | TotalAmt |
| Management And General | $283,667 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,006,055 | TotalAmt |
| Program Services | $12,285,669 | ProgramServicesAmt |
| Management And General | $720,386 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,918 | TotalAmt |
| Program Services | $299,199 | ProgramServicesAmt |
| Management And General | $18,719 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,594,755 | TotalAmt |
| Program Services | $1,491,819 | ProgramServicesAmt |
| Management And General | $102,936 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $949,758 | TotalAmt |
| Program Services | $879,428 | ProgramServicesAmt |
| Management And General | $70,330 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $667,872 | TotalAmt |
| Management And General | $667,872 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,405 | TotalAmt |
| Management And General | $130,405 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,550 | TotalAmt |
| Management And General | $63,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,625,246 | TotalAmt |
| Program Services | $4,953,358 | ProgramServicesAmt |
| Management And General | $671,888 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,338 | TotalAmt |
| Program Services | $5,057 | ProgramServicesAmt |
| Management And General | $27,281 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,631 | TotalAmt |
| Program Services | $442,653 | ProgramServicesAmt |
| Management And General | $109,978 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,575 | TotalAmt |
| Program Services | $94,575 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,606 | TotalAmt |
| Program Services | $287,606 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,407 | TotalAmt |
| Program Services | $98,781 | ProgramServicesAmt |
| Management And General | $25,626 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,530 | TotalAmt |
| Program Services | $305 | ProgramServicesAmt |
| Management And General | $72,225 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,709 | TotalAmt |
| Program Services | $723,709 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,201,875 | TotalAmt |
| Program Services | $2,721,594 | ProgramServicesAmt |
| Management And General | $480,281 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,182 | TotalAmt |
| Program Services | $189,705 | ProgramServicesAmt |
| Management And General | $33,477 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $4,229,257 | $4,226,746 | $2,511 |
| Bad Debt Expenses | $1,619,817 | $1,619,817 | |
| Sub./Books/Periodicals | $483,920 | $344,082 | $139,838 |
| Debt Issuance Costs | $155,367 | $155,367 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,044 | TotalAmt |
| Program Services | $139,761 | ProgramServicesAmt |
| Management And General | $13,283 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,593,484 | TotalAmt |
| Program Services | $30,959,231 | ProgramServicesAmt |
| Management And General | $3,634,253 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,931,994 | BOYAmt |
| EOY | $8,144,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,745,402 | BOYAmt |
| EOY | $7,066,750 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,664,838 | BOYAmt |
| EOY | $5,137,042 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,500 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $910,766 | BOYAmt |
| EOY | $937,221 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,624 | BOYAmt |
| EOY | $126,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,269,372 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,613,826 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,257,575 | BOYAmt |
| EOY | $28,655,546 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,168 | BOYAmt |
| EOY | $543,198 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,349,867 | BOYAmt |
| EOY | $50,611,148 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,329,216 | BOYAmt |
| EOY | $3,170,784 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,607 | BOYAmt |
| EOY | $154,886 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,087,035 | BOYAmt |
| EOY | $26,149,363 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $833,474 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,736,858 | BOYAmt |
| EOY | $30,308,507 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,888,679 | BOYAmt |
| EOY | $13,235,891 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,724,330 | BOYAmt |
| EOY | $7,066,750 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,613,009 | BOYAmt |
| EOY | $20,302,641 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,349,867 | BOYAmt |
| EOY | $50,611,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,695,222 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$5,590 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $343,520 | OtherCostOrOtherBasisAmt |
| Book Value | $343,520 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,282,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,398,217 | DepreciationAmt |
| Book Value | $12,884,757 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,901,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,299,603 | DepreciationAmt |
| Book Value | $14,601,502 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,741,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $916,006 | DepreciationAmt |
