2021-11-12T12:43:57-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2020-07-01 830279242 WYOMING MEDICAL CENTER INC WYOM 3075772171 1233 EAST SECOND STREET CASPER WY 82601 DENNIS LARAWAY BANNER HEALTH CFO 3075772171 2021-11-12 1 DENNIS LARAWAY 999009999 KURT BENNION CPA P01469618 4252506100 2021-11-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z LANCE PORTER 1233 EAST SECOND STREET CASPER WY 82601 157436032 0 X HTTPS://WYOMINGMEDICALCENTER.ORG X 1986 WY ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES. 3 0 1661 34 1020482 731903 1170148 2371116 286708937 153023323 5389762 -1192 218483 154540 293487330 155547787 166359 0 0 0 117598453 59161010 0 0 0 166354850 96605955 284119662 155766965 9367668 -219178 446426215 266744389 105752176 90488497 340674039 176255892 X WYOMING MEDICAL CENTER ("WMC") STRIVES TO ADVANCE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY PROVIDING EXCELLENT HEALTHCARE SERVICES, PATIENT SAFETY AND EXPERIENCE AT REASONABLE COSTS. OUR HIGHLY SKILLED AND ENGAGED TEAM OF PHYSICIANS, STAFF AND VOLUNTEERS ENSURES PATIENTS ARE WELL CARED FOR WHILE AT WMC. 0 0 126569082 0 152002841 WYOMING MEDICAL CENTER IS THE LEADER IN HEALTH IN THE COMMUNITY AND PROVIDES CARE TO ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL WAS FORMED IN 1986 AS A NON-PROFIT CORPORATION TO PROVIDE HEALTH CARE TO THE RESIDENTS OF NATRONA COUNTY. SINCE THAT TIME WYOMING MEDICAL CENTER HAS GROWN INTO A REGIONAL TRAUMA CENTER THAT PROVIDES CRITICAL SERVICES TO NATRONA COUNTY AND TO THE ENTIRE STATE.WYOMING MEDICAL CENTER RELEASED ITS REGULAR QUARTERLY HEALTH PUBLICATION, THE PULSE, TO APPROXIMATELY 10,000 HOMES IN NATRONA AND FREMONT COUNTIES AND EVERY PROVIDER OFFICE IN THE STATE OF WYOMING. WYOMING MEDICAL CENTER PROVIDED $4,053,761 IN CHARITY CARE SERVICES BASED ON TOTAL DIRECT AND INDIRECT COSTS. 126569082 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 251 0 1 1661 0 1 1 0 0 0 0 0 0 0 0 0 1 0 X 3 0 0 0 1 0 1 1 1 1 0 0 1 1 0 1 1 1 1 1 1 1 1 1 X JEANNE EHLEBRACHT 3075777837 1233 EAST SECOND STREET CASPER WY 82601 MICHELE CHULICK CEO THRU 9/20 55.00 2.00 X 2287036 0 57671 PAUL MATZ NEUROSURGEON 45.00 0.00 X 1324407 0 1732 MARGO KARSTEN DIVISION PRESIDENT 45.00 0.00 X X 0 965241 306669 DAN WEINMAN VP, STRATEGY AND PLANNING 45.00 0.00 X X 0 697902 232713 PATRICK RANKIN CEO - BANNER MEDICAL GROUP 45.00 0.00 X X 0 728502 184240 WAYNE WARREN NEUROSURGEON THRU 3/20 45.00 0.00 X 817744 0 26313 JAMES BLEICHER JR CEO THRU 11/20 45.00 0.00 X 635683 0 35218 ROBERT NEFF NEPHROLOGY 45.00 0.00 X 614333 0 42907 TARA TAYLOR INTENSIVIST - PULMONARY MEDICINE 45.00 0.00 X 522255 0 25934 TODD HAMMOND ANESTHESIOLOGIST 45.00 0.00 X 516384 0 38730 LANCE PORTER CEO - LARGE FACILITY 45.00 0.00 X 0 398088 55477 JEANNE EHLEBRACHT CFO 45.00 0.00 X 347748 0 10782 MICHAEL STALEY CHIEF ADMIN OFFICER THRU 10/20 55.00 0.00 X 325656 0 28566 GARY ZMRHAL CHIEF FINANCIAL OFFICER THRU 7/20 55.00 0.00 X 270528 0 231 JESSICA ODEN BOARD CHAIR THRU 09/20 5.00 0.00 X X 0 0 0 BETH WORTHEN BOARD VICE CHAIR/TREAS THRU 09/20 5.00 0.00 X X 0 0 0 LISA BURRIDGE BOARD SECRETARY THRU 09/20 5.00 0.00 X X 0 0 0 JAMES ANDERSON DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 TOM CRULL DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 MARK DOWELL MD DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 PAUL JONESMD DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 JOHN LAWSON DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 JOHN MASTERSON DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 CHRIS MUIRHEAD DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 MIKE REID DIRECTOR THRU 09/20 5.00 0.00 X 0 0 0 7661774 2789733 1047183 186 0 1 0 MEDLINE INDUSTRIES INC DEPT 1080 PO BOX 121080 DALLAS TX 75321 SUPPLIES & SERVICES 5744562 MCKESSON CORPORATION 22423 NETWORK PLACE CHICAGO IL 60673 SUPPLIES & SERVICES 5688574 ABM HEALTHCARE SUPPORT SERVICES INC PO BOX 419860 BOSTON MA 02241 CONTRACT SERVICES 5522827 CERNER HEALTHCARE SOLUTIONS INC PO BOX 412702 KANSAS CITY MO 64141 IT CONTRACT SERVICES 4104014 WYOMING ANESTHESIA LLC 5295 WESTVIEW DRIVE SUITE 225 FREDERICK MD 21703 MEDICAL SERVICES 3743505 196 2078405 292711 2371116 NET PATIENT REVENUE 621110 146669269 146669269 NON-PATIENT NON-OPERAT 900099 3613565 3517509 96056 JV INVESTMENT INCOME 621300 2125318 1392628 732690 CAFETERIA SALES 722210 485446 423435 62011 REFERENCE LAB REVENUE 621500 129725 129725 153023323 687856 687856 236231 161972 74259 74259 74259 1035682 1543 0 1726273 1035682 -1724730 -689048 -689048 OTHER NONOPERATING 900099 80281 80281 80281 155547787 152002841 1020482 153348 X 2803812 1429944 1373868 45587169 36915222 8671947 1484881 1202415 282466 6075671 4919909 1155762 3209477 2751725 457752 723633 723633 228293 228293 24720 24720 68430 68430 22891702 18796250 4095452 272694 272694 2077618 1210676 866942 3773533 52881 3720652 4622105 732767 3889338 127457 37266 90191 319616 319616 7969299 7969299 887070 887070 EXCISE TAX 188670 188670 BAD DEBT EXPENSE 26432970 26432970 DRUGS & MEDICAL SUPPLIE 20236967 20236967 MISCELLANEOUS 3420010 1092637 2327373 2341168 1581468 759700 155766965 126569082 29197883 0 31262347 43843667 3480 -50 49169117 48602873 431488 514940 4673091 4680201 5935254 10280842 463005947 276445592 108057155 186560355 211920229 0 9701847 5179627 18877378 18405950 6394829 -51324016 446426215 266744389 20280548 18121179 33029167 33029167 13592117 0 34732375 34631266 4117969 4706885 105752176 90488497 X 340604598 174144959 69441 2110933 340674039 176255892 446426215 266744389 X -219178 3555347 -167754316 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 1 24720 0 1 8338 33058 0 PART II-B, LINE 1: WYOMING MEDICAL CENTER SPENT $24,720 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $8,338 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION. 13344402 13344402 142057830 92396790 49661040 5279760 2658651 2621109 278720055 168206314 110513741 23603900 13183837 10420063 186560355 MALPRACTICE AND LITIGATION 1250000 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3456885 4706885 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 1 4053761 4053761 0.03130 10031163 6611376 3419787 0.02640 424403 98223 326180 0.00250 14509327 6709599 7799728 0.06020 1439733 1439733 0.01110 48935 48935 0.00040 1776754 287103 1489651 0.01150 80398 80398 0.00060 3345820 287103 3058717 0.02360 17855147 6996702 10858445 0.08380 389831 389831 0.00300 389831 389831 0.00300 1 26432970 0 39045926 38979815 66111 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 15315 X X X WYOMING MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X HTTP://WYOMINGMEDICALCENTER.ORG/COMMUNITY-HEALTH X 1 18 1 HTTP://WYOMINGMEDICALCENTER.ORG/COMMUNITY-HEALTH 0 1 X 200.000000000000 275.000000000000 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 CONTINUE TO MEET SEVERAL TIMES PER YEAR 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 FY2020 WMC HAS WORKED ON THE FOLLOWING:HEALTHY LIVING / ACTIVE LIFESTYLE: THE GROUP SUSPENDED "WALK WITH A DOC" TALKS DUE TO COVID-19 IN THIS TIME PERIOD. IN PARTNERSHIP WITH THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT, WE DISTRIBUTED 4,482 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 CCPG HAS STARTED SOME PROJECTS ON THE LAND AND CONTINUES TO FUNDRAISE TO BROADEN THE SCOPE OF THE PROJECT. 