WYOMING MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: WYOMING MEDICAL CENTER INC (EIN 83-0279242)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-10-27
IRS object ID: 202533009349301438
Schema version: 2024v5.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-10-27T14:39:14-05:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8390 EAST CRESCENT PARKWAY SUITE	AddressLine1Txt
Address Line2	300	AddressLine2Txt
City	GREENWOOD VILLAGE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	830279242	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WYOM	BusinessNameControlTxt
Phone	6027474000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2901 NORTH CENTRAL AVENUE 160	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85012	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STACI DICKERSON	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	6027474000	PhoneNum
Signature	2025-10-23	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION CPA	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	3037795710	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY PERRY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2901 NORTH CENTRAL AVENUE 160	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85012	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$286,677,931	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	WY	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	195	TotalVolunteersCnt
Total Gross UBI	$1,122,419	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$846,204	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,219,597	PYContributionsGrantsAmt
CY Contributions Grants	$114,770	CYContributionsGrantsAmt
PY Program Service Revenue	$252,838,295	PYProgramServiceRevenueAmt
CY Program Service Revenue	$284,480,555	CYProgramServiceRevenueAmt
PY Investment Income	-$69,898	PYInvestmentIncomeAmt
CY Investment Income	$1,007,011	CYInvestmentIncomeAmt
PY Other Revenue	$1,047,093	PYOtherRevenueAmt
CY Other Revenue	$1,075,595	CYOtherRevenueAmt
PY Total Revenue	$260,035,087	PYTotalRevenueAmt
CY Total Revenue	$286,677,931	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,325,755	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$89,425,506	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,775,877	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$169,551,705	PYOtherExpensesAmt
CY Other Expenses	$190,781,385	CYOtherExpensesAmt
PY Total Expenses	$259,007,711	PYTotalExpensesAmt
CY Total Expenses	$277,883,017	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,027,376	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,794,914	CYRevenuesLessExpensesAmt
Total Assets BOY	$243,925,960	TotalAssetsBOYAmt
Total Assets EOY	$258,251,795	TotalAssetsEOYAmt
Total Liabilities BOY	$63,299,077	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$62,842,554	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$180,626,883	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$195,409,241	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$202,179,879	ExpenseAmt
Grant	$1,325,755	GrantAmt
Revenue	$283,358,136	RevenueAmt
Desc	GUIDED BY AND DEEPLY DEVOTED TO THE NONPROFIT MISSION: "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER," WYOMING MEDICAL CENTER, IS COMMITTED TO PROVIDING A WIDE RANGE OF QUALITY CARE, BASED ON THE NEEDS OF THE COMMUNITY. LOCATED IN THE COUNTY SEAT OF CASPER WYOMING, THE SECOND MOST POPULOUS CITY IN WYOMING, THE LEVEL TWO TRAUMA CENTER SERVES AS A REGIONAL REFERRAL CENTER AND PRIMARY FACILITY FOR NATRONA COUNTY RESIDENTS. WYOMING MEDICAL CENTER PROVIDES A WIDE RANGE OF QUALITY CARE SERVICES INCLUDING CARDIOLOGY, WOMEN AND INFANTS' SERVICES, PEDIATRICS, BARIATRICS, SURGERY, IMAGING, NEUROLOGY, ONCOLOGY, REHABILITATION, AND ENDOCRINOLOGY. WYOMING MEDICAL CENTER HAS A STRONG HISTORY OF DEDICATION TO ITS COMMUNITY AND PROVIDING CARE TO UNDERSERVED POPULATIONS AND CONTINUES TO HELP IDENTIFY ADDITIONAL OPPORTUNITIES TO BETTER CARE FOR POPULATIONS WITHIN THE COMMUNITY WHO HAVE SPECIAL OR UNMET NEEDS.WYOMING MEDICAL CENTER IS DEDICATED TO STRENGTHENING PATIENT CARE THROUGH A CONTINUOUS FOCUS ON IMPROVING PATIENT OUTCOMES AND SERVICE, DEVELOPMENT AND TRAINING OF AN ENGAGED WORKFORCE, USE OF INNOVATIVE TECHNOLOGIES, AND EXPANSION OF SERVICES TO MEET COMMUNITY NEEDS. PEOPLE HAVE ALWAYS COME FIRST AND WHETHER WELCOMING NEWBORNS, OR PROVIDING CARE FOR THRIVING IN LATER YEARS, OUR PATIENTS PROVIDE THE MOTIVATION THAT KEEPS US MOVING FORWARD. AT ALL STAGES IN LIFE, WYOMING MEDICAL CENTER MEETS THE HEALTH AND MEDICAL NEEDS OF ITS PATIENTS THROUGH COMPASSIONATE PROFESSIONALS AND OUTSTANDING SERVICE. WYOMING MEDICAL CENTER REACH PROVIDES PATIENTS WITH ACCESS TO THESE SERVICES BE IT FROM A HOSPITAL BED, MOBILE WEB SITE, VIRTUAL TELEHEALTH SPACE, OR PHYSICAL PRESENCE IN A CLINIC OR PHYSICIAN'S OFFICE. WYOMING MEDICAL CENTER MEETS THE PATIENT WHERE THEY ARE AND AT THEIR DESIRED LOCALE. WYOMING MEDICAL CENTER'S MISSION IS "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER. AND AS A NONPROFIT ORGANIZATION, WE EXIST TO SUPPORT OUR CHARITABLE MISSION OF PROVIDING EXCELLENT HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE, RATHER THAN GENERATING INCOME FOR INVESTORS OR STOCKHOLDERS. EVERY DOLLAR WE EARN IS REINVESTED INTO NEW EQUIPMENT, NEW OR EXPANDING PATIENT CARE SERVICES, NEW PHYSICIAN SERVICES, MODERN TECHNOLOGIES, MAINTAINING EXISTING EQUIPMENT AND FACILITIES, AND EMPLOYEES. WYOMING MEDICAL CENTER PRESERVES THE DIGNITY OF EVERYONE REGARDLESS OF RACE, CREED, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, AGE, SOCIAL STATUS, OR ABILITY TO PAY FOR SERVICES RENDERED AND OPERATES IN A COST-EFFECTIVE AND FINANCIALLY RESPONSIBLE MANNER TO ENSURE THAT ALL RECEIVE THE EXCELLENT PATIENT CARE THEY DESERVE. FULFILLMENT OF THE WYOMING MEDICAL CENTER MISSION AND EXEMPT PURPOSE IS ACCOMPLISHED IN PART BY PROVIDING PATIENTS FINANCIAL ASSISTANCE AND CHARITY CARE, AS WELL AS COMMUNITY BENEFIT PROGRAMS AND SERVICES (SEE SCHEDULE H). NOTABLE 2024 COMMUNITY BENEFIT ACTIVITIES INCLUDE:COMMUNITY EDUCATION - WYOMING MEDICAL CENTER HAS SET ITS SIGHTS ON IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES AND FOCUSES ON PROVIDING THE BEST POSSIBLE CARE TO PATIENTS. IN THIS PROCESS, WYOMING MEDICAL CENTER RECOGNIZES DELIVERING EXCELLENT CARE IS MORE THAN CLINICAL TREATMENT. WYOMING MEDICAL CENTER IS COMMITTED TO PROVIDING EDUCATION IN ALL THE COMMUNITIES IT SERVES AND DOING ITS PART TO KEEP WYOMING MEDICAL CENTER COMMUNITIES STRONG AND HEALTHY. AREA RESIDENTS AND COMMUNITY MEMBERS HAD ACCESS TO IN-PERSON AND ONLINE EDUCATIONAL OPPORTUNITIES INCLUDING CLASSES, SYMPOSIUMS, PRESENTATIONS, AND FORUMS AIMED AT COMMUNITY HEALTH AWARENESS. TOPICS INCLUDED DISCUSSIONS SPECIFIC TO VARIOUS DISEASES AND DISEASE PREVENTION TECHNIQUES, HOLISTIC THERAPIES, WELLNESS, CAREGIVER SUPPORT AND SAFETY. COVID 19 - WYOMING MEDICAL CENTER FOCUSES ON EMERGENCY PREPAREDNESS YEAR-ROUND TO BE ABLE TO RESPOND TO ANY PUBLIC HEALTH CRISIS AND THE ARRIVAL OF THE COVID-19 PANDEMIC TO THE U.S. PUT THOSE PLANS INTO IMMEDIATE ACTION. SINCE THEN, WYOMING MEDICAL CENTER HAS BEEN EVER PRESENT, PROVIDING QUALITY-CARE AND ACCESS AND LEADING THE WAY IN OUR COMMUNITIES. PROFOUNDLY ALTERED BY THE GLOBAL PANDEMIC AND AMID THE COVID-19 CHALLENGES, THE IMPORTANCE OF HIGH-QUALITY, ACCESSIBLE HEALTH CARE WAS NEVER MORE EVIDENT AND IN THE PANDEMIC ERA, WYOMING MEDICAL CENTER CONTINUES TO STEADFASTLY FOCUS ON CARING FOR OUR DIVERSE COMMUNITIES INCLUDING SAFE TESTING, VACCINATIONS, EDUCATION, PROTECTION, AND CARE. WYOMING MEDICAL CENTER HEALTH CONTINUALLY WORKS TO DEVELOP AND IMPLEMENT PRACTICES TO ENSURE THE SAFETY OF PATIENTS AND HEALTH CARE WORKERS ACROSS ITS WYOMING SERVICE AREA; CONSTANTLY REVIEWING AND ENHANCING MEASURES. THE IMPORTANCE OF HEALTH CARE WORKER AND PATIENT SAFETY IS PARAMOUNT WITH AN OVERARCHING MESSAGE - WYOMING MEDICAL CENTER IS A SAFE PLACE - FOR CARE AND WORK. SAFETY EDUCATION - AT WYOMING MEDICAL CENTER WE ARE COMMITTED TO PROMOTING A CULTURE OF SAFETY AND EMBRACING HIGH RELIABILITY PRINCIPLES AND HELPING TO KEEP OUR PATIENTS AND FAMILIES SAFE AT HOME, REST, OR PLAY AND SAFETY IS THE FOREMOST PRIORITY AT OUR FACILITIES. AS PART OF OUR EFFORTS, WE OFFER SAFETY EDUCATION RELATED TO HANDWASHING, FARM, RECREATION, WATER, HOLIDAY, POISON PREVENTION, AND SUMMER SAFETY ALONG WITH N FREE GUIDES TO HELP INDIVIDUALS AND FAMILIES PREPARE FOR ANY KIND OF EMERGENCY. HEALTH CARE SUPPORT SERVICES - PUBLIC MEDICAID PROGRAM ENROLLMENT ASSISTANCE AND CARE COORDINATION VALUED AT $77,000 PROVIDED TO INDIVIDUALS IN NEED. PATIENT WELLNESS - AT WYOMING MEDICAL CENTER HEALTH, WE ARE COMMITTED TO HELPING PERSONS BE THE HEALTHIEST THEY CAN BE, AND WE OFFER MANY WAYS TO LEARN HOW TO MAINTAIN OR IMPROVE YOUR HEALTH. IN 2024 COMMUNITY EDUCATION AND WELLNESS ACTIVITIES WERE VALUED AT $6,000. PHARMACY EDUCATION - AS PART OF COMMUNITY SERVICE, WYOMING MEDICAL CENTER PROVIDED APPROXIMATELY $321,000 FOR THE TRAINING OF FUTURE PHARMACISTS.FUNDED DISCHARGE PROGRAM - INITIATIVE TO PROVIDE POST-DISCHARGE SERVICES TO THE VULNERABLE AND UNDERSERVED. IMPROVES THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO AND RESOURCES FOR POST-DISCHARGE CARE WHICH LEVERAGES' THE PATIENT'S RECOVERY OPTIONS, HELPS MINIMIZE RETURN VISITS, AND ADDRESSES ACCESS TO CARE. APPROXIMATELY $75,000 PROVIDED TO NEEDY COMMUNITY RESIDENTS FOR POST DISCHARGE CARE. SUBSIDIZED HEALTH SERVICES - WYOMING MEDICAL CENTER PROVIDES IMPORTANT, FREE, AND REDUCED OR SLIDING FEE-BASED SERVICES LIKE AMBULANCE AND EVACUATION SERVICES AND BEHAVIORAL HEALTH SERVICES. WYOMING MEDICAL CENTER ALSO PROVIDES CLINICAL SERVICES TO MEET THE NEEDS OF THE COMMUNITY. WITHOUT THE $13,000 AMBULANCE SUBSIDY AND SERVICE LOCALITIES WOULD BE RESPONSIBLE FOR THESE SERVICES. WYOMING MEDICAL CENTER UNDERSTANDS MENTAL AND EMOTIONAL WELLBEING IS JUST AS IMPORTANT AS PHYSICAL HEALTH AND IN 2024 $1.4 MILLION WAS DEVOTED TO THE MENTAL HEALTH NEEDS OF THE COMMUNITY PROVIDING SAFE, CONFIDENTIAL, AND COMPASSIONATE TREATMENT WITH CUSTOMIZED TREATMENT PLANS TO MEET EACH PATIENT'S NEEDS. FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS - WYOMING MEDICAL CENTER IS COMMITTED TO ASSISTING FINANCIALLY AND THROUGH IN-KIND CONTRIBUTIONS TO INDIVIDUALS AND THE COMMUNITY AT LARGE. APPROXIMATELY $1.5 MILLION WAS PROVIDED TO SUPPORT COMMUNITY EFFORTS.COMMUNITY BUILDING - AS A GOOD CORPORATE CITIZEN AND PARTNER, WYOMING MEDICAL CENTER PARTICIPATES IN SEVERAL ACTIVITIES DESIGNED TO PROMOTE COMMUNITY HEALTH AND ADDRESS COMMUNITY NEEDS INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT. IN 2024 WYOMING MEDICAL CENTER CONTRIBUTED $933,000 TO ACTIVELY RECRUIT PHYSICIANS TO SERVE IN FEDERAL MEDICALLY UNDERSERVED AREAS AND THE ENHANCE COMMUNITY WORKFORCE.	Desc
Total Program Service Expenses	$202,179,879	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BANNER HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6027474000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2901 NORTH CENTRAL AVENUE 160	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85012	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMY PERRY
PRESIDENT & CEO	8.00	40.00	Yes (X)	Yes (X)	$0	$4,580,826	$4,471,822
JEAN LANCE - DIRECTOR EXEC VP
CHIEF LEGAL OFF. & GEN. COUNSEL	2.00	40.00	Yes (X)	Yes (X)	$0	$1,956,173	$969,950
MARJORIE BESSEL - DIRECTOR
EVP, CHIEF CLINICAL OFFICER	2.00	40.00	Yes (X)	Yes (X)	$0	$1,898,398	$1,022,997
STACI DICKERSON - DIRECTOR
EVP, CHIEF FINANCIAL OFFICER	2.00	40.00	Yes (X)	Yes (X)	$0	$1,710,569	$926,669
