2022–2023 Report to Our Community

Take me to Yellowstone.

Virtual reality combating isolation, improving lives and lifting spirits in our Long Term Care.

Vision The first choice for those who aspire to heal, be healed & lead healthier lives.

Thank you for taking the time to read our annual report.

It is my sincere pleasure to continue to serve as a resource for our staff, physicians, patients, community, and the entire CRH family. I personally appreciate the confidence you have placed in Cody Regional Health and our many providers as you make one of the most important personal decisions you will make, in choosing where to seek your health care.

It is our privilege to be trusted in providing you care. We recognize the importance you are placing in CRH, and our team feels a strong sense of commitment and loyalty to all those who place their trust in us. We recognize that it can be stressful coming to a hospital to receive care or visit a loved one. Our team knows this and does everything we can to exceed our patients and customers’ expectations. Your feedback allows us to continually improve and be the best regional hospital you can trust and will recommend to others. You can count on CRH to provide excellent care and services when you or your loved one needs medical support.

Our success is driven by the 600+ associates and 60+ providers who provide and blend the amazing compassion with state-ofthe-art technology to make a difference in the lives of our patients. Our facilities are spread out throughout the Big Horn Basin Region, in addition to state-of-the-

art technical equipment, and other system resources to support our teams and providers in caring for our patients. We have worked hard to provide modern facilities and a healing environment that puts our patients at ease during stressful times when seeking assistance to overcome individual obstacles.

It’s our mission to “provide extraordinary healthcare to those we serve by people who care.” I cannot underestimate that level of care exemplified by all our staff each day, 24/7 at CRH. The heart and soul of CRH is the staff who recognize that our success is driven by the care and support they provide regardless of what department they work in or if they are direct care givers or not. The entire CRH Team is honored to be able to make a positive difference in our patients’ lives every day. CRH has exceeded our patients’ expectations when they tell us the housekeeper kept their room clean, the food was delicious, the nurses, therapists, cardiopulmonary staff, lab, imaging techs, providers, and other clinical staff took great care of them, etc. CRH has over 200+ different positions throughout our organization and we recognize the importance of every team member working together to ensure our patients’ needs are met.

We are excited about some of the key initiatives we have achieved this last year and excited about key initiatives we will be working on in 2023. Some of the key initiatives we

A LETTER FROM OUR CEO

are currently working on or have completed include the following:

• Completed EPIC Electronic Health Record System Conversion

• Purchased Basin Rural Health Clinic

• Development of Wyoming First Flight Air Ambulance Service JV

• Opened Cody Imaging Center

• Medical Staff Addition of Greg Behm, MD, Orthopedic Surgeon, Tarra Deitter-Enright, DO, Internist, Millie Boyd, MD, Anesthesiologist, Sara Francis McClure, MD, Emergency Medicine, Kathleen DiVincenzo, MD, CMO

• Successful completion of CAH recertification survey

• 2023 Initiation of Central Sterile/Outpatient Services and Air Handler Replacement Construction Project

On behalf of the CRH Board of Directors, staff, and medical staff; I would like to thank you for your support of Cody Regional Health this last year. We are very thankful for the support we receive from the community and patients throughout the Big Horn Basin. It has been our honor to provide medical care to you and your families. It is our goal to be the healthcare provider of choice for Northwestern Wyoming. If we do not meet your expectations, please contact me by email at dmcmillan@ codyregionalhealth.org or by phone at 307.578.2489.

Graham Jackson, Board Chair (Left) & Doug McMillan, CEO (Right)

MyChart

We have been preparing for a system-wide launch of a new Electronic Health Record (EHR) system called Epic since August of 2020 and recently launched this new system in October 2022. The simultaneous go-live encompassed all of CRH’s medical clinics around the Big Horn Basin Region, which exchanges secure patient records across a single sharing platform. The Epic system was made possible through a partnership with St. Vincent Healthcare, now part of Intermountain Healthcare.

While it is a very complex process, the benefits of Epic improves the health of our patients and provides greater support to our clinical teams. Epic allows patients to easily navigate and view their own records. This is one more way CRH is striving to make our patients’ experience with us a positive one.

CRH patients are able to use a new digital tool called CRH MyChart, allowing them to easily locate personal health information on demand. They are also able to communicate more easily with their doctor, complete healthcare questionnaires before their visit, request appointments, and be more involved in managing their overall health.

We want to thank our patients, residents and clients in advance who take advantage of CRH services for their patience as we continue through this transition. In order to ensure our patient records are as up to date as possible, we continue to ask our community members to bring in patient identification and insurance cards.

