Daily Darwin

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Darwin 9 26 23

Cowboy State Daily is Wyoming’s largest newspaper with Wyoming’s most experienced journalists. 

<title>Daily Darwin: Tuesday, September 26, 2023 | Cowboy State Daily</title>

Oh good, we're saved. Spiderman is here...

Daily Darwin: Tuesday, September 26, 2023

 Oh good, we're saved. Spiderman is here...

Headshot of Cowboy State Daily's general assignment reporter, Clair McFarland.

Clair McFarland

Government & Politics

A federal judge declined Thursday to make Wyoming and Nebraska irrigation districts open a competitive bid for the sake of a drilling company that missed out on the chance to bid a $100 million job on the Goshen County tunnel project.

But the judge also ruled that Drill Tech Drilling & Shoring Inc. 

, at this phase, in claiming that the Wyoming-based Goshen County Irrigation and Nebraska-based Gering-Fort Laramie Irrigation Districts violated their states’ public-records laws by not giving information the company had requested.

[{"type":"text","marks":[{"type":"bold"}],"text":"Lock In"}]

Drill Tech Drilling & Shoring Inc. filed a federal lawsuit against both districts in May.

The lawsuit asked U.S. District Court Judge Scott Skavdahl, of Wyoming, to intervene in what Drill Tech called an unlawful bidding process that cut it out of the opportunity to win a job on the massive tunnel repair.

One of the two 119-year-old tunnels suffered a catastrophic failure in 2019. The other is reportedly in dire need of a rebuild.

The districts assigned Atkinson Construction LLC as construction manager at-risk (CMAR) over the project, which means Atkinson can oversee and work with subcontractors, court documents say.

Drill Tech alleged that for the $100 million drill project it had sought to perform, the irrigation districts should have held — and didn’t hold — a competitive bidding process. The districts gave the job instead to their CMAR, Atkinson, court documents say.

[{"type":"text","text":"In his Thursday order, Skavdahl countered. "}]

He said the laws of both Wyoming and Nebraska appear to support the CMAR’s authority to self-perform this kind of work. Drill Tech has not shown substantially that it has a right to enter a competitive bidding process for this project, he added.

Skavdahl wrote that requiring the districts to pause or backtrack their work and hold that bidding process could harm the agricultural community by stalling the long-awaited repairs even longer — and he declined to do that.

The public has an interest in government entities abiding by the open bidding process, wrote Skavdahl.

“On the other hand, the Irrigation Districts are right that ensuring irrigation water to the thousands of acres of farmland served by the tunnels is also in the public interest,” he added. “In light of Drill Tech’s failures (to show it deserves court intervention) as well as the serious risks to the farmers and public from another tunnel collapse following any delay in this construction project, the preliminary injunction requested by Drill Tech is more contrary to the public interest than in support of it.”

Drill Tech had waited several months to sue, though it had reportedly learned it had been cut out of the job last summer, Skavdahl noted.

He declined to let that delay kill the case altogether, but he factored the delay into his decision not to order the open bid.

The judge’s order doesn’t end the case. It just denies Drill Tech’s request to have Skavdahl intervene in this early phase.

Skavdahl gave his early conjectures that Drill Tech isn’t likely to win on the bidding question, only for the purposes of declining to compel the districts to change course immediately.

[{"type":"text","marks":[{"type":"bold"}],"text":"Might Win That One"}]

Drill Tech had also accused both irrigation districts of violating their states’ open meeting laws and assigning the job in secret.

[{"type":"text","text":"Skavdahl said the company looks unlikely to win that challenge as well."}]

But, the judge wrote, Drill tech appears likely to win two of its claims: that the Wyoming irrigation district and the Nebraska one both violated their states’ public-records laws by not giving Drill Tech information it had requested.

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

The complaint says the two districts contracted Atkinson to be the construction manager at risk and provide oversight for the Fort Laramie Canal Tunnel 1 and 2 rehabilitation project.

That project is expected to benefit more than 100,000 acres of farmland across eastern Wyoming and western Nebraska.

 that the U.S. Department of Interior has chosen to use $100 million of its $889 million One Big Beautiful Bill appropriation on the tunnel project.

