Public Notices

STATE OF WYOMING )
)ss.
COUNTY OF SUBLETTE )
IN THE DISTRICT COURT
NINTH JUDICIAL DISTRICT
FIRST NATIONAL BANK OF )
PINEDALE, a National Banking )
Organization, )
)
Plaintiff, )
)
vs. )
)
KAROLYN J. STEPHENS, a/k/a )
KAROL J. STEPHENS, et. al. )
)
Defendant. )
CIVIL ACTION NO. 2005-6683
LEGAL NOTICE
TO: KAROLYN J.STEPHENS, a/k/a KAROL J. STEPHENS, 10489 Sonoran Vista Trail, Tucson, Ariz., 85749.
TAKE NOTICE that the FIRST NATIONAL BANK OF PINEDALE, A National Banking Organization, has filed a complaint against you in the above captioned matter in the District Court, Ninth Judicial District, SubletteCounty, Wyoming, naming of you as a defendant therein. This complaint alleges that you have defaulted under the terms of two certain promissory notes executed by you and delivered and payable to the plaintiff, dated Aug. 15, 2003, and Feb. 23, 2004, and in the original face amounts of $162,000.00 and $10,025.00 respectively. The complaint asks for judgment in the face amount of said notes, $172,025.00, plus accrued interest, reasonable attorney's fees, late charges, accrued taxes and costs of suit. The complaint further asks that two mortgages given to secure said promissory notes, dated Aug. 15, 2003, and Feb. 23, 2004, and recorded in the office of the Sublette County Clerk at Book 104 of Mortgages, Page 766, and Book 110 of Mortgages, Page 53, respectively, be foreclosed and a decree be made for the sale of the involved real property according to law, that the proceeds of said sale, after deducting for the cost of sale be applied in payment of the sums due plaintiff under the judgments requested in said complaint. The real property encumbered by said mortgages is described as:
Lot Eight (8) of the Redstone Seventh Addition to the Town of Pinedale, Sublette County, Wyoming as the same appears on the official map or plat thereof filed for record in the office of the County Clerk and Ex-Officio Register of Deeds for Sublette County, Wyoming;
TOGETHER WITH all improvements and appurtenances thereunto appertaining.
The complaint further requests a deficiency judgment against you for any amount remaining unpaid after the foreclosure sale of the concernedreal property and for such further relief as the court may deem just and equitable.
You are notified that you are required to answer plaintiff's complaint on or before Feb. 13, 2006, by filing the same with the clerk of thiscourt; otherwise, said complaint shall be taken as true and judgment shall be rendered against you accordingly.
/s/ MARILYN M. JENSEN
Clerk of District Court
Published in the Sublette Examiner Dec. 22, 29, Jan. 5 and 12, 2006.

Sublette County Rural Health Care District
December 12, 2005
Regular Meeting
UNOFFICAL MINUTES
7 p.m.
County Commissioners Room
Pinedale, Wyo.
Jerry Jensen, president, chaired this meeting held in the County Commissioners Room, Pinedale, Wyo. Mary Lynn Worl, vice president, Walt Bousman, trustee, Garry Eiden, trustee, and Randy Johnson, director, were in attendance. Bill Barney, secretary/treasurer, and Jauna McGinnis, clerk, were absent. Melissa Kirchner, administrative assistant, took the minutes.
Others in attendance:
Marbleton Clinic: Geneal Bailey, Carol Mackie
Big Piney EMS: Katie Krieger
Pinedale EMS: Wil Gay, Andy McGinnis, Lacey Haygood
Press Reps: Emily King, Pinedale Roundup
Others: Ken Konicek
CALL TO ORDER
Jerry Jensen called the meeting to order at 7 p.m. and setthe agenda. Mary Lynn Worl motioned to accept the agenda. Seconded by Walt Bousman and carried with Garry Eiden abstaining.
ISSUES
MARBLETON CLINIC
a. UPDATES - A water line broke and was fixed immediately by Dennis' Plumbing. One room may need to have the carpet treated.
PINEDALE CLINIC
a. HIPAA REMODEL UPDATE - Randy Johnson reported the project is on schedule. An advertisement will be put in the paper to inform the public of the remodel hours.
b. DATA MANAGEMENT - Randy Johnson reported that Nora Farrand is researching different products to ensure it will be compatible for all aspects of the clinic functions.
VALUATION METHODOLOGY PRESENTATION - Tabled.
EXECUTIVE SESSION
The board retired into executive session at 7:10 p.m. to discuss legal matters. Chairman Jensen brought the meeting back to order at7:35 p.m. stating no action taken.
ISSUES CONTINUED
VALUATION INFORMATION - Walt Bousman presented a statement regarding the buy-out of Dr. Boyle's practice. The board is in active negotiation and agree with the valuation method. Walt Bousman motioned to set a deadline date of Feb. 13 meeting to have the details worked out and signatures on paper. Seconded by Mary Lynn Worl and carried unanimously. It was clarified that this was the aim.