Epic now replaces Meditech, our previous medical record and patient billing software.

If you have any questions about your CRH MyChart contact us at him@codyregionalhealth.org or call 307.578.2270

Increasing Access

Flight Program We have partnered with St. Vincent Healthcare, now Intermountain Healthcare, to launch First Flight of Wyoming This cost effective and accessible flight program will serve the needs of the Greater Wyoming Basin Region with high-quality, costeffective transport services.

Our flight program will be Wyoming’s only hospital-owned flight program located in the Cowboy State. We operate the largest EMS network in Northern Wyoming, while St. Vincent Healthcare has operated their HELP Flight, an air medical transport program, for over 40 years. Together, we aim to strengthen and sustain EMS services in Northern Wyoming.

First Flight of Wyoming will launch in Spring 2023.

Basin Clinic We are excited to open our new Basin Rural Health Clinic March 2023! This clinic encompasses OB/GYN, Orthopedics, Cardiology, Cancer Care, and Internal Medicine services.

It’s our hope to bring the best healthcare services possible to rural Northwest Wyoming. By offering our services in Basin, this allows our provider family to better meet our patient needs closer to home.

For more information about our Basin Clinic and Rural Health Services visit CodyRegionalHealth.org

“We feel that the establishment of an air medical flight program located in the Big Horn Basin will provide a lower cost and a higher quality of care to patients in Northern Wyoming.”

– Doug McMillan, CRH CEO

Cody Regional Health’s Senior Leadership Council shares a passion for healing those who aspire to be healed, providing the highest quality healthcare to Northwest Wyoming. Together we bring an unparalleled wealth of experience in medicine, hospital management, quality control, and use of technology and innovation to improve healthcare delivery.

HANNAH MCRAE

What is your favorite hobby outside of work? I love riding my horse in the beautiful mountains surrounding us.

What about the future are you excited about for CRH? I really think our new Electronic Medical Records software, EPIC is going to bring about a much better experience to our patients, employees and physician partners. EPIC will help us better serve our community for many years to come.

LAURA CARPENTER

What is your favorite hobby outside of work? I enjoy naps, camping, photography and painting.

What challenges have you overcome within your departments over the past year? The biggest challenges have involved staffing issues and significant fatigue regarding the ever changing CDC and CMS guidance in how we mitigate potential Covid infections and transmission in the healthcare setting. Staff at every level and in every department have been worn out and overall morale has been impacted. As the pandemic continues to wind down some of those issues are improving, but I think we are facing a long road ahead of us.

Long Term Care Center Administrator, LNHA

Chief Financial Officer, MSA

(Left to Right) Laura Carpenter, Dick Smith, Stephanie Kearney, Doug McMillan, Hannah McRae, Keith Ungrund & Kathleen DiVincenzo

DICK SMITH

What is your favorite hobby outside of work? I enjoy running, dogs, coaching and cars.

What about the future are you excited about for CRH? I’m excited to address the issues and challenges identified in our recent employee engagement survey as a means to improve employee retention. Our employees are our best assets at CRH.

Chief Medical Officer, MD

KATHLEEN

DIVINCENZO

What is your favorite hobby outside of work? I enjoy being active outside skiing, hiking, kayaking, and road biking.

DOUG MCMILLAN

What is your favorite hobby outside of work?

KEITH

UNGRUND

What is your favorite hobby outside of work? I enjoy playing the guitar, being involved in my kids’ activities, and skiing.

What about the future are you excited about for CRH? I’m excited to help provide additional services in secondary service areas through new programs like First Flight of Wyoming, and expanding educational opportunities.

What does leadership mean to you? Leaders need to have effective communication skills and know when to listen. They should be willing to take responsibility and be accountable for their actions along the way, including mistakes. They should be ethical and open-minded. And most important, have a passion for what they work towards.

It’s important for me to be intentional about carving out focused and uninterrupted time away from work. I look forward to exercising at the Rec Center, skiing, biking, hunting, fishing, and spending time with family.

What does leadership mean to you? Leadership is placing the needs of others first and providing others the resources needed to develop and perform as highly as possible. It also means empowering and supporting others to use their voice, and make decisions allowing them to learn from their experiences.

Ambulatory Officer, MBA, MHA

STEPHANIE KEARNEY

What is your favorite hobby outside of work? I have a few favorite hobbies based upon the season. During the summer I enjoy trail running and hiking and during the winter I enjoy snowmobiling, skiing, and snowshoeing.

What does leadership mean to you? Leadership to me is the honor of supporting employees, physicians, providers, and teams so they can have the opportunity to perform the best work possible in their respective areas of focus.

