2022-11-15T14:18:59-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2021-01-01 830279242 WYOMING MEDICAL CENTER INC WYOM 6027474000 2901 NORTH CENTRAL AVENUE 160 PHOENIX AZ 85012 DENNIS LARAWAY BANNER HEALTH CFO 6027474000 2022-11-08 1 DENNIS LARAWAY 999009999 KURT BENNION CPA P01469618 3037795710 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X 2021 2901 NORTH CENTRAL AVENUE 160 PHOENIX AZ 85012 279843813 0 X HTTPS://WYOMINGMEDICALCENTER.ORG X 1986 WY SEE SCHEDULE OASSIST BANNER HEALTH COMPLETE ITS MISSION TO MAKE HEALTH CARE EASIER, SO LIFE CAN BE BETTER BY PROVIDING INTEGRATED AND COORDINATED CARE AND POPULATION HEALTH MANAGEMENT. 3 0 1607 106 1245108 691229 2371116 2910626 153023323 276016500 -1192 144404 154540 681115 155547787 279752645 0 24500 0 0 59161010 135000482 0 0 0 96605955 129437804 155766965 264462786 -219178 15289859 323382190 279059082 147126298 91130981 176255892 187928101 ASSIST BANNER HEALTH COMPLETE ITS MISSION TO MAKE HEALTH CARE EASIER, SO LIFE CAN BE BETTER BY PROVIDING INTEGRATED AND COORDINATED CARE AND POPULATION HEALTH MANAGEMENT. 0 0 211117718 24500 274771392 WYOMING MEDICAL CENTER IS A NOT-FOR-PROFIT HOSPITAL. THE HOSPITAL WAS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS UNTIL SEPTEMBER 30, 2020. EFFECTIVE OCTOBER 1, 2020 THE WMC BOARD OF DIRECTORS AND THE WMC FOUNDATION BOARD APPROVED AN AGREEMENT WITH BANNER HEALTH, WITH PLANS TO FULLY INTEGRATE WMC INTO THE BANNER SYSTEM BY 2022. IN ADDITION, THE BOARD OF TRUSTEES, APPROVED A SEPARATE $157 MILLION SALE OF LAND, BUILDINGS AND EQUIPMENT ASSOCIATED WITH WMC TO BANNER HEALTH. BANNER HEALTH IS NON-PROFIT HEALTH SYSTEM HEADQUARTERED IN ARIZONA. IT OPERATES 29 ACUTE-CARE HOSPITALS IN SIX STATES.WYOMING MEDICAL CENTER PROVIDED $4,053,761 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. 211117718 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 180 0 1 1607 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1 1 1 X BANNER HEALTH 6027474000 2901 NORTH CENTRAL AVENUE 160 PHOENIX AZ 85012 PETER S FINE PRESIDENT & CHIEF EXECUTIVE OFFICER 2.00 48.00 X 0 7972034 4411675 DENNIS LARAWAY CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 2536990 1117069 REBECCA KUHN CHIEF OPERATING OFFICER 2.00 40.00 X 0 2805524 807369 MARJORIE BESSEL CHIEF CLINICAL OFFICER 2.00 46.00 X 0 1734541 745421 DAVID BIXBY CHIEF LEGAL OFFICER & GENERAL COUNSEL 2.00 40.00 X 0 1770263 658912 DONALD NORLAND CHIEF STRATEGY & GROWTH OFFICER 2.00 46.00 X 0 1547153 706057 NAOMI CRAMER CHIEF HUMAN RESOURCES OFFICER 2.00 40.00 X 0 1502727 170805 MARGO KARSTEN DIVISION PRESIDENT 2.00 40.00 X 0 1120614 312022 BRENT CLYDE NEUROSURGEON 45.00 0.00 X 1309152 0 46109 PAUL G MATZ NEUROSURGEON 45.00 0.00 X 1198173 0 13086 PATRICK RANKIN CEO - BANNER MEDICAL GROUP 2.00 40.00 X 0 832160 106652 DAN WEINMAN VP, STRATEGY & PLANNING 2.00 40.00 X 0 738518 177520 BRENDA SCHAEFER VICE-PRESIDENT, TREASURY & TREASURER 2.00 40.00 X 0 626427 138587 ROBERT T NEFF NEPHROLOGY 45.00 0.00 X 566517 0 39753 TARA L TAYLOR INTENSIVIST - PULMONARY MEDICINE 45.00 0.00 X 507629 0 27712 JF TURNER JR INTENSIVIST - PULMONARY MEDICINE 45.00 0.00 X 468136 0 29622 LANCE PORTER CEO - LARGE FACILITY 2.00 40.00 X 0 360595 82125 JEANNE L EHLEBRACHT CFO 45.00 0.00 X 403563 0 21333 JAMES J BLEICHER JR SR VP OP. & CCO (THRU JAN 21) 45.00 0.00 X 322768 0 3608 ELIZABETH AVANT DIRECTOR LEGAL OPERATIONS & ASST SECRETARY 2.00 40.00 X 0 145226 10996 4775938 23692772 9626433 166 1 1 0 PROLINK STAFFING SERVICES LLC PO BOX 772516 DETROIT MI 48277 STAFFING SERVICES 11907186 MCKESSON CORPORATION 22423 NETWORK PLACE CHICAGO IL 60673 SUPPLIES & SERVICES 10806978 MEDLINE INDUSTRIES INC DEPT 1080 PO BOX 121080 DALLAS TX 75312 SUPPLIES & SERVICES 