WYOMING MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WYOMING MEDICAL CENTER INC (EIN 83-0279242)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201211369349300411
- Schema version
- 2010v3.4
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T07:04:00-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830279242 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WYOM | NameControl |
| Phone | 3075777201 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E Second ST | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donnie J Claunch | Name |
| Title | CFO | Title |
| Phone | 3075777201 | Phone |
| Date Signed | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kim Hunwardsen CPA | Name |
| Phone | 6122536500 | Phone |
| Date Prepared | 2012-05-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Vickie Diamond | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E Second ST | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 232636513 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wyomingmedicalcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | WY | StateLegalDomicile |
| Activity Or Mission Description | To manage the Hospital and provide patient healthcare. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1686 | TotalNbrEmployees |
| Total Nbr Volunteers | 119 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 90600 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1624934 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 230999248 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 229003308 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1319345 | InvestmentIncomePriorYear |
| Investment Income Current Year | -3096944 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4260798 | OtherRevenuePriorYear |
| Other Revenue Current Year | 395615 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 236669991 | TotalRevenuePriorYear |
| Total Revenue Current Year | 227926913 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 25500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 99646970 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 105755340 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 128325694 | OtherExpensePriorYear |
| Other Expenses Current Year | 114104351 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 227972664 | TotalExpensesPriorYear |
| Total Expenses Current Year | 219885191 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8697327 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8041722 | RevenuesLessExpensesCY |
| Total Assets BOY | 226823256 | TotalAssetsBOY |
| Total Assets EOY | 254432585 | TotalAssetsEOY |
| Total Liabilities BOY | 55935183 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 68732780 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 170888073 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 185699805 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To manage the Hospital and provide patient healthcare. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 197919755 | Expense |
| Grants | 25500 | Grants |
| Revenue | 229003308 | Revenue |
| Description | Wyoming Medical Center's mission is "Outstanding Quality Delivered by People Who Care." This mission translates into Wyoming Medical Center being a leader in its community and the state in offering quality care. Wyoming Medical Center was formed in 1986 as a non-profit corporation to provide healthcare to the residents of Natrona County. Since that time Wyoming Medical Center has grown into a regional Trauma II Center that provides critical services not only to Natrona County, but to the state and surrounding states. Wyoming Medical Center provided $15,131,602 in Charity Care services. | Description |
| Total Program Service Expense | 197919755 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 436 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1686 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Donnie J Claunch | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3075772185 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East 2nd Street | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Linda Young | |||||||||
| Chair | 5.00 | X | X | 0 | 0 | 0 | |||
| John Bailey | |||||||||
| Vice Chair | 5.00 | X | X | 0 | 0 | 0 | |||
| Susan McMurray | |||||||||
| Secretary | 5.00 | X | X | 0 | 0 | 0 | |||
| James Anderson | |||||||||
| Board Member | 5.00 | X | 93400 | 0 | 0 | ||||
| Ruth Moran | |||||||||
| Board Member | 5.00 | X | 0 | 0 | 0 | ||||
| Mark Dowell | |||||||||
| Board Member | 5.00 | X | 0 | 0 | 0 | ||||
| Jimmy Goolsby | |||||||||
| Board Member | 5.00 | X | 0 | 0 | 0 | ||||
| Stephen Sasser | |||||||||
| Board Member - thru 10-10 | 5.00 | X | 0 | 0 | 0 | ||||
| John Masterson | |||||||||
| Board Member | 5.00 | X | 0 | 0 | 0 | ||||
| Christopher Murihead | |||||||||
| Board Member | 5.00 | X | 0 | 0 | 0 | ||||
| Vickie Diamond | |||||||||
| CEO | 45.00 | X | 525468 | 0 | 27207 | ||||
| Donnie J Claunch | |||||||||
| CFO (March-June) | 45.00 | X | 204039 | 0 | 63061 | ||||
| Nancy A Brandt | |||||||||
| Past CFO (July-March) | 45.00 | X | 333833 | 0 | 7158 | ||||
| Julia Cann-Taylor | |||||||||
| CNO | 45.00 | 251391 | 0 | 197397 | X | ||||
| Richard Williams | |||||||||
| VP Human Resources and Legal Services | 45.00 | 279847 | 0 | 90882 | X | ||||
| Joseph Sramek | |||||||||
| Doctor | 45.00 | 1145131 | 0 | 0 | X | ||||
| Robert F Hollis | |||||||||
| Doctor | 45.00 | 908137 | 0 | 0 | X | ||||
| Michelle R Mohr | |||||||||
| Doctor | 45.00 | 379116 | 0 | 0 | X | ||||
| Mark McGinley | |||||||||
| Doctor | 45.00 | 371320 | 0 | 0 | X | ||||
| Robert T Neff | |||||||||
| Doctor | 45.00 | 362755 | 0 | 0 | X | ||||
| Steven Chadderdon | |||||||||
