One More For The Road

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<title>One More For The Road: Sunday, April 9, 2023 | Cowboy State Daily</title>

Practicing for The Masters...

One More For The Road: Sunday, April 9, 2023

Headshot of Cowboy State Daily's business and tourism reporter, Renée Jean

Renée Jean

Around Wyoming

After months of uncertainty over the future of one of Wyoming’s most ambitious health-care experiments, the Hoskinson family is announcing that their clinic, which they’d hoped to turn into the “Mayo Clinic of the West,” is changing hands.

Monument Health will take over the former Hoskinson Health & Wellness Clinic, operating it as a multi-specialty clinic and employing providers and staff under a lease agreement for the building and equipment. 

“From the beginning, our goal was to bring Mayo Clinic-level care to the people of Gillette,” the Hoskinson family said in a media statement to Cowboy State Daily. “This transition to a Mayo Clinic Care Network member means that vision is now a reality. We are grateful to Monument Health for stepping in and making sure this community continues to have access to the care it deserves.”

Monument health, which operates five hospitals and more than 40 clinics and specialty centers in 14 communities across western South Dakota and eastern Wyoming, has direct access to Mayo Clinic expertise and resources, a connection that has now been extended to Gillette.

A finalized list of providers is being developed, the Hoskinson family added. They also encouraged patients to continue scheduling appointments as normal.

The clinic is staffed by 15 physicians and a full support team in a state-of-the-art facility. In joining Monument Health, it becomes part of a system that spans 31 specialties, five hospitals and more than 40 clinics and specialty centers across western South Dakota and eastern Wyoming.

“The people of Gillette deserve access to high-quality care close to home, and that is exactly what this clinic has provided,” Monument President and CEO Paulette Davidson said in a statement to Cowboy State Daily. “We are proud to expand our presence into eastern Wyoming and committed to making sure these patients continue to have a place to go for the care they need.”

The Hoskinson family posted on Facebook as well not long after announcement, emphasizing that Monument is “working to retain the care team, so the people who know you and our health history can still be here.”

Charles released a video hailing the agreement, and saying it’s something that “we worked on for a little while.”

“One of the things you learn in business and in life is that sometimes you’re not the best person for the job,” he said in the video. “You may have the vision, and you may have the ability to get it started, but sometimes other people need to finish it to get it done.”

Making that decision was “one of the hardest decisions we had to make.” 

“It’s a tough business, medicine,” Hoskinson said. “And so we said, ‘Let’s find a path where somebody with the same level of passion, enthusiasm, and wonderful track record can come on in and give the people at Gillette Wyoming the best health care in the entire state of Wyoming.'”

The negotiations were tough, he said, because Monument has some of the best people in the United States.

“(They’re) part of that broader Mayo network, and really there is nothing better on the planet,” he said. “So the clinic is not going to go dark. There will be a bit of a transition, but when those lights come back on, (it's) the same mission to make sure that everybody in Gillette Wyoming gets wonderful health care and take care of as many people as we can the best way we can.”

With a Mayo-networked affiliate arriving, that fulfills his original promise, Hoskinson added, to bring a Mayo clinic to the West.

“We never imagined that a Mayo affiliate would actually be the one doing it, but I can live with that,” he said. “And I think a lot of you can, too.”

Much of the artwork on the walls and the special equipment are staying put, Hoskinson said, meaning the “three-Tesla MRI is not going anywhere.”

The 3T MRI is one of the most advanced, widely used diagnostic imaging tools in medicine today.

“(Monument's) a great organization,” Hoskinson concluded. “And to the Monument family, let me be the first in Gillette to welcome you to Gillette... We’ll have more to say after this, and hopefully an open house for people to talk about transition.”

[{"type":"text","marks":[{"type":"textStyle"},{"type":"bold"}],"text":"Built By A Crypto Tycoon"}]

The move follows a rocky two-year arc for Hoskinson, a $200 million, 70,000-plus-square-foot facility bankrolled by cryptocurrency tycoon Charles Hoskinson. The family has said the facility is the largest family-run clinic in the United States. 

It offered dozens of specialties in addition to primary care, as well as research and regenerative medicine under one roof — all more commonly found in large, urban academic centers than in a small town of 30,000 on the High Plains. 