EMS
a. AED COMMUNITY PLACEMENT - Wil Gay reported that the county commissioners gave him a blanket approval for any county building as long as the person running it gives their okay. Their intention is to have one person from each department participate in a CPR class. A recommendation will be made to the state in January for additional units, which will include the Marbleton/BigPiney area. It was decided to place an AED in the senior center in Marbleton, one in the courthouse and construct an additional box for the senior center in Pinedale. A grant application will be made for additional sites. Walt Bousman motioned to approve an additional AED box for the senior center in Big Piney. Seconded by Mary Lynn Worl and carried unanimously.
b. AMBULANCE DEVIATION - Wil Gay requested that the ambulance be able to deviate to the female quarters to pick up EMT's when vehicles can't be started, since it is an extension of the facility. Mary Lynn Worl motioned to amend the policy regarding the picking up of EMTs to allow the ambulance to pick up EMTs housed at the women's quarters after-hours. Secondedby Walt Bousman and carried unanimously.
c. OTHER - Transmission of MS256 is okay. A rear speed sensor is in default and will be replaced. The idle control will be replaced also. The ambulance should return Thursday.
d. OTHER - As of Jan. 1, Big Piney will be switched over to the medical band. Protocol will be to tone for the ambulance, then page the physician, and make one announcement. The responsibility will then lie with the physician to maintain communication with the ambulance. All radios between Pinedale and Big Piney will be programmed exactly the same.
e. OTHER - Katie Krieger reported an interview wasconducted with Pete Kurzer. He would be a good fit for the service. His name will be presented to the Big Piney group tomorrow night. Medical Director Schmitz will meet with him tomorrow also. Three positions are still open fo rSublette County EMS.
GENERAL
a. DEBBIE WOOD, SUBLETTE CENTER ADMINISTRATOR - Debbie Wood presented a report regarding the cost per patient stating they will not be able to maintain functioning at this level. The county commissioners have indicated they would be willing to help in some way. Walt Bousman and Bill Barney had met with Debbie Wood and asked for this report. A break-even pointis at 41.5 patients and are currently $400,000 in the red. Debbie Wood indicated she is writing grants for equipment and building improvements. It was reiterated that the main concern of the district is the clinic and ambulance operations. Methods to raise the census was discussed. The next step is to return to the county commissioners to get this put into a contract forservices.
b. TRAINING MEAL POLICY - A new method to calculate reimbursement for meals was discussed. It was decided to use an aggregate amount instead of per day. The board directed Randy Johnson to have Jauna McGinnis rewrite the policy for approval at the next meeting. The board briefly discussed encouraging employees to use the clinics the district is associated with for employment vaccinations and labs.
c. UNIFICATION OF INFORMATION - Tabled.
d. BUILDING PROJECTS - Davis Partnership will be here Dec. 19 for casework and elevation design. Michelle Overgaag will be redesigning the labs for both clinics. Wil Gay reported Pinedale EMS is actively seeking donations from three gas companies to design a state-of-the-art training classroom. The soil sampling is on a waiting list. An equipment inventory/room placement proposal was discussed. The board decided to use our own people at this time. Marbleton Clinic personnel felt it was not necessary to bring in the consulting firm.
e. TAPE ARCHIVAL - The medical attorney suggested the board change the policy for the meeting tapes. Mary Lynn Worl motioned to change to policy to archive the tapes instead of destroying them. Seconded by Walt Bousman and carried unanimously.
f. INTERN - Randy Johnson brought forth the recommendation that an intern is necessary once again. He presented the name of Nikole Nudelman. Walt Bousman motioned to hire Nikole Nudelman as the intern in the district office. Seconded by Mary Lynn Worl and carried unanimously.
g. HEALTH INSURANCE RENEWAL - Health insurance is up for renewal. Garry Eiden motioned to stay with the same health insurance company. Seconded by Walt Bousman and carried unanimously.
h. IT SERVICES - The board decided to continue to review and research longer. A decision will be made at the next meeting.
i. OTHER - The board discussed the use of translatorson the ambulance and possibly assembling a list of individuals who might be willing to provide the service. Liability issues will need to be researched.
j. WYOMING HEALTH RESOURCES NETWORK CONTRACT RENEWAL - Mary Lynn Worl motioned to renew the contract with Wyoming Health Resources. Seconded by Walt Bousman and carried unanimously. Chairman Jensen signed the contract.
k. OTHER - EMT Dean Loftus has resigned due to an increase in his life's activity. Walt Bousman motioned for Randy Johnson to send a letter of appreciation for Dean Loftus' years of service. Seconded by Mary Lynn Worl and carried unanimously.
l. INBERG-MILLER - The board reviewed the soil sampling contract. Walt Bousman motioned to approve the soil sampling contractwith Inberg-Miller. Seconded by Garry Eiden and carried unanimously. Chairman Jensen signed the contract.
m. OTHER - Garry Eiden submitted an analysis of the Pinedale and Marbleton land that the clinics are sitting on from Paul Scherbel. The board will review.