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 136 DETERRA DRUG DISPOSAL BAGS AND 121 SAFE STORAGE DRUG LOCK BOXES. THEY ALSO HELD 1 SAFE ALCOHOL AND BEVERAGE SERVICE CLASS (TIPS) AND 1 "TRAIN THE TRAINER" CLASS TO ADD ACCESS TO THE CLASS IN THE COMMUNITY. CNCHD DISTRIBUTED 2,783 EDUCATION BROCHURES ABOUT QUIT TOBACCO PROGRAM, DRUG STORAGE/DISPOSAL AND UNDERAGE DRINKING. MENTAL HEALTH/SUICIDE: WYOMING MEDICAL CENTER AND THE CASPER-NATRONA COUNTY HEALTH DEPARTMENT ARE TRIALING A PROGRAM WITH HOPES OF EXPANDING IT TO OTHER ORGANIZATIONS IN OUR COMMUNITY. GOALS ARE TO CREATE A PROTOCOL, MATERIALS AND INFRASTRUCTURE FOR A CARING LETTERS PROGRAM, IMPLEMENT THE PROGRAM AT WMC AND EXPAND TO OTHER ORGANIZATIONS AND PROVIDE ONLINE VERSION FOR RESOURCES AND INFORMATION. CARING LETTERS GROUP OF VOLUNTEERS WERE PUT ON HOLD DUE TO COVID-19. WYOMING MEDICAL CENTER CONTINUES TO WORK ON A ZERO SUICIDE INITIATIVE WITH SEVERAL COMMUNITY PARTNERS. CASPER-NATRONA COUNTY HEALTH DEPARTMENT HELD ONE QPR "TRAIN THE TRAINER" SESSION WHERE 30 TRAINERS WERE TRAINED ON THE "QUESTION PERSUADE REFER" SUICIDE PREVENTION PROGRAM. ADDITIONALLY, 1,215 GUN LOCKS AND 1,657 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. WYOMING MEDICAL CENTER PART V, SECTION B, LINE 13H: AN APPLICANT MAY ONLY APPLY TO THIS PROGRAM ONCE PER ACCOUNT UNLESS THEY ENCOUNTER A CATASTROPHIC SITUATION WHICH CHANGES THE HOUSEHOLD GROSS INCOME AS DEFINED BY THE FEDERAL GOVERNMENT. 10 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 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 275 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, 7G AND 7I ARE BASED ON ACTUAL COSTS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE WYOMING BEHAVIORAL INSTITUTE AND ENDOCRINE & DIABETES SERVICES. SUBSIDIZED HEALTH SERVICES INCLUDE $428,556 OF EXPENSES ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 26,432,970. 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 $389,831 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, 2019 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 14.1 PERSONS PER SQUARE MILE AND 5.8 PERSONS PER SQUARE MILE, RESPECTIVELY. NATRONA COUNTY IS 93.7% WHITE, 1.4% BLACK, 1.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.9% ASIAN, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 2.4% OF PEOPLE REPORT TWO OR MORE RACES AND 8.7% ARE OF HISPANIC OR LATINO ORIGIN.ACCORDING TO CENSUS DATA, 9.9% OF PEOPLE IN NATRONA COUNTY ARE BELOW THE POVERTY LEVEL AND 10.1% ARE BELOW THE POVERTY LEVEL IN WYOMING. MEDIAN HOUSEHOLD INCOME IS $62,772 IN NATRONA COUNTY AND $64,049 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 X 1 1 X X X X 1 0 0 0 0 1 1 0 0 MICHELE CHULICK CEO THRU 9/20 572084 0 190000 0 1524952 0 31356 0 26315 0 2344707 0 0 0 PAUL MATZ NEUROSURGEON 1323335 0 0 0 1072 0 0 0 1732 0 1326139 0 0 0 MARGO KARSTEN DIVISION PRESIDENT 0 481925 0 471540 0 11776 0 280922 0 25747 0 1271910 0 0 