In a video released after the Hoskinson family announced it would close the clinic, Charles said the economics of American health care and the realities of operating in a small, remote market had killed the operation.

He said the clinic was losing millions every month, even after aggressive attempts to pare back and optimize operations.

Primary care, he argued, is fundamentally under-reimbursed, forcing providers to see 24 to 28 patients daily just to break even. That volume was incompatible with the slower, more thorough care model he wanted the clinic to provide.

“The Hoskinsons have been in medicine for over 70 years since the 1950s,” he said in the video. “They’ve watched the entire health-care industry transform and change from mostly rural and mostly solo practitioners or small groups — excluding cities — working basically with a direct relationship with the patient, direct financial relationship with the patient, to a system that’s become kind of a bureaucratic hellscape.”

Gillette’s clinic easily attracted 20,000 patients, yet still wasn’t close to breaking even, Hoskinson added. 

“I had aspirations to do something in regenerative medicine,” Hoskinson said. “I’m a big believer in network medicine.”

Some day, current medical knowledge and AI enhancements are going to combine and create a high degree of personalized medical care, he said. 

That’s “really going to change things so we can cure stuff,” Hoskinson said.

As the financial picture for the clinic worsened, patients and would-be employees felt caught in the middle.

In one case, a billing specialist who had accepted a role at the clinic, including a $20,000 relocation reimbursement, learned her offer had been abruptly withdrawn for “business” reasons. That left her without a job after she’d given notice and made plans to move.

Patients with complex conditions also began to worry about what it would mean for their care. 

Shawna Langdon, for example, diagnosed with aggressive rheumatoid arthritis after COVID, had come to depend on weekly visits to the clinic for injections, diagnostics and specialist care. Having multiple specialists under one roof so close to home had made it possible for her to manage a disease that otherwise meant frequent exhausting travel — so exhausting she sometimes was unable to make the trip.

Sarah Pierce, whose child has Beckwith-Wiedeman Syndrome, had needed frequent care in Philadelphia. While the clinic didn’t eliminate such travel, it did help to cut down on it by having a knowledgeable ENT in Gillette, making the family’s life significantly easier.

Langdon told Cowboy State Daily she was openly rooting for Monument to take over, knowing it would make her life easier. 

"It is very very welcoming news for me and gives me a lot more comfort knowing they're gonna still be right around the corner," she said Wednesday. " Not just for me either, but for the entire community. We need this."

Hoskinson Health 7 1 26

<title>Monument Health Takes Over Gillette’s Hoskinson Clinic, Which Was Losing Millions | Cowboy State Daily</title>

After a rocky, two-year run for Gillette’s $200 million state-of-the-art Hoskinson Health & Wellness Clinic, Monument Health has struck a deal to keep the facility open and plugging it into the Mayo Clinic Care Network. Hoskinson was losing millions every month.

Monument Health Takes Over Gillette’s Hoskinson Clinic, Which Was Losing Millions

Employee kate meadows cropped

Kate Meadows

Government & Politics

Rock Springs city employees have been cleared of wrongdoing after a county investigation found no evidence the city's engineering contract selection process improperly favored a former mayor's engineering firm.

 by Rock Springs resident Shirley Cukale and City Councilman Rick Milonas, who claimed the city's request-for-proposal (RFP) process lacked transparency and unfairly benefited JFC Engineering, according to a letter from Sweetwater County Attorney Daniel Erramouspe.

The investigation's conclusion arrives as Mayor Max Mickelson and Milonas — longtime political adversaries — are both running for mayor alongside Katherine Phelps. The top two finishers in the August primary will advance to November's general election.

Mickelson announced the findings Tuesday in a video posted to the City of Rock Springs Government Facebook page.

“'Corrupt as hell’ — that's the accusation that got thrown around about our city," Mickelson said.

Mickelson said he doesn’t normally read from prepared statements, but “occasionally there is an issue that is severe enough that I need to read from a prepared statement to ensure I am being completely accurate.”

[{"type":"text","marks":[{"type":"bold"}],"text":"Bitter Creek Contract"}]

The county investigation centered on whether the city of Rock Springs demonstrated a conflict of interest when it awarded a $372,000 contract to JFC Corporation — the engineering company owned by former mayor Tim Kaumo – to manage the Bitter Creek Reconstruction Project.

