2021-05-05T09:35:44-05:00 2020-06-30 830332861 KOERWITZ MICHEL WRIGHT & ASSOC PC PO BOX 1362 THERMOPOLIS WY 82443 990 2019-07-01 836000182 HOT SPRINGS COUNTY HOSPITAL DIST HOTS 3078643121 150 E ARAPAHOE STREET THERMOPOLIS WY 82443 SHELLY LARSON CFO 3078643121 2021-05-03 MICHAEL J WRIGHT P00488529 3078643173 2021-05-05 2019 2022-09-23 18:48:47Z HOT SPRINGS HEALTH MARGIE MOLITOR SEE STATEMENT 1 150 E ARAPAHOE ST THERMOPOLIS WY 82443 27646108 false X WWW.HSCMH.ORG X HOSP. DIST. 1944 WY PARTNERING WITH OUR COMMUNITY FOR QUALITY HEALTH AND HEALING. 5 5 192 0 447508 177018 24020554 24773492 11829 -17647 1551556 2636106 26031447 27568969 0 0 12090072 13068028 0 0 11604401 13088812 23694473 26156840 2336974 1412129 21266966 49255545 8721987 35298437 12544979 13957108 X PARTNERING WITH OUR COMMUNITY FOR QUALITY HEALTH AND HEALING. false true 22584880 HOT SPRINGS COUNTY MEMORIAL HOSPITAL, A NOT FOR PROFIT, COMMUNITY HOSPITAL, PROVIDES COMPASSIONATE MEDICAL CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. HSCMH OFFERS 24/7 EMERGENCY CARE (1,924 VISITS), INPATIENT SERVICES (1,446 PATIENT DAYS), OUTPATIENT SERVICES (13,316 VISITS), BIG HORN CLINIC RURAL HEALTH CLINIC (3,717 VISITS), RED ROCK WORLAND (1976 VISITS), HSCH SURGICAL CLINIC (431 VISITS), RED ROCK FAMILY PRACTICE RIVERTON (0 VISITS), AND RED ROCK FAMILY PRACTICE CLINIC THERMOPOLIS(12,488 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 318,649. THE COST OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2020 BASED ON DIRECT AND INDIRECT COST OF PROVIDING CHARITY CARE SERVICES WAS 193,806. 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 NORTHWESTERN WYOMING COLLEGE ENCOURAGES NURSING, PHARMACY, AND SOCIAL SERVICES STUDENTS TO INTERN AT HSCMH. HEALTH INFORMATION LINKS ARE AVAILABLE ON THE HSCMH WEBSITE. COMFORT CARTS AND FREE MEALS ARE AVAILABLE FOR FAMILIES DURING STRESSFUL CONDITIONS. BIG HORN CLINIC, RED ROCK FAMILY PRACTICE THERMOPOLIS AND RED ROCK FAMILY PRACTICE WORLAND CLINIC PROVIDES REDUCED OR FREE EXAMS FOR SCHOOL ATHLETICS, MEDICINE ASSISTANCE, BLOOD PRESSURE SCREENING AND COMMUNITY EDUCATION SEMINARS. HSCMH 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 WWAMI (WASHINGTON, WYOMING, ALASKA MONTANA, IDAHO)MEDICAL EDUCATION PROGRAM, WHICH PROMOTES MEDICAL EDUCATION IN WESTERN STATES, ARE TWO LONG-TIME PROGRAMS IN WHICH HSCMH PARTICIPATES. 22584880 true false false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false true false false false false false false false false false false false false false true 88 88 true 192 true false false false false false false false false X 5 5 false true false false false false false true true false false true true true true true true true true false X SHELLY LARSON 3078643121 150 E ARAPAHOE ST THERMOPOLIS WY 824432402 JASON WEYER PHYSICIAN 40.00 X 459192 0 11200 WADE BOMENGEN PHYSICIAN 40.00 X 455645 0 11200 MATHEY MATTSON PHYSICIAN 40.00 X 387486 0 11200 HALLIE BISCHOFF PHYSICIAN 40.00 X 353097 0 11200 SUSAN BRIGHT PHYSICIAN 40.00 X 272673 0 6689 SHELLY LARSON CFO 40.00 X 125382 0 5779 DAN HERDT SEC/TREAS 2.00 X X 0 0 0 MELISSA JOHNSON DIRECTOR 2.00 X 0 0 0 DAVID KOERWITZ DIRECTOR 2.00 X 0 0 0 HEATH OVERFIELD VICE