2018-05-02T08:28:36-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2016-07-01 830279242 WYOMING MEDICAL CENTER INC WYOM 3075772211 1233 EAST SECOND STREET CASPER WY 82601 B YVONNE WIGINGTON SENIOR VP AND CFO 3075772211 2018-04-20 1 DARRYN MCGARVEY P00958683 6123764500 67.137.57.251 2018-04-20 09:35:24 PD P 2F1179B54E37BEB8C756DAD8E212D30E9ADE46CE 669019876132CF02A3CE857AA350DFB9D4DE5902 2016 2021-01-29 14:40:06Z VICKIE DIAMOND 1233 EAST SECOND STREET CASPER WY 82601 269017274 0 X HTTPS://WYOMINGMEDICALCENTER.ORG X 1986 WY ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES. 9 8 1412 132 1317820 364833 2103107 1423448 251572119 251101770 2792123 3564816 182389 192472 256649738 256282506 369000 0 0 0 105483566 100828006 0 0 0 139659651 133559561 245512217 234387567 11137521 21894939 304023989 337145146 56831447 54537236 247192542 282607910 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. 1 0 198686507 0 251101770 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 2017, 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 $8,510,000 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. 198686507 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 1 1 0 0 0 0 1 1 1 1 0 0 1 232 0 1412 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 1 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X B YVONNE WIGINGTON 3075772211 1233 EAST SECOND STREET CASPER WY 82601 JOHN MASTERSON CHAIR 5.00 0.00 X X 0 0 0 DAVID WHEELER MD VICE CHAIR (THROUGH SEPTEMBER 2016) 5.00 0.00 X X 0 0 0 EDITH SELBY BOARD MEMBER & VICE CHAIR 5.00 0.00 X X 0 0 0 BILL HUPPERT SECRETARY (THROUGH JULY 2016) 5.00 0.00 X X 0 0 0 TOM CRULL BOARD MEMBER & SECRETARY 5.00 0.00 X X 0 0 0 MARK DOWELL MD BOARD MEMBER 5.00 0.00 X 0 0 0 MARY MACGUIRE MD BOARD MEMBER 5.00 0.00 X 0 0 0 VH MCDONALD BOARD MEMBER (THROUGH JUNE 2017) 5.00 0.00 X 0 0 0 CHRISTOPHER MUIRHEAD BOARD MEMBER 5.00 0.00 X 0 0 0 JESSICA ODEN BOARD MEMBER 5.00 2.00 X 0 0 0 JOHN PICKRELL MD BOARD MEMBER (THROUGH JUNE 2017) 5.00 0.00 X 0 0 0 TOM SCARLETT BOARD MEMBER 5.00 0.00 X 0 0 0 BETH WORTHEN BOARD MEMBER 5.00 0.00 X 0 0 0 VICKIE DIAMOND CEO 55.00 2.00 X 631603 0 51823 B YVONNE WIGINGTON SENIOR VP AND CFO 55.00 0.00 X 354326 0 39913 CHAD PEW SENIOR VP & COO 55.00 0.00 X 319250 0 37745 JANET NIXON SENIOR VP & CNO (THROUGH DEC 2016) 55.00 0.00 X 229489 0 19934 WAYNE WARREN MD NEUROSURGERY 45.00 0.00 X 1257396 0 25009 JAMES SHAFFER MD ORTHOPAEDICS 45.00 0.00 X 789077 0 29313 RICHARD STOWELL MD ORTHOPAEDICS 45.00 0.00 X 675449 0 32405 CLAYTON TURNER MD ORTHOPAEDICS 45.00 0.00 X 600325 0 20700 ROBERT NEFF MD NEPHROLOGY 45.00 0.00 X 568119 0 39913 5425034 0 296755 112 0 1 0 ABM HEALTHCARE SUPPORT SERVICES INC PO BOX 419860 BOSTON MA 022419860 CONTRACT SERVICES 6251531 MEDLINE INDUSTRIES INC DEPT 1080 PO BOX 121080 DALLAS TX 753211080 CONTRACT SERVICES 6026317 CERNER HEALTHCARE SOLUTIONS INC PO BOX 959156 ST LOUIS MO 631959156 IT CONTRACT SERVICES 3440791 BOSTON SCIENTIFIC CORPORATION & SUBSIDIA PO BOX 951653 DALLAS TX 75395 MEDICAL SERVICES 3350238 UHS OF WYOMING INC 2521 E 15TH ST CASPER WY 82609 MEDICAL SERVICES 3181542 149 1060401 133478 229569 1423448 NET PATIENT REVENUE 621110 240136667 240136667 JV INVESTMENT INCOME 621300 4968004 4437625 530379 NON-PATIENT NON-OPERATING 900099 4062688 3887974 174714 CAFETERIA SALES 722210 1241866 1166559 75307 