DONALD NORDLUND - DIRECTOR
EVP, CHIEF STRATEGY & GROWTH OFFICER	2.00	40.00	Yes (X)	Yes (X)	$0	$2,065,892	$1,107,767
BRENDA SCHAEFER - TREASURER
VP & CHIEF INVESTMENT OFFICER	2.00	40.00		Yes (X)	$0	$773,577	$135,709
JULIE ALVARADO-DUBEK
SECRETARY & EVP CHIEF HR OFFICER	0.00	40.00		Yes (X)	$0	$1,510,216	$893,630
MARY SCHUBERT - ASST SECRETARY
EXECUTIVE DIRECTOR, LEGAL SERVICES	2.00	40.00		Yes (X)	$0	$391,753	$23,831
PETER S FINE
CEO (THROUGH JUNE 30, 2024)	8.00	40.00		Yes (X)	$0	$8,571,171	$4,964,141
MARGO KARSTEN
FORMER DIRECTOR & OFFICER	2.00	40.00			$0	$1,138,266	$386,975	Yes (X)
LANCE PORTER
FORMER DIRECTOR & OFFICER	2.00	40.00			$0	$605,937	$102,120	Yes (X)
DAN WEINMAN
FORMER DIRECTOR & OFFICER	2.00	40.00			$0	$873,103	$306,964	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$26,075,881	TotReportableCompRltdOrgAmt
Total Other Compensation	$15,312,575	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$98,847	RelatedOrganizationsAmt
All Other Contributions	$15,923	AllOtherContributionsAmt
Total Contributions	$114,770	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$278,552,076	$278,552,076
JV INVESTMENT INCOME	523000	$4,773,309	$3,830,582	$942,727
CAFETERIA SALES	722514	$861,536	$681,844	$179,692
NON-PATIENT/OPERATING	900099	$293,634	$293,634

Field	Value	IRS element (for citing)
Total Program Service Revenue	$284,480,555	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,654	TotalRevenueColumnAmt
Exclusion	$4,654	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,075,595	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,075,595	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,075,595	TotalRevenueColumnAmt
Exclusion	$1,075,595	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,002,357	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,002,357	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,002,357	TotalRevenueColumnAmt
Exclusion	$1,002,357	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$286,677,931	TotalRevenueColumnAmt
Related Or Exempt Func Income	$283,358,136	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,122,419	UnrelatedBusinessRevenueAmt
Exclusion	$2,082,606	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,325,755	TotalAmt
Program Services	$1,325,755	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$71,521,886	TotalAmt
Program Services	$57,916,421	ProgramServicesAmt
Management And General	$13,605,465	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,753,699	TotalAmt
Program Services	$1,420,096	ProgramServicesAmt
Management And General	$333,603	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,738,230	TotalAmt
Program Services	$6,266,202	ProgramServicesAmt
Management And General	$1,472,028	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,762,062	TotalAmt
Program Services	$3,856,184	ProgramServicesAmt
Management And General	$905,878	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$27,557,119	TotalAmt
Management And General	$27,557,119	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$25,381	TotalAmt
Management And General	$25,381	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,888	TotalAmt
Management And General	$6,888	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,173,481	TotalAmt
Program Services	$32,165,129	ProgramServicesAmt
Management And General	$7,008,352	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$44,400	TotalAmt
Management And General	$44,400	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,760,450	TotalAmt
Program Services	$1,608,578	ProgramServicesAmt
Management And General	$1,151,872	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,130,328	TotalAmt
Program Services	$57,881	ProgramServicesAmt
Management And General	$4,072,447	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,195,634	TotalAmt
Program Services	$3,360,257	ProgramServicesAmt
Management And General	$17,835,377	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$279,053	TotalAmt
Program Services	$81,590	ProgramServicesAmt
Management And General	$197,463	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,194,198	TotalAmt
Program Services	$7,194,198	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,551,081	TotalAmt
Program Services	$17,551,081	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,877,938	TotalAmt
Program Services	$1,877,938	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUG & MEDICAL SUPPLIES	$47,234,372	$47,234,372
BAD DEBT EXPENSE	$16,616,036	$16,616,036
PHYSICIAN RECRUITMENT	$2,385,238	$1,608,652	$776,586
FOOD	$1,410,646	$1,210,349	$200,297

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,339,142	TotalAmt
Program Services	$829,160	ProgramServicesAmt
Management And General	$509,982	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$277,883,017	TotalAmt
Program Services	$202,179,879	ProgramServicesAmt
Management And General	$75,703,138	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,246,410	BOYAmt
EOY	$21,132,308	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,153	BOYAmt
EOY	$59,807	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,402,409	BOYAmt
EOY	$43,342,566	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,432,049	BOYAmt
EOY	$1,837,640	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,761,143	BOYAmt
EOY	$7,944,743	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$333,209	BOYAmt
EOY	$1,273,557	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$486,794,586	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$330,231,220	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$151,838,262	BOYAmt
EOY	$156,563,366	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,100,438	BOYAmt
EOY	$7,655,144	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,335,715	BOYAmt
EOY	$392,859	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,475,172	BOYAmt
EOY	$18,049,805	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$243,925,960	BOYAmt
EOY	$258,251,795	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,880,527	BOYAmt
EOY	$16,872,402	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$38,507	BOYAmt
EOY	$35,707	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,380,043	BOYAmt
EOY	$45,934,445	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,299,077	BOYAmt
EOY	$62,842,554	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,519,058	BOYAmt
EOY	$173,863,048	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,107,825	BOYAmt
EOY	$21,546,193	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,626,883	BOYAmt
EOY	$195,409,241	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$243,925,960	BOYAmt
EOY	$258,251,795	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,794,914	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$5,987,444	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$20,069	OtherActivitiesAmt
Total Lobbying Expenditures	$20,069	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	WYOMING MEDICAL CENTER CONTRIBUTED $20,069 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE WYOMING HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,277,486	OtherCostOrOtherBasisAmt
Book Value	$13,277,486	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,077,466	OtherCostOrOtherBasisAmt
Depreciation	$109,012,121	DepreciationAmt
Book Value	$37,065,345	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,757,381	OtherCostOrOtherBasisAmt
Depreciation	$4,757,381	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$291,259,089	OtherCostOrOtherBasisAmt
Depreciation	$200,616,341	DepreciationAmt
Book Value	$90,642,748	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,423,164	OtherCostOrOtherBasisAmt
Depreciation	$15,845,377	DepreciationAmt
Book Value	$15,577,787	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$156,563,366	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	RIGHT-OF-USE LEASE ASSETS	Desc
Book Value	$18,049,805	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$18,049,805	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$895,789
DUE TO RELATED ORGANIZATIONS	$16,389,840
RIGHT-OF-USE LEASE LIABILITIES	$20,161,718
ASSET RETIREMENT OBILIGATION	$7,287,098
OTHER	$1,200,000

Field	Value	IRS element (for citing)
Total Liability	$45,934,445	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,102,544	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,102,544	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,060,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,871,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,188,878	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,162,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,871,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,291,422	NetCommunityBenefitExpnsAmt
Total Expense	0.09220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,497	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$82,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$641,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$641,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,520,725	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,520,725	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,502,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,502,275	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,747,447	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,747,447	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,910,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,871,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,038,869	NetCommunityBenefitExpnsAmt
Total Expense	0.10580	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$871	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$871	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$932,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$932,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$933,547	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$933,547	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,655,528	BadDebtExpenseAmt
Bad Debt Expense Attributable	$548,329	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$74,372,827	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$72,748,067	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,624,760	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
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

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 EAST 2ND STREET	AddressLine1Txt
City	CASPER	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
State License	15341	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE LINE 16J	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE LINE 16J	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE LINE 16J	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
WYOMING MEDICAL CENTER	PART V, SECTION B, LINE 5: IN ADDITION TO THE NOTED COMMUNITY OUTREACH AND IN COMPLIANCE WITH FEDERAL REQUIREMENTS, WYOMING MEDICAL CENTER, AND THE BANNER HEALTH CHNA STEERING COMMITTEE PARTNERED WITH PUBLIC HEALTH EXPERTS AS WELL AS KEY INFORMANTS, RESIDENTS, REPRESENTATIVES, OR LEADERS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS TO COLLECT AND REVIEW DATA AND FINDINGS.
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 7D: THE 2022 CHNA REPORT IS AVAILABLE ONLINE AT WWW.BANNERHEALTH.COM/STAYING-WELL/COMMUNITY/HEALTH-NEEDS-ASSESSMENTS-REPORT AND THE IMPLEMENTATION STRATEGY IS AVAILABLE ONLINE AT WWW.BANNERHEALTH.COM/-/MEDIA/FILES/PROJECT/BH/CHNA-REPORTS/2022/IMPLEMENTATION-STRATEGIES-FOR-POSTING.ASHX.