CHAIRMA 2.00 X X 0 0 0 BILL WILLIAMS CHAIRMAN 2.00 X X 0 0 0 MARGIE MOLITOR SEE STATEMENT 1 CEO 40.00 X 0 0 0 2053475 57268 6 false true false SLETTEN CONSTRUCTION 1020 N 27TH ST SUITE 3 BILLINGS MT 59101 CONSTRUCTION 9354848 HOLISTIC PAIN MANAGEMENT RYAN SHEDD PO BOX 1476 LOVELAND CO 80539 AGENCY STAFF 736560 HEALTHTECH MGT SER (SEE STATEMENT 3) 5110 MARYLAND WAY STE 2 BRENTWOOD TN 37027 MNGMT/CONTRACT 686525 MORTIMORE AMBULANCE 620 ARAPAHOE ST THERMOPOLIS WY 82443 AMBULANCE SRVS 316980 BILLINGS CLINIC 1020 N 27TH ST BILLINGS MT 59101 IT MAIN/LAB SVC 297936 5 177018 177018 PATIENT SERVICE REVENUE 24008380 24008380 OTHER OPERATING REVENUE 765112 765112 24773492 34671 34671 16270 2295 13975 13975 13975 22526 74844 -52318 -52318 -52318 SPECIAL PURPOSE TAX 1144552 1144552 INSURANCE PROCEEDS 957515 957515 PROPERTY TAX 520064 520064 2622131 27568969 27391951 X 10690760 9830462 860298 258970 238252 20718 1279026 1176704 102322 839272 772130 67142 639156 639156 129121 129121 41750 41750 3952618 3665663 286955 4186633 4053795 132838 1011236 1005983 5253 128975 118495 10480 125020 125020 1360516 1156439 204077 145893 145893 IMPAIRMENT LOSS 957515 957515 DUES & SUBSCRIPTIONS 298301 206654 91647 RECRUITMENT 92761 70323 22438 LICENSE FEES 19317 19067 250 26156840 22584880 3571960 0 2294770 7629742 3533348 9860616 4355271 5391199 11215 3958 740239 877058 180212 215552 39233678 14656978 9561331 24576700 590580 700720 21266966 49255545 3035524 4270640 9339 4319062 5677124 26708735 8721987 35298437 X 9032628 4096492 3512351 9860616 12544979 13957108 21266966 49255545 1412129 X true true X true true true X 614079 614079 17955144 6154452 11800692 20664455 8502526 12161929 24576700 LONG TERM NOTES PAYABLE 26708735 26708735 27568969 27568969 27568969 26156840 26156840 26156840 true true true X true X true true false true true 200640 200640 0.00770 1722683 1140025 582658 0.02230 1923323 1140025 783298 0.02990 193065 55663 137402 0.00530 2592123 2051105 541018 0.02070 2785188 2106768 678420 0.02590 4708511 3246793 1461718 0.05590 false 1289819 386946 11340600 11208853 131747 true true HEALTHTECH MGMT SRV MANAGEMENT 1 1 HOT SPRINGS COUNTY HOSPITAL DISTRIC 150 E ARAPAHOE THERMOPOLIS WY 82443 X HOT SPRINGS COUNTY HOSPITAL DISTRIC 1 false false true X X X X X X X X X X 19 true false false true X WWW.HSCMH.ORG X true 20 true WWW.HSCMH.ORG & WWW.HOTSPRINGSHEALTH.C false false true X 100.000000000000 300.000000000000 X X X true true X X X true X WWW.HSCMH.ORG X WWW.HSCMH.ORG X WWW.HSCMH.ORG X X X X X X true X false X X X true X false false FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRIC - PART V, LINE 3E THE COMMUNITY OF HOT SPRINGS COUNTY HAS SIGNIFICANT HEALTH NEEDS. THE CHNA SELLECTED BEHAVIORAL HEALTH SERVICES POVERTY AND OPIOIDS AS PRIORITIES TO BE ADDRESSED. FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRIC - PART V, LINE 5 PART V FACILITY INFORMATION FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRICT-PART V, LINE 5 THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE IS COMPRISED OF THE HOSPITAL REPRESENTATIVES, MARGIE MOLITOR, RN, CHIEF EXECUTIVE OFFICER, NINA LANDIS, RN, CHIEF NURSING OFFICER, MIRANDA NELSON, BSW SOCIAL