2020-07-09T10:23:08-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-07-01 830279242 WYOMING MEDICAL CENTER INC WYOM 3075772211 1233 EAST SECOND STREET CASPER WY 82601 GARY ZMRHAL SENIOR VP AND CFO 3075772211 2020-06-30 1 KURT BENNION CPA P01469618 4252506100 2020-06-30 67.137.57.251 2020-06-30 22:35:55 PD P 48BB772327C0B50C3FF11C9D32DE9CCE547AD9E0 DB08F32496847D80FB4B06F4D3BADC3D38BCD2CD 2018 2021-01-29 14:40:06Z MICHELE CHULICK 1233 EAST SECOND STREET CASPER WY 82601 312364334 0 X HTTPS://WYOMINGMEDICALCENTER.ORG X 1986 WY ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES. 9 7 1563 159 1175609 639538 606585 398106 265711667 303007311 4645237 7041065 -2302981 -7125 268660508 310439357 0 0 0 0 104713012 116959607 0 0 0 145196290 175375334 249909302 292334941 18751206 18104416 393287824 409770674 85685833 83516519 307601991 326254155 X WYOMING MEDICAL CENTER ("WMC") STRIVES TO ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES, PATIENT SAFETY AND EXPERIENCE AT REASONABLE COSTS. OUR HIGHLY SKILLED AND ENGAGED TEAM OF PHYSICIANS, STAFF AND VOLUNTEERS ENSURES PATIENTS ARE WELL CARED FOR WHILE AT WMC. 0 0 244720596 0 303007311 WYOMING MEDICAL CENTER IS THE LEADER IN HEALTH IN THE COMMUNITY AND PROVIDES CARE TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL WAS FORMED IN 1986 AS A NON-PROFIT CORPORATION TO PROVIDE HEALTH CARE TO THE RESIDENTS OF NATRONA COUNTY. SINCE THAT TIME WYOMING MEDICAL CENTER HAS GROWN INTO A REGIONAL TRAUMA CENTER THAT PROVIDES CRITICAL SERVICES TO NATRONA COUNTY AND TO THE ENTIRE STATE.WYOMING MEDICAL CENTER ATTENDED EVENTS IN SEVEN WYOMING COMMUNITIES IN FY 2019, INCLUDING HEALTH FAIRS SPANNING AN APPROXIMATELY 150-MILE RADIUS. IT ALSO RELEASED ITS REGULAR QUARTERLY HEALTH PUBLICATION, THE PULSE, TO APPROXIMATELY 10,000 HOMES IN NATRONA AND FREMONT COUNTIES AND EVERY PROVIDER OFFICE IN THE STATE OF WYOMING. WYOMING MEDICAL CENTER PROVIDED $7,321,000 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. 244720596 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 352 0 1563 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X GARY ZMRHAL 3075772211 1233 EAST SECOND STREET CASPER WY 82601 JOHN MASTERSON CHAIR & BOARD MEMBER 5.00 0.00 X X 0 0 0 JESSICA ODEN SECRETARY & CHAIR 5.00 0.00 X X 0 0 0 EDITH SELBY VICE CHAIR (THROUGH SEP 2018) 5.00 0.00 X X 0 0 0 BETH WORTHEN BOARD MEMBER & VICE CHAIR 5.00 0.00 X X 0 0 0 CHRISTOPHER MUIRHEAD BOARD MEMBER & SECRETARY 5.00 0.00 X X 0 0 0 LISA BURRIDGE BOARD MEMBER 5.00 0.00 X 0 0 0 TOM CRULL BOARD MEMBER 5.00 0.00 X 0 0 0 MARK DOWELL MD BOARD MEMBER 5.00 0.00 X 0 0 0 MARY MACGUIRE MD BOARD MEMBER (THROUGH MAY 2019) 5.00 0.00 X 0 0 0 MIKE REID BOARD MEMBER 5.00 0.00 X 0 0 0 TOM SCARLETT BOARD MEMBER (THROUGH JULY 2018) 5.00 0.00 X 0 0 0 W LEE WARREN MD BOARD MEMBER & EMPLOYED PHYSICIAN 45.00 0.00 X 1874295 0 40567 KELLY WEIDENBACH BOARD MEMBER (THROUGH NOV 2018) 5.00 0.00 X 0 0 0 MICHELE CHULICK CEO 55.00 2.00 X 873590 0 29792 B YVONNE WIGINGTON SENIOR VP AND CFO 55.00 0.00 X 442257 0 43843 JOHN GRAHAM INTERIM CAO 55.00 0.00 X 240048 0 0 MIKE STALEY CAO 55.00 0.00 X 81489 0 2728 CLAYTON TURNER MD ORTHOPAEDICS - EMPLOYED PHYSICIAN 45.00 0.00 X 687033 0 35616 RICHARD STOWELL MD ORTHOPAEDICS - EMPLOYED PHYSICIAN 45.00 0.00 X 802709 0 40567 ROBERT NEFF MD NEPHROLOGY - EMPLOYED PHYSICIAN 45.00 0.00 X 561020 0 42855 CASEY COTANT MD NEPHROLOGY - EMPLOYED PHYSICIAN 45.00 0.00 X 541511 0 42952 CAROL SOLIE MD VP FOR QUALITY & MEDICAL SAFETY 45.00 0.00 X 452737 0 45341 CHAD PEW FORMER SENIOR VP & COO 55.00 0.00 X 392605 0 22422 6949294 0 346683 139 1 1 0 MEDLINE INDUSTRIES INC DEPT 1080 PO BOX 121080 DALLAS TX 753211080 CONTRACT SERVICES 6833193 ABM HEALTHCARE SUPPORT SERVICES INC PO BOX 419860 BOSTON MA 022419860 CONTRACT SERVICES 