WYOMING MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WYOMING MEDICAL CENTER INC (EIN 83-0279242)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-04-30
- IRS object ID
- 201941209349300509
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-30T08:08:53-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830279242 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WYOM | BusinessNameControlTxt |
| Phone | 3075772211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | B YVONNE WIGINGTON | PersonNm |
| Person Title | SENIOR VP AND CFO | PersonTitleTxt |
| Phone | 3075772211 | PhoneNum |
| Signature | 2019-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRYN MCGARVEY | PreparerPersonNm |
| PTIN | P00958683 | PTIN |
| Phone | 6123764500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-19 | IPDt |
| IP Tm | 08:56:43 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 487AB1A67A5D20F4613B23BD8ED7DDEFEAED86AA | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 809E54FA8C64BBE3CBB7CEA9C7808FE856DB1227 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELE CHULICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $270,348,590 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WYOMINGMEDICALCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | WY | LegalDomicileStateCd |
| Activity Or Mission | ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1361 | TotalEmployeeCnt |
| Total Volunteers | 108 | TotalVolunteersCnt |
| Total Gross UBI | $1,251,776 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $223,304 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,423,448 | PYContributionsGrantsAmt |
| CY Contributions Grants | $606,585 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $251,101,770 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $265,711,667 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,564,816 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,645,237 | CYInvestmentIncomeAmt |
| PY Other Revenue | $192,472 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,302,981 | CYOtherRevenueAmt |
| PY Total Revenue | $256,282,506 | PYTotalRevenueAmt |
| CY Total Revenue | $268,660,508 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $100,828,006 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $104,713,012 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $133,559,561 | PYOtherExpensesAmt |
| CY Other Expenses | $145,196,290 | CYOtherExpensesAmt |
| PY Total Expenses | $234,387,567 | PYTotalExpensesAmt |
| CY Total Expenses | $249,909,302 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,894,939 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,751,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $337,145,146 | TotalAssetsBOYAmt |
| Total Assets EOY | $393,287,824 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,537,236 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $85,685,833 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $282,607,910 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $307,601,991 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $211,643,538 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $265,711,667 | RevenueAmt |
| Desc | 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 LEVEL II 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 2018, INCLUDING A HEALTH FAIR SPANNING A 150-MILE RADIUS. IT ALSO 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. WYOMING MEDICAL CENTER PROVIDED $7,925,000 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. | Desc |
| Total Program Service Expenses | $211,643,538 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 247 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1361 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | B YVONNE WIGINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3075772211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MASTERSON | ||||||||||
| CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EDITH SELBY | ||||||||||
| VICE CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JESSICA ODEN | ||||||||||
