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Nonprofiteer
← COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC

Form 990 for tax year 2022

Filed by COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC.

Totals

Total revenue
$19,146,737
Total expenses
$18,245,998
Contributions and grants received
$5,914,510
Grants paid
$0
Program service revenue
$13,152,021
Investment income
$80,194
Other revenue
$12
Total assets, end of year
$18,749,736
Total liabilities, end of year
$1,355,393
Net assets or fund balances, end of year
$17,394,343
Program services expenses (Part IX)
$13,991,642
Management and general expenses
$4,250,236
Fundraising expenses
$4,120
Program service expenses (Part III)
$13,991,642

Program services were 76.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

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

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $5,625,723

  • 1f · All other contributions, gifts and grants

    $288,787

  • 1g · Noncash contributions included above

    $319,303

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $13,152,021 · related or exempt $13,152,021

  • 3 · Investment income

    total $80,094 · excluded $80,094

  • 7a · Gross sales of assets other than inventory

    other assets $100

  • 7c · Gain or loss

    other assets $100

  • 7d · Net gain or loss

    total $100 · related or exempt $100

  • 11a · Other revenue: OTHER

    total $12 · excluded $12

  • 11e · Other revenue, total

    $12

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $551,193 · program services $200,952 · management and general $350,241

  • 7 · Other salaries and wages

    total $8,491,672 · program services $7,198,093 · management and general $1,293,579

  • 8 · Pension plan contributions

    total $412,449 · program services $344,148 · management and general $68,301

  • 9 · Other employee benefits

    total $1,413,105 · program services $1,141,936 · management and general $271,169

  • 10 · Payroll taxes

    total $863,440 · program services $718,927 · management and general $144,513

  • 11b · Fees: legal

    total $5,014 · management and general $5,014

  • 11g · Fees: other

    total $1,502,575 · program services $713,607 · management and general $788,724 · fundraising $244

  • 12 · Advertising and promotion

    total $79,201 · management and general $79,201

  • 13 · Office expenses

    total $326,833 · program services $123,814 · management and general $202,804 · fundraising $215

  • 14 · Information technology

    total $425,833 · program services $35,274 · management and general $390,559

  • 16 · Occupancy

    total $423,257 · program services $301,397 · management and general $120,581 · fundraising $1,279

  • 17 · Travel

    total $94,078 · program services $37,556 · management and general $56,522

  • 19 · Conferences, conventions and meetings

    total $147,144 · program services $46,447 · management and general $100,697

  • 22 · Depreciation, depletion and amortization

    total $511,289 · program services $364,084 · management and general $145,660 · fundraising $1,545

  • 23 · Insurance

    total $84,557 · management and general $84,557

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $2,416,969 · program services $2,416,969

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $351,641 · program services $271,850 · management and general $78,954 · fundraising $837

  • 24e · All other expenses

    total $145,748 · program services $76,588 · management and general $69,160

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,946,854 · end of year $8,608,064

  • 2 · Savings and temporary cash investments

    beginning of year $160,134 · end of year $72,166

  • 4 · Accounts receivable

    beginning of year $1,287,404 · end of year $1,068,169

  • 8 · Inventories for sale or use

    beginning of year $281,362 · end of year $284,970

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

    $16,583,527

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

    $8,307,205

  • 10c · Land, buildings and equipment, net

    beginning of year $8,526,987 · end of year $8,276,322

  • 14 · Intangible assets

    beginning of year $175,000 · end of year $150,000

  • 15 · Other assets

    end of year $290,045

  • 17 · Accounts payable and accrued expenses

    beginning of year $731,046 · end of year $979,539

  • 19 · Deferred revenue

    beginning of year $153,091 · end of year $85,809

  • 25 · Other liabilities

    end of year $290,045

  • 27 · Net assets without donor restrictions

    beginning of year $16,493,604 · end of year $17,394,343

Mission and programs · 2022

Mission

TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGNITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME. AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFERING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE.

Activities or mission (Part I)

TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY.

  • MEDICAL FACILITY - THE ORGANIZATION PROVIDES ANCILLARY AND MEDICAL SERVICES TO THE COMMUNITIES OF FREMONT AND NATRONA COUNTIES. SERVICES INCLUDE FAMILY MEDICINE, GERIATRIC CARE, PEDIATRICS, INTERNAL MEDICINE, OBSTETRICS, OCCUPATIONAL HEALTH, INPATIENT SERVICES AT WYOMING MEDICAL CENTER, FULL PHARMACY, LABORATORY, X-RAYS, ULTRASOUNDS, AND OTHER SCREENING AND DIAGNOSTIC TESTS, SUCH AS PATIENT HEALTH EDUCATION, PATIENT ASSISTANCE, PREVENTATIVE CARE AND SPANISH TRANSLATION SERVICES. THE MEDICAL FACILITY HAD 37,449 PATIENT ENCOUNTERS DURING THE FISCAL YEAR AND FILLED 32,019 PRESCRIPTIONS.

