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Nonprofiteer
← HOT SPRINGS COUNTY HOSPITAL DIST

Form 990 for tax year 2023

Filed by HOT SPRINGS COUNTY HOSPITAL DIST.

Totals

Total revenue
$40,362,900
Total expenses
$40,580,668
Contributions and grants received
$567,205
Grants paid
$0
Program service revenue
$39,572,274
Investment income
$205,836
Other revenue
$17,585
Total assets, end of year
$46,080,502
Total liabilities, end of year
$28,757,886
Net assets or fund balances, end of year
$17,322,616
Program services expenses (Part IX)
$35,832,055
Management and general expenses
$4,748,613
Fundraising expenses
$0
Program service expenses (Part III)
$35,832,055

Program services were 88.3% 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)

    $214,246

  • 1f · All other contributions, gifts and grants

    $352,959

  • 2a · Program service revenue: Patient Service Revenue

    total $35,862,781 · related or exempt $35,862,781

  • 2b · Program service revenue: Property & Sales Tax Revenue

    total $1,729,931 · related or exempt $1,729,931

  • 2c · Program service revenue: 340B Pharmacy Revenue

    total $1,396,541 · related or exempt $1,396,541

  • 2d · Program service revenue: Other Supporting Revenue

    total $583,021 · related or exempt $583,021

  • 3 · Investment income

    total $205,836 · excluded $205,836

  • 6a · Gross rents

    real property $17,835

  • 6b · Less rental expenses

    real property $250

  • 6c · Rental income or loss

    real property $17,585

  • 6d · Net rental income or loss

    total $17,585 · excluded $17,585

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $490,687 · program services $109,912 · management and general $380,775

  • 7 · Other salaries and wages

    total $14,633,365 · program services $13,791,850 · management and general $841,515

  • 8 · Pension plan contributions

    total $377,839 · program services $360,207 · management and general $17,632

  • 9 · Other employee benefits

    total $1,500,754 · program services $1,404,810 · management and general $95,944

  • 10 · Payroll taxes

    total $963,991 · program services $888,252 · management and general $75,739

  • 11a · Fees: management

    total $723,792 · management and general $723,792

  • 11b · Fees: legal

    total $114,275 · management and general $114,275

  • 11c · Fees: accounting

    total $52,576 · management and general $52,576

  • 11g · Fees: other

    total $7,076,792 · program services $5,898,967 · management and general $1,177,825

  • 12 · Advertising and promotion

    total $27,381 · program services $950 · management and general $26,431

  • 13 · Office expenses

    total $623,734 · program services $418,938 · management and general $204,796

  • 14 · Information technology

    total $2,698 · program services $1,337 · management and general $1,361

  • 16 · Occupancy

    total $341,579 · program services $341,579

  • 17 · Travel

    total $110,034 · program services $72,497 · management and general $37,537

  • 19 · Conferences, conventions and meetings

    total $116,269 · management and general $116,269

  • 20 · Interest

    total $658,832 · program services $658,832

  • 22 · Depreciation, depletion and amortization

    total $3,529,835 · program services $2,849,268 · management and general $680,567

  • 23 · Insurance

    total $310,331 · program services $263,782 · management and general $46,549

  • 24a · Other expenses: Medical Supplies

    total $6,388,126 · program services $6,387,643 · management and general $483

  • 24b · Other expenses: Bad Debt Expense

    total $1,976,223 · program services $1,976,223

  • 24c · Other expenses: Subscriptions/Books/Per

    total $403,434 · program services $258,131 · management and general $145,303

  • 24d · Other expenses: Food

    total $109,773 · program services $109,106 · management and general $667

  • 24e · All other expenses

    total $48,348 · program services $39,771 · management and general $8,577

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,777,913 · end of year $7,971,111

  • 2 · Savings and temporary cash investments

    beginning of year $5,887,420 · end of year $5,731,771

  • 4 · Accounts receivable

    beginning of year $5,229,250 · end of year $4,628,570

  • 8 · Inventories for sale or use

    beginning of year $1,045,310 · end of year $840,663

  • 9 · Prepaid expenses and deferred charges

    beginning of year $290,504 · end of year $487,564

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

    $40,142,977

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

    $16,194,766

  • 10c · Land, buildings and equipment, net

    beginning of year $25,806,283 · end of year $23,948,211

  • 14 · Intangible assets

    beginning of year $472,561 · end of year $419,146

  • 15 · Other assets

    beginning of year $1,599,833 · end of year $2,053,466

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,297,614 · end of year $2,373,181

  • 20 · Tax-exempt bond liabilities

    beginning of year $25,521,818 · end of year $24,881,100

  • 25 · Other liabilities

    beginning of year $1,749,258 · end of year $1,503,605

  • 27 · Net assets without donor restrictions

    beginning of year $11,652,964 · end of year $11,590,845

  • 28 · Net assets with donor restrictions

    beginning of year $5,887,420 · end of year $5,731,771

Mission and programs · 2023

Mission

Partnering with our community for quality health and healing.