| Former Officer | 40.00 | 160896 | 0 | 7572 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5015333 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 393277 | TotalOtherCompensation |
| Number Individuals GT100 K | 92 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Price Waterhouse | |||||
| PO Box 75647 | Chicago | IL | 60675 | Consulting | 5095815 |
| Haselden-Pope | |||||
| 6950 S Potomac | Centennial | CO | 80112 | Consulting/Construction | 4630616 |
| McKesson Information Systems | |||||
| PO Box 98347 | Chicago | IL | 60693 | Consulting/IT | 4573093 |
| C & A IndustryFocus One | |||||
| PO Box 3037 | Omaha | NE | 68103 | Temporary Staff | 2508298 |
| Universal HealthWyoming | |||||
| 2521 E 15th St | Casper | WY | 82609 | Medical | 1565493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 150 | NumberOfContractorsGT100K |
| All Other Contributions | 1624934 | AllOtherContributions |
| Total Contributions | 1624934 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 621110 | 220268846 | 220268846 |
| JV Investment Income | 621300 | 2223217 | 2223217 |
| Cafeteria Sales | 722210 | 414758 | 414758 |
| Child Care Revenue | 624410 | 303711 | 303711 |
| Lab Revenue | 621500 | 291452 | 291452 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5501324 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5501324 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 229003308 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1069235 | TotalRevenueColumn |
| Exclusion | $1,069,235 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 908161 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 512546 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 395615 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 395615 | TotalRevenueColumn |
| Exclusion | $395,615 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 30875 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4197054 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4166179 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4166179 | TotalRevenueColumn |
| Exclusion | -$4,166,179 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 227926913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 229003308 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$2,701,329 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25500 | Total |
| Program Services | 25500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2184871 | Total |
| Program Services | 462680 | ProgramServices |
| Management And General | 1722191 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163241 | Total |
| Program Services | 163241 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77316019 | Total |
| Program Services | 64655431 | ProgramServices |
| Management And General | 12660588 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12616808 | Total |
| Program Services | 10313024 | ProgramServices |
| Management And General | 2303784 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11761124 | Total |
| Program Services | 11604134 | ProgramServices |
| Management And General | 156990 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713277 | Total |
| Program Services | 1395293 | ProgramServices |
| Management And General | 317984 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151959 | Total |
| Management And General | 151959 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347137 | Total |
| Management And General | 347137 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19307580 | Total |
| Program Services | 17049498 | ProgramServices |
| Management And General | 2258082 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 728212 | Total |
| Program Services | 725093 | ProgramServices |
| Management And General | 3119 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1924162 | Total |
| Program Services | 1720144 | ProgramServices |
| Management And General | 204018 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3860796 | Total |
| Program Services | 3860137 | ProgramServices |
| Management And General | 659 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1677565 | Total |
| Program Services | 1677565 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2243260 | Total |
| Program Services | 1856948 | ProgramServices |
| Management And General | 386312 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129158 | Total |
| Program Services | 113237 | ProgramServices |
| Management And General | 15921 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60264 | Total |
| Program Services | 60264 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11639676 | Total |
| Program Services | 11639676 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3003684 | Total |
| Program Services | 3003684 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Drugs and Medical Suppl | 33280622 | 33275604 | 5018 |
| Bad Debt Expense | 19941260 | 19941260 | |
| Equipment Lease/Rental | 6191916 | 6177297 | 14619 |
| Repairs and Maintenance | 2668749 | 2668749 | |
| Food | 1532639 | 1489454 | 43185 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5415712 | Total |
| Program Services | 4041842 | ProgramServices |
| Management And General | 1373870 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 219885191 | Total |
| Program Services | 197919755 | ProgramServices |
| Management And General | 21965436 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36698501 | BOY |
| EOY | 38139865 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33883601 | BOY |
| EOY | 35088823 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2099655 | BOY |
| EOY | 2604898 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6635397 | BOY |
| EOY | 5701483 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4775854 | BOY |
