TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) MARGO KARSTEN...................................................................... DIVISION PRESIDENT	2.00 ................. 48.00	X			0	1,036,825	313,788
(2) DAN WEINMAN...................................................................... VP STRATEGY & PLANNING	2.00 ................. 40.00	X			0	706,732	180,004
(3) LANCE PORTER...................................................................... CEO, LARGE FACILITY	2.00 ................. 40.00	X			0	397,328	105,553
(4) PETER S FINE...................................................................... CEO	2.00 ................. 48.00		X		0	8,677,921	5,958,340
(5) DENNIS LARAWAY...................................................................... EVP & CHIEF FINANCIAL OFFICER	2.00 ................. 48.00		X		0	2,565,572	505,840
(6) MAJORIE BESSEL MD...................................................................... EVP & CHIEF CLINICAL OFFICER	2.00 ................. 48.00		X		0	1,675,989	800,391
(7) DONALD NORLAND...................................................................... CHIEF STRATEGY/GROWTH OFFICER	2.00 ................. 48.00		X		0	1,564,909	826,897
(8) REBECCA KUHN...................................................................... CHIEF OPERATING OFFICER	2.00 ................. 48.00		X		0	1,499,857	381,989
(9) DAVID BIXBY...................................................................... CHIEF LEGAL COUNSEL	2.00 ................. 48.00		X		0	1,364,975	348,343
(10) BRENDA SCHAEFER TREASURER...................................................................... VP, CHIEF INVESTMENT OFFICER	2.00 ................. 48.00		X		0	615,972	150,772
(11) ELIZABETH AVANT...................................................................... ASSISTANT SECRETARY	2.00 ................. 48.00		X		0	146,583	11,462
(12) JEANNE EHLEBRACHT SR DIRECTOR...................................................................... CFO LARGE FACILITY (THRU FEB 2022)	40.00 ................. 0.00		X		0	395,046	2,062
(13) AMY PERRY...................................................................... PRESIDENT & COO	2.00 ................. 48.00		X		0	1,136,684	1,646,638
(14) JEAN F LANCE SECRETARY EVP...................................................................... CHIEF LEGAL OFFICER & GENERAL COUNSEL	2.00 ................. 48.00		X		0	700,957	430,135
(15) JULIE ANN DUBEK...................................................................... EVP & CHIEF HUMAN RESOURCES OFFICER	2.00 ................. 40.00		X		0	776,968	446,651
(16) NAOMI CRAMER...................................................................... CHIEF HUMAN RESOURCES OFFICER	2.00 ................. 40.00			X	0	922,017	5,443

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization WYOMING MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization WYOMING MEDICAL CENTER INC		Employer identification number 83-0279242

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization WYOMING MEDICAL CENTER INC			Employer identification number 83-0279242
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

$ 0

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

$ 0

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

$ 0

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

45,320

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

21,031

Total. Add lines 1c through 1i ....................................................................................................

66,351

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	WYOMING MEDICAL CENTER SPENT $45,320 IN REIMBURSED EXPENSES RELATED TO DIRECT COMMUNICATIONS WITH LEGISLATORS. WYOMING MEDICAL CENTER ALSO CONTRIBUTED $21,031 IN LOBBYING COSTS THROUGH ITS PAYMENT OF DUES TO THE WYOMING HOSPITAL ASSOCIATION.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,344,402		13,344,402
b	Buildings ....	146,018,962	101,245,142	44,773,820
c	Leasehold improvements	4,757,381	4,364,856	392,525
d	Equipment ....	263,601,405	181,310,480	82,290,925
e	Other .....	20,349,770	12,029,212	8,320,558
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				149,122,230

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RIGHT OF USE ASSET				26,595,398
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				26,595,398

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	16,669,592
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	18,794,700		18,794,700	8.030 %
b	Medicaid (from Worksheet 3, column a) . . . . .	24,701,906	18,908,846	5,793,060	2.470 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	926,742	0	926,742	0.400 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	44,423,348	18,908,846	25,514,502	10.900 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		0
f	Health professions education (from Worksheet 5) . . .	272,659	0	272,659	0.120 %
g	Subsidized health services (from Worksheet 6) . . . .	1,711,175	0	1,711,175	0.730 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	9,679	0	9,679	0 %
j	Total. Other Benefits . .	1,993,513		1,993,513	0.850 %
k	Total. Add lines 7d and 7j .	46,416,861	18,908,846	27,508,015	11.750 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	316,857	0	316,857	0.140 %
9	Other
10	Total	316,857		316,857	0.140 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

-1,790,482

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

74,916,643

Enter Medicare allowable costs of care relating to payments on line 5.....

74,901,130

Subtract line 6 from line 5. This is the surplus (or shortfall)........

15,513

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 OUTPATIENT RADIOLOGY LLC	IMAGING SERVICES	50.000 %	0 %	50.000 %
22 CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC	SURGICAL CENTER	50.000 %	25.000 %	25.000 %
33 NORTH PLATTE PATHOLOGY LLC	PATHOLOGY SERVICES	50.000 %	0 %	50.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	WYOMING MEDICAL CENTER 1233 EAST 2ND STREET CASPER,WY82601 SEE SCHEDULE O 15341	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	WYOMING MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 7D

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE LINE 7D

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WYOMING MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE LINE 16J

The FAP application form was widely available on a website (list url):

SEE LINE 16J

A plain language summary of the FAP was widely available on a website (list url):
SEE LINE 16J

