2017-04-28T08:45:08-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-07-01 830279242 WYOMING MEDICAL CENTER INC WYOM 3075772211 1233 EAST SECOND STREET CASPER WY 82601 B YVONNE WIGINGTON SENIOR VP AND CFO 3075772211 2017-04-21 1 DARRYN MCGARVEY P00958683 6123764500 2015 2021-01-29 14:40:06Z VICKIE DIAMOND 1233 EAST SECOND STREET CASPER WY 82601 302091211 0 X WWW.WYOMINGMEDICALCENTER.ORG X 1986 WY ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES. 11 10 1530 134 1360291 529109 1629375 2103107 236518210 252735111 4170906 2792123 325319 207425 242643810 257837766 0 369000 0 0 97235816 105483566 0 0 0 130561531 140847679 227797347 246700245 14846463 11137521 302194946 304023989 56522467 56831447 245672479 247192542 X WYOMING MEDICAL CENTER ("WMC") STRIVES TO ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES, PATIENT SAFETY AND EXPERIENCE AT REASONABLE COSTS. OUR HIGHLY SKILLED AND ENGAGED TEAM OF PHYSICIANS, STAFF AND VOLUNTEERS ENSURES PATIENTS ARE WELL CARED FOR WHILE AT WMC. 0 0 209927528 369000 252735111 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 AND BEYOND.WYOMING MEDICAL CENTER ATTENDED EVENTS IN EIGHT WYOMING COMMUNITIES IN FY 2016, INCLUDING A HEALTH FAIR SPANNING A 150-MILE RADIUS. IT ALSO RELEASED ITS REGULAR QUARTERLY PUBLICATION, FOR YOUR HEALTH, TO 10,000 HOMES IN NATRONA AND FREMONT COUNTIES AND EVERY PROVIDER OFFICE IN THE STATE OF WYOMING. WYOMING MEDICAL CENTER PROVIDED $9,821,000 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. 209927528 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 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 283 0 1 1530 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 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 5.00 0.00 X X 0 0 0 BILL HUPPERT SECRETARY 5.00 0.00 X X 0 0 0 TOM CRULL 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 5.00 0.00 X 0 0 0 CHRISTOPHER MUIRHEAD BOARD MEMBER 5.00 0.00 X 0 0 0 JOHN PICKRELL MD BOARD MEMBER 5.00 0.00 X 0 0 0 TOM SCARLETT BOARD MEMBER 5.00 0.00 X 0 0 0 EDITH SELBY 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 755238 0 55615 YVONNE WIGINGTON SENIOR VP AND CFO 55.00 0.00 X 348999 0 48005 CHAD PEW SENIOR VP & COO 55.00 0.00 X 332482 0 29657 JANET NIXON SENIOR VP & CNO 55.00 0.00 X 224384 0 21196 CASEY COTANT MD NEPHROLOGY 45.00 0.00 X 505680 0 41693 ROBERT NEFF MD NEPHROLOGY 45.00 0.00 X 568930 0 39913 RAFAEL PEREZ MD INTENSIVIST-PULMONARY 45.00 0.00 X 379723 0 42100 JAMES SHAFFER MD ORTHOPEADICS 45.00 0.00 X 759931 0 25905 TARA LEIGH TAYLOR MD INTENSIVIST-PULMONARY 45.00 0.00 X 399063 0 24168 JULIA CANN-TAYLOR FORMER KEY EMPLOYEE 55.00 0.00 X 149765 0 10584 4424195 0 338836 107 1 1 0 ABM HEALTHCARE SUPPORT SERVICES PO BOX 935695 ATLANTA GA 311935695 CONTRACT SERVICES 4901742 POPE CONSTRUCTION INC PO BOX 536 MILLS WY 82644 CONSTRUCTION 3681717 CERNER HEALTHCARE SOLUTIONS INC PO BOX 959156 ST LOUIS MO 631959156 IT CONTRACT SERVICES 3155037 UHS OF WYOMING INC 2521 E 15TH ST CASPER WY 82609 MEDICAL 3112526 SOUND PHYSICIANS OF WYOMING PO BOX 742936 LOS ANGELES CA 900742936 MEDICAL 2799623 157 1788758 110791 203558 2103107 NET PATIENT REVENUE 621110 239349013 239349013 NON-PATIENT NON-OPERATING 900099 6025320 5950046 75274 JV INVESTMENT INCOME 621300 5263754 4491076 772678 CAFETERIA SALES 722210 1253634 1156724 96910 OTHER OPERATING 900099 427961 427961 415429 415429 252735111 1816229 1816229 732162 524737 207425 207425 207425 44686590 18012 43214400 514308 1472190 -496296 975894 975894 257837766 251374820 1360291 2999548 X 369000 369000 1881058 1881058 75394457 62687449 12707008 7679367 6385084 1294283 14450241 12545132 1905109 6078443 5053980 1024463 458227 458227 84002 84002 31524743 26222140 5302603 824810 36970 787840 2711516 1646167 1065349 6443776 172790 6270986 2762488 2307568 454920 220044 77737 142307 1064054 1064054 15908555 15908555 1592402 1592402 UNRELATED INCOME TAXES 105822 105822 DRUGS & MEDICAL SUPPLIE 34971258 34971258 BAD DEBT EXPENSE 32769311 32769311 MISCELLANEOUS 2585201 315043 2270158 6821470 5802888 1018582 246700245 