| EOY | 5160025 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 243013633 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 155668404 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87924836 | BOY |
| EOY | 87345229 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47859775 | BOY |
| EOY | 72955203 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6921308 | BOY |
| EOY | 7437059 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24329 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226823256 | BOY |
| EOY | 254432585 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20013925 | BOY |
| EOY | 15457012 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 151028 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2074168 | BOY |
| EOY | 20039244 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 25200 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1338833 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32508257 | BOY |
| EOY | 33060296 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55935183 | BOY |
| EOY | 68732780 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170888073 | BOY |
| EOY | 185699805 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170888073 | BOY |
| EOY | 185699805 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226823256 | BOY |
| EOY | 254432585 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8041722 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 6770010 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $3,551 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 3551 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7347813 | OtherCostOrOtherBasis |
| Book Value | 7347813 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 84524871 | OtherCostOrOtherBasis |
| Depreciation | 54311531 | Depreciation |
| Book Value | 30213340 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43227 | OtherCostOrOtherBasis |
| Depreciation | 15321 | Depreciation |
| Book Value | 27906 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127050302 | OtherCostOrOtherBasis |
| Depreciation | 98582380 | Depreciation |
| Book Value | 28467922 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24047420 | OtherCostOrOtherBasis |
| Depreciation | 2759172 | Depreciation |
| Book Value | 21288248 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 87345229 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Pension Liability | $24,940,835 |
| Estimated Third Party Payor Settlements | $8,119,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33060296 | TotalOfAmounts |
| Total Revenue | 227926913 | TotalRevenue |
| Total Expenses | 219885191 | TotalExpenses |
| Excess Or Deficit For Year | 8041722 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 5381782 | NetUnrealizedGLOnInvestments |
| Other | $1,388,228 | OtherAmount |
| Total Adjustments | 6770010 | TotalAdjustments |
| Excess Or Deficit Per FS | 14811732 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 233934458 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 5381782 | NetUnrealizedGainsInvestments |
| Other Revenues | 625763 | OtherRevenues |
| Revenue Not Rptd F990 | 6007545 | RevenueNotRptdF990 |
| Revenue Subtotal | 227926913 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 227926913 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 218665685 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 218665685 | ExpensesSubtotal |
| Other Expenses Not Included | 1219506 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1219506 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 219885191 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | In 2011, Wyoming Medical Center, Inc issued 3 year certificates to employees at an interest rate equal to the yield of a 3 year bond. The employees were allowed to purchase the certificates which were issued in $500.00 increments. WMC holds the certificates and pays the interest differential to the accounts. Interest income for the employees will be treated as W-2 income and is paid quarterly. When an employee terminates from the organization they are automatically cashed out of the program. The purpose of the program was to allow employees to invest in the new West Tower project and have a sense of ownership. | |
| Part X: | The Hospital, Care, WHMG and the Foundation are organized as Wyoming nonprofit corporations and have been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). These entities undergo annual analysis of their various tax positions, assessing the likelihood of these positions being upheld with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. These entities believe that they are compliant with all IRS tax regulations and as of June 30, 2011 have not recorded a tax liability for a tax uncertainty. These entities will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if incurred. | Description of Uncertain Tax Positions Under FIN 48: |
| Change in Minimum Pension Liability 1,388,228. | Part XI, Line 8 - Other Adjustments: | |
| Expenses Recorded in Revenue on Financial Statements -1,219,506. Change in Minimum Pension Liability 1,388,228. Net Income From WHMG 457,036. Rounding Adjustment 5. | Part XII, Line 2d - Other Adjustments: | |