| SECRETARY | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TOM CRULL | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK DOWELL MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY MACGUIRE MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTOPHER MUIRHEAD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOM SCARLETT | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| W LEE WARREN MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KELLY WEIDENBACH | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BETH WORTHEN | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHELE CHULICK | ||||||||||
| CEO | 55.00 | 2.00 | Yes (X) | $300,479 | $0 | $1,366 | ||||
| B YVONNE WIGINGTON | ||||||||||
| SENIOR VP AND CFO | 55.00 | 0.00 | Yes (X) | $434,166 | $0 | $44,752 | ||||
| CHAD PEW | ||||||||||
| SENIOR VP & COO (THROUGH MARCH 2018) | 55.00 | 0.00 | Yes (X) | $419,382 | $0 | $40,567 | ||||
| DAVID GARDNER | ||||||||||
| SENIOR VP, PATIENT CARE & CNO | 55.00 | 0.00 | $194,128 | $0 | $19,269 | Yes (X) | ||||
| WAYNE WARREN MD | ||||||||||
| NEUROSURGERY | 45.00 | 0.00 | $1,665,690 | $0 | $40,567 | Yes (X) | ||||
| JAMES SHAFFER MD | ||||||||||
| ORTHOPAEDICS | 45.00 | 0.00 | $780,312 | $0 | $14,388 | Yes (X) | ||||
| RICHARD STOWELL MD | ||||||||||
| ORTHOPAEDICS | 45.00 | 0.00 | $805,173 | $0 | $40,567 | Yes (X) | ||||
| CLAYTON TURNER MD | ||||||||||
| ORTHOPAEDICS | 45.00 | 0.00 | $937,225 | $0 | $40,567 | Yes (X) | ||||
| ROBERT NEFF MD | ||||||||||
| NEPHROLOGY | 45.00 | 0.00 | $514,972 | $0 | $42,952 | Yes (X) | ||||
| VICKIE DIAMOND | ||||||||||
| FORMER CEO | 55.00 | 2.00 | $794,139 | $0 | $44,917 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,845,666 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $329,912 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDLINE INDUSTRIES INC | |||||
| DEPT 1080 PO BOX 121080 | DALLAS | TX | 753211080 | CONTRACT SERVICES | $6,319,583 |
| ABM HEALTHCARE SUPPORT SERVICES INC | |||||
| PO BOX 419860 | BOSTON | MA | 022419860 | CONTRACT SERVICES | $5,761,958 |
| BOSTON SCIENTIFIC CORPORATION & SUBSIDIA | |||||
| PO BOX 951653 | DALLAS | TX | 75395 | MEDICAL SERVICES | $3,948,192 |
| UHS OF WYOMING INC | |||||
| 2521 E 15TH ST | CASPER | WY | 82609 | MEDICAL SERVICES | $3,263,416 |
| CERNER HEALTHCARE SOLUTIONS INC | |||||
| PO BOX 959156 | ST LOUIS | MO | 631959156 | IT CONTRACT SERVICES | $3,005,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 146 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $115,284 | RelatedOrganizationsAmt |
| Government Grants | $360,581 | GovernmentGrantsAmt |
| All Other Contributions | $130,720 | AllOtherContributionsAmt |
| Total Contributions | $606,585 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $256,720,119 | $256,720,119 | |
| JV INVESTMENT INCOME | 621300 | $5,001,051 | $4,464,346 | $536,705 |
| NON-PATIENT NON-OPERATING | 900099 | $2,231,489 | $2,034,778 | $196,711 |
| CAFETERIA SALES | 722210 | $1,250,167 | $1,132,351 | $117,816 |
| REFERENCE LAB REVENUE | 621500 | $402,043 | $1,499 | $400,544 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,798 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $106,798 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $265,711,667 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,754,339 | TotalRevenueColumnAmt |
| Exclusion | $3,754,339 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $497,357 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $496,465 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $892 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $892 | TotalRevenueColumnAmt |
| Exclusion | $892 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,801,130 | SecuritiesAmt |
| Other | $281,385 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $920,687 | SecuritiesAmt |
| Other | $270,930 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $880,443 | SecuritiesAmt |
| Other | $10,455 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $890,898 | TotalRevenueColumnAmt |
| Exclusion | $890,898 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LOSS ON DEBT RETIREMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$2,303,873 | TotalRevenueColumnAmt |
