2025-11-14T08:09:23-06:00 2023-06-30 460403496 CASEY PETERSON LTD 909 ST JOSEPH ST STE 101 RAPID CITY SD 57701 990 2022-07-01 842280561 PLATTE VALLEY HEALTHCARE PROJECT PLAT 3073263169 PO BOX 549 SARATOGA WY 82331 WILL F FAUST CHAIR 3073263169 2025-11-13 1 1 KEVIN R EGGEBRAATEN CPA P00044268 6053481930 2025-11-13 2022 2025-03-06 01:10:19Z NORTH PLATTE VALLEY MEDICAL CENTER WILL F FAUST PO BOX 549 SARATOGA WY 82331 11753653 0 X HTTPS://NPVMC.ORG/ X 2019 WY TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE NORTH PLATTE VALLEY AND SURROUNDING AREA. 6 6 0 6 0 0 2140151 9108631 2451782 2449359 52859 54511 615611 127408 5260403 11739909 0 0 0 0 1813004 2646845 0 625 53651 1564744 4886015 3377748 7533485 1882655 4206424 17536995 26274114 12566898 16610798 4970097 9663316 X TO BE THE HEALTHCARE PROVIDER OF CHOICE FOR THE NORTH PLATTE VALLEY AND SURROUNDING AREA. 0 0 4781306 2449359 PLATTE VALLEY HEALTHCARE PROJECT IS A NON-PROFIT ORGANIZATION IN SARATOGA, WYOMING. PLATTE VALLEY HEALTHCARE PROJECT OPERATES A HOSPITAL FACILITY, WHICH COMMENCED OPERATIONS ON MAY 23, 2023. THE ORGANIZATION ALSO INCLUDES THE FOLLOWING WHOLLY-OWNED SUBSIDIARIES: - SARATOGA CARE CENTER, LLC, WHICH OPERATES AN EXTENDED CARE FACILITY IN SARATOGA, WYOMING. - LARAMIE PEAK THERAPIES, LLC, WHICH PROVIDES PHYSICAL AND OCCUPATIONAL THERAPY SERVICES IN SARATOGA, WYOMING. - PLATTE VALLEY CLINIC, WHICH PROVIDES OUTPATIENT CLINIC SERVICES PLATTE VALLEY HEALTHCARE PROJECT IS REFERRED TO AS NORTH PLATTE VALLEY MEDICAL CENTER AS A DOING-BUSINESS-AS NAME FOR MARKETING AND MARKET IDENTIFICATION PURPOSES. 4781306 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X THE ORGANIZATION 3073263169 PO BOX 549 SARATOGA WY 82331 X WILL FAUST CHAIR 7.00 X X 0 0 0 TRACY HAYES VICE CHAIR 2.50 X X 0 0 0 LAURA BUCHOLZ SECRETARY 2.50 X X 0 0 0 IRENE ARCHIBALD TREASURER 7.00 X X 0 0 0 JERRY KRAFT MEMBER 1.00 X 0 0 0 ROCKY FIEDOR MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 SLETTON CONSTRUCTION INC PO BOX 2630 CODY WY 82414 HOSPITAL BUILDING CONTRACTOR 8152676 HEALTH MANAGEMENT SERVICES LLC PO BOX 80490 BILLINGS MT 59108 MANAGEMENT SERVICES 131848 HGFA LLC 222 NORTH 32ND ST STE 800 BILLINGS MT 59101 ARCHITECT SERVICES 125015 SUMMIT RURAL MEDICINE LLC 700 CENTRAL EXPRESSWAY SUITE 400 ALLEN TX 75013 HOSPITAL STAFFING SERVICES 120000 4 3133753 5974878 9108631 PATIENT SERVICE REVENUE 621110 2449359 2449359 2449359 68255 68255 13744 -13744 -13744 -13744 OTHER INCOME 900099 127408 127408 127408 11739909 2449359 0 181919 X 2186035 1654874 531161 12073 9140 2933 264490 200224 64266 184247 139479 44768 144175 144175 10425 10425 34370 34370 625 625 1520941 1139747 381194 54467 1441 53026 327712 106178 