| Expenses Recorded in Revenue on Financial Statements 1,219,506. | Part XIII, Line 4b - Other Adjustments: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 275.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14352755 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14352755 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16901756 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13029259 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3872497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01940 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7740880 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3917832 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3823048 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38995391 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16947091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22048300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 992726 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 263509 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 729217 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 783673 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 66206 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 717467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4522011 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1331450 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3190561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01600 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40161 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 40161 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6338571 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1661165 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4677406 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02340 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45333962 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18608256 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26725706 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13370 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13660 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13660 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 828 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 828 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 697394 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 697394 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 711882 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 711882 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,463,023 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 44845557 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 58201196 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13355639 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 Outpatient Radiology | ||
| Imaging Services | 0.50000 | 0.50000 |
| 2 Central Wyoming Outpatient Surgery Center | ||
| Surgical Center | 0.50000 | 0.50000 |
| 3 Sweetwater Surgery Center | ||
| Surgical Center | 0.10000 | 0.90000 |
| 4 Template | ||
| Property | 0.25000 | 0.75000 |
| 5 Wyoming Imaging Center | ||
| Imaging Services | 0.10300 | 0.89700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 122 East 2nd Street | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Central WY Outpatient Surgery Cente | ||||
| 1201 E 3 Rd St | Casper | WY | 82601 | Surgical Center |
| Outpatient Radiology | ||||
| 419 S Washington St Ste 100 | Casper | WY | 82601 | Imaging Services |
| Sweetwater Surgery Center | ||||
| 2761 Commercial Way | Rock Springs | WY | 82901 | Surgical Center |
| Elkhorn Valley Rehabilitation Hospital | ||||
| 5715 E 2nd St | Casper | WY | 82609 | Rehabilitation |
| WY Health Medical Group MultiSpecialty | ||||
| 1233 E 2nd St | Casper | WY | 82601 | Physician Practice |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| Part I, Line 7: Charity care was converted to cost on Line 7a based on overall cost to charge ratio using Worksheet 2. For Line 7b Medicaid gross patient charges are tracked and the cost to charge ratio that is calculated from Schedule H Worksheet 1 is applied. This amount is offset by net patient service revenue which is a calculation of actual payment minus total expeced payment (account balance x reimbursement percentage). Lines 7e-i are actual expenses from the general ledger. |
| Part I, L7 Col(f): The amount of bad debt expense removed from the denominator of the calculations was 19,941,260. |
| Part II: 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 spent $697,394 in recruiting physicians for pediatrics, OB/GYN, primary care, radiology services, and emergency care. WMC also spent $828 for proper disposal service for unwanted and unusable pharmaceuticals in order to keep the community and environment safe. |
| Part III, Line 4: The amount of bad debt expense (at cost) reported is calculated as follows: payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges and per diem payments. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjstments under reimbursement agreements with third-party payors. |
| Part III, Line 8: The Hospital used the Medicare operating cost-to-charge ratio to calculate the costs relating to Medicare revenue applied against actual receipts. The Hospital experienced costs not covered by Medicare in the amount of $13,355,639. This is a direct benefit to the Medicare 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. |
| Part VI, Line 2: In April 2011 WMC, Community Health Center of Central Wyoming, Wyoming Business Coalition, Kids First Natrona County and the City of Casper conducted a needs assessment survey. These surveys were sent through the mail. In June focus group meetings were conducted through Casper. Results are being compiled and will be presented to the board in late 2011. |
| Part VI, Line 3: Through our charity care program Wyoming Medical Center offers full or partially subsidized services to individuals and families who are unable to pay. Patients are given a brochure at time of admission that provides information on financial options for patients. If the patient is concerned about cost of care, there is always an assessment to try and match them with a program that will help, whether it be a federal or state program, reduced cost or full charity care. Our patient financial service counselors meet one on one with patients and explain the financial assistance program that are available to them. |
