2011-05-16T10:38:19-05:00 2010-06-30 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2009-07-01 830279242 WYOMING MEDICAL CENTER WYOM 3075777201 1233 EAST SECOND STREET CASPER WY 82601 DONNIE J CLAUNCH 3075772308 2011-05-13 1 6123764500 2009 2016-02-24 21:20:13Z VICKIE DIAMOND 1233 EAST SECOND STREET CASPER WY 82601 237386548 0 X www.wmcnet.org X 1986 WY TO MANAGE THE HOSPITAL AND PROVIDE PATIENT HEALTHCARE. 9 5 1636 131 0 0 273142 90600 214391845 230999248 -627833 1319345 -2245743 4260798 211791411 236669991 0 0 97794280 99646970 0 0 111272805 128325694 209067085 227972664 2724326 8697327 209645540 226823256 41938246 55935183 167707294 170888073 TO MANAGE THE HOSPITAL AND PROVIDE OUTSTANDING QUALITY PATIENT HEALTHCARE SERVICES DELIVERED BY PEOPLE WHO CARE. 0 0 175538951 0 230999248 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. Wyoming Medical Center provides critical services not only to Natrona County, but to the state and surrounding states.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. Our patient financial service counselors meet one on one with patients and explain the financial assistance programs that are available to them. Wyoming Medical Center provided $9,873,177 in Charity Care services.Wyoming Medical Center is a not-for-profit, sole community 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 $8,461,409 in healthcare services. Services offered include Neurosurgical care, Internal Medicine and Family Practice, Wound Care and Reconstructive Surgery, and Endocrinology. 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 2010 Wyoming Medical Center had over 54,000 patient days and over 34,000 emergency department visits. 175538951 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 291 0 1 1636 1 0 0 0 0 0 0 0 0 0 9 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X DONNIE J CLAUNCH 3075772185 1233 EAST 2ND STREET CASPER WY 82601 Diane Payne 5.00 X X 0 0 0 John Bailey MD 5.00 X X 0 0 0 James Anderson MD 5.00 X 77000 0 0 Jon Campbell 5.00 X 0 0 0 Mark Dowell MD 5.00 X 28500 0 0 Jimmy Goolsby 5.00 X 0 0 0 Susie McMurry 5.00 X 0 0 0 Ruth Moran 5.00 X 0 0 0 Stephen Sasser 5.00 X 0 0 0 Linda Young 5.00 X X 0 0 0 Vickie Diamond 45.00 X 402069 0 27880 Nancy A Brandt 45.00 X 292640 0 11355 Julie Cann-Taylor 45.00 X 205411 0 113022 Richard Williams 45.00 X 225322 0 68482 Donnie J Claunch 45.00 X 165891 0 38011 Mary L Shickich 45.00 X 152065 0 22847 Christopher Lorenzen 45.00 X 145414 0 7156 STEVEN J CHADDERDON 45.00 X 121521 0 992 Eugene Ogrod 45.00 X 269552 0 4382 Dr Brian H Wieder 45.00 X 1300630 0 10112 Dr Joseph G Sramek 45.00 X 1279213 0 10107 Nathan Ker 45.00 X 271829 0 9867 Mark McGinley 45.00 X 275497 0 66 Michele Mohr 45.00 X 265030 0 64 Catherine M Blise 45.00 X 156840 0 1445 5634424 0 325788 84 1 1 0 MCKESSON HBOC 380 RUSSELl Street HADLEY MA 01035 PROFESSIONAL & MAINTENANCE FEES 5642212 PRICEWATERHOUSECOOPERS LLP PO BOX 75647 CHICAGO IL 60675 PROFESSIONAL FEES 2654385 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 