Kaumo pleaded no contest in 2023 to official misconduct and conflict-of-interest charges after a joint FBI and Wyoming Division of Criminal Investigation probe into city contract bidding. Investigators found Kaumo improperly used his position in 2020 to steer work to his engineering company.

In an October 2025 letter to then-Sweetwater County Lieutenant Rich Fischer, Milonas alleged Kaumo still maintained a financial interest in JFC and noted Kaumo, City Engineer Paul Kauchich and City Attorney Richard Beckwith were childhood friends.

Milonas also alleged Kauchich selected every member of the RFP evaluation committee and claimed the process lacked independent oversight.

[{"type":"text","text":"Erramouspe rejected those claims."}]

His investigation found the city issued 11 engineering-service RFPs between January 2023 and February 2026. JFC received three of those contracts.

"There is no evidence that any of these awards were made illegally or in violation of the statutory RFP process," Erramouspe wrote. "Additionally, the fact that JFC received only three of eleven contracts strongly suggests the process is not being manipulated to systematically favor the firm."

Erramouspe also denied Milonas' request for the names of RFP committee members.

[{"type":"text","marks":[{"type":"bold"}],"text":"“Corrupt As Hell”"}]

Although Mickelson did not identify who called the city "corrupt as hell" in his video, Milonas sent Fischer an April 3 email stating the city's reputation had become tainted.

[{"type":"text","text":"\"A corrupt reputation makes us ALL look bad,\" Milonas wrote."}]

He alleged that Mickelson knew about a "corrupt RFP process" but "chooses to do nothing."

Mickelson told Cowboy State Daily those accusations unfairly targeted both city employees and elected officials.

"Not only does Councilman Milonas accuse our city employees of being complicit in corruption, but he states I am actively participating in it," Mickelson said. "Elected officials have a higher duty to ensure their statements are based in fact. ... It is a dereliction of duty to make statements like the one Councilman Milonas made based on nothing more than vapors."

He said the investigation demonstrated the city followed Wyoming law throughout its procurement process.

"Nothing was held back," Mickelson said. "We are following state statute on our RFP process."

[{"type":"text","marks":[{"type":"bold"}],"text":"Milonas Pushes Back"}]

[{"type":"text","text":"Milonas responded Wednesday with a Facebook video of his own."}]

"Oh, Maxine's at it again," he said. "Corrupt as hell. I never said that. Never."

[{"type":"text","text":"He said he is trying to move forward and focus on solutions."}]

“But it’s extremely hard,” he said, “because I’m always defending myself.

"We need change. And that change is going to take a very special person. Very special, like myself. Mayor Rick Milonas, 2026."

Milonas also connected the investigation to a series of ethics complaints exchanged between himself and city officials over the past year.

Milonas said Fischer called him on March 30, 2026, to talk about the October 2025 letter.

A day later, he said, police showed up at his door and handed him a formal ethics complaint. The complaint, filed by Urban Renewal Agency Director Chad Banks, alleged that Milonas was abusive and created a hostile work environment for city employees after Milonas accused Banks, who is gay, of advancing a “gay agenda.”

The complaint came five months after the city council adopted a code of ethics that Milonas alone opposed.

Milonas retaliated with his own ethics complaint against the mayor, saying, “He ambushed me at a City Council meeting about a conversation he eavesdropped on and falsely accused me of saying things I didn’t say.”

In May, the Rock Springs City Council dismissed Milonas’ complaint, one week after finding that he had violated the city’s ethics code in Banks’ complaint against him.

[{"type":"text","marks":[{"type":"bold"}],"text":"Cost Beyond Dollars"}]

Mickelson said he addressed the investigation publicly because residents deserved to know the city had been accused and ultimately cleared.

"The office of the mayor has a duty and an obligation to keep the public aware of what its government is doing, good, bad and indifferent," he said. "Muckraking because of sour grapes is a disappointing position for an elected official to take."

While the city was cleared, Mickelson said the allegations still came at a cost.

It cost taxpayers money, and it weighed on the consciences of city employees, he said.