6138710 CERNER HEALTHCARE SOLUTIONS INC PO BOX 959156 ST LOUIS MO 631959156 IT CONTRACT SERVICES 5400317 BOSTON SCIENTIFIC CORPORATION & SUBSIDIA PO BOX 951653 DALLAS TX 753951653 MEDICAL SERVICES 3806706 UHS OF WYOMING INC 2521 E 15TH STREET CASPER WY 82609 MEDICAL SERVICES 3714275 168 60272 106636 231198 398106 NET PATIENT REVENUE 621110 296184452 296184452 JV INVESTMENT INCOME 621300 3225463 2584925 640538 NON-PATIENT NON-OPERATING 900099 1975663 1772605 203058 CAFETERIA SALES 722210 1256784 1273557 -16773 REFERENCE LAB REVENUE 621500 348786 348786 16163 16163 303007311 4698776 4698776 498903 506028 -7125 -7125 -7125 3249542 511696 960239 458710 2289303 52986 2342289 2342289 310439357 301831702 1175609 7033940 X 3830571 1962107 1868464 88684513 73371333 15313180 4140726 3356897 783829 13178949 10624860 2554089 7124848 5727095 1397753 749821 749821 69403 69403 37756051 30880917 6875134 709439 9151 700288 3696250 2128643 1567607 7761263 276407 7484856 7574609 5057953 2516656 561454 127518 433936 1795793 1795793 17751799 17751799 1815743 1760573 55170 UBI TAXES 134303 134303 DRUGS & MEDICAL SUPPLIE 44466337 44466337 BAD DEBT EXPENSE 39017476 39017476 MISCELLANEOUS 4365756 353025 4012731 7149837 6052712 1097125 292334941 244720596 47614345 0 45761101 26584743 26996 94099 47916719 51945913 1189203 449508 5113769 5120992 2757447 3419410 366653868 257582314 114999855 109071554 145582717 183375761 9065904 9540899 20763093 19820235 111020 347560 393287824 409770674 18131848 20970684 29167 29167 15150641 14450209 37245575 37126928 15128602 10939531 85685833 83516519 X 307533302 326122776 68689 131379 307601991 326254155 393287824 409770674 X 18104416 1766094 -1218346 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 54529 0 1 13657 68186 0 PART II-B, LINE 1: WYOMING MEDICAL CENTER SPENT $54,529 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $13,657 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION. 13356372 13356372 134667313 86010983 48656330 5181776 1108164 4073612 188688076 158564918 30123158 24760331 11898249 12862082 109071554 PENSION LIABILITY 3240687 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3798844 MALPRACTICE AND LITIGATION 3900000 10939531 X 264964895 4883252 4883252 260081643 50357714 50357714 310439357 256833994 4221685 4221685 252612309 39722632 39722632 292334941 PART X, LINE 2: THE HOSPITAL IS ORGANIZED AS A WYOMING NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). WHMG IS A SINGLE MEMBER LLC, WHOLLY OWNED BY THE HOSPITAL, AND IS THEREFORE TREATED FOR TAX PURPOSES UNDER THE HOSPITAL'S TAX EXEMPTION STATUS. WMC IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. THIS ENTITY 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 FINANCIAL STATEMENTS. THIS ENTITY 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATED INTERCOMPANY REVENUES 4,205,751. NET ASSETS RELEASED FROM RESTRICTIONS 53,182. LOSS ON DEBT REFINANCING 624,319. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 39,017,476. INVESTMENT INCOME 6,983,053. GAIN ON DISPOSAL OF FIXED ASSETS 52,986. GAINS ON INVESTMENTS IN SUBSIDIARIES AND JOINT VENTURES 3,259,885. CONTRIBUTIONS OF LONG-LIVED ASSETS 223,286. TEMPORARILY RESTRICTED CONTRIBUTIONS 115,872. EXPENSES INCLUDED IN OTHER INCOME 705,156. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATED INTERCOMPANY EXPENSES 4,221,685. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 39,017,476. EXPENSES INCLUDED IN OTHER INCOME, NET 705,156. 