WYOMING MEDICAL CENTER	PART V, SECTION B, LINE 11: ACTIONS SINCE PRECEEDING CHNA/BANNER HEALTH IMPLEMENTATION STRATEGIES:TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE CHNA PROCESS, BANNER HEALTH DEVELOPED SYSTEMWIDE IMPLEMENTATION STRATEGIES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. THE STRATEGIES, TACTICS, AND ANTICIPATED OUTCOMES OF THOSE STRATEGIES FOLLOW.SIGNIFICANT HEALTH NEED: IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE:STRATEGY: INCREASED UTILIZATION OF BANNER HEALTH'S CARE CONTINUUM THROUGH OUR CLINICS, HOSPITALS, AMBULATORY SETTINGS, AND POST-ACUTE SETTINGS OF CARE.ANTICIPATED OUTCOME: IMPROVE OUR COMMUNITIES EASE AND ACCESS TO THE CARE CONTINUUM FOR ALL THEIR HEALTH CARE NEEDS.TACTIC 1: INCREASE ACCESS TO AMBULATORY SERVICES.TACTIC 2: INCREASE UTILIZATION OF ONLINE SCHEDULING FOR EASE OF APPOINTMENT.TACTIC 3: INCREASE COMMUNITY CARE COMMUNICATION WITH BANNER HEALTH TO SUPPORT THE PATIENT IN ACCESSING THE CARE THEY NEED, NAVIGATE THE CARE CONTINUUM, AND INFORM THEIR PCP OF THEIR ONGOING HEALTHCARE STATUS.COVID TACTIC: CONTINUE TO PROVIDE LONG-COVID CARE.REHAB TACTIC: CONTINUE TO PROMOTE ACCESS TO BANNER PHYSICAL THERAPY AND BANNER HOME CARE FOLLOWING DISCHARGE FROM BANNER REHABILITATION HOSPITAL.STRATEGY: SUPPORTING OUR TEAM MEMBERS THROUGH INTERNAL WELLNESS PROGRAMS AND EMPLOYEE BENEFITS.ANTICIPATED OUTCOME: INSPIRE A HEALTHY AND PRODUCTIVE WORK FORCE.TACTIC 1: OFFER AND PROMOTE EMPLOYEE WELLNESS PROGRAMS TO REDUCE BURNOUT AND TURNOVER.TACTIC 2: PROMOTE EMPLOYEE SATISFACTION AND EMPLOYMENT EXPERIENCE.TACTIC 3: EXPAND UTILIZATION OF MYWELL-BEING TO ENCOURAGE DAILY WELLNESS AT BANNER HEALTH.COVID TACTIC: CONTINUE TO PROVIDE COMMUNICATION WITH BANNER HEALTH EMPLOYEES ON COVID.STRATEGY: ALIGN BANNER HEALTH'S STRATEGIES AND PROCESSES WITH SOCIAL DETERMINANTS OF HEALTH PRACTICES.ANTICIPATED OUTCOME: EDUCATE BANNER HEALTH TEAM MEMBERS AND PARTNERS ON INCORPORATING SOCIAL DETERMINANTS OF HEALTH INTO OUR HEALTH CARE STRATEGIES.TACTIC 1: IDENTIFY AND SUPPORT COMMUNITY-BASED ORGANIZATIONS TO FURTHER ALIGN BANNER HEALTH'S SDOH AGENDA.TACTIC 2: PROMOTE IN-SCHOOL CLINICS AND MOBILE HEALTH CLINICS FOR LOW-INCOME PEDIATRIC PATIENTS.TACTIC 3: PROVIDE NON-CLINICAL SUPPORT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH FOR SENIORS TO IMPROVE THEIR HEALTH AND WELL-BEING THROUGH THE CARE CONTINUUM.SIGNIFICANT HEALTH NEED: CHRONIC DISEASE MANAGEMENTSTRATEGY: INCREASE ACCESS TO PRIMARY CARE.ANTICIPATED OUTCOME: IMPROVE EASE OF PRIMARY CARE UTILIZATION.TACTIC 1: IMPROVE EASE OF SCHEDULING PRIMARY CARE VISITS BY INCREASING ACCESS TO PROVIDERS AND ONLINE SCHEDULING.TACTIC 2: CREATE A PROCESS TO BETTER LEVERAGE TELEHEALTH IN THE MANAGEMENT OF CHRONIC CARE CONDITIONS.TACTIC 3: PROVIDE ADDITIONAL RESOURCES TO HELP OUR COMMUNITIES MANAGE THEIR HEALTH.COVID TACTIC: SUPPORT PATIENTS WITH CHRONIC DISEASES RECOVERING FROM COVID-19.STRATEGY: SUPPORT BANNER HEALTH COMMUNITIES IN MANAGING CHRONIC DISEASES.ANTICIPATED OUTCOME: IMPROVE CHRONIC DISEASE MANAGEMENT THROUGH CLINICAL SUPPORT AND PATIENT EDUCATION.TACTIC 1: SUPPORT PATIENTS WITH OR AT RISK FOR HYPERTENSION WITH MANAGING THEIR BLOOD PRESSURE CONTROL.TACTIC 2: SUPPORT PATIENTS WITH OR AT RISK FOR DIABETES WITH MANAGING THEIR HBA1C LEVELS.TACTIC 3: PROVIDE EDUCATION OR DEMENTIA CAPABILITY TO PROFESSIONALS AND FAMILIES IN THE COMMUNITIES WE SERVE (DEMENTIA ECHO AND COMMUNITY EDUCATION PROGRAMS)REHAB TACTIC: PROVIDE EDUCATION AND SUPPORT IN MANAGING LONG TERM CHRONIC DISEASE CARE.STRATEGY: INCREASE AWARENESS OF AND ACCESS TO CANCER SCREENINGS.ANTICIPATED OUTCOME: INCREASE PREVENTATIVE CANCER CARE.TACTIC 1: PROVIDE EDUCATIONAL RESOURCES TO THE COMMUNITY FOR CANCER AWARENESS AND PREVENTION.TACTIC 2: INCREASE PATIENT COMPLIANCE ON ROUTINE COLON SCREENINGS.TACTIC 3: INCREASE PATIENT COMPLIANCE ON ROUTINE BREAST CANCER SCREENINGSIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTHSTRATEGY: PROVIDE AWARENESS AND ACCESS TO MENTAL HEALTH RESOURCES.ANTICIPATED OUTCOME: REDUCE VOLUME OF ACUTE MENTAL HEALTH EPISODES THROUGH EARLY INTERVENTIONS OF EDUCATION AND ACCESS TO PREVENTATIVE CARE.TACTIC 1: CONTINUE TO PROVIDE VIRTUAL EDUCATION WITH BANNER AND THEIR PARTNERS FOR MENTAL HEALTH AWARENESS.TACTIC 2: IMPROVE PROVIDER ACCESS TO MENTAL HEALTH RESOURCES TO LEVERAGE WITH BEHAVIORAL PATIENTS UTILIZING TELE-BEHAVIORAL.TACTIC 3: ENCOURAGE CLINICIAN UTILIZATION OF BANNER HEALTH PROVIDED MENTAL HEALTH RESOURCES.STRATEGY: SUPPORT COMMUNITIES IN ACCESSING SUBSTANCE PREVENTION AND INTERVENTION SERVICES.ANTICIPATED OUTCOME: IMPROVE UTILIZATION OF PREVENTION AND INTERVENTION SERVICES FOR SUBSTANCE USE.TACTIC 1: PROMOTE CLINICIAN AND PHARMACISTS' PREVENTION AND INTERVENTION WORK FOR SUBSTANCE ABUSE AND MISUSE.TACTIC 2: CONTINUE TO OFFER MULTI-INTERVENTIONAL TOBACCO CESSATION SUPPORT AT BANNER HEALTH FACILITIES.TACTIC 3: CONTINUE TO PROVIDE INPATIENT DETOX AND INTENSIVE OUTPATIENT SERVICES AT ALL ACUTE BEHAVIORAL HEALTH SITES.
WYOMING MEDICAL CENTER	PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE AVAILABLE ONLINE AT WWW.BANNERHEALTH.COM/PATIENTS/BILLING/FINANCIAL-ASSISTANCE.
PART V, SECTION B, LINE 3J:	LINE 3A:WYOMING MEDICAL CENTER, A REGIONAL REFERRAL CENTER IS IN NATRONA COUNTY, WYOMING AND INCLUDES A CENTRAL AND EAST CAMPUS. THE CENTRAL CAMPUS IS THE PRIMARY FACILITY FOR NATRONA COUNTY RESIDENTS AND A LEVEL 2 TRAUMA CENTER. THE DEMOGRAPHIC AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS NATRONA COUNTY. NATRONA COUNTY IS IN THE CENTER OF WYOMING AND IS THE SECOND MOST POPULOUS COUNTY IN WYOMING. WYOMING MEDICAL CENTER IS POSITIONED IN THE COUNTY SEAT OF CASPER. THE PRIMARY SERVICE AREA (PSA) INFORMATION FOR WYOMING MEDICAL CENTER INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW-INCOME OR UNDERSERVED POPULATIONS.
LINE 3C:	IN COMPLIANCE WITH FEDERAL REQUIREMENTS, WYOMING MEDICAL CENTER, AND THE BANNER HEALTH CHNA STEERING COMMITTEE PARTNERED WITH PUBLIC HEALTH EXPERTS AS WELL AS RESIDENTS, REPRESENTATIVES, OR LEADERS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS. WORKING COLLABORATIVELY THE HEALTH NEEDS OF RESIDENTS IN NATRONA COUNTY, WYOMING INCLUDING THE PRIMARY SERVICES AREA FOR WYOMING MEDICAL CENTER WERE ASSESSED.