The tunnel collapsed July 17, 2019, cutting off irrigation water to the region and flooding fields. The infrastructure was more than a century old.

Temporary repairs restored most of the system’s capacity in time for the 2021 season, but it still needs long-term solutions. Repairs to Tunnel 2 also are in the works so that it doesn’t suffer the same catastrophic failure.

During the bidding process, Drill Tech’s complaint alleges, the two irrigation districts confirmed Atkinson would have to comply with Wyoming and Nebraska laws, and that it may be able to self-perform the construction work in the project, but would competitively bid that work.

But 18 months after Atkinson became the project manager, the districts “fundamentally changed the (manager’s) agreement to allow Atkinson to self-perform all the construction work for the Project under the guise of a contract amendment,” the complaint alleges.

This transformed the contract into a standard prime contract for the massive project “with no competition for the construction work,” says Drill Tech’s complaint. 

The project manager no longer had to open competition to the public bidding process, it adds.

Drill Tech Drilling and other interested parties were cut out of the process, the complaint says.

[{"type":"text","marks":[{"type":"bold"}],"text":"Asking For Documents"}]

Drill Tech didn’t ask to become the project manager because it wanted to work on the tunnel rehabilitation work packages instead, the complaint says, adding that Drill Tech has experience with the method that project requires.

On July 25, 2025, Drill Tech sent a letter to the two districts, the U.S. Bureau of Reclamation and one of the project designers, HDR Inc., to raise concerns that Atkinson was no longer required to bid projects competitively and in public.

Drill Tech noted in that letter that it had been monitoring the project for two years, waiting for the bid advertisement.

Nearly a month later, the Goshen County Irrigation District’s attorney acknowledged the district had received the letter and thanked Drill Tech for its “continued interest in the Project,” court documents say.

That December, Drill Tech submitted public-records requests to both districts under the public-records laws of each state, the complaint says, asking for all post-award modifications and amendments regarding the project manager’s agreement, and for a copy of the procurement plan.

The Nebraska-based district never responded to that request, the complaint says. The Wyoming-based district reportedly responded two months later, Feb. 10, 2026.

Goshen District’s public records yield was “heavily redacted,” says Drill Tech’s complaint. The district claimed those redactions were justified as trade secrets, privileged information, confidential commercial, financial, geographical or geophysical data.

The complaint disputes that. It shows a side-by-side comparison of the same page of the scope of the project manager’s services.

The page that was publicly released in the request for proposal, and the page Drill Tech received in its public records request, are vastly different, with the latter about 75% or more redacted.

“Reactions such as these were pervasive” throughout the agreement, the complaint says.

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

Copies of the changes to that agreement also had “pervasive redactions,” it adds.

Still, says the document, Drill Tech learned that the agreement was amended before Drill Tech’s July 25, 2025, letter requesting information about whether public bids were still required.

The complaint says the district knew the agreement had already been changed to edge out competitive bidding, but didn’t tell Drill Tech that when the company asked.

The complaint also says the district didn’t provide notice of an important public meeting.

By Feb. 20, 2025, the Goshen district board voiced concerns about HDR’s original maximum price estimate of $87 million swelling to more than $120 million, the complaint relates from the meeting minutes.

HDR proposed a confidential guaranteed maximum price proposal and non-disclosure agreements so there would be “no worry about (Atkinson) getting underbid,” the document alleges.

There was, the complaint says, no documented vote for Atkinson to self-perform the task they were discussing without publicly bidding the work packages, but the district did vote to approve changing the design plan.

It’s “entirely” unclear what role the Nebraska-based district played here because it didn’t respond to Drill Tech’s public records requests, the complaint alleges.

The document says that on July 8, 2025, the Goshen district and Atkinson signed an amendment to change the agreement, so that the latter was no longer required to advertise bids or publicly open them.

In the July 17, 2025, meeting minutes, “Atkinson was already apparently working with a vendor for the digger shield, but there was no indication that Atkinson has publicly bid or competitively awarded the subcontract for the digger shield.”