    Expenses $11,165,532 · Revenue $10,825,452

  • DENTAL - THE ORGANIZATION PROVIDES DENTAL SERVICES TO THE COMMUNITY. SERVICES INCLUDE DENTAL HYGIENE, GENERAL RESTORATIVE ORAL CARE (FILLINGS), CROWNS, BRIDGES, ENDODONTIC (ROOT CANALS), EXODONTIA (EXTRACTIONS), PERIODONTAL SURGERY, PROSTHODONTICS (DENTURES, PARTIALS), MINI IMPLANTS FOR DENTURES, EMERGENCY DENTAL APPOINTMENTS, ORAL CANCER SCREENING, AND ELECTRONIC PATIENT RECORDS. THE DENTAL CLINIC PROVIDED 5,710 PATIENT ENCOUNTERS DURING THE FISCAL YEAR.

    Expenses $1,592,372 · Revenue $771,424

  • BEHAVIORAL HEALTH - THE ORGANIZATION PROVIDES BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. SERVICES INCLUDE PSYCHOLOGICAL EVALUATIONS AND TESTING, PERSONAL SKILLS TRAINING, MEDICATION MANAGEMENT, PSYCHOTHERAPY, SOCIAL INTERACTION GROUP THERAPY, BEHAVIORAL MODIFICATION TREATMENT FOR ATTENTION DEFICIT DISORDER, SPECIALIZED TREATMENT (POST TRAUMATIC STRESS DISORDER, PSYCHOLOGICAL TRAUMA AND ABUSE, AUTISM AND ASPERGER'S SYNDROME, HEAD INJURIES), AND PSYCHOLOGICAL EVALUATIONS FOR CHRONIC PAIN MANAGEMENT. THE BEHAVIORAL HEALTH PROGRAM PROVIDED 9,886 PATIENT ENCOUNTERS DURING THE FISCAL YEAR.

    Expenses $1,233,738 · Revenue $1,555,145

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Daniel Bender

    PHYSICIAN

    Total calculated
    $277,497
    From this org
    $242,074
    From related orgs
    $0
    Other
    $35,423
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $242,074
    Bonus
    not reported
    Other
    not reported
    Deferred
    $35,423
    Nontaxable benefits
    not reported
    Filer's total
    $277,497

  • Joran Brunson

    CMO

    Total calculated
    $283,010
    From this org
    $237,104
    From related orgs
    $0
    Other
    $45,906
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,354
    Bonus
    $25,750
    Other
    not reported
    Deferred
    $45,906
    Nontaxable benefits
    not reported
    Filer's total
    $283,010

  • Sarah Grooms

    PHYSICIAN

    Total calculated
    $227,976
    From this org
    $191,125
    From related orgs
    $0
    Other
    $36,851
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,125
    Bonus
    not reported
    Other
    not reported
    Deferred
    $36,851
    Nontaxable benefits
    not reported
    Filer's total
    $227,976

  • Brenda Threlkeld

    PSYCHIATRIC

    Total calculated
    $203,824
    From this org
    $167,971
    From related orgs
    $0
    Other
    $35,853
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,971
    Bonus
    not reported
    Other
    not reported
    Deferred
    $35,853
    Nontaxable benefits
    not reported
    Filer's total
    $203,824

  • Carl Harris

    CEO

    Total calculated
    $181,173
    From this org
    $160,035
    From related orgs
    $0
    Other
    $21,138
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,709
    Bonus
    $16,326
    Other
    not reported
    Deferred
    $21,138
    Nontaxable benefits
    not reported
    Filer's total
    $181,173

  • Michelle Carpenter

    PHARMACIST

    Total calculated
    $164,778
    From this org
    $144,999
    From related orgs
    $0
    Other
    $19,779
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,999
    Bonus
    not reported
    Other
    not reported
    Deferred
    $19,779
    Nontaxable benefits
    not reported
    Filer's total
    $164,778

  • Marilyn Long

    NURSE PRACTI

    Total calculated
    $178,206
    From this org
    $143,625
    From related orgs
    $0
    Other
    $34,581
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,625
    Bonus
    not reported
    Other
    not reported
    Deferred
    $34,581
    Nontaxable benefits
    not reported
    Filer's total
    $178,206

  • Kevin Lanham

    CFO

    Total calculated
    $147,722
    From this org
    $123,565
    From related orgs
    $0
    Other
    $24,157
    Hours/week
    40

  • Danielle Krucheck

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Evan Condelario

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • John Angst

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Cheryl Gillum

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Ken Carpenter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sean Ellis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Josephine Gilpatrick

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Paul Pswarayi

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Michael Szewczyk

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

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

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 7
MEDICAL PROFESSIONALS MAY RECEIVE PRODUCTIVITY BONUSES WHICH ARE BONUSES GIVEN TO PROVIDERS BASED ON PRODUCTION GOALS AS ENCOUNTERS AND CHARGES STIPULATED IN THEIR EMPLOYMENT CONTRACTS.

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

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
19 January 2024
IRS schema version
2022v5.0
Source object
202410199349300331

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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