REFERENCE LAB REVENUE 621500 539400 1980 537420 153145 153145 251101770 1643099 1643099 701273 508801 192472 192472 192472 13500000 647684 12018747 207220 1481253 440464 1921717 1921717 256282506 249783950 1317820 3757288 X 1775029 1775029 72510776 61235457 11275319 4970075 4105000 865075 15796738 13176871 2619867 5775388 4770142 1005246 270120 270120 69403 69403 28673573 23921073 4752500 714899 55482 659417 2889824 1656963 1232861 6468467 278865 6189602 2732706 2209733 522973 340456 139425 201031 1030294 1030294 14973865 14973865 1887054 1887054 UNRELATED INCOME TAXES 99211 99211 DRUGS & MEDICAL SUPPLIE 35969206 35969350 -144 BAD DEBT EXPENSE 27133583 27133583 MISCELLANEOUS 3795361 412467 3382894 6511539 5730883 780656 234387567 198686507 35701060 0 80389778 50045921 39193 17265 40056736 46018570 1217910 1315099 4754114 4255880 4212229 4236021 343293663 231739755 120033456 111553908 42594586 107896175 9953066 11358306 188819 584102 448001 304023989 337145146 13952919 15398828 29167 29167 17679267 16856327 708067 337766 24462027 21915148 56831447 54537236 X 246361464 282534770 831078 73140 247192542 282607910 304023989 337145146 X 21894939 5448141 8072288 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 67051 0 1 31382 98433 0 PART II-B, LINE 1: WYOMING MEDICAL CENTER SPENT $67,051 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $31,382 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION. 13506845 13506845 133257285 75973747 57283538 14790 12701 2089 175243861 145935904 29307957 21270882 9817403 11453479 111553908 PENSION LIABILITY 10745046 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 3570102 MALPRACTICE AND LITIGATION 7600000 21915148 X 220509600 3706274 3706274 216803326 39479180 39479180 256282506 206191390 1607040 1607040 204584350 29803217 29803217 234387567 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 1,607,040. OTHER NET INCOME 1,341,296. TEMPORARILY RESTRICTED CONTRIBUTIONS 711,657. NET ASSETS RELEASED FROM RESTRICTIONS 46,281. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 27,133,583. INVESTMENT INCOME 3,101,219. GAIN ON DISPOSAL OF FIXED ASSETS 440,464. GAINS ON INVESTMENTS IN SUBSIDIARIES AND JOINT VENTURES 5,026,322. CONTRIBUTIONS OF LONG-LIVED ASSETS 1,107,958. EXPENSES INCLUDED IN OTHER INCOME 2,669,634. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATED INTERCOMPANY EXPENSES 1,607,040. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 27,133,583. EXPENSES INCLUDED IN OTHER INCOME, NET 2,669,634. 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 1 8381102 8381102 0.03580 16820764 11585099 5235665 0.02230 567151 193671 373480 0.00160 25769017 11778770 13990247 0.05970 366694 366694 0.00160 118640 36375 82265 0.00040 4132533 550536 3581997 0.01530 4617867 586911 4030956 0.01730 30386884 12365681 18021203 0.07700 945814 945814 0.00400 945814 945814 0.00400 1 27133583 0 60490830 63881902 -3391072 X 1 1 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 1 1 WYOMING MEDICAL CENTER 1233 EAST 2ND STREET CASPER WY 82601 WWW.WYOMINGMEDICALCENTER.ORG 15227 X X X WYOMING MEDICAL CENTER 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT X 1 15 1 HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT 0 1 X 200.000000000000 275.000000000000 X X X 1 1 X X X X 1 X HTTP://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTP://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTP://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: 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 2015 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. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 13H: FINANCIAL ASSISTANCE IS AVAILABLE TO INDIVIDUALS FACING CATASTROPHIC MEDICAL BILLS. 8 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 9 - MESA PRIMARY CARE 3632 AMERICAN WAY CASPER WY 82601 PRIMARY CARE CLINIC 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 200 PERCENT OF THE FEDERAL POVERTY GUIDELINE THRESHOLDS. EGIBILITY FOR FINANCIAL ASSISTANCE SHALL BE EXTENDED TO A PERSON BASED ON HOUSEOLD 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 $839,251 OF EXPENSES ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $27,133,583. 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 $945,814 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 PAGES 10-11 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 PAGES 10-11 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. 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 217 BEDS IN OVER 969,000 SQUARE FEET. 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 2010 CENSUS DATA, NATRONA COUNTY IS HOME TO JUST OVER 75,000 RESIDENTS WITH 568,000 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 92.8% WHITE, 0.9% BLACK, 1% AMERICAN INDIAN AND ALASKA NATIVE, 0.7% ASIAN, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 2.4% OF PEOPLE REPORT TWO OR MORE RACES AND 6.9% ARE OF HISPANIC OR LATINO ORIGIN.ACCORDING TO CENSUS DATA, 8.4% OF PEOPLE IN NATRONA COUNTY ARE BELOW THE POVERTY LEVEL AND 9.8% ARE BELOW THE POVERTY LEVEL IN WYOMING. MEDIAN HOUSEHOLD INCOME IS $50,936 IN NATRONA COUNTY AND $53,802 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 $9,244,315 IN HEALTHCARE SERVICES THROUGH ITS OPERATION OF WYOMING HEALTH MEDICAL GROUP, LLC. SERVICES OFFERED INCLUDE NEUROSURGICAL CARE, ORTHOPEDIC, INTERNAL MEDICINE AND FAMILY PRACTICE, PULMONOLOGY AND NEPHROLOGY. 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.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. 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 2017 WYOMING MEDICAL CENTER HAD NEARLY 51,000 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 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. WMC ALSO PROVIDES A PROPER DISPOSAL SERVICE OF UNWANTED AND UNUSABLE PHARMACEUTICALS IN ORDER TO KEEP THE COMMUNITY AND ENVIRONMENT SAFE.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 0 0 0 0 0 0 0 0 0 VICKIE DIAMOND CEO 614794 0 0 0 16809 0 28600 0 23223 0 683426 0 0 0 B YVONNE WIGINGTON SENIOR VP AND CFO 310702 0 43121 0 503 0 10600 0 29313 0 394239 0 0 0 CHAD PEW SENIOR VP & COO 318742 0 0 0 508 0 10600 0 27145 0 356995 0 0 0 JANET NIXON SENIOR VP & CNO (THROUGH DEC 2016) 228508 0 0 0 981 0 7934 0 12000 0 249423 0 0 0 WAYNE WARREN MD NEUROSURGERY 1256790 0 0 0 606 0 0 0 25009 0 1282405 0 0 0 JAMES SHAFFER MD ORTHOPAEDICS 788657 0 0 0 420 0 0 0 29313 0 818390 0 0 0 RICHARD STOWELL MD ORTHOPAEDICS 675071 0 0 0 378 0 5260 0 27145 0 707854 0 0 0 CLAYTON TURNER MD ORTHOPAEDICS 548702 0 50025 0 1598 0 0 0 20700 0 621025 0 0 0 ROBERT NEFF MD NEPHROLOGY 504237 0 63463 0 419 0 10600 0 29313 0 608032 0 0 0 PART I, LINE 1A VICKIE DIAMOND - CASPER COUNTRY CLUB - $4,275 THE CASPER COUNTRY CLUB DUES WERE INCLUDED IN VICKIE DIAMOND'S 2016 TAXABLE W-2 WAGES. A NATRONA COUNTY WYOMING 836000113 638813CB9 2011-02-28 20039910 CONSTRUCTION OF NEW WEST TOWER 0 0 0 A 2995000 20044228 1667185 4070049 257480 18119563 2014 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 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% 669121 PHYSICIAN AND ON-CALL SERVICES 0 3RD STREET MEDICAL LLC SUSAN MCMURRY, FORMER BOARD MEMBER, OWNS 50% 340958 RENT 0 MEDICAL HOLDING PROPERTY COMPANY LLC SUSAN MCMURRY, FORMER BOARD MEMBER, OWNS 50% 434940 RENT AND UTILITY COSTS 0 ROCKY MOUNTAIN INFECTIOUS DISEASES DR. MARK DOWELL, BOARD MEMBER, OWNS 51% 275290 INFECTIOUS DISEASE MEDICAL SERVICES 0 FORM 990, PART III, LINE 2 DURING FISCAL YEAR 2017, WYOMING MEDICAL CENTER FINISHED AND OPENED THE NERD HEALTH AND WELLNESS CENTER, HOUSED ON THE WMC CAMPUS. THE WELLNESS CENTER IS OPEN TO COMMUNITY MEMBERS AND EMPLOYEES WHO ARE READY TO TRANSFORM THEIR LIVES THROUGH WELLNESS. THE HEALTH COACHES AND OTHER STAFF MEMBERS HELP MEMBERS LOSE WEIGHT, LOWER CHOLESTEROL, REDUCE STRESS, STOP USING TOBACCO, AND MORE. THE PROGRAMS ARE DESIGNED TO HELP MEMBERS MEET HEALTH GOALS THROUGH CONSULTATIONS WITH CLINICAL STAFF. THE WELLNESS CENTER ALSO OFFERS MASSAGE THERAPY, ACUPUNCTURE, YOGA THERAPY, AND A FITNESS STUDIO. CARDIOPULMONARY REHABILITATION IS ALSO HOUSED IN THIS FACILITY. 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 VICKIE DIAMOND AND YVONNE WIGINGTON HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN JULY 2016, INCLUDING THE FOLLOWING SIGNIFICANT CHANGES. 1. THE PROCESS OF NOMINATING MEMBERS OF THE BOARD OF DIRECTORS WAS CHANGED. PREVIOUSLY, THREE BOARD MEMBERS WERE NOMINATED BY THE COUNTY COMMISSIONERS OF NATRONA COUNTY, THREE WERE NOMINATED BY WYOMING MEDICAL CENTER'S ACTIVE MEDICAL STAFF, AND FIVE WERE NOMINATED BY WYOMING MEDICAL CENTER'S BOARD OF DIRECTORS. NOW, THREE BOARD MEMBERS ARE NOMINATED FROM THE HOSPITAL'S ACTIVE MEDICAL STAFF BY WYOMING MEDICAL CENTER'S MEDICAL EXECUTIVE COMMITTEE AND EIGHT ARE NOMINATED BY A COMMITTEE CONSISTING OF THE CHAIR OF THE NATRONA COUNTY COMMISSIONERS AND THE CHAIR OF WYOMING MEDICAL CENTER'S BOARD OF DIRECTORS, WITH THE PRESIDENT/CEO OF WYOMING MEDICAL CENTER AS AN EX-OFFICIO MEMBER. 2. A QUORUM OF THE BOARD OF DIRECTORS WAS INCREASED FROM FIVE TO SIX BOARD MEMBERS. 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 2016. 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 23,921,073. MANAGEMENT AND GENERAL EXPENSES 4,752,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,673,573. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY & POST-RETIREMENT BENEFITS 8,072,288. WYOMING HEALTH MEDICAL GROUP LLC 1233 E 2ND ST CASPER WY 82601 800307419 MEDICAL SERVICES WY 15582231 4597431 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 1085901 1403350 0 1 0.50000 NORTH PLATTE PATHOLOGY 111 S JEFFERSON ST CASPER WY 82601 453676843 MEDICAL SERVICES WY WYOMING MEDICAL CENTER RELATED 19356 139897 0 1 0.50000 WYMEDCO VENTURES INC 1233 E 2ND ST CASPER WY 82601 830281137 MEDICAL SERVICES WY WYOMING MEDICAL CENTER C 804871 6598646 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 1060401 ACTUAL RECEIPTS CENTRAL WYOMING OUTPATIENT SURGERY LLC J 350000 ACTUAL RECEIPTS CENTRAL WYOMING OUTPATIENT SURGERY LLC S 108590 ACTUAL RECEIPTS