| Exclusion | -$2,303,873 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$2,303,873 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $268,660,508 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $264,459,891 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,251,776 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,342,256 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,404,014 | TotalAmt |
| Management And General | $2,404,014 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,022,052 | TotalAmt |
| Program Services | $64,802,518 | ProgramServicesAmt |
| Management And General | $12,219,534 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,281,728 | TotalAmt |
| Program Services | $4,321,240 | ProgramServicesAmt |
| Management And General | $960,488 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,971,577 | TotalAmt |
| Program Services | $11,402,490 | ProgramServicesAmt |
| Management And General | $2,569,087 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,033,641 | TotalAmt |
| Program Services | $4,936,417 | ProgramServicesAmt |
| Management And General | $1,097,224 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,621 | TotalAmt |
| Management And General | $357,621 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,403 | TotalAmt |
| Management And General | $69,403 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,373,982 | TotalAmt |
| Program Services | $27,332,671 | ProgramServicesAmt |
| Management And General | $6,041,311 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $835,104 | TotalAmt |
| Program Services | $115,659 | ProgramServicesAmt |
| Management And General | $719,445 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,130,620 | TotalAmt |
| Program Services | $1,782,292 | ProgramServicesAmt |
| Management And General | $1,348,328 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,270,773 | TotalAmt |
| Program Services | $228,768 | ProgramServicesAmt |
| Management And General | $6,042,005 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,064,094 | TotalAmt |
| Program Services | $2,477,194 | ProgramServicesAmt |
| Management And General | $586,900 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,603 | TotalAmt |
| Program Services | $162,290 | ProgramServicesAmt |
| Management And General | $156,313 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,952 | TotalAmt |
| Program Services | $683,952 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,984,071 | TotalAmt |
| Program Services | $14,898,330 | ProgramServicesAmt |
| Management And General | $85,741 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,038,104 | TotalAmt |
| Program Services | $2,038,104 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED INCOME TAXES | $58,712 | $58,712 | |
| DRUGS & MEDICAL SUPPLIE | $37,822,906 | $37,822,906 | |
| BAD DEBT EXPENSE | $32,202,537 | $32,202,537 | |
| MISCELLANEOUS | $3,593,149 | $3,067,514 | $525,635 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,392,659 | TotalAmt |
| Program Services | $5,910,535 | ProgramServicesAmt |
| Management And General | $482,124 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,909,302 | TotalAmt |
| Program Services | $211,643,538 | ProgramServicesAmt |
| Management And General | $38,265,764 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,045,921 | BOYAmt |
| EOY | $45,761,101 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,265 | BOYAmt |
| EOY | $26,996 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,018,570 | BOYAmt |
| EOY | $47,916,719 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,315,099 | BOYAmt |
| EOY | $1,189,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,255,880 | BOYAmt |
| EOY | $5,113,769 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,236,021 | BOYAmt |
| EOY | $2,757,447 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $358,414,172 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $243,414,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,553,908 | BOYAmt |
| EOY | $114,999,855 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,896,175 | BOYAmt |
| EOY | $145,582,717 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,358,306 | BOYAmt |
| EOY | $9,065,904 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $20,763,093 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,001 | BOYAmt |
| EOY | $111,020 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,145,146 | BOYAmt |