68154 TEMP STAFFING 2253211 COMPHEALTH ASSOCIATES PO BOX 972651 DALLAS TX 75397 LOCUM STAFFING 1870965 WYOMING CARDIAC SURGERY 805 EAST 2ND STREET CASPER WY 82601 MEDICAL DIRECTOR 1381008 142 9140 16175 42610 22675 90600 net patient revenue 621110 227800502 227800502 other operating income 621110 2469973 2469973 lab revenue 621500 617169 617169 purchase discounts 621110 100648 100648 pharmacy revenue 621110 10956 10956 230999248 1537388 1537388 736637 736637 736637 736637 490231 708274 -218043 -218043 -218043 0 9140 8283 -8283 -8283 JV INVESTMENT INCOME 900099 2793320 2793320 CAFETERIA SALES 900099 436539 436539 child care revenue 900099 302585 302585 3532444 236669991 230999248 0 5580143 2086777 1441268 645509 317403 238052 79351 73693701 56902461 16791240 7098921 5468141 1630780 11155527 8601371 2554156 5294641 4076874 1217767 295496 227532 67964 209951 161662 48289 18867913 14528293 4339620 495404 381461 113943 1796945 1383648 413297 3332097 2565715 766382 2381800 1833986 547814 708108 545243 162865 301048 231807 69241 11757294 9053116 2704178 2880009 2217607 662402 DRUG & medical supplies 33481461 25780725 7700736 bad debt expense 22885273 17621660 5263613 LEASE EXPENSE 15308711 11787707 3521004 equipment rental 5192375 3998129 1194246 repairs and maintenance 2153992 1658574 495418 6277817 4833919 1443898 227972664 175538951 52433713 0 25433666 36698501 35184628 33883601 1223087 2099655 6679468 6635397 3977027 4775854 231926810 144001974 89495175 87924836 41433242 47859775 6182292 6921308 36955 24329 209645540 226823256 14340025 20013925 3644172 2074168 3196933 1338833 20757116 32508257 41938246 55935183 X 167707294 170888073 167707294 170888073 209645540 226823256 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 2527 0 0 2527 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: WMC spent $2,527 in reimbursed expenses related to direct communications with legislators. 7409307 7409307 83608041 50594989 33013052 43227 8290 34937 122057615 91313091 30744524 18808620 2085604 16723016 87924836 Estimated Settlements Due to Third-Party Payors 6605061 Pension Liability 25903196 32508257 1 1 1 X 1 X 275.000000000000 1 1 0 1 0 9740733 9740733 0.04750 17074607 11714939 5359668 0.02610 6703651 2684338 4019313 0.01960 33518991 14399277 19119714 0.09320 1055850 219475 836375 0.00410 696160 52750 643410 0.00310 16732438 10193240 6539198 0.03190 30230 30230 0.00010 18514678 10465465 8049213 0.03920 52033669 24864742 27168927 0.13240 13136 13136 0.00010 780 780 0.00000 612567 612567 0.00300 626483 626483 0.00310 1 11148460 0 51853251 59627341 -7774090 X 1 1 OUTPATIENT RADIOLOGY IMAGING SERVICES 0.50000 0.00000 0.50000 CENTRAL WYOMING OUTPATIENT SURGERY CENTER SURGICAL CENTER 0.50000 0.00000 0.50000 SWEETWATER SURGERY CENTER SURGICAL CENTER 0.10000 0.00000 0.90000 TEMPLATE PROPERTY 0.25000 0.00000 0.75000 WYOMING IMAGING CENTER IMAGING SERVICES 0.10300 0.00000 0.89700 Elkhorn Valley Rehabilitation Center Rehabilitation 0.25000 0.00000 0.00000 WYOMING MEDICAL CENTER