6180790 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DR CHICAGO IL 60693 HEALTHCARE SUPPORT SERVICES 5248289 BOSTON SCIENTIFIC CORPORATION & SUBSIDIA PO BOX 951653 DALLAS TX 75395 CAREGIVER SUPPORT 4154836 152 2907793 2833 2910626 NET PATIENT REVENUE 621110 269150502 269150502 JV INVESTMENT INCOME 621300 3790001 3056311 733690 NON-PATIENT NON-OPERAT 900099 2591087 2401453 189634 CAFETERIA SALES 722320 242898 163126 79772 REFERENCE LAB REVENUE 621500 242012 242012 276016500 167636 167636 440523 0 440523 440523 440523 67936 91168 -23232 -23232 -23232 OTHER NONOPERATING 900099 240592 240592 240592 279752645 274771392 1245108 825519 X 24500 24500 2121598 1082015 1039583 106987471 87214243 19773228 4155463 3386218 769245 15676165 12730090 2946075 6059785 4907044 1152741 38065 38065 100918 100918 66564 66564 30128498 24738343 5390155 379093 379093 1091540 636066 455474 7300811 102311 7198500 14512366 2300723 12211643 260428 76144 184284 5728 5728 17188279 17188279 2057684 2057684 DRUGS & MEDICAL SUPPLIE 46029017 46029017 BAD DEBT EXPENSE 5845964 5845964 EQUIPMENT LEASE/RENTAL 1371564 1003985 367579 FOOD 1178965 1011564 167401 1882320 777800 1104520 264462786 211117718 53345068 0 43843667 20240310 -50 736820 48602873 55610969 514940 776472 4680201 5637145 10280842 4200527 468737842 294918938 186560355 173818904 5179627 5749212 18405950 6600000 5313785 5688723 323382190 279059082 18121179 19159979 33029167 19181057 34631266 35114975 61344686 17674970 147126298 91130981 X 174144959 177984228 2110933 9943873 176255892 187928101 323382190 279059082 15289859 -3617650 0 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 53956 0 1 12608 66564 0 PART II-B, LINE 1: WYOMING MEDICAL CENTER SPENT $53,956 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $12,608 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE WYOMING HOSPITAL ASSOCIATION. 13344402 13344402 142995842 96850066 46145776 5269602 3700536 1569066 285902501 180227354 105675147 21225495 14140982 7084513 173818904 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1125877 DUE TO RELATED ORGANIZATIONS 16549093 17674970 1 1 X 1 X 1 X 1 1 1 0 1 1 24820057 24820057 0.09600 22581730 11295004 11286726 0.04360 677614 150412 527202 0.00200 48079401 11445416 36633985 0.14160 125098 0 125098 0.00050 97665 0 97665 0.00040 3628068 610365 3017703 0.01170 3850831 610365 3240466 0.01260 51930232 12055781 39874451 0.15420 501116 0 501116 0.00190 501116 501116 0.00190 1 5845964 0 83059754 82923206 136548 X 1 1 1 OUTPATIENT RADIOLOGY LLC IMAGING SERVICES 0.50000 0.00000 0.50000 2 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC SURGICAL CENTER 0.50000 0.25000 0.25000 3 NORTH PLATTE PATHOLOGY LLC PATHOLOGY SERVICES 0.50000 0.00000 0.50000 1 1 WYOMING MEDICAL CENTER 1233 EAST 2ND STREET CASPER WY 82601 WWW.WYOMINGMEDICALCENTER.ORG 15341 X X X WYOMING MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 0 1 1 X HTTP://WYOMINGMEDICALCENTER.ORG/COMMUNITY-HEALTH X 1 19 1 HTTP://WYOMINGMEDICALCENTER.ORG/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X HTTPS://WYOMINGMEDICALCENTER.ORG/PAYBILL X X X X X X 1 X 0 X X X X 1 X 0 0 WYOMING MEDICAL CENTER PART V, SECTION B, LINE 5: WYOMING MEDICAL CENTER WORKED VERY CLOSELY WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT FOR MORE THAN A YEAR ON GATHERING DATA TO PERFORM AN OVERALL HEALTH ASSESSMENT OF OUR COMMUNITY. THE COMMUNITY HEALTH STATUS REPORT REPRESENTS THAT WORK. WE USED A ROBUST METHODOLOGY FOR IDENTIFYING RELEVANT COMMUNITY HEALTH INDICATORS. THERE ARE A NUMBER OF RESOURCES THAT PROVIDE LISTS OF HEALTH INDICATORS RECOMMENDED FOR USE DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. WE CHOSE INDICATORS MOST COMMONLY USED FOR CHNAS, AND THEN