Hot Springs County Hospital District

“The organization has an Executive Committee that can make decisions on behalf of the full governing board in between the board meetings. The Executive Committee consists of the board Chairman, Vice Chairman, and the Secretary/Treasurer.”

“HSCHD contracts with Healthtech Management Services, Inc. for management services including the CEO position. The CEO is employed by Healthtech Management Services, Inc. During calendar year 2023, HSCHD paid Healthtech Management Services, Inc. $337,708 for the CEO services of Scott Alwin. During the year HSCHD contracted with Impekkable for Interim CFO services of Gregory Brickner. HSCHD paid $21,450 for his Interim CFO services for calendar year 2023.”

“The board members are elected by the citizens of Hot Springs County.”

“The Form 990 was presented to the finance committee of the board of trustees for discussion and review. The entire board of directors approved the Form 990 at a regularly scheduled board meeting.”

“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 at 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 potential conflicts of interest on an annual basis as well.”

“The organization pays an unrelated management company, Healthtech Management Services, Inc., for CEO services. Annually the board of directors reviews the CEO contract presented by HealthTech. 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 Chief Human Resources Officer and reviewed at the meeting of the Executives for final approval.”

“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.”

“Maintenance Contracts: Program service expenses 609,844. Management and general expenses 249. Fundraising expenses 0. Total expenses 610,093. Physician/Provider Fees: Program service expenses 2,097,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,097,961. Consulting/Contracted Services: Program service expenses 1,557,085. Management and general expenses 824,206. Fundraising expenses 0. Total expenses 2,381,291. Other Fees: Program service expenses 1,634,077. Management and general expenses 353,370. Fundraising expenses 0. Total expenses 1,987,447.”