| Part VI, Line 4: Wyoming Medical Center has 209 beds with 102 private and 96 semi-private consisting of 912,109 square feet. With 18 specialties WMC provides 13 Wyoming communities with over 1,100 outreach clinics each year. A full spectrum of integrated healthcare services that includes Emergency Care and Trauma, Intensive Care, Medical/Surgical Care, Obstetrics and Pediatrics, Orthopedic Care. Also, WMC offers many of these services in partnership with Wyoming Health Medical Group.Casper currently has one county owned public hospital, a specialty hospital, a rehabilitation hospital, and a behavioral health center. Wyoming Medical Center's Primary inpatient market share for FY2011 is 13.1% discharges of the 51,378 total Wyoming inpatient discharges. WMC serves 11 secondary market counties including Campbell, Carbon, Converse, Fremont, Hot Springs, Johnson, Niobrara, Platte, Sheridan, Sweetwater, and Washakie. The primary market share comprises 74.7%, secondary market share 8.4% and 0.4% tertiary of the total 8,083 inpatient discharges excluding newborns and rehabilitation.Natrona County as of the 2010 Census data has 75,450 residents with total Wyoming 568,626 residents. The county has 5,340 land areas in square miles and Wyoming has 97,093 land areas in square miles which equals 14.1 persons per square mile and 5.8 persons respectively.Natrona County consists of 92.8% white persons, 0.9% black persons, 1.0% American Indian & Alaska Native persons, 0.7% Asian persons, 0.1% Native Hawaiian and other Pacific Islander persons, 2.4% persons reporting two or more races, 6.9% persons of Hispanic or Latino origin, and 89.1% white persons not Hispanic according to the 2010 Census data.8.4% of the total Natrona County persons are below the poverty level with 9.8% in Wyoming. Median household income is $50,936 in Natrona County and $53,802 in Wyoming. |
| Part VI, Line 6: 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 and products 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 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. Our emergency department is open to all individuals regardless of their ability to pay. Wyoming Medical Center subsidized $9,850,977 in healthcare services through its operation of Wyoming Health Medical Group, LLC. Services offered include Neurosurgical Care, Internal Medicine and Family Practice, Wound Care and Reconstructive Surgery. All specialties treat all patients regardless of their ability to pay.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 2011 Wyoming Medical Center had over 54,000 patient days and over 33,000 emergency department visits. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Stipends | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 25500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The medical staff board reviews potential candidates which they would like to bring into the community. The medical staff board reviews the candidate's services and determines if the services would meet a community need. The grants are a recruiting tool to support the individual and are based on a contract. The individual receives the funds directly and per the contract is required to be employed by Wyoming Medical Center, Inc. following completion of their education. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vickie Diamond | |||||||||||||
| 433541 | 0 | 82000 | 0 | 9927 | 0 | 27207 | 0 | 4310 | 0 | 556985 | 0 | 0 | 0 |
| Donnie J Claunch | |||||||||||||
| 175226 | 0 | 28466 | 0 | 347 | 0 | 63061 | 0 | 1729 | 0 | 268829 | 0 | 0 | 0 |
| Nancy A Brandt | |||||||||||||
| 287065 | 0 | 45526 | 0 | 1242 | 0 | 7158 | 0 | 2514 | 0 | 343505 | 0 | 0 | 0 |
| Julia Cann-Taylor | |||||||||||||
| 219432 | 0 | 31158 | 0 | 801 | 0 | 197397 | 0 | 2454 | 0 | 451242 | 0 | 0 | 0 |
| Richard Williams | |||||||||||||
| 239480 | 0 | 38946 | 0 | 1421 | 0 | 90882 | 0 | 3081 | 0 | 373810 | 0 | 0 | 0 |
| Joseph Sramek | |||||||||||||
| 1144711 | 0 | 0 | 0 | 420 | 0 | 0 | 0 | 0 | 0 | 1145131 | 0 | 0 | 0 |
| Robert F Hollis | |||||||||||||
| 907717 | 0 | 0 | 0 | 420 | 0 | 0 | 0 | 0 | 0 | 908137 | 0 | 0 | 0 |
| Michelle R Mohr | |||||||||||||
| 378912 | 0 | 0 | 0 | 204 | 0 | 0 | 0 | 0 | 0 | 379116 | 0 | 0 | 0 |
| Mark McGinley | |||||||||||||
| 370825 | 0 | 0 | 0 | 495 | 0 | 0 | 0 | 0 | 0 | 371320 | 0 | 0 | 0 |
| Robert T Neff | |||||||||||||
| 361000 | 0 | 1425 | 0 | 330 | 0 | 0 | 0 | 0 | 0 | 362755 | 0 | 0 | 0 |
| Steven Chadderdon | |||||||||||||
| 146142 | 0 | 13940 | 0 | 814 | 0 | 7572 | 0 | 2345 | 0 | 170813 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Vickie Diamond - Petroleum Club Dues - $656 Vickie Diamond - Casper Country Club - $2,695 Nancy Brandt-Casper Country Club - $2,450. |
| Part I, Line 4a | Nancy Brandt received a severance payment in the amount of $190,300.82 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Natrona County Wyoming | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 836000113 | IssuerEIN |
| CUSIP Number | 638813CB9 | CUSIPNumber |
| Date Issued | 2011-02-28 | DateIssued |
| Issue Price | 20039244 | IssuePrice |
| Description Of Purpose | Construction of New West Tower | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 20039244 | TotalProceeds |
| Amount In Reserve Fund | 1667227 | AmountInReserveFund |
| Issuance Costs From Proceeds | 257480 | IssuanceCostsFromProceeds |
| Amount Unspent | 18114537 | AmountUnspent |
| Year Of Subst Completion | 2013 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Casper Orthopedics Associates PC (COA) | |||
| Board Member Dr. John Bailey owns 14% of COA | 283500 | Trauma Call Services | 0 |
| 3rd Street Medical | |||
| Board Member Susie McMurry owns 50% of 3rd Street Medical | 215500 | Building Lease | 0 |
| Central Wyoming Outpatient Surgical Center dba Casper Surgical Center | |||