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 1 7310581 7310581 0.02890 18014049 11093554 6920495 0.02730 800061 245963 554098 0.00220 26124691 11339517 14785174 0.05840 466312 466312 0.00180 441888 30287 411601 0.00160 4667405 583174 4084231 0.01610 5575605 613461 4962144 0.01950 31700296 11952978 19747318 0.07790 706977 706977 0.00280 706977 706977 0.00280 1 39017476 0 81237812 79512297 1725515 X 1 1 1 OUTPATIENT RADIOLOGY LLC IMAGING SERVICES 0.50000 0.00000 0.50000 2 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC SURGICAL CENTER 0.50000 0.25000 0.25000 3 NORTH PLATTE PATHOLOGY LLC PATHOLOGY SERVICES 0.50000 0.00000 0.50000 1 1 WYOMING MEDICAL CENTER 1233 EAST 2ND STREET CASPER WY 82601 WWW.WYOMINGMEDICALCENTER.ORG 15315 X X X WYOMING MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X HTTPS://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-HEALTH X 1 18 1 HTTPS://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 275.000000000000 X X X 1 1 X X X X 1 X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X X X X X X 1 X 0 X X X X 1 X 0 0 WYOMING MEDICAL CENTER PART V, SECTION B, LINE 5: WYOMING MEDICAL CENTER WORKED VERY CLOSELY WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT FOR MORE THAN A YEAR ON GATHERING DATA TO PERFORM AN OVERALL HEALTH ASSESSMENT OF OUR COMMUNITY. THE COMMUNITY HEALTH STATUS REPORT REPRESENTS THAT WORK. WE USED A ROBUST METHODOLOGY FOR IDENTIFYING RELEVANT COMMUNITY HEALTH INDICATORS. THERE ARE A NUMBER OF RESOURCES THAT PROVIDE LISTS OF HEALTH INDICATORS RECOMMENDED FOR USE DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. WE CHOSE INDICATORS MOST COMMONLY USED FOR CHNAS, AND THEN CONTINUED TO DIG DEEPER INTO LOCAL DATA THAT WE HAD TO FURTHER CHARACTERIZE OUR COMMUNITY'S HEALTH. THE FULL DOCUMENT IS AVAILABLE ON OUR WEBSITE.OVER THE COURSE OF A YEAR, WE HELD THREE LARGER FORUMS WITH MANY KEY HEALTH STAKEHOLDERS IN THE COMMUNITY TO HELP US MOVE FORWARD WITH OUR IMPLEMENTATION STRATEGY. WE IDENTIFIED THE TOP 10 ISSUES IN OUR COUNTY BASED ON THE FINDINGS FROM THE CHNA AND PROVIDED A SURVEY TO KEY HEALTH STAKEHOLDERS ACROSS THE COUNTY. STAKEHOLDERS REPRESENTED VARIOUS ORGANIZATIONS INCLUDING LAW ENFORCEMENT, EDUCATORS, PHYSICIANS AND OTHER PROVIDERS, LOCAL HEALTH ADMINISTRATORS, AND MORE. ORGANIZATIONS INCLUDED, BUT ARE NOT LIMITED TO: CASPER AREA CHAMBER OF COMMERCE, WYOMING BUSINESS COALITION ON HEALTH, ELKHORN VALLEY REHABILITATION HOSPITAL, CITY OF CASPER, CASPER COLLEGE, PLATTE RIVER TRAILS, CENTRAL WYOMING HOSPICE, NATRONA COUNTY SCHOOL DISTRICT, SUMMIT MEDICAL CENTER, MOUNTAIN-PACIFIC QUALITY HEALTH, WYOMING HEALTH FAIRS, CASPER FAMILY YMCA, MERCER HOUSE, SENIOR PATIENT ADVOCATES, CASPER HOUSING AUTHORITY AND MORE. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 11: FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA CONDUCTED FOR THE YEAR ENDED JUNE 30, 2019:- HEALTHY EATING / ACTIVE LIFESTYLE- SAFE / AFFORDABLE HOUSING- SUBSTANCE ABUSE / OTHER USE- MENTAL HEALTH / SUICIDEFOUR GROUPS WERE IDENTIFIED IN THE FY2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND CONTINUE TO MEET SEVERAL TIMES PER YEAR TO ADDRESS ISSUES AND SOLUTIONS RELATED TO THE NEEDS IDENTIFIED. FY2019 WAS THE FIRST YEAR OF THE ASSESSMENT AND WAS A GOAL-SETTING YEAR. IN FY2019 WMC WORKED ON THE FOLLOWING:HEALTHY LIVING / ACTIVE LIFESTYLE: THE GROUP MET MONTHLY MOST OF THE YEAR AND MOVED MEETINGS TO QUARTERLY IN JUNE 2019. THE GOALS OF THE GROUP INCLUDE HOLDING AT LEAST 12 WALKS WITH A DOC PER YEAR, CREATING AN ONLINE RESOURCE TOOL, INCREASING ACCESS TO LOCAL CONSUMABLE PRODUCE BY FURTHER INSTITUTING SNAP, INSTITUTING SCHOOL GARDEN PROJECTS INCLUDING GREENHOUSES WITH GREENHOUSE MANAGERS, AND EXPLORING OPPORTUNITIES TO ADD AN ADDITIONAL COMMUNITY GREENHOUSE IN CASPER.SUBSTANCE ABUSE/OTHER USE: THE GROUP GOALS INCLUDE CREATING A MEDICATION DISPOSAL PROGRAM, CREATING AN INFORMATIONAL CAMPAIGN TO EDUCATE ON DISPOSAL AND COMMUNITY OPTIONS, INCREASING ACCESS TO OTHER COMMUNITY ENTITIES ENCOURAGING APPROPRIATE DISPOSAL, AND INSTITUTING MORE COMMUNITY ENTITIES