PUBLIC COMMENTS
None.
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability of checks. No discrepancies were noted. Walt Bousman motioned to pay the bills as presented. Seconded by Mary Lynn Worl and carried unanimously authorizing vouchers for payroll and vendors numbered 5934 through 6076, DD121505-10 through DD121505-30, DD122905-10 through DD122905-25, EFT121505-1 and EFT122905-1 totaling $300,322.73.
ADJOURNMENT
Without any further business, Mary Lynn Worl motioned toa djourn the meeting. Seconded by Walt Bousman and carried unanimously. Meetingadjourned 9:20 p.m.
Respectfully submitted this 9th day of January 2006
Sublette County Rural Health Care District Board of Trustees
Jerry A. Jensen, Chairman
Jauna M. McGinnis, Clerk
Published in the Sublette Examiner Jan. 5, 2006.

Sublette County Rural Health Care District
November 14, 2005
Regular Meeting
UNOFFICAL MINUTES
7:30 p.m.
Marbleton Fire Hall
Marbleton, Wyo.
Jerry Jensen, president, chaired this meeting held in the Marbleton Fire Hall, Marbleton, Wyo. Mary Lynn Worl, vice president, Walt Bousman, trustee, Garry Eiden, trustee, and Randy Johnson, director, were in attendance. Bill Barney, secretary/treasurer, was absent. Jauna McGinnis, clerk, took the minutes.
Others in attendance:
Marbleton Clinic: Geneal Bailey
Pinedale EMS: Andy McGinnis
Big Piney EMS: Katie Krieger, Kenna Tanner, David and Vashti Kinnamon,
Press Reps: Bill Boender, Sublette Examiner, Emily King, Pinedale Roundup
CALL TO ORDER
Jerry Jensen called the meeting to order at 7:30 p.m. andset the agenda. Walt Bousman motioned to accept the agenda as read. Seconded byMary Lynn Worl and carried unanimously.
MINUTES/CHECKS
Mary Lynn Worl motioned to accept the Oct. 24, 2005 minutesas presented. Seconded by Walt Bousman and carried unanimously.
PRIORITIZED ISSUES
MARBLETON CLINIC
a. Updates
Randy Johnson reported that Michelle Overgaag has upgraded the lab to a fully accredited compliant medium complexity lab as of last week. A site visit will be done which will prove deficiencies in the space and location. New shelving has been installed to alleviate but does not meet requirements.
The ambulance carport garage door was repaired.
Malinda Achard's contract has ended. Sandra Roberts will be here until Friday the 18th. Dr. Miller has indicated he could come a week at atime. We are in the process of locating a nurse practitioner. It was decided that it would not help the call schedule to use residents in a training capacity.
b. PERSONNEL HIRING - Randy Johnson reported he interviewed Karen Haskell and recommended her for hire. Mary Lynn Worl motioned to hire Karen Haskell for the Marbleton Clinic billing position at the adminD/level 1 salary, moving up to admin C/level 1 when training is completed at the discretion of the director, waive the waiting period for health insurance and retirement, provide on-line and in-house training, with a start dateretroactive to Oct. 31, 2005. Seconded by Walt Bousman and carried with Garry Eiden opposed. Heather McAdams is interested in working part-time and will be interviewing with Randy tomorrow.
c. LEASE AGREEMENT - Walt Bousman motioned to renew the lease agreement with Teresa Barney for locums. Seconded by Mary Lynn Worl and carried unanimously.
PINEDALE CLINIC
a. OFFICE SPACE - Additional items have been added to the requirements for this space. It now includes hooking up water and sewer and complying with ADA requirements for hallways and bathrooms. Options for the use of the building were discussed. Randy Johnson will find out if Dr. Boyle would like to use it for medical records storage.
b. HIPAA REMODEL - Randy Johnson presented three options that Nora Farrand gathered together. Walt Bousman motioned to accept the bid from Greener Frontier at $14,310. Seconded by Mary Lynn Worl and carried unanimously. The work will commence Dec. 30th and end approximately the end of January.
c. DATA STORAGE - A solution to store medical records electronically has been found. This would help to eliminate a space concern inthe Pinedale clinic. It would be compatible with the electronic medical records program. The data room in the new building was discussed.
d. PHYSICIAN SEARCH - The Pinedale clinic has more patients than current providers can manage. CV's of potential providers are being reviewed jointly withDr. Boyle.