| EOY | $393,287,824 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,398,828 | BOYAmt |
| EOY | $18,131,848 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,167 | BOYAmt |
| EOY | $29,167 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,856,327 | BOYAmt |
| EOY | $15,150,641 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,766 | BOYAmt |
| EOY | $37,245,575 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,915,148 | BOYAmt |
| EOY | $15,128,602 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,537,236 | BOYAmt |
| EOY | $85,685,833 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,534,770 | BOYAmt |
| EOY | $307,533,302 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,140 | BOYAmt |
| EOY | $68,689 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,607,910 | BOYAmt |
| EOY | $307,601,991 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,145,146 | BOYAmt |
| EOY | $393,287,824 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,751,206 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,487,475 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,755,400 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $41,216 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,309 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $57,525 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | WYOMING MEDICAL CENTER SPENT $41,216 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $16,309 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,356,372 | OtherCostOrOtherBasisAmt |
| Book Value | $13,356,372 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $134,308,548 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,032,899 | DepreciationAmt |
| Book Value | $53,275,649 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,160,148 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,677 | DepreciationAmt |
| Book Value | $5,129,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,865,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $151,502,497 | DepreciationAmt |
| Book Value | $32,362,753 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,723,854 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,848,244 | DepreciationAmt |
| Book Value | $10,875,610 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $114,999,855 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $4,348,728 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $3,487,917 |
| MALPRACTICE AND LITIGATION | $6,000,000 |
| DUE TO RELATED PARTY | $1,291,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,128,602 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $230,034,004 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $6,131,455 | OtherRevenueAmt |
| Revenue Not Reported | $6,131,455 | RevenueNotReportedAmt |
| Revenue Subtotal | $223,902,549 | RevenueSubtotalAmt |
| Other Revenues Not Included | $44,757,959 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $44,757,959 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $268,660,508 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $216,670,793 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,626,326 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,626,326 | ExpensesNotReportedAmt |
| Expenses Subtotal | $215,044,467 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $34,864,835 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $34,864,835 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $249,909,302 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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. THIS ENTITY 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 1,626,326. LOSS ON DEBT REFINANCING 2,303,873. OTHER NET INCOME 2,126,785. NET ASSETS RELEASED FROM RESTRICTIONS 74,471. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 32,202,537. INVESTMENT INCOME 4,624,240. GAIN ON DISPOSAL OF FIXED ASSETS 10,455. GAINS ON INVESTMENTS IN SUBSIDIARIES AND JOINT VENTURES 5,047,420. CONTRIBUTIONS OF LONG-LIVED ASSETS 140,989. TEMPORARILY RESTRICTED CONTRIBUTIONS 70,020. EXPENSES INCLUDED IN OTHER INCOME 2,662,298. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATED INTERCOMPANY EXPENSES 1,626,326. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 32,202,537. EXPENSES INCLUDED IN OTHER INCOME, NET 2,662,298. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 275.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,823,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,823,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,596,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,920,379 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,676,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $762,190 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $201,393 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $560,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,182,002 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,121,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,060,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $465,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $465,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $428,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,775 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $385,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,389,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $649,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,740,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01720 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,284,324 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $692,187 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,592,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,466,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,813,959 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,652,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $849,011 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $849,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $849,011 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $849,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,202,537 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $67,686,891 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,145,386 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,458,495 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 OUTPATIENT RADIOLOGY LLC | |||
| IMAGING SERVICES | 0.50000 | 0.00000 | 0.50000 |
| 2 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC | |||
| SURGICAL SERVICES | 0.50000 | 0.25000 | 0.25000 |
| 3 NORTH PLATTE PATHOLOGY LLC | |||
| PATHOLOGY SERVICES | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST 2ND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WYOMINGMEDICALCENTER.ORG | WebsiteAddressTxt |
| State License | 15276 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WYOMINGMEDICALCENTER.ORG/PAYBILL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WYOMINGMEDICALCENTER.ORG/PAYBILL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WYOMINGMEDICALCENTER.ORG/PAYBILL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WYOMING MEDICAL CENTER | PART V, SECTION B, LINE 5: THE HOSPITAL INVITED DIRECTORS AND MANAGERS OF ORGANIZATIONS ACROSS THE COUNTY TO BE INVOLVED IN A SURVEY THAT WAS EVALUATED BY POPULATION HEALTH EXPERT DR. JAY WANT. PARTICIPANTS WERE THEN ASKED TO ATTEND A MEETING WITH DR. WANT IN ATTENDANCE, AND THREE GROUPS WERE FORMED BASED ON THE EVALUATION OF THE SURVEY DATA. PARTICIPANTS INCLUDED MANAGERS AND DIRECTORS OF THE FOLLOWING ORGANIZATIONS, IN ADDITION TO WYOMING MEDICAL CENTER: SENIOR PATIENT ADVOCATES, CASPER-NATRONA COUNTY HEALTH DEPARTMENT, WYOMING BEHAVIORAL INSTITUTE, WYOMING BUSINESS COALITION ON HEALTH, UNIVERSITY OF WYOMING FAMILY MEDICINE RESIDENCY PROGRAM, ELKHORN VALLEY REHABILITATION HOSPITAL, CASPER COLLEGE, MERCER FAMILY RESOURCE CENTER, BLUE ENVELOPE HEALTH FUND, CITY OF CASPER, WYOMING HEALTH FAIRS, WINHEALTH PARTNERS, CENTRAL WYOMING HOSPICE AND TRANSITIONS, PREVENTION MANAGEMENT ORGANIZATION - NATRONA COUNTY, NATRONA COUNTY SCHOOL DISTRICT, AND CENTRAL WYOMING COMMUNITY HEALTH CENTER. |