Chief

Chief Clinical Officer, RN

Human Resources Officer

Chief Executive Officer, MHA

2022 CRH Surveys

This year, Cody Regional Health was surveyed throughout multiple areas including our Emergency Department, Long Term Care Facility, Cedar Mountain Center, etc. We are proud to say each survey conducted at CRH this year passed with flying colors, and we are proud to report on each of these in this year’s Annual Report.

Trauma Site Survey According to the Wyoming Department Health, trauma is the leading cause of death for those between the ages of 1 and 44. Data shows that when injured patients receive care at a trauma center, the risk of morbidity and mortality are reduced compared to non-trauma centers. Trauma centers work diligently to ensure the right treatment is provided at the right time to trauma patients.

At Cody Regional Health, our Trauma Program promotes prevention, education and upholds ethical and quality care. In June of 2022, Cody Regional Health was surveyed by the State of Wyoming to determine the overall quality of our Trauma Program. The purpose of a Trauma Survey is to ensure trauma care delivery is organized throughout the entire spectrum of care including injury prevention, pre-hospital care, intra-facility care, tertiary care and rehabilitation. During our survey, the State of Wyoming evaluated our policies, procedures, performance improvement plans and conducted chart reviews. We are proud to announce Cody Regional Health had zero deficiencies! Our next Trauma Survey will be conducted in 2025. Below you will see some of the common injuries Cody Regional Health has treated in 2021 along with a few of the training opportunities provided our team.

Cody Regional Health Trauma Statistics: In 2021, the Emergency Department saw 1,683

injury related visits. Of those, 323 were pediatric. Majority of the injuries were related to blunt trauma. Blunt trauma includes falls, motor vehicle and motorcycle accidents and sport related injuries. In 2021, we treated 108 falls, 25 animal related injuries, 23 motor vehicle accidents, 12 motorcycle accidents, 4 ATV accidents, 2 gun related injuries, 1 ski injury and 3 bicycle accidents.

Trauma Education/ Outreach/Education: The Trauma Program held numerous Stop the Bleed classes throughout our community in 2021. Since we began the Stop the Bleed campaign in 2017 over 800 kits have been dispersed. CRH also held an Advanced Trauma Life Support course

(ATLS) to our providers. ATLS is a course that focuses on the maintenance and progression of trauma skills. In 2021 EMS and the ED coordinated a mass casualty incident drill in conjunction with the airport, Cody Police Department and Cody Fire Department. The mass casualty incident training was centered around a mock plane crash and Code White Drill. The preceding training listed is a small fraction of all the education provided at CRH. The CRH Trauma Program strives to be

prepared for any situation and is determined to ensure our patients receive the best care.

Mammography ACR Survey

Our mammography department is surveyed by the FDA on an annual basis. In the last four years we have received no Level 1 findings. A Level 1 finding indicates a failure to meet key MQSA requirements that may compromise the quality of mammography performed at a given facility. This means that our

This year we welcomed Danielle Mong, RN as our new Clinical Supervisor & Trauma Coordinator. Danielle comes with over 22 years of nursing experience and 17 years of emergency department experience. When someone has an accident and they are transported to the hospital, Danielle ensures every piece of our trauma process is handled correctly. She helps us discuss what we did well, what we can do better and makes sure our trauma patients are cared for properly.

Learn more about our Trauma Site Survey!

“Our trauma team shares the same mission and that is taking care of our patients and community when they need us most. I am proud of our trauma teams’ dedication and look forward to the future of our trauma program and its growth.”

– Thomas Etter, DO, Emergency Department

SURVEYS

mammography department meets the highest quality standards, our equipment is performing to the highest standards and our team is well educated and perform to the highest quality standards. Patients and providers can trust CRH for their mammography needs.

NRC Survey The U.S. NRC regulates our Nuclear Medicine program at CRH every year. The U.S. NRC was created as an independent agency by Congress in 1974 to ensure the safe use of radioactive materials. The NRC regulates commercial nuclear power plants and other uses of nuclear materials, such as in nuclear medicine. This is done through licensing, inspections and enforcement of its requirements. This inspection consisted of selective examinations of procedures and representative records, interviews with personnel, and observations by the inspector. The NRC reviews all our isotope records, our daily quality measures, equipment

quality, medication quality, staff licensures, annual physicist reports, radiation safety measures taken by the facility, etc. We had no violations. This means that the CRH Nuc Med department meets all NRC guidelines and is offering the highest quality patient care and highest quality imaging. This also means our providers and patients can trust in our staff and equipment to ensure consistently high patient care.

