2014-05-02T08:58:16-05:00 2013-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2012-07-01 830279242 Wyoming Medical Center Inc WYOM 3075777201 1233 E Second St Casper WY 82601 B Yvonne Wigington 3075777201 2014-04-24 1 KIM C HUNWARDSEN P00484560 6122536500 2014-04-24 2012 2015-11-30 17:44:51Z Vickie Diamond 1233 E Second St Casper WY 82601 240372961 0 X www.wyomingmedicalcenter.org X 1986 WY WMC strives to advance the health and wellness of our community by providing excellent healthcare services, patient safety and experience at reasonable costs. Our highly skilled and engaged team of physicians, staff and volunteers ensures patients are well cared for while at WMC. 9 6 1602 112 0 0 57668 1168015 234168676 238138098 -709713 -153438 477844 474637 233994475 239627312 0 0 0 0 108897608 96737408 0 0 0 124133688 127276548 233031296 224013956 963179 15613356 264313142 282582727 87053344 73253376 177259798 209329351 X WMC strives to advance the health and wellness of our community by providing excellent healthcare services, patient safety and experience at reasonable costs. Our highly skilled and engaged team of physicians, staff and volunteers ensures patients are well cared for while at WMC. 1 0 199777416 238138098 Wyoming Medical Center's mission is to advance the health and wellness of our community by providing excellent healthcare services, patient safety and experience at reasonable costs. Wyoming Medical Center is the leader in health in the community and provides care to all people regardless of their ability to pay. The hospital was formed in 1986 as a non-profit corporation to provide health care to the residents of Natrona County. Since that time Wyoming Medical Center has grown into a Level II Trauma Center that provides critical services to Natrona County and to the entire state and beyond. Wyoming Medical Center held over 90 community-oriented events in FY2013. It also released its regular quarterly publication, For Your Health, to 10,000 homes in Natrona and Fremont counties. Wyoming Medical Center provided $12,224,000 in charity care services based on total direct and indirect costs. 199777416 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 336 0 1 1602 1 0 0 0 0 0 0 0 0 0 0 X 9 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X B Yvonne Wigington 3075772920 1233 East 2nd Street Casper WY 82601 Christopher Muirhead 5.00 0.00 X X 0 0 0 John Masterson 5.00 0.00 X X 0 0 0 John Bailey MD 5.00 0.00 X X 0 0 0 David Wheeler MD 5.00 0.00 X 0 0 0 Ruth Moran 5.00 0.00 X 0 0 0 Mark Dowell MD 5.00 0.00 X 0 0 0 Jimmy Goolsby 5.00 0.00 X 0 0 0 VH McDonald 5.00 0.00 X 0 0 0 Linda Young 5.00 7.00 X 0 0 0 Susan McMurry 5.00 2.00 X 0 0 0 John Pickrell MD 5.00 0.00 X 0 0 0 Vickie Diamond 45.00 7.00 X 626763 0 27504 Don J Claunch 45.00 7.00 X 315339 0 120408 Julia Cann-Taylor 45.00 0.00 X 312640 0 238030 Robert M Kaiser 45.00 0.00 X 198929 0 72848 Joseph Sramek MD 45.00 0.00 X 877111 0 0 Robert F Hollis MD 45.00 0.00 X 777888 0 0 Casey Cotant MD 45.00 0.00 X 413188 0 0 Mark McGinley MD 45.00 0.00 X 382876 0 0 Rafael Perez MD 45.00 0.00 X 379410 0 0 Steven Chadderdon 40.00 0.00 X 134614 0 3267 4418758 0 462057 91 1 1 0 HHA Services PO Box 935695 Atlanta GA 311935695 Contract Services 4197281 Universal HealthWyoming 2521 E 15th St Casper WY 82609 Medical 2571751 Sounds Physicians of Wyoming PO Box 742936 Los Angeles CA 900742936 Medical Services 2315139 Focusone Solutions LLC PO Box 3037 Omaha NE 68103 Temporary Staff 1783103 Wyoming Cardiac Surgery 805 E 2nd St Casper WY 82601 Medical Services 1719344 166 809940 204129 153946 1168015 Net Patient Revenue 621110 226585542 226585542 Non-patient Non-operating 900099 6093181 6093181 JV Investment Income 621300 4135396 4135396 Cafeteria Sales 722210 418609 418609 Lab Revenue 621500 381895 381895 523475 523475 238138098 84600 84600 967107 492470 474637 474637 474637 15141 253179 -238038 -238038 -238038 239627312 238138098 0 321199 1725121 1725121 25049 25049 67958018 56001171 11956847 11443144 9426432 2016712 13740886 11319225 2421661 1845190 1485705 359485 418185 418185 64684 64684 29018154 25959964 3058190 638833 638064 769 1818433 1627772 190661 5599425 5599305 120 1718402 1718402 443343 186658 256685 81350 64905 16445 12348848 12348848 2372786 2372786 Drugs and Medical Suppl 32029415 32029415 Bad Debt Expense 28454794 28454794 Equipment Lease/Rental 4911729 4822356 89373 Repairs and Maintenance 2623605 2623605 4734562 3072960 1661602 224013956 199777416 24236540 0 40295953 51859850 39764063 38044842 30884 2639495 1323830 5663831 5631064 4655572 3608479 284834491 177592495 90436680 107241996 73725791 67746230 7131757 7095552 264313142 282582727 21193634 17788423 471555 62410 20037249 19475254 18500 17500 45332406 35909789 87053344 73253376 X 177259798 209329351 177259798 209329351 264313142 282582727 X 15613356 3692389 12763808 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1929 0 0 1929 0 Explanation of Lobbying Activities: Part II-B, Line 1: WMC spent $1,929 in reimbursed expenses related to direct communications with legislators. 0 1 X 11015482 11015482 87430174 59299732 28130442 13079 9012 4067 136672284 114002057 22670227 49703472 4281694 45421778 107241996 Pension Liability 22602294 Estimated Third Party Payor Settlements 6720702 Post Retirement Benefits 1376442 Construction Payables 5210351 35909789 X 225462306 3692389 -17857395 -14165006 239627312 0 239627312 194033515 0 194033515 29980441 29980441 224013956 Part IV, Line 2b: In 2011, Wyoming Medical Center, Inc issued 3 year certificates to employees at an interest rate equal to the yield of a 3 year bond. The employees were allowed to purchase the certificates which were issued in $500.00 increments. WMC holds the certificates and pays the interest differential to the accounts. Interest income for the employees will be treated as W-2 income and is paid quarterly. When an employee terminates from the organization they are automatically cashed out of the program. The purpose of the program was to allow employees to invest in the new West Tower project and have a sense of ownership. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Hospital and WHMG are organized as Wyoming nonprofit corporations and have been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). WHMG is a single member LLC, wholly owned by the Hospital, and is therefore treated for tax purposes under the Hospital's tax exemption status. These entities are annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. These entities have determined that they are not subject to unrelated business income tax and have not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. These entities believe that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the financial statements. These entities would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties incurred. Part XI, Line 2d - Other Adjustments: Expenses Recorded in Revenue on Financial Statements -1,525,647. Change in Minimum Pension Liability 12,763,808. Eliminate WHMG Net Income Included in WMC Joint Venture Income -8,265,862. Eliminate WHMG Intercompany Transfers 7,625,100. Bad Debt Expense Included in Revenue on Financial Statements -28,454,794. Part XII, Line 4b - Other Adjustments: Expenses Recorded in Revenue on Financial Statements 1,525,647. Bad Debt Expense Included in Revenue on Financial Statements 28,454,794. 1 1 X 1 X 1 X 275.000000000000 1 1 0 1 0 12224000 12224000 0.06250 14880238 11505928 3374310 0.01730 644967 198168 446799 0.00230 27749205 11704096 16045109 0.08210 872693 259146 613547 0.00310 744585 64200 680385 0.00350 4486890 1045133 3441757 0.01760 5000 5000 0.00000 6109168 1368479 4740689 0.02420 33858373 13072575 20785798 0.10630 7200 7200 0.00000 1260 1260 0.00000 15021 15021 0.00010 1718441 1718441 0.00880 1741922 1741922 0.00890 1 28454794 0 49216199 61670422 -12454223 X 1 1 1 Outpatient Radiology Imaging Services 0.50000 0.50000 2 Central Wyoming Outpatient Surgery Center Surgical Center 0.50000 0.25000 0.25000 3 Sweetwater Surgery Center Surgical Center 0.10000 0.90000 4 Template Specialty Service Programs 0.25000 0.75000 5 Wyoming Imaging Center Imaging Services 0.20570 0.79430 6 North Platte Pathology Pathological Services 0.50000 0.50000 1 1 Wyoming Medical Center

1233 East 2nd Street Casper WY 82601

X X X Wyoming Medical Center 1 1 X X X X X X 12 1 0 1 X X X X 0 0 1 1 200.000000000000 1 275.000000000000 1 X X X 1 1 X X X 1 0 X X X X 1 X 0 1 6 Central WY Outpatient Surgery Center

1201 E 3rd St Casper WY 82601

Surgical Center Outpatient Radiology

419 S Washington St Ste 100 Casper WY 82601

Imaging Services Sweetwater Surgery Center

2761 Commercial Way Rock Springs WY 82901

Surgical Center Elkhorn Valley Rehabilitation Hospital

5715 E 2nd St Casper WY 82609

Rehabilitation WY Health Medical Group MultiSpecialty

1233 E 2nd St Casper WY 82601

Physician Practice North Platte Pathology LLC

111 S Jefferson Street Casper WY 82601

Pathological Services Part I, Line 7: Line 7a financial assistance was converted to cost based on the average ratios of cost to gross charges.Line 7b Medicaid gross patient charges are tracked and the cost to charge ratio that is calculated from Schedule H Worksheet 2 is applied. This amount is offset by net patient service revenue which is a calculation of actual payment minus total expected payment (account balance x reimbursement percentage). Lines 7e-i are actual expenses from the general ledger. Part I, Line 7g: Line 7g includes $1,393,490 of costs attributable to a clinic. Part I, L7 Col(f): The amount of bad debt expense removed from the denominator of the calculations was 28,454,794. Part II: The community building activities promote health of the community by providing needed specialists and physicians as well as determining what is needed by the residents in the local community and surrounding area. Wyoming Medical Center spent $1,718,441 in recruiting physicians for pediatrics, OB/GYN, primary care, radiology services, and emergency care. WMC also spent $1,260 for proper disposal service for unwanted and unusable pharmaceuticals in order to keep the community and environment safe. A WMC employee also donated $7,200 of his time to serve on the Casper Area Economic Development Association. In development of the Safe Kids/Safe Communities programs, Wyoming Medical Center has contributed $15,020 in support of these programs. Part III, Line 4: The Medical Center follows Healthcare Financial Management Association Statement No. 15, and therefore bad debt does not include amounts that would be attributable to charity care. Bad debt on line 2 is reported at charges.Footnote from organization's financial statements:The footnote that describes bad debt expense is found on page nine of the audited financials. Part III, Line 8: The Hospital used the Medicare operating cost-to-charge ratio to calculate the costs relating to Medicare revenue applied against actual receipts. Medicare patients are accepted regardless of whether or not a surplus or deficit is realized from providing the services. Providing Medicare services promotes access to healthcare services for these patients in our community and, therefore, is a direct benefit to our population in our community. Part III, Line 9b: The collection policy indicates WMC will make all attempts possible to determine if a patient qualifies for financial assistance, in include a notification to the patient via a letter 10 days prior to assignment of an account to collections. Once a patient is determined to be eligible for financial assistance, all collection practices are ceased. Wyoming Medical Center Part V, Section B, Line 3: The Hospital worked with the National Rural Health Resources Center which partnered with Wyoming Business Coalition on Health, Community Health Center, Wyoming Kids First-Natrona County, and the City of Casper. The team conducted focus groups which consisted of senior citizens, caregivers, business leaders, young professionals, and healthcare professionals. Wyoming Medical Center Part V, Section B, Line 5c: The CHNA is available at wyomingmedicalcenter.org/index.php/about/category/community-benefit. Wyoming Medical Center Part V, Section B, Line 6i: The implementation strategy is made available upon request. The implementation strategy is available at wyomingmedicalcenter.org/index.php/about/category/community-benefit. Wyoming Medical Center Part V, Section B, Line 7: Regarding the first implementation plan goal to foster better communication between healthcare providers and agencies to improve overall health, Wyoming Medical Center (WMC) has made significant progress. WMC hired and trained its transition coaches who are now working to assist patients in their transition from the hospital to home, skilled nursing care, home health or hospice. Wyoming Medical Center's CEO also holds quarterly focus groups with a randomly selected group of patients each quarter. WMC's electronic health record is fully implemented and the public portal has opened, where patients can see their records with secure access online. Ongoing work will continue to ensure accurate dissemination of data to all providers. In response to the Affordable Care Act, Wyoming Medical Center has committed itself to educating the community on options for accessing health insurance. In addition to financial counselors being available, WMC has become a Certified Application Counselor Organization for the Health Insurance Marketplace and will hold several community talks to help people navigate the complicated process. Wyoming Medical Center's efforts to promote health education continue. Seven physicians (employed and from other practices in partnership with WMC) and WMC staff have committed to speaking engagements across Natrona County on subjects ranging from a heart healthy diet to the importance of safety. Continued advertisement of various support groups and monthly screenings is seen in various media, including newspaper, social media, radio and more. There are various needs addressed in the community health needs assessment that are being addressed in partnership with other community partnerships. Regarding smoking, Wyoming Medical Center has worked closely with Casper Medical Imaging to launch a low-dose lung cancer screening program for longtime smokers. Safe Communities, a grant-funded program run at WMC, works with various agencies including local police to address alcohol related issues, specifically drunken driving. Wyoming Medical Center's Foundation is working on plans and funding for a Wellness Center to be housed in the new McMurry West Tower, which will offer another option for indoor exercise. A health resource directory for the Senior Action Network is complete and was updated in 2013. Extended hours in WMC's outpatient clinics is in the planning stage and is expected to start in 2015.The following needs identified in the CHNA are being addressed through other community partnerships:FOCUS ON PREVENTION AND WELLNESSLiving a healthy lifestyle is under-promoted and businesses in the community do not value prevention. Natrona County has a high rate of smoking, alcohol use and suicide, and WMC has partnered with other agencies to address these pressing concerns.Wyoming Medical Center is part of the ACHIEVE grant working with the City of Casper, Wyoming Health Fairs, Natrona County Health Department, Wyoming Cancer Resource Center, Wyoming Business Council, YMCA and others. The committee is called CINCH- Casper's Initiative to Nurture Community Health. CINCH identifies and addresses contributing factors to chronic disease and focuses on the well-being of Casper's residents. CINCH worked with Smokefree Natrona County, which was key in the passage of a non-smoking ordinance that went into effect Sept. 1, 2012. CINCH also worked on providing healthy choices in vending machines throughout City of Casper buildings to improve on the availability of healthy food options. Wyoming Medical Center has since adopted similar vending for the hospital, thanks to WMC's Wellness Committee. This committee continues to address pressing health concerns for the community.INCREASED ACCESS TO INDOOR EXERCISE FACILITIESLiving in Natrona County year-round does not make it easy to exercise outdoors. Casper does have more than 13 exercise facilities available to the general public, although they are not necessarily affordable for those without extra income. WMC does offer discounts to employees on fitness memberships and is currently working on a Wellness Center as part of the new West Tower.DEVELOP A HEALTH RESOURCE DIRECTORYAfter the CINCH Health Summit in January 2011, one participant worked with the Senior Action Network to develop a resource guide and senior resource website for the community.EXTEND OUTPATIENT SERVICE HOURSIndividuals suggested WMC increase the outpatient services by extending the hours and days. WMC's emergency room is currently operational 24/7, and WMC's primary care practice is looking at expanding into Saturday hours. Wyoming Medical Center Part V, Section B, Line 12h: In addition to income level and Medicaid/Medicare, WMC will bypass the application process if the patient already qualifies for other county or state programs, such as the Food Stamp Program. Wyoming Medical Center Part V, Section B, Line 14g: In addition to the full policy being provided on the website and available upon request, WMC provides a brochure at the time of admissions with financial options in the patient's information packet and a summary is provided in the billing invoices. A financial service counselor is also available to explain the financial assistance program. Wyoming Medical Center Part V, Section B, Line 22: All individuals eligible under the Medical Center financial assistance policy are provided a discount for emergency and other medically necessary care. The financial assistance policy does not apply to elective procedures. Therefore, FAP-eligible patients without insurance may be charged gross charges on elective procedures. Part VI, Line 2: In April 2011 WMC, Community Health Center of Central Wyoming, Wyoming Business Coalition, Kids First Natrona County and the City of Casper conducted a needs assessment survey. These surveys were sent through the mail. In June 2011 focus group meetings were conducted through Casper. Results were compiled and presented to the board in October 2011. An implementation strategy was presented to the board and put into place prior to November 15, 2013. The IRS April 3, 2013 proposed regulations provided transitional relief allowing WMC to adopt an implementation strategy on or before November 15, 2013. Part VI, Line 3: Through Wyoming Medical Center's charity care program, individuals and families who are unable to pay may be offered full or partially subsidized services. Patients are given a brochure at the time of admission that provides information on financial options. If the patient is concerned about the cost of care, there is always an assessment to try and match them with a program that will help, whether it is a federal or state program, reduced cost or full charity care. Our patient financial service counselors meet one on one with patients and explain the financial assistance programs that are available to them. Counselors are also versed in the federal health insurance exchange and can provide information on availability and eligibility. Part VI, Line 4: Wyoming Medical Center has 191 beds in over 900,000 square feet. With over 50 specialties offered, Wyoming Medical Center offers hundreds of statewide clinics statewide each year. A full spectrum of integrated healthcare services include emergency care and trauma, intensive care, surgical, cardiac services, obstetric and pediatric and orthopedic care. Wyoming Medical Center also operates several outpatient clinics in Casper.In addition to Wyoming Medical Center, Casper currently has a specialty hospital, a rehabilitation hospital and a behavioral health center.According to 2010 census data, Natrona County is home to just over 75,000 residents with 568,000 statewide. Natrona County and the state of Wyoming have low population density, with 14.1 persons per square mile and 5.8 persons per square mile respectively. Natrona County is 92.8% white, .9% black, 1% American Indian and Alaska Native, .7% Asian, .1% Native Hawaiian and other Pacific Islander, 2.4% of people report two or more races and 6.9% are of Hispanic or Latino origin. According to Census data, 8.4% of people in Natrona County are below the poverty level and 9.8% are below the poverty level in Wyoming. Median household income is $50,936 in Natrona County and $53,802 in Wyoming. Part VI, Line 5: Wyoming Medical Center is a not-for profit hospital. The Hospital is governed by a volunteer board of directors. Our medical staff is open to all qualified physicians and allied health professionals. The facility applies surplus funds to improvements in patient care, medical education, and research. Our emergency department is open to all individuals regardless of their ability to pay. Wyoming Medical Center subsidized $8,265,863 in healthcare services through its operation of Wyoming Health Medical Group, LLC. Services offered include Neurosurgical Care, Internal Medicine and Family Practice, Pulmonology and Nephrology. All specialties treat all patients regardless of their ability to pay. Wyoming Medical Center provides air transportation for physicians to deliver service to clinic in several communities across Wyoming.Wyoming Medical Center's diabetes education is a self-management education program that includes a staff of knowledgeable health professionals who provide participants with comprehensive information about diabetes management. The team includes a medical director, director and a host of specially trained registered nurses and certified diabetes educators. The Community Development Office markets clinical services throughout the area, including the secondary outreach markets. Services include, but are not limited to, free educational seminars by physicians and other health professionals. Wyoming Medical Center works with the Wyoming Medical Center Foundation's Masterson Place to provide sleeping rooms to patients and their families at reduced rates or free when being treated at the hospital. WMC also provides taxi services to those individuals who cannot afford transportation to receive healthcare.WMC's CEO works in the community to provide community benefit relationships. There is also on-going work provided by WMC personnel on the Community Health Needs Assessment.Wyoming Medical Center is a training site for many specialties. We provide training for students in Nursing, Phlebotomy, Respiratory Therapy, Paramedic Services, Occupational Therapy assistants, Physical Therapist, and Family Practice residents. Wyoming Medical Center has been instrumental in implementing a Telehealth Stroke program for Wyoming. This allows Casper physicians to view and treat patients from a remote location giving the patient time needed care. Wyoming Medical Center provides Women Services to women who are pregnant or want to become pregnant. This includes prenatal and post delivery education and support to mothers. We also provide diabetes education and weight management programs. During FY 2013 Wyoming Medical Center had nearly 53,000 patient days and over 38,000 emergency department visits.The Hospital provides services for sexually assaulted victims through the SANE program in the emergency department. The Hospital provides a variety of health improvement options for the community and its patients. For example, the hospital provides education and products for weight loss, diabetes, stroke and smoking cessation. The community building activities promote health of the community by providing needed specialists and physicians as well as determining what is needed by the residents in the local community and surrounding area. WMC also provides a proper disposal service of unwanted and unusable pharmaceuticals in order to keep the community and environment safe. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 Vickie Diamond 497904 0 116325 0 12534 0 27504 0 1366 0 655633 0 0 0 Don J Claunch 251864 0 62922 0 553 0 120408 0 1366 0 437113 0 0 0 Julia Cann-Taylor 266087 0 45463 0 1090 0 238030 0 1366 0 552036 0 0 0 Robert M Kaiser 179604 0 18957 0 368 0 72848 0 1388 0 273165 0 0 0 Joseph Sramek MD 876691 0 0 0 420 0 0 0 0 0 877111 0 0 0 Robert F Hollis MD 777306 0 0 0 582 0 0 0 0 0 777888 0 0 0 Casey Cotant MD 344859 0 68194 0 135 0 0 0 0 0 413188 0 0 0 Mark McGinley MD 368643 0 13333 0 900 0 0 0 0 0 382876 0 0 0 Rafael Perez MD 364338 0 13333 0 1739 0 0 0 0 0 379410 0 0 0 Steven Chadderdon 109755 0 24232 0 627 0 3267 0 0 0 137881 0 0 0 Part I, Line 1a Vickie Diamond - Petroleum Club Dues - $625 Vickie Diamond - Casper Country Club - $3,844 Vickie Diamond - Rotary Club - $201 These amounts were not treated as taxable wages during the reporting year. The Rotary Club dues are a civic organization that is not subject to tax. Part I, Line 7 The bonuses reported on Schedule J are paid based on meeting specific metric goals identified by the organization. A Natrona County Wyoming 836000113 638813CB9 2011-02-28 20039909 Construction of New West Tower 0 0 0 A 20043919 1667185 2633658 257480 8164948 9958315 2014 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 Form 990, Schedule K, Part II, Line 3: The difference between Part I, Column (e) and Part II, Line 3 represents investment earnings on the bond proceeds during the construction phase. Neuro-Consultants Inc Owned 100% by Board Member Dr. Wheeler Membership Interest Purchase Agreement X 104453 5223 0 1 1 Wyoming Neurologic Associates Owned 100% by Board Member Dr. Wheeler Community Service Agreement X 51323 25661 0 1 1 30884 Wyoming Cardiopulmonary Service PC Board Member Dr. John Pickrell owns 20% 158457 Echo Tech Services 0 Wyoming Neurologic Associates Board Member Dr. David Wheeler owns 100% 362156 Physician and on call services 0 3rd Street Medical LLC Board Member Susan McMurry owns 50% 547995 Rent 0 Medical Holding Properties Board Member Susan McMurry owns 33% 207764 Construction and Utility Costs 0 Samuel Cann Son of Julia Cann-Taylor 25049 Compensation and benefits 0 New Program Services Form 990, Part III, line 2 In September 2012 WMC implemented a new lung cancer screening program in partnership with Outpatient Radiology, LLC, a joint venture. Form 990, Part VI, Section A, line 1 The Executive Committee has broad authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair and Secretary. The Executive Committee is responsible for carrying out the directives of the Board of Directors in the interim between regular board meetings, and is empowered to make such decisions or take such actions. All substantive decisions made or actions taken by the Executive Committee are reported to the Board of Directors in the Chair's standing report at the following regular board meeting, and acceptance of the report constitutes ratification by the Board of Directors of such decisions or actions. Form 990, Part VI, Section A, line 2 Vickie Diamond, Don Claunch and Linda Young have a business relationship due to serving on a related organization board together. Vickie Diamond and Susan McMurry have a business relationship due to serving on a related organization board together. Form 990, Part VI, Section B, line 11 The 990 was presented in its entirety to the Board of Directors. The full 990 was given to each board member and the CFO went through a detailed review with the members. Form 990, Part VI, Section B, line 12c Wyoming Medical Center's conflict of interest policy applies to directors, the principal officer and any member of a committee with board-delegated powers. WMC officers, directors, and key employees will also follow the Corporate Compliance Conflict of Interest Policy. Each individual governed by the policy annually signs a conflict of interest statement. Periodic reviews are conducted to ensure that WMC operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax in connection with any actual or possible conflicts of interest. Members of the committees with board delegated powers considering the proposed transaction or arrangement after disclosure of the financial interest and all material facts, and after discussion with the interested person, he or she leaves the board or committee meeting while the final determination of a conflict of interest is discussed and voted upon. The remaining board or committee members decide if a conflict of interest exists. A voting member of the board or any committee, who receives compensation, directly or indirectly, from WMC, is precluded from voting on matters pertaining to that member's compensation. Physician board members are precluded from voting on any compensation matters involving other physicians. Form 990, Part VI, Section B, line 15 Wyoming Medical Center's executive compensation policy has the primary objective of providing a total compensation program that recognizes individual performance and experience and current market value of the position based on the skills, knowledge and behaviors required of a fully competent incumbent. The compensation of the President & CEO is under the authority of the compensation review committee of the Board of Directors. The compensation of the other officers is under the authority of the President & CEO, who is accountable to the Board of Directors. Annually, the employee services department completes a thorough market analysis for all executive positions. This market review considers equivalent positions in the industry and comparable organizations at the local, regional and national levels. This analysis is provided to the compensation review committee. The compensation review committee reviews the compensation of each executive position. The President & CEO also participated in the review of the compensation of the other executive positions in 2011. This process included review and approval by independent persons, comparability data and contemporaneous substantiation. Form 990, Part VI, Section C, line 19 Wyoming Medical Center does not make its governing documents, conflict of interest policy or financial statements available to the public. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Minimum Pension Liability 12,763,808. Wyoming Health Medical Group LLC 1233 E 2nd St Casper WY 82601 800307419 Medical Services WY 5422550 1274288 Wyoming Medical Center Wyoming Medical Center Foundation 1233 E 2nd St Casper WY 82601 830230808 Charity Activities WY 501(c)(3) Line 11c, III-FI N/A 0 WyMedco Care Inc 1233 E 2nd St Casper WY 82601 830279267 Support in the Nonprofit Mission of WMC WY 501(c)(3) Line 11a, I Wyoming Medical Center Inc 1 Central Wyoming Outpatient Surgery Center LLC 1201 E 3rd St Casper WY 82601 830331130 Medical Services WY Wyoming Medical Center Inc Related 1485233 1147201 0 1 0.50000 North Platte Pathology 111 S Jefferson St Casper WY 82601 453676843 Medical Services WY Wyoming Medical Center Inc Related -76090 127101 0 1 0.50000 WyMedco Ventures Inc 1233 E 2nd St Casper WY 82601 830281137 Medical Services WY Wyoming Medical Center Inc C 1256464 4425334 1.00000 0 Hospital Foundation Ventures Inc 1233 E 2nd St Casper WY 82601 830282249 Business Investment WY N/A C 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 Central Wyoming Outpatient Surgery Center LLC J 350000 Actual Receipts Central Wyoming Outpatient Surgery Center LLC S 1369790 Actual Receipts