“The employees in our city get up every day and do this work honestly,” he said. “They heard ‘corrupt as hell’ applied to their jobs and applied to their work.

“I am incredibly tired of people throwing mud, for whatever reason, about who we are.” 

Rock Springs green sign 7 1 26

<title>Rock Springs Council Cleared Of Allegation City Favored Cronies On Contract Bids | Cowboy State Daily</title>

The Sweetwater County Attorney's Office found no evidence the Rock Springs City Council illegally favored contract bids for a company. “'Corrupt as hell’ — that's the accusation that got thrown around about our city," said the mayor about the allegation.

Rock Springs Council Cleared Of Allegation City Favored Cronies On Contract Bids

Heinz mark

Mark Heinz

Lake Powell, a key reservoir on the Colorado River, is shrinking toward "dead pool," which means water won't flow downriver anymore — and that could in turn pinch Wyoming’s municipal and industrial water supplies with more demand from Flaming Gorge Reservoir.

Lake Powell, on the Utah-Arizona state line, is in dire condition, 

By next spring, it’s expected to fall into “minimum power pool,” meaning having barely just enough water to generate hydroelectric power at Glen Canyon Dam.

If it falls even farther, that could put the reservoir at “dead pool,” or unable to generate hydroelectric power, according to reports.

That's despite roughly 1 million acre-feet expected to be 

[{"type":"text","marks":[{"type":"textStyle"},{"type":"bold"}],"text":"‘Paper Water Rights’"}]

Dead pool is considered only a worst-case scenario among water managers.

But if it happens, it could lead to some stark choices, said Wyoming state Sen. Larry Hicks, who served on the Legislature’s Select Water Committee.

In such a scenario, “power generation is subservient” to irrigation water rights, he told Cowboy State Daily.

“Power Generation is important, but it’s not as important as maintaining peoples’ livelihood,” Hicks said. 

The looming dilemmas over Colorado River water rest in the fact that water management is rooted in “paper water rights,” he said.

Many of those are tied to the 1922 Colorado River Compact, which includes seven states, Mexico and numerous Native American Tribes.

[{"type":"text","marks":[{"type":"textStyle"},{"type":"bold"}],"text":"Just Not Enough Water"}]

In Wyoming, many farmers’ and ranchers’ water rights predate the 1922 Compact, going as far back as the 1880s.

That means if spats break out over Compact water rights as the river’s supply dwindles, farms and ranches along the Green and Little Snake rivers would be largely unaffected, Hicks said.

The Compact designates roughly 15 million acre-feet per year, supposedly evenly split at 7.5 million acre-feet between the Upper Basin and Lower Basin.

The Upper Basin states are Wyoming, Colorado, Utah and New Mexico. Arizona, Nevada and California comprise the Lower Basin.

River flows in recent years have been as low as about 10 million acre-feet, Hicks said.

If the Lower Basin states made an emergency “call on the river” for more access to the Upper Basin allocation, Wyoming’s farmers and ranchers wouldn't catch the brunt of it, he said.

“The Trona industry and big municipalities in Wyoming” would be most at risk of losing vital water, he said.

For instance, even though Cheyenne isn’t physically connected to the Colorado River system, it still depends upon of it because of water-exchange agreements on the North Platte River.

“Arizona is the state that’s most likely to litigate and say, ‘We’re entitled to this water; you need to send it to us’,” Hicks said.

The growing crisis on the Colorado River “is a concern for Cheyenne and our board of public utility,” Mayor Patrick Collins told Cowboy State Daily.

The city gets about “two-thirds of our water” from sources tied to the Colorado River water contract exchange agreements, he said.

Cheyenne has been preparing for potential water shortages, Collins said.

“If they make a call on the river, it’s going to take a while to take effect,” he said, adding that Cheyenne has a roughly four-year backup storage supply.

Cheyenne has been frugal with its water, typically using about half of its full allocation, Collins added.

Despite growth, the city is using about the same amount of water it was 10 years ago, he said.

In the long term, Cheyenne also hopes to break away from Colorado River dependency.

“We have good leads on replacement water from other areas,” he said, without going into detail.

“There is an irrigation district that we’ve been working with, and some industrial users on the Platte River,” Collins said.