Irrigation Tunnel Gary Stone Nebraska Extension 5 4 26

<title>Judge Says $100M Goshen Tunnel Project Won’t Stop For Company That Couldn't Bid | Cowboy State Daily</title>

A federal judge declined Thursday to pause the $100 million Goshen Tunnel project for a company that missed out on a chance to bid on the work. He also ruled the company has a valid case against two irrigation districts in charge of the tunnel.

Judge Says $100M Goshen Tunnel Project Won’t Stop For Company That Couldn't Bid

Kolby fedore

Kolby Fedore

Crime & Courts

Courts

The Haitian truck driver convicted of killing one Rawlins EMT and severely injuring another in a catastrophic Interstate 80 crash more than three years ago is asking the Wyoming Supreme Court to overturn his convictions, claiming prosecutors failed to prove the one thing jurors had to find beyond a reasonable doubt: that he acted recklessly.

Saviol Saint Jean, who was convicted last September after a weeklong jury trial in Sweetwater County, filed his opening appeal brief Tuesday.

Rather than claiming juror misconduct or errors by the trial judge, Saint Jean's attorneys contend the evidence itself wasn't enough to support guilty verdicts for aggravated homicide by vehicle and aggravated assault and battery. 

The case stems from the predawn hours of Dec. 21, 2022, when Saint Jean's semitrailer slammed into a parked ambulance that had responded to an earlier crash on Interstate 80 near Green River.

 and seriously injured ambulance driver 

Earlier this year, District Court Judge Suzannah Robinson 

Saint Jean to serve 12-14 years in prison, saying Harris' death was "preventable" while acknowledging Saint Jean had shown genuine remorse. 

During sentencing, Saint Jean apologized through an interpreter, telling Harris' family he wished he could "turn back time" and had never intended to hurt anyone.

[{"type":"text","text":"Now he is asking the state's highest court to erase those convictions."}]

[{"type":"text","marks":[{"type":"bold"}],"text":"Reasonable Doubt?"}]

The appeal focuses almost entirely on one legal question: whether prosecutors proved Saint Jean acted recklessly.

Under Wyoming law, prosecutors had to convince jurors that Saint Jean consciously disregarded a substantial and unjustifiable risk — not simply that he made a mistake or caused a terrible crash. 

"The state failed to prove, beyond a reasonable doubt, that Mr. Saint Jean acted recklessly," Assistant Appellate Counsel Brittany Thorpe wrote.

Instead, Thorpe argues, the evidence showed Saint Jean "misperceived the risk and defaulted to his training, which told him to slow down and change lanes."

[{"type":"text","marks":[{"type":"bold"}],"text":"'Like The Las Vegas Strip'"}]

Jurors heard dramatically different explanations during 

Sweetwater County Attorney Daniel Erramouspe argued the crash scene was impossible to miss.

"It was lit up like the Las Vegas Strip," he told jurors during closing arguments, pointing to emergency lights, flashing hazards and other truck drivers who had safely navigated the area before Saint Jean arrived.

Erramouspe argued Saint Jean tried to "thread the needle" between disabled vehicles instead of slowing enough to safely negotiate the scene, calling that decision reckless.

The prosecution also emphasized that another commercial driver encountered the same wreck moments earlier but successfully avoided it.

Saint Jean's trial attorney, Joseph Hampton, painted a very different picture.

He argued Interstate 80 had become an extraordinarily dangerous maze after an initial collision between another semitruck and a pickup hauling a trailer blocked both lanes of travel with wreckage and debris.

The interstate, Hampton argued repeatedly, should have been closed before Saint Jean ever arrived.

[{"type":"text","marks":[{"type":"bold"}],"text":"'Imperfect Decisions'"}]

[{"type":"text","text":"Those same arguments now form the backbone of Saint Jean's appeal."}]

According to this week’s appeal, the initial crash blocked the right lane with one semi while trailer debris clogged the left lane. Another commercial truck stopped on the left shoulder after narrowly avoiding the wreckage, leaving little room for approaching traffic.