CONTINUED TO DIG DEEPER INTO LOCAL DATA THAT WE HAD TO FURTHER CHARACTERIZE OUR COMMUNITY'S HEALTH. THE FULL DOCUMENT IS AVAILABLE ON OUR WEBSITE.OVER THE COURSE OF A YEAR, WE HELD THREE LARGER FORUMS WITH MANY KEY HEALTH STAKEHOLDERS IN THE COMMUNITY TO HELP US MOVE FORWARD WITH OUR IMPLEMENTATION STRATEGY. WE IDENTIFIED THE TOP 10 ISSUES IN OUR COUNTY BASED ON THE FINDINGS FROM THE CHNA AND PROVIDED A SURVEY TO KEY HEALTH STAKEHOLDERS ACROSS THE COUNTY. STAKEHOLDERS REPRESENTED VARIOUS ORGANIZATIONS INCLUDING LAW ENFORCEMENT, EDUCATORS, PHYSICIANS AND OTHER PROVIDERS, LOCAL HEALTH ADMINISTRATORS, AND MORE. ORGANIZATIONS INCLUDED, BUT ARE NOT LIMITED TO: CASPER AREA CHAMBER OF COMMERCE, WYOMING BUSINESS COALITION ON HEALTH, ELKHORN VALLEY REHABILITATION HOSPITAL, CITY OF CASPER, CASPER COLLEGE, PLATTE RIVER TRAILS, CENTRAL WYOMING HOSPICE, NATRONA COUNTY SCHOOL DISTRICT, SUMMIT MEDICAL CENTER, MOUNTAIN-PACIFIC QUALITY HEALTH, WYOMING HEALTH FAIRS, CASPER FAMILY YMCA, MERCER HOUSE, SENIOR PATIENT ADVOCATES, CASPER HOUSING AUTHORITY AND MORE. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 11: FOUR SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA CONDUCTED FOR THE YEAR ENDED JUNE 30, 2019:- HEALTHY EATING / ACTIVE LIFESTYLE- SAFE / AFFORDABLE HOUSING- SUBSTANCE ABUSE / OTHER USE- MENTAL HEALTH / SUICIDEFOUR GROUPS WERE IDENTIFIED IN THE FY2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND TO ADDRESS ISSUES AND SOLUTIONS RELATED TO THE NEEDS IDENTIFIED. FY2019 WAS THE FIRST YEAR OF THE ASSESSMENT AND THE WAS A GOAL-SETTING YEAR. FY2020 AND 2021 PRESENTED CHALLENGES WITH IN-PERSON MEETINGS AND SOME GOALS DUE TO THE COVID-19 PANDEMIC. IN FY2021 WMC HAS WORKED ON THE FOLLOWING:HEALTHY LIVING / ACTIVE LIFESTYLE: IN PARTNERSHIP WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT, WE DISTRIBUTED HANDBOOKS TO PARENTS OF STUDENTS IN THE NATRONA COUNTY SCHOOL DISTRICT GRADES 6-12 ON ALL HEALTH INSSUES, INCLUDING HOW TO TALK TO YOUR KIDS ABOUT HEALTHY EATING, SUBSTANCE ABUSE AND MISUSE, AND SUICIDE/MEANTAL HEALTH. WYOMING MEDICAL CENTER SIGNED A FIVE-YEAR LEASE WITH THE CASPER COMMUNITY GREENHOUSE PROJECT (CCGP) IN JANUARY 2020. THE NON-PROFIT HAS PLANNED AN URBAN GARDEN ON THE VACANT LAND AND STARTED CONSTRUCTION IN SUMMER 2020. THE PROJECT SCOPE INCLUDES A GREENHOUSE, AN ORCHARD, A FRUIT STAND, AND SEVERAL WALKWAYS WILL SERVE AS A CLASSROOM FOR LOCAL RESIDENTS TO LEARN ABOUT ORGANIC FARMING AND FRUITS AND VEGETABLES THAT ARE NATIVE TO WYOMING AND HOW PEOPLE CAN TAKE ADVANTAGE OF URBAN GARDENING. SUBSTANCE ABUSE / OTHER USE: THE GROUP GOALS INCLUDE CREATING A MEDICATION DISPOSAL PROGRAM, CREATING AN INFORMATIONAL CAMPAIGN TO EDUCATE ON DISPOSAL AND COMMUNITY OPTIONS, INCREASING ACCESS TO OTHER COMMUNITY ENTITIES ENCOURAGING APPROPRIATE DISPOSAL, AND INSTITUTING MORE COMMUNITY ENTITIES PROVIDING DRUG DISPOSAL / DEACTIVTION BAGS WITH PRESCRIPTIONS. THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT DISTRIBUTED 332 DETERRA DRUG DISPOSAL BAGS AND 561 SAFE STORAGE DRUG LOCK BOXES. THEY ALSO PROVIDED 47 ALCOHOL AND BEVERAGE SERVICE CLASS (TIPS) VOUCHERS TO MEMBERS OF THE COMMUNITY TO ADD ACCESS TO THE CLASS IN THE COMMUNITY. CNCHD DISTRIBUTED 3,963 EDUCATION BROCHURES ABOUT QUIT TOBACCO PROGRAM, DRUG STORAGE/DISPOSAL AND UNDERAGE DRINKING. MENTAL HEALTH / SUICIDE: WYOMING MEDICAL CENTER CONTINUES TO WORK ON A ZERO SUICIDE INITIATIVE WITH SEVERAL COMMUNITY PARTNERS. CASPER-NATRONA COUNTY HEALTH DEPARTMENT HELD ONE ASSIST SUICIDE PREVENTION PROGRAM CLASS FOR 24 PARTICIPANTS AND FUNDED 1 MENTAL HEALTH FIRST AID CLASS FOR 32 PARTICIPANTS. ADDITIONALLY, 4,785 GUN LOCKS AND 2,690 SUICIDE LIFE LINE CALL NUMBER CARDS WERE DISTRIBUTED. SAFE / AFFORDABLE