Hospice Survey In May a State Licensure Survey was conducted at our Spirit Mountain Hospice. Patient quality, safety and regulatory compliance with CMS (Medicare) conditions of participation were all assessed. No deficiencies were cited. The Spirit Mountain Hospice team provides care to patients both in our beautiful inpatient facility and in patients’ homes covering a 50 mile radius of Cody, from Meeteetse, North and South Fork, Cody, Powell, and Burlington. The team includes our Medical Director, nurses, social

workers, aides, a chaplain, and volunteers to provide the best hospice care in our region!

OSHA Survey In September

CRH underwent an intensive 3 day survey by Wyoming OSHA. This review was requested by CRH as part of our application for discounts to our premiums with Workers Compensation. The surveyor visited all CRH campus sites reviewing for potential safety concerns. There were less than 10 minor areas that were found to need corrections and those corrections have been completed. The final report awarded CRH with a 10 percent premium reduction which is a large savings. Also, included in the final report was a recommendation for additional recognition for our level safety program. This would not be possible without the great employees of CRH who are using safe work practices.

LTCC State Survey Federal law requires that every nursing home that receives Medicaid and/or Medicare funding is surveyed every 10 to 15 months to verify the facility is in compliance with well over 200 state and federal regulatory tags. The survey evaluates the quality of care and services provided as well as the cleanliness and safety of the facility’s building, equipment, staffing, policies and procedures. It is a snapshot of the facility’s performance at the point in time when the survey is conducted. Surveyors spent

4 days reviewing records, policies, assessments and plans, observing resident care, interviewing residents, staff and family members and conducting inspections of facility fire and safety protocols.

Our facility received 2 deficiencies in the health survey portion and zero deficiencies in the Life Safety Code portion. The average number of deficiencies cited during surveys in the U.S. is 8.4 and in Wyoming it is 5.8. What does this mean for patient care and the organization?

It recognizes the work that all LTCC staff and other supporting departments at CRH have done during the pandemic to ensure overall quality of services to our residents. Despite increased regulatory oversight, intense COVID-19 requirements, added survey oversight nationwide and significant staffing challenges, this survey marks the progress being made in ensuring ongoing compliance. While there is still much work to be done to ensure care is meeting and continues to meet best practices, we are grateful for a moment we can see positive outcomes like this.

2022 Financial Performance Annual audits are performed by outside parties to ensure there are no weaknesses in internal controls surrounding accounting and revenue cycle practices. Audits also ensure financial statements are prepared accurately and represent the organization

fairly. CRH Auditing Firm, Clifton, Larson, Allen (CLA), completed an annual audit at CRH. CLA complimented the CRH finance team for the outstanding preparation and support provided to CLA during the audit. They discussed significant transactions during 2022, reviewed audit adjustments, and identified there were no material weaknesses found in the audit which confirms the excellent job the financial team is doing to ensure we have excellent controls in place.

CAH Recertification Survey Every 3–4 years the Wyoming Department of Health surveys Cody Regional Health to ensure that we are in compliance with Centers for Medicare and Medicaid Conditions of Participation. These Conditions of Participation are written to help ensure that patients are receiving high quality and safe patient care. Cody Regional Health had a very successful survey with only two minor findings that had minimal impact to patient care. One of these findings has already been corrected and the other finding is expected to be corrected by December 1, 2022. This successful survey means that Cody Regional Health is able to continue operating to provide the city of Cody and the greater Big Horn Basin with high quality and safe care.

CARF Survey Every three years we are surveyed by the Commission on Accreditation of

Rehabilitation Facilities (CARF). CARF accredits mental health and substance use programs internationally, and when you are “CARF” accredited this means you meet a type of “Gold Standard.” Cody Regional Health’s Cedar Mountain Center and Behavioral Health is not required to be CARF accredited, but this allows us to offer free inpatient treatment services to our clients through the state of Wyoming. We are so proud of our team for their hard work and dedication to our patients.

Listen to Dr. Steven Humphries-Wadsworth cover our CARF survey process!

Take me to Yellowstone.

With the help of our Foundation, Cody Regional Health is now offering virtual reality (VR) to our longterm care residents, Cedar Mountain Center clients and cancer center patients!

We’ve partnered with a company called MyndVR. MyndVR enables Senior Living Communities and Healthcare Facilities to engage residents and patients in truly innovative activities and therapies that foster physical, cognitive, and mental wellness!

MyndVR partners with the National Hospice and Palliative Care Organization (NHPCO). As the leading organization representing hospice and palliative care providers, NHPCO works to expand access to a proven person-centered model for healthcare—one that

provides patients and their loved ones with comfort, peace, and dignity during life’s most intimate and vulnerable experiences. This person-centered model aligned with Cody Regional Health’s mission.