Rock Springs mayor Max Mickelson said the city has some water rights dating to 1871, and is therefore immune to any effects tied to the 1922 Colorado River Compact.

“Our system has never overdrawn its allocation the way the Lower Basin has. The current diversion data our Joint Powers Water Board presented to council shows zero deficit under today's conditions. 11,011 acre-feet of annual demand against roughly 2,413 acre-feet available on average, showing no shortfall in any month,” he stated in an email to Cowboy State Daily.

“That's not luck. That's a century of municipal water management that lived within its means. While states downstream built entire metro economies on water that was never really there in average years.” 

The local economy has felt the effects of increasing pressure on Flaming Gorge from the Lower Basin, Mickelson said. The city doesn’t draw from it directly, but is tied to the recreation economy.

“Our recreation, fishing, and marinas economies will all take a hit,” he said. "Our exposure so far has been to the regional environment and economy, not to the water coming out of our faucets.” 

[{"type":"text","marks":[{"type":"textStyle"},{"type":"bold"}],"text":"‘It’s A Concern’"}]

If Lake Powell hits dead pool, that would be a concern for Rock Springs, Mickelson said, noting the federal response to the crisis at Lake Powell is to pull from Flaming Gorge.  

“The Bureau of Reclamation's own modeling, presented to council this May, shows a projected shortfall of 2.0 to 2.3 million acre-feet by March 2027,” Mickelson wrote.

“So, yes, it's a concern, but it is fundamentally about fairness. The Flaming Gorge Reservoir is filled by our river and is treated as insurance for a 1922 compact built on flow numbers that were too generous from the start. We watch Powell's elevation because every foot drop is another argument for draining more from our basin,” he said.

Rock Springs, and Wyoming in general, has been proactive, passing voluntary conservation legislation while keeping underlying water rights protected, Mickelson said.

The Upper Basin should continue in that vein, he added.

“Wyoming has a seat at the table and needs to demand a storage agreement that lets Upper Basin states bank conserved water. We need an explicit federally acknowledged agreement that Wyoming, Utah, and Colorado hold unused apportionment under the original compact. We did not overbuild its claim,” Mickelson wrote.  

Lake Powell Weather Channel 3 7 1 26

<title>Lake Powell Water Critically Low; Wyoming Expects More Demand On Flaming Gorge | Cowboy State Daily</title>

Already at critically low levels, Lake Powell is close to being "dead pool," which means water won't flow downriver anymore. That has Wyoming cities and industries worried that will mean more demand for water from Flaming Gorge Reservoir.

Lake Powell Water Critically Low; Wyoming Expects More Demand On Flaming Gorge

Kolby fedore

Kolby Fedore

Crime & Courts

Public Safety

UPDATE 11:50 a.m.: This story has been updated to include more information from the Wyoming Highway Patrol about those injured in the crash.

A commercial tanker truck driver failing to stop for traffic waiting to enter a one-lane construction zone west of Casper on Friday afternoon 

, killing two people and injuring eight others, the Wyoming Highway Patrol reports in a fatal crash summary of the incident released Wednesday.

The crash happened at 1:50 p.m. Friday on U.S. Highway 20/26 near mile marker 58.3, about 45 miles northwest of Casper wit the WHP having identified driver inattention as a possible contributing factor in the crash.

[{"type":"text","text":"As of Wednesday, no criminal charges had been announced."}]

Responding to Cowboy State Daily requests for information about whether any arrests have been made in relation to the crash and if anyone has been criminally charged, the WHP said that the investigation into the crash is active and information about potential criminal charges won’t be released until that’s been completed.

The fatal crash summary says that the westbound 2024 Western Star tanker truck failed to stop at mile marker 58.3 for queued traffic waiting to enter the construction zone before striking a Chevrolet Silverado, Toyota Highlander, Toyota 4Runner, Subaru Outback, Chevrolet Camaro, Ram 1500 and Chevrolet Impala.

[{"type":"text","text":"The crash involved eight vehicles and 17 people."}]

[{"type":"text","text":"Two people died, eight were injured and seven escaped injury."}]

A 3-year-old and an adult male in the Highlander were both transported to Banner Wyoming Medical Center via helicopter. Also, a 1-year-old and adult female in the same vehicle were taken to the hospital by ground ambulance, the WHP reports, adding they were treated and released.