LINE 3D:	WYOMING MEDICAL CENTER EMPLOYS AN EIGHT-STEP CHNA PROCESS BASED ON BANNER HEALTH'S EXPERIENCE FROM PREVIOUS CHNA CYCLES. THE EIGHT-STEP PROCESS CONSISTS OF THE FOLLOWING:1. REVIEW AND EVALUATE PRIOR CHNA REPORT AND ACTION PLANS, REVIEW DATA2. PARTNER WITH COMMUNITY AGENCIES, INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS 3. CONDUCT FOCUS GROUP WITH COMMUNITY STAKEHOLDERS AND CONFIRM COMMUNITY PRIORITIES 4. RESEARCH ADDITIONAL HEALTH NEEDS IDENTIFIED 5. PREPARE CHNA REPORT 6. DEVELOP STRATEGIES FOR THE NEXT THREE YEARS7. OBTAIN BANNER HEALTH LEADERSHIP AND BOARD OF DIRECTOR APPROVAL 8. POST TO WWW.BANNERHEALTH.COM AND OBTAIN ONGOING COMMUNITY FEEDBACKORGANIZATIONAL STRUCTURE:- EXTERNAL STAKEHOLDERS - A TEAM OF EXTERNAL STAKEHOLDERS IS MADE UP OF INDIVIDUALS AND ORGANIZATIONS EXTERNAL TO WYOMING MEDICAL CENTER, AND REPRESENT THE UNDERSERVED, UNINSURED, AND MINORITY POPULATIONS IN NATRONA COUNTY AND THE SURROUNDING AREAS. BASED ON THEIR ROLE IN THE PUBLIC HEALTH REALM OF THE HOSPITAL'S SURROUNDING COMMUNITY, THESE STAKEHOLDERS ARE INSTRUMENTAL IN COLLABORATING AROUND IMPROVING OUR COMMUNITIES. EACH STAKEHOLDER IS VESTED IN THE OVERALL HEALTH OF THE COMMUNITY AND BRINGS FORTH A UNIQUE PERSPECTIVE WITH REGARDS TO THE POPULATION'S HEALTH NEEDS.- BANNER HEALTH'S CHNA STEERING COMMITTEE - COMPRISED OF LEADERS FROM THROUGHOUT BANNER HEALTH, THESE LEADERS REPRESENT OUR ARIZONA COMMUNITY DELIVERY, WESTER DIVISION, AND RURAL FACILITIES, AS WELL AS OUR ACADEMIC MEDICAL CENTERS. IN COLLABORATION WITH WYOMING MEDICAL CENTER'S LEADERSHIP TEAM AND BANNER HEALTH'S STRATEGY PLANNING DEPARTMENT, THE STEERING COMMITTEE IS INSTRUMENTAL IN BOTH THE DEVELOPMENT OF THE CHNA PROCESS AND THE CONTINUATION OF WYOMING MEDICAL CENTER'S AND BANNER HEALTH'S COMMITMENT TO PROVIDING SERVICES THAT MEET COMMUNITY HEALTH NEEDS. - CHNA CHAMPIONS - A WORKING TEAM FROM EACH OF BANNER HEALTH'S HOSPITALS MEETS MONTHLY TO REVIEW THE ONGOING PROCESS OF COMMUNITY STAKEHOLDER MEETINGS, REPORT CREATION, AND ACTION PLAN IMPLEMENTATION. THIS GROUP CONSISTS OF MEMBERSHIP MADE UP OF CEOS, CNOS, COOS, FACILITY DIRECTORS, QUALITY MANAGEMENT PERSONNEL, VOLUNTEER SERVICES LEADERS, AND OTHER CLINICAL STAKEHOLDERS. PRIMARY DATA:1. CONSISTS OF NEW DATA THAT IS OBTAINED VIA DIRECT MEANS. FOR BANNER HEALTH, PRIMARY DATA IS CREATED BY RENDERING HEALTHCARE SERVICES TO PATIENTS; THE DATA INCLUDES INPATIENT, OR OUTPATIENT COUNTS, VISITS, PAYER, ETC. FOR THE CHNA REPORT, PRIMARY DATA WAS ALSO COLLECTED DIRECTLY FROM THE COMMUNITY THROUGH SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. THE PRIMARY DATA FOR THE CHNA ORIGINATED FROM CERNER (BANNER HEALTH'S ELECTRONIC MEDICAL RECORD) AND MCKESSON (BANNER HEALTH'S COST ACCOUNTING/DECISION SUPPORT TOOL). THESE DATA SOURCES WERE USED TO IDENTIFY THE HEALTH SERVICES CURRENTLY BEING ACCESSED BY THE COMMUNITY AND PROVIDES INDICATORS FOR DIAGNOSIS-BASED HEALTH NEEDS OF THE COMMUNITY. THIS DATA WAS ALSO USED TO IDENTIFY THE PRIMARY SERVICE AREAS (PSA = 75%), INFORM THE STEERING COMMITTEE, AND FACILITY CHAMPIONS ON WHAT THE NEXT STEPS OF RESEARCH AND FOCUS GROUP FACILITATION NEEDED TO ENTAIL. 2. COMMUNITY SURVEY - TO IDENTIFY AND UNDERSTAND COMMUNITY HEALTH NEEDS, A COMMUNITY HEALTH ASSESSMENT SURVEY WAS ADMINISTERED TO COMMUNITY MEMBERS IN WESTERN DIVISION BETWEEN MAY-JULY 2022. SURVEYS WERE INTENDED TO PROVIDE INFORMATION ABOUT PROMINENT HEALTH PROBLEMS FACING THE COMMUNITY. THE SURVEY HAD A TOTAL OF 15 QUESTIONS TO IDENTIFY FACTORS WHICH CONTRIBUTED TO OVERALL QUALITY OF LIFE, MORE IMPORTANT HEALTH ISSUES AND BEHAVIORS, RATING SCALES, AND IMPACT COVID-19 HAD IN THEIR LIFE AND IN THE COMMUNITY. A TOTAL OF 234 SURVEYS WERE COLLECTED FROM OUR WESTERN DIVISION COMMUNITY PARTNERS, 88 FROM OUR WYOMING PARTNERS, AND 58 FROM NATRONA COUNTY. 3. KEY INFORMANT INTERVIEWS - BANNER HEALTH CONDUCTED A SERIES OF KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS IDENTIFIED BY FACILITY CHAMPIONS. KEY INFORMANTS REPRESENTED LOCAL HEALTH DEPARTMENTS, FIRE DEPARTMENTS, BEHAVIORAL HEALTH CENTERS, LOCAL COMMUNITY COLLEGES, AND SOCIAL SERVICE DEPARTMENTS. THROUGH A SERIES OF QUESTIONS, KEY INFORMANTS DEFINED THEIR OPINION OF HEALTH AND WHAT QUALITY OF LIFE MEANT, THEY IDENTIFIED TOP COMMUNITY NEEDS, AND DISCUSSED THE IMPACT COVID-19 CONTINUES TO HAVE IN THEIR COMMUNITY. WHILE THE DEFINITION OF HEALTH VARIED PERSON BY PERSON, THE PRIMARY THEME WAS THE ABILITY TO LIVE A SAFE AND PRODUCTIVE LIFE.SECONDARY DATA:WYOMING MEDICAL CENTER'S PROCESS FOR CONDUCTING THEIR CHNA LEVERAGED A MULTI-PHASED APPROACH TO UNDERSTANDING GAPS IN SERVICES PROVIDED TO THE COMMUNITY, AS WELL AS EXISTING COMMUNITY RESOURCES. THE CHNA UTILIZED A MIXED-METHODS APPROACH THAT INCLUDED THE COLLECTION OF SECONDARY OR QUANTITATIVE DATA WITH REVIEW AND INPUT FROM KEY INFORMANTS, AND MEETINGS WITH INTERNAL LEADERSHIP. SECONDARY DATA INCLUDES PUBLICLY AVAILABLE HEALTH STATISTICS AND DEMOGRAPHIC DATA. WITH INPUT FROM STAKEHOLDERS, CHAMPIONS, AND THE STEERING COMMITTEE, ADDITIONAL HEALTH INDICATORS OF SPECIAL INTEREST WERE INVESTIGATED. COMPARISONS OF DATA SOURCES WERE MADE TO THE COUNTY, STATE, AND PSA IF POSSIBLE. DATA ANALYTICS WERE EMPLOYED TO IDENTIFY DEMOGRAPHICS, SOCIOECONOMIC FACTORS, AND HEALTH TRENDS IN THE PSA, COUNTY, AND STATE. DATA REVIEWED INCLUDED INFORMATION AROUND DEMOGRAPHICS, POPULATION GROWTH, HEALTH INSURANCE COVERAGE, HOSPITAL SERVICES UTILIZATION, PRIMARY AND CHRONIC HEALTH CONCERNS, RISK FACTORS, AND EXISTING COMMUNITY RESOURCES. SEVERAL SERVICES OF DATA WERE CONSULTED TO PRESENT THE MOST COMPREHENSIVE PICTURE OF WYOMING MEDICAL CENTER'S PSA'S HEALTH STATUS AND OUTCOMES.
LINE 3E AND 3G:	BUILDING ON BANNER HEALTH'S PAST THREE CHNA REPORTS, THE STEERING COMMITTEE AND FACILITY CHAMPIONS WORKED WITH BANNER HEALTH CORPORATE PLANNERS TO PRIORITIZE HEALTH NEEDS FOR CYCLE 4 OF THE CHNA. FACILITY STAKEHOLDERS, COMMUNITY MEMBERS, AND PUBLIC HEALTH PROFESSIONALS WERE AMONG MAJOR EXTERNAL ENTITIES INVOLVED IN IDENTIFYING HEALTH NEEDS, WHICH WERE THEN BROUGHT TO THE STEERING COMMITTEE. BOTH BANNER HEALTH INTERNAL MEMBERS, AND EXTERNAL ENTITIES WERE STRATEGICALLY SELECTED FOR THEIR RESPECTIVE UNDERSTANDING OF COMMUNITY PERSPECTIVES, COMMUNITY-BASED HEALTH ENGAGEMENT, AND HEALTH CARE EXPERTISE. TO BE CONSIDERED A HEALTH NEED THE FOLLOWING CRITERIA WAS TAKEN INTO CONSIDERATION: -THE PSA HAD A HEALTH OUTCOME OR FACTOR RATE WORSE THAN THE AVERAGE COUNTY/STATE RATE. -THE PSA DEMONSTRATED A WORSENING TREND WHEN COMPARED TO COUNTY/STATE DATA IN RECENT YEARS. -THE PSA INDICATED AN APPARENT HEALTH DISPARITY. -THE HEALTH OUTCOME OR FACTOR WAS MENTIONED IN THE FOCUS GROUP. -THE HEALTH NEED ALIGNED WITH BANNER HEALTH'S MISSION AND STRATEGIC PRIORITIES. USING THE PREVIOUS CHNAS AS A TOOL, THE STEERING COMMITTEE REVIEWED AND COMPARED THE HEALTH NEEDS IDENTIFIED IN 2022 TO THE PREVIOUS HEALTH NEEDS. THE GROUP NARROWED THE COMMUNITY HEALTH NEEDS TO THREE. IT WAS DETERMINED THAT BANNER HEALTH, AS A HEALTH SYSTEM WOULD CONTINUE TO ADDRESS THE SAME HEALTH NEEDS FROM CYCLE 3, THE 2019 CHNA, DUE TO THE CONTINUED IMPACT THESE HEALTH NEEDS HAVE ON THE OVERALL HEALTH OF THE COMMUNITY. THESE NEEDS AND THE STRATEGIES TO ADDRESS THE NEEDS ALIGN WITH THE SHORT AND LONG-TERM GOALS THE HEALTH SYSTEM HAS, SPECIFIC STRATEGIES CAN BE TAILORED TO THE REGIONS BANNER HEALTH SERVES, AND THE HEALTH NEEDS CAN ADDRESS MANY HEALTH AREAS WITHIN EACH OF THEM. WHILE PRIORITIZING NEEDS, COVID-19 WAS A CONSISTENT THEME THAT AROSE IN ALL FORMS OF PRIMARY DATA COLLECTION. COVID-19 HAS HAD AN IMPACT ON THE MEASUREMENT OF HEALTH NEEDS, SOCIOECONOMIC FACTORS, FACILITY VOLUMES, AND HEALTH BEHAVIORS TO NAME A FEW. BANNER STEERING COMMITTEE AND FACILITY LEADERSHIP DETERMINED THAT FOR BANNER HEALTH'S CHNA PROCESS, RATHER THAN ADDING A FOURTH COMMUNITY HEALTH NEED, BANNER WOULD INCORPORATE COVID-19 INTO EACH OF THE THREE COMMUNITY HEALTH NEEDS. BANNER HEALTH WILL CONTINUE TO PROVIDE ONGOING CARE FOR THOSE AFFECTED PHYSICALLY AND MENTALLY BY COVID-19 THROUGHOUT CYCLE 4 OF THE CHNA PROCESS. BASED ON DATA AND INFORMATION GATHERED THROUGH THE CHNA PROCESS, THE FOLLOWING REPRESENT THE THREE 2022 PRIORITIZE HEALTH NEEDS: 1. IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE -ACCESS TO AND NAVIGATING HEALTHCARE SERVICES -ACCESS TO SUPPORTIVE CARE AFTER HOSPITAL DISCHARGE -ACCESS TO CARE POST-COVID -EMPLOYEE WELLNESS -INTEGRATING SOCIAL DETERMINANTS OF HEALTH WITH BANNER 2. CHRONIC DISEASE MANAGEMENT -HEALTH LITERACY -HEALTH MANAGEMENT -DIABETES AND HEART DISEASE MANAGEMENT -DIAGNOSING AND MANAGING DEMENTIA -ONGOING CARE FOR THOSE WITH LONG-COVID -PREVENTATIVE CANCER EDUCATION -CANCER SCREENINGS3. BEHAVIORAL HEALTH -ACCESS TO MENTAL HEALTH RESOURCES -MENTAL HEALTH CARE FOR THOSE AFFECTED BY COVID RELATED EXPERIENCES (INCLUDING PTSD AND OTHER BEHAVIORAL HEALTH PROBLEMS) -SUBSTANCE AND ALCOHOL ABUSE AND MISUSE PREVENTION
LINE 3H:	INPUT WAS COLLECTED FROM INDIVIDUALS IN THE COMMUNITY, INCLUDING PUBLIC HEALTH EXPERTS AS WELL AS RESIDENTS, REPRESENTATIVES, OR LEADERS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS. AS NOTED ABOVE SURVEYS AND FOCUS GROUPS WERE CONDUCTED THROUGHOUT 2022 AND RESULTS INCORPORATED INTO THE CHNA.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 - BANNER HEALTH CLINIC