This partnership offers patients and residents access to MyndVR’s vast network of immersive content, state-of-the-art VR headsets, and proprietary care tablets provided by MyndVR through a subscription plan including content across a wide variety of reminiscence, music, art, nature-immersion, meditation, and cognitive programs to help seniors achieve their skilled therapeutic goals.

Our continued focus on cutting edge technology like MyndVR further enhances our clinical programming

Yellowstone.

and outcomes and demonstrates our commitment to person-centered care. Virtual Reality can make therapy and rehabilitation fun, motivating and engaging.

MyndVR is the leading provider of Virtual Reality solutions for senior living communities, home health care agencies, state and federal veteran homes and adults aging in their own homes. The company has licensed a vast library of VR content and created MyndVR Studios to produce therapeutic experiences that positively impact the lives of seniors, veterans, and other groups. The company’s technology enables older adults to interact with the outside world in truly innovative ways that foster engagement, cognitive

Simple user interface for easy navigation Communicates with MyndVR glasses for a shared experience High-definition screen

Lightweight design Comfortable for all users Ultra-high-definition display Built-in stereo speakers

With the largest library of senior-friendly Virtual Reality content and new releases every month, MyndVR empowers older adults to transcend their four walls and reclaim the world that age and disability have placed out of their grasp.

wellness and above all, joy and happiness. MyndVR is committed to conducting extensive research to measure the therapeutic effect of VR. These studies will continue to measure the health care outcomes, including cognitive, visual, emotional and physical effects on older adults. For more, visit http://www. myndvr.com.

MyndVR partners with Healing HealthCare Systems’ C.A.R.E. VRx to Offer Largest Meditative Channel in VR for Seniors Across the Country

C.A.R.E. VRx is the largest, most senior-friendly therapeutic and meditative VR experience for seniors aging in communities or at home that takes patients on a self-paced journey with a guided narrative voiceover. Patients are offered a variety of guided imagery options to meditate, focus breathing, and relax while remaining immersed in a tranquil nature environment. Studies show that VR experiences like

“It is so great to see residents smile when they get to experience something they’ve never seen before!”

– Laura Carpenter, LTCC Director

Watch more on our new Virtual Reality!

BENEFITS

Physical Therapy

Cognitive Therapy

these help patients heal, lower blood pressure, combat depression and more.

We are always looking to continue enhancing the lives of residents and patients, bringing them joy, tranquility and adventure through virtual reality. This new partnership allows us to expand our content library offerings and provide even more experiences for those who are looking for a brief respite from their reality.

Using gaze-based navigation, users can interact with the immersive C.A.R.E. VRx app, which blends voicebased, guided imagery with beautiful 360° visuals spanning nature forests, lakes, rivers, beaches, and more at their own pace. Experiences include standing at the foot of a lake and looking up at the mountains, standing on a mountaintop and gazing down at a lake below, watching and listening to the waves on the beach, and more.

Throughout the pandemic, many older adults have remained isolated from loved ones creating feelings of loneliness and depression. Studies document the positive impact that virtual reality can have on patients, and even as we emerge from the pandemic the technology will continue to play a pivotal role in the overall health, wellbeing and care of older adults.

Healing HealthCare Systems works with healthcare facilities nationwide to transform care at the bedside. Producers of The C.A.R.E. Channel—therapeutic programming that masks noise, mitigates pain, and improves sleep, Healing HealthCare Systems is dedicated to improving the patient experience by improving the environment of care – the context in which all care takes place. All C.A.R.E. Programming (Continuous Ambient Relaxation Environment) is evidence-based, drawing production standards from environmental psychology, media psychology, medical, and nursing research.

Utilized in more than 1,000 healthcare facilities worldwide, The C.A.R.E. Channel’s original nature imagery and soothing instrumental music provide a therapeutic tool for use at the patient’s bedside, waiting areas, public spaces, and staff rooms. Healing HealthCare Systems produces various options to experience their therapeutic programming including C.A.R.E. VRx, C.A.R.E. Connect, Relax with C.A.R.E., and more.

Recreation & Engagement

If you have questions about our virtual reality opportunities at CRH contact our Foundation Office at 307.578.2337

SERVICES Sports Medicine

Big City Techniques

This past year we welcomed a new provider to our orthopedic team, Dr. Greg Behm, MD!

For over 20 years, Dr. Behm has been keeping his commitment to practice in rural America and has been working as a solo practitioner in some of the most remote locations in the West. He is excited to now be working with our group of surgeons to serve the Big Horn Basin Region of Wyoming.