Two others were also taken by ambulance to Casper, where they were treated and released.

The driver of the 4Runner and a passenger, an adult female and male, were also hospitalized at Banner Wyoming Medical Center in Casper. 

[{"type":"text","marks":[{"type":"bold"}],"text":"Colorado Couple Identified"}]

The Natrona County Coroner's Office identified the two people killed as James Faris Cox, 74, and Susan Horn Cox, 69, of Golden, Colorado.

[{"type":"text","text":"The couple was traveling to Ennis, Montana, according to a family member."}]

Both were wearing seat belts, according to the Highway Patrol's crash summary.

The Highway Patrol said the weather was clear; the roadway was dry, and neither a rollover nor collision with a fixed object contributed to the crash.

[{"type":"text","text":"The investigation remains ongoing."}]

[{"type":"text","marks":[{"type":"bold"}],"text":"Aftermath"}]

Several motorists interviewed by Cowboy State Daily said they at first believed traffic had stopped because of the construction project ahead.

Erin Mills said she was driving toward Riverton after dropping her dogs off in Casper when traffic came to a standstill.

[{"type":"text","text":"\"I thought I was waiting on the pilot car,\" she said."}]

Like many others, Mills had already driven through the work zone earlier and expected another routine delay.

Instead, as traffic ahead slowly began turning around, she caught her first glimpse of the aftermath.

"When that camper moved, that's when I could see," she said. "I saw what looked like a shredded vehicle on the left-hand side of the road."

"I didn't physically see it happen," she continued. "I was behind it and saw the aftermath."

From where she was, Mills said she saw a jackknifed fuel tanker and damaged vehicles scattered across the highway.

"It looked like a tanker just plowed through these vehicles," she said, emphasizing she was describing what the aftermath looked like, not what she actually saw happen.

The WHP’s crash summary confirms the commercial tanker struck the line of stopped traffic after failing to stop.

[{"type":"text","marks":[{"type":"bold"}],"text":"'Something Wrong'"}]

Another witness, Krista Nethercott, also believed traffic had stopped because of construction.

"There were these pylons on the right-hand side that kind of tell you there's construction," she said. "But there wasn't anything alerting you to slow down. There wasn't a flagger."

After several minutes, she stepped out of her vehicle because, she said, "I just felt like there was something wrong."

When she walked forward, she realized the line of stopped vehicles was the result of a catastrophic crash.

"That's when I could see there were cars on both sides of the road," she said.

A funeral director, Nethercott immediately ran toward the wreckage to make sure someone had called 911 and to offer assistance.

[{"type":"text","text":"Working alongside another bystander, she checked on James and Susan Cox."}]

"The gentleman was immediately deceased," she said. "The lady probably lived a couple minutes."

[{"type":"text","text":"She recalled that both appeared to have been wearing their seat belts."}]

Their pickup was so badly crushed, she said, that rescuers ultimately needed specialized equipment to remove the couple.

"If the woman had lived longer, I don't think this gentleman and I could have ever taken her out of the vehicle," she said. "That's how crushed it was."

[{"type":"text","marks":[{"type":"bold"}],"text":"Before Help Arrived"}]

Because the crash happened in a remote stretch of western Natrona County, Nethercott estimated it took about 30 minutes before ambulances and firefighters reached the scene.

"It seemed like it was a long time to see paramedics," she said. "But considering you're out in the middle of nowhere, I don't think they could have gotten there any quicker."

Long before emergency crews arrived, however, strangers had already 

 Nethercott estimated roughly 10 motorists got out of their vehicles to help.

Some searched for fire extinguishers. Others comforted injured victims. One man who identified himself as working at a pediatric clinic checked on a young child who remained safely secured in a five-point car seat while the child's injured father tried to comfort him.

"There were people left and right getting out of their vehicles and trying to find anything that could be used," Nethercott said. "Whether it's water, an emergency medical kit or a fire extinguisher."

The cause of last week’s double fatal crash in remote Natrona County was due to a commercial tanker truck driver who failed to stop for traffic in a construction zone, the Wyoming Highway Patrol said Wednesday. The investigation is active.

One More For The Road: Sunday, April 9, 2023

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