PROVIDING DRUG DISPOSAL / DEACTIVTION BAGS WITH PRESCRIPTIONS. MENTAL HEALTH/SUICIDE: WYOMING MEDICAL CENTER AND THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT ARE TRIALING A PROGRAM WITH HOPES OF EXPANDING IT TO OTHER ORGANIZATIONS IN OUR COMMUNITY. GOALS ARE TO CREATE A PROTOCOL, MATERIALS AND INFRASTRUCTURE FOR A CARING LETTERS PROGRAM, IMPLEMENT THE PROGRAM AT WMC AND EXPAND TO OTHER ORGANIZATIONS AND PROVIDE ONLINE VERSION FOR RESOURCES AND INFORMATION. SAFE/AFFORDABLE HOUSING (EXPLORATORY GOAL): SINCE WYOMING MEDICAL CENTER AND THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT HAVE LITTLE DIRECT CONTROL OVER HOUSING, THEY HAVE COMMITTED TO SUPPORTING THE GOALS OF THE CASPER HOUSING AUTHORITY WHICH INCLUDE: CREATING LOW-INCOME HOUSING UNITS, CREATING WORKFORCE HOUSING UNITS AND CREATING AN ONLINE RESOURCE LIST. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 13H: FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS FACING CATASTROPHIC MEDICAL BILLS. 15 1 - CENTRAL WY OUTPATIENT SURGERY CENTER 1201 E 3RD STREET CASPER WY 82601 SURGICAL CENTER 2 - OUTPATIENT RADIOLOGY 419 S WASHINGTON STREET SUITE 100 CASPER WY 82601 IMAGING SERVICES 3 - WY HEALTH MED GROUP MULTISPECIALTY 1233 E 2ND STREET CASPER WY 82601 PHYSICIAN PRACTICE 4 - NORTH PLATTE PATHOLOGY 111 S JEFFERSON STREET CASPER WY 82601 PATHOLOGY SERVICES 5 - IMMEDIATE CARE 3632 AMERICAN WAY CASPER WY 82604 QUICK-CARE CLINIC 6 - SAGE PRIMARY CARE 1020 S CONWELL STREET CASPER WY 82601 PRIMARY CARE CLINIC 7 - THE SLEEP LAB 6550 E SECOND STREET CASPER WY 82609 SLEEP LAB 8 - MESA PRIMARY CARE 3632 AMERICAN WAY CASPER WY 82604 PRIMARY CARE CLINIC 9 - WY HEALTH MED GROUP MULTISPECIALTY 6600 E 2ND STREET CASPER WY 82609 PHYSICIAN PRACTICE 10 - WYOMING MEDICAL CENTER - EAST CAMPUS 6550 EAST 2ND STREET CASPER WY 82609 EAST HOSPITAL CAMPUS 11 - CASPER PULMONARY 419 S WASHINGTON STREET SUITE 102 CASPER WY 82601 PULMONARY SERVICES 12 - THE WOUND CARE CENTER 1201 E 3RD STREET CASPER WY 82601 WOUND CARE CENTER 13 - WEIGHT LOSS SURGERY 419 S WASHINGTON STREET SUITE 200 CASPER WY 82601 WEIGHT LOSS SURGERY 14 - WYOMING ENDOCRINE AND DIABETES 245 S FENWAY STREET CASPER WY 82601 ENDOCRINE & DIABETES CLINIC 15 - WYOMING PLASTIC SURGERY 1129 E SECOND STREET CASPER WY 82601 PLASTIC SURGERY PART I, LINE 3C: TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE MEDICAL CARE MUST BE EMERGENT OR MEDICALLY NECESSARY AND THE INDIVIDUAL'S HOUSEHOLD GROSS INCOME MUST BE BELOW 275 PERCENT OF THE FEDERAL POVERTY GUIDELINE THRESHOLDS. ELIGIBILITY FOR FINANCIAL ASSISTANCE SHALL BE EXTENDED TO A PERSON BASED ON HOUSEHOLD INCOME. PART I, LINE 7: EXPENSES REPORTED IN PART I, LINES 7A, 7B AND 7C ARE CALCULATED USING THE WORKSHEETS IN THE INSTRUCTIONS TO SCHEDULE H, INCLUDING UTILIZATION OF THE COST-TO-CHARGE RATIO. EXPENSES REPORTED IN PART I, LINES 7E, 7F AND 7G ARE BASED ON ACTUAL COSTS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE WYOMING BEHAVIORAL INSTITUTE AND ENDOCRINE & DIABETES SERVICES. SUBSIDIZED HEALTH SERVICES INCLUDE $851,928 OF EXPENSES ATTRIBUTABLE TO PHYSICIAN CLINICS. 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 $ 39,017,476. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY BY PROVIDING NEEDED SPECIALISTS AND PHYSICIANS AS WELL AS DETERMINING WHAT IS NEEDED BY THE RESIDENTS IN THE LOCAL COMMUNITY AND SURROUNDING AREA. WYOMING MEDICAL CENTER SPENT $706,977 IN RECRUITING PHYSICIANS FOR PEDIATRICS, OB/GYN, PRIMARY CARE, RADIOLOGY SERVICES, AND EMERGENCY CARE. PART III, LINE 2: SEE THE "PATIENT RECEIVABLES, NET" PARAGRAPHS IN NOTE 1 ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE EXPLANATION OF HOW WYOMING MEDICAL CENTER CALCULATES ITS BAD DEBT EXPENSE. PART III, LINE 3: WYOMING MEDICAL CENTER FOLLOWS HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THEREFORE, BAD DEBT DOES NOT INCLUDE AMOUNTS THAT SHOULD BE ATTRIBUTABLE TO CHARITY CARE. PART III, LINE 4: SEE THE "PATIENT RECEIVABLES, NET" PARAGRAPHS IN NOTE 1 ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE EXPLANATION OF WYOMING MEDICAL CENTER'S BAD DEBT EXPENSE. PART III, LINE 8: WYOMING MEDICAL CENTER USED THE MEDICARE OPERATING COST-TO-CHARGE RATIO TO CALCULATE THE COSTS RELATING TO MEDICARE REVENUE APPLIED AGAINST ACTUAL RECEIPTS. PART III, LINE 9B: COLLECTION PRACTICES ARE ONLY PURSUED IF THE PATIENT IS DETERMINED TO NOT QUALIFY FOR CHARITY CARE OR DOES NOT QUALIFY FOR ANOTHER PROGRAM. THIS INCLUDES NOTIFICATION TO THE PATIENT VIA 4 STATEMENT AND A LETTER NOTIFYING THEM OF EXTRAORDINARY COLLECTION ACTIVITIES 30 DAYS PRIOR TO ASSIGNMENT OF AN ACCOUNT TO COLLECTIONS. ONCE A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL COLLECTION PRACTICES ARE CEASED. PART VI, LINE 2: CONTINUOUS MONITORING OF PUBLIC AND OTHER INTERNAL DATA SOURCES SHOWS THE HOSPITAL WHICH HEALTH CONCERNS ARE OF THE GREATEST IMPACT TO OUR COMMUNITY. WYOMING MEDICAL CENTER USES PUBLIC DATA, INCLUDING THE HEALTHY PEOPLE 2020 STUDY FROM THE OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION, AS WELL AS DATA FROM REPORTING HOSPITALS OF THE WYOMING HOSPITAL ASSOCIATION. INTERNAL DATA FROM THE HOSPITAL AND ASSOCIATED CLINICS ALSO HELPS TO IDENTIFY AND FIND SOLUTIONS FOR MORE SPECIFIC NEEDS WITHIN THE COMMUNITY. WYOMING MEDICAL CENTER HAS ALSO PARTNERED WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT, WHICH GATHERS VARIOUS HEALTH-RELATED DATA FOR THE WHOLE STATE ON A COUNTY-BY-COUNTY BASIS. PART VI, LINE 3: WYOMING MEDICAL CENTER'S PLAIN LANGUAGE SUMMARY AND FULL POLICY ARE AVAILABLE ONLINE AND UPON REQUEST VIA EMAIL, MAIL OR IN-PERSON. WYOMING MEDICAL CENTER HAS FINANCIAL COUNSELORS THAT MEET WITH SELF-PAY INPATIENTS OR ANY PATIENT UPON REQUEST. PART VI, LINE 4: WYOMING MEDICAL CENTER HAS 249 BEDS ON TWO HOSPITAL CAMPUSES. WITH OVER 50 SPECIALTIES OFFERED, WYOMING MEDICAL CENTER OFFERS HUNDREDS OF STATEWIDE CLINICS EACH YEAR. A FULL SPECTRUM OF INTEGRATED HEALTHCARE SERVICES INCLUDES EMERGENCY CARE AND TRAUMA, INTENSIVE CARE, SURGICAL, CARDIAC SERVICES, OBSTETRIC AND PEDIATRIC AND ORTHOPEDIC CARE. WYOMING MEDICAL CENTER ALSO OPERATES SEVERAL OUTPATIENT CLINICS IN CASPER.IN ADDITION TO WYOMING MEDICAL CENTER, CASPER CURRENTLY HAS TWO SPECIALTY HOSPITALS, A REHABILITATION HOSPITAL AND A BEHAVIORAL HEALTH CENTER.ACCORDING TO JUNE 30, 2019 U.S. CENSUS DATA, NATRONA COUNTY IS HOME TO JUST OVER 79,000 RESIDENTS WITH 578,000 STATEWIDE. NATRONA COUNTY AND THE STATE OF WYOMING HAVE LOW POPULATION DENSITY, WITH 14.1 PERSONS PER SQUARE MILE AND 5.8 PERSONS PER SQUARE MILE, RESPECTIVELY. NATRONA COUNTY IS 93.9% WHITE, 1.3% BLACK, 1.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.8% ASIAN, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 2.3% OF PEOPLE REPORT TWO OR MORE RACES AND 8.6% ARE OF HISPANIC OR LATINO ORIGIN.ACCORDING TO CENSUS DATA, 9.9% OF PEOPLE IN NATRONA COUNTY ARE BELOW THE POVERTY LEVEL AND 11.1% ARE BELOW THE POVERTY LEVEL IN WYOMING. MEDIAN HOUSEHOLD INCOME IS $60,550 IN NATRONA COUNTY AND $62,268 IN WYOMING. PART VI, LINE 5: WYOMING MEDICAL CENTER IS A NOT-FOR PROFIT HOSPITAL WITH TWO CAMPUSES (CENTRAL AND EAST). THE HOSPITAL IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. THE FACILITY APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. OUR EMERGENCY DEPARTMENT IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. WYOMING MEDICAL CENTER SUBSIDIZED $12,850,178 IN HEALTHCARE SERVICES THROUGH ITS OPERATION OF WYOMING HEALTH MEDICAL GROUP, LLC. SERVICES OFFERED INCLUDE NEUROSURGICAL CARE, ORTHOPEDIC, INTERNAL MEDICINE AND FAMILY