HOUSING (EXPLORATORY GOAL): SINCE WYOMING MEDICAL CENTER AND THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT HAVE LITTLE DIRECT CONTROL OVER HOUSING, THEY HAVE COMMITTED TO SUPPORTING THE GOALS OF THE CASPER HOUSING AUTHORITY WHICH INCLUDE: CREATING LOW-INCOME HOUSING UNITS, CREATING WORKFORCE HOUSING UNITS AND CREATING AN ONLINE RESOURCE LIST. WYOMING MEDICAL CENTER CARE MANAGEMENT WORKS CLOSELY WITH THE CASPER HOUSING AUTHORITY TO HELP WITH PLACEMENT OF PATIENTS IN NEED. 14 1 - CENTRAL WY OUTPATIENT SURGERY CENTER 1201 E 3RD STREET CASPER WY 82601 SURGICAL CENTER 2 - OUTPATIENT RADIOLOGY 419 S WASHINGTON STREET SUITE 100 CASPER WY 82601 IMAGING SERVICES 3 - WY HEALTH MED GROUP MULTISPECIALTY 419 S WASHINGTON STREET CASPER WY 82601 PHYSICIAN PRACTICE 4 - WY HEALTH MED GROUP MULTISPECIALTY 6650 E 2ND STREET CASPER WY 82609 PHYSICIAN PRACTICE 5 - NORTH PLATTE PATHOLOGY 111 S JEFFERSON STREET CASPER WY 82601 PATHOLOGY SERVICES 6 - SAGE PRIMARY CARE 1020 S CONWELL STREET CASPER WY 82601 PRIMARY CARE CLINIC 7 - MESA PRIMARY CARE 3632 AMERICAN WAY CASPER WY 82604 PRIMARY CARE CLINIC 8 - IMMEDIATE CARE 3632 AMERICAN WAY CASPER WY 82604 QUICK-CARE CLINIC 9 - RESPIRATORY SYMPTOMS SCREENING CLINIC 245 S FENWAY STREET CASPER WY 82601 QUICK-CARE CLINIC 10 - WOUND CARE CENTER 1201 E 3RD STREET CASPER WY 82601 WOUND CARE 11 - WYOMING NEUROSURGERY & SPINE 1020 E 2ND STREET SUITE 201 CASPER WY 82601 NEUROSURGICAL CLINIC 12 - COLE CREEK PRIMARY CARE 6600 E 2ND STREET CASPER WY 82601 PRIMARY CARE CLINIC 13 - WYOMING PAIN CENTER 6600 E 2ND STREET CASPER WY 82601 PAIN MANAGEMENT CLINIC 14 - THE WYOMING ENDOCRINE & DIABETES CLINIC 419 S WASHINGTON STREET SUITE 201 CASPER WY 82601 ENDOCRINE & DIABETES CLINIC PART I, LINE 3C: TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE MEDICAL CARE MUST BE EMERGENT OR MEDICALLY NECESSARY AND THE INDIVIDUAL'S HOUSEHOLD GROSS INCOME MUST BE BELOW 300 PERCENT OF THE FEDERAL POVERTY GUIDELINE THRESHOLDS. ELIGIBILITY FOR FINANCIAL ASSISTANCE SHALL BE EXTENDED TO A PERSON BASED ON HOUSEHOLD INCOME. PART I, LINE 7: EXPENSES REPORTED IN PART I, LINES 7A, 7B AND 7C ARE CALCULATED USING THE WORKSHEETS IN THE INSTRUCTIONS TO SCHEDULE H, INCLUDING UTILIZATION OF THE COST-TO-CHARGE RATIO. EXPENSES REPORTED IN PART I, LINES 7E, 7F AND 7G ARE BASED ON ACTUAL COSTS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE WYOMING BEHAVIORAL INSTITUTE AND ENDOCRINE & DIABETES SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,845,964. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY BY PROVIDING NEEDED SPECIALISTS AND PHYSICIANS AS WELL AS DETERMINING WHAT IS NEEDED BY THE RESIDENTS IN THE LOCAL COMMUNITY AND SURROUNDING AREA. WYOMING MEDICAL CENTER SPENT $400,978 IN RECRUITING PHYSICIANS FOR PEDIATRICS, OB/GYN, PRIMARY CARE, RADIOLOGY SERVICES, AND EMERGENCY CARE. PART III, LINE 2: FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY BALANCES, WYOMING MEDICAL CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: WYOMING MEDICAL CENTER FOLLOWS HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. THEREFORE, BAD DEBT DOES NOT INCLUDE AMOUNTS THAT SHOULD BE ATTRIBUTABLE TO CHARITY CARE. PART III, LINE 4: FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY BALANCES, WYOMING MEDICAL CENTER RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: WYOMING MEDICAL CENTER USED THE MEDICARE OPERATING COST-TO-CHARGE RATIO TO CALCULATE THE COSTS RELATING TO MEDICARE REVENUE APPLIED AGAINST ACTUAL RECEIPTS. 