221534 704863 228375 476488 337235 147771 189464 16376 9177 7199 59471 33325 26146 161447 161447 355255 355255 126985 126985 BAD DEBT EXPENSE 304006 304006 MEDICAL SUPPLIES 275753 275753 FOOD SUPPLIES 178002 178002 PLEDGE WRITE OFFS 150000 150000 124532 124532 7533485 4781306 2698528 53651 204622 133639 2322811 476659 457498 1773387 657345 375159 0 195928 211520 79858 22967629 378106 13580034 22589523 103165 649961 17536995 26274114 1099387 1140772 15133 14401 10130271 15455625 100000 0 1222107 0 12566898 16610798 X 4970097 9663316 4970097 9663316 17536995 26274114 4206424 486795 0 X 0 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 113435 113435 19197261 250747 18946514 369079 7299 361780 3064981 120060 2944921 222873 222873 22589523 X PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS OF CARE CENTER RESIDENTS FOR PERSONAL EXPENSES. PART X, LINE 2: PLATTE VALLEY HEALTHCARE PROJECT IS ORGANIZED AS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE LIMITED LIABILITY COMPANIES' TAXABLE INCOME OR LOSS IS ALLOCATED TO ITS MEMBER IN ACCORDANCE WITH ITS RESPECTIVE PERCENTAGE OWNERSHIP. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 X 1 X 1 X 0 0 0 2654366 1193792 1460574 0.20200 2654366 1193792 1460574 0.20200 2654366 1193792 1460574 0.20200 55975 55975 0.00770 55975 55975 0.00770 1 304006 76581 96379 -19798 X 1 1 NORTH PLATTE VALLEY MEDICAL CENTER 1300 WEST BRIDGE AVE SARATOGA WY 82331 HTTPS://NPVMC.ORG/ X X NORTH PLATTE VALLEY MEDICAL CENTER 1 1 0 0 0 1 X 100.000000000000 200.000000000000 1 1 X X 0 0 0 0 0 0 SCHEDULE H, PART V, SECTION B THE HOSPITAL WAS FIRST LICENSED BY THE STATE OF WYOMING DURING THE YEAR ENDED 6.30.2023. A CNHA WAS NOT CONDUCTED UNTIL THE YEAR ENDED 6.30.2025, IN COMPLIANCE WITH IRS GUIDANCE THAT A NEW HOSPITAL MUST MEET THE REQUIREMENTS OF SECTION 501(R) BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE FIRST DATE THAT A FACILITY OPERATED BY THE ORGANIZATION WAS LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. 3 1 - SARATOGA CARE CENTER 207 HOLLY AVE SARATOGA WY 82331 EXTENDED CARE FACILITY 2 - LARAMIE PEAK THERAPIES 207 HOLLY AVE SARATOGA WY 82331 PHYSICAL AND OCCUPATIONAL THERAPY CLINIC 3 - PLATTE VALLEY CLINIC 1300 WEST BRIDGE AVENUE SARATOGA WY 82331 OUTPATIENT CLINIC PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 304,006. SCHEDULE H REPORTING CONSTRAINTS AS NOTED IN SCHEDULE O, DURING THE YEAR ENDED 6.30.2023, PLATTE VALLEY HEALTHCARE PROJECT (PVHP) HIRED A MANAGEMENT COMPANY TO ASSIST WITH THE OPENING OF THE HOSPITAL. THE HOSPITAL COMMENCED OPERATIONS MAY 23, 2023. HOWEVER, THE MANAGEMENT COMPANY FAILED TO COMPLETE CRUCIAL STEPS REQUIRED FOR OPENING THE HOSPITAL, WHICH RESULTED IN