1020 S CONWELL STREET	CASPER	WY	82601	PRIMARY CARE CLINIC
7 - BANNER HEALTH CLINIC
3632 AMERICAN WAY	CASPER	WY	82604	PRIMARY CARE CLINIC
8 - BANNER HEALTH WALK-IN CLINIC
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 - BANNER HEALTH CLINIC
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 - WYOMING ENDOCRINE & DIABETES CLINIC
419 S WASHINGTON STREET SUITE 201	CASPER	WY	82601	ENDOCRINE & DIABETES CLINIC
15 - BANNER NERD WELLNESS CENTER
1233 E SECOND STREET	CASPER	WY	82601	WELLNESS CENTER
16 - BANNER WY MEDICAL CENTER SLEEP CENTER
6500 E SECOND STREET	CASPER	WY	82601	SLEEP TREATMENT CLINIC
17 - BANNER HOME MEDICAL EQUIPMENT
1255 EAST C STREET	CASPER	WY	82601	MEDICAL EQUIPMENT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	BANNER HEALTH USES FPG. DEDICATED TO PROVIDING QUALITY, NON-DISCRIMINATING HEALTHCARE TO ALL PATIENTS REGARDLESS OF AGE, SEX, SEXUAL ORIENTATION, GENDER PREFERENCE, RACE, RELIGION, DISABILITY, VETERAN STATUS, NATIONAL ORIGIN AND/OR ABILITY TO PAY, DETERMINATIONS ARE MADE BASED UPON BANNER HEALTH'S FINANCIAL ASSISTANCE POLICY FOR HOSPITAL PATIENTS. THIS POLICY ESTABLISHES:1) GENERAL - BANNER HEALTH FINANCIAL ASSISTANCE PROGRAMS WHICH, BASED ON HOUSEHOLD INCOME AND THE LEVEL OF MEDICAL EXPENSES, DETERMINE A PATIENT'S QUALIFICATION FOR CHARITY CARE OR DISCOUNTED COVERED SERVICES. ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE PROVIDED FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED AND WHO MEET THE HOUSEHOLD INCOME GUIDELINES AS OUTLINED IN THIS POLICY, OR ARE MEMBERS OF A MEDICALLY INDIGENT HOUSEHOLD.2) FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS - UNINSURED PATIENTS WILL QUALIFY FOR BANNER HEALTH FINANCIAL ASSISTANCE IF: (A) THEIR HOUSEHOLD INCOME IS LESS THAN 400% OF FPL, (B) THEY CANNOT QUALIFY FOR MEDICAID/AHCCCS OR OTHER GOVERNMENT PROGRAM, OR ARE UNABLE TO REASONABLY COMPLETE THE APPLICATION PROCESS FOR SUCH GOVERNMENTAL PROGRAMS, AND (C) THEY COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE (UNLESS DETERMINED TO BE PRESUMPTIVELY ELIGIBLE, AS PROVIDED BELOW), IN ACCORDANCE WITH THE FOLLOWING: FINANCIAL ASSISTANCE-UNINSURED PATIENTS: HOUSEHOLD INCOME --> AMOUNTS CHARGED< 200% OF FPL --> FULL CHARITY, 100% DISCOUNT, WRITE-OFF ENTIRE PATIENT ACCOUNT> 201%-300% FPL --> 75% DISCOUNT OFF AGB (I.E., PATIENT OWES 25% OF AGB)> 301%-400% FPL --> 50% DISCOUNT OFF AGB (I.E., PATIENT OWES 50% OF AGB)3) FINANCIAL ASSISTANCE FOR MEMBERS OF MEDICALLY INDIGENT HOUSEHOLDS. PATIENTS WHO ARE MEMBERS OF MEDICALLY INDIGENT HOUSEHOLDS WILL QUALIFY FOR BANNER HEALTH FINANCIAL ASSISTANCE, SUBJECT TO APPLICATION FOR FINANCIAL ASSISTANCE, AS FOLLOWS: A) IF AN UNINSURED PATIENT, THE PATIENT IS RESPONSIBLE FOR 25% OF THE PATIENT LIABILITY (INCLUDING ANY ADJUSTMENT OF THE PATIENT LIABILITY AMOUNT PURSUANT TO APPLICATION OF THE BANNER HEALTH FINANCIAL ASSISTANCE POLICY FOR UNINSURED PATIENTS, I.E., IF THE UNINSURED PATIENT IS A MEMBER OF A MEDICALLY INDIGENT HOUSEHOLD WHICH HAS A HOUSEHOLD INCOME OF 400% OF FPL, THE PATIENT WOULD OWE 25% OF THE BAI (WITHOUT REGARD TO THE AMOUNT OF THE BAI). B) IF AN UNDERINSURED PATIENT, THE PATIENT IS RESPONSIBLE FOR 25% OF THE BAI (WITHOUT REGARD TO THE AMOUNT OF THE BAI).
PART I, LINE 7:	1) FINANCIAL ASSISTANCE AT COST, MEDICAID AND OTHER MEANS -TESTED GOVERNMENT PROGRAMS - USING THE COST-TO CHARGE METHODOLOGY DETERMINED BY THE COST ACCOUNTING SYSTEM, THE RATIO OF PATIENT CARE COST TO CHARGES OR RELATIVE VALUE UNITS IS APPLIED TO PATIENT ACCOUNTS TO CALCULATE THEESTIMATED COST OF FINANCIAL ASSISTANCE. THE COST ACCOUNT SYSTEM ADDRESSES ALL PATIENT SEGMENTS AT THE ACUTE CARE FACILITIES. THE COST ACCOUNTING APPLICATION IS NOT IMPLEMENTED AT THE HEALTH CENTERS, PHYSICIAN PRACTICES, HOME CARE, SURGICAL CENTERS, OR OCCUPATIONAL HEALTH.2) COMMUNITY HEALTH IMPROVEMENT - BANNER HEALTH USES THE CBISA, COMMUNITY BENEFIT INVENTORY TOOL TO COORDINATE AND ESTIMATE THE COSTS ASSOCIATED WITH COMMUNITY HEALTH IMPROVEMENT INITIATIVES.3) HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND RESEARCH - ACTUAL COST LESS REIMBURSEMENTS AS REPORTED IN THE GENERAL LEDGER ARE USED TO VALUE THESE ACTIVITIES, WHICH OPERATED AT A LOSS PROVIDE INVALUABLE SERVICES TO BANNER HEALTH COMMUNITIES. 4) CASH AND IN-KIND CONTRIBUTIONS - ACTUAL OR FAIR MARKET VALUE IS USED TO VALUE THESE CONTRIBUTIONS OR ACTIVITIES.
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 $ 3,655,528.
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 $933,547 IN RECRUITING PHYSICIANS FOR PEDIATRICS, OB/GYN, PRIMARY CARE, RADIOLOGY SERVICES, AND EMERGENCY CARE.
PART III, LINE 2:	ACCOUNTS ARE DISCOUNTED TO ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED. THOSE AMOUNTS ARE SUBJECT TO BAD DEBT POLICES. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNT ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
PART III, LINE 3:	BANNER HEALTH/WYOMING MEDICAL CENTER RUN A PRESUMPTIVE CHARITY ANALYSIS ON ALL ACCOUNTS TO MINIMIZE QUALIFYING PATIENTS BEING CLASSIFIED AS BAD DEBT. BANNER HEALTH ESTIMATES THAT LESS THAN 15% OF THE PATIENT ACCOUNTS COMPRISING THE ORGANIZATION'S BAD DEBT MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER BANNER HEALTH POLICIES.
PART III, LINE 4:	FOOTNOTE PER AUDITED FINANCIAL STATEMENTS (PAGE 14): PATIENT RECEIVABLE FOOTNOTE: NET PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICES REVENUES HAVE BEEN ADJUSTED TO THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED INCLUSIVE OF THE ESTIMATED PRICE CONCESSION.
PART III, LINE 8:	THE MEDICARE COST REPORTS THAT HOSPITALS ARE REQUIRED TO FILE DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. MEDICARE SHORTFALLS SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE ABSENT THIS PROGRAM, MANY INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE AND OTHER NEEDS BASED PROGRAMS, BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF THE GOVERNMENT ARE RELIEVED AND THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	BANNER HEALTH'S FINANCIAL ASSISTANCE POLICIES REQUIRE THAT THE ACCOUNTS OF PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE BE WRITTEN OFF EITHER IN FULL OR IN PART, DEPENDING UPON THE LEVEL OF THE FINANCIAL ASSISTANCE FOR WHICH THE PATIENT HAS QUALIFIED. IF THE ACCOUNT IS NOT WRITTEN OFF COMPLETELY, THE REDUCED BALANCE IS TREATED IN THE SAME MANNER AS ACCOUNTS FOR PATIENTS WITHOUT INSURANCE WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. FOR THOSE PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AND FOR THE PORTION OF THE ACCOUNTS REMAINING AFTER APPLICATION OF THE FINANCIAL ASSISTANCE POLICIES FOR PATIENTS WHO QUALIFY FOR SUCH ASSISTANCE, ACCOUNT COLLECTION PROCESS IS AS FOLLOWS:1) THE PATIENT OR GUARANTOR WILL RECEIVE NO LESS THAN 3 STATEMENTS PRIOR TO THE ACCOUNT BEING PLACED WITH AN OUTSIDE AGENCY. THE PROCESS TAKES 120 DAYS TO COMPLETE. THE ACCOUNT IS OUTSOURCED TO A THIRD-PARTY COLLECTION AGENCY AFTER THE FINAL STATEMENT CYCLE AND RETURNED TO BANNER HEALTH AFTER A REASONABLE COLLECTION ATTEMPT. 2) ATTEMPTS ARE MADE TO VERIFY PHYSICAL LOCATION OF PATIENT AND TO DETERMINE IF THE PATIENT MAY BE ELIGIBLE FOR AHCCCS/MEDICAID COVERAGE. 3) ONCE ASSIGNED TO AN OUTSIDE COLLECTION AGENCY, APPROPRIATE DEBT COLLECTION PRACTICES ARE UTILIZED IN DIFFERENT STATES, DEPENDING UPON LOCAL REGULATIONS. THE COLLECTION AGENCY ATTEMPTS TO OBTAIN PAYMENT FROM THE PATIENT BY MEANS OF DIRECT TELEPHONE CONTACT. IF THIS IS UNSUCCESSFUL, FAILURE TO MAKE PAYMENT MAY RESULT IN A REPORT TO A CREDIT AGENCY.
PART VI, LINE 2:	BANNER HEALTH UTILIZES ITS STRATEGY AND PLANNING TEAM TO CONTINUALLY IDENTIFY AREAS IN THE COMMUNITIES BANNER HEALTH SERVES WHERE INSTITUTIONAL CLINICAL NEEDS ARE NOT BEING SATISFIED ESPECIALLY FOR THOSE WITHIN UNDERSERVED, UNINSURED AND MINORITY POPULATIONS. IT ALSO LEVERAGES A MULTI-PHASED APPROACH TO UNDERSTANDING GAPS IN SERVICES PROVIDED TO COMMUNITIES SERVED BY HOSPITALS WITHIN THE SYSTEM AS WELL AS COMMUNITY RESOURCES THROUGH A COMBINATION OF POPULATION GROWTH AND CHANGING DEMOGRAPHICS ANALYSIS, DETAILED ANALYSIS OF NATIONAL, STATE AND COUNTY DATA SOURCES, HEALTHCARE SERVICES AVAILABLE THROUGH OTHER HOSPITAL PROVIDERS, PHYSICIAN SUPPLY IN THE BANNER HEALTH SERVICE AREAS, NEW AND MORE EFFECTIVE HEALTHCARE SERVICES THAT ARE BECOMING AVAILABLE THAT WOULD ELEVATE THE QUALITY OF HEALTHCARE SERVICES PROVIDED TO BANNER HEALTH COMMUNITIES, AND DEMAND PRESSURES EXPERIENCED BY EXISTING BANNER HEALTH FACILITIES AND PHYSICIANS.ON A LOCAL BASIS, HOSPITAL MANAGEMENT TEAMS REGULARLY CONSULT WITH COMMUNITY LEADERS AND PARTNERS, LOCAL COMMUNITY-BASED ADVISORY BOARDS, OTHER SERVICE PROVIDERS (INCLUDING FEDERALLY QUALIFIED HEALTH CLINICS) AND BUSINESSES TO IDENTIFY UNMET PHYSICIAN AND HOSPITAL NEEDS. THESE FINDINGS ARE THEN PRIORITIZED BASED ON SYSTEM CAPITAL AND OPERATING RESOURCE AVAILABILITY, FEASIBILITY, AVAILABILITY OF PHYSICIANS TO BE RECRUITED TO THE SERVICE AREA, AND SUSTAINABILITY. BASED UPON THIS PRIORITIZATION, CAPITAL AND OPERATING RESOURCES ARE THEN INTEGRATED INTO THE FACILITY AND SYSTEM BUDGETS AND PLANS.