WORKER; HOT SPRINGS COUNTY PUBLIC HEALTH, TRICIA MCPHIE, RN, PUBLIC HEALTH OFFICER AND HOT SPRINGS COUNTY COMMUNITY PREVENTION PROGRAM, JENNIFER CHENEY, COORDINATOR. IN ADDITION, THE FOLLOWING MEMBERS OF THE HOT SPRINGS COUNTY PREVENTION COALITION MEMBERS PROVIDED INPUT FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSEMENT. THE MEMBERS INCLUDED, TRICIA MCPHIE, RN, PUBLIC HEALTH OFFICER, JENNIFER CHENEY, COORDINATOR, HOT SPRINGS COUNTY COMMUNITY PREVENTION PROGRAM; KATIE HILMER, WELLSPRING COUNSELING; CURTIS CHENEY, ASSISTANT COUNTY ATTORNEY; MARY ANN RUSH, EXECUTIVE DIRECTOR THERMOPOLIS CHAMBER OF COMMERCE; RANAE BALDES, HOT SPRINGS COUNTY VICTIM WITNESS PROGRAM; SHARON SKIVER WYOMING PIONEER HOME ADMINISTRATOR; MARY GORDON, PUBLIC HEALTH RESPONSE COORDINATOR; SHERIFF JERIMIE KRAUSHAAR, HOT SPRINGS COUNTY SHERIFF DEPARTMENT; CATHERINE CRUMPLER, WISDOM TREE COUNSELING; ALLAN BRAATEN, EXECUTIVE DIRECTOR WELLSPRING COUNSELING SERVICES, DAISY TORRES, EXECUTIVE DIRECTOR, HOPE AGENCY; BETH LEWIS, EXECUTIVE DIRECTOR, CHILDRENS RESOURCE CENTER EXECUTIVE DIRECTOR, PENNY HERDT, ADMINISTRATIVE ASSISTANT HOT SPRINGS COUNTY COMMISSIONERS, BARB RICE, HOT SPRINGS COUNTY YOUTH ALTERNATIVES; PENNIE ANDERSON, SUPERVISOR, DEPARTMENT OF FAMILY SERVICES; ELISA DANIELS, HOT SPRINGS COUNTY SCHOOL DISTRICT COUNSELOR, AND JILL VAN HULE, HEAD START. FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRICT-PART V, LINE 6B. REFER TO FACILITY 1-PART V, LINE 5, SEE ABOVE. FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRIC - PART V, LINE 11 THE COMMUNITY HEALTH NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING FIVE CRITERIA: 1.MAGNITUDE/SCALE OF THE PROBLEM 2.SEVERITY OF THE PROBLEM 3.HEALTH DISPARITIES 4.IMPORTANCE TO THE COMMUNITY 5.ABILITY TO LEVERAGE THE THREE PRIORITY COMMUNITY HEALTH NEEDS CHOSEN WERE BEHAVIORAL HEALTH, POVERTY AND OPIODS. THE GOAL FOR BEHAVIORAL HEALTH IS TO HAVE MORE ACCESS TO BEHAVIORAL HEALTH SERVICES. POVERTY GOALS INCLUDED DECREASING PROVERTY AND INCREASING SERVICES. THE OPIOD 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, 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. SCHEDULE H, PART I, LINE 3C THE FACILITIES CRITERIA FOR ELIGIBLITY FOR FREE OR DISCOUNTED CARE IS BASED ON THE FEDERAL PROVERTY 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 ELIGIBILTY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART I, LINE 7G THE SUBSIDIZED HEALTH SERVICES WERE CALCULATED FOR SERVICES PROVIDED TO PATIENTS WHO ARE TREATED IN THE FACILITIES EMERGENCY ROOM. THIS DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. SCHEDULE H, PART III, LINE 2 ACCOUNTS DEEMED TO BE UNCOLLECTIBLE ARE WRITTEN OFF AS ALLOWED BY THE LAWS AND REGULATIONS OF THE STATE OF WYOMING. ACCOUNTS WRITTEN OFF HAVE BEEN FULLY PROVIDED FOR IN THE ALLOWANCE FOR BAD DEBTS. THE FACILITIES ESTIMATE OF BAD DEBT WHICH WOULD QUALIFY FOR FINANCIAL ASSISTANCE IS BASED ON THE STANDARD INDUSTRY BENCHMARK AND THE REVIEW OF BAD DEBT ACCOUNTS AT THE TIME OF WRITE-OFF. NO COMMUNITY BENEFIT IS CLAIMED FOR ANY PORTION OF THE BAD DEBT. PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY SEE ABOVE, SAME METHODOLOGY FOR PART III, LINE 2 SCHEDULE