HOT SPRINGS COUNTY HOSPITAL DIST: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOT SPRINGS COUNTY HOSPITAL DIST (EIN 83-6000182)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-02-02
- IRS object ID
- 202230339349301328
- Schema version
- 2020v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-02T16:05:38-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 830332861 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOERWITZ MICHEL WRIGHT & ASSOC PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1362 | AddressLine1Txt |
| City | THERMOPOLIS | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | 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 | DAVID KOERWITZ | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 3078643121 | PhoneNum |
| Signature | 2022-01-17 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | KOERWITZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J WRIGHT | PreparerPersonNm |
| PTIN | P00488529 | PTIN |
| Phone | 3078643173 | PhoneNum |
| Preparation | 2022-02-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | DAVID KOERWITZ | 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 | $32,843,388 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HSCMH.ORG | 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 | 202 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $177,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,617,256 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,773,492 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,547,965 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$17,647 | PYInvestmentIncomeAmt |
| CY Investment Income | $101,550 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,636,106 | PYOtherRevenueAmt |
| CY Other Revenue | $1,572,942 | CYOtherRevenueAmt |
| PY Total Revenue | $27,568,969 | PYTotalRevenueAmt |
| CY Total Revenue | $32,839,713 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,068,028 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,542,824 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,088,812 | PYOtherExpensesAmt |
| CY Other Expenses | $14,640,988 | CYOtherExpensesAmt |
| PY Total Expenses | $26,156,840 | PYTotalExpensesAmt |
| CY Total Expenses | $29,183,812 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,412,129 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,655,901 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,255,545 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,349,867 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,298,437 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,736,858 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,957,108 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,613,009 | 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 | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $25,967,313 | ExpenseAmt |
| Desc | HOT SPRINGS COUNTY HOSPITAL DISTRICT, A NOT FOR PROFIT AND GOVERNMENTAL HOSPITAL, PROVIDES COMPASSIONATE MEDICAL CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. HSCHD OFFERS 24/7 EMERGENCY CARE (2,023 VISITS), INPATIENT SERVICES(1,090 PATIENT DAYS), OUTPATIENT SERVICES (16,896 VISITS), BIG HORN CLINIC RURAL HEALTH CLINIC (3,251 VISITS), RED ROCK WORLAND (5689 VISITS), HSCHD SURGICAL CLINIC (792 VISITS), RED ROCK FAMILY PRACTICE RIVERTON (591 VISITS), RED ROCK SHOSHONI (245 VISITS), AND RED ROCK FAMILY PRACTICE CLINIC THERMOPOLIS(11,338 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 196,921. THE COST OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2021 BASED ON DIRECT AND INDIRECT COST OF PROVIDING CHARITY CARE SERVICES WAS 136,799. 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 HSCHD. HEALTH INFORMATION LINKS ARE AVAILABLE ON THE HSCHD 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. HSCHD 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 HSCHD PARTICIPATES. | Desc |
| Total Program Service Expenses | $25,967,313 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 80 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 202 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | 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 | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGIE MOLITOR SEE STATEMENT 1 | PersonNm |
| Phone | 3078643121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E ARAPAHOE ST | AddressLine1Txt |
| City | THERMOPOLIS | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| JASON WEYER | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $531,360 | $0 | $11,400 | |||
| WADE BOMENGEN | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $473,537 | $0 | $11,400 | |||
| MATHEY MATTSON | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $401,708 | $0 | $11,400 | |||
| HALLIE BISCHOFF | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $387,970 | $0 | $11,400 | |||
| SUSAN BRIGHT | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $295,223 | $0 | $11,400 | |||
| SHELLY LARSON | ||||||||
| CFO | 40.00 | $140,463 | $0 | $6,154 | Yes (X) | |||
| CHARLES CALKIN | ||||||||
| FORMER CONTR | 40.00 | $115,093 | $0 | $0 | Yes (X) | |||
| DAN HERDT | ||||||||
| SEC/TREAS | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MELISSA JOHNSON | ||||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID KOERWITZ | ||||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| HEATH OVERFIELD | ||||||||
| VICE CHAIRMA | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BILL WILLIAMS | ||||||||
| CHAIRMAN | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MARGIE MOLITOR SEE STATEMENT 1 | ||||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,345,354 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $63,154 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SLETTEN CONSTRUCTION | |||||
| 3225 BIGHORN AVE | CODY | WY | 82414 | CONSTRUCTION | $9,396,885 |
| HOLISTIC PAIN MANAGEMENT RYAN SHEDD | |||||
| PO BOX 1476 | LOVELAND | CO | 80539 | AGENCY STAFF | $780,240 |
| HEALTHTECH MGT SER (SEE STATEMENT 3) | |||||
| 5110 MARYLAND WAY STE 2 | BRENTWOOD | TN | 37027 | MNGMT/CONTRACT | $652,813 |
| XTEND HEALTHCARE | |||||
| 90 VOLUNTEER DR STE 150 | HENDERSONVILLE | TN | 37075 | BILLING SERVICE | $379,226 |
| MORTIMORE AMBULANCE | |||||