PART VI, LINE 3:	POLICIES AND PROCEDURES EXIST TO EDUCATE OUR PATIENTS ON FINANCIAL ASSISTANCE ELIGIBILITY, AND THEY ARE PROVIDED NUMEROUS OPPORTUNITIES FOR EDUCATION ON BANNER HEALTH FINANCIAL ASSISTANCE POLICIES. THE FOLLOWING ARE EXAMPLES OF COMMUNICATION/EDUCATION AVAILABLE TO BANNER HEALTH PATIENTS:A. SIGNAGE AND COLLATERAL IN BOTH ENGLISH AND SPANISH ARE POSTED PROMINENTLY IN-PATIENT WAITING LOBBIES, INCLUDING THE EMERGENCY DEPARTMENTS, STATING THAT BANNER HEALTH HAS FINANCIAL ASSISTANCE PROGRAMS FOR THOSE WHO DO NOT HAVE INSURANCE OR MAY BE UNABLE TO PAY FOR THEIR SHARE OF THE COST OF SERVICES.B. A TOLL-FREE NUMBER IS PROVIDED FOR THE PATIENT'S/FAMILY'S CONVENIENCE.C. AFTER MEDICAL SCREENING, SELF PAY PATIENTS ARE VISITED BY STAFF AND INFORMED OF THE FINANCIAL POLICY. STAFF ALSO ASSISTS POTENTIALLY ELIGIBLE PATIENTS TO APPLY FOR ENROLLMENT FOR MEDICAID/AHCCCS.D. AN INSERT IS INCLUDED IN ALL OF OUR BILLING STATEMENT TO PATIENTS. THE INSERT AGAIN INFORMS PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN BOTH ENGLISH AND SPANISH AND PROVIDES TOLL-FREE ACCESS.E. DEPARTMENT REPRESENTATIVES AGAIN INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICIES DURING THE SELF-PAY COLLECTION PROCESS.F. BANNER HEALTH WEBSITE PROVIDES INFORMATION IN BOTH ENGLISH AND SPANISH OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.THROUGHOUT THE PROCESS, STAFF CONTINUES TO ADVISE POTENTIALLY ELIGIBLE PATIENTS OF THE POSSIBILITY OF ENROLLMENT IN MEDICAID/AHCCCS AND OFFER TO ASSIST IN SUCH ENROLLMENT.
PART VI, LINE 4:	BANNER HEALTH'S 33 HOSPITALS, INCLUDING WYOMING MEDICAL CENTER, OPERATE OR LEASE NURSING HOMES, PHYSICIAN CLINICS, HOME HEALTH AGENCIES, AMBULATORY FACILITIES, AND DURABLE MEDICAL EQUIPMENT SERVICES IN SIX WESTERN STATES WHICH INCLUDE DEMOGRAPHIC AREAS THAT RANGE FROM METROPOLITAN TO REMOTE RURAL AREAS. THE FOLLOWING SETS FORTH PERTINENT DEMOGRAPHIC INFORMATION WITH RESPECT TO THE COMMUNITIES AND AREAS SERVED BY BANNER HEALTH FACILITIES:WYOMING:I) ESTIMATED POPULATION: 576,851II) MEDIAN HOUSEHOLD INCOME: $75,532III) PERCENT OF POPULATION IN POVERTY: 10.10%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 10.30%V) PER CAPITA HEALTHCARE EXPENSE: $10,989VI) TOTAL PERCENT OF UNINSURED IN POPULATION: 12.90%VII) PERCENT OF UNINSURED ADULTS 19-64 LIVING IN POVERTY: 31.30%VIII) PERCENT OF UNINSURED NONELDERLY W INCOME BELOW 100% OF FPL: 39.00%IX) PERCENT OF UNINSURED NONELDERLY W INCOME UP TO 200% OF FPL: 29.80%X) PERCENT OF POPULATION BELOW 400% OF FPL: 62.40%XI) PERCENT OF ADULTS REPORTING FAIR OR POOR HEALTH: 17.60%XII) PERCENT OF ADULTS DIAGNOSED WITH DIABETES: 10.80%XIII) PERCENT OF ADULTS DIAGNOSED WITH CARDIOVASCULAR DISEASE: 6.60%XIV) PERCENT OF ADULTS WHO ARE OVERWEIGHT OR OBESE: 33.30%XV) PERCENT OF ADULTS REPORTING MENTAL ILLNESS IN PAST YEAR: 53.10%XVI) PERCENT OF ADULTS REPORTING NOT SEEING A DOCTOR BECAUSE OF COST IN THE PAST YEAR: 9.80%XVI) ADULTS WHO REPORT HAVING CHRONIC CONDITIONS: 55.50%NATRONA COUNTY, WYOMING:I) ESTIMATED POPULATION: 79,955II) MEDIAN HOUSEHOLD INCOME: $71,381III) PERCENT OF POPULATION IN POVERTY: 10.90%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 8.20%BANNER HEALTH:I) ESTIMATED POPULATION: 9,684,401II) MEDIAN HOUSEHOLD INCOME: $85,298III) PERCENT OF POPULATION IN POVERTY: 10.95%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 8.82%V) PER CAPITA HEALTHCARE EXPENSE: $9,582VI) TOTAL PERCENT OF UNINSURED IN POPULATION: 10.03%VII) PERCENT OF UNINSURED ADULTS 19-64 LIVING IN POVERTY: 20.98%VIII) PERCENT OF UNINSURED NONELDERLY W INCOME BELOW 100% OF FPL: 22.53%IX) PERCENT OF UNINSURED NONELDERLY W INCOME UP TO 200% OF FPL: 21.17%X) PERCENT OF POPULATION BELOW 400% OF FPL: 58.15%XI) PERCENT OF ADULTS REPORTING FAIR OR POOR HEALTH: 18.30%XII) PERCENT OF ADULTS DIAGNOSED WITH DIABETES: 10.80%XIII) PERCENT OF ADULTS DIAGNOSED WITH CARDIOVASCULAR DISEASE: 5.65%XIV) PERCENT OF ADULTS WHO ARE OVERWEIGHT OR OBESE: 30.75%XV) PERCENT OF ADULTS REPORTING MENTAL ILLNESS IN PAST YEAR: 41.05%XVI) PERCENT OF ADULTS REPORTING NOT SEEING A DOCTOR BECAUSE OF COST IN THE PAST YEAR: 11.45%XVII) ADULTS WHO REPORT HAVING CHRONIC CONDITIONS: 53.08%
PART VI, LINE 5:	BANNER HEALTH IS GOVERNED BY A COMMUNITY BOARD, DRAWN PRIMARILY FROM THE COMMUNITIES SERVED BY BANNER HEALTH. THIS BOARD ESTABLISHES BANNER HEALTH'S PRIORITIES AND ENSURES THAT IT OPERATES IN A MANNER THAT WILL FURTHER ITS CHARITABLE, NONPROFIT PURPOSE TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. AS A NONPROFIT ENTITY, BANNER HEALTH EXISTS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE, NOT TO GENERATE PROFITS. TO THAT END, EVERY DOLLAR EARNED IS REINVESTED IN NEW EQUIPMENT, NEW OR EXPANDED PATIENT CARE SERVICES, NEW TECHNOLOGIES, MAINTAINING EXISTING EQUIPMENT AND FACILITIES AND NEW FACILITIES TO MEET MARKET NEEDS OR TO ENSURE THE LONGTERM SUCCESS OF THE ORGANIZATION.IN PARTICULAR, BANNER HEALTH'S HEAVY REINVESTMENT IN CLINICAL SYSTEMS AND HEALTH INFORMATION TECHNOLOGY ENABLES BANNER HEALTH TO PROVIDE A UNIFORMLY HIGH QUALITY OF CARE THROUGHOUT THE SYSTEM, INCLUDING BANNER HEALTH'S SMALL, RURAL, CRITICAL ACCESS HOSPITALS. PHYSICIANS AND STAFF PRACTICING IN THESE SOLE COMMUNITY PROVIDERS HAVE THE SAME ELECTRONIC HEALTH RECORD SYSTEMS AND COMPUTERIZED PHYSICIAN ORDER ENTRY AND DECISION SUPPORT TOOLS AS ARE UTILIZED IN BANNER HEALTH'S LARGEST TEACHING HOSPITAL. IN ADDITION, BY MEANS OF REMOTE MONITORING AND TELEMEDICINE TECHNOLOGIES, THESE SMALL RURAL HOSPITALS HAVE ACCESS TO THE CLINICAL AND OPERATIONAL SUPPORT OF THE ENTIRE SYSTEM, THEREBY BRINGING A LEVEL OF SOPHISTICATED HEALTH CARE TO THESE COMMUNITIES THAT WOULD NOT OTHERWISE BE POSSIBLE.EXCEPT IN LIMITED CIRCUMSTANCES WHERE NECESSARY TO ENSURE THE AVAILABILITY OF CONSISTENT AND EFFICIENT PHYSICIAN SERVICES, BANNER HEALTH UTILIZES AN OPEN MEDICAL STAFF MODEL, THEREBY MAKING THE FACILITIES AVAILABLE TO LOCAL PHYSICIANS TO PROVIDE HIGH QUALITY HOSPITAL SERVICES TO OUR COMMUNITIES. IN ADDITION, BANNER HEALTH IS AGGRESSIVELY PURSUING AN INTEGRATION STRATEGY INVOLVING NETWORKS OF EMPLOYED AND INDEPENDENT PHYSICIANS CAPABLE OF PROVIDING EFFICIENT, EVIDENCEBASED AND HIGH-QUALITY CLINICAL CARE WITHIN AN INTEGRATED SYSTEM COVERING THE FULL CONTINUUM OF CARE. THIS WILL ENABLE BANNER HEALTH TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES WHILE LIMITING THE COSTS OF PROVIDING SUCH CARE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WYO COMPLEX (DBA WYO SPORTS RANCH)	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1907	AddressLine1Txt
City	CASPER	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82602	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	882352955	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,323,255	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PETER S FINE
CEO (THROUGH JUNE 30, 2024)	$0	$1,818,398	$0	$6,314,634	$0	$438,139	$0	$4,940,672	$0	$23,469	$0	$13,535,312	$0	$3,670,321
AMY PERRY
PRESIDENT & CEO	$0	$1,408,566	$0	$3,144,358	$0	$27,902	$0	$4,437,208	$0	$34,614	$0	$9,052,648	$0	$1,039,974
DONALD NORDLUND - DIRECTOR
EVP, CHIEF STRATEGY & GROWTH OFFICER	$0	$745,551	$0	$1,217,591	$0	$102,750	$0	$1,087,065	$0	$20,702	$0	$3,173,659	$0	$702,027
JEAN LANCE - DIRECTOR EXEC VP
CHIEF LEGAL OFF. & GEN. COUNSEL	$0	$628,197	$0	$1,278,213	$0	$49,763	$0	$945,190	$0	$24,760	$0	$2,926,123	$0	$339,533
MARJORIE BESSEL - DIRECTOR
EVP, CHIEF CLINICAL OFFICER	$0	$667,671	$0	$1,118,288	$0	$112,439	$0	$1,003,975	$0	$19,022	$0	$2,921,395	$0	$658,556
STACI DICKERSON - DIRECTOR
EVP, CHIEF FINANCIAL OFFICER	$0	$923,792	$0	$762,198	$0	$24,579	$0	$902,778	$0	$23,891	$0	$2,637,238	$0	$117,803
JULIE ALVARADO-DUBEK
SECRETARY & EVP CHIEF HR OFFICER	$0	$550,660	$0	$912,618	$0	$46,938	$0	$866,399	$0	$27,231	$0	$2,403,846	$0	$354,893
MARGO KARSTEN
FORMER DIRECTOR & OFFICER	$0	$521,076	$0	$535,553	$0	$81,637	$0	$361,694	$0	$25,281	$0	$1,525,241	$0	$244,639
DAN WEINMAN
FORMER DIRECTOR & OFFICER	$0	$432,855	$0	$390,285	$0	$49,963	$0	$276,686	$0	$30,278	$0	$1,180,067	$0	$115,583
BRENDA SCHAEFER - TREASURER
VP & CHIEF INVESTMENT OFFICER	$0	$421,541	$0	$310,453	$0	$41,583	$0	$122,194	$0	$13,515	$0	$909,286	$0	$111,992
LANCE PORTER
FORMER DIRECTOR & OFFICER	$0	$274,636	$0	$305,489	$0	$25,812	$0	$75,919	$0	$26,201	$0	$708,057	$0	$66,548
MARY SCHUBERT - ASST SECRETARY
EXECUTIVE DIRECTOR, LEGAL SERVICES	$0	$274,535	$0	$95,273	$0	$21,945	$0	$10,741	$0	$13,090	$0	$415,584	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	FIRST CLASS AND BUSINESS CLASS TRAVEL ARE NOT REIMBURSABLE EXCEPT AS FOLLOWS: (A) AS SET FORTH IN A WRITTEN AGREEMENT APPROVED BY THE BANNER HEALTH BOARD COMPENSATION COMMITTEE; OR (B) UPON PRIOR WRITTEN APPROVAL OF THE BANNER HEALTH CEO BASED ON BUSINESS NEED. FIRST CLASS OR BUSINESS CLASS UPGRADES OR COUPON BOOKS ARE NOT REIMBURSABLE, UNLESS: (A) AS SET FORTH IN A WRITTEN AGREEMENT APPROVED BY THE BANNER HEALTH BOARD COMPENSATION COMMITTEE; OR (B) UPON PRIOR WRITTEN APPROVAL OF THE BANNER HEALTH CEO BASED ON BUSINESS NEED.