1233 EAST 2ND STREET CASPER WY 82601

X CENTRAL WYOM OUTPATIENT SURGERY CENTER

1201 E 3rd 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 REHABILATATION HOSPITAL

5715 E 2ND CASPER WY 82609

REHABILITATION WYOMING HEALTH MEDICAL GROUP

1233 EAST 2ND STREET CASPER WY 82601

MULTI-SPECIALTY PHYSICIAN PRACTICE Part III, Line 4: FROM THE "PATIENT RECEIVABLES" PARAGRAPH IN NOTE 1 TO THE AUDITED FINANCIAL STATEMENTS:"THE CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENTS ARE NOT REQUIRED TO PROVIDE COLLATERAL FOR SERVICES RENDERED. PAYMENT FOR SERVICES IS REQUIRED UPON RECEIPT OF A BILL, AFTER PAYMENT BY INSURANCE, IF ANY. ALL ACCOUNTS ARE ANALYZED FOR COLLECTIBILITY BASED ON THE MONTHS PAST DUE AND PAYMENT HISTORY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED BY APPLYING HISTORICAL EXPERIENCE TO AN AGING OF THESE ACCOUNTS. ACCOUNTS THAT ARE DETERMINED TO BE UNCOLLECTIBLE ARE SENT TO A COLLECTION AGENCY AND WRITTEN OFF AT THAT TIME."THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED IN PART III, LINE 2 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 ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. Part III, Line 8: The hospital uses 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 $7,774,090. 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 V: 2 SURGICAL CENTERS1 REHABILITATION CENTER2 IMAGING CENTERS Part VI, Line 2: In July through January 2010, WMC, Community Health Center of Central Wyoming, and Casper-Natrona County Health Department conducted a needs assessment by a survey that was mailed and focus groups that were identified. Part VI, Line 3: Upon admission, either to the hospital or to the ED, each patient is assessed on an individual basis and provided information that relates to their current financial situation. 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. Part VI, Line 4: The hospital primarily serves the local community of Casper and the Natrona County area. Additionally, the hospital provides services to the entire state for emergency and trauma care as well as scheduled procedures. Part VI, Line 5: 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 6: Physician shortages were addressed through Wyoming Health Medical Group partners. For example, the creation of Sage was intended to provide primary care physicians to the community that were previously lacking. Additionally, 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. Part VI, Line 7: N/A X 1 1 X X X X 1 0 0 0 0 0 0 0 0 Vickie Diamond 348549 0 44000 0 9520 0 26300 0 1580 0 429949 0 0 0 Nancy A Brandt 265518 0 26000 0 1122 0 9800 0 1555 0 303995 0 0 0 Julie Cann-Taylor 185760 0 19000 0 651 0 111562 0 1460 0 318433 0 0 0 Richard Williams 205027 0 19500 0 795 0 66944 0 1538 0 293804 0 0 0 Donnie J Claunch 153086 0 12500 0 305 0 36681 0 1330 0 203902 0 0 0 Mary L Shickich 146795 0 5000 0 270 0 21630 0 1217 0 174912 0 0 0 Christopher Lorenzen 140310 0 5000 0 104 0 6019 0 1137 0 152570 0 0 0 Eugene Ogrod 251451 0 15000 0 3101 0 4382 0 0 0 273934 0 0 0 Dr Brian H Wieder 1300000 0 0 0 630 0 9800 0 312 0 1310742 0 0 0 Dr Joseph G Sramek 1278793 0 0 0 420 0 9800 0 307 0 1289320 