| 620 ARAPAHOE ST | THERMOPOLIS | WY | 82443 | AMBULANCE SRVS | $318,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,533,048 | GovernmentGrantsAmt |
| All Other Contributions | $84,208 | AllOtherContributionsAmt |
| Total Contributions | $3,617,256 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT SERVICE REVENUE | $27,144,659 | $27,144,659 |
| OTHER OPERATING REVENUE | $403,306 | $403,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,547,965 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,550 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,550 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,350 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,675 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,675 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,675 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,675 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $90,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $90,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $90,000 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| SPECIAL PURPOSE TAX | $1,031,679 | $1,031,679 |
| PROPERTY TAX | $525,588 | $525,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,557,267 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,839,713 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,222,457 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,924,253 | TotalAmt |
| Program Services | $11,031,375 | ProgramServicesAmt |
| Management And General | $892,878 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,767 | TotalAmt |
| Program Services | $283,140 | ProgramServicesAmt |
| Management And General | $22,627 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,350,158 | TotalAmt |
| Program Services | $1,250,246 | ProgramServicesAmt |
| Management And General | $99,912 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $962,646 | TotalAmt |
| Program Services | $891,410 | ProgramServicesAmt |
| Management And General | $71,236 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,236 | TotalAmt |
| Management And General | $653,236 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,020 | TotalAmt |
| Management And General | $120,020 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,750 | TotalAmt |
| Management And General | $81,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,833,526 | TotalAmt |
| Program Services | $3,228,368 | ProgramServicesAmt |
| Management And General | $605,158 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,497,217 | TotalAmt |
| Program Services | $4,367,144 | ProgramServicesAmt |
| Management And General | $130,073 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,993 | TotalAmt |
| Program Services | $1,011,500 | ProgramServicesAmt |
| Management And General | $8,493 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,685 | TotalAmt |
| Program Services | $120,156 | ProgramServicesAmt |
| Management And General | $11,529 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $986,958 | TotalAmt |
| Program Services | $986,958 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,590,422 | TotalAmt |
| Program Services | $2,201,859 | ProgramServicesAmt |
| Management And General | $388,563 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,509 | TotalAmt |
| Program Services | $197,509 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | $425,689 | $322,658 | $103,031 |
| RECRUITMENT | $73,354 | $45,561 | $27,793 |
| LICENSE FEES | $29,629 | $29,429 | $200 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,183,812 | TotalAmt |
| Program Services | $25,967,313 | ProgramServicesAmt |
| Management And General | $3,216,499 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,629,742 | BOYAmt |
| EOY | $10,931,994 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,860,616 | BOYAmt |
| EOY | $7,745,402 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,391,199 | BOYAmt |
| EOY | $4,664,838 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,958 | BOYAmt |
| EOY | $13,500 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $877,058 | BOYAmt |
| EOY | $910,766 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,552 | BOYAmt |
| EOY | $188,624 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $43,427,014 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,169,439 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,576,700 | BOYAmt |
| EOY | $30,257,575 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,720 | BOYAmt |
| EOY | $637,168 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,255,545 | BOYAmt |
| EOY | $55,349,867 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,270,640 | BOYAmt |
| EOY | $5,329,216 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,319,062 | BOYAmt |
| EOY | $320,607 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,708,735 | BOYAmt |
| EOY | $32,087,035 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,298,437 | BOYAmt |
| EOY | $37,736,858 | 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 | $4,096,492 | BOYAmt |
| EOY | $9,888,679 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,860,616 | BOYAmt |
| EOY | $7,724,330 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,957,108 | BOYAmt |
| EOY | $17,613,009 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,255,545 | BOYAmt |
| EOY | $55,349,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,655,901 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $679,687 | OtherCostOrOtherBasisAmt |
| Book Value | $679,687 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,211,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,870,179 | DepreciationAmt |
| Book Value | $13,341,660 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,535,488 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,299,260 | DepreciationAmt |