PART I, LINE 3	BANNER HEALTH UTILIZES A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS THAT EXERCISES OVERSIGHT OVER ALL ASPECTS OF THE COMPENSATION PAID TO OR FOR THE BENEFIT OF THE CEO AND ALL OTHER SENIOR EXECUTIVES OF BANNER HEALTH AND ANY OF ITS AFFILIATES AND ALL OTHER PERSONS WHO CONSTITUTE "DISQUALIFIED PERSONS" WITH RESPECT TO BANNER HEALTH UNDER CODE SECTION 4958. THE COMMITTEE: - ASSESSES ANNUALLY THE PERFORMANCE OF THE CEO. - EXERCISES OVERSIGHT OVER ALL ASPECTS OF COMPENSATION FOR THE CEO. - REVIEWS AND DETERMINES THE EXECUTIVE TOTAL COMPENSATION PHILOSOPHY OF BANNER HEALTH. - ESTABLISHES THE PERMISSIBLE RANGES OF COMPENSATION FOR SENIOR EXECUTIVES AND DISQUALIFIED PERSONS. - REVIEWS AND APPROVES THE DESIGN OF THE COMPONENTS OF COMPENSATION FOR SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS AND MONITORS COMPLIANCE OF BANNER HEALTH WITH THE PHILOSOPHY AND DESIGN COMPONENTS OF EXECUTIVE COMPENSATION. - RECEIVES THE CEO'S REPORT CONCERNING THE OVERALL PERFORMANCE AND DEVELOPMENT ASSESSMENT OF THE SENIOR EXECUTIVES. - ACTS FOR THE BOARD IN THE ENGAGEMENT AND DIRECT OVERSIGHT OF EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS ENGAGED TO PROVIDE ADVICE AND INFORMATION WITH RESPECT TO THE REASONABLENESS AND COMPETITIVENESS OF THE COMPENSATION PAID TO THE CEO, SENIOR EXECUTIVES AND ANY OTHER DISQUALIFIED PERSONS, WHICH CONSULTANT REPORTS DIRECTLY TO THE COMMITTEE. IN ADDITION, THE COMMITTEE HAS ADOPTED THE FOLLOWING BEST PRACTICES WITH RESPECT TO ITS EXECUTIVE COMPENSATION OVERSIGHT FUNCTION: - REVIEWS ALL INCENTIVE PLANS, BENEFIT PLANS AND PROGRAMS THAT APPLY TO EMPLOYEES AND PHYSICIANS. - APPROVES CEO'S RECOMMENDATIONS AS TO THE COMPENSATION OF SENIOR EXECUTIVES. - USES TALLY SHEETS SUMMARIZING ALL COMPONENTS OF THE CEO'S AND SENIOR EXECUTIVES' COMPENSATION, INCLUDING A THREE-YEAR EARNINGS HISTORY AND THE COST OF ALL COMPENSATION (INCLUDING SPECIFICALLY DEFERRED COMPENSATION) AT THE TIME THAT ANY ACTION IS TAKEN WITH RESPECT TO THE CEO'S OR SENIOR EXECUTIVES' COMPENSATION IN ORDER TO ENSURE THAT THE COMMITTEE IS FULLY INFORMED OF THE COMPLETE COMPENSATION PACKAGE BEFORE TAKING ANY SUCH ACTION. - REVIEWS THE ANNUAL FORM 990 DISCLOSURES RELATING TO EXECUTIVE COMPENSATION TO ENSURE THE DISCLOSURES ACCURATELY RECONCILE TO THE COMPENSATION PACKAGES APPROVED BY THE COMMITTEE. THE COMPENSATION COMMITTEE RETAINS AN EXTERNAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST THE COMMITTEE. THE COMMITTEE ENGAGES A NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM WITH SUBSTANTIAL HEALTHCARE EXPERIENCE. THIS FIRM REVIEWED AND OPINED AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE OF THE CEO, SENIOR EXECUTIVE MANAGEMENT, AND OTHER EXECUTIVE MANAGEMENT IDENTIFIED BY THE COMMITTEE AS POTENTIAL DISQUALIFIED PERSONS. THE COMMITTEE ANNUALLY REVIEWS THE RELATIONSHIP BETWEEN BANNER HEALTH AND EACH CONSULTANT TO ENSURE THE CONSULTANT'S INDEPENDENCE. IN CONNECTION WITH EACH SUCH EVALUATION, THE COMMITTEE REQUESTS A WRITTEN CERTIFICATION FROM EACH CONSULTANT THAT: - INCLUDES AN INDEPENDENCE ATTESTATION AFFIRMING THAT THE CONSULTANT HAS CONDUCTED ITS OWN INTERNAL ASSESSMENT AND BASED ON SUCH ASSESSMENT AND ITS INTERNAL CONTROLS, CONCLUDED THAT IT HAS PERFORMED ITS SERVICES FOR THE COMMITTEE IN AN INDEPENDENT MANNER AND IS INDEPENDENT AS DEFINED IN THE INTERMEDIATE SANCTION REGULATIONS UNDER CODE SECTION 4958. - CONFIRMS THAT THE CONSULTANT REPORTS TO THE COMMITTEE THROUGH THE CHAIR OF THE COMMITTEE AND THAT ALL CONSULTING ACTIVITY FOR BANNER HEALTH CONDUCTED BY SUCH CONSULTANT DURING THE PRECEDING YEAR WAS CONDUCTED WITH THE KNOWLEDGE AND CONSENT OF THE CHAIR OF THE COMMITTEE. - DETAILS THE AMOUNTS PAID BY BANNER HEALTH TO THE CONSULTANT IN ITS CAPACITY AS AN EXTERNAL COMPENSATION CONSULTANT TO THE COMMITTEE, AND THE AMOUNTS PAID BY BANNER HEALTH, IF ANY, TO THE CONSULTANT AND ITS AFFILIATES FOR ANY OTHER ENGAGEMENTS. WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT, THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE CEO AND RECOMMENDS ADJUSTMENTS TO THEIR BASE SALARY AS DEEMED APPROPRIATE BASED UPON THE REVIEW, SUBJECT TO CONFIRMATION FROM THE CONSULTANT (WHO ATTENDS SUCH MEETING) THAT THE RECOMMENDATION IS APPROPRIATE AND WILL NOT RESULT IN THE OVERALL COMPENSATION OF THE CEO BECOMING UNREASONABLE. IN ORDER TO ENSURE THAT THE COMPENSATION DECISION IS SUBJECT TO THE ACTION OF INDEPENDENT DIRECTORS, THE BOARD MAY NOT APPROVE A SALARY ACTION DIFFERENT FROM THAT RECOMMENDED BY THE COMPENSATION COMMITTEE WITHOUT THE CONCURRENCE OF THE COMMITTEE. THE CEO ESTABLISHES THE BASE SALARY OF THE EXECUTIVES WHO DIRECTLY REPORT TO HIM/HER, AND THOSE EXECUTIVES IN TURN ESTABLISH THE BASE SALARY OF THOSE INDIVIDUALS WHO REPORT TO THEM. ALL BASE SALARIES ARE, HOWEVER, BASED UPON POSITION-SPECIFIC MARKET DATA PROVIDED BY BANNER HEALTH'S EXECUTIVE COMPENSATION DEPARTMENT. THESE RANGES ARE ESTABLISHED IN ACCORDANCE WITH AN EXECUTIVE COMPENSATION PHILOSOPHY THAT IS ESTABLISHED, AND ANNUALLY REVIEWED, BY THE COMPENSATION COMMITTEE. ANNUAL EQUITY ADJUSTMENTS MAY BE MADE UPON APPROVAL OF THE CEO AND BASED UPON SPECIFIC MARKET DATA. THE COMPENSATION COMMITTEE RECEIVES AN ANNUAL REPORT FROM THE EXECUTIVE COMPENSATION DEPARTMENT SHOWING THAT BASE SALARIES ARE BEING MAINTAINED CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE. AS STATED IN THE RESPONSE TO SCHEDULE J, PART I, LINE 7, THE SIGNIFICANT NON-FIXED COMPONENTS OF THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT ARE ESTABLISHED AND MONITORED BY THE COMPENSATION COMMITTEE WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT AND ARE INCLUDED IN THE ANNUAL REASONABLENESS OPINION RENDERED BY THE INDEPENDENT COMPENSATION CONSULTANT. CONTEMPORANEOUS MINUTES ARE KEPT OF ALL MEETINGS OF THE COMPENSATION COMMITTEE AND OF THE ACTIONS OF THE BOARD OF DIRECTORS IN APPROVING THE COMPENSATION OF CEO AND REVIEWING AND MONITORING THE COMPENSATION FOR ALL OTHER SENIOR EXECUTIVES AND TOP MANAGEMENT. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2024.
PART I, LINE 4B	EXEC 457(F) - COVERED APPROXIMATELY 100 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS. VESTING OCCURS UPON MEETING VESTING REQUIREMENTS (SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE). AWARDS ARE SUBJECT TO A ROLLING THREE-YEAR VESTING SCHEDULE - OR A TEAM MEMBER REACHES THE AGE OF 65, 3 YEARS FROM THE DATE OF DEPOSIT. TAXATION OCCURS UPON DISTRIBUTION (IF VESTED). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. PAYOUT AMOUNTS ARE TAXABLE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). DEPOSIT AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). 2024 457(F) DISTRIBUTIONS: JEAN LANCE - $22,101 MARGO KARSTEN - $54,572 DAN WEINMAN - $23,842 BRENDA SCHAEFER - $15,537 LANCE PORTER - $1,867 PETER S. FINE - $405,251 MAJORIE BESSEL - $84,496 DONALD NORDLUND - $74,184 JULIE ALVARADO-DUBEK - $21,299 2024 457(F) CONTRIBUTIONS: AMY PERRY - $191,067 JEAN LANCE - $65,648 MARGO KARSTEN - $50,333 DAN WEINMAN - $43,921 BRENDA SCHAEFER - $17,860 LANCE PORTER - $2,714 STACI DICKERSON - $51,248 MAJORIE BESSEL - $84,560 DONALD NORDLUND - $93,538 JULIE ALVARADO-DUBEK - $57,032
PART I, LINE 6	CERTAIN INDIVIDUALS PARTICIPATE IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING THREE-YEAR CYCLES FROM, 2022-2024, 2023-2025 AND 2024-2026. THE LTIP WAS DESIGNED AT THE INITIATIVE OF THE BANNER BOARD OF DIRECTORS WITH THE ASSISTANCE OF WILLIS TOWERS WATSON, AND ALL COMPONENTS WERE APPROVED BY THE BOARD. THE PLANS' AREAS OF PERFORMANCE TARGETS INCLUDE: IMPROVING THE RN EXPERIENCE, EXPANDING MARKET PRESENCE, AND JOURNEY TO ZERO HARM . AWARDS ARE CALCULATED AS A PERCENTAGE OF BASE SALARY ON THE LAST DAY OF THE THREE-YEAR CYCLE, AND OPPORTUNITY VARIES BY POSITION LEVEL. THE PLAN REQUIRES A THRESHOLD LEVEL OF FINANCIAL PERFORMANCE BEFORE ANY AWARDS CAN BE MADE, AND THE AMOUNT OF THE AWARDS VARIES WITH THE DEGREE OF ACHIEVEMENT OF THE TARGETS. THE MAXIMUM LTIP PAYOUT OPPORTUNITY RANGES FROM 30% TO 255% OF THE BASE SALARY AS OF DECEMBER 31 IN THE LAST YEAR OF THE THREE-YEAR PLAN. AWARDS HAVE BEEN ACCRUED UNDER THE LTIP, BUT NO PAYMENTS ARE MADE UNTIL AFTER YEAR-END AND ACHIEVEMENT IS VERIFIED BY THE BANNER HEALTH BOARD COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS OF BANNER HEALTH. ALL LTIP COMPENSATION PAYMENTS ARE REPORTED IN THE INCENTIVE AND BONUS COMPENSATION SHOWN IN SCHEDULE J, PART II, COLUMN (B)(II). AMOUNTS PAID FOR THE 2021-2023 CYCLE ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) AS BONUS & INCENTIVE COMPENSATION. AMOUNTS ACCRUED FOR 2024 FOR THE 2022-2024, 2023-2025, 2024-2026 CYCLES (TO BE PAID OUT IN 2025, 2026, AND 2027 RESPECTIVELY) ARE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION. BANNER HEALTH HAS A MANAGEMENT INCENTIVE PLAN (MIP) WHICH IS BASED ON COMPANYACHIEVEMENT OF SEVERAL FINANCIAL AND NON-FINANCIAL/CLINICAL QUALITY METRICS THAT ARE ESTABLISHED ANNUALLY BY THE BANNER HEALTH BOARD OF DIRECTORS. AWARDS ARE GRANTED AS A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AND VARY WITH THE POSITION LEVEL OF THE PARTICIPATING EMPLOYEE, RANGING FROM 7% TO 110% OF BASE SALARY. IN 2024, THERE WERE 1,441 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2023 FOR THE 2024 MIP PAYOUT. MIP COMPENSATION IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO BANNER HEALTH AND WERE PAID A TOTAL $27,557,119 FOR CALENDAR YEAR 2024.
