{ "schemaVersion": 4, "entityId": "0002182601", "canonicalName": "WYOMING RECOVER LLC", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "WYOMING RECOVER LLC has a completed Wyoming state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 7, "ownership_source_count": 11, "identity_match_method": "CMS enrollment match used where available", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "firstGlance": { "taxOwnershipType": "For-profit", "operator": "PROPRIETARY", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "careLevel": "Acute Care Hospitals", "currentCeo": "Needs source-backed local leader research", "bottomLine": "WYOMING RECOVER LLC is shown with official-source baseline context for Wyoming. Missing fields remain visible instead of being inferred." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in this state-template completion pass", "catchmentDescription": "CASPER, NATRONA, Wyoming. Service role should be refined in manual follow-up.", "traumaCareLevel": "Acute Care Hospitals", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "sourceId": "source-cms-care-compare", "cmsOverallRating": "2", "emergencyServices": "Yes", "hospitalType": "Acute Care Hospitals", "careCompareOwnership": "Government - Local", "note": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.", "noCausationClaim": true }, "identifiers": { "ccn": "530012", "npi": "1346332954", "historicalCcns": [], "aliases": [ { "alias": "WYOMING MEDICAL CENTER INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "BANNER WYOMING MEDICAL CENTER", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-cms-owner-0002182601", "from_entity_id": "proprietary", "to_entity_id": "0002182601", "relationship_type": "cms_owner_context", "effective_date": "02/01/2022", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0002182601", "from_entity_id": "proprietary", "to_entity_id": "0002182601", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-0002182601", "from_entity_id": "proprietary", "to_entity_id": "0002182601", "relationship_type": "cms_owner_context", "effective_date": "02/01/2022", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0002182601", "from_entity_id": "proprietary", "to_entity_id": "0002182601", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-0002182601", "from_entity_id": "proprietary", "to_entity_id": "0002182601", "relationship_type": "cms_owner_context", "effective_date": "02/01/2022", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [ { "date": "10/05/2018", "title": "CMS before/after ownership event", "detail": "CASPER MEDICAL CENTER LLC -> WYOMING MEDICAL CENTER INC.", "sourceIds": [ "source-cms-hospital-chow" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "0002182601-net_patient_revenue-12-31-2023", "entity_id": "0002182601", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "236445303", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_patient_revenue-12-31-2022", "entity_id": "0002182601", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "227934393", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_patient_revenue-12-31-2021", "entity_id": "0002182601", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "267152148", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_patient_revenue-12-31-2020", "entity_id": "0002182601", "metric_name": "net_patient_revenue", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "147893095", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-operating_expense-12-31-2023", "entity_id": "0002182601", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "249048915", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-operating_expense-12-31-2022", "entity_id": "0002182601", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "234080009", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-operating_expense-12-31-2021", "entity_id": "0002182601", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "258459076", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-operating_expense-12-31-2020", "entity_id": "0002182601", "metric_name": "operating_expense", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "130179380", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_income-12-31-2023", "entity_id": "0002182601", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "1027376", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_income-12-31-2022", "entity_id": "0002182601", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "4412868", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_income-12-31-2021", "entity_id": "0002182601", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "19256670", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-net_income-12-31-2020", "entity_id": "0002182601", "metric_name": "net_income", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "-1878761", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_assets-12-31-2023", "entity_id": "0002182601", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "227536120", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_assets-12-31-2022", "entity_id": "0002182601", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "233690272", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_assets-12-31-2021", "entity_id": "0002182601", "metric_name": "total_assets", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "357533687", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_assets-12-31-2020", "entity_id": "0002182601", "metric_name": "total_assets", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "327411119", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_liabilities-12-31-2023", "entity_id": "0002182601", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "46909237", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_liabilities-12-31-2022", "entity_id": "0002182601", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "46692792", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_liabilities-12-31-2021", "entity_id": "0002182601", "metric_name": "total_liabilities", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "148329592", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-total_liabilities-12-31-2020", "entity_id": "0002182601", "metric_name": "total_liabilities", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "148681965", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-contract_labor_direct_patient_care-12-31-2023", "entity_id": "0002182601", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "14513755", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-contract_labor_direct_patient_care-12-31-2022", "entity_id": "0002182601", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "19994630", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-contract_labor_direct_patient_care-12-31-2021", "entity_id": "0002182601", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "14958567", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-contract_labor_direct_patient_care-12-31-2020", "entity_id": "0002182601", "metric_name": "contract_labor_direct_patient_care", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "2559649", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-fte_employees-12-31-2023", "entity_id": "0002182601", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "726.64", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-fte_employees-12-31-2022", "entity_id": "0002182601", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "713.14", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-fte_employees-12-31-2021", "entity_id": "0002182601", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "1136", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-fte_employees-12-31-2020", "entity_id": "0002182601", "metric_name": "fte_employees", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "1144.12", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-beds-12-31-2023", "entity_id": "0002182601", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "249", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-beds-12-31-2022", "entity_id": "0002182601", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "226", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-beds-12-31-2021", "entity_id": "0002182601", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "226", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-beds-12-31-2020", "entity_id": "0002182601", "metric_name": "beds", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "226", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-patient_days-12-31-2023", "entity_id": "0002182601", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "36868", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-patient_days-12-31-2022", "entity_id": "0002182601", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "36728", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-patient_days-12-31-2021", "entity_id": "0002182601", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "42291", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-patient_days-12-31-2020", "entity_id": "0002182601", "metric_name": "patient_days", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "20327", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-discharges-12-31-2023", "entity_id": "0002182601", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "8915", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-discharges-12-31-2022", "entity_id": "0002182601", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "14666", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-discharges-12-31-2021", "entity_id": "0002182601", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "8327", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0002182601-discharges-12-31-2020", "entity_id": "0002182601", "metric_name": "discharges", "period_start": "07/01/2020", "period_end": "12/31/2020", "value": "4094", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 147893095, "latestValue": 236445303, "absoluteChange": 88552208, "percentChange": 59.87582314103306, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 130179380, "latestValue": 249048915, "absoluteChange": 118869535, "percentChange": 91.31210718625331, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": -1878761, "latestValue": 1027376, "absoluteChange": 2906137, "percentChange": 154.68369845871828, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 327411119, "latestValue": 227536120, "absoluteChange": -99874999, "percentChange": -30.504461578777352, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 148681965, "latestValue": 46909237, "absoluteChange": -101772728, "percentChange": -68.44994818302274, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 2559649, "latestValue": 14513755, "absoluteChange": 11954106, "percentChange": 467.02129862336596, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 1144.12, "latestValue": 726.64, "absoluteChange": -417.4799999999999, "percentChange": -36.48917945670034, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 226, "latestValue": 249, "absoluteChange": 23, "percentChange": 10.176991150442479, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 20327, "latestValue": 36868, "absoluteChange": 16541, "percentChange": 81.37452649185812, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 4094, "latestValue": 8915, "absoluteChange": 4821, "percentChange": 117.75769418661454, "unit": "discharges" } ], "cmsOwnerRecords": [ { "organization": "JULIE ANN ALVARADO-DUBEK", "role": "CORPORATE OFFICER", "association_date": "02/01/2022", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARGO KARSTEN", "role": "CORPORATE DIRECTOR", "association_date": "06/30/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARGO KARSTEN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "06/30/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WYOMING MEDICAL CENTER INC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "02/06/1986", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WYOMING MEDICAL CENTER INC", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "02/06/1986", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARJORIE BESSEL", "role": "CORPORATE OFFICER", "association_date": "01/01/2018", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEAN LANCE", "role": "CORPORATE OFFICER", "association_date": "06/30/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STACI DICKERSON", "role": "CORPORATE OFFICER", "association_date": "07/17/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STACI DICKERSON", "role": "W-2 MANAGING EMPLOYEE", "association_date": "07/17/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CAROLE FAIG", "role": "CORPORATE DIRECTOR", "association_date": "03/01/2026", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LANCE PORTER", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LANCE PORTER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PARIS LABRUZZO", "role": "CORPORATE DIRECTOR", "association_date": "12/07/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PARIS LABRUZZO", "role": "W-2 MANAGING EMPLOYEE", "association_date": "12/07/2022", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DEAN HARRISON", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ANNE MARIUCCI", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SUJATA GOSALIA", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRENDA SCHAEFER", "role": "CORPORATE OFFICER", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "QUENTIN SMITH", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VICKI KEISER", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HOLLY GREGORY", "role": "CORPORATE DIRECTOR", "association_date": "07/24/2020", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HOLLY GREGORY", "role": "W-2 MANAGING EMPLOYEE", "association_date": "07/24/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SARA WARD", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTINE ROSINI", "role": "CORPORATE DIRECTOR", "association_date": "07/24/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTINE ROSINI", "role": "W-2 MANAGING EMPLOYEE", "association_date": "07/24/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL BUTLER", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY SCHUBERT", "role": "CORPORATE OFFICER", "association_date": "01/01/2024", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AMY PERRY", "role": "CORPORATE OFFICER", "association_date": "11/01/2021", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RICK MYERS", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN KOSTER", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARK WALLACE", "role": "CORPORATE DIRECTOR", "association_date": "09/01/2021", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CHRISTOPHER VOLK", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL GARNREITER", "role": "CORPORATE DIRECTOR", "association_date": "10/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BANNER HEALTH", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "10/01/2020", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [ "Operator/owner context: PROPRIETARY.", "CMS Care Compare ownership category: Government - Local." ], "actions": [], "contradictions": [], "limitations": [ "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "source-backed local CEO/current leader", "official CEO image URL", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility type, ownership category, emergency services, and overall rating context.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-chow", "title": "Hospital Change of Ownership", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership", "reliability_tier": "government", "research_note": "Used for before/after ownership and enrollment transfer events when a matching CHOW row exists.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.", "source_type": "public_record" } ], "ownershipChain": { "model": "State-template baseline separates facility record, operator/owner context, CMS owner rows, and PE status evidence. Context nodes do not create new ownership claims.", "confidence": "medium", "nodes": [ { "id": "0002182601", "label": "WYOMING RECOVER LLC", "type": "hospital", "sourceIds": [ "source-hifld-hospitals" ] }, { "id": "proprietary", "label": "PROPRIETARY", "type": "organization", "sourceIds": [ "source-pehw-state-template-completion-2026-07-02", "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-cms-care-compare" ] } ], "edges": [ { "id": "edge-state-template-operator-0002182601", "from": "proprietary", "to": "0002182601", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-pehw-state-template-completion-2026-07-02", "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-cms-care-compare" ], "note": "Baseline operator/owner context for state-page completion; not an inferred PE ownership claim." } ], "caveats": [ "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.", "Missing local CEO, compensation, state-regulator, Form 990, or quality-trend fields remain explicit.", "This chain is a template baseline and should be superseded by deeper source-family research when available." ] } }