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	WYOMING MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	WYOMING MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
WYOMING MEDICAL CENTER	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 BH 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 BH'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 BH 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 WYMC, 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.- BH'S CHNA STEERING COMMITTEE - COMPRISED OF LEADERS FROM THROUGHOUT BH, 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 BH'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 BH'S COMMITMENT TO PROVIDING SERVICES THAT MEET COMMUNITY HEALTH NEEDS. - CHNA CHAMPIONS - A WORKING TEAM FROM EACH OF BH'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 BH, 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 (BH'S ELECTRONIC MEDICAL RECORD) AND MCKESSON (BH'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 - BH 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. LINES 3E AND 3G:BASED ON DATA AND INFORMATION GATHERED THROUGH THE CHNA PROCESS, THE FOLLOWING REPRESENT THE THREE 2022 PRIORITIZE HEALTH NEEDS:1. ACCESS TO CARE 2. CHRONIC DISEASE MANAGEMENT 3. BEHAVIORAL HEALTHLINE 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.
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 BH 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 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: SIGNIFICANT HEALTH NEED: ACCESS TO CARESTRATEGY #1: INCREASE ACCESS POINTS FOR PRIMARY CARE SERVICES - EMPLOYED ADDITIONAL PRIMARY CARE PROVIDERS AND ADVANCED PRACTICE PROVIDERS TO INCREASE ACCESS TO CARE.STRATEGY #2: INCREASE ACCESS TO AMBULATORY CARE SETTINGS.- GREW ACCESS TO AMBULATORY SERVICES FOR OUR COMMUNITY THROUGH URGENT CARE, AMBULATORY SURGICAL CENTERS, AND PHYSICAL THERAPY.STRATEGY #3: DEPLOY CARE MODELS AND TOOLS THAT IMPROVE AFFORDABILITY OF CARE FOR BH NETWORK MEMBERS. - PROMOTED ACCESS TO BANNER MEDICAL GROUP, TO REDUCE UTILIZATION OF THE EMERGENCY ROOM - IDENTIFIED 22 CORE MEASURES FOR ANNUAL WELLNESS VISITS TO SET QUALITY MEASURES INCLUDING CHRONIC DISEASE MANAGEMENT, CANCER SCREENINGS, AND IMMUNIZATIONS. SIGNIFICANT HEALTH NEED: CHRONIC DISEASE MANAGEMENT (DIABETES/HEART DISEASE/CANCER)STRATEGY #1: CONTINUE TO IMPROVE THE COORDINATION OF CARE FOR PATIENTS WITH CHRONIC DISEASE DIAGNOSIS - UTILIZED PHARMACISTS TO ASSIST IN CHRONIC DISEASE MANAGEMENT VIA TELEPHONE CONSULTATIONS. - OFFER CANCER SCREENINGS THROUGH CLINICS. - PROVIDED EDUCATION AND ASSISTANCE WITH MEDICATION ADHERENCE, INCLUDING COST OF MEDICATION. STRATEGY #2: GROWTH OF PREVENTATIVE CARE AND WELLNESS PROGRAMS IN THE COMMUNITIES WE SERVE. - PROVIDED MEDICARE ADVANTAGE WELLNESS VISITS THROUGH DEPLOYING MDS, NPS, AND PAS. - OFFERED SAME DAY MAMMOGRAPHY ACCESS IN AMBULATORY SETTINGS (HEALTH CENTERS AND IMAGING LOCATIONS). STRATEGY #3: CONTINUED ENHANCEMENT OF MEASUREMENT /OVERSIGHT OF CLINICAL QUALITY MEASURES FOR CHRONIC DISEASE PATIENTS. - DECREASED HYPERTENSION THROUGH AN INCREASE IN CLINICAL MEASURES FOR BP CONTROL. - DECREASED HBA1CS THROUGH AN INCREASE IN CLINICAL MEASURES FOR DIABETIC PATIENTS. - MONTHLY CLINICAL PERFORMANCE MEETINGS FOCUSING ON DIABETES AND HYPERTENSION FOR QUALITY IMPROVEMENT. SIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTHSTRATEGY #1: PROVIDE SERVICES TO INCREASE AWARENESS AND ACCESS TO ADDRESS GENERAL PSYCHIATRIC HEALTH NEEDS. - CONTINUE TO PARTNER WITH COMMUNITY OUTPATIENT BEHAVIORAL HEALTH PROVIDERS TO PROVIDE COORDINATED CARE. - ENCOURAGED PATIENTS TO GET INITIAL BEHAVIORAL SCREENINGS IN THE EMERGENCY DEPARTMENT. STRATEGY #2: UTILIZE INTERNAL AND EXTERNAL RESOURCES TO ADDRESS OPIOID ADDICTION IN BH COMMUNITIES. - IMPLEMENTED A SYSTEM WIDE PRIMARY CARE STRATEGY TO IDENTIFY OPIOID USE DISORDER. STRATEGY #3: UTILIZE INTERNAL AND EXTERNAL RESOURCES TO IMPROVE CLINICAL QUALITY FOR SUICIDE, DEPRESSION PATIENTS IN BH COMMUNITIES. - WORKING TO BE A "ZERO SUICIDE" HEALTH SYSTEM, WHERE ALL NON-CLINICAL HOSPITAL EMPLOYEES ARE TRAINED TO QUESTION, PERSUADE, AND RESPOND WHEN INTERACTING WITH A PERSON HAVING A SUICIDAL CRISIS. - PROVIDED DEPRESSION SCREENINGS DURING CLINIC APPOINTMENTS.ADDITIONAL NEEDS IDENTIFIED THROUGH DATA COLLECTION AND COMMUNITY INPUT WERE AGE RELATED HEALTH CONCERNS, AGING PROBLEMS, CANCER, AND ACCESS TO HEALTHY FOODS. IN MANY OF BH'S FACILITIES A HIGH PERCENTAGE OF THE AGED POPULATION IS SERVED, AS A RESULT TACTICS HAVE BEEN DEVELOPED THAT ACKNOWLEDGE AND ADDRESS CONCERNS OF THE AGED POPULATIONS. IT WAS DETERMINED TO GROUP CANCER INTO CHRONIC DISEASE MANAGEMENT AS OPPOSED TO HAVING IT STAND ALONG SIGNIFICANT HEALTH NEED, AS A RESULT A SPECIFIC STRATEGY HAS BEEN DEVELOPED TO EDUCATE AND CREATE ACCESS TO CANCER SCREENINGS. COVID-19 REMAINS AN ONGOING HEALTH CONCERN IN MANY COMMUNITIES. WHILE BH DECIDED TO NOT DEVELOP A SIGNIFICANT HEALTH NEED THAT IS SPECIFIC TO COVID-19, HEALTH PRIORITIES HAVE BEEN DEVELOPED THAT ARE RELATED TO THE EFFECTS OF COVID-19 AND HAVE DEVELOPED TACTICS TO ADDRESS THESE HEALTH PRIORITIES.
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.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	1 - CENTRAL WY OUTPATIENT SURGERY CENTER 1201 E 3RD STREET CASPER,WY82601	SURGICAL CENTER
2	2 - OUTPATIENT RADIOLOGY 419 S WASHINGTON STREET SUITE 100 CASPER,WY82601	IMAGING SERVICES
3	3 - WY HEALTH MED GROUP MULTISPECIALTY 419 S WASHINGTON STREET CASPER,WY82601	PHYSICIAN PRACTICE
4	4 - WY HEALTH MED GROUP MULTISPECIALTY 6650 E 2ND STREET CASPER,WY82609	PHYSICIAN PRACTICE
5	5 - NORTH PLATTE PATHOLOGY 111 S JEFFERSON STREET CASPER,WY82601	PATHOLOGY SERVICES
6	6 - SAGE PRIMARY CARE 1020 S CONWELL STREET CASPER,WY82601	PRIMARY CARE CLINIC
7	7 - MESA PRIMARY CARE 3632 AMERICAN WAY CASPER,WY82604	PRIMARY CARE CLINIC
8	8 - IMMEDIATE CARE 3632 AMERICAN WAY CASPER,WY82604	QUICK-CARE CLINIC
9	9 - RESPIRATORY SYMPTOMS SCREENING CLINIC 245 S FENWAY STREET CASPER,WY82601	QUICK-CARE CLINIC
10	10 - WOUND CARE CENTER 1201 E 3RD STREET CASPER,WY82601	WOUND CARE
11	11 - WYOMING NEUROSURGERY & SPINE 1020 E 2ND STREET SUITE 201 CASPER,WY82601	NEUROSURGICAL CLINIC
12	12 - COLE CREEK PRIMARY CARE 6600 E 2ND STREET CASPER,WY82601	PRIMARY CARE CLINIC
13	13 - WYOMING PAIN CENTER 6600 E 2ND STREET CASPER,WY82601	PAIN MANAGEMENT CLINIC
14	14 - THE WYOMING ENDOCRINE & DIABETES CLINIC 419 S WASHINGTON STREET SUITE 201 CASPER,WY82601	ENDOCRINE & DIABETES CLINIC

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	BH 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 BH'S FINANCIAL ASSISTANCE POLICY FOR HOSPITAL PATIENTS. THIS POLICY ESTABLISHES: 1) GENERAL - BH 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 BH 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 BH 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 BH 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 THE ESTIMATED 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 - BH 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 BH 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 $ -1,790,482.
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 $316,857 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:	BH/WYMC RUNS A PRESUMPTIVE CHARITY ANALYSIS ON ALL ACCOUNTS TO MINIMIZE QUALIFYING PATIENTS BEING CLASSIFIED AS BAD DEBT. BH ESTIMATES THAT LESS THAN 15% OF THE PATIENT ACCOUNTS COMPRISING THE ORGANIZATION'S BAD DEBT MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER BH POLICIES.
PART III, LINE 4:	FOOTNOTE PER AUDITED FINANCIAL STATEMENTS (PAGE 13): NET PATIENT ACCOUNTS 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. USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY, THE 2022 RESULT IS A MEDICARE SURPLUS OF $15.5K. THIS SITUATION IS NOT ANTICIPATED TO CONTINUE AND A RETURN TO A SHORTFALL POSITION IS PROJECTED AS CALCULATIONS REFLECTED ON THE COST REPORT DO NOT CUSTOMARILY TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE ORGANIZATION AND DIFFERS FROM THE COST REFLECTED ON THE FINANCIAL STATEMENTS. FUTURE 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:	BH'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 BH 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:	BH UTILIZES ITS STRATEGY AND PLANNING TEAM TO CONTINUALLY IDENTIFY AREAS IN THE COMMUNITIES BH 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 BH SERVICE AREAS, NEW AND MORE EFFECTIVE HEALTHCARE SERVICES THAT ARE BECOMING AVAILABLE THAT WOULD ELEVATE THE QUALITY OF HEALTHCARE SERVICES PROVIDED TO BH COMMUNITIES, AND DEMAND PRESSURES EXPERIENCED BY EXISTING BH 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 BH FINANCIAL ASSISTANCE POLICIES. THE FOLLOWING ARE EXAMPLES OF COMMUNICATION/EDUCATION AVAILABLE TO BH PATIENTS:A. SIGNAGE AND COLLATERAL IN BOTH ENGLISH AND SPANISH ARE POSTED PROMINENTLY IN-PATIENT WAITING LOBBIES, INCLUDING THE EMERGENCY DEPARTMENTS, STATING THAT BH 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. BH 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:	BH'S 33 HOSPITALS, INCLUDING WYMC, 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 BH FACILITIES:WYOMING1) STATEI) ESTIMATED POPULATION: 581,381II) MEDIAN HOUSEHOLD INCOME: $68,002III) PERCENT OF POPULATION IN POVERTY: 11.40%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 14.80%V) PER CAPITA HEALTHCARE EXPENSE: $10,989VI) TOTAL PERCENT OF UNINSURED IN POPULATION: 8.50%VI) PERCENT OF UNINSURED ADULTS 19-64 LIVING IN POVERTY: 20.30%VII) PERCENT OF UNINSURED NONELDERLY W INCOME BELOW 100% OF FPL: 15.70%VIII) PERCENT OF UNINSURED NONELDERLY W INCOME UP TO 200% OF FPL: 19.60%IX) PERCENT OF POPULATION BELOW 400% OF FPL: 60.80%X) PERCENT OF ADULTS REPORTING FAIR OR POOR HEALTH: 14.10%XI) PERCENT OF ADULTS DIAGNOSED WITH DIABETES: 7.50%XII) PERCENT OF ADULTS DIAGNOSED WITH CARDIOVASCULAR DISEASE: 6.30%XIII) PERCENT OF ADULTS WHO ARE OVERWEIGHT OR OBESE: 31.40%XIV) PERCENT OF ADULTS REPORTING MENTAL ILLNESS IN PAST YEAR: 53.10%
PART VI, LINE 5:	BH IS GOVERNED BY A COMMUNITY BOARD, DRAWN PRIMARILY FROM THE COMMUNITIES SERVED BY BH. THIS BOARD ESTABLISHES BH' 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, BH 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, BH'S HEAVY REINVESTMENT IN CLINICAL SYSTEMS AND HEALTH INFORMATION TECHNOLOGY ENABLES BH TO PROVIDE A UNIFORMLY HIGH QUALITY OF CARE THROUGHOUT THE SYSTEM, INCLUDING BH'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 BH'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, BH 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, BH 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 BH 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
PART VI, LINE 4 (CONTINUED):	G. BH AVERAGE1) STATE AVERAGEI) ESTIMATED POPULATION: 9,668,785II) MEDIAN HOUSEHOLD INCOME: $67,632III) PERCENT OF POPULATION IN POVERTY: 10.70%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 10.98%V) PER CAPITA HEALTHCARE EXPENSE: $7,372VI) TOTAL PERCENT OF UNINSURED IN POPULATION: 9.27%VI) PERCENT OF UNINSURED ADULTS 19-64 LIVING IN POVERTY: 24.02%VII) PERCENT OF UNINSURED NONELDERLY W INCOME BELOW 100% OF FPL: 17.93%VIII) PERCENT OF UNINSURED NONELDERLY W INCOME UP TO 200% OF FPL: 21.43%IX) PERCENT OF POPULATION BELOW 400% OF FPL: 59.13%X) PERCENT OF ADULTS REPORTING FAIR OR POOR HEALTH: 13.88%XI) PERCENT OF ADULTS DIAGNOSED WITH DIABETES: 8.70%XII) PERCENT OF ADULTS DIAGNOSED WITH CARDIOVASCULAR DISEASE: 5.80%XIII) PERCENT OF ADULTS WHO ARE OVERWEIGHT OR OBESE: 29.43%XIV) PERCENT OF ADULTS REPORTING MENTAL ILLNESS IN PAST YEAR: 8.60%2) COUNTY AVERAGEI) ESTIMATED POPULATION: 404,900II) MEDIAN HOUSEHOLD INCOME: $59,473III) PERCENT OF POPULATION IN POVERTY: 11.89%IV) PERCENT OF UNINSURED PERSONS UNDER AGE 65: 12.95%

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
WYOMING MEDICAL CENTER INC

Employer identification number
83-0279242

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	PRIOR TO MAKING A CONTRIBUTION TO ANOTHER ORGANIZATION, WYOMING MEDICAL CENTER'S STAFF CONFIRM THAT THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY OR THAT THE FUNDS WILL BE USED FOR A CHARITABLE PURPOSE. ALL CONTRIBUTIONS ARE FOR GENERAL OPERATING SUPPORT, SO NO FURTHER FOLLOW-UP REGARDING THE USE OF FUNDS IS CONDUCTED.

Schedule I (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1PETER S FINE CEO	(i) (ii)	0 ------------- 1,693,064	0 ------------- 6,627,363	0 ------------- 357,494	0 ------------- 5,936,896	0 ------------- 21,444	0 ------------- 14,636,261	0 ------------- 4,395,753
2DENNIS LARAWAY EVP & CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 973,581	0 ------------- 1,388,473	0 ------------- 203,518	0 ------------- 483,779	0 ------------- 22,061	0 ------------- 3,071,412	0 ------------- 928,746
3AMY PERRY PRESIDENT & COO	(i) (ii)	0 ------------- 1,114,474	0 ------------- 0	0 ------------- 22,210	0 ------------- 1,617,859	0 ------------- 28,779	0 ------------- 2,783,322	0 ------------- 506,544
4MAJORIE BESSEL MD EVP & CHIEF CLINICAL OFFICER	(i) (ii)	0 ------------- 641,373	0 ------------- 921,847	0 ------------- 112,769	0 ------------- 783,112	0 ------------- 17,279	0 ------------- 2,476,380	0 ------------- 589,195
5DONALD NORLAND CHIEF STRATEGY/GROWTH OFFICER	(i) (ii)	0 ------------- 599,488	0 ------------- 873,703	0 ------------- 91,718	0 ------------- 808,093	0 ------------- 18,804	0 ------------- 2,391,806	0 ------------- 542,230
6REBECCA KUHN CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 11,671	0 ------------- 1,488,178	0 ------------- 8	0 ------------- 380,753	0 ------------- 1,236	0 ------------- 1,881,846	0 ------------- 939,817
7DAVID BIXBY CHIEF LEGAL COUNSEL	(i) (ii)	0 ------------- 333,414	0 ------------- 938,190	0 ------------- 93,371	0 ------------- 346,108	0 ------------- 2,235	0 ------------- 1,713,318	0 ------------- 508,871
8MARGO KARSTEN DIVISION PRESIDENT	(i) (ii)	0 ------------- 506,425	0 ------------- 443,940	0 ------------- 86,460	0 ------------- 289,947	0 ------------- 23,841	0 ------------- 1,350,613	0 ------------- 236,091
9JULIE ANN DUBEK EVP & CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	0 ------------- 446,301	0 ------------- 290,943	0 ------------- 39,724	0 ------------- 423,579	0 ------------- 23,072	0 ------------- 1,223,619	0 ------------- 0
10JEAN F LANCE SECRETARY EVP CHIEF LEGAL OFFICER & GENERAL COUNSE	(i) (ii)	0 ------------- 428,914	0 ------------- 248,463	0 ------------- 23,580	0 ------------- 407,792	0 ------------- 22,343	0 ------------- 1,131,092	0 ------------- 80,147
11NAOMI CRAMER CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	0 ------------- 57,105	0 ------------- 801,910	0 ------------- 63,002	0 ------------- 2,295	0 ------------- 3,148	0 ------------- 927,460	0 ------------- 506,544
12DAN WEINMAN VP STRATEGY & PLANNING	(i) (ii)	0 ------------- 391,668	0 ------------- 266,262	0 ------------- 48,802	0 ------------- 155,717	0 ------------- 24,287	0 ------------- 886,736	0 ------------- 88,911
13BRENDA SCHAEFER TREASURER VP, CHIEF INVESTMENT OFFICER	(i) (ii)	0 ------------- 348,837	0 ------------- 234,673	0 ------------- 32,462	0 ------------- 139,536	0 ------------- 11,236	0 ------------- 766,744	0 ------------- 88,262
14LANCE PORTER CEO, LARGE FACILITY	(i) (ii)	0 ------------- 235,428	0 ------------- 140,867	0 ------------- 21,033	0 ------------- 82,238	0 ------------- 23,315	0 ------------- 502,881	0 ------------- 20,197
15JEANNE EHLEBRACHT SR DIRECTOR CFO LARGE FACILITY (THRU FEB 2022)	(i) (ii)	0 ------------- 50,660	0 ------------- 100	0 ------------- 344,286	0 ------------- 1,494	0 ------------- 568	0 ------------- 397,108	0 ------------- 0
16ELIZABETH AVANT ASSISTANT SECRETARY	(i) (ii)	0 ------------- 129,604	0 ------------- 16,341	0 ------------- 638	0 ------------- 4,077	0 ------------- 7,385	0 ------------- 158,045	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	THE BH TRAVEL POLICY ALLOWS FOR FIRST-CLASS AIR TRAVEL ON ANY FLIGHT WITHIN THE US AND THE LESSER FARE OF 1ST OR BUSINESS CLASS ON INTERNATIONAL TRAVEL FOR THE CEO.
PART I, LINE 4B	1. SERP II - COVERED 1 EXECUTIVE (FINE). THIS NONQUALIFIED PLAN IS HELD IN A RABBI TRUST AT NORTHERN TRUST COMPANY. PAYMENTS ARE PURSUANT TO THE 2017 PLAN WHICH WAS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE TO DETERMINE REASONABLENESS AND IS PAYABLE AFTER THE EXECUTIVE VESTS ON THE FIFTH ANNIVERSARY OF THE EFFECTIVE DATE OF THIS PLAN (FEBRUARY 28, 2022). THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS AND ARE CALCULATED BASED ON ACTUARILY DETERMINED FACTORS. TAXATION OCCURS UPON DISTRIBUTION. 2. EXEC 457(B) - COVERED APPROXIMATELY 243 FORMER AND CURRENT EXECUTIVES. THIS NONQUALIFIED PLAN IS HELD AT FIDELITY INVESTMENTS AND IS 100% VESTED. TAXATION OCCURS UPON DISTRIBUTION. THE ONLY CONTRIBUTIONS ALLOWED ARE EMPLOYER CONTRIBUTIONS. CONTRIBUTIONS ARE CALCULATED BASED ON ACTUARIALLY DETERMINED FACTORS. EMPLOYER CONTRIBUTIONS TO EXEC 457(B) ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). 3. EXEC 457(F) - COVERED APPROXIMATELY 109 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. EACH ANNUAL AWARD FULLY VESTS ON THE EARLIER OF AGE 65, JANUARY 1 OF THE YEAR WHICH IS THREE YEARS FROM THE YEAR THE AWARD WAS GRANTED, OR AN INVOLUNTARY NOT-FOR-CAUSE EMPLOYMENT TERMINATION. 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). 2022 457(F) ACCRUALS: JULIE ANN ALVARADO-DUBEK - $26,267 MARJORIE BESSEL - $71,751 MARGO KARSTEN - $45,033 JEAN LANCE - $15,761 DENNIS LARAWAY - $124,120 DONALD NORDLUND - $66,327 LANCE PORTER - $2,052 BRENDA SCHAEFER - $12,581 DAN WEINMAN - $18,713 2022 457(F) DISTRIBUTIONS: JULIE ANN ALVARADO-DUBEK - $17,127 MARJORIE BESSEL - $89,190 DAVID BIXBY - $73,458 PETER FINE - $326,345 MARGO KARSTEN - $62,265 DENNIS LARAWAY - $175,644 DONALD NORDLUND - $68,337 BRENDA SCHAEFER - $9,556 DAN WEINMAN - $25,534 NAOMI DAWN CRAMER - $62,603 PATRICK RANKIN - $111,895
PART I, LINE 6	THE INDIVIDUALS IDENTIFIED BELOW PARTICIPATE IN A LONG-TERM INCENTIVE PLAN (LTIP) COVERING THREE-YEAR CYCLES FROM 2019-2021, 2020-2022, 2021-2023, AND 2022-2024. THE LTIP WAS DESIGNED AT THE INITIATIVE OF BH 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: STARS RATING IMPROVEMENT, TRANSFORM REVENUE CYCLE, AND BUILD OUR BENCH TO REFLECT COMMUNITIES. 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 BH BOARD COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS OF BH. 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 2019-2021 CYCLE ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) AS BONUS & INCENTIVE COMPENSATION. AMOUNTS ACCRUED FOR 2022 FOR THE 2020-2022, 2021-2023, AND 2022-2024 CYCLES (TO BE PAID OUT IN 2023, 2024 AND 2025 RESPECTIVELY) ARE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS DEFERRED COMPENSATION. 2022 LTIP ACCRUALS: DAVID BIXBY - $334,185 PETER FINE - $4,458,029 REBECCA KUHN - $380,273 MARJORIE BESSEL - $699,461 JULIE ANN ALVARADO-DUBEK - $385,459 BRENDA SCHAEFER - $114,755 LANCE PORTER - $70,466 MARGO KARSTEN - $233,857 DENNIS LARAWAY - $347,673 DONALD NORDLUND - $729,566 JEAN LANCE - $379,831 AMY PERRY - $1,610,936 DAN WINMAN - $124,804 2022 LTIP DISTRIBUTIONS: DAVID BIXBY - $508,871 PETER FINE - $3,166,103 REBECCA KUHN - $939,817 MARJORIE BESSEL - $500,005 JULIE ANN ALVARADO-DUBEK - $95,856 BRENDA SCHAEFER - $78,706 LANCE PORTER - $20,197 MARGO KARSTEN - $173,825 DENNIS LARAWAY - $753,102 DONALD NORDLUND - $473,893 JEAN LANCE - $80,147 DAN WINMAN - $88,911 PATRICK RANKIN - $99,873 NAOMI CRAMER - $443,942 BH HAS A MANAGEMENT INCENTIVE PLAN (MIP) WHICH IS BASED ON COMPANY ACHIEVEMENT OF SEVERAL FINANCIAL AND NON-FINANCIAL/CLINICAL QUALITY METRICS THAT ARE ESTABLISHED ANNUALLY BY THE BH 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 2022, THERE WERE 1,420 MIP PARTICIPANTS. THE MIP WAS ACCRUED IN 2022 FOR THE 2022 MIP, AND PAYOUTS ON THE 2021 MIP WERE PAID IN 2022. MIP COMPENSATION IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II).

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ROCKY MOUNTAIN INFECTIOUS DISEASES	DR. MARK DOWELL, FORMER BOARD MEMBER, OWNS 51%	244,465	INFECTIOUS DISEASE MEDICAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Return Reference	Explanation
FORM 990, BOX J WEBSITE:	WWW.BANNERHEALTH.COM/LOCATIONS/CASPER/WYOMING-MEDICAL-CENTER
FORM 990, PART VI, SECTION A, LINE 6	BH, 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	BH'S TAX DEPARTMENT (BH TAX) IS RESPONSIBLE FOR OVERSEEING THE PROCESSES FOR PREPARING THE FORM 990. BH 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 BH DEPARTMENTS, SUCH AS THE LEGAL, PAYROLL, GOVERNMENT RELATIONS, LICENSING, COMMUNITY BENEFIT, COMPENSATION AND BENEFITS, ACCOUNTS PAYABLE, RISK MANAGEMENT, CERTIFICATION, CREDENTIALING, FINANCIAL SERVICES AND TREASURY DEPARTMENTS 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 BH'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 BH TAX. DURING THIS REVIEW, A LIST OF QUESTIONS, ISSUES AND ADDITIONAL TASKS IS COMPILED. THIS LIST IS THEN DISSEMINATED TO THE APPROPRIATE BH DEPARTMENTS FOR FURTHER ACTION. ONCE ALL QUESTIONS, ISSUES AND TASKS HAVE BEEN COMPLETED, A SECOND REVIEW BY BH 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 BH 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 BH CONFLICT OF INTEREST POLICY, ALL BOARD MEMBERS, OFFICERS AND THE DIRECTOR OF AUDIT SERVICES 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 BH EMPLOYEES MUST GO THROUGH A SIMILAR PROCESS OF DISCLOSURE TO THEIR RESPECTIVE SUPERVISOR AND TO THE DIRECTOR OF AUDIT SERVICES, 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 AUDIT SERVICES. 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 AUDIT SERVICES. 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 BH'S CONFLICT OF INTEREST POLICY. THE DIRECTOR OF AUDIT SERVICES 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 BH'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 B, LINE 15	BH 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 BH AND ANY OF ITS AFFILIATES AND ALL OTHER PERSONS WHO CONSTITUTE "DISQUALIFIED PERSONS" WITH RESPECT TO BH 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 BH. - 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 BH 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 BH 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 BH 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 BH TO THE CONSULTANT IN ITS CAPACITY AS AN EXTERNAL COMPENSATION CONSULTANT TO THE COMMITTEE, AND THE AMOUNTS PAID BY BH, 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 THE 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, 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 THE BH COMPENSATION AND BENEFITS DEPARTMENT. THESE RANGES ARE ESTABLISHED IN ACCORDANCE WITH AN EXECUTIVE COMPENSATION PHILOSOPHY THAT IS ESTABLISHED, AND REVIEWED ANNUALLY, 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 COMPENSATION AND BENEFITS 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 2022.
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 20,058,976. MANAGEMENT AND GENERAL EXPENSES 9,020,918. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,079,894.
FORM 990, PART XI, LINE 9:	NET ASSET ADJUSTMENT WITH COMPANY MERGER -5,343,510.
FORM 990, PART XII, LINE 2C	WYOMING MEDICAL CENTER IS NOW INCLUDED IN BH'S AUDITED FINANCIAL STATEMENTS. BH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

WYOMING MEDICAL CENTER INC

Employer identification number

83-0279242

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)WYMEDCO CARE INC 1233 E 2ND ST CASPER,WY82601 83-0279267	SUPPORT IN THE NONPROFIT MISSION OF WMC	WY	501(C)(3)	LINE 12A, I	WYOMING MEDICAL CENTER	Yes
(2)BANNER HEALTH 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 45-0233470	HOSPITAL	AZ	501(C)(3)	LINE 3	N/A		No
(3)BANNER HEALTH FOUNDATION 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 94-2545356	SUPPORT	AZ	501(C)(3)	LINE 7	BANNER HEALTH		No
(4)BANNER ALZHEIMER FOUNDATION 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 20-4862361	SUPPORT	AZ	501(C)(3)	LINE 7	BANNER HEALTH		No
(5)BANNER MEDICAL GROUP 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 90-0532860	MEDICAL SERVICES	AZ	501(C)(3)		BANNER HEALTH		No
(6)BANNER MEDICAL GROUP COLORADO 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 90-0532831	MEDICAL SERVICES	CO	501(C)(3)	LINE 3	BANNER HEALTH		No
(7)BANNER UNIVERSITY MEDICAL GROUP 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 94-2958258	MEDICAL SERVICES	AZ	501(C)(3)	LINE 3	BANNER HEALTH		No
(8)BANNER UNIVERSITY CARE ADVANTAGE 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 46-3757358	HEALTH INSURANCE	AZ	501(C)(3)	LINE 10	BANNER HEALTH		No
(9)BANNER UNIVERSITY FAMILY CARE 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 46-3766901	HEALTH INSURANCE	AZ	501(C)(3)	LINE 10	BANNER HEALTH		No
(10)BANNER HEALTH INSURANCE GROUP INC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 84-3248878	HEALTH INSURANCE	AZ	501(C)(4)		BANNER HEALTH		No
(11)BANNER HEALTH PLAN INC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 84-3237280	HEALTH INSURANCE	AZ	501(C)(4)		BANNER HEALTH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC 1201 E 3RD ST CASPER,WY82601 83-0331130	MEDICAL SERVICES	WY	WYOMING MEDICAL CENTER	RELATED	1,578,542	1,961,595		No		Yes		50.000 %
(2) NORTH PLATTE PATHOLOGY LLC 111 S JEFFERSON ST CASPER,WY82601 45-3676843	MEDICAL SERVICES	WY	WYOMING MEDICAL CENTER	RELATED	-2,987	116,263		No		Yes		50.000 %
(3) BANNER AIR LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 86-2878425	MEDICAL TRANSPORT	DE	N/A					No			No
(4) BANNER ATLAS JV LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 83-1276122	OUTPATIENT SURGERY CENTER	AZ	N/A					No			No
(5) BANNER WEST VALLEY CARDIOLOGY MANAGEMENT LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 86-1559257	MEDICAL MANAGEMENT	AZ	N/A					No			No
(6) BHSM REHABILITATION LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 82-3481322	MEDICAL SERVICES	DE	N/A					No			No
(7) SONORA QUEST LABORATORIES 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 86-0872873	LABORATORY	AZ	N/A					No			No
(8) BANNER CORE ORTHOPEDIC PROGRAM LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 90-0644143	MEDICAL SERVICES	AZ	N/A					No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) WYMEDCO VENTURES INC 1233 E 2ND ST CASPER,WY82601 83-0281137	MEDICAL SERVICES	WY	WYOMING MEDICAL CENTER	C			100.000 %	Yes
(2) BANNER HEALTH NETWORK 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 90-0750689	ACCOUNTABLE CARE	AZ	N/A	C					No
(3) BANNER INDEMNITY LTD 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 45-0233470	INVESTMENTS	CJ	N/A	C					No
(4) BANNER PLAN ADMINISTRATION INC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 86-0800246	THIRD PARTY ADMINISTRATION	AZ	N/A	C					No
(5) NMSI INC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 74-2354291	PPO INSURANCE PROVIDER	CO	N/A	C					No
(6) THE UNIV OF AZ HEALTH PLANS-U-HEALTHCARE 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 45-4370907	HEALTH INSURANCE	AZ	N/A	C					No
(7) BANNER HEALTH INSURANCE GROUP INC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 84-3248878	HEALTH INSURANCE	AZ	N/A	C					No
(8) BANNER HEALTH INSURANCE COMPANIES LLC 2901 N CENTRAL AVENUE SUITE 160 PHOENIX,AZ85012 85-2544538	HEALTH INSURANCE	AZ	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTH PLATTE PATHOLOGY LLC	H	245,280	ACTUAL RECEIPTS

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ASSIST BANNER HEALTH (BH) COMPLETE ITS MISSION TO MAKE HEALTH CARE EASIER, SO LIFE CAN BE BETTER BY PROVIDING INTEGRATED AND COORDINATED CARE AND POPULATION HEALTH MANAGEMENT.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	86
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,206,452
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	667,662

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,910,626	3,714,216
9	Program service revenue (Part VIII, line 2g) .........	276,016,500	232,416,952
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	144,404	79,831
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	681,115	544,226
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	279,752,645	236,755,225
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	24,500	25,835
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	135,000,482	91,843,210
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	129,437,804	140,473,292
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	264,462,786	232,342,337
19	Revenue less expenses. Subtract line 18 from line 12.......	15,289,859	4,412,888
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	279,059,082	250,080,113
21	Total liabilities (Part X, line 26).............	91,130,981	63,082,634
22	Net assets or fund balances. Subtract line 21 from line 20.....	187,928,101	186,997,479

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 164,498,731 including grants of $ 25,835 ) (Revenue $ 231,210,500 )
	GUIDED BY AND DEEPLY DEVOTED TO THE NONPROFIT MISSION: "MAKING HEALTH CARE EASIER, SO LIFE CAN BE BETTER," WYOMING MEDICAL CENTER (WYMC), 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. WYMC PROVIDES A WIDE RANGE OF QUALITY CARE SERVICES INCLUDING CARDIOLOGY, WOMEN AND INFANTS' SERVICES, PEDIATRICS, BARIATRICS, SURGERY, IMAGING, NEUROLOGY, ONCOLOGY, REHABILITATION, AND ENDOCRINOLOGY. (CONTINUED IN SCHEDULE O)WYMC 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.WYMC 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, WYMC MEETS THE HEALTH AND MEDICAL NEEDS OF ITS PATIENTS THROUGH COMPASSIONATE PROFESSIONALS AND OUTSTANDING SERVICE. WYMC'S 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. WYMC MEETS THE PATIENT WHERE THEY ARE AND AT THEIR DESIRED LOCALE. WYMC'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. WYMC 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 WYMC 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 2022 COMMUNITY BENEFIT ACTIVITIES INCLUDE:COMMUNITY EDUCATION - WYMC 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, WYMC RECOGNIZES DELIVERING EXCELLENT CARE IS MORE THAN CLINICAL TREATMENT. WYMC IS COMMITTED TO PROVIDING EDUCATION IN ALL THE COMMUNITIES IT SERVES AND DOING ITS PART TO KEEP WYMC 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 - WYMC 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, WYMC 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 ENDEMIC ERA, WYMC CONTINUES TO STEADFASTLY FOCUS ON CARING FOR OUR DIVERSE COMMUNITIES INCLUDING SAFE TESTING, VACCINATIONS, EDUCATION, PROTECTION, AND CARE. WYMC HEALTH CONTINUALLY WORKS TO DEVELOP AND IMPLEMENT PRACTICES TO ENSURE THE SAFETY OF PATIENTS AND HEALTH CARE WORKERS ACROSS ITS SIX-STATE SERVICE AREA; CONSTANTLY REVIEWING AND ENHANCING MEASURES. THE IMPORTANCE OF HEALTH CARE WORKER AND PATIENT SAFETY IS PARAMOUNT WITH AN OVERARCHING MESSAGE - WYMC IS A SAFE PLACE - FOR CARE AND WORK. SAFETY EDUCATION - AT WYMC WE WANT TO HELP 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 AHCCCS/MEDICAID PROGRAM ENROLLMENT ASSISTANCE AND CARE COORDINATION VALUED AT $5,0004.0 MILLION PROVIDED TO INDIVIDUALS IN NEED. LODGING AND TRANSPORTATION INDIVIDUALS PROVIDED LODGING AND TRANSPORTATION ASSISTANCE MORE THAN $15,000. PATIENT WELLNESS AT WYMC 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 2022 COMMUNITY EDUCATION AND WELLNESS ACTIVITIES WERE VALUED AT $1.0 MILLION. PHARMACY EDUCATION AS PART OF COMMUNITY SERVICE, WYMC PROVIDED APPROXIMATELY $272,000 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 VISIT, AND ADDRESSES ACCESS TO CARE. APPROXIMATELY $13,000 PROVIDED TO NEEDY COMMUNITY RESIDENTS FOR POST DISCHARGE CARE. AMBULANCE AND EVACUATION SERVICES - AMBULANCE AND EMERGENCY EVACUATION SERVICES ARE PROVIDED TO ARIZONA AND WESTERN REGION COMMUNITIES. WITHOUT THIS SUBSIDY AND SERVICE, LOCALITIES WOULD BE RESPONSIBLE FOR THESE SERVICES VALUED AT $52 THOUSND6.6 MILLION.BEHAVIORAL HEALTH - MENTAL AND EMOTIONAL WELLBEING IS JUST AS IMPORTANT AS PHYSICAL HEALTH AND THE WYMC BEHAVIORAL HEALTH INSTITUTE DEVOTE, $3.0 MILLION IN 2022 TO THE MENTAL HEALTH NEEDS OF THE COMMUNITIES SERVED. FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS - WYMC IS COMMITTED TO ASSISTING FINANCIALLY AND THROUGH IN-KIND CONTRIBUTIONS TO INDIVIDUALS AND THE COMMUNITY AT LARGE. WORKFORCE ENHANCEMENT - WYMC ACTIVELY RECRUITED PHYSICIANS TO SERVE IN FEDERAL MEDICALLY UNDERSERVED AREAS. IN 2022, APPROXIMATELY $317,000 WAS INVESTED TO ENHANCE COMMUNITY WORKFORCE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses164,498,731

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	24,184,335	12,114,308

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	3,706,767

f	All other contributions, gifts, grants, and similar amounts not included above		1f	7,449

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		3,714,216

		Business Code
2a	NET PATIENT REVENUE	621110	225,619,933	225,619,933
b	JV INVESTMENT INCOME	901101	4,409,051	3,773,999	635,052
c	NON-PATIENT NON-OPERAT	900099	1,183,292	1,183,292
d	CAFETERIA SALES	722514	680,697	633,276	47,421
e	REFERENCE LAB REVENUE	621500	523,979		523,979
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		232,416,952

3 Investment income (including dividends, interest, and othersimilar amounts) ......			41,670			41,670
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		538,546	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		538,546	6c
d	Net rental income or (loss).......			538,546			538,546
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	38,161		7a
b	Less: cost or other basis and sales expenses	0		7b
c	Gain or (loss)	38,161		7c
d	Net gain or (loss).........			38,161			38,161
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER NONOPERATING		900099	5,680			5,680
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			5,680
12	Total revenue. See instructions.....			236,755,225	231,210,500	1,206,452	624,057

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	25,835	25,835
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	79,792,343	64,613,605	15,178,738
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,431,033	1,158,810	272,223
9	Other employee benefits .......	6,222,060	5,038,450	1,183,610
10	Payroll taxes ...........	4,397,774	3,561,194	836,580
11	Fees for services (non-employees):
a	Management ......	20,103,038		20,103,038
b	Legal .........	121,195		121,195
c	Accounting ...........
d	Lobbying ...........	48,845		48,845
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,079,894	20,058,976	9,020,918
12	Advertising and promotion ....	34,320		34,320
13	Office expenses .......	1,314,007	765,702	548,305
14	Information technology ......	4,287,087	60,078	4,227,009
15	Royalties ..
16	Occupancy ...........	17,870,237	2,833,064	15,037,173
17	Travel ............	192,449	56,268	136,181
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	4,952,491	4,952,491
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	15,699,564	15,699,564
23	Insurance ...	861,827	861,827
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUG & MEDICAL SUPPLIES	43,626,041	43,626,041
b	EQUIPMENT LEASE/RENTAL	1,510,563	1,105,733	404,830
c	FOOD	1,297,624	1,113,375	184,249
d	PHYSICIAN RECRUITMENT	916,137	617,861	298,276
e	All other expenses	-1,442,027	-1,650,143	208,116
25	Total functional expenses. Add lines 1 through 24e	232,342,337	164,498,731	67,843,606	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			20,240,310	1	13,014,036
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			736,820	3	0
4	Accounts receivable, net .............			55,610,969	4	43,593,529
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			776,472	7	499,814
8	Inventories for sale or use ............			5,637,145	8	7,620,694
9	Prepaid expenses and deferred charges ......			4,200,527	9	936,797
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	448,071,920
b	Less: accumulated depreciation	10b	298,949,690	173,818,904	10c	149,122,230
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			5,749,212	13	6,419,044
14	Intangible assets ...............			6,600,000	14	2,278,571
15	Other assets. See Part IV, line 11 ...........			5,688,723	15	26,595,398
16	Total assets. Add lines 1 through 15 (must equal line 33)...			279,059,082	16	250,080,113

17	Accounts payable and accrued expenses .....	19,159,979	17	18,491,961
18	Grants payable ...		18
19	Deferred revenue .........	19,181,057	19	72,417
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	35,114,975	23	27,848,664
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	17,674,970	25	16,669,592
26	Total liabilities. Add lines 17 through 25..	91,130,981	26	63,082,634

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	177,984,228	27	173,705,384
28	Net assets with donor restrictions ...........	9,943,873	28	13,292,095
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	187,928,101	32	186,997,479
33	Total liabilities and net assets/fund balances ........	279,059,082	33	250,080,113