GENERAL
a. HOLLAND AND HART - It has become necessary to utilize the services of a medical attorney. Mary Lynn Worl motioned to engage Buzz Cleveland from Holland and Hart legal firm. Seconded by Walt Bousman and carried with Garry Eiden abstaining. Chairman Jensen signed the engagement letter.
b. LOCAL LEGAL REPRESENTATION - Attorney Ed Wood has requested the board to engage a new attorney. Both Doug Mason and Steve Mackey are interested and would charge the same fee as Ed Wood. Walt Bousman motioned to retain Mason and Mason. Seconded by Garry Eiden and carried unanimously. Randy Johnson will contact both to inform them of the decision.
c. UNIFICATION OF INFORMATION - Tabled.
d. LIABILITY INSURANCE FOR PREMISES - This liability insurance is up for renewal. Mary Lynn Worl motioned to renew the liability insurance. Seconded by Walt Bousman and carried unanimously.
e. ARCHITECT CONTRACT ADDENDUM - Rather than formalize a new contract, an addendum has been done instead. Mary Lynn Worl motioned to approve the addendum to the contract with Davis Partnership. Seconded by Walt Bousman and carried unanimously. Chairman Jensen signed the contract.
f. BUILDING PROJECTS - Andy McGinnis reported the design meetings went well. Ideas from Bill Schertz were presented to the EMS group. It was agreed the orientation of the ambulances did not fit well with the current business procedures and had space constraints. The decontamination shower would not prove useful since decontamination should take place on site of contamination, plus a decontamination shower is in the Pinedale clinic. Aregular shower was incorporated instead. A snow melt system would be useful for the driveway and helicopter pad areas. In-floor heating would lend to fluctuation problems. Radiant heating was preferred. Buildings need to be separated for snow removal and mobile units. Electrostatic and UV filtration is being researched. Pinedale EMS is ready to go forward. The Marbleton Clinic can move forward once a site has been selected. The Pinedale clinic is ready tomove into the construction drawings. Air Med out of Idaho would be happy to doa mock landing.
g. MEETING TIME CHANGE - Walt Bousman motioned to change the meeting time back to 7 p.m. for the winter time. Seconded by Mary Lynn Worl and carried unanimously.
h. DECEMBER MEETINGS - The second meeting of December falls on a holiday. Walt Bousman motioned to only have the Dec. 12 meeting. Seconded by Mary Lynn Worl and carried unanimously.
PUBLIC COMMENTS
None.
EXECUTIVE SESSION
The board retired into executive session at 8:35 p.m. Chairman Jensen brought the meeting back to order at 9:08 p.m. stating no action taken.
Chairman Jensen directed Randy Johnson to draft a letter in support of Sandra Roberts and send to board members for approval.
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability of checks. No discrepancies werenoted. Walt Bousman motioned to pay the bills as presented. Seconded by Mary Lynn Worl and carried unanimously authorizing vouchers for payroll and vendors numbered 5761 through 5885, DD111505-11 through DD111505-31, DD113005-10 through DD113005-23, EFT103105-1, EFT111505-1 throughEFT111505-2 and EFT113005-1 totaling $290,670.40.
ADJOURNMENT
Without any further business, Walt Bousman motioned to adjourn the meeting. Seconded by Mary Lynn Worl and carried unanimously. Meeting adjourned 9:26 p.m.
Respectfully submitted this 9th day of January 2006
Sublette County Rural Health Care District Board of Trustees
Jerry A. Jensen, Chairman
Jauna M. McGinnis, Clerk
Published in the Sublette Examiner Jan. 5, 2006.

Sublette County Rural Health Care District
November 28, 2005
Regular Meeting
UNOFFICAL MINUTES
7 p.m.
County Commissioners Room
Pinedale, Wyo.
Jerry Jensen, president, chaired this meeting held in the County Commissioners Room, Pinedale, Wyo. Mary Lynn Worl, vice president, Bill Barney, secretary/treasurer, Walt Bousman, trustee, and Randy Johnson, director, were in attendance. Garry Eiden, trustee, was absent. Jauna McGinnis, clerk, took the minutes.
Others in attendance:
Marbleton Clinic: Geneal Bailey
Big Piney EMS: Katie Krieger
Pinedale EMS: Wil Gay, Andy McGinnis, Dean Loftus, BevWalker, Kris Bacheller, Sue Briggs
Press Reps: Bill Boender, Sublette Examiner, Emily King, Pinedale Roundup
Legal Rep: DougMason
Others: Dan Farrand, Bill Schertz, Ann Barney
CALL TO ORDER
Jerry Jensen called the meeting to order at 7 p.m. and setthe agenda. Walt Bousman motioned to accept the agenda as presented. Seconded by Mary Lynn Worl and carried unanimously.
EXECUTIVE SESSION
The board retired into executive session with attorney Doug Mason, Randy Johnson, Jauna McGinnis, and Pinedale EMS members at 7:02p.m.
Chairman Jensen brought the meeting back to order at 7:55p.m., stating no action taken.
Bill Barney exited the meeting at this time.