209927528 36772717 0 50727816 80389778 44075 39193 40574709 40056736 89169 0 1268347 1217910 5114276 4754114 3346275 4212229 339643439 219609983 129247820 120033456 62694141 42594586 8865575 9953066 201693 188819 21050 584102 302194946 304023989 17295225 13952919 52822 29167 18301263 17679267 955010 708067 19918147 24462027 56522467 56831447 X 244802756 246361464 869723 831078 245672479 247192542 302194946 304023989 X 11137521 -5518620 -4098838 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 50986 0 1 15646 66632 0 PART II-B, LINE 1: WYOMING MEDICAL CENTER SPENT $50,986 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER HAS ALSO CONTRIBUTED $15,646 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE WYOMING HOSPITAL ASSOCIATION. 13595399 13595399 131987186 71788758 60198428 14790 11773 3017 172108526 139065179 33043347 21937538 8744273 13193265 120033456 PENSION LIABILITY 18956651 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 2480376 MALPRACTICE AND LITIGATION 3025000 24462027 X 214353568 1804548 1804548 212549020 45288746 45288746 257837766 211872966 0 211872966 34827279 34827279 246700245 PART X, LINE 2: THE HOSPITAL IS ORGANIZED AS A WYOMING NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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 INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 496,296. OTHER INCOME, NET 1,155,580. NET ASSETS RELEASED FROM RESTRICTION 152,672. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 32,769,311. INVESTMENT INCOME 3,206,378. GAINS ON INVESTMENTS IN SUBSIDIARIES AND JOINT VENTURES 5,344,542. EXPENSES INCLUDED IN OTHER INCOME, NET 2,057,968. CONTRIBUTIONS OF LONG-LIVED ASSETS 1,796,520. TEMPORARILY RESTRICTED CONTRIBUTIONS 114,027. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 32,769,311. EXPENSES INCLUDED IN OTHER INCOME, NET 2,057,968. 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 1 9678425 9678425 0.04520 18436111 12274097 6162014 0.02880 636986 220838 416148 0.00190 28751522 12494935 16256587 0.07590 374834 374834 0.00180 510872 78161 432711 0.00200 3940781 495961 3444820 0.01610 4826487 574122 4252365 0.01990 33578009 13069057 20508952 0.09580 898357 898357 0.00420 898357 898357 0.00420 1 32769311 0 58034838 63742305 -5707467 X 1 1 1 OUTPATIENT RADIOLOGY LLC IMAGING SERVICES 0.50000 0.50000 2 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC SURGICAL SERVICES 0.50000 0.25000 0.25000 3 NORTH PLATTE PATHOLOGY LLC PATHOLOGICAL SERVICES 0.50000 0.50000 1 1 WYOMING MEDICAL CENTER 1233 EAST 2ND STREET CASPER WY 82601 WWW.WYOMINGMEDICALCENTER.ORG 15174 X X X WYOMING MEDICAL CENTER 1 0 0 1 X X X X X X X X 15 1 0 0 1 X HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT X 1 12 1 HTTP://WYOMINGMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT 0 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 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 INCLUDING 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 2012 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. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 22D: WYOMING MEDICAL CENTER CALCULATES THE AMOUNTS GENERALLY BILLED LIMIT USING THE LOOK-BACK METHOD. THE CALCULATION INCLUDES MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE INSURANCE PAYERS, BUT EXCLUDES MEDICAID AND SELF-PAY PATIENTS. 7 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 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 THE FEDERAL POVERTY GUIDEILNE THRESHOLDS. 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. THE NEPHROLOGY PHYSICIAN CLINIC IS NO LONGER INCLUDED BECAUSE ANOTHER FACILITY OPENED IN THE COMMUNITY THAT OFFERS THE SAME SERVICE.SUBSIDIZED HEALTH SERVICES INCLUDE $1,102,041 OF EXPENSES ATTRIBUTABLE TO 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 $ 32,769,311. 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 $898,357 IN RECRUITING PHYSICIANS FOR PEDIATRICS, OB/GYN, PRIMARY CARE, RADIOLOGY SERVICES, AND EMERGENCY CARE. PART III, LINE 2: BAD DEBT IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. 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 $12,092,937 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 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 NEEDED 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 2016 WYOMING MEDICAL CENTER HAD NEARLY 53,000 PATIENT DAYS AND NEARLY 35,000 EMERGENCY DEPARTMENT VISITS.WYOMING MEDICAL CENTER HOUSES THE SAFE KIDS AND SAFE COMMUNITIES PROGRAMS WITH THE HELP OF DONATIONS AND GRANTS FROM VARIOUS SOURCES. BOTH PROGRAMS FOCUS ON INJURY PREVENTION AND IN ADDITION TO THE OTHER COMMUNITY EDUCATION AND OUTREACH, OFFER MONTHLY CAR SEAT CHECKS AND PROVIDE CAR SEATS TO THOSE WHO CANNOT AFFORD THEM.THE HOSPITAL PROVIDES SERVICES FOR SEXUALLY ASSAULTED VICTIMS THROUGH THE SANE PROGRAM IN THE EMERGENCY DEPARTMENT. THE HOSPITAL PROVIDES A VARIETY OF HEALTH IMPROVEMENT OPTIONS FOR THE COMMUNITY AND ITS PATIENTS. FOR EXAMPLE, THE HOSPITAL PROVIDES EDUCATION FOR WEIGHT LOSS, DIABETES, STROKE 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. PART VI, LINE 7, REPORTS FILED WITH STATES WY 1 WYOMING MEDICAL CENTER FOUNDATION 1233 EAST SECOND STREET CASPER WY 82601 830230808 501(C)(3) 369000 BOOK VALUE LAND GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: WYOMING MEDICAL CENTER'S ONLY TRANSFER WAS TO A RELATED ORGANIZATION THAT IS UNDER COMMON MANAGEMENT. THE COMMON MANAGEMENT ENSURES THAT ALL TRANSFERRED FUNDS ARE USED APPROPRIATELY. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 VICKIE DIAMOND CEO 618359 0 121000 0 15879 0 28600 0 27015 0 810853 0 0 0 YVONNE WIGINGTON SENIOR VP AND CFO 287056 0 61519 0 424 0 16892 0 31113 0 397004 0 0 0 CHAD PEW SENIOR VP & COO 291274 0 40923 0 285 0 2512 0 27145 0 362139 0 0 0 JANET NIXON SENIOR VP & CNO 212866 0 10786 0 732 0 0 0 21196 0 245580 0 0 0 CASEY COTANT MD NEPHROLOGY 455121 0 50141 0 418 0 10600 0 31093 0 547373 0 0 0 ROBERT NEFF MD NEPHROLOGY 514232 0 54280 0 418 0 10600 0 29313 0 608843 0 0 0 RAFAEL PEREZ MD INTENSIVIST-PULMONARY 370774 0 6250 0 2699 0 10600 0 31500 0 421823 0 0 0 JAMES SHAFFER MD ORTHOPEADICS 759567 0 0 0 364 0 0 0 25905 0 785836 0 0 0 TARA LEIGH TAYLOR MD INTENSIVIST-PULMONARY 391847 0 6250 0 966 0 10600 0 13568 0 423231 0 0 0 JULIA CANN-TAYLOR FORMER KEY EMPLOYEE 102044 0 47237 0 484 0 0 0 10584 0 160349 0 0 0 PART I, LINE 1A VICKIE DIAMOND - CASPER COUNTRY CLUB - $3,345 THE CASPER COUNTRY CLUB DUES WERE INCLUDED IN VICKIE DIAMOND'S 2015 TAXABLE W-2 WAGES. A NATRONA COUNTY WYOMING 836000113 638813CB9 2011-02-28 20039910 CONSTRUCTION OF NEW WEST TOWER 0 0 0 A 2350000 20044228 1667185 4070049 257480 18119563 2014 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 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 FORM 990, SCHEDULE K, PART II, LINE 3: THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 REPRESENTS INVESTMENT EARNINGS ON THE BOND PROCEEDS DURING THE CONSTRUCTION PHASE. WYOMING NEUROLOGIC ASSOCIATES BOARD MEMBER DR. DAVID WHEELER OWNS 50% 753837 PHYSICIAN AND ON-CALL SERVICES 0 3RD STREET MEDICAL LLC FORMER BOARD MEMBER SUSAN MCMURRY OWNS 50% 364759 RENT 0 MEDICAL HOLDING PROPERTIES FORMER BOARD MEMBER SUSAN MCMURRY 416811 RENT AND UTILITY COSTS 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR AND SECRETARY OF THE BOARD AND THE CEO. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CARRYING OUT THE DIRECTIVES OF THE BOARD IN THE INTERIM 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 2015 TO CHANGE THE NUMBER OF VOTING BOARD MEMBERS TO ELEVEN, TO CHANGE THE MINIMUM SIZE FOR A QUORUM TO SIX VOTING BOARD MEMBERS, TO MODIFY THE RESPONSIBILITIES OF THE SECRETARY OF THE BOARD OF DIRECTORS, AND TO CHANGE THE MINIMUM NUMBER OF VOTES FOR GOVERNING DOCUMENT AMENDMENTS TO SEVEN BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 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 26,222,140. MANAGEMENT AND GENERAL EXPENSES 5,302,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,524,743. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY & POST-RETIREMENT BENEFITS -4,098,838. 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