Dr. Behm graduated first in his class from the University of Nebraska Medical Center in Omaha, NE, and went on to residency at the Campbell Clinic in Memphis, TN. The Campbell Clinic is one of the world’s top residencies and the staff there write “Campbell’s Operative Orthopaedics”—the most read orthopedic textbook in the world—now in its 14th edition. He is one of 12 members of the Campbell Clinic Alumni Executive Board and was honored to be the president of the Campbell Club from 2015 to 2018.

Dr. Behm is board certified in both General Orthopedics and Orthopedic Sports Medicine. He

has also been serving as an Oral Board Examiner for the American Board of Orthopedic Surgery for over 10 years.

It was always Dr. Behm’s goal to bring “big city” techniques to small-town America. Ironically, when he was in small locations, he had patients from many of the bigger cities coming to him.

Prior to going to medical school, Dr. Behm graduated from Cornell University in Ithaca, NY and then worked as a chemical engineer with DuPont in a variety of locations and assignments. He and his wife Beth have three children who are grown and out of the house. They have three grandchildren.

Dr. Behm is an avid skier and for over 10 years was the ad hoc medical advisor for Lost Trail Ski Patrol. He is now an Alumni Member of the National Ski Patrol.

Questions about Dr. Behm or our growing orthopedic team, call 307.578.2180

Saving Time

Over the past year our Radiology Department upgraded our Hologic Brevera Breast Biopsy System and table with the world’s first and only solution to vacuum-assisted tissue acquisition, real-time imaging, verification and advanced post-biopsy handling.

Brevera® Breast Biopsy System is designed to help reduce the anxiety and stress of having a breast biopsy.

Early detection and a fast, accurate diagnosis is the key to overcoming breast cancer.

That’s why our center is proud to offer advanced breast biopsy technology from Hologic to aid in the diagnosis of breast cancer.

This upgrade has helped us with:

• Faster Wait Times

• With real-time imaging, procedures are shorter by an average of 13 minutes.

• More Comfortable Experience

• Less Invasive Procedures

• Brevera biopsy solution offers patients a positive cosmetic outcome post-biopsy with minimal incision size.

For more information about our Radiology and imaging services call 307.578.2857.

Walk-In Clinic

This year we welcomed Greg Flury, PA-C and Alyssa Zantello, PA-C, to our Walk-in Clinic. Greg graduated from the Medical College of Georgia in 2003 and has worked in primary care, orthopedics, and emergency medicine.

Prior to attending Physician Assistant training, his educational concentration was in exercise science and therefore he has an interest in orthopedics and human performance but is motivated and challenged in the emergency medicine environment.

Greg is very happy to have relocated to Cody from West Virginia and is excited to take in all the beauty and adventures the area has to offer. In his leisure time, he enjoys hiking, camping, kayaking, biking, and long distance running.

Alyssa Zantello is a Physician Assistant certified through the NCCPA. She completed her Bachelor of Science degree in Exercise Science from Cornerstone University in Grand Rapids, MI in 2007 then earned her Master of Science degree in Physician Assistant Studies from Eastern Michigan University in Ypsilanti, MI in 2016. She enjoys involving patients in decisions about their care and appreciates helping patients take ownership in their health.

Alyssa relocated to Cody to enjoy small town living and be closer to nature’s beauty. In her free time Alyssa enjoys hiking with her dogs, traveling, and spending time with family.

WEST PARK HOSPITAL DISTRICT

COMBINED STATEMENTS OF NET POSITION JUNE 30, 2022 AND 2021

ASSETS 2022 2021

Cash and Investments

$89,476,749 $87,286,600

Patient and Resident Accounts Receivable, Net $12,952,101 $20,543,904

Other Current Assets $7,194,181 $6,275,890

Capital Assets, Net $67,382,123 $70,756,625

Noncurrent Cash and Investments $18,032,723 $20,182,344

Other Noncurrent Assets $4,687,865 $4,545,321 Deferred Outflows of Resources $520,825 $551,462

TOTAL ASSETS and DEFERRED OUTFLOWS $200,246,567 $210,142,146

LIABILITIES

2022 2021

Current Liabilities $15,186,220 $26,233,993 Long-Term Liabilities $28,166,944 $35,552,331

TOTAL LIABILITIES $43,353,164 $61,786,324 Deferred Inflows of Resources $1,613,404 $1,763,187

NET POSITION 2022 2021

Net Investment in Capital Assets $37,127,960 $27,680,199 Restricted $1,941,060 $1,829,851 Unrestricted $116,210,979 $117,082,585

TOTAL NET POSITION $155,279,999 $146,592,635

2022 Podcasts

Fresh Produce in the Big Horn Basin

Our Volunteers are so important Hand Hygiene is vital

Holiday Helpers Continues in Cody, Wyoming

Here’s how our chef prepares 500 meals What does being “CARF” accredited mean anyway?

