Wyoming · Nonprofit
Hot Springs County Hospital District
Hot Springs County Hospital District (Wyoming) receives grants from 3 organizations whose IRS filings report $398,911 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($346,794). 2 of them have funded it in more than one year.
- Revenue FY2025
- $41M
- Funders on record
- 3
- Grants received
- $399k
- Net assets
- $18M
What Hot Springs County Hospital District does
Mission
Partnering with our community for quality health and healing.
As stated on its FY2025 Form 990.
Program
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…
$36,137,134 spent$39,408,643 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $36,137,134.
The organization over time
Each line starts at 100 in 2018, so what you read is the shape rather than the size: 150 means half as much again as 2018, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $21M to $49M (+132%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2021 11% · 2022 11% · 2023 2% · 2024 1% · 2025 3%. Grants only. Government contracts and fees sit inside program revenue.
3% of Hot Springs County Hospital District’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Scott Alwin
CEO
Board chair
Melissa Johnson
Chairman
As listed on its FY2025 Form 990.
The chief executive listed changed between the FY2018 and FY2019, and between the FY2019 and FY2020 filings.
Who funds it, year by year
2017 → 2022: the base held at 1 funder, grant income rose $8k → $15k.
From the IRS filings of Hot Springs County Hospital District’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
Hot Springs County Hospital District leans on a few funders — its largest provides 87% of grant income and the top three 100%; half comes from just 1 funder.
the vertical line marks half of all grant income — 1 funder to its left
Largest funder’s share by year: 2017 100% · 2018 100% · 2022 100% — broadly stable.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Where its funders are
Hot Springs County Hospital District draws 87% of its grant income from funders outside Wyoming, across 2 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
Hot Springs County Hospital District holds deeper cash reserves than three-quarters of the 2,843 health nonprofits its size.
this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025
Organizations like Hot Springs County Hospital District
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Wyoming
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
89% of spending goes to programs.
Governance
Screen this organization
A dated, signed PDF of the compliance screen for Hot Springs County Hospital District: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds Hot Springs County Hospital District?
- Hot Springs County Hospital District (Wyoming) receives grants from 3 organizations whose IRS filings report $398,911 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($346,794). 2 of them have funded it in more than one year.
- How many funders does Hot Springs County Hospital District have?
- IRS filings report 3 organizations giving $398,911 in grants to Hot Springs County Hospital District, 2 of which have funded it in more than one year.
- Who is the largest funder of Hot Springs County Hospital District?
- THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST is the largest funder on record, with $346,794 in grants. The full list of funders is on this page.
- How can an organization like Hot Springs County Hospital District find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Wyoming. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
Play a game about who funds Hot Springs County Hospital District →
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2018–2025), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing