﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-01-28T12:20:54-05:00</ReturnTs>
    <TaxPeriodEndDt>2025-03-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>200079326</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DZA PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12015 E MAIN AVE</AddressLine1Txt>
        <CityNm>SPOKANE VALLEY</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>99206</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>830326307</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER OF CENTRAL</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>WYOMING INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <PhoneNum>3072336000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>5000 BLACKMORE ROAD</AddressLine1Txt>
        <CityNm>CASPER</CityNm>
        <StateAbbreviationCd>WY</StateAbbreviationCd>
        <ZIPCd>82609</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>EVAN CONDELARIO</PersonNm>
      <PersonTitleTxt>CFO (BEG. 01/25)</PersonTitleTxt>
      <PhoneNum>3072336000</PhoneNum>
      <SignatureDt>2026-01-22</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RIKKI PATCH</PreparerPersonNm>
      <PTIN>P01472231</PTIN>
      <PhoneNum>5092420874</PhoneNum>
      <PreparationDt>2026-01-28</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>KEVIN LANHAM</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>5000 BLACKMORE ROAD</AddressLine1Txt>
        <CityNm>CASPER</CityNm>
        <StateAbbreviationCd>WY</StateAbbreviationCd>
        <ZIPCd>82609</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>20857375</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CHCCW.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1999</FormationYr>
      <LegalDomicileStateCd>WY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>188</TotalEmployeeCnt>
      <TotalVolunteersCnt>10</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>4003188</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4149130</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>16009029</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>16477293</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>203663</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>230952</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>3987</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>20219867</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>20857375</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>12508730</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>12544673</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>3714</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>7128431</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>7502122</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>19637161</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>20046795</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>582706</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>810580</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>19118652</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>19747145</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1141603</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>959516</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>17977049</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>18787629</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGNITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME. AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFERING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>13583099</ExpenseAmt>
      <RevenueAmt>14362558</RevenueAmt>
      <Desc>MEDICAL FACILITY - THE ORGANIZATION PROVIDES ANCILLARY AND MEDICAL SERVICES TO THE COMMUNITIES OF FREMONT AND NATRONA COUNTIES. SERVICES INCLUDE FAMILY MEDICINE, GERIATRIC CARE, PEDIATRICS, INTERNAL MEDICINE, OBSTETRICS, OCCUPATIONAL HEALTH, INPATIENT SERVICES AT WYOMING MEDICAL CENTER, FULL PHARMACY, LABORATORY, X-RAYS, ULTRASOUNDS, AND OTHER SCREENING AND DIAGNOSTIC TESTS, SUCH AS PATIENT HEALTH EDUCATION, PATIENT ASSISTANCE, PREVENTATIVE CARE AND SPANISH TRANSLATION SERVICES. THE MEDICAL FACILITY HAD 42,816 PATIENT ENCOUNTERS DURING THE FISCAL YEAR AND FILLED 47,901 PRESCRIPTIONS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>932333</ExpenseAmt>
        <RevenueAmt>467477</RevenueAmt>
        <Desc>DENTAL - THE ORGANIZATION PROVIDES DENTAL SERVICES TO THE COMMUNITY. SERVICES INCLUDE DENTAL HYGIENE, GENERAL RESTORATIVE ORAL CARE (FILLINGS), CROWNS, BRIDGES, ENDODONTIC (ROOT CANALS), EXODONTIA (EXTRACTIONS), PERIODONTAL SURGERY, PROSTHODONTICS (DENTURES, PARTIALS), MINI IMPLANTS FOR DENTURES, EMERGENCY DENTAL APPOINTMENTS, ORAL CANCER SCREENING, AND ELECTRONIC PATIENT RECORDS. THE DENTAL CLINIC PROVIDED 2,460 PATIENT ENCOUNTERS DURING THE FISCAL YEAR.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>1347474</ExpenseAmt>
        <RevenueAmt>1647258</RevenueAmt>
        <Desc>BEHAVIORAL HEALTH - THE ORGANIZATION PROVIDES BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. SERVICES INCLUDE PSYCHOLOGICAL EVALUATIONS AND TESTING, PERSONAL SKILLS TRAINING, MEDICATION MANAGEMENT, PSYCHOTHERAPY, SOCIAL INTERACTION GROUP THERAPY, BEHAVIORAL MODIFICATION TREATMENT FOR ATTENTION DEFICIT DISORDER, SPECIALIZED TREATMENT (POST TRAUMATIC STRESS DISORDER, PSYCHOLOGICAL TRAUMA AND ABUSE, AUTISM AND ASPERGER'S SYNDROME, HEAD INJURIES), AND PSYCHOLOGICAL EVALUATIONS FOR CHRONIC PAIN MANAGEMENT. THE BEHAVIORAL HEALTH PROGRAM PROVIDED 10,221 PATIENT ENCOUNTERS DURING THE FISCAL YEAR.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>15862906</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc5">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc5">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>10</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>188</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>THE ORGANIZATION</PersonNm>
        <PhoneNum>3072336000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5000 BLACKMORE ROAD</AddressLine1Txt>
          <CityNm>CASPER</CityNm>
          <StateAbbreviationCd>WY</StateAbbreviationCd>
          <ZIPCd>82609</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>HK RADKE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>306515</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13550</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BENDER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>280336</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17058</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN BAUM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>255331</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21232</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH GROOMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>200957</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12762</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRACE MONTAG</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>189513</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11371</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA THRELKELD</PersonNm>
        <TitleTxt>PSYCHIATRIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>185016</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11097</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN LANHAM</PersonNm>
        <TitleTxt>CEO (BEG. 08</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>146708</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL HARRIS</PersonNm>
        <TitleTxt>CEO (END 08/</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>142727</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6917</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EVAN CONDELARIO</PersonNm>
        <TitleTxt>CFO (BEG. 01</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIELLE KRUCHECK</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN ELLIS</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN ANGST</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL GILLUM</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH BELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEN CARPENTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PIERRE CARRICABURU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPHINE GILPATRICK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL PSWARAYI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SZEWCZYK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1707103</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>104363</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>26</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THOMAS ZUMO DDS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3315 WARREN AVE</AddressLine1Txt>
            <CityNm>CHEYENNE</CityNm>
            <StateAbbreviationCd>WY</StateAbbreviationCd>
            <ZIPCd>82009</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTAL SERVICES</ServicesDesc>
        <CompensationAmt>130873</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PETE'S CLEANING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6571 S SPRINGS ROAD</AddressLine1Txt>
            <CityNm>CASPER</CityNm>
            <StateAbbreviationCd>WY</StateAbbreviationCd>
            <ZIPCd>82604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING</ServicesDesc>
        <CompensationAmt>117381</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4069130</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>80000</AllOtherContributionsAmt>
      <NoncashContributionsAmt>562561</NoncashContributionsAmt>
      <TotalContributionsAmt>4149130</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>16477293</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16477293</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16477293</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>230952</TotalRevenueColumnAmt>
        <ExclusionAmt>230952</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20857375</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16477293</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>230952</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>631014</TotalAmt>
        <ProgramServicesAmt>340566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>290448</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9067336</TotalAmt>
        <ProgramServicesAmt>7943243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1124093</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>473552</TotalAmt>
        <ProgramServicesAmt>413516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60036</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1514885</TotalAmt>
        <ProgramServicesAmt>1159759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>355126</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>857886</TotalAmt>
        <ProgramServicesAmt>733351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124535</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>12938</TotalAmt>
        <ManagementAndGeneralAmt>12938</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1263031</TotalAmt>
        <ProgramServicesAmt>388892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873949</ManagementAndGeneralAmt>
        <FundraisingAmt>190</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>95661</TotalAmt>
        <ManagementAndGeneralAmt>95661</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>228028</TotalAmt>
        <ProgramServicesAmt>54944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172946</ManagementAndGeneralAmt>
        <FundraisingAmt>138</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>426859</TotalAmt>
        <ProgramServicesAmt>13979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412880</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>374132</TotalAmt>
        <ProgramServicesAmt>266416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106586</ManagementAndGeneralAmt>
        <FundraisingAmt>1130</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>96372</TotalAmt>
        <ProgramServicesAmt>56024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40345</ManagementAndGeneralAmt>
        <FundraisingAmt>3</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>142750</TotalAmt>
        <ProgramServicesAmt>38061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104689</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>489990</TotalAmt>
        <ProgramServicesAmt>348917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139592</ManagementAndGeneralAmt>
        <FundraisingAmt>1481</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>86963</TotalAmt>
        <ManagementAndGeneralAmt>86963</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>3769462</TotalAmt>
        <ProgramServicesAmt>3769462</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>314351</TotalAmt>
        <ProgramServicesAmt>248089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65567</ManagementAndGeneralAmt>
        <FundraisingAmt>695</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>201585</TotalAmt>
        <ProgramServicesAmt>87687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113821</ManagementAndGeneralAmt>
        <FundraisingAmt>77</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>20046795</TotalAmt>
        <ProgramServicesAmt>15862906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4180175</ManagementAndGeneralAmt>
        <FundraisingAmt>3714</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8631382</BOYAmt>
        <EOYAmt>9948498</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>30470</BOYAmt>
        <EOYAmt>23163</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1172943</BOYAmt>
        <EOYAmt>1064869</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>323137</BOYAmt>
        <EOYAmt>436608</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>17171628</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9263858</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8384261</BOYAmt>
        <EOYAmt>7907770</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>125000</BOYAmt>
        <EOYAmt>100000</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>451459</BOYAmt>
        <EOYAmt>266237</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>19118652</BOYAmt>
        <EOYAmt>19747145</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>857492</BOYAmt>
        <EOYAmt>817056</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>48265</BOYAmt>
        <EOYAmt>52652</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>235846</BOYAmt>
        <EOYAmt>89808</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1141603</BOYAmt>
        <EOYAmt>959516</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>17977049</BOYAmt>
        <EOYAmt>18787629</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>17977049</BOYAmt>
        <EOYAmt>18787629</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19118652</BOYAmt>
        <EOYAmt>19747145</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>810580</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>5646313</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7712893</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5914510</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4003188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4149130</CurrentTaxYearAmt>
        <TotalAmt>27426034</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5646313</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7712893</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5914510</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4003188</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4149130</CurrentTaxYearAmt>
        <TotalAmt>27426034</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>27426034</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>21952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21964</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>80094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>203163</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>230952</CurrentTaxYearAmt>
        <TotalAmt>558125</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>12</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3987</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>3999</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>27988158</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>67053637</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97990</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98790</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 3,999</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1411131</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1411131</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9901054</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4146278</DepreciationAmt>
        <BookValueAmt>5754776</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1986291</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1422284</DepreciationAmt>
        <BookValueAmt>564007</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3873152</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3695296</DepreciationAmt>
        <BookValueAmt>177856</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7907770</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>89808</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>89808</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20857375</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>20857375</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>20857375</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20046795</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>20046795</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>20046795</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF MARCH 31, 2025 AND 2024, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HK RADKE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>263515</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>43000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13550</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>320065</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL BENDER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239454</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40882</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>17058</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>297394</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN BAUM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>249043</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6288</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>21232</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>276563</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH GROOMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>200957</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12762</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>213719</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRACE MONTAG</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>189513</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11371</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>200884</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENDA THRELKELD</PersonNm>
        <TitleTxt>PSYCHIATRIC NP</TitleTxt>
        <BaseCompensationFilingOrgAmt>185016</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11097</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>196113</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN LANHAM</PersonNm>
        <TitleTxt>CEO (BEG. 08/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>146708</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10376</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>157084</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL PROFESSIONALS MAY RECEIVE PRODUCTIVITY BONUSES WHICH ARE BONUSES GIVEN TO PROVIDERS BASED ON PRODUCTION GOALS AS ENCOUNTERS AND CHARGES STIPULATED IN THEIR EMPLOYMENT CONTRACTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc5">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>562561</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE M, PART I, COLUMN (B) IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGNITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME. AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFERING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, THROUGH THE SENIOR MANAGEMENT IS ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. DEPARTMENTAL DIRECTORS AND SUPERVISORS ARE ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE CONFLICT OF INTEREST POLICY IN THEIR DEPARTMENTS. MEMBERS OF THE BOARD MUST NOT ENGAGE IN ANY ACTIVITIES OR RELATIONSHIPS WHICH MIGHT DIRECTLY OR INDIRECTLY RESULT IN A CONFLICT OF INTEREST, OR IMPAIR THEIR INDEPENDENCE OF JUDGEMENT. THEY MUST NOT ACCEPT GIFTS, FAVORS OR BENEFITS THAT MIGHT TEND IN ANY WAY TO INFLUENCE THEM IN PERFORMANCE OF THEIR DUTIES AS TRUSTEES. IF A CONFLICT WAS TO ARISE, THE INTERESTED PERSON WOULD NOT PARTICIPATE IN DECISION MAKING RELATED TO THE CONFLICT CORPORATE OFFICES AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY REVIEW POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING CEO AND CFO COMPENSATION UTILIZED BY THE ORGANIZATION INCLUDE THE FOLLOWING: (1) REVIEW BY THE BOARD, (2) MARKET SALARY AND BENEFITS DATA REVIEW, (3) SEVERAL CANDIDATES ARE CONSIDERED BY EXTENSIVE INTERVIEWING, AND (4) BACKGROUND CHECKS THE BOARD APPROVES THE COMPENSATION STRUCTURE AND ANY SIGNIFICANT CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>