| Board Member Dr. James Anderson owns 25% of CWOSC | 350000 | Building Lease | 0 |
| Central Wyoming Outpatient Surgical Center dba Casper Surgical Center | |||
| Board Member Dr. James Anderson owns 25% of CWOSC | 135403 | Master Service Agreement and Trauma Call Services | 0 |
| Gabriel Williams | |||
| Family Member of Key Employee | 28955 | Compensation and Benefits | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Changes in Program Services | Form 990, Part III, line 3 | Wyoming Medical Center has ceased to offer its endocrinology services. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee has broad authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair and Secretary. The Executive Committee is responsible for carrying out the directives of the Board of Directors 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 Chairman'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 4 | The bylaws were amended to allow up to two community members to be appointed to each of the following Board committees: the Pension Committee, the Building Committee and the Quality and Safety Committee; and to allow an additional Board member to be appointed to the Pension Committee. | |
| Form 990, Part VI, Section B, line 11 | The 990 was presented in its entirety to the Board of Directors. The full 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. 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. An interested person must disclose the existence and nature of his or her financial interest and all material facts to the directors and committee. Members of the committees with board delegated powers considering the proposed transaction or arrangement after disclosure of the financial interest and all material facts, and after discussion with the interested person, he or she 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. An interested person may make a presentation at the board or committee meeting, but after such presentation, he/she leaves the meeting during the discussion of, and vote on, the transaction or arrangement that results in the conflict of interest. The Chairperson of the board or committee can, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee determines whether WMC can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee determines by a majority vote of the disinterested directors whether the transaction or arrangement is in WMC's best interest and for its own benefit and whether the transaction is fair and reasonable to WMC and makes its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 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. If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it informs the member of the basis for such belief and affords the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it takes appropriate disciplinary and corrective action. | |
| 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. The compensation review committee reviews the compensation of each executive position. The President & CEO also participated in the review of the compensation of the other executive positions in 2010. This process included review and approval by independent persons, comparability data and contemporaneous substantiation. | |
| Form 990, Part VI, Section C, line 19 | Wyoming Medical Center does not make its governing documents, conflict of interest policy or financial statements available to the public. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized gains on investments: 5,381,782. Change in Minimum Pension Liability 1,388,228. Total to Form 990, Part XI, Line 5: 6,770,010. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Health Medical Group LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E 2nd St | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800307419 | EIN |
| Primary Activities | Medical Services | PrimaryActivities |
| Legal Domicile State | WY | LegalDomicileState |
| Total Income | 9564731 | TotalIncome |
| EOY Assets | 3068352 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Wyoming Medical Center Foundation | ||||||||||
| 1233 E 2nd St | Casper | WY | 82601 | 830230808 | Charity Activities | WY | 501(c)(3) | Line 11a, I | N/A | 1 |
| WyMedco Care Inc | ||||||||||
| 1233 E 2nd St | Casper | WY | 82601 | 830279267 | Support in the Nonprofit Mission of WMC | WY | 501(c)(3) | Line 11a, I | N/A | 1 |
| Wyoming Medical Center Auxiliary | ||||||||||
| 1233 E 2nd St | Casper | WY | 82601 | 830240406 | Hospital Gift Shop | WY | 501(c)(3) | Line 9 | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Template LLC | |||||||||||||
| 4940 Dexter St | Casper | WY | 82601 | 830333323 | Real Estate | WY | N/A | Related | 144240 | 1047636 | 1 | 0 | 0.25000 |
| Central Wyoming Outpatient Surgery Center LLC | |||||||||||||
| 1201 E 3rd St | Casper | WY | 82601 | 830331130 | Medical Services | WY | N/A | Related | 1584203 | 850041 | 0 | 0 | 0.50000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WyMedco Ventures Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 E 2nd St | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830281137 | EIN |
| Primary Activity | Medical Services | PrimaryActivity |
| Legal Domicile State | WY | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 690550 | ShareOfTotalIncome |
| Share Of EOY Assets | 3002244 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Wyoming Medical Center Foundation | ||
| C | 1500000 | Donated Capital |
| Wyoming Medical Center Foundation | ||
| P | 608106 | Reimbursed Expenses |
| Central Wyoming Outpatient Surgery Center LLC | ||
| I | 350000 | Actual Disbursement |
| Central Wyoming Outpatient Surgery Center LLC | ||
| R | 1412500 | Actual Disbursement |
| Template LLC | ||
| I | 110000 | General Ledger |
| Template LLC | ||
| R | Actual Disbursement | |
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