DAN WEINMAN VP, STRATEGY AND PLANNING 0 380178 0 279902 0 37822 0 205283 0 27430 0 930615 0 0 PATRICK RANKIN CEO - BANNER MEDICAL GROUP 0 418382 0 288712 0 21408 0 159692 0 24548 0 912742 0 0 WAYNE WARREN NEUROSURGEON THRU 3/20 743895 0 73573 0 276 0 11400 0 14913 0 844057 0 0 0 JAMES BLEICHER JR CEO THRU 11/20 529578 0 80250 0 25855 0 0 0 35218 0 670901 0 0 0 ROBERT NEFF NEPHROLOGY 534413 0 79546 0 374 0 10614 0 32293 0 657240 0 0 0 TARA TAYLOR INTENSIVIST - PULMONARY MEDICINE 491931 0 29250 0 1074 0 12825 0 13109 0 548189 0 0 0 TODD HAMMOND ANESTHESIOLOGIST 516163 0 0 0 221 0 17100 0 21630 0 555114 0 0 0 LANCE PORTER CEO - LARGE FACILITY 0 217308 0 80626 0 100154 0 32313 0 23164 0 453565 0 0 JEANNE EHLEBRACHT CFO 279733 0 67500 0 515 0 9187 0 1595 0 358530 0 0 0 MICHAEL STALEY CHIEF ADMIN OFFICER THRU 10/20 268005 0 56250 0 1401 0 1569 0 26997 0 354222 0 0 0 GARY ZMRHAL CHIEF FINANCIAL OFFICER THRU 7/20 240692 0 28125 0 1711 0 0 0 231 0 270759 0 0 0 PART I, LINE 1A MICHELE CHULICK - CASPER COUNTRY CLUB - $3,345 THE CASPER COUNTRY CLUB DUES WERE INCLUDED IN MICHELE CHULICKS'S 2020 TAXABLE W-2 WAGES. PART I, LINE 4A MICHELE CHULICK, CEO, RECEIVED SEVERANCE PAYMENTS OF $1,513,445 DURING 2020. 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% 310045 PHYSICIAN AND ON-CALL SERVICES 0 ROCKY MOUNTAIN INFECTIOUS DISEASES DR. MARK DOWELL, BOARD MEMBER, OWNS 51% 89345 INFECTIOUS DISEASE MEDICAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS AND ARTICLES OF INCORPORATION WERE CHANGED TO REFLECT THE NEW SOLE MEMBER OF THE ORGANIZATION, BANNER HEALTH, AND ITS CONTROLLING ROLES AND FUNCTIONS WITHIN THE ORGANIZATION. 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 WMC CFO AND CORPORATE ACCOUNTANT. FORM 990, PART VI, SECTION B, LINE 12C WYOMING MEDICAL CENTER'S CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, INCLUDING MANAGERS, DIRECTORS, EXECUTIVES, AND THE BOARD OF DIRECTORS. ADDITIONALLY, THE BOARD OF DIRECTORS HOLDS TO ADDITIONAL CONFLICT OF INTEREST STATEMENTS BUILT INTO THE BOARD BYLAWS. EACH INDIVIDUAL GOVERNED BY THE POLICY ANNUALLY SIGNS A CONFLICT OF INTEREST STATEMENT. PERIODIC REVIEWS ARE CONDUCTED TO ENSURE THAT WMC OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. MEMBERS OF THE COMMITTEES WITH BOARD DELEGATED POWERS CONSIDER THE PROPOSED TRANSACTION OR ARRANGEMENT AFTER DISCLOSURE OF THE FINANCIAL INTEREST, ALL MATERIAL FACTS AND AFTER DISCUSSION WITH THE INTERESTED PERSON. THE INDIVIDUAL WITH THE CONFLICT LEAVES THE BOARD OR COMMITTEE MEETING WHILE THE FINAL DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. A VOTING MEMBER OF THE BOARD OR ANY COMMITTEE WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM WMC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. PHYSICIAN BOARD MEMBERS ARE EXCLUDED FROM VOTING ON ANY COMPENSATION MATTERS INVOLVING OTHER PHYSICIANS. IF THEY ARE UNABLE TO DETERMINE IF A CONFLICT EXISTS, THEY SHALL CONTACT THE COMPLIANCE OFFICER FOR ASSISTANCE. 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 2019. 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 18,796,250. MANAGEMENT AND GENERAL EXPENSES 4,095,452. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,891,702. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY -779,830. OTHER CHANGES IN UNRESTRICTED NET ASSETS -167,211,162. OTHER CHANGES IN RESTRICTED NET ASSETS 236,676. 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