Hot Springs County Hospital Dist
Public records show a registered, tax-exempt organization in good standing.
What it says it does
Partnering with our community for quality health and healing.
- Income
- $41.1 million
- Spending
- $40.7 million
- Spent on programs
- 89%
- Reserves
- -3.2 months of spending
- Largest source of income
- fees for its services, 96%
- Employees
- 208
- Volunteers
- 6
- Highest pay
- $714,446, physician
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 47 out of 100. Higher than 26% of charities in its peer group (health care, $10m to $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
5 of 20It owes 63% of what it owns.
Living within its means
12 of 15Income exceeded spending by 1% of income.
Income trend
15 of 15Income rose 2% on the year before.
Spending floor
15 of 1589% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 85 out of 100. Higher than 22% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 255 of 5 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
0 of 10Did not give the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $36.1 million spent. 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 (2,707 visits), inpatient services (1,178 patient days), outpatient services (17,519 visits), HSH-Thermopolis Clinic (12,967 visits), HSH-Worland Clinic (8,059 visits), HSH-Riverton Clinic (3,849 visits), and HSH-Shoshoni Clinic (581 visits).The Hospital has a financial assistance program under which services are provided for free or at a reduced rate. Continued on Schedule O...Charity Care awarded under the financial assistance program totaled $512,726 in charges. The cost of charity care for the year ended June 30, 2025 based on direct and indirect cost of providing charity care services was $335,836.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.HSH-Clinics provide a reduced fee for exams for school athletics and community education seminars. The Hospital offers internships to qualifying candidates wanting to advance their education to the betterment of the Hospital and Community. The Hospital participates in WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) medical education program, which promotes medical education in Western States.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.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since February 1995.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.