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 4 STATEMENT AND A LETTER NOTIFYING THEM OF EXTRAORDINARY COLLECTION ACTIVITIES 30 DAYS PRIOR TO ASSIGNMENT OF AN ACCOUNT TO COLLECTIONS. ONCE A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL COLLECTION PRACTICES ARE CEASED. PART VI, LINE 2: CONTINUOUS MONITORING OF PUBLIC AND OTHER INTERNAL DATA SOURCES SHOWS THE HOSPITAL WHICH HEALTH CONCERNS ARE OF THE GREATEST IMPACT TO OUR COMMUNITY. WYOMING MEDICAL CENTER USES PUBLIC DATA, INCLUDING THE HEALTHY PEOPLE 2020 STUDY FROM THE OFFICE OF DISEASE PREVENTION AND HEALTH PROMOTION, AS WELL AS DATA FROM REPORTING HOSPITALS OF THE WYOMING HOSPITAL ASSOCIATION. INTERNAL DATA FROM THE HOSPITAL AND ASSOCIATED CLINICS ALSO HELPS TO IDENTIFY AND FIND SOLUTIONS FOR MORE SPECIFIC NEEDS WITHIN THE COMMUNITY. WYOMING MEDICAL CENTER HAS ALSO PARTNERED WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT, WHICH GATHERS VARIOUS HEALTH-RELATED DATA FOR THE WHOLE STATE ON A COUNTY-BY-COUNTY BASIS. PART VI, LINE 3: WYOMING MEDICAL CENTER'S PLAIN LANGUAGE SUMMARY AND FULL POLICY ARE AVAILABLE ONLINE AND UPON REQUEST VIA EMAIL, MAIL OR IN-PERSON. WYOMING MEDICAL CENTER HAS FINANCIAL COUNSELORS THAT MEET WITH SELF-PAY INPATIENTS OR ANY PATIENT UPON REQUEST. PART VI, LINE 4: WYOMING MEDICAL CENTER HAS 249 BEDS ON TWO HOSPITAL CAMPUSES. WITH OVER 50 SPECIALTIES OFFERED, WYOMING MEDICAL CENTER OFFERS HUNDREDS OF STATEWIDE CLINICS EACH YEAR. A FULL SPECTRUM OF INTEGRATED HEALTHCARE SERVICES INCLUDES EMERGENCY CARE AND TRAUMA, INTENSIVE CARE, SURGICAL, CARDIAC SERVICES, OBSTETRIC AND PEDIATRIC AND ORTHOPEDIC CARE. WYOMING MEDICAL CENTER ALSO OPERATES SEVERAL OUTPATIENT CLINICS IN CASPER.IN ADDITION TO WYOMING MEDICAL CENTER, CASPER CURRENTLY HAS TWO SPECIALTY HOSPITALS, A REHABILITATION HOSPITAL AND A BEHAVIORAL HEALTH CENTER.ACCORDING TO JUNE 30, 2021 U.S. CENSUS DATA, NATRONA COUNTY IS HOME TO JUST OVER 79,000 RESIDENTS WITH 578,000 STATEWIDE. NATRONA COUNTY AND THE STATE OF WYOMING HAVE LOW POPULATION DENSITY, WITH 5.9 PERSONS PER SQUARE MILE AND 15.0 PERSONS PER SQUARE MILE, RESPECTIVELY. NATRONA COUNTY IS 92.4% WHITE, 1.2% BLACK, 2.8% AMERICAN INDIAN AND ALASKA NATIVE, 1.1% ASIAN, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 2.4% OF PEOPLE REPORT TWO OR MORE RACES AND 10.6% ARE OF HISPANIC OR LATINO ORIGIN.ACCORDING TO CENSUS DATA, 9.2% OF PEOPLE IN NATRONA COUNTY ARE BELOW THE POVERTY LEVEL AND 9.4% ARE BELOW THE POVERTY LEVEL IN WYOMING. MEDIAN HOUSEHOLD INCOME IS $65,304 IN NATRONA COUNTY AND $62,168 IN WYOMING. PART VI, LINE 5: WYOMING MEDICAL CENTER IS A NOT-FOR PROFIT HOSPITAL. THE HOSPITAL WAS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS UNTIL THE SEPT. 30, 2020. EFFECTIVE OCT. 1, 2020, THE WMC BOARD OF DIRECTORS AND THE WMC FOUNDATION BOARD APPROVED AN AGREEMENT WITH BANNER HEALTH, WITH PLANS TO FULLY INTEGRATE WMC INTO THE BANNER SYSTEM BY JANUARY 2022. IN ADDITION, THE BOARD OF NATRONA COUNTY COMMISSIONERS AND THE COUNTY-APPOINTED MEMORIAL HOSPITAL BOARD OF TRUSTEES, APPROVED A SEPARATE $157 MILLION SALE OF LAND, BUILDINGS AND EQUIPMENT ASSOCIATED WITH WMC TO BANNER HEALTH. BANNER HEALTH IS NON-PROFIT HEALTH SYSTEM HEADQUARTERED IN ARIZONA. IT OPERATES 29 ACUTE-CARE HOSPITALS IN SIX STATES. WYOMING MEDICAL CENTER'S MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. THE FACILITY APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. OUR EMERGENCY DEPARTMENT IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. WYOMING MEDICAL CENTER SUBSIDIZED $7,799,024 IN HEALTHCARE SERVICES THROUGH ITS OPERATION OF WYOMING HEALTH MEDICAL GROUP (WHMG), LLC. SERVICES OFFERED INCLUDE NEUROSURGICAL CARE, INTERNAL MEDICINE AND FAMILY PRACTICE, URGENT CARE, PULMONOLOGY, NEPHROLOGY, PAIN AND ENDOCRINOLOGY. ALL SPECIALTIES TREAT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN MARCH 2020, WHMG ALSO OPENED A RESPIRATORY SYMPTOM SCREENING CLINIC IN RESPONSE TO THE COVID-19 PANDEMIC. THE