| Book Value | $825,767 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,655,546 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlements | $206,741 |
| Leases | $610,735 |
| CMS Advance Payments | $15,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $833,474 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $34,789,813 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,498,893 | OtherRevenueAmt |
| Revenue Not Reported | -$2,498,893 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,288,706 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,288,706 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,094,591 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,094,591 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,498,893 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,498,893 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,593,484 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Interest expense reported in expense for Form 990 -723,709. Debt issuance costs reported in expense for Form 990 -155,367. Bad debt expenses reported in expense for Form 990 -1,619,817. |
| Part XII, Line 4b - Other Adjustments: | Interest expense reported in revenue in Financials 723,709. Debt issuance costs reported in revenue in Financials 155,367. Bad debt expenses reported in revenue in Financials 1,619,817. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $350,026 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $350,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,842,399 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,045,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $797,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02420 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,192,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,045,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,147,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $267,639 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,128 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $208,511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,565,721 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,879,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $686,104 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,833,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,938,745 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $894,615 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02710 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,025,785 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,983,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,042,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,619,817 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $485,945 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $13,743,973 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,495,937 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $248,036 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hot Springs County Hospital District | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E Arapahoe Street | AddressLine1Txt |
| City | Thermopolis | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.hotspringshealth.com | WebsiteAddressTxt |
| State License | 713163 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Pain clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hot Springs County Hospital District | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://hotspringshealth.com/about-us | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://hotspringshealth.com/about-us | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://hotspringshealth.com/financial-services | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://hotspringshealth.com/financial-services | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://hotspringshealth.com/financial-services | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Hot Springs County Hospital District | Part V, Section B, Line 5: The community health needs assessment steering committee is comprised of the following hospital representatives: CEO, RNs and Chief Nursing Officer. The steering committee also comprised of the following community represenatives: BSW Social Worker, Hot Springs County Public Health, Public Health Officer and Hot Springs County Community Prevention Program Coordinator. In addition, members of the Hot Springs County Prevention Coalition provided input for the development of the community health needs assessment. The members included, an RN, Public Health Officer, Coordinator, Hot Springs County Community Prevention Program, Wellspring Counseling, Assistant County Attorney, Executive Director Thermopolis Chamber of Commerce, Hot Springs County Victim Witness Program, Wyoming Pioneer Home Administrator, Public Health Response Coordinator, Hot Springs County Sheriff Department, Wisdom Tree Counseling, Executive Director Wellspring Counseling Services, Executive Director Hope Agency, Executive Director Childrens Resource Center, Administrative Assistant Hot Springs County Commissioners, Hot Springs County Youth Alternatives, Supervisor Department of Family Services, Hot Springs County School District Counselor, and Head Start. |
| Hot Springs County Hospital District | Part V, Section B, Line 11: The community health needs were prioritized based on the following five criteria:1. Magnitude/scale of the problem2. Severity of the problem3. Health disparities4. Importance to the community5. Ability to leverage the three priority community health needs chosen were behavioral health, poverty, and opioidsThe needs identified in the 2019 CHNA were behavior health, poverty and use of opiods. All three were addressed in the tax year.The goal for behavioral health is to have more access to behavioral health services. Poverty goals included decreasing poverty and increasing services. The opioid goals include reduction in use and education. The community partners for these three initiatives include Hot Springs County Prevention Coalition, Hot Springs County School District 1, Wellspring Counseling Center, law enforcement, the county attorney's office, Hope Agency, Wisdom Tree Counseling, Youth Alternatives Program, Help Center, Yellowstone Community Assistance Network, Department of Family Services, Hot Springs County Public Health, Ministerial Alliance, River of Life Fellowship, Hot Springs County Senior Center, Messiah's Mall.During the current tax year the following actions were taken to address the identified needs:Behavioral Health:-Expanded access to mental health counselors through recruitment and retention for practices and possible telemedicine program provided for the community-Expanded services for children with a variety of behavioral health needs including developmental delays and behavioral issues through the school system-Created more community awareness on suicide, alcohol/drugs/tobacco use and abuse, and mental health crisisPoverty:-Educated the community on lower cost preventative services-Established people in the community willing to help with insurance applications-Educated the front-line workers on resources available in the community -Provided programs to assist with financial empowerment (budgeting and sensible nutrition)Opioid Crisis:-HSH-Thermopolis Clinic closely monitors the pain contracts. Contract medications are reviewed and attempts are made to decrease when able.-HSH-Thermopolis Clinic and Hospital Providers complete education on every patient with opioids. |
| Hot Springs County Hospital District | Part V, Section B, Line 13b: See Part V, line 13h |
| Hot Springs County Hospital District | Part V, Section B, Line 13h: The facility's criteria for eligibility for free or discounted care is based on the federal poverty guidelines, family size, and the patient's equity resources (assets less medical debt). In addition, the patient and family members must receive a denial from Medicaid or other public assistance programs. Extenuating circumstances (death, acts of nature, etc.) are considered in determining eligibility for financial assistance. |
| Part V, line 20d, No Presumtive Eligibility Determination: | The Hospital does not make presumptive eligibility determinations. A patient needs to apply for financial assistance based on most current circumstances to be considered eligible. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Hot Springs Health Thermopolis | ||||
| 150 East Arapahoe Street | Thermopolis | WY | 82443 | Rural Health Clinic |
| 2 - HSH Red Rock Family Practice - Worland | ||||
| 1125 Charles Avenue | Worland | WY | 93502 | Rural Health Clinic |
| 3 - Hot Springs Health Big Horn Clinic | ||||
| 156 North 6th Street | Basin | WY | 82410 | Rural Health Clinic |
| 4 - Hot Springs Health Surgical Clinic | ||||
| 112 East Arapahoe Street | Thermopolis | WY | 82443 | Surgical Clinic |
| 5 - Hot Springs Health Riverton | ||||
| 2002 West Sunset Drive | Riverton | WY | 82501 | Rural Health Clinic |
| 6 - Hot Springs Health Shoshoni | ||||
| 702 E 2nd Street | Shoshoni | WY | 82649 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The facility's criteria for eligibility for free or discounted care is based on the federal poverty guidelines, family size, and the patient's equity resources (assets less medical debt). In addition, the patient and family members must receive a denial from Medicaid or other public assistance programs. Extenuating circumstances (death, acts of nature, etc.) are considered in determining eligibility for financial assistance. |
| Part I, Line 7: | Line 7a Financial Assistance at cost was calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients. Line 7b, Medicaid was calculated using Worksheet 3. Line 7g, Subsideized Health Services, was calculated using Worksheet 6. Line 7e was calcuated based on actual cost. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 1,619,817. |
| Part III, Line 2: | The organization determines its estimate of bad debt provisions based on its historical write off and recovery information. |
| Part III, Line 3: | The estimated dollar amount of the organization's bad debt expense that reasonably is attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy, but for whom insufficient information was obtained to determine their eligibility, was estimated to be 30%. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on page 16 of the attached audited financial statements. |