Chairman Jensen stated a letter of interest needs to be sent to the landowners of two parcels in the Marbleton area. Walt Bousman motioned to send a letter of interest to the two landowners. Seconded by Mary Lynn Worl and carried unanimously.
Mary Lynn Worl motioned to release Geneal Bailey, CarolMackie, David Potter and Melissa Kirchner from probation. Seconded by WaltBousman and carried unanimously.
PRIORITIZED ISSUES
MARBLETON CLINIC
a. FINANCIAL SPREADSHEET - Because it has beeninsinuated that the board didn't have any financial information regarding theMarbleton Clinic, Mary Lynn Worl stated the financial spreadsheets have beenreceived on a regular basis. This spreadsheet is for the first quarter of fiscalyear 2006. The board members expect the costs to decrease as start-up costsdiminish.
b. PERSONNEL HIRING - Mary Lynn Worl motioned to hireHeather McAdams, an RN, at an hourly rate of $20.86, corresponding to clinicalC-1/level 1 of the salary scale, waive health insurance and retirement waitingperiod, provide a sign-up bonus of $1,800, working a 24-hour work week, with aretroactive start date of Nov. 21, 2005. Seconded by Walt Bousman and carriedunanimously.
PINEDALE CLINIC
a. OFFICE SPACE - Randy Johnson presented therecommendation to sell the manufactured home due to the inability to adhere tothe fire marshal requirements. Mary Lynn Worl motioned to advertise to sell theoffice space. Seconded by Walt Bousman and carried unanimously. The amountwould be at least the purchase price.
b. HIPAA REMODEL - Randy Johnson motioned thematerials list has been submitted to Pinedale Lumber.
c. Data Management - Randy Johnson submittedinformation to the board. The board will research.
d. Autoclave Replacement - Jauna McGinnis reported theautoclave at the Pinedale clinic is no longer working. Walt Bousman motioned toreplace the autoclave. Seconded by Mary Lynn Worl and carried unanimously.
DR. BOYLE BUY-OUT - The certified analyst is in theprocess and has gathered the preliminary data. A final report will be done byDec. 5.
EMS
a. CONTINUING EDUCATION MONIES - Wil Gay requested theuse of funds for two individuals to attend the JEMS national conference inMaryland in the amount that would be used for a Salt Lake conference. Mary LynnWorl motioned to approve two EMTs to attend the JEMS national conference and bereimbursed $1,001. Seconded by Walt Bousman and carried unanimously.
b. PUBLIC ACCESS DEFIBRILLATION - Wil Gay requested theability to place the unused defibrillation equipment upon approval of thecounty commissioners in the courthouse and hockey rink. Medical Director DougSchmitz approves of this program. By state statute, there is no liability tothe district or county. The approximate cost will be $300/box. Walt Bousmanmotioned to approve pending the county commissioners' approval. Seconded byMary Lynn Worl and carried unanimously.
c. PERSONNEL - Pinedale EMS is down one part-timeperson. One person may become part-time, leaving the service down one full-timeperson. In-house personnel have been exhausted. Wil Gay has assembled a jobvacancy announcement. Katie Krieger needs two individuals. Forming a jointhiring committee is being discussed between the groups. The board gavepermission to put information out on professional websites and broadcaststatewide. Permission was given to bring out an individual for the interviewprocess. Walt Bousman motioned to send individual letters to all EMTs in thestate. Seconded by Mary Lynn Worl and carried unanimously.
d. OTHER - Randy Johnson, Wil Gay and Katie Kriegermay need to go to Cheyenne in January to begin the process of skills upgradeapproval. Katie Krieger discussed the radio system with Jeff Alexander. The newradios (HT1250) have the capability of adding a channel for the paging channel.The older radios do not. The board recommended to price new radios with atrade-in of the older radios. Katie Krieger and Wil Gay are to determine thenumber of radios needed. All radios should be programmed the same, includingthe clinics. MS256 has an idle control problem instead of transmission. Anappointment is to be made at Rock Springs Ford. A light bar for MS15 has notbeen obtained yet.
GENERAL
a. IT PRESENTATION - Dan Farrand presented a proposalfor Information Technology services. The board will review and then discuss at the next meeting.
b. SHORT TERM MILEAGE POLICY - As an interim solution,while personnel is being exchanged between EMS divisions, mileage is beingreimbursed. A policy may need to be developed for long term implications. Apolicy can be developed and presented to the board at a later date.
c. UNIFICATION OF INFORMATION - Tabled.
d. BUILDING PROJECTS - A request for core soil sampleshas been made by Davis Partnership. Information from the first drilling can be used also. On the 19th ofDecember, Davis Partnership would like to meet for elevation and caseworkdecisions A new equipmentinventory estimate and proposal to determine what is needed in the clinic wasdiscussed. The board will review.
e. TRANSFER OF FUNDS - Jauna McGinnis reported thefirst mill levy installment has been received in the amount of $2.8 million.Mary Lynn Worl motioned to transfer $2 million to the Wyo-Star fund. Secondedby Walt Bousman and carried unanimously.
f. BILL SCHERTZ - Bill Schertz discussed the airfiltration for the new clinics. He encouraged the board to order DavisPartnership to send the duct work design to ASRE for an analysis. He thenencouraged the board to purchase the codes known as 62.1 and 90.1. The boardreminded him that Davis Partnership indicated they would follow up on thesevery codes.