We hired an ER Clinic Supervisor/ Trauma Coordinator!

Kilts for Kancer

Cody Regional Health Introduces New Electronic Health Record System

Gregory Flury Joins Our Walk-in Clinic

Virtual Reality in Healthcare

New Breast Technology at CRH Laboratory Services Near You

Trauma Program Passes Survey

Cody Imaging Center Update

CRH Foundation Spring Update

The Hospice Journey

Holiday Stress Busters 101

Cody Cardiology Center Heart Health Updates

One of the major ways we work to improve overall health in our communities is by hosting multiple online and in-person events and classes.

We would like to give a big thank you to our team members for sharing their knowledge in order to benefit the communities we serve in Northwest Wyoming. We continue to be cautious of hosting our events in person due to COVID-19. You can register and find a list of our events at CodyRegionalHealth.org, YouTube and Facebook.

We want to hear from you! What kind of events are you looking for in 2023?

Cody Regional Health

would like to make sure we are meeting your needs and answering your questions. Please email us at crh@ codyregionalhealth.org to submit your event topic requests!

We look forward to a full year of events in 2023. Please review some of the events and classes Cody Regional Health hosted in 2022!

We had $3,078 donated for next year’s 2023 Thanksgiving Day Dinner! These funds will cover our next year’s dinner costs, which will feed 500 people!

We were excited to host this year’s Lovelight Celebration in person again and raised over $14,000 to support our hospice patients.

Caring Beyond Our Walls

“Last Wishes” Grant Thanks to your continued support this year Cody Regional Health Foundation established a “Last Wishes” grant. This grant allows CRH staff to give critically and terminally ill patients the opportunity to enjoy something that brings them comfort and happiness. This practice has also been proven to help staff when dealing with patients even when the medical care feels futile.

Driving Simulator The Foundation also supported the purchase of a new driving simulator. This simulator is used to evaluate if a patient has the necessary skills to drive safely and if needed, develop compensatory strategies to ensure maximum safety.

Volunteers graciously give the gift of their time to help our patients. Many of them work in a variety of areas throughout the hospital, such as pet therapy, long term care, cookie bakers, cancer center, concierge, delivering flowers and even in our gift shop.

Without volunteers we would not be able to keep our gift shop running. All proceeds from the gift shop go back to support the Cody Regional Health Foundation mission to assure the highest quality of personcentered care and enhance the quality of health in our community. Shopping at our gift shop truly is the gift that keeps on giving.

Lifesaving Equipment Our Foundation granted funds to purchase sit to stand lifts for facility wide use. These lifts can help reduce the risk of patient falls and also improve staff and patient safety.

Virtual Reality Experiences

Your kindness has supported a unique way to bring enjoyment and comfort to those in long term care, hospice care, or those who sit through lengthy cancer treatments.

Thank you to our amazing donors for the impact you’ve had and continue to have. Your financial gifts make a difference in our Northwest Wyoming communities.

Interested in volunteering you can apply online at www. codyregionalhealthfoundation. org or reach out to our Volunteer Coordinator at 307.578.2337

A TRIP TO IRELAND!

Purchase a ticket today for a chance to WIN a 6-Night getaway to Ireland for two. Please purchase your raffle tickets today! Winner will be drawn on St. Patrick’s Day, March 17, 2023, all purchases must be completed by noon. Winner will have the chance to choose between two amazing trips!

Tickets are $25/ea or 5/$100 PURCHASE TICKETS ONLINE

Loretta Stapleton, former Cody Regional Health Emergency Room Director, and her family have left an amazing gift for generations to come. After Loretta’s passing in 2022, an endowed scholarship was created in her memory at Northwest College to support Cody Regional Health staff wanting to pursue a career in nursing or emergency services paramedicine.

The Stapleton family donated funds and these were matched by the Cody Regional Health Foundation in order to establish the scholarship. Funds will be utilized in preference for current Cody Regional Health employees wishing to further their education in nursing or emergency services paramedicine, however, the scholarship can be utilized for other applicants wishing to enter into these careers. Thank you Stapleton Family!

WWW.CRHGIVE.ORG

Looking to purchase tickets in person, do so by contacting the Cody Regional Health Foundation at foundation@ codyregionalhealth.org or calling 307.578.2338.