RESPIRATORY CLINIC CLOSED DURING A REDUCTION IN COVID-19 CASES IN SUMMER 2020, BUT RE-OPENED IN SEPTEMBER 2020 AND OPERATED THROUGH THE FALL SURGE IN WYOMING, SEEING UP TO 300 PATIENTS PER DAY. IN FISCAL YEAR 2021, WYOMING MEDICAL CENTER AND WYOMING HEALTH MEDICAL GROUP OPENED URGENT CARE VIDEO APPOINTMENTS. THE APPOINTMENTS ARE AVAILABLE TO PATIENTS ANYWHERE IN WYOMING WITH A SPECIFIC SET OF SYMPTOMS. ADDITIONALLY, DURING THE COVID-19 PANDEMIC, ALL WYOMING HEALTH MEDICAL GROUP CLINICS EXPANDED THEIR ACCESS TO CARE THROUGH TELEMEDICINE APPOINTMENTS. WYOMING MEDICAL CENTER'S DIABETES EDUCATION IS A SELF-MANAGEMENT EDUCATION PROGRAM THAT INCLUDES A STAFF OF KNOWLEDGEABLE HEALTH PROFESSIONALS WHO PROVIDE PARTICIPANTS WITH COMPREHENSIVE INFORMATION ABOUT DIABETES MANAGEMENT. THE TEAM INCLUDES A MEDICAL DIRECTOR, DIRECTOR AND A HOST OF SPECIALLY TRAINED REGISTERED NURSES AND CERTIFIED DIABETES EDUCATORS. THE COMMUNITY DEVELOPMENT OFFICE MARKETS CLINICAL SERVICES THROUGHOUT THE AREA INCLUDING THE SECONDARY OUTREACH MARKETS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, FREE EDUCATIONAL SEMINARS BY PHYSICIANS AND OTHER HEALTH PROFESSIONALS. WYOMING MEDICAL CENTER ADVERTISES SCREENING EVENTS AND SUPPORT GROUPS ON ITS WEBSITE AND IN LOCAL NEWSPAPERS. DUE TO THE COVID-19 PANDEMIC, ALL IN-PERSON EVENTS WERE CANCELED DURING FY 2021. WYOMING MEDICAL CENTER WORKS WITH THE WYOMING MEDICAL CENTER FOUNDATION'S MASTERSON PLACE TO PROVIDE SLEEPING ROOMS TO PATIENTS AND THEIR FAMILIES AT REDUCED RATES, OR FREE, WHEN BEING TREATED AT THE HOSPITAL. IN FISCAL YEAR 2018, THE FOUNDATION SOLD MASTERSON PLACE AND BEGAN CONSTRUCTION OF A NEW FACILITY IN CLOSE PROXIMITY TO THE HOSPITAL. THE PROJECT WAS COMPLETED IN SUMMER 2019 AND THE 14-ROOM FACILITY IS FULLY OPERATING. WITH THE ACQUISITION BY BANNER HEALTH IN OCTOBER 2020, MASTERSON PLACE IS NOW FULLY OPERATED BY THE WYOMING MEDICAL CENTER FOUNDATION. WMC'S CEO WORKS IN THE COMMUNITY TO PROVIDE COMMUNITY BENEFIT RELATIONSHIPS. THERE IS ALSO ON-GOING WORK PROVIDED BY WMC PERSONNEL ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.WYOMING MEDICAL CENTER IS A TRAINING SITE FOR MANY SPECIALTIES. WE PROVIDE TRAINING FOR STUDENTS IN NURSING, PHLEBOTOMY, RESPIRATORY THERAPY, PARAMEDIC SERVICES, OCCUPATIONAL THERAPY ASSISTANTS, PHYSICAL THERAPISTS, AND FAMILY PRACTICE RESIDENTS. WYOMING MEDICAL CENTER HAS BEEN INSTRUMENTAL IN IMPLEMENTING A TELEHEALTH STROKE PROGRAM FOR WYOMING. THIS ALLOWS CASPER PHYSICIANS TO VIEW AND TREAT PATIENTS FROM A REMOTE LOCATION GIVING THE PATIENT TIME SENSITIVE CARE. IN FISCAL YEAR 2018, WYOMING MEDICAL CENTER ENTERED INTO A CONTRACT WITH INTOUCH TO PROVIDE TELEHEALTH SERVICES IN HOSPITALS ACROSS THE STATE AND NOW HAS AGREEMENTS WITH TEN REMOTE LOCATIONS ACROSS WYOMING. WYOMING MEDICAL CENTER PROVIDES WOMEN'S 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 FY2020 WYOMING MEDICAL CENTER HAD 30,502 PATIENT DAYS AND 14,238 EMERGENCY DEPARTMENT VISITS. WYOMING MEDICAL CENTER HOUSES THE SAFE KIDS PROGRAM WITH THE HELP OF DONATIONS AND GRANTS FROM VARIOUS SOURCES. THE PROGRAM FOCUSES ON INJURY PREVENTION AND IN ADDITION TO THE OTHER COMMUNITY EDUCATION AND OUTREACH, OFFERS REGULAR CAR SEAT CHECKS AND PROVIDES CAR SEATS TO THOSE WHO CANNOT AFFORD THEM. CAR SEATS ARE PROVIDED THROUGH A VOUCHER PROGRAM ADMINISTERED THROUGH THE DEPARTMENT OF FAMILY SERVICES (DFS) AND THE WOMEN, INFANTS AND CHILDREN (WIC) PROGRAMS. ADDITIONALLY, SAFE KIDS PROVIDES ALL BABIES WHO LEAVE THE HOSPITAL A CAR SEAT IF NEEDED WITHOUT A VOUCHER. THE HOSPITAL PROVIDES SERVICES FOR SEXUALLY ASSAULTED VICTIMS THROUGH THE SANE PROGRAM IN THE EMERGENCY DEPARTMENT. THE HOSPITAL PROVIDES A VARIETY OF HEALTH IMPROVEMENT OPTIONS FOR THE