FORM 990, PART VI, SECTION A, LINE 6	BANNER HEALTH, AN ARIZONA NONPROFIT CORPORATION EXEMPT FROM TAX AS AN ENTITY DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER RESERVES THE AUTHORITY TO APPROVE DECISIONS REGARDING THE FOLLOWING MATTERS: STRATEGIC PLAN, OPERATING AND CAPITAL BUDGETS, INSURANCE AND RISK MANAGEMENT, STAFFING, COMPENSATION, BENEFIT PLANS, AND ANY OTHER MATERIAL ACTION TAKEN OUTSIDE OF THE NORMAL COURSE OF BUSINESS.
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	BANNER HEALTH'S TAX DEPARTMENT IS RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. BANNER HEALTH TAX TAKES THE LEAD ROLE IN THE PROCESS AND IS CHARGED WITH THE DUTY TO COLLECT THE FINANCIAL AND OTHER INFORMATION NEEDED TO COMPLETE THE FORM 990. THIS INCLUDES COORDINATING WITH OTHER BANNER HEALTH DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, BUSINESS RISK, ETHICS AND COMPLIANCE, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES AND TREASURY MANAGEMENT IN ORDER TO ENSURE THAT THE EXPERTISE OF EACH DEPARTMENT IS UTILIZED IN THE INFORMATION-GATHERING PROCESS. ONCE THE INFORMATION IS GATHERED, IT IS ORGANIZED AND ASSEMBLED INTO AN ORGANIZER BY AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. THE ACCOUNTING FIRM HAS EXPERTISE IN NON-PROFIT HOSPITAL SYSTEMS AND HAS SPECIFIC KNOWLEDGE OF WYOMING MEDICAL CENTER'S OPERATIONS AND RETURN COMPLEXITY. ONCE THE INFORMATION GATHERING PROCESS IS COMPLETE, A FIRST DRAFT OF THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM AND READIED FOR REVIEW. THE REVIEW PROCESS BEGINS WITH AN INITIAL REVIEW DONE BY BANNER HEALTH TAX. DURING THIS REVIEW, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BANNER HEALTH DEPARTMENTS FOR FURTHER ACTION. ONCE ALL QUESTIONS, ISSUES AND TASKS HAVE BEEN COMPLETED, A SECOND REVIEW BY BANNER HEALTH TAX IS AND THE ACCOUNTING FIRM IS DONE. AGAIN, IF APPLICABLE, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BANNER HEALTH DEPARTMENTS FOR FURTHER ACTION. ONCE THIS SECOND REVIEW PROCESS IS COMPLETED, A FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE CHIEF LEGAL OFFICER & GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. CHANGES TO THE FORM 990 ARE MADE IF NECESSARY AND APPROVAL IS GRANTED TO SEND THE FORM 990 TO THE BOARD MEMBERS. EACH MEMBER OF THE BOARD IS THEN SENT THE DRAFT FORM 990 ALONG WITH AN EXECUTIVE SUMMARY OF KEY ITEMS REPORTED IN THE FORM 990. ANY ISSUES ARE ADDRESSED AND RESOLVED AND THE FINAL VERSION OF THE FORM 990 IS SIGNED BY THE CFO OR ANOTHER OFFICER IF REQUIRED TO MEET TIMELY FILING REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 12C	PURSUANT TO BANNER HEALTH CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST THAT MAY GIVE RISE TO A CONFLICT OF INTEREST PROMPTLY TO THE BOARD AUDIT COMMITTEE. THE COMMITTEE MUST THEN CONSIDER THE DISCLOSED INTEREST AND EITHER AUTHORIZE THE CONTINUATION OF THE POTENTIAL FINANCIAL INTEREST AND ANY RELATED TRANSACTION WITH APPROPRIATE PROTECTIONS, OR DISAPPROVE OF IT. OTHER BANNER HEALTH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE DIRECTOR OF ETHICS AND COMPLIANCE, WHO MAINTAINS ALL OF THE DISCLOSED FINANCIAL INTERESTS/CONFLICTS. IN ADDITION, ALL BOARD MEMBERS, OFFICERS, VICE PRESIDENTS, AND OTHER SELECTED MEMBERS OF MANAGEMENT, KEY EMPLOYEES AND EMPLOYED PHYSICIANS MUST COMPLETE AN ANNUAL SURVEY THAT IS DISTRIBUTED ELECTRONICALLY UNDER THE SUPERVISION OF THE DIRECTOR OF ETHICS AND COMPLIANCE. THE SURVEY INCLUDES A QUESTIONNAIRE THAT IS DESIGNED TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AS WELL AS OTHER TRANSACTIONS AND RELATIONSHIPS REQUIRED TO BE DISCLOSED IN THE FORM 990 AND SCHEDULE L. MEMBERS OF EXECUTIVE MANAGEMENT ARE ALSO REQUIRED TO COMPLETE A QUARTERLY QUESTIONNAIRE MANAGED UNDER THE SUPERVISION OF THE DIRECTOR OF INTERNAL ASSUANCE. THIS QUESTIONNAIRE IS PRIMARILY DESIGNED TO IDENTIFY WEAKNESSES IN INTERNAL CONTROLS OR ACCOUNTING, BUT ALSO REQUIRES DISCLOSURE OF ANY KNOWLEDGE BY THE RESPONDING MANAGER OF ANY VIOLATIONS OF BANNER HEALTH'S CONFLICT OF INTEREST POLICY. THE DIRECTOR OF ETHICS AND COMPLIANCE COMPILES A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES OBTAINED THROUGH THE ANNUAL SURVEY PROCESS INVOLVING BOARD MEMBERS OR OFFICERS. THIS SUMMARY IS REVIEWED WITH BANNER HEALTH'S GENERAL COUNSEL TO DETERMINE THE APPROPRIATE ACTION TO BE TAKEN UNDER CONFLICT OF INTEREST POLICY. IN ADDITION, THE DIRECTOR REVIEWS THE SUMMARY ANNUALLY WITH THE BOARD AUDIT COMMITTEE IN ORDER TO ENSURE THAT ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS HAVE BEEN REVIEWED AND PROCESSED APPROPRIATELY UNDER THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURNS ARE AVAILABLE UPON REQUEST. COPIES ARE MAINTAINED AT EACH ADMINISTRATIVE OFFICE AND IN THE LEGAL AND TAX DEPARTMENTS. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 32,165,129. MANAGEMENT AND GENERAL EXPENSES 7,008,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,173,481.
FORM 990, PART XI, LINE 9:	NET ASSET ADJUSTMENT WITH COMPANY TRANSFERS 5,987,444.
FORM 990, PART XII, LINE 2C:	WYOMING MEDICAL CENTER IS INCLUDED IN BANNER HEALTH'S AUDITED FINANCIAL STATEMENTS. BANNER HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BANNER HEALTH
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	450233470	HOSPITAL	AZ	501(C)(3)	LINE 3	N/A	0
BANNER HEALTH FOUNDATION
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	942545356	SUPPORT	AZ	501(C)(3)	LINE 7		0	BANNER HEALTH
BANNER ALZHEIMER FOUNDATION
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	204862361	SUPPORT	AZ	501(C)(3)	LINE 7		0	BANNER HEALTH
BANNER MEDICAL GROUP
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	900532830	MEDICAL SERVICES	AZ	501(C)(3)	LINE 3		0	BANNER HEALTH
BANNER MEDICAL GROUP COLORADO
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	900532831	MEDICAL SERVICES	CO	501(C)(3)	LINE 3		0	BANNER HEALTH
BANNER UNIVERSITY MEDICAL GROUP
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	942958258	MEDICAL SERVICES	AZ	501(C)(3)	LINE 3		0	BANNER HEALTH
BANNER UNIVERSITY CARE ADVANTAGE
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	463757358	HEALTH INSURANCE	AZ	501(C)(3)	LINE 10		0	BANNER HEALTH
BANNER UNIVERSITY FAMILY CARE
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	463766901	HEALTH INSURANCE	AZ	501(C)(3)	LINE 10		0	BANNER HEALTH
BANNER HEALTH INSURANCE GROUP INC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	843248878	HEALTH INSURANCE	AZ	501(C)(4)			0	BANNER HEALTH
BANNER HEALTH PLAN INC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	843237280	HEALTH INSURANCE	AZ	501(C)(4)			0	BANNER HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC
1201 E 3RD ST	CASPER	WY	82601	830331130	MEDICAL SERVICES	WY	WYOMING MEDICAL CENTER	RELATED	$3,367,394	$3,301,640	0	Yes (1)	0.50000
BANNER AIR LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	862878425	MEDICAL TRANSPORT	DE					0	0		N/A
BANNER ATLAS JV LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	831276122	OUTPATIENT SURGERY CENTER	AZ					0	0		N/A
BANNER WEST VALLEY CARDIOLOGY MANAGEMENT LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	861559257	MEDICAL MANAGEMENT	AZ					0	0		N/A
BHSM REHABILITATION LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	823481322	MEDICAL SERVICES	DE					0	0		N/A
SONORA QUEST LABORATORIES
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	860872873	LABORATORY	AZ					0	0		N/A
BANNER CORE ORTHOPEDIC PROGRAM LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	900644143	MEDICAL SERVICES	AZ					0	0		N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
WYMEDCO VENTURES INC
1233 E 2ND ST	CASPER	WY	82601	830281137	MEDICAL SERVICES	WY	WYOMING MEDICAL CENTER	C	$776,276	$208,178	1.00000	Yes (1)
BANNER HEALTH NETWORK
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	900750689	ACCOUNTABLE CARE	AZ		C				0	N/A
BANNER INDEMNITY LTD
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	450233470	INVESTMENTS			C				0	N/A	CJ
BANNER PLAN ADMINISTRATION INC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	860800246	THIRD PARTY ADMINISTRATION	AZ		C				0	N/A
THE UNIV OF AZ HEALTH PLANS-U-HEALTHCARE
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	454370907	HEALTH INSURANCE	AZ		C				0	N/A
BANNER HEALTH INSURANCE GROUP INC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	843248878	HEALTH INSURANCE	AZ		C				0	N/A
BANNER HEALTH INSURANCE COMPANIES LLC
2901 N CENTRAL AVENUE SUITE 160	PHOENIX	AZ	85012	852544538	HEALTH INSURANCE	AZ		C				0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd