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        <ExclusionAmount>279447</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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      <NetRentalIncomeOrLoss>
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        <ManagementAndGeneral>7885</ManagementAndGeneral>
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      <InformationTechnology>
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      <Royalties>
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      <Occupancy>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
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      <Interest>
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      <PaymentsToAffiliates>
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        <ManagementAndGeneral>496</ManagementAndGeneral>
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        <Description>Printing and Publications</Description>
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        <ManagementAndGeneral>35610</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>CUSTOMER RELATIONS</Description>
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      <AuditCommittee>true</AuditCommittee>
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      <OtherNonCashContributionsTable>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>ALL EMPLOYEE SALARIES ARE SET BY THE CHEYENNE REGIONAL MEDICAL CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>DIRECTORS ARE TO NOTIFY THE BOARD AS SOON AS A POSSIBLE CONFLICT OF INTEREST ARISES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990. IT IS THEN REVIEWED BY THE FINANCE COMMITTEE. ONCE THE FINANCE COMMITTEE HAS APPROVED THE FORM 990 IT IS TAKEN TO THE FULL BOARD FOR APPROVAL. WHEN THE FORM 990 HAS BEEN APPROVED BY THE FULL BOARD, IT IS SIGNED AND FILED WITH THE IRS.</Explanation>
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        <DirectControllingEntityName>
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      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
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          <BusinessNameLine1>CHEYENNE REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
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        </NameOfOtherOrganization>
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    </IRS990ScheduleR>
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</Return>