  • 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 (2,767 visits), inpatient services (1,217 patient days), outpatient services (17,165 visits), HSH-Thermopolis Clinic (13,120 visits), HSH-Worland Clinic (7,876 visits), HSH-Riverton Clinic (3,316 visits), and HSH-Shoshoni Clinic (548 visits).The Hospital has a financial assistance program under which services are provided for free or at a reduced rate. Charity care based on Continued on Schedule O...charges awarded under the financial assistance program totaled $264,034. The cost of charity care for the year ended June 30, 2024 based on direct and indirect cost of providing charity care services was $173,972.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 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.The Hospital offers Family Medicine Residency Program "Rural Training Track" for 2nd and 3rd-year residents. The goal is to train Family Medicine Physicians who become highly skilled rural physicians and leaders in Wyoming's rural communities and beyond.

    Expenses $35,832,055 · Revenue $39,572,274

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Bill Williams

    Chairman (Until 5/24)

    Total calculated
    $0
    Hours/week
    2

  • Melissa Johnson-Vice Chairman

    (Until 5/24)/Chairman (Beg 6/24)

    Total calculated
    $0
    Hours/week
    2

  • David Koerwitz

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Jessica Benefiel

    Director

    Total calculated
    $0
    Hours/week
    2

  • Aimee Kay

    Director

    Total calculated
    $0
    Hours/week
    2

  • John Anderson

    Director (Beg 6/2024)

    Total calculated
    $0
    Hours/week
    2

  • Scott Alwin

    CEO

    Total calculated
    $0
    Hours/week
    40

  • Kevin Benson

    CFO (Until 2/4/24)

    Total calculated
    $230,848
    From this org
    $208,933
    From related orgs
    $0
    Other
    $21,915
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,000
    Bonus
    $7,500
    Other
    $7,433
    Deferred
    $8,229
    Nontaxable benefits
    $13,786
    Filer's total
    $230,948

  • Gregory Brickner

    Interim CFO (Beg Dec 2023)

    Total calculated
    $0
    Hours/week
    40

  • Dan Hemann

    CCO

    Total calculated
    $228,791
    From this org
    $192,679
    From related orgs
    $0
    Other
    $36,112
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,679
    Bonus
    $13,000
    Other
    $0
    Deferred
    $7,965
    Nontaxable benefits
    $28,247
    Filer's total
    $228,891

  • Verlene Luna

    CPCO (Until 12/3/23)

    Total calculated
    $191,780
    From this org
    $173,620
    From related orgs
    $0
    Other
    $18,160
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,620
    Bonus
    $5,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $18,260
    Filer's total
    $191,880

  • Wade Bomengen

    Physician

    Total calculated
    $745,566
    From this org
    $701,802
    From related orgs
    $0
    Other
    $43,764
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $679,302
    Bonus
    $22,500
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $30,672
    Filer's total
    $745,674

  • Jason Weyer

    Physician

    Total calculated
    $740,836
    From this org
    $710,088
    From related orgs
    $0
    Other
    $30,748
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $687,588
    Bonus
    $22,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $30,847
    Filer's total
    $740,935

  • Mathey Mattson

    Physician

    Total calculated
    $589,097
    From this org
    $551,015
    From related orgs
    $0
    Other
    $38,082
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $529,765
    Bonus
    $21,250
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $24,882
    Filer's total
    $589,097

  • Hallie Bischoff

    Physician

    Total calculated
    $577,164
    From this org
    $533,272
    From related orgs
    $0
    Other
    $43,892
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $510,772
    Bonus
    $22,500
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $30,800
    Filer's total
    $577,272

  • Nicole Jamieson

    Physician

    Total calculated
    $483,329
    From this org
    $447,643
    From related orgs
    $0
    Other
    $35,686
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $447,643
    Bonus
    $0
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $22,594
    Filer's total
    $483,437

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

None.

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3, Methods to Establish CEO Compensation:
The organization contracted an unrelated management company, Healthtech Management Services, Inc., for CEO services. The board of directors reviews the contract using compensation surveys.

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
2023
Filed
30 April 2025
IRS schema version
2023v6.0
Source object
202541209349303379

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