PVHP TERMINATING THE AGREEMENT WITH THE MANAGEMENT COMPANY. ONE SUCH STEP WAS DOCUMENTING AND FORMALIZING POLICIES, INCLUDING THE FINANCIAL ASSISTANCE POLICY AND COLLECTIONS POLICY. PVHP HAS SINCE FORMALIZED WRITTEN CHARITY CARE POLICIES AND COLLECTION POLICIES AND HAS IMPLEMENTED THOSE POLICIES.THE TERMINATION OF THE MANAGEMENT AGREEMENT WAS CONTENTIOUS, AND THE MANAGEMENT COMPANY WILL NOT RELEASE RECORDS FROM ITS TIME MANAGING THE PROJECT TO PVHP. AS A RESULT, THE ORGANIZATION HAS LIMITED INFORMATION AVAILABLE TO ADDRESS THE QUESTIONS ON SCHEDULE H. SPECIFICALLY, THE FOLLOWING PARTS OF SCHEDULE H ARE IMPACTED:PART I, LINES 5A-5C: PVHP DOES NOT HAVE ACCESS TO THE BUDGET FOR FREE OR DISCOUNTED CARE FOR THE YEAR ENDED 6.30.2023 (IF ONE WAS PREPARED).PART III, SECTION C: PVHP DOES NOT HAVE ACCESS TO THE COLLECTIONS POLICY IN PLACE DURING THE YEAR ENDED 6.30.2023 (IF ONE WAS PREPARED).PART V, LINES 16-24: PVHP DOES NOT HAVE ACCESS TO THE INTERNAL POLICIES THAT WERE IN PLACE DURING THE YEAR ENDED 6.30.2023. AS A RESULT, PVHP IS UNABLE TO DETERMINE HOW THE FINANCIAL ASSISTANCE POLICY WAS MADE WIDELY AVAILABLE, IF THERE WAS A COLLECTIONS POLICY, WHAT ACTIONS THE FACILITY'S POLICIES PERMITTED BEFORE MAKING REASONABLE EFFORTS TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY, OR IF THERE WAS A WRITTEN POLICY RELATED TO EMERGENCY MEDICAL CARE. PART III, LINE 4: BAD DEBT EXPENSE IS DESCRIBED IN NOTE 3 IN THE ATTACHED FINANCIAL STATEMENTS. FORM 990 REPORTING CONSTRAINTS DURING THE YEAR ENDED 6.30.2023, PLATTE VALLEY HEALTHCARE PROJECT (PVHP) HIRED A MANAGEMENT COMPANY TO PROVIDE LEADERSHIP AND RECORDKEEPING FOR THE ORGANIZATION, WHICH INCLUDED MANAGING THE FUNDING, BUILDING, AND OPENING OF THE NEW HOSPITAL FACILITY. DURING THIS PROCESS, THE MANAGEMENT COMPANY FAILED TO COMPLETE CRUCIAL STEPS REQUIRED FOR OPENING THE HOSPITAL, WHICH RESULTED IN PVHP TERMINATING THE AGREEMENT WITH THE MANAGEMENT COMPANY. THIS SEPARATION WAS CONTENTIOUS, AND THE MANAGEMENT COMPANY REFUSED TO RELEASE PVHP'S RECORDS TO THE ORGANIZATION. AS A RESULT, PVHP DOES NOT HAVE COMPLETE ACCOUNTING RECORDS FOR FISCAL YEAR 2023 AND IS UNABLE TO COMPLETE CERTAIN PARTS OF THIS FORM 990. SPECIFICALLY, THIS IMPACTS: FORM 990, PART IV, LINE 20B: PVHP HIRED AN ACCOUNTING FIRM TO AUDIT THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 6.30.2023. DUE TO THE MISSING RECORDS DESCRIBED ABOVE, THE AUDITOR WAS NOT ABLE TO ISSUE AN OPINION ON THE FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS WITH THE DISCLAIMER OF OPINION REPORT IS ATTACHED. FORM 990, PART IV, LINE 23; FORM 990 PART VII; SCHEDULE J: THE MANAGEMENT COMPANY HAS REFUSED TO PROVIDE PAYROLL AND CONTRACTOR RECORDS FOR