| Part III, Line 8: | The hospital is licensed by the Centers for Medicare and Medicaid Services as a critical access hospital. As a critical access hospital, it is reimbursed on 101% of costs less the 2% sequestration adjustment. The hospital utilized the annual cost report for fiscal year June 30, 2022, which it is required to submit to the Centers for Medicare and Medicaid Services as the source to determine the Medicare allowable costs of care in connection with the revenue received from Medicare.The Hospital provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall, if any, is considered a community benefit. The Organization reported only those allowable costs and Medicare reimbursements reported in the Medicare cost report for the year. |
| Part III, Line 9b: | The hospital makes every effort to complete a financial evaluation at the earliest possible point in the revenue cycle for all patients indicating an inability to meet their financial obligations. A financial assistance program application is completed once all other options for reimbursements have been exhausted. The hospital policy indicates it will send a notice to the patient within 30 days of services to notify the patient that financial assistance is available. The hospital policy does not send patient accounts to collections until after 120 days after the date of the first invoice of the service. If a patient submits a financial assistance application within 240 days after the date of the first invoice of the services, the hospital removes the patient account from collections. |
| Part VI, Line 2: | HSH utilized both quantitative and qualitive methods in assessing community health care needs. From a qualitative standpoint, a variety of sources were used to identify community health trends and health disparities from various sources, such as Hot Springs County Public Health, Center for Disease Control, etc. Every effort was made to obtain the most current data. Data was analyzed for comparison purposes with the state, other counties within the state, and local data collected by the Hot Springs County Prevention Coalition. Qualitative data collection included interviews with key stakeholders, a community survey and four focus groups. In addition to patient surveys, the Hot Springs County Prevention Coalition meets once a month to discuss the needs and ways to address these needs. |
| Part VI, Line 3: | We inform our patients of the Financial Assistance program through various means, such as signage in the admissions area and Emergency Department and all statements have verbiage for Financial Assistance availability and contact information. Financial assistance information and application are also available on our website. |
| Part VI, Line 4: | Hot Springs Health is located in the rural community in the Central Wyoming. Being one of the smallest counties in the state, Hot Springs County is largely an agricultural and ranching community. According to the 2017 census, there were approximately 4,696 residents in the county. Hot Springs County population of persons under the age of five is 5.3%, persons under age of eighteen is 21.3%, persons over age sixty-five is 25.5%. The percent of females in the county is $49.3%. Veterans from years 2013-2017 totaled 612 individuals, ranking above the Wyoming average with 12.71% of the residents having a veteran status.The median household income in HS County for 2017 was $48,403, mean household income was $64,864, and per capita income in the past 12 months of 2017 was $30,939. For Wyoming the median household income is $60,938 and the mean household income is $76,731. The median earning for workers in Wyoming was $32,205 and in HS County was $30,775. The median earnings for males working full-time in Wyoming was $53,727 and in HS County was $49,038. The median earnings for females working full-time in Wyoming was $37,915 and in HS County $41,220.HS County exceeds the state average in relation to poverty level at 12.1% vs state average of 11.3%. Hot Springs County School District is a Title 1 School. Free and reduced meals are provided to 53.5% of elementary school families and 39.68% of the entire district. Single family homes equal 265 of our population. More than one quarter of our population is age 65 or older. Of those aged 60 years and older, 20% receive food stamps. |
| Part VI, Line 5: | The Board of Directors is comprised of residents of Hot Springs County representing various backgrounds. They are not employees of HSH, nor contractors, nor family members. Any surplus funds are directed towards patient care by investing into modern equipment and technology and providing medical education to our clinical personnel to provide the best care to our community.HSH extends medical staff privileges to all qualified physicians in the community.HSH is the only Critical Access Hospital in the Hot Springs County.HSH provides chemotherapy and biotherapy services, immunotherapy, and blood transfusions, thus allowing patients to receive treatments right here, at home, without having to travel long distances. Holistic pain management is available to our community at our Specialty Clinic. Rehabilitation services provided at HSH include physical therapy, speech/language pathology and occupational therapy. HSH provides a 24-hour Emergency room that is available to all regardless of ability to pay.HSH participates in the HRSA Rural Residency Planning and Development Program offering a Rural Residency Training Track to medical residents who have an interest in working in rural hospitals. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wade Bomengen | ||||||||||||||