PRACTICE, PULMONOLOGY, NEPHROLOGY, PAIN, ENDOCRINOLOGY AND PLASTIC/RECONSTRUCTIVE SURGERY CARE. ALL SPECIALTIES TREAT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.WYOMING MEDICAL CENTER PROVIDES AIR TRANSPORTATION FOR PHYSICIANS TO DELIVER SERVICE TO CLINICS IN SEVERAL COMMUNITIES ACROSS WYOMING.WYOMING MEDICAL CENTER'S DIABETES EDUCATION IS A SELF-MANAGEMENT EDUCATION PROGRAM THAT INCLUDES A STAFF OF KNOWLEDGEABLE HEALTH PROFESSIONALS WHO PROVIDE PARTICIPANTS WITH COMPREHENSIVE INFORMATION ABOUT DIABETES MANAGEMENT. THE TEAM INCLUDES A MEDICAL DIRECTOR, DIRECTOR AND A HOST OF SPECIALLY TRAINED REGISTERED NURSES AND CERTIFIED DIABETES EDUCATORS.THE COMMUNITY DEVELOPMENT OFFICE MARKETS CLINICAL SERVICES THROUGHOUT THE AREA INCLUDING THE SECONDARY OUTREACH MARKETS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, FREE EDUCATIONAL SEMINARS BY PHYSICIANS AND OTHER HEALTH PROFESSIONALS. WYOMING MEDICAL CENTER ADVERTISES SCREENING EVENTS AND SUPPORT GROUPS ON ITS WEBSITE AND IN LOCAL NEWSPAPERS.WYOMING MEDICAL CENTER WORKS WITH THE WYOMING MEDICAL CENTER FOUNDATION'S MASTERSON PLACE TO PROVIDE SLEEPING ROOMS TO PATIENTS AND THEIR FAMILIES AT REDUCED RATES, OR FREE, WHEN BEING TREATED AT THE HOSPITAL. IN FISCAL YEAR 2018, THE FOUNDATION SOLD MASTERSON PLACE AND BEGAN CONSTRUCTION OF A NEW FACILITY IN CLOSE PROXIMITY TO THE HOSPITAL. THE PROJECT WAS COMPLETED IN JUNE 2019.WMC'S CEO WORKS IN THE COMMUNITY TO PROVIDE COMMUNITY BENEFIT RELATIONSHIPS. THERE IS ALSO ON-GOING WORK PROVIDED BY WMC PERSONNEL ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.WYOMING MEDICAL CENTER IS A TRAINING SITE FOR MANY SPECIALTIES. WE PROVIDE TRAINING FOR STUDENTS IN NURSING, PHLEBOTOMY, RESPIRATORY THERAPY, PARAMEDIC SERVICES, OCCUPATIONAL THERAPY ASSISTANTS, PHYSICAL THERAPIST, AND FAMILY PRACTICE RESIDENTS. WYOMING MEDICAL CENTER HAS BEEN INSTRUMENTAL IN IMPLEMENTING A TELEHEALTH STROKE PROGRAM FOR WYOMING. THIS ALLOWS CASPER PHYSICIANS TO VIEW AND TREAT PATIENTS FROM A REMOTE LOCATION GIVING THE PATIENT TIME SENSITIVE CARE. IN FISCAL YEAR 2018, WYOMING MEDICAL CENTER ENTERED INTO A CONTRACT WITH INTOUCH TO PROVIDE TELEHEALTH SERVICES IN HOSPITALS ACROSS THE STATE. DURING FISCAL YEAR 2019, NINE SITES HAVE SIGNED CONTRACTS WITH FOUR OF THESE SITES FULLY OPERATIONAL. THE REMAINING FIVE WILL BE IN OPERATION SOON.WYOMING MEDICAL CENTER PROVIDES WOMEN SERVICES TO WOMEN WHO ARE PREGNANT OR WANT TO BECOME PREGNANT. THIS INCLUDES PRENATAL AND POST DELIVERY EDUCATION AND SUPPORT TO MOTHERS. WE ALSO PROVIDE DIABETES EDUCATION AND WEIGHT MANAGEMENT PROGRAMS. DURING FY 2019 WYOMING MEDICAL CENTER HAD NEARLY 57,000 PATIENT DAYS AND NEARLY 35,000 EMERGENCY DEPARTMENT VISITS.WYOMING MEDICAL CENTER HOUSES THE SAFE KIDS AND SAFE COMMUNITIES PROGRAMS WITH THE HELP OF DONATIONS AND GRANTS FROM VARIOUS SOURCES. BOTH PROGRAMS FOCUS ON INJURY PREVENTION AND IN ADDITION TO THE OTHER COMMUNITY EDUCATION AND OUTREACH, OFFER MONTHLY CAR SEAT CHECKS AND PROVIDE CAR SEATS TO THOSE WHO CANNOT AFFORD THEM.THE HOSPITAL PROVIDES SERVICES FOR SEXUALLY ASSAULTED VICTIMS THROUGH THE SANE PROGRAM IN THE EMERGENCY DEPARTMENT. THE HOSPITAL PROVIDES A VARIETY OF HEALTH IMPROVEMENT OPTIONS FOR THE COMMUNITY AND ITS PATIENTS. FOR EXAMPLE, THE HOSPITAL PROVIDES EDUCATION FOR WEIGHT LOSS, DIABETES, STROKE, MENTAL HEALTH, FIRST AID, AND SMOKING CESSATION. THE COMMUNITY BUILDING ACTIVITIES PROMOTE HEALTH OF THE COMMUNITY BY PROVIDING NEEDED SPECIALISTS AND PHYSICIANS AS WELL AS DETERMINING WHAT IS NEEDED BY THE RESIDENTS IN THE LOCAL COMMUNITY AND SURROUNDING AREA. WYOMING MEDICAL CENTER RELEASED ITS REGULAR QUARTERLY PUBLICATION, THE PULSE, TO 10,000 HOMES IN NATRONA AND FREMONT COUNTIES AND EVERY PROVIDER OFFICE IN THE STATE OF WYOMING. PART VI, LINE 7, REPORTS FILED WITH