H, PART III, LINE 4 TEXT OF FINANCIAL STATEMENT FOOTNOTE (SEE PAGE 25, NOTE 3 OF THE AUDITED FINANCIALS). ACCOUNTS DEEMED TO BE UNCOLLECTIBLE ARE WRITTEN OFF AS ALLOWED BY THE LEGISLATION OF THE STATE OF WYOMING. ACCOUNTS WRITTEN OFF HAVE BEEN FULLY PROVIDED FOR IN THE PROVISION FOR BAD DEBT. SCHEDULE H, 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 HOSPTITAL UTILIZED THE ANNUAL COST REPORT FOR FISCAL YEAR JUNE 30, 2020 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. SCHEDULE H, PART III, LINE 9B THE HOSPITAL MAKES EVERY EFFORT TO COMPLETE A FINANCIAL EVALUATION AT THE EARLIST 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. X false false false false false false false false false JASON WEYER PHYSICIAN 459192 11200 459192 11200 WADE BOMENGEN PHYSICIAN 455645 11200 455645 11200 MATHEY MATTSON PHYSICIAN 387486 11200 387486 11200 HALLIE BISCHOFF PHYSICIAN 353097 11200 353097 11200 SUSAN BRIGHT PHYSICIAN 272673 6689 272673 6689 DR BISCHOFF EMPLOYEE RECRUITMENT X 25000 3958 false true true 3958 FORM 990, PAGE 2, PART III, LINE 3 DURING THE YEAR ENDED JUNE 30, 2020 THE HOSPITAL PURCHASED OR STARTED ADDITIONAL CLINICS OR PRACTICES AS FOLLOWS: ON JANUARY 1, 2020, THE HOSPITAL ACQUIRED CERTAIN ASSETS AND THE OPERATIONS OF A GENERAL SURGERY PHYSICIAN PRACTICE, HOT SPRINGS HEALTH SURGICAL CLINIC , HEREAFTER "SURGICAL CLINIC", LOCATED IN THERMOPOLIS, WYOMING. THE PURCHASED ASSETS, LIABILITIES, AND THE OPERATIONS OF THE SURGICAL CLINIC WERE TRANSFERRED TO THE HOSPITAL AND BECAME A DEPARTMENT OF THE HOSPITAL. AT THE TIME OF THE PURCHASE, THE SURGICAL CLINIC EMPLOYED 3 FULL TIME AND 1 PART TIME STAFF (1 PHYSICIAN AND 4 NON-PROVIDER STAFF). THE OPERATION WAS PURCHASED AT A NET TOTAL PURCHASE PRICE OF 119,246 REPRESENTING A TOTAL NET APPRAISED VALUE OF 123,776 LESS ASSUMPTION OF LIABILITIES OF 4,529. THE NET PURCHASE PRICE WAS ALLOCATED TO: EQUIPMENT 17,400 INVENTORY 8,790 INTANGIBLE ASSETS 97,585 LESS ASSUMPTION OF LIABILITIES: - EMPLOYEE BENEFIT LIABILITIES (4,529) -------------- NET PURCHASE PRICE 119,246 ON APRIL 1, 2020, THE HOSPITAL ACQUIRED CERTAIN ASSETS AND THE OPERATIONS OF A PHYSICIAN PRACTICE, COWBOY MEDICAL GROUP DOING BUSINESS AS RED ROCK FAMILY PRACTICE-WORLAND, HEREAFTER "RRFP-WORLAND", LOCATED IN WORLAND, WYOMING. THE PURCHASED ASSETS, LIABILITIES, AND THE OPERATIONS OF RRFP- WORLAND WERE TRANSFERRED TO THE HOSPITAL AND BECAME A DEPARTMENT OF THE HOSPITAL AND A PROVIDER BASED RURAL HEALTH CLINIC. PRIOR TO THE PURCHASE OF RRFP-WORLAND, THE HOSPITAL PROVIDED ADMINISTRATIVE SERVICES THROUGH ITS LIMITED LIABILITY COMPANY, HOT SPRINGS PHYSICIAN PRACTICE MANAGEMENT, LLCA (SEE DISCUSSION BELOW). THE MANAGEMENT AND ADMINISTRATIVE SERVICE AGREEMENT WAS TERMINATED EFFECTIVE WITH THE PURCHASE OF RRFP-WORLAND. AT THE TIME OF THE PURCHASE, RRFP-WORLAND EMPLOYED 5 FULL TIME AND 8 PART TIME STAFF (2 FULL TIME ADVANCED PRACTITIONERS, 3 PART TIME PHYSICIANS AND 3 FULL TIME NON-PROVIDER STAFF AND 5 PART TIME NON-PROVIDER STAFF). THE OPERATION WAS PURCHASED AT A NET TOTAL PURCHASE PRICE OF 231,868 WHICH REPRESENTS THE TOTAL NET APPRAISED VALUE. NO LIABILITIES WERE ASSUMED. THE NET PURCHASE PRICE WAS ALLOCATED TO: ACCOUNTS RECEIVABLE 