| Family/ER/OB Physician | $485,065 | $0 | $6,939 | $0 | $0 | $0 | $11,200 | $0 | $36,925 | $0 | $540,129 | $0 | $0 | $0 |
| Jason Weyer | ||||||||||||||
| Family/ER/OB Physician | $417,863 | $0 | $38,500 | $0 | $0 | $0 | $11,600 | $0 | $35,817 | $0 | $503,780 | $0 | $0 | $0 |
| Hallie Bischoff | ||||||||||||||
| Family/ER/OB Physician | $342,992 | $0 | $25,016 | $0 | $0 | $0 | $11,600 | $0 | $36,272 | $0 | $415,880 | $0 | $0 | $0 |
| Mathey Mattson | ||||||||||||||
| Family/ER/OB Physician | $365,224 | $0 | $19,375 | $0 | $0 | $0 | $11,600 | $0 | $17,982 | $0 | $414,181 | $0 | $0 | $0 |
| Susan Bright | ||||||||||||||
| Family/ER/OB Physician | $257,482 | $0 | $19,833 | $0 | $0 | $0 | $11,550 | $0 | $33,331 | $0 | $322,196 | $0 | $0 | $0 |
| Shelly Larson | ||||||||||||||
| CFO thru January 2022 | $145,662 | $0 | $0 | $0 | $0 | $0 | $6,252 | $0 | $22,148 | $0 | $174,062 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3, Methods to Establish CEP Compensation: | FormAndLineReferenceDesc |
| Explanation | The organization contracted an unrelated management company, Healthtech Management Services, Inc., for CEO services. The board of directors reviews the contract using compensation surveys. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Hot Springs County Hospital District | ||||||||
| A | 836000182 | 000000000 | 2021-11-10 | $5,336,000 | Refinance 12/20/18 Series 2018B Tax Exempt Bonds | 0 | 0 | 0 |
| Hot Springs County Hospital District | ||||||||
| B | 836000182 | 000000000 | 2021-07-01 | $21,346,000 | Refinance 12/18/18 Series 2018A Tax Exempt Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|
| A | $69,833 | $5,336,000 | $5,336,000 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $462,804 | $21,346,000 | $21,284,317 | Yes (1) | 0 | Yes (1) | Yes (1) | $61,693 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | The organization has an Executive Committee that can make decisions on behalf of the full governing board in between the board meetings. The Executive Committee consists of the board Chairman, Vice Chairman, and the Secretary/Treasurer. |
| Form 990, Part VI, Section A, line 3 | HSCHD Contracts with Healthtech Management Services, Inc. for management services including the CEO position. The CEO is employed by Healthtech Management Services, Inc. During calendar year 2021, Margie Molitor was paid $334,750 for CEO services. Scott Alwin was also contracted from April 2022 through June 2022 as CEO. He was not paid in calendar year 2021 for services as CEO. |
| Form 990, Part VI, Section A, line 7a | The board members are elected by the citizens of Hot Springs County. |
| Form 990, Part VI, Section B, line 11b | The current fiscal year 6/30/22 Form 990 was presented to the finance committee of the board of trustees for discussion and review. The entire board of directors approved the current fiscal year 6/30/22 Form 990 at a regularly scheduled board meeting. |
| Form 990, Part VI, Section B, line 12c | The hospital has a formal conflict of interest policy which requires employees to make a prompt written full disclosure of any potential situation which may involve a conflict of interest. The policy provides a list of potential conflicts. Employees who violate the policy are subject to disciplinary action up to and including termination. The policy is reviewed at least 2 times a year with employees at the annual skills fair and the annual employee evaluation. The employee completes and signs a new disclosure at the time of their evaluation. The hospital does require governing board members, officers, managers, and medical representatives with administrative responsibility to disclose in writing all potential conflicts of interest on an annual basis as well. |
| Form 990, Part VI, Section B, line 15 | The organization pays an unrelated management company, Healthtech Management Services, Inc., for CEO services. Annually the board of directors reviews the CEO contract presented by HealthTech. The organization completes an annual review of other key employees and completes a comparison of salaries with Wyoming Hospital Association salary survey data. The annual review is completed by the CEO. |
| Form 990, Part VI, Section C, line 19 | The organization is a governmental entity. All board of trustee meetings are public meetings. All reports (not considered confidential) are subject to the open meeting laws under state of Wyoming laws. In addition, these documents are available for public inspection in accordance with federal and state law. |
| Form 990, Part IX, line 11g | Maintenance Contracts: Program service expenses 498,926. Management and general expenses 3,466. Fundraising expenses 0. Total expenses 502,392. Physician/Provider Fees: Program service expenses 1,213,885. Management and general expenses 1,539. Fundraising expenses 0. Total expenses 1,215,424. Consulting/Contracted Services: Program service expenses 1,101,281. Management and general expenses 323,650. Fundraising expenses 0. Total expenses 1,424,931. Other Fees: Program service expenses 2,139,266. Management and general expenses 343,233. Fundraising expenses 0. Total expenses 2,482,499. |