IRELAND ADVENTURE 6-Night Getaway in Dublin, Ennis & Killarney, Historic Castle Overnight Stay, Rental Car, Guinness Storehouse VIP Tickets, Gap of Dunloe, Inis Oirr & Cliffs of Moher Excursions with Airfare for 2

GAME OF THRONES JOURNEY 6-Night Stay in Dublin, Antrim Coast, Belfast and Historic Castles, Guinness VIP Tickets, Rental Car with Airfare for 2

All proceeds from this raffle go to support Cody Regional Health’s Big Horn Basin Cancer Center.

Lael Beachler, DPM Podiatry

Greg Behm, MD Orthopedic Surgery

Jimmie Biles, Jr., MD Orthopedic Surgery

Kirk Bollinger, MD Emergency Medicine

Adair Bowlby, MD Family Medicine

Millie J. Boyd, MD Anesthesiology

Andrea Chisholm, MD Obstetrics & Gynecology

Gregory Cross Jr., MD Radiology

Kathleen DiVincenzo, MD Hospitalist

Stephen Emery, MD Orthopedic Surgery

Tarra L. Deitter-Enright, DO Internal Medicine

Thomas Etter, DO General Surgery

Randy Folker, MD Otolaryngology

Elizabeth A. Gauer, MD Cardiology

Allen Gee, MD Neurology

Travis Graham, MD Radiology

Gary Hart, MD Wound Care

Lisa Harvey, MD Family Medicine

Andrew Hoene, MD Emergency Medicine

Christopher L. Ideen, MD Physical Medicine & Rehabilitation

Aaron Killpack, DO Family Medicine

Stephanie Knodel, MD Emergency Medicine

Bryce C. Lord, DO Radiation Oncology

Bradley Low, DO Anesthesia

Stephen Mainini, MD Wound Care & Pulmonary Medicine

Sarah McClure, DO Emergency Medicine

David Mills, MD Family Medicine

Douglas Morton, MD Family Medicine

John Murray, MD Emergency Medicine

Dale Myers, MD Gynecology

Sandra Nelson, MD Child & Adolescent Psychiatry

Terry Parsons, MD Anesthesia

Adam Peters, MD Family Medicine

Jeffery Poffenbarger, MD Neurosurgery

Scott Pollard, MD Psychiatry

Thomas J. Reid, MD Medical Oncologist/ Hematologist

Christopher Rice, MD Orthopedic Surgery

Mark Ryzewicz, MD Orthopedic Surgery

Tanya D. Schnell, DO Anesthesia

Peter Sidor, MD Pediatrics

Courtney Spence, DO Internal Medicine

Gregory Stewart, MD Urology

Barry Welch, MD Ophthalmology

Charles Welch, MD General Surgery

Lisa Williams, MD Obstetrics & Gynecology

Sawley A. Wilde, MD General Surgery

Derek Paul Wille, MD Family Medicine

OUR ADVANCED PRACTITIONERS

Steven A. Bischoff, PA-C Emergency Medicine & Walk-in Clinic

Kristopher A. Black, CRNA Certified RN Anesthesia

Krista L. Blough, ANP Psychiatry

Beth Cohen, PA-C Neurosurgery

Tracy D. Dunn, C-FNP Hospitalist

Wendy R. Erickson, RN General Surgery

Sterling T. Fenwick, PA-C Orthopedic Surgery

Greg Flury, PA-C Emergency Medicine & Walk-in Clinic

Marika R. Geertz, ANP Psychiatry

Shelly M. Green, CRNA Certified RN Anesthesia

Laurie D. Hipwell, ANP Pediatrics

Barton E. Jones, CRNA Certified RN Anesthesia

Brent A. McAllister, CRNA Certified RN Anesthesia

Clint Merritt, PA-C Orthopedic Surgery

Laura L. Pleban, ANP Obstetrics & Gynecology

Danielle M. Sankey, ANP Hospitalist

Amy Randall, PA-C Orthopedic Surgery

Christopher Randall, PA-C Orthopedic Surgery

Denise R. Roach, RNFA General Surgery

Kelly P. Spychalski, ANP Hematology / Oncology

John R. Vipperman, PA-C Internal Medicine

Jennifer Warner, PA-C General Surgery

Sally J. Whitman, PA-C Gynecology

Sarah E. Whitlock, C-FNP Emergency Medicine

Karen L. Wineteer, C-ACNP Hospitalist

Nancy J. Winkler, ANP Internal Medicine

Alyssa Zantello, PA-C Emergency Medicine & Walk-in Clinic