0 0 0 Nathan Ker 271657 0 0 0 172 0 9800 0 67 0 281696 0 0 0 Mark McGinley 245133 0 30000 0 364 0 0 0 66 0 275563 0 0 0 Michele Mohr 264865 0 0 0 165 0 0 0 64 0 265094 0 0 0 Catherine M Blise 156558 0 0 0 282 0 0 0 1445 0 158285 0 0 0 Part I, Line 1a Eugene Ogrod - Health Club Dues - $520. Vickie Diamond - Petroleum Club Dues - $468. Vickie Diamond - Casper Country Club - $2,420. Nancy Brandt - Casper Country Club - $3,200. The amounts paid for health club and country club dues were not included in the employees' taxable income. Part I, Line 4a EUGENE OGROD - SEVERANCE PAYMENT - $54,893 CASPER ORTHOPEDICS ASSOCIATES PC (COA) A BOARD MEMBER OWNS 14% OF COA 275000 TRAUMA CALL SERVICES 0 WYOMING STATIONERY A BOARD MEMBER IS PRESIDENT OF WS 253987 PURCHASED GOODS & SERVICES 0 CENTRAL WYOMING OUTPATIENT SURGICAL CENTER DBA CASPER SURGICAL CENTER A BOARD MEMBER OWNS 25% OF CWOSC 350000 BUILDING LEASE 0 CENTRAL WYOMING OUTPATIENT SURGICAL CENTER DBA CASPER SURGICAL CENTER A BOARD MEMBER OWNS 25% OF CWOSC 127188 MASTER SERVICE AGREEMENT 0 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 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. This was conducted prior to the filing of the 990. 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 PARTICIPATES IN THE REVIEW OF THE COMPENSATION OF THE OTHER EXECUTIVE POSITIONS. IN 2008, 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. FORM 990, PART II, SIGNATURE BLOCK SIGNER OF THE RETURN PRIOR TO FILING THE FORM 990 WITH THE IRS, NANCY BRANDT, CHIEF FINANCIAL OFFICER, LISTED IN PART VII OF THE RETURN LEFT THE ORGANIZATION AND DONNIE J. CLAUNCH, CHIEF INFORMATION OFFICER IN PART VII, WILL STEP INTO THE ROLL AS CHIEF FINANCIAL OFFICER AND SIGN THE RETURN. WYOMING HEALTH MEDICAL GROUP LLC 1233 E 2ND ST CASPER WY 82601 800307419 MEDICAL SERVICES WY 1093240 3193904 N/A WYOMING MEDICAL CENTER FOUNDATION 1233 E SECOND ST CASPER WY 82601 830230808 CHARITY ACTIVITIES WY 501(C)(3) 11 - TYPE 1 N/A WYMEDCO CARE INC 1233 E SECOND ST CASPER WY 82601 830279267 SUPPORT IN THE NON-PROFIT MISSION OF WMC WY 509(C)(3) 11 - TYPE 1 N/A WYOMING MEDICAL CENTER AUXILLARY 1233 E SECOND ST CASPER WY 82601 830240406 HOSPITAL GIFT SHOP WY 501(C)(3) 9 N/A ELKHORN VALLEY REHABILITATION HOSPITAL LLC 7770 JEFFERSON ST NE ALBUQUERGUE NM 87109 260893115 MEDICAL SERVICES DE No RelatedRELATEDRE -306470 12736061 0 425 0 CASPER SURGICAL CENTER 1201 E THIRD ST CASPER WY 82601 830331130 MEDICAL SERVICES WY No RELATEDRELATEDRE 1754532 891263 0 910 0 OUTPATIENT RADIOLOGY LLC 419 S WASHINGTON 101 CASPER WY 82601 830332945 MEDICAL SERVICES WY No RELATEDRELATEDRE 318666 551100 0 1071 0 SWEETWATER SURGERY CENTER LLC 2761 COMMERCIAL WAY ROCK SPRINGS WY 82901 830279242 MEDICAL SERVICES WY No RELATEDRELATEDRE 92157 32120 1 0 TEMPLATE LLC 4940 DEXTER ST CASPER WY 82601 830333323 REAL ESTATE WY No RELATEDRELATEDRE 136507 927900 1 0 WYMEDCO VENTURES INC 1233 E SECOND ST CASPER WY 82601 830281137 MEDICAL SERVICES WY N/A C 358836 2279884 1.00000 1 0 1 1 0 0 0 0 0 0 1 1 1 1 0 1 0 0 WYOMING MEDICAL CENTER FOUNDATION C 16175 WYOMING MEDICAL CENTER FOUNDATION P 583730 WYOMING MEDICAL CENTER AUXILIARY P 45252