117,416 EQUIPMENT 10,106 INVENTORY 14,711 INTANGIBLE ASSETS 89,635 LESS ASSUMPTION OF LIABILITIES: - -------------- NET PURCHASE PRICE 231,868 ON JUNE 18, 2020, THE HOSPITAL OPENED A FAMILY PRACTICE CLINIC, HOT SPRINGS HEALTH-RIVERTON IN RIVERTON, WYOMING, HEREAFTER "HSH-RIVERTON". THE CLINIC OPERATES AS A DEPARTMENT OF THE HOSPITAL. HSH-RIVERTON HAS 4 PART- TIME EMPLOYEES (1 PART TIME PHYSICIAN, 1 PART TIME ADVANCED PRACTITIONER AND 2 PART TIME NON-PROVIDER STAFF). FORM 990, PAGE 2, PART III, LINE 4A HOT SPRINGS COUNTY MEMORIAL HOSPITAL, A NOT FOR PROFIT, COMMUNITY HOSPITAL, PROVIDES COMPASSIONATE MEDICAL CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. HSCMH OFFERS 24/7 EMERGENCY CARE (1,924 VISITS), INPATIENT SERVICES (1,446 PATIENT DAYS), OUTPATIENT SERVICES (13,316 VISITS), BIG HORN CLINIC RURAL HEALTH CLINIC (3,717 VISITS), RED ROCK WORLAND (1976 VISITS), HSCH SURGICAL CLINIC (431 VISITS), RED ROCK FAMILY PRACTICE RIVERTON (0 VISITS), AND RED ROCK FAMILY PRACTICE CLINIC THERMOPOLIS(12,488 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 318,649. THE COST OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2020 BASED ON DIRECT AND INDIRECT COST OF PROVIDING CHARITY CARE SERVICES WAS 193,806. 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 NORTHWESTERN WYOMING COLLEGE ENCOURAGES NURSING, PHARMACY, AND SOCIAL SERVICES STUDENTS TO INTERN AT HSCMH. HEALTH INFORMATION LINKS ARE AVAILABLE ON THE HSCMH WEBSITE. COMFORT CARTS AND FREE MEALS ARE AVAILABLE FOR FAMILIES DURING STRESSFUL CONDITIONS. BIG HORN CLINIC, RED ROCK FAMILY PRACTICE THERMOPOLIS AND RED ROCK FAMILY PRACTICE WORLAND CLINIC PROVIDES REDUCED OR FREE EXAMS FOR SCHOOL ATHLETICS, MEDICINE ASSISTANCE, BLOOD PRESSURE SCREENING AND COMMUNITY EDUCATION SEMINARS. HSCMH 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 WWAMI (WASHINGTON, WYOMING, ALASKA MONTANA, IDAHO)MEDICAL EDUCATION PROGRAM, WHICH PROMOTES MEDICAL EDUCATION IN WESTERN STATES, ARE TWO LONG-TIME PROGRAMS IN WHICH HSCMH PARTICIPATES. FORM 990, PAGE 6, PART VI, LINE 3 HSCMH CONTRACTS WITH HEALTHTECH MANAGEMENT SERVICES, INC. FOR MANAGEMENT SERVICES INCLUDING THE CEO POSITION. THE CEO IS EMPLOYED BY HEALTHTECH MANAGEMENT SERVICES, INC. FORM 990, PAGE 6, PART VI, LINE 11B THE CURRENT FISCAL YEAR 6/30/20 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 6/30/20 FORM 990 AT A REGULARLY SCHEDULED BOARD MEETING. FORM 990, PAGE 6, PART VI, 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; 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 POTENTAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS AS WELL. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION'S CEO IS A LEASED-EMPLOYEE, WHO CONDUCTS THE EVALUATION AND COMPARABILITY OF SALARY DATA. FORM 990, PAGE 6, PART VI, LINE 15B 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, PAGE 6, PART VI, 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 AMBULANCE SERVICES 309,876 0 0 COLLECTION FEES 0 246,219 0 CONSULTING FEES 142,339 0 0 CONTRACT AND PURCH SERVICES 986,357 0 0 COST REPORT 0 9,850 0 PHYSICIAN FEES 1,566,876 0 0 PUBLIC RELATIONS/ADVERTISING 0 30,886 0 STAFFING AGENCY FEES 660,215 0 0 TOTAL 3,665,663 286,955 0