| WYOMING MEDICAL CENTER | PART V, SECTION B, LINE 11: THREE GROUPS WERE IDENTIFIED IN THE FY2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND CONTINUE TO MEET SEVERAL TIMES PER YEAR TO ADDRESS ISSUES AND SOLUTIONS RELATED TO THE NEEDS IDENTIFIED. IN APPROACHING THE IMPLEMENTATION STRATEGY, IT WAS DECIDED TO BREAK THE ACTION TEAMS INTO FOUR GROUPS TO ADDRESS OBESITY, INFRASTRUCTURE BETWEEN MENTAL HEALTH AND PRIMARY CARE, COORDINATION OF CARE, AND HEALTH SYSTEM COST. WMC AND THE CASPER NATRONA COUNTY HEALTH DEPARTMENT ARE UNDERGOING A PROCESS TO IDENTIFY NEW HEALTH NEEDS THEN UPDATE THE CHNA IN FY 2019.IN FY2018 WMC HAS WORKED ON THE FOLLOWING:HEALTH ISSUE 1: UNHEALTHY BEHAVIORS ASSOCIATED WITH OBESITY AND SUICIDALITY.OBESITY - IN 2017 WMC HAS WORKED IN COLLABORATION WITH THE OUTSIDE ORGANIZATIONS TO ADDRESS THE OBESITY EPIDEMIC. THROUGH QUALITATIVE RESEARCH, THE ACTION TEAM WAS ABLE TO EXPLORE PROGRAMS THAT COULD BE ADOPTED BY LOCAL HEALTH CLUBS AND HEALTH AGENCIES. ONE PROGRAM IMPLEMENTED WAS A COMMUNITY HEALTH MEMBERSHIP THROUGH THE WMC WELLNESS CENTER. OBESITY AND BEHAVIORAL CHANGE IS BEING ADDRESSED BY PARTICIPATION IN A LIFESTYLE MEDICINE PROGRAMS. THIS MEMBERSHIPS WORKS IN CONJUNCTION WITH PRIMARY CARE PRACTICES AND OTHER PHYSICIAN CLINICS VIA REFERRAL PROCESS AND IS OPEN TO ANY INTERESTED COMMUNITY MEMBER. IN FY18, THE WELLNESS CENTER ADDED 70 COMMUNITY MEMBERS AND 123 WYOMING MEDICAL CENTER EMPLOYEES TO ITS PROGRAM. TWO WMC EMPLOYEES ALSO TOOK PART OF A TRAIN THE TRAINER PROGRAM CALLED HEALTHY U OFFERED BY THE UNIVERSITY OF WYOMING. THIS IS AN EVIDENCE BASED CHRONIC DISEASE MANAGEMENT PROGRAM THAT ORIGINATED THROUGH STANFORD UNIVERSITY. IN FY18, WMC OFFERED FOUR CLASSES TO 15 PARTICIPANTS. SUICIDALITY - WMC TEAMED UP WITH THE STATE OF WYOMING PREVENTION MANAGEMENT ORGANIZATION TO LEARN HOW TO FACILITATE QUESTION, PERSUADE, AND REFER (QPR) AND MENTAL HEALTH FIRST AID TRAINING. WMC TRAINED 5 EMPLOYEES TO TEACH QPR. QPR IS BASIC TRAINING ANY INDIVIDUAL CAN TAKE TO HELP REDUCE SUICIDAL BEHAVIORS AND SAVE LIVES BY PROVIDING INNOVATIVE, PRACTICAL AND PROVEN SUICIDE TECHNIQUES/INTERVENTIONS. QPR IS ALSO PROVIDED TO ALL NEW EMPLOYEES DURING ON-BOARDING. IN ADDITION TO NEW EMPLOYEES, WMC STAFF PROVIDED TRAINING TO 75 COMMUNITY MEMBERS. WMC ALSO TRAINED 2 EMPLOYEES TO TEACH MENTAL HEALTH FIRST AID. WMC PROVIDED THE TRAINING TO 11 PROVIDERS IN PREVIOUS YEARS, AND IN FY18, OFFERED SIX CLASSES WITH 56 PARTICIPANTS. THE FOLLOWING PROCESSES WERE DEVELOPED AND IMPLEMENTED REGARDING SUICIDE IN FY18 AS PART OF OUR ZERO SUICIDE COMMITTEE. A NEW SUICIDE ASSESSMENT, PRECAUTIONS AND CARE CHECKLIST FORM WAS CREATED AND IMPLEMENTED. ED-SAFE SCREENING TOOL VOTED ON FOR ALL ADULT PATIENTS AND ASQ PEDIATRIC SUICIDE SCREENER VOTED ON FOR ALL UNDER THE AGE OF 18. BOTH SCREENING TOOLS WERE ENTERED INTO CERNER FOR EASE OF SCREENING ON ADMIT TO WMC, EVERY PATIENT EVERY TIME SCREENING TOOL. SAFE CARE FOR SUICIDE PATIENTS TRAINING WAS DEVELOPED AND ALL SITTERS AND 1:1 STAFF ATTENDED THIS TRAINING. A MECHANISM WAS PUT IN PLACE TO ALERT ALL STAFF PROVIDING PATIENT CARE OF SUICIDE RISK. CASE MANAGEMENT HAS IMPLEMENTED AN ENHANCED RISK SCREENING TOOL THE COLUMBIA SUICIDE SEVERITY RATING SCALE. THEY HAVE ALSO IMPLEMENTED THE STANLEY BROWN TOOL FOR HELPING THE PATIENT DEVELOP A SAFETY PLAN. CASE MANAGEMENT HAS CONTINUED TO ENHANCE OUR PROCESSES WITH CWCC AND WBI. WHMG HAS STARTED IMPLEMENTING THE ZS INITIATIVE AND SCREENING TOOLS AS WELL. WORKFORCE SURVEY SENT OUT TO ALL EMPLOYEES IN APRIL 2018 APPROXIMATELY 600 EMPLOYEES RESPONDED. HEALTH ISSUE 2: LACK OF NEEDED INFRASTRUCTURE RELATED TO MENTAL HEALTH AND PRIMARY CARE.WMC CONTINUES TO WORK WITH CENTRAL WYOMING COUNSELING CENTER AND WYOMING BEHAVIORAL INSTITUTE TO IMPLEMENT A PROGRAM TO PROVIDE BEHAVIORAL HEALTH SERVICES AT WMC TWO PRIMARY CARE CLINICS.IN FY18, WYOMING MEDICAL CENTER ENTERED INTO A CONTRACT WITH A VENDOR TO PROVIDE TELEMEDICINE SERVICES ACROSS THE STATE. AT LEAST FIVE ROBOTS WILL BE LAUNCHED AT SITES ACROSS WYOMING IN FY19 TO PROVIDE STROKE CARE INITIALLY, BUT THE EQUIPMENT WILL EVENTUALLY ALLOW ACCESS FOR PROVIDERS ACROSS A VARIETY OF SPECIALTIES TO OFFER THEIR SERVICES IN RURAL AREAS OF WYOMING. WMC ALSO CONTINUES TO OPERATE A TELEMEDICINE PROGRAM THROUGH THE UNIVERSITY OF WASHINGTON TO PROVIDE A MORE CONCENTRATED BEHAVIOR HEALTH SERVICE FOR ALL PATIENTS.GROUP 3: HEALTH CARE SYSTEM COSTS AND LACK OF COORDINATION OF CARE.WMC CONTINUES TO COORDINATE WITH VARIOUS CARE PROVIDERS ACROSS THE CONTINUUM OF CARE TO ADDRESS COST AND COORDINATION OF CARE. THIS INCLUDES THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, ELKHORN REHABILITATION HOSPITAL, CENTRAL WYOMING COUNSELING CENTER, WYOMING BEHAVIORAL INSTITUTE AND OTHERS. WMC ALSO OFFERS A FINANCIAL ASSISTANCE PROGRAM. |