PUBLIC COMMENTS
None.
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability ofchecks. No discrepancies were noted. Walt Bousman motioned to pay the bills as presented. Seconded by MaryLynn Worl and carried unanimously authorizing vouchers for vendors numbered5887 through 5933 totaling $2,040,935.28.
ADJOURNMENT
Without any further business, Mary Lynn Worl motioned toadjourn the meeting. Seconded by Walt Bousman and carried unanimously. Meetingadjourned 10:06 p.m.
Respectfully submitted this 9th day of January 2006
Sublette County Rural Health Care District Board of Trustees
Jerry A. Jensen, Chairman
Jauna M. McGinnis, Clerk
Published in the Sublette Examiner Jan. 5, 2006.

Sublette County Rural Health Care District
October 24, 2005
Regular Meeting
UNOFFICAL MINUTES
7:00 p.m.
Marbleton Fire Hall
Marbleton, Wyo.
Jerry Jensen, president, chaired this meeting held in theMarbleton Fire Hall, Marbleton, Wyo. Mary Lynn Worl, vice president, Bill Barney, secretary/treasurer, WaltBousman, trustee, Garry Eiden, trustee, and Randy Johnson, director, were inattendance. Jauna McGinnis, clerk,took the minutes.
Others in attendance:
Pinedale EMS: Wil Gay, Kris Bacheller,
Big Piney EMS: Katie Krieger, Brandi Ahlstrom, Joe Ahlstrom, Bill Krieger
Marbleton Clinic: Geneal Bailey, Carol Mackie
Press Reps: Bill Boender, Sublette Examiner, Emily King,Pinedale Roundup
Others: KarenHaskell, Other Community Members
EXECUTIVE SESSION
The board met at 7 p.m. at two potential building sites withlandowners in executive session. Garry Eiden was not present.
CALL BACK TO ORDER
Jerry Jensen called the meeting to order at 7:34 p.m. andset the agenda. Mary Lynn Worlmotioned to accept the agenda as read. Seconded by Walt Bousman and carriedunanimously.
MINUTES/CHECKS
Bill Barney motioned to accept the Oct. 10 regular andexecutive, and Oct. 20 special minutes as presented. Seconded by Mary Lynn Worland carried unanimously.
PRIORITIZED ISSUES
BOARD STATEMENTS
Chairman Jensen read a statement regarding the status of theMarbleton Clinic, which included use and privileging, hereto attached.
Chairman Jensen then read a joint press release regardingthe Pinedale Medical Clinic, hereto attached.
Randy Johnson announced the state trauma committee hasinvited the Marbleton Clinic to apply to become a trauma receivingfacility. The committee wouldtrain the staff to be a certified trauma team.
BETTY FEAR
Betty Fear read a statement regarding several points onbehalf of the county commissioners.
UPDATES
a. Marbleton-Big Piney Clinic - Randy Johnson reporteda nurse practitioner has been located and will begin Oct. 25. Michelle Overgaag is still in theprocess of developing policies and procedures and certifying the lab to be incompliance.
b. Credentialing Committee - Randy Johnson reported atemplate has been located and the clinic will be recognized as an agency oncethe process is completed.
c. Pinedale Clinic Office Space/HIPAA Remodel - A firemarshal visited the Pinedale clinic and commented he did not know about thisproject. It was later determined that the information was not routed to hisoffice. At this time the red-line drawing is still outstanding. A contractorfor the ramps has not yet been located. Dr. LaSuer would be available to sharehis information. Nora Farrand is searching for a contractor to receive bids forthe HIPAA remodel. The board indicated this should be something that will notbe torn down in our remodel.
d. Building Projects - The architects are scheduled tomeet with the user groups on Nov. 1 and 2. John Linn and Bill Schertz will be attending this time.