The appeal adds that no one had deployed emergency triangles, flares or warning cones before Saint Jean reached the scene. Instead, the brief argues, flashing emergency lights were the primary warning to approaching drivers. 

Attorneys also point to trial testimony that investigators could not determine the ambulance's exact location before it was struck.

"There was very little evidence" showing exactly where the ambulance had been parked, the appeal notes, citing Wyoming Highway Patrol testimony. 

[{"type":"text","text":"The defense says Saint Jean wasn't ignoring danger."}]

[{"type":"text","text":"Instead, the appeal argues he responded exactly as he had been trained."}]

Testimony highlighted throughout the filing says Saint Jean reduced his speed by at least 20 mph, changed lanes away from emergency lights and began braking after realizing the ambulance was actually occupying the lane he had entered. 

Commercial driving instructors testified during trial that slowing down and moving away from emergency vehicles is nationally accepted CDL training.

The appeal also points to defense experts who testified Saint Jean likely misjudged the ambulance's location because of glare from emergency lights, darkness and the unusually complex geometry of the crash scene.

One defense expert testified that drivers often recognize hazards but still make imperfect decisions when confronted with sudden emergencies.

According to the appeal, Saint Jean wasn't distracted by a cellphone, wasn't listening to the radio, and wasn't fatigued. His attorneys also note he had only been driving commercial trucks for a few months and had traveled that stretch of Interstate 80 only a handful of times. 

[{"type":"text","marks":[{"type":"bold"}],"text":"Comparing Cases"}]

Saint Jean's conduct doesn't resemble other Wyoming aggravated vehicular homicide cases that have survived Supreme Court review. 

Thorpe contrasts Saint Jean's case with previous decisions involving drivers who inhaled intoxicants before driving, knowingly drove while dangerously fatigued or sped recklessly through traffic while ignoring obvious hazards.

Instead, the appeal relies heavily on a 2020 Wyoming Supreme Court decision overturning another aggravated vehicular homicide conviction because prosecutors failed to prove the driver consciously disregarded fatigue before a fatal crash.

Like that case, Thorpe argues, Saint Jean may have made a tragic mistake, but prosecutors never proved he consciously ignored a known risk. 

The Wyoming Attorney General's Office will now file a response defending the convictions before the Wyoming Supreme Court considers the appeal.

The justices could affirm the convictions, reverse them outright or order additional proceedings in district court.

For the Supreme Court, the question is whether the evidence presented to jurors was legally sufficient to prove beyond a reasonable doubt that Saint Jean acted recklessly.

Crash scene Rawlins EM Ts 2 9 11 25

<title>Haitian Trucker Who Plowed Into Rawlins EMTs Wants His Conviction Overturned | Cowboy State Daily</title>

The Haitian truck driver who killed one Rawlins EMT and severely injured another in a catastrophic I-80 crash more than three years ago is asking the Wyoming Supreme Court to overturn his convictions. He claims prosecutors never proved he was “reckless."

Haitian Trucker Who Plowed Into Rawlins EMTs Wants His Conviction Overturned

Employee kate meadows cropped

Kate Meadows

Executive

Cheyenne’s Board of Public Utilities isn’t accepting industrial wastewater associated with data center systems until further notice after a contractor for Meta Platforms contaminated the city’s wastewater system, prompting months of cleanup.

The announcement was made by the Board of Public Utilities (BOPU) on Thursday in conjunction with naming the Meta company as the source of the initial contamination.

It also comes more than four months after the Meta company — which is building a huge $800 million data center in south Cheyenne — disrupted the city’s reclaimed wastewater system with a rare bacterial contaminant.

Goat Systems LLC was in “significant noncompliance" with the city's industrial pretreatment regulations after discharging wastewater contaminated with Cupriavidus gilardii, a bacterium that interfered with operations at the city's water reclamation facilities and contaminated the municipal reuse water system, according to the BOPU’s Thursday statement.

Goat Systems LLC is the corporate entity Meta uses for construction of its sprawling nearly 800,000-square-foot Cheyenne data center campus known during development as 

Cheyenne City Councilman Pete Laybourn said learning that the contamination originated from Meta's data center was unwelcome news.