| WYOMING MEDICAL CENTER | PART V, SECTION B, LINE 13H: FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS FACING CATASTROPHIC MEDICAL BILLS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 MEDICAL 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 | 82601 | QUICK-CARE CLINIC |
| 6 - SAGE PRIMARY CARE | ||||
| 1020 S CONWELL | CASPER | WY | 82601 | PRIMARY CARE CLINIC |
| 7 - THE SLEEP LAB | ||||
| 245 S FENWAY | CASPER | WY | 82601 | SLEEP LAB |
| 8 - MESA PRIMARY CARE | ||||
| 3632 AMERICAN WAY | CASPER | WY | 82601 | PRIMARY CARE CLINIC |
| 9 - WY HEALTH MEDICAL 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 |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $852,725 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 $ 32,202,537. |
| 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 $849,011 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.THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES FOR THESE PATIENTS IN OUR COMMUNITY AND, THEREFORE, IS A DIRECT BENEFIT TO OUR POPULATION IN OUR COMMUNITY. |
| 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 A LETTER 10 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 UPON REQUEST. 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 235 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 2018 CENSUS DATA, NATRONA COUNTY IS HOME TO JUST OVER 79,000 RESIDENTS WITH 577,000 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 94.1% WHITE, 1.2% BLACK, 1.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.9% ASIAN, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 2.3% OF PEOPLE REPORT TWO OR MORE RACES AND 8.4% ARE OF HISPANIC OR LATINO ORIGIN.ACCORDING TO CENSUS DATA, 11.1% OF PEOPLE IN NATRONA COUNTY ARE BELOW THE POVERTY LEVEL AND 11.3% ARE BELOW THE POVERTY LEVEL IN WYOMING. MEDIAN HOUSEHOLD INCOME IS $59,400 IN NATRONA COUNTY AND $60,938 IN WYOMING. |
| PART VI, LINE 5: | WYOMING MEDICAL CENTER IS A NOT-FOR PROFIT HOSPITAL. 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 $9,476,624 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.IN FISCAL YEAR 2018, WYOMING MEDICAL CENTER ACQUIRED MOUNTAIN VIEW REGIONAL HOSPITAL AND NOW RUNS THE HOSPITAL AT ITS EAST CAMPUS. A MEDICAL OFFICE BUILDING ALSO HOUSES SEVERAL PRACTICES WITHIN WHMG AS WELL AS OTHER PRIVILEGED PROVIDERS.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 IS EXPECTED TO BE COMPLETED IN SUMMER 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 AND EXPECTS TO INSTALL ROBOTS IN FIVE REMOTE LOCATIONS IN WYOMING IN FISCAL YEAR 2019.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 2018 WYOMING MEDICAL CENTER HAD NEARLY 54,000 PATIENT DAYS AND NEARLY 33,000 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELE CHULICK | ||||||||||||||
| CEO | $260,827 | $0 | $0 | $0 | $39,652 | $0 | $0 | $0 | $1,366 | $0 | $301,845 | $0 | $0 | $0 |
| B YVONNE WIGINGTON | ||||||||||||||
| SENIOR VP AND CFO | $367,364 | $0 | $66,250 | $0 | $552 | $0 | $10,800 | $0 | $33,952 | $0 | $478,918 | $0 | $0 | $0 |
| CHAD PEW | ||||||||||||||
| SENIOR VP & COO (THROUGH MARCH 2018) | $353,772 | $0 | $65,250 | $0 | $360 | $0 | $10,800 | $0 | $29,767 | $0 | $459,949 | $0 | $0 | $0 |
| DAVID GARDNER | ||||||||||||||
| SENIOR VP, PATIENT CARE & CNO | $150,938 | $0 | $15,058 | $0 | $28,132 | $0 | $0 | $0 | $19,269 | $0 | $213,397 | $0 | $0 | $0 |
| WAYNE WARREN MD | ||||||||||||||
| NEUROSURGERY | $1,665,330 | $0 | $0 | $0 | $360 | $0 | $10,800 | $0 | $29,767 | $0 | $1,706,257 | $0 | $0 | $0 |
| JAMES SHAFFER MD | ||||||||||||||
| ORTHOPAEDICS | $780,210 | $0 | $0 | $0 | $102 | $0 | $0 | $0 | $14,388 | $0 | $794,700 | $0 | $0 | $0 |
| RICHARD STOWELL MD | ||||||||||||||
| ORTHOPAEDICS | $804,933 | $0 | $0 | $0 | $240 | $0 | $10,800 | $0 | $29,767 | $0 | $845,740 | $0 | $0 | $0 |
| CLAYTON TURNER MD | ||||||||||||||
| ORTHOPAEDICS | $816,351 | $0 | $119,842 | $0 | $1,032 | $0 | $10,800 | $0 | $29,767 | $0 | $977,792 | $0 | $0 | $0 |