NEW BUSINESS
a. Personnel Hiring - Randy Johnson reported a billerhas been located for the Marbleton Clinic. On-line training will be provided and the contracted biller,Joy Ortiz, will be retained for training and consultation. The board would likeRandy Johnson to interview the individual before officially hiring her. Wil Gaypresented two names for a full-time position. Walt Bousman motioned to hireAimee Binning and Carolyn Wood as full-time employees. Seconded by Mary LynnWorl and carried unanimously. Bill Barney motioned to waive the healthinsurance and retirement waiting period. Seconded by Mary Lynn Worl and carriedunanimously. Wil Gay requested to keep the six-month probationary period intactfor all EMS paid service personnel. Bill Barney motioned that all employeesregardless of current membership or from outside the group will be subject tothe six-month probation period based on performance. Seconded by Walt Bousmanand carried unanimously.
b. EMS Medical Director Contract - A contract for thenew medical director Doug Schmitz was discussed. Walt Bousman motioned to setup a contract and pay $2,000/month retroactive to the start date. Seconded byMary Lynn Worl and carried with Garry Eiden opposed.
c. EMS Call Schedule - Wil Gay reported it is time toprovide weekend coverage with paid personnel. Katie Krieger reported that BigPiney EMS is covering one slot during weekends also. She will be asking hergroup about 24/7 coverage. Kris Bacheller noted that the supervisor is havingtrouble putting the schedule together due to the requests/demands of theemployees. She stated the supervisor should have the authority to set theschedule.
d. Other - An official letter has been sent to thestate to be recognized as one service with separate divisions, and to have allthe same skill authorization. Bondurant interest is increasing. Four out of theseven will be taking the basic class in January.
PUBLIC COMMENTS
Comments were taken from community members, which included aquestion from Jim Carbley directed at the board and Randy Johnson, ambulanceuse by the community, privileging local physicians, federal regulationspertaining to rural areas, patient's right to request which facility to betransported to, availability of patient information. Discussed one patient'sunique situation and what would be needed at the clinic to provide the service.The board clarified that everyone is able to use the ambulance service and thatvisiting physicians are different in that they do not have the privilege ofusing the emergency room. Procedures for credentialing are in the works. BillBarney requested to discuss the possibility of unification of information atthe next meeting. The board was urged by one community member to do whatever isnecessary to keep the nursing home in operation.
DISBURSEMENT APPROVAL
The check registers were reviewed for accountability ofchecks. No discrepancies were noted. Mary Lynn Worl motioned to pay the billsas presented. Seconded by Walt Bousman and carried unanimously authorizingvouchers for vendors numbered 5715 through 5760 totaling $77,190.19.
ADJOURNMENT
Without any further business, Walt Bousman motioned toadjourn the meeting. Seconded by Mary Lynn Worl and carried unanimously.Meeting adjourned 9:47 p.m.
Respectfully submitted this 14th day of November 2005
Sublette County Rural Health Care District Board of Trustees
Jerry A. Jensen, Chairman
Jauna M. McGinnis, Clerk
Published in the Sublette Examiner Jan. 5, 2006.

BEFORE THE OIL AND GAS
CONSERVATION COMMISSION
OF THE STATE OF WYOMING
In the matter of a hearing brought on the application ofUltra Resources, Inc. for an order from the commission under the rules andregulations of the Underground Injection Control Program for an aquiferexemption for the Fort Union Formation in a quarter mile radius of the wellboreof the proposed disposal well, Lizard Head 13-28 WDW, located in the SW1/4SW1/4 of Section 28, Township 31 North, Range 108 West, 6th P.M., PinedaleField area, Sublette County, Wyoming; approval of use of the well for disposalof produced water; and to take whatever other action the commission deemsappropriate.
CAUSE NO. 6
ORDER NO. 1
DOCKET NO. 73-2006
NOTICE OF HEARING
STATE OF WYOMING TO:
All interested parties in the above captioned matter.
NOTICE IS HEREBY GIVEN that a hearing will be held onMONDAY, FEBRUARY 13, 2006 at 1:30 P.M., or as soon thereafter as the matter maybe heard, or between the hours of 8:00 a.m. and 5:00 p.m. on any of thesubsequent days during which the commission remains in session, in theconference room of the Office of the State Oil and Gas Supervisor, 2211 KingBoulevard, Casper, Wyoming, to consider the above captioned matter.
Any interested firm, person, or corporation is entitled toappear at the time and place aforesaid to be heard by the commission, and theapplication may be inspected in the office of the undersigned, 2211 KingBoulevard, Casper, Wyoming.
If there are any protests in the above matters, please makesuch known to the State Oil and Gas Supervisor at least three (3) working daysbefore the hearing.
DATED this 27th day of December, 2005.
WYOMING OIL AND GAS
CONSERVATION COMMISSION
/s/ Don J. Likwartz, Secretary
Published in the Sublette Examiner Jan. 5, 2006.

BEFORE THE OIL AND GAS
CONSERVATION COMMISSION
OF THE STATE OF WYOMING
In the matter of a hearing brought on the application ofUltra Resources, Inc. for an order from the commission under the rules andregulations of the Underground Injection Control Program for an aquiferexemption for the Fort Union Formation in a quarter mile radius of the wellboreof the proposed disposal well, Stud Horse Butte 14-21 WDW, planned to belocated in the SE1/4 SW1/4 of Section 21, Township 29 North, Range 108 West,6th P.M., Jonah Field area, Sublette County, Wyoming; approval of use of thewell for disposal of produced water; and to take whatever other action thecommission deems appropriate.