"It's a very, very unpleasant surprise," Laybourn told Cowboy State Daily. "I have a lot yet to learn. It definitely complicates matters."

Laybourn said he has already expressed concerns about some of the arrangements the city has made with data center operators, adding that he expects the disclosure will prompt additional discussion.

"It's about the last thing we need right now," he said. "But it's a reality we're going to have to work through.”

Mayor Patrick Collins likewise expressed disappointment in Thursday's announcement.

"I think it's a disappointment to everyone involved," he told Cowboy State Daily.

Collins also praised the BOPU for catching the contamination and getting the city's sewage reuse system cleaned up. 

[{"type":"text","marks":[{"type":"bold"}],"text":"'Final Resolution'"}]

Thursday’s announcement marks the first time city officials have publicly identified the company behind the contamination, which was first discovered in February and prompted months of investigation and public speculation.

According to the statement, Goat Systems immediately stopped discharging wastewater from fill-and-flush operations at Meta's Cheyenne Data Center CHY 1-2 after being notified of the contamination.

BOPU also revoked the company's industrial discharge privileges for those operations effective March 24.

[{"type":"text","text":"The incident has led to broader changes beyond Meta's project."}]

BOPU also is suspending acceptance of industrial wastewater from data center fill-and-flush and closed-loop system operations until further notice while officials evaluate how to prevent future incidents.

The city said the action is intended to protect the integrity of Cheyenne's wastewater treatment system.

Calls to Cheyenne’s Public Utilities Office were not immediately returned Thursday.

"The BOPU appreciates the public's patience throughout this process," the agency said in the statement. "By conducting a thorough and diligent review, we have been able to reach a final resolution while ensuring continued protection and integrity of our wastewater treatment system."

A spokesman for Meta told Cowboy State Daily in an email statement that the company is working with its general contractor to "resolve this issue."

"Meta is supporting the efforts of our general contractor, Fortis, to resolve this issue with the city of Cheyenne Board of Public Utilities," the statement says. "When the board shared that it found a substance in the city's wastewater — not public drinking water — Fortis immediately stopped discharging industrial wastewater and began hauling it offsite.

"Fortis also began its own water testing with an independent environmental specialist which has found no trace of the substance," the statement adds. "Meta is committed to being a good neighbor in Cheyenne, including through the protection of local water resources, and will continue encouraging collaboration between Fortis and the board until this situation is resolved.”

[{"type":"text","marks":[{"type":"bold"}],"text":"Months Of Questions"}]

The disclosure comes after months of questions surrounding the source of the contamination.

BOPU previously confirmed the bacterium had entered the city's wastewater treatment process through an industrial user but declined to identify the company while the investigation remained underway.

The contaminant was traced to wastewater generated during data center fill-and-flush operations, a process used to clean and test cooling systems before a facility begins operation.

Meta's Cheyenne campus, one of the largest private construction projects in the city's history, spans hundreds of acres in the High Plains Business Park and is expected to encompass roughly 800,000 square feet when completed.

 that Meta was the company behind the previously unnamed Project Cosmo development.

[{"type":"text","marks":[{"type":"bold"}],"text":"Questions Remain"}]

Thursday’s announcement answers one of the biggest questions surrounding the incident but leaves others unresolved.

Among them are how the BOPU intends to regulate future data center wastewater, how the suspension of accepting industrial discharges associated with data centers affects other facilities under construction in Cheyenne and whether any long-term environmental or public health impacts are expected.

Meta IMG 7791 7 2 26

<title>Cheyenne Won’t Take Data Center Wastewater After Meta Contractor Contaminated System | Cowboy State Daily</title>

Cheyenne announced Thursday it's suspended taking wastewater associated with data center systems after a Meta contractor contaminated the city’s wastewater system, prompting months of cleanup. "It's a very, very unpleasant surprise,” said a city councilman.

Cheyenne Won’t Take Data Center Wastewater After Meta Contractor Contaminated System

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.

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.

Daily Darwin: Tuesday, September 26, 2023

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