STATES WY X 1 1 X X X X 1 0 0 0 0 1 1 0 0 W LEE WARREN MD BOARD MEMBER & EMPLOYED PHYSICIAN 1873935 0 0 0 360 0 10800 0 29767 0 1914862 0 0 0 MICHELE CHULICK CEO 653442 0 207444 0 12704 0 26798 0 2994 0 903382 0 0 0 B YVONNE WIGINGTON SENIOR VP AND CFO 357052 0 84653 0 552 0 9891 0 33952 0 486100 0 0 0 JOHN GRAHAM INTERIM CAO 240048 0 0 0 0 0 0 0 0 0 240048 0 0 0 CLAYTON TURNER MD ORTHOPAEDICS - EMPLOYED PHYSICIAN 686120 0 0 0 913 0 10800 0 24816 0 722649 0 0 0 RICHARD STOWELL MD ORTHOPAEDICS - EMPLOYED PHYSICIAN 802469 0 0 0 240 0 10800 0 29767 0 843276 0 0 0 ROBERT NEFF MD NEPHROLOGY - EMPLOYED PHYSICIAN 510073 0 50587 0 360 0 10800 0 32055 0 603875 0 0 0 CASEY COTANT MD NEPHROLOGY - EMPLOYED PHYSICIAN 516589 0 24682 0 240 0 10800 0 32152 0 584463 0 0 0 CAROL SOLIE MD VP FOR QUALITY & MEDICAL SAFETY 379000 0 72153 0 1584 0 10800 0 34541 0 498078 0 0 0 CHAD PEW FORMER SENIOR VP & COO 185135 0 0 0 207470 0 7539 0 14883 0 415027 0 0 0 PART I, LINE 1A MICHELE CHULICK - CASPER COUNTRY CLUB - $3,550 THE CASPER COUNTRY CLUB DUES WERE INCLUDED IN MICHELE CHULICKS'S 2018 TAXABLE W-2 WAGES. PART I, LINE 4A CHAD PEW, FORMER SENIOR VP & COO, RECEIVED SEVERANCE PAYMENTS OF $207,276 DURING 2018. PART I, LINE 6 WYOMING MEDICAL CENTER, INC HAS AN INCENTIVE PLAN WITH FOUR (4) SECTIONS RELATED TO PEOPLE, QUALITY/SERVICE, GROWTH AND EFFICIENCY (FINANCIAL STEWARDSHIP), WHICH ARE WEIGHTED AT 25%, 25%, 20% AND 30%, RESPECTIVELY. HOWEVER, WITHIN EACH SECTION, THERE ARE VARIOUS CRITERIA THAT ARE ALSO WEIGHED FOR THE RESPECTIVE SECTION. RELATIVE TO THE FACTOR FOR EFFICIENCY, WHICH IS WEIGHTED AT 30%, THERE ARE TWO (2) FINANCIAL PERFORMANCE METRICS, ONE OF WHICH IS INDICATED AS OPERATING INCOME AND ITS SUB-WEIGHTING IS 15% (OF THE 30%). THE INCENTIVE PLAN IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD AND THEN BOARD ITSELF FOR EACH FISCAL YEAR. A NATRONA COUNTY WYOMING 836000113 638813CB9 2011-02-28 20039910 CONSTRUCTION OF NEW WEST TOWER 0 0 0 B NATRONA COUNTY WYOMING 836000113 638813CR4 2017-07-26 13504227 REFUND SERIES 2011 BONDS 0 0 0 A 18480000 20044228 1667185 4070049 257480 18119563 2014 0 0 1 1 B 140000 13504227 200286 13303941 2017 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 A 0 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NATRONA COUNTY, WYOMING DATE THE REBATE COMPUTATION WAS PERFORMED: 09/15/2015 WYOMING NEUROLOGIC ASSOCIATES DR. DAVID WHEELER, FORMER BOARD MEMBER, OWNS 50% 683979 PHYSICIAN AND ON-CALL SERVICES 0 MEDICAL PROPERTY HOLDING COMPANY LLC SUSAN MCMURRY, FORMER BOARD MEMBER, OWNS 63% 414388 RENT AND UTILITY COSTS 0 ROCKY MOUNTAIN INFECTIOUS DISEASES DR. MARK DOWELL, BOARD MEMBER, OWNS 51% 188690 INFECTIOUS DISEASE MEDICAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, SECRETARY OF THE BOARD AND THE CEO. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CARRYING OUT THE DIRECTIVES OF THE BOARD BETWEEN REGULAR BOARD MEETINGS AND IS EMPOWERED TO MAKE SUCH DECISIONS OR TAKE SUCH ACTIONS. ALL SUBSTANTIVE DECISIONS MADE OR ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD OF DIRECTORS IN THE CHAIR'S STANDING REPORT AT THE FOLLOWING REGULAR BOARD MEETING, AND ACCEPTANCE OF THE REPORT CONSTITUTES RATIFICATION BY THE BOARD OF DIRECTORS OF SUCH DECISIONS OR ACTIONS. FORM 990, PART VI, SECTION A, LINE 2 MICHELE CHULICK AND YVONNE WIGINGTON HAVE A BUSINESS RELATIONSHIP THROUGH THEIR LEADERSHIP POSITIONS AT WYMEDCO VENTURES, INC., A WHOLLY-OWNED FOR-PROFIT SUBSIDIARY OF WYOMING MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B BEFORE IT WAS FILED, THE FORM 990 WAS PRESENTED IN ITS ENTIRETY TO THE BOARD OF DIRECTORS. THE FULL FORM 990 WAS GIVEN TO EACH BOARD MEMBER AND THE CFO WENT THROUGH A DETAILED REVIEW WITH THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C WYOMING