COMMUNITY AND ITS PATIENTS. FOR EXAMPLE, THE HOSPITAL PROVIDES EDUCATION FOR WEIGHT LOSS, DIABETES, STROKE, MENTAL HEALTH, FIRST AID, 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. WYOMING MEDICAL CENTER RELEASED ITS REGULAR QUARTERLY PUBLICATION, THE PULSE, TO 10,000 HOMES IN NATRONA AND FREMONT COUNTIES AND EVERY PROVIDER OFFICE IN THE STATE OF WYOMING. PART VI, LINE 7, REPORTS FILED WITH STATES WY 1 PART I, LINE 2: PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, WYOMING MEDICAL CENTER'S STAFF CONFIRM THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY OR THAT THE FUNDS WILL BE USED FOR A CHARITABLE PURPOSE. ALL CONTRIBUTIONS ARE FOR GENERAL OPERATING SUPPORT, SO NO FURTHER FOLLOW-UP REGARDING THE USE OF FUNDS IS CONDUCTED. X X X X 0 0 0 0 0 1 1 0 0 PETER S FINE PRESIDENT & CHIEF EXECUTIVE OFFICER 0 1612797 0 5945675 0 413562 0 4391241 0 20434 0 12383709 0 3346875 DENNIS LARAWAY CHIEF FINANCIAL OFFICER 0 921559 0 1573478 0 41953 0 1099833 0 17236 0 3654059 0 798862 REBECCA KUHN CHIEF OPERATING OFFICER 0 742289 0 1895200 0 168035 0 788554 0 18815 0 3612893 0 1030000 MARJORIE BESSEL CHIEF CLINICAL OFFICER 0 612101 0 1051562 0 70878 0 729584 0 15837 0 2479962 0 561485 DAVID BIXBY CHIEF LEGAL OFFICER & GENERAL COUNSEL 0 625968 0 1039678 0 104617 0 654840 0 4072 0 2429175 0 527679 DONALD NORLAND CHIEF STRATEGY & GROWTH OFFICER 0 578481 0 946412 0 22260 0 688516 0 17541 0 2253210 0 454789 NAOMI CRAMER CHIEF HUMAN RESOURCES OFFICER 0 538407 0 891405 0 72915 0 149424 0 21381 0 1673532 0 490280 MARGO KARSTEN DIVISION PRESIDENT 0 491398 0 551300 0 77916 0 288412 0 23610 0 1432636 0 239785 BRENT CLYDE NEUROSURGEON 1308120 0 0 0 1032 0 10242 0 35867 0 1355261 0 0 0 PAUL G MATZ NEUROSURGEON 1159583 0 37691 0 899 0 11600 0 1486 0 1211259 0 0 0 PATRICK RANKIN CEO - BANNER MEDICAL GROUP 0 424821 0 384762 0 22577 0 83790 0 22862 0 938812 0 99710 DAN WEINMAN VP, STRATEGY & PLANNING 0 377087 0 317528 0 43903 0 151812 0 25708 0 916038 0 96807 BRENDA SCHAEFER VICE-PRESIDENT, TREASURY & TREASURER 0 336010 0 262912 0 27505 0 127785 0 10802 0 765014 0 89655 ROBERT T NEFF NEPHROLOGY 526621 0 39536 0 360 0 7357 0 32396 0 606270 0 0 0 TARA L TAYLOR INTENSIVIST - PULMONARY MEDICINE 483379 0 22666 0 1584 0 14500 0 13212 0 535341 0 0 0 JF TURNER JR INTENSIVIST - PULMONARY MEDICINE 460834 0 4254 0 3048 0 0 0 29622 0 497758 0 0 0 LANCE PORTER CEO - LARGE FACILITY 0 226512 0 114075 0 20008 0 60042 0 22083 0 442720 0 0 JEANNE L EHLEBRACHT CFO 346711 0 56250 0 602 0 19609 0 1724 0 424896 0 0 0 JAMES J BLEICHER JR SR VP OP. & CCO (THRU JAN 21) 21004 0 0 0 301764 0 864 0 2744 0 326376 0 0 0 ELIZABETH AVANT DIRECTOR LEGAL OPERATIONS & ASST SECRETARY 0 124254 0 20279 0 693 0 3783 0 7213 0 156222 0 0 PART I, LINE 6 WYOMING MEDICAL CENTER, INC HAS AN INCENTIVE PLAN FOR ALL LEVELS OF THE ORGANIZATION INCLUDING INDIVIDUAL CONTRIBUTORS. THE AMOUNT OF INCENTIVE AWARDED EACH FISCAL YEAR IS DETERMINED AND APPROVED BY THE BOARD COMPENSATION COMMITTEE BASED ON ACHIEVEMENT OF ORGANIZATIONAL GOALS RELATED TO FOUR (4) PILLARS; PEOPLE, QUALITY/SERVICE, EFFICIENCY (FINANCIAL STEWARDSHIP) AND GROWTH. THE GOALS ARE APPROVED BY THE BOARD AND WEIGHTED BASED ON THE PRIORITY ESTABLISHED BY THE BOARD; PEOPLE (25%), QUALITY/SERVICE (25%), EFFICIENCY (FINANCIAL STEWARDSHIP) (30%), AND GROWTH (20%). WYOMING NEUROLOGIC ASSOCIATES DR. DAVID WHEELER, FORMER BOARD MEMBER, OWNS 50% 631975 PHYSICIAN AND ON-CALL SERVICES 0 ROCKY MOUNTAIN INFECTIOUS DISEASES DR. MARK DOWELL, FORMER BOARD MEMBER, OWNS 51% 317029 INFECTIOUS DISEASE MEDICAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 6 BANNER HEALTH SHALL BE THE SOLE VOTING MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A BANNER HEALTH, THE SOLE VOTING MEMBER OF WYOMING MEDICAL CENTER, SHALL ELECT MEMBERS OF THE BOARD FROM TIME TO TIME. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, BANNER HEALTH, MAY REMOVE ANY MEMBER OF THE BOARD AT ITS DISCRETION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PRESENTED TO MEMBERS OF BANNER HEALTH'S BOARD OF DIRECTORS AND TAX TEAMS. FORM 990 WAS ALSO REVIEWED IN DEPTH BY WYOMING MEDICAL CENTER'S CFO AND CORPORATE ACCOUNTANT. FORM 990, PART VI, SECTION B, LINE 12C THE POTENTIAL FOR CONFLICTS OF INTEREST EXISTS AT ALL LEVELS WITHIN THE WMC ORGANIZATION (WYOMING MEDICAL CENTER AND WYOMING HEALTH MEDICAL GROUP), INCLUDING: THE BOARD OF DIRECTORS, BOARD OF TRUSTEES, SENIOR MANAGEMENT, MEDICAL STAFF MEMBERS, AND ALL EMPLOYEES. ANY "INTERESTED PERSON" AS DEFINED ABOVE SHALL SUBMIT A POTENTIAL CONFLICT OF INTEREST FORM UPON HIRE. MANAGERS, DIRECTORS, OFFICERS, AND MEDICAL STAFF WILL SIGN A STATEMENT ANNUALLY TO AFFIRM THAT THEY: UNDERSTAND THE CONFLICT OF INTEREST POLICY, WILL COMPLY WITH THE CONFLICT OF INTEREST POLICY, AND HAVE HONESTLY AND APPROPRIATELY REPORTED ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. 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. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE FORMALLY DISCLOSED, SO THAT APPROPRIATE SAFEGUARDS MAY BE ESTABLISHED TO ENSURE THAT THE CONFLICT DOES NOT INAPPROPRIATELY INFLUENCE BUSINESS DECISIONS. ANY POTENTIAL CONFLICTS OF INTEREST WILL BE DISCLOSED TO THE CHIEF COMPLIANCE OFFICER AND DOCUMENTED IN THE EMPLOYEE/MEDICAL STAFF OR BOARD MEMBER FILE. UPON NOTICE OF A POTENTIAL CONFLICT OF INTEREST, THE COMPLIANCE OFFICER WILL DILIGENTLY REVIEW ALL MATERIAL FACTS RELATED TO THE POTENTIAL CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER WILL MAKE A DETERMINATION REGARDING THE POTENTIAL CONFLICT OF INTEREST. ONCE A DETERMINATION HAS BEEN MADE REGARDING A POTENTIAL CONFLICT OF INTEREST, THE CHIEF COMPLIANCE OFFICER SHALL REPORT POTENTIAL CONFLICTS OF INTERESTS TO THE APPROPRIATE PARTY(S). APPROPRIATE MITIGATION OR CORRECTIVE ACTION WILL BE TAKEN, AS WARRANTED. THIS POLICY IS INTENDED TO PROVIDE A METHOD FOR DISCLOSING AND ADDRESSING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. THE PURPOSE OF THIS POLICY IS TO PROTECT THE INTERESTS OF WMC, THE COMMUNITY, AND THE PEOPLE WE SERVE. IN ADDITION, THE PURPOSE IS TO PREVENT WMC EMPLOYEES AND ITS AFFILIATES FROM ENTERING INTO ANY EMPLOYMENT, TRANSACTION, OR OTHER ARRANGEMENT THAT MAY CAUSE OR BE PERCEIVED TO CAUSE A FINANCIAL OR PERSONAL CONFLICT OF INTEREST, WHICH COULD VIOLATE FEDERAL OR STATE LAW. 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 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 CEO, WHO IS ACCOUNTABLE TO THE BOARD OF DIRECTORS. ANNUALLY, THE EMPLOYEE SERVICES DEPARTMENT COMPLETES A THOROUGH MARKET ANALYSIS FOR ALL EXECUTIVE POSITIONS. THIS MARKET REVIEW CONSIDERS EQUIVALENT POSITIONS IN THE INDUSTRY AND COMPARABLE ORGANIZATIONS AT THE LOCAL, REGIONAL AND NATIONAL LEVELS. THIS ANALYSIS IS PROVIDED TO THE COMPENSATION REVIEW COMMITTEE. THIS PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE COMPENSATION REVIEW PROCESS WAS LAST CONDUCTED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 WYOMING MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE ATTACHED TO THE PUBLIC DISCLOSURE COPY OF THE FORM 990. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 24,738,343. MANAGEMENT AND GENERAL EXPENSES 5,390,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,128,498. FORM 990, PART XII, LINE 2C WYOMING MEDICAL CENTER IS NOW INCLUDED IN BANNER HEALTH'S AUDITED FINANCIAL STATEMENTS. BANNER HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT. 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