CAUSE NO. 6
ORDER NO. 1
DOCKET NO. 71-2006
NOTICE OF HEARING
STATE OF WYOMING TO:
All interested parties in the above captioned matter.
NOTICE IS HEREBY GIVEN that a hearing will be held onMONDAY, FEBRUARY 13, 2006 at 1:30 P.M., or as soon thereafter as the matter maybe heard, or between the hours of 8:00 a.m. and 5:00 p.m. on any of thesubsequent days during which the commission remains in session, in theconference room of the Office of the State Oil and Gas Supervisor, 2211 KingBoulevard, Casper, Wyoming, to consider the above captioned matter.
Any interested firm, person, or corporation is entitled toappear at the time and place aforesaid to be heard by the commission, and theapplication may be inspected in the office of the undersigned, 2211 KingBoulevard, Casper, Wyoming.
If there are any protests in the above matters, please makesuch known to the State Oil and Gas Supervisor at least three (3) working daysbefore the hearing.
DATED this 27th day of December, 2005.
WYOMING OIL AND GAS
CONSERVATION COMMISSION
/s/ Don J. Likwartz, Secretary
Published in the Sublette Examiner Jan. 5, 2006.

BEFORE THE OIL AND GAS
CONSERVATION COMMISSION
OF THE STATE OF WYOMING
In the matter of a hearing brought on the application ofUltra Resources, Inc. for an order from the commission under the rules andregulations of the Underground Injection Control Program for an aquifer exemptionfor the Fort Union Formation in a quarter mile radius of the wellbore of theproposed disposal well, Lizard Head 11-8 WDW, located in the NE1/4 SW1/4 ofSection 8, Township 31 North, Range 108 West, 6th P.M., Pinedale Field area,Sublette County, Wyoming; approval of use of the well for disposal of producedwater; and to take whatever other action the commission deems appropriate.
CAUSE NO. 6
ORDER NO. 1
DOCKET NO. 72-2006
NOTICE OF HEARING
STATE OF WYOMING TO:
All interested parties in the above captioned matter.
NOTICE IS HEREBY GIVEN that a hearing will be held onMONDAY, FEBRUARY 13, 2006 at 1:30 P.M., or as soon thereafter as the matter maybe heard, or between the hours of 8:00 a.m. and 5:00 p.m. on any of thesubsequent days during which the commission remains in session, in theconference room of the Office of the State Oil and Gas Supervisor, 2211 KingBoulevard, Casper, Wyoming, to consider the above captioned matter.
Any interested firm, person, or corporation is entitled toappear at the time and place aforesaid to be heard by the commission, and theapplication may be inspected in the office of the undersigned, 2211 KingBoulevard, Casper, Wyoming.
If there are any protests in the above matters, please makesuch known to the State Oil and Gas Supervisor at least three (3) working daysbefore the hearing.
DATED this 27th day of December, 2005.
WYOMING OIL AND GAS
CONSERVATION COMMISSION
/s/ Don J. Likwartz, Secretary
Published in the Sublette Examiner Jan. 5, 2006.

BEFORE THE OIL AND GAS
CONSERVATION COMMISSION
OF THE STATE OF WYOMING
In the matter of a hearing brought on the application ofUltra Resources, Inc. for an order from the commission under the rules andregulations of the Underground Injection Control Program for an aquiferexemption for the Fort Union Formation in a quarter mile radius of the wellboreof the proposed disposal well, Warbonnet 15-26 WDW, which is planned to belocated in the SW1/4 SE1/4 of Section 26, Township 30 North, Range 108 West,6th P.M., Pinedale Field area, Sublette County, Wyoming; approval of use of thewell for disposal of produced water; and to take whatever other action theCommission deems appropriate
CAUSE NO. 6
ORDER NO. 1
DOCKET NO. 74-2006
NOTICE OF HEARING
STATE OF WYOMING TO:
All interested parties in the above captioned matter.
NOTICE IS HEREBY GIVEN that a hearing will be held onMONDAY, FEBRUARY 13, 2006 at 1:30 P.M., or as soon thereafter as the matter maybe heard, or between the hours of 8:00 a.m. and 5:00 p.m. on any of thesubsequent days during which the commission remains in session, in theconference room of the Office of the State Oil and Gas Supervisor, 2211 KingBoulevard, Casper, Wyoming, to consider the above captioned matter.
Any interested firm, person, or corporation is entitled toappear at the time and place aforesaid to be heard by the commission, and theapplication may be inspected in the office of the undersigned, 2211 KingBoulevard, Casper, Wyoming.
If there are any protests in the above matters, please makesuch known to the State Oil and Gas Supervisor at least three (3) working daysbefore the hearing.
DATED this 27th day of December, 2005.
WYOMING OIL AND GAS
CONSERVATION COMMISSION
/s/ Don J. Likwartz, Secretary
Published in the Sublette Examiner Jan. 5, 2006.