Hot Springs County Hospital District
Also known as Hot Springs Health
Hot Springs County Hospital District reported $41.1 million in revenue and $40.7 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $88.88 went to program services, $11.12 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 95.8% of the total. The highest compensation it reported for one person was $714,446 (Physician). 32 people received more than $100,000 in reportable compensation. Revenue rose 49% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $41MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $41MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 88.9% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 11.1% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 3.4% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 3.3% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 95.8% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $714,446 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.76% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 32 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 5.3 | 6.6 |
| Independent voting board members Part VI 1a–1b | 5 of 5 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseHot 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…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Physician Highest compensated employee, 40.00 hrs/week | $669,839 | $0 | $44,607 | $714,446 |
| Physician Highest compensated employee, 40.00 hrs/week | $622,284 | $0 | $46,756 | $669,040 |
| Physician Highest compensated employee, 40.00 hrs/week | $549,646 | $0 | $26,688 | $576,334 |
| Physician Highest compensated employee, 40.00 hrs/week | $516,720 | $0 | $41,515 | $558,235 |
| Physician Highest compensated employee, 40.00 hrs/week | $503,190 | $0 | $41,617 | $544,807 |
| CCO Key employee, 40.00 hrs/week | $183,838 | $0 | $39,563 | $223,401 |
| CQCO Key employee, 40.00 hrs/week | $154,178 | $0 | $32,431 | $186,609 |
32 people received more than $100,000 in reportable compensation from Hot Springs County Hospital District (Part VII, line 2). Compensation of current officers, directors and key employees totaled $414K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b5 · 5 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aNo
- Board given the 990 before filing Part VI 11aNo
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5208
- Volunteers Part I, line 66
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Medical Solutions LLC Staffing Agency | $1,401,506 |
| Healthtech Management Service Staffing/Consulting | $988,868 |
| Gem City Bone & Joint PC Medical Services | $548,059 |
| Holistic Pain Management Medical Services | $525,360 |
| Billings Clinic Consulting Services | $516,613 |
Individuals listed as contractors are left out. 18 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Hot Springs County Hospital District totaling $347K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Hot Springs County Hospital District's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Hot Springs County Hospital District, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Hot Springs County Hospital District spent in FY2025, $88.88 went to programs. The full breakdown, from its IRS Form 990:
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Questions people ask
How much of Hot Springs County Hospital District's spending goes to programs?
In the fiscal year ending June 30, 2025, Hot Springs County Hospital District reported that 88.9% of its $40.7 million in expenses went to program services, 11.1% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Hot Springs County Hospital District pay its top executive?
The largest total compensation Hot Springs County Hospital District reported for one person in the fiscal year ending June 30, 2025 was $714,446, for the role of Physician (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hot Springs County Hospital District get its money?
Of $41.1 million in revenue in the fiscal year ending June 30, 2025, 3.4% came from contributions and grants (including 3.3% from government grants) and 95.8% from program service revenue (Form 990, Part VIII).
Is Hot Springs County Hospital District a registered charity?
The IRS lists EIN 83-6000182 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202601149349300125 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541209349303379 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401239349301500 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349307792 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202230339349301328 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101259349300935 · read the filing
All filings for EIN 83-6000182: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.