| Book Value | $16,236,228 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,257,575 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $32,839,713 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $32,839,713 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $32,839,713 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,183,812 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $29,183,812 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $29,183,812 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $131,191 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $131,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,964,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $945,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,019,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,096,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $945,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,150,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $228,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,369 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,144,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,152,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $992,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,373,864 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,214,380 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,159,484 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,469,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,159,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,310,053 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,357,085 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $707,125 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,882,692 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,591,851 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $290,841 | MedicareSurplusOrShortfallAmt |
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHTECH MGMT SRV | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 DISTRIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 E ARAPAHOE | AddressLine1Txt |
| City | THERMOPOLIS | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82443 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HOTSPRINGSHEALTH.COM | WebsiteAddressTxt |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOT SPRINGS COUNTY HOSPITAL DISTRIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HOTSPRINGSHEALTH.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.HOTSPRINGSHEALTH.COM | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | 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 |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HOTSPRINGSHEALTH.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HOTSPRINGSHEALTH.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HOTSPRINGSHEALTH.COM | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRIC - PART V, LINE 3E | THE CHNA REPORT DESCRIBES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. |
| 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 6B | OTHER ORGANIZATIONS |
| 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. |
| FACILITY 1, HOT SPRINGS COUNTY HOSPITAL DISTRIC - PART V, LINE 13B | INCOME LEVEL |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| JASON WEYER | |||
| PHYSICIAN | $531,360 | $11,400 | $542,760 |
| WADE BOMENGEN | |||
| PHYSICIAN | $473,537 | $11,400 | $484,937 |
| MATHEY MATTSON | |||
| PHYSICIAN | $401,708 | $11,400 | $413,108 |
| HALLIE BISCHOFF | |||
| PHYSICIAN | $387,970 | $11,400 | $399,370 |
| SUSAN BRIGHT | |||
| PHYSICIAN | $295,223 | $11,400 | $306,623 |
| CHARLES CALKIN | |||
| FORMER CONTROLLER | $115,093 | $115,093 | |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOT SPRINGS COUNTY HOSPITAL DISTRIC | ||||||||
| A | HOT SPRINGS COUNTY HOSPITAL DISTRIC | 836000182 | 2018-12-20 | $21,346,000 | BUILDING CONSTRUCTION AND EQUIPMENT | false | false | false |
| HOT SPRINGS COUNTY HOSPITAL DISTRIC | ||||||||
| B | HOT SPRINGS COUNTY HOSPITAL DISTRIC | 836000182 | 2018-12-20 | $5,335,971 | BUILDING CONSTRUCTION AND EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $21,346,000 | $1,198,362 | $479,945 | $19,667,693 | 2021 | false | false | Yes (true) | Yes (true) |
| B | $5,335,971 | $299,634 | $119,975 | $4,916,362 | 2021 | false | false | Yes (true) | Yes (true) |
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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false |
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 | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PURPOSE OF ISSUE DESCRIPTION | HOT SPRINGS COUNTY HOSPITAL DISTRICT BUILDING CONSTRUCTION AND EQUIPMENT |
| PURPOSE OF ISSUE DESCRIPTION | HOT SPRINGS COUNTY HOSPITAL DISTRICT BUILDING CONSTRUCTION AND EQUIPMENT |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| DR ASSAY | |||||||
| EMPLOYEE | RECRUITMENT | Yes (X) | $10,000 | $10,000 | false | Yes (true) | Yes (true) |
| DR BRIGHT | |||||||
| EMPLOYEE | RECRUITMENT | Yes (X) | $10,000 | $3,500 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $13,500 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | HOT SPRINGS COUNTY HOSPITAL DISTRICT, A NOT FOR PROFIT AND GOVERNMENTAL HOSPITAL, PROVIDES COMPASSIONATE MEDICAL CARE FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY. HSCHD OFFERS 24/7 EMERGENCY CARE (2,023 VISITS), INPATIENT SERVICES(1,090 PATIENT DAYS), OUTPATIENT SERVICES (16,896 VISITS), BIG HORN CLINIC RURAL HEALTH CLINIC (3,251 VISITS), RED ROCK WORLAND (5689 VISITS), HSCHD SURGICAL CLINIC (792 VISITS), RED ROCK FAMILY PRACTICE RIVERTON (591 VISITS), RED ROCK SHOSHONI (245 VISITS), AND RED ROCK FAMILY PRACTICE CLINIC THERMOPOLIS(11,338 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 196,921. THE COST OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2021 BASED ON DIRECT AND INDIRECT COST OF PROVIDING CHARITY CARE SERVICES WAS 136,799. 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 HSCHD. HEALTH INFORMATION LINKS ARE AVAILABLE ON THE HSCHD 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. HSCHD 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 HSCHD PARTICIPATES. |
| FORM 990, PAGE 6, PART VI, 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. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CURRENT FISCAL YEAR 6/30/21 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 6/30/21 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 333,571 0 0 COLLECTION FEES 0 234,837 0 CONSULTING FEES 85,726 24,282 0 CONTRACT AND PURCH SERVICES 546,825 297,503 0 COST REPORT 0 10,750 0 PHYSICIAN FEES 1,465,621 0 0 PUBLIC RELATIONS/ADVERTISING 25,574 37,786 0 STAFFING AGENCY FEES 771,051 0 0 TOTAL 3,228,368 605,158 0 |
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