Constitution

	ARTICLE I
	The name by which the corporation shall be known is The Memorial Hospital of Sheridan County.
	ARTICLE II
	The governing body having complete legal and moral responsibility for the operation and control of all activities of the Memorial Hospital of Sheridan County is the Board of Trustees.
	ARTICLE III
	The objects of the corporation through its Board of Trustees shall be: To establish and maintain a health service institution with permanent facilities that includes inpatient beds and medical services. To provide diagnosis and treatment for the sick and injured admitted to said institution as well as but not limited to associated services such as outpatient and extended care. To carry out education activities related to rendering care to the sick and injured, or to the promotion of health, that in the opinion of the Board of Trustees may be justified by the facilities, personnel, funds, and other requirements that are, or can be, made available. To promote and participate in scientific research related to the care of the sick and injured. To participate, so far as circumstances may warrant, in any activity designed and carried on to promote the general health of the community.
	ARTICLE IV
	The Board of Trustees shall conduct the affairs of the hospital at the location of said hospital in the County of Sheridan, State of Wyoming and/or at other locations as determined by the Board of Trustees and shall elect officers of the Board of Trustees in accordance with provision of the By-Laws of the corporation hereafter established and in compliance with the laws of the State of Wyoming.
	ARTICLE V
SECTION 1.	The Board of Trustees shall be responsible for the preparation of an adequate budget to allow for the proper conduct of the hospital’s affairs.
SECTION 2.	The Board of Trustees shall approve the schedule of charges made for hospital services.
SECTION 3.	The Board of Trustees shall establish a procedure for the development of a wage and salary program for all hospital personnel as well as other personnel benefits to assure the attraction of competent hospital employees.
	ARTICLE VI CHIEF EXECUTIVE OFFICER
SECTION 1.	The Board of Trustee shall select and appoint a competent chief executive officer who shall be its direct executive representative in the management of the hospital. This administrative officer shall be given the necessary authority and responsibility to operate the hospital in all its activities and departments, subject to only such policies as may be adopted and such order as may be issued by the Board of Trustees or by any of its committees to which it has delegated power for such action. He shall act as a duly authorized representative of the Board of Trustees in all matters in which the Board of Trustees have not formally designated some other person to so act.
SECTION 2.	The authority and duties of the Chief Executive Officer shall include the responsibility for: Carrying out all policies established by the Board of Trustees. Development and submission to the Board of Trustees for approval of a plan of organization for the personnel and activities of the hospital. Preparation of an annual budget showing the expected receipts and expenditures as required by the Board of Trustees. Selection, employment, control, and discharge of employees and development and maintenance of personnel policies and practices for the hospital. Maintenance of physical properties in good state of repair and operating condition. Supervision of business affairs to ensure that funds are collected and expended to the best possible advantage. Cooperation with the Medical Staff and with all those concerned with the rendering of professional service to the end that high quality care may be rendered to the patients. Presentation to the Board of Trustees or its authorized committee of periodical reports reflecting the professional service and financial activities of the hospital and preparation and submission of such special reports as may be required by the Board of Trustees. Attendance at all meetings of the Board of Trustees and committees thereof. Serve as a liaison officer and chairman of communications for all official communication between the Board of Trustees or any of its committees and the Medical Staff and to attend or designate a proper representative to attend all meetings of the Medical Staff or committees thereof and of any other group or committee which may be formed to promote or carry on any transactions in the best interest of the hospital. Performance of other duties that may be necessary in the best interest of the hospital.
	ARTICLE VII MEDICAL STAFF
SECTION 1.	For the purpose of these Rules and Regulations, the designation Medical Staff shall mean the organization of persons qualified to attend patients in the hospital who have been appointed to such Staff by the Board.
SECTION 2.	The Medical Staff is expected to support the mission of Memorial Hospital of Sheridan County and refrain from all activities that reflect poorly upon the hospital or impair the hospital’s ability to accomplish its mission.
SECTION 3.	The Medical Staff shall perfect its own organization and elect its own officers. Medical Staff may recommend By-Laws, Rules, and Regulations for the conduct of the medical staff affairs which shall become effective upon adoption by the Board of Trustees.
SECTION 4.	The Board of Trustees having assured the organization of physicians, dentists, podiatrists and allied health practitioners having been granted privileges in the hospital into a Medical Staff under Medical Staff By-Laws approved by the Board of Trustees shall consider recommendations of the Medical Staff and appoint to the Medical Staff, in numbers not to exceed the hospital’s needs, physicians, dentists, and podiatrist and allied health practitioners who meet the qualifications for membership as set forth in the By-Laws of the Medical Staff. Each member of the Medical Staff shall have appropriate authority and responsibility for the care of his patients subject to such limitations as are contained in the Board of Trustees By-Laws and the By-Laws, Rules, and Regulations of the Medical Staff and subject further to any limitation attached to his appointment as recommended by the appropriate Medical Staff Committee and adopted by the Board of Trustees.
SECTION 5.	All applications for appointment to the Medical Staff shall be in writing and addressed to the Chief Executive Officer of the hospital. They shall contain full information concerning applicant’s education, licensure, practice, previous hospital experience and a statement signed by the candidate attesting to this willingness to comply with the By-Laws and the Rules and Regulations of the Medical Staff as approved by the Board of Trustees.
SECTION 6.	All appointments to the Medical Staff shall be for not more than two years and only renewable by the Board of Trustees with formal reapplication. When an appointment is not to be renewed or when privileges are or are proposed to be reduced, suspended, or terminated, the staff member shall be afforded the opportunity of a hearing before the Medical Staff Executive Committee as outlined in the Medical Staff By-Laws. Such committee’s recommendations shall be considered by the Board of Trustees prior to taking final action on the matter. Every Medical Staff member shall be entitled to a contested hearing on any adverse final action of the Board of Trustees.
SECTION 7.	The Board of Trustees shall rely on the Medical Staff to provide appropriate and timely professional medical care to the hospital’s patients. In delegating this responsibility, the Board of Trustees affirms and accepts its ultimate responsibility for the quality of care provided at Memorial Hospital as well as its responsibility to ensure that appropriate quality assurance activities are carried out by the Medical Staff.
SECTION 8.	The Medical Staff shall conduct a continual review and appraisal of the quality of professional care rendered in the hospital and shall report such activities and its results to the Board of Trustees.
SECTION 9.	The Medical Staff shall make recommendations to the Board of Trustees concerning: Appointments, reappointments, and alterations of staff status. Granting of clinical privileges. Disciplinary actions. All matters relating to professional competency. Such specific matters as may be referred to it by the Board of Trustees.
	ARTICLE VIII The Constitution and By-Laws of Memorial Hospital of Sheridan County may be amended at any regular meeting of the Board of Trustees by an affirmative vote of four members of said Board of Trustees provided, however, that notice shall have been submitted to each member of Board of Trustees at least 24 hours prior to said meeting and provided further that such written notice shall fully present the proposed amendment.