PVHP. AS A RESULT, PVHP IS UNABLE TO IDENTIFY EMPLOYEES THAT MET THE REPORTING REQUIREMENTS FOR PART VII AND SCHEDULE J. THIS REPORTING IS EXCLUDED. FORM 990, PART V, LINES 1A - 2B: THE MANAGEMENT COMPANY HAS REFUSED TO PROVIDE PAYROLL AND CONTRACTOR RECORDS FOR PVHP. AS A RESULT, PVHP IS UNABLE TO DETERMINE THE NUMBER OF 1099S AND W-2S ISSUED FOR CALENDAR YEAR 2022. THIS REPORTING IS EXCLUDED. FORM 990, PART VII, SECTION B: THE MANAGEMENT COMPANY HAS REFUSED TO PROVIDE CONTRACTOR RECORDS FOR PVHP. DURING THE YEAR ENDED 6.30.2023, THE RECORDS FOR THE HOSPITAL WERE MAINTAINED SEPARATELY FROM THE RECORDS MAINTAINED BY THE CARE CENTER (SARATOGA CARE CENTER, LARAMIE PEAK THERAPIES, AND PLATTE VALLEY CLINIC). AS A RESULT, THE REPORTING OF HIGHEST COMPENSATED CONTRACTORS ONLY INCLUDES CONTRACTORS PAID BY THE HOSPITAL. CONTRACTOR PAYMENTS FOR THE ENTITIES MAINTAINED BY THE MANAGEMENT COMPANY ARE EXCLUDED. SCHEDULE H, PART I, LINES 1A - 5C; SCHEDULE H, PART III, SECTION C; SCHEDULE H, PART V, LINES 13 - 24: THE MANAGEMENT COMPANY HAS NOT PROVIDED RECORDS OF POLICIES THAT WERE PREPARED FOR THE HOSPITAL OPENING. AS A RESULT, PVHP IS UNABLE TO DETERMINE IF A FINANCIAL ASSISTANCE POLICY OR A COLLECTIONS POLICY WERE ADOPTED FOR THE YEAR ENDED 6.30.2023. FORM 990, PART VI, SECTION A, LINE 1A THE BYLAWS ALLOW FOR AN EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE GOVERNING BOARD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE CONSIST OF THE BOARD CHAIR, VICE-CHAIR, SECRETARY/TREASURER, AND IMMEDIATE PAST CHAIR. IN THE FILING YEAR AN EXECUTIVE COMMITTEE WAS NOT FORMED. FORM 990, PART VI, SECTION A, LINE 3 SERVICES FOR THE CEO, JEFF MINCY, AND THE CFO, DONNA PRATT, WERE PAID TO HEALTH MANAGEMENT SERVICES (HMS), AN UNRELATED MANAGEMENT COMPANY. IN CALENDAR YEAR 2022, THE ORGANIZATION AND DISREGARDED ENTITIES PAID A TOTAL OF $131,848 TO HMS FOR CEO AND CFO SERVICES, AS WELL AS ADMINISTRATIVE SERVICES. THE AGREEMENT DOES NOT SEPARATE THE CEO/CFO SERVICES FROM THE ADMINISTRATIVE SERVICES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO ACTING COMMITTEES IN THE FILING YEAR THAT HAD THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE BOARD TREASURER AND, AFTER ANY NECESSARY CORRECTIONS ARE MADE, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS, AND A VOTE WILL BE TAKEN TO FILE WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS OFFICERS AND DIRECTORS OF THE ORGANIZATION. ANNUALLY THEY REVIEW THE CONFLICT OF INTEREST POLICY. IF THERE IS A POTENTIAL CONFLICT, THE INDIVIDUAL ABSTAINS FROM THE DISCUSSION AND VOTING ON THE POTENTIAL CONFLICT. THE REMAINING BOARD MEMBERS DETERMINE IF A CONFLICT DOES EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE CEO AND CFO ARE PAID BY AN UNRELATED MANAGEMENT COMPANY, HMS. PLATTE VALLEY HEALTHCARE PROJECT NEGOTIATES A MANAGEMENT CONTRACT FOR ADMINISTRATIVE AND MANAGEMENT SERVICES. THE ORGANIZATION DOES NOT COMPENSATE BOARD MEMBERS OR OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED THERAPY: PROGRAM SERVICE EXPENSES 25,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,017. CONTRACTED MEDICAL STAFF: PROGRAM SERVICE EXPENSES 1,028,979. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,028,979. CONTRACTED LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 76,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,728. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 9,023. MANAGEMENT AND GENERAL EXPENSES 381,194. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 390,217. SARATOGA CARE CENTER LLC 207 HOLLY AVE SARATOGA WY 82331 352533352 NURSING FACILITY WY 2392884 862960 PLATTE VALLEY HEALTHCARE PROJECT LARAMIE PEAK THERAPIES LLC 207 HOLLY AVE SARATOGA WY 82331 383971553 THERAPY SERVICES WY 91329 32030 PLATTE VALLEY HEALTHCARE PROJECT PLATTE VALLEY CLINIC 1300 W BRIDGE AVE SARATOGA WY 82331 OUTPATIENT CLINIC SERVICES WY 54951 67846 PLATTE VALLEY HEALTHCARE PROJECT DURING THE YEAR ENDED 6.30.2023, PLATTE VALLEY HEALTHCARE PROJECT (PVHP) HIRED A MANAGEMENT COMPANY TO PROVIDE LEADERSHIP AND RECORDKEEPING FOR THE ORGANIZATION, WHICH INCLUDED MANAGING THE FUNDING, BUILDING, AND OPENING OF THE NEW HOSPITAL FACILITY. DURING THIS PROCESS, THE MANAGEMENT COMPANY FAILED TO COMPLETE CRUCIAL STEPS REQUIRED FOR OPENING THE HOSPITAL, WHICH RESULTED IN PVHP TERMINATING THE AGREEMENT WITH THE MANAGEMENT COMPANY. THIS SEPARATION WAS CONTENTIOUS, AND THE MANAGEMENT COMPANY REFUSED TO TURN OVER PVHP'S RECORDS TO THE ORGANIZATION. AS A RESULT, PVHP DOES NOT HAVE COMPLETE ACCOUNTING RECORDS FOR FISCAL YEAR 2023. PVHP HAS ATTEMPTED TO OBTAIN THE RECORDS FOR FISCAL YEAR 2023 FROM THE MANAGEMENT COMPANY SINCE THE TERMINATION OF THE AGREEMENT, INCLUDING HIRING LEGAL COUNSEL TO ASSIST WITH THIS PROCESS, BUT THE MANAGEMENT COMPANY HAS NOT COMPLIED WITH THE REQUESTS. PVHP WAITED TO FILE THE FORM 990 FOR THE YEAR ENDED 6.30.2023 WHILE TRYING TO OBTAIN THE DETAILED DOCUMENTATION NECESSARY TO COMPLETE THE 990 REPORTING AND HAS NOW DETERMINED IT IS UNLIKELY THEY WILL RECEIVE THE DOCUMENTATION FROM THE MANAGEMENT COMPANY. PVHP IS FILING THE FORM 990 USING THE RECORDS THAT WERE AVAILABLE TO THEM AND HAVE DISCLOSED IN SCHEDULE O THE PARTS OF THE FORM 990 THAT ARE IMPACTED BY THE LACK OF DOCUMENTATION.PVHP HAS HIRED A CEO AND ENGAGED A CPA FIRM TO ASSIST WITH CORRECTING THE ISSUES CAUSED BY THE PRIOR MANAGEMENT COMPANY AND WITH MEETING COMPLIANCE REQUIREMENTS.