MEDICAL CENTER'S CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, INCLUDING MANAGERS, DIRECTORS, EXECUTIVES, AND THE BOARD OF DIRECTORS. ADDITIONALLY, THE BOARD OF DIRECTORS HOLDS TO ADDITIONAL CONFLICT OF INTEREST STATEMENTS BUILT INTO THE BOARD BYLAWS. EACH INDIVIDUAL GOVERNED BY THE POLICY ANNUALLY SIGNS A CONFLICT OF INTEREST STATEMENT. PERIODIC REVIEWS ARE CONDUCTED TO ENSURE THAT WMC OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. MEMBERS OF THE COMMITTEES WITH BOARD DELEGATED POWERS CONSIDER THE PROPOSED TRANSACTION OR ARRANGEMENT AFTER DISCLOSURE OF THE FINANCIAL INTEREST, ALL MATERIAL FACTS AND AFTER DISCUSSION WITH THE INTERESTED PERSON. THE INDIVIDUAL WITH THE CONFLICT LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE FINAL DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. A VOTING MEMBER OF THE BOARD OR ANY COMMITTEE WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM WMC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. PHYSICIAN BOARD MEMBERS ARE EXCLUDED FROM VOTING ON ANY COMPENSATION MATTERS INVOLVING OTHER PHYSICIANS. IF THEY ARE UNABLE TO DETERMINE IF A CONFLICT EXISTS, THEY SHALL CONTACT THE COMPLIANCE OFFICER FOR ASSISTANCE. FORM 990, PART VI, SECTION B, LINE 15 WYOMING MEDICAL CENTER'S EXECUTIVE COMPENSATION POLICY HAS THE PRIMARY OBJECTIVE OF PROVIDING A TOTAL COMPENSATION PROGRAM THAT RECOGNIZES INDIVIDUAL PERFORMANCE AND EXPERIENCE AND CURRENT MARKET VALUE OF THE POSITION BASED ON THE SKILLS, KNOWLEDGE AND BEHAVIORS REQUIRED OF A FULLY COMPETENT INCUMBENT. THE COMPENSATION OF THE PRESIDENT & CEO IS UNDER THE AUTHORITY OF THE COMPENSATION REVIEW COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION OF THE OTHER OFFICERS IS UNDER THE AUTHORITY OF THE PRESIDENT & CEO, WHO IS ACCOUNTABLE TO THE BOARD OF DIRECTORS. ANNUALLY, THE EMPLOYEE SERVICES DEPARTMENT COMPLETES A THOROUGH MARKET ANALYSIS FOR ALL EXECUTIVE POSITIONS. THIS MARKET REVIEW CONSIDERS EQUIVALENT POSITIONS IN THE INDUSTRY AND COMPARABLE ORGANIZATIONS AT THE LOCAL, REGIONAL AND NATIONAL LEVELS. THIS ANALYSIS IS PROVIDED TO THE COMPENSATION REVIEW COMMITTEE. THIS PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE COMPENSATION REVIEW PROCESS WAS LAST CONDUCTED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 WYOMING MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE ATTACHED TO THE PUBLIC DISCLOSURE COPY OF THE FORM 990. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 30,880,917. MANAGEMENT AND GENERAL EXPENSES 6,875,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,756,051. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY & POST-RETIREMENT BENEFITS -1,218,346. WYOMING HEALTH MEDICAL GROUP LLC 1233 E 2ND ST CASPER WY 82601 800307419 MEDICAL SERVICES WY 18949231 5505482 WYOMING MEDICAL CENTER WYOMING MEDICAL CENTER FOUNDATION 1233 E 2ND ST CASPER WY 82601 830230808 CHARITY ACTIVITIES WY 501(C)(3) LINE 12A, I WYOMING MEDICAL CENTER 1 WYMEDCO CARE INC 1233 E 2ND ST CASPER WY 82601 830279267 SUPPORT IN THE NONPROFIT MISSION OF WMC WY 501(C)(3) LINE 12A, I WYOMING MEDICAL CENTER 1 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC 1201 E 3RD ST CASPER WY 82601 830331130 MEDICAL SERVICES WY WYOMING MEDICAL CENTER RELATED 1246326 1519157 0 1 0.50000 NORTH PLATTE PATHOLOGY LLC 111 S JEFFERSON ST CASPER WY 82601 453676843 MEDICAL SERVICES WY WYOMING MEDICAL CENTER RELATED -12884 144407 0 1 0.50000 WYMEDCO VENTURES INC 1233 E 2ND ST CASPER WY 82601 830281137 MEDICAL SERVICES WY WYOMING MEDICAL CENTER C 998723 4763181 1.00000 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 WYOMING MEDICAL CENTER FOUNDATION C 60272 ACTUAL RECEIPTS CENTRAL WYOMING OUTPATIENT SURGERY LLC J 350000 ACTUAL RECEIPTS CENTRAL WYOMING OUTPATIENT SURGERY LLC S 131921 ACTUAL RECEIPTS