| ROBERT NEFF MD | ||||||||||||||
| NEPHROLOGY | $511,796 | $0 | $2,936 | $0 | $240 | $0 | $10,800 | $0 | $32,152 | $0 | $557,924 | $0 | $0 | $0 |
| VICKIE DIAMOND | ||||||||||||||
| FORMER CEO | $644,538 | $0 | $142,000 | $0 | $7,601 | $0 | $28,800 | $0 | $16,117 | $0 | $839,056 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | VICKIE DIAMOND - CASPER COUNTRY CLUB - $3,000 MICHELE CHULICK - CASPER COUNTRY CLUB - $942 THE CASPER COUNTRY CLUB DUES WERE INCLUDED IN VICKIE DIAMOND'S 2017 TAXABLE W-2 WAGES AND MICHELE CHULICKS'S 2017 TAXABLE W-2 WAGES. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NATRONA COUNTY WYOMING | ||||||||
| A | 836000113 | 638813CB9 | 2011-02-28 | $20,039,910 | CONSTRUCTION OF NEW WEST TOWER | 0 | 0 | 0 |
| NATRONA COUNTY WYOMING | ||||||||
| B | 836000113 | 638813CR4 | 2017-07-26 | $13,504,227 | REFUND SERIES 2011 BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $17,775,000 | $20,044,228 | $1,667,185 | $4,070,049 | $257,480 | $18,119,563 | 2014 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $140,000 | $13,504,227 | $200,286 | 2017 | 0 | Yes (1) | Yes (1) | Yes (1) | $13,303,941 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: NATRONA COUNTY, WYOMING DATE THE REBATE COMPUTATION WAS PERFORMED: 09/15/2015 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| WYOMING NEUROLOGIC ASSOCIATES | |||
| DR. DAVID WHEELER, FORMER BOARD MEMBER, OWNS 50% | $743,298 | PHYSICIAN AND ON-CALL SERVICES | 0 |
| 3RD STREET MEDICAL LLC | |||
| SUSAN MCMURRY, FORMER BOARD MEMBER, OWNS 50% | $182,523 | RENT | 0 |
| MEDICAL HOLDING PROPERTY COMPANY LLC | |||
| SUSAN MCMURRY, FORMER BOARD MEMBER, OWNS 50% | $512,794 | RENT AND UTILITY COSTS | 0 |
| ROCKY MOUNTAIN INFECTIOUS DISEASES | |||
| DR. MARK DOWELL, BOARD MEMBER, OWNS 51% | $201,078 | INFECTIOUS DISEASE MEDICAL SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 DIRECTORS, THE PRINCIPAL OFFICER AND ANY MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS. WMC OFFICERS, DIRECTORS, AND KEY EMPLOYEES WILL ALSO FOLLOW THE CORPORATE COMPLIANCE CONFLICT OF INTEREST POLICY. 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 PRECLUDED FROM VOTING ON ANY COMPENSATION MATTERS INVOLVING OTHER PHYSICIANS. |
| 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 2017. |
| 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 27,332,671. MANAGEMENT AND GENERAL EXPENSES 6,041,311. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,373,982. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MINIMUM PENSION LIABILITY & POST-RETIREMENT BENEFITS 2,755,400. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING HEALTH MEDICAL GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E 2ND ST | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800307419 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WY | LegalDomicileStateCd |
| Total Income | $17,337,411 | TotalIncomeAmt |
| End Of Year Assets | $4,304,038 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WYOMING MEDICAL CENTER FOUNDATION | ||||||||||
| 1233 E 2ND ST | CASPER | WY | 82601 | 830230808 | CHARITY ACTIVITIES | WY | 501(C)(3) | LINE 12A, I | WYOMING MEDICAL CENTER | Yes (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 | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC | |||||||||||||
| 1201 E 3RD ST | CASPER | WY | 82601 | 830331130 | MEDICAL SERVICES | WY | WYOMING MEDICAL CENTER | RELATED | $1,189,238 | $1,401,005 | 0 | Yes (1) | 0.50000 |
| NORTH PLATTE PATHOLOGY | |||||||||||||
| 111 S JEFFERSON ST | CASPER | WY | 82601 | 453676843 | MEDICAL SERVICES | WY | WYOMING MEDICAL CENTER | RELATED | $16,079 | $154,626 | 0 | Yes (1) | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYMEDCO VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E 2ND ST | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830281137 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $955,875 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,061,112 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WYOMING MEDICAL CENTER FOUNDATION | ||
| C | $115,284 | ACTUAL RECEIPTS |
| CENTRAL WYOMING OUTPATIENT SURGERY LLC | ||
| J | $350,000 | ACTUAL RECEIPTS |
| CENTRAL WYOMING OUTPATIENT SURGERY LLC | ||
| S | $108,590 | ACTUAL RECEIPTS |
Comments