2021-05-14T11:32:30-05:00 2020-06-30 351178661 BLUE & CO LLC 9200 WORTHINGTON RD STE 200 WESTERVILLE OH 43082 990 2019-07-01 344440884 WOOD COUNTY HOSPITAL ASSOCIATION WOOD 4193548900 950 W WOOSTER STREET BOWLING GREEN OH 43402 KAROL D BORTEL CFO 4193548900 2021-05-14 1 NATHAN A RODGERS CPA P01568275 6148852583 2021-05-14 2019 2022-09-23 18:48:47Z KAROL D BORTEL 950 W WOOSTER STREET BOWLING GREEN OH 43402 119254529 0 X WWW.WOODCOUNTYHOSPITAL.ORG X 1951 OH THE WOOD COUNTY HOSPITAL BOARD OF TRUSTEES, EMPLOYEES, MEDICAL STAFF, AND VOLUNTEERS ARE DEDICATED TO PROVIDING THE HIGHEST QUALITY PREVENTIVE, RESTORATIVE, EDUCATIONAL, AND REHABILITATIVE HEALTH CARE SERVICE TO ALL. 11 9 961 274 74784 41186 1038439 12620322 113607224 100998094 2237185 2065182 3293228 3489644 120176076 119173242 0 0 0 0 56700716 56944799 0 0 0 61181605 58712183 117882321 115656982 2293755 3516260 200891243 205335623 64772143 77682234 136119100 127653389 X WOOD COUNTY HOSPITAL'S MISSION IS TO PROVIDE THE HIGHEST QUALITY PREVENTATIVE, RESTORATIVE, EDUCATIONAL AND REHABILITATION HEALTH CARE SERVICES TO ALL. IN FULFILLING OUR MISSION, WE SHALL STRIVE TO:-PROVIDE THE HIGHEST QUALITY CARE;-MAINTAIN AN ENVIRONMENT ATTRACTIVE TO RETAIN QUALIFIED HEALTHCARE PERSONNEL;-IDENTIFY, INITIATE AND PROVIDE INNOVATIVE SERVICES IN RESPONSE TO THE HEALTHCARE NEEDS OF THE REGION;-CULTIVATE A PROACTIVE APPROACH TO THE PROVISION OF SAFE, EFFECTIVE CARE-IDENTIFY AND IMPLEMENT BUSINESS PRACTICES THAT PROMOTE THE STABILITY AND VIABILITY OF WOOD COUNTY HOSPITAL;FOSTER A SPIRIT OF COOPERATION AMONG AREA PROVIDERS; 0 0 91790181 103820088 WOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 2,186 INPATIENTS, 322 NEWBORNS, AND 89,952 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/20. WOOD COUNTY HOSPITAL PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF OUR HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS ARE FINANCIALLY ABLE TO PURCHASE NECESSARY MEDICAL CARE. THEREFORE, IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WOOD COUNTY HOSPITAL PROVIDED CHARITY CARE VALUED AT $1,950,867.INPATIENT ACUTE CARE AND ANCILLARY SERVICES ARE AVAILABLE TO SERVE BOTH TRADITIONAL INPATIENTS AND AMBULATORY PATIENTS. EMERGENCY SERVICES ARE PROVIDED 24 HOURS A DAY, SEVEN DAYS A WEEK. DURING FISCAL YEAR 2020, 19,565 INDIVIDUALS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT. MEDICAL CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, $79,849,138 WAS THE VALUE OF SERVICES PROVIDED WHERE THE HOSPITAL DID NOT RECEIVE FULL PAYMENT. OF THIS, $1,950,867 WAS CHARITY CARE. WOOD HEALTH COMPANY IS COMPRISED OF 13 DIFFERENT MEDICAL PRACTICES THAT RANGE IN SPECIALTY: PEDIATRICS, BARIATRIC, UROLOGY, WOMENS CARE, CLINICS, FAMILY MEDICINE, VASCULAR, ENT, NEUROLOGY, ORTHOPEDICS, AND GENERAL SURGERY. WOOD HEALTH COMPANY PROVIDED 103,395 SERVICES TO THE COMMUNITY. IN KEEPING TO OUR COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WOOD HEALTH COMPANY PROVIDED $30,086 IN CHARITY CARE. 91790181 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 63 0 1 961 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 OH X KAROL D BORTEL 4193548900 950 W WOOSTER ST BOWLING GREEN OH 434022699 MICHAEL MARSH CHAIR 1.00 X X 0 0 0 RICHARD BARKER MD VICE CHAIR 1.00 X X 0 0 0 STEVEN PATTON SECRETARY 1.00 X X 0 0 0 WILLIAM CULBERTSON MEMBER 1.00 X 0 0 0 MICHAEL FATZINGER MEMBER 1.00 X 0 0 0 GAYLYN FINN MEMBER 1.00 X 0 0 0 DORIS HERRINGSHAW MEMBER 1.00 X 0 0 0 DIANE HUFFMAN MEMBER 1.00 X 0 0 0 DIANE HOOPS MEMBER 1.00 X 0 0 0 DR THOMAS WOJCIECHOWSKI MEMBER 1.00 X 0 208671 3948 STANLEY KORDUCKI CEO 40.00 X X 373939 0 41594 KAROL BORTEL CFO 40.00 X 155119 0 22638 MICHAEL REEVES CIO-TERM ENDED JUL'19 40.00 X 115632 0 4889 THOMAS BIALORUCKI CIO-TERM BEGAN OCT'19 40.00 X 33553 0 1590 CARLOS GOMEZ OROZCO PHYSICIAN 40.00 X 696755 0 26443 PETER LALOR PHYSICIAN 40.00 X 770447 0 26164 JEFFERY SWARTZ PHYSICIAN 40.00 X 293439 0 25211 MICHAEL LEMON PHYSICIAN 40.00 X 311406 0 24849 LILLIAN MILLER PHYSICIAN 40.00 X 302360 0 25790 3052650 208671 203116 55 0 1 0 WOOD ANESTHESIA & PAIN BILLING MANAGEME PO BOX 634850 CINCINNATI OH 45263 ANESTHESIOLOGISTS 2918304 TECHNICORE CLINICAL ENGINEERING PO BOX 1210 FINDLAY OH 45839 SERVICE AGREEMENT 411210 ASSOCIATED PATHOLOGISTS INC PO BOX 1188 BOWLING GREEN OH 43402 PATHOLOGY SERVICES 203970 JACOBS CRITICAL CARE ENTERPRISES 3315 RIVERWOOD COURT PERRYSBURG OH 43551 CRITICAL CARE SERVICES 160833 EQUIPMENT MAINTENANCE SOLUTIONS LLC 1250 WOODWARD HARIGHTS BLVD FERNDALE MI 48220 EQUIPMENT MAINTENANCE 156113 8 5019751 6945467 655104 12620322 PATIENT SERVICE REVENUE 900099 100998094 100923310 74784 100998094 1271608 1271608 674153 81287 592866 592866 592866 771999 21575 0 0 771999 21575 793574 793574 NUTRITION/MEALS/VENDING 900099 720405 720405 LEASED EMPLOYEES 900099 558102 558102 1618271 1618271 2896778 119173242 103820088 74784 2658048 X 748953 546736 202217 43747694 31935817 11811877 3101009 2263737 837272 6247132 4560406 1686726 3100011 2263008 837003 75317 67785 7532 13914665 12523198 1391467 1069527 962574 106953 971486 874337 97149 4018074 3616267 401807 5462152 3639609 1822543 71515 64363 7152 146833 132150 14683 2588540 2329686 258854 7906816 5771976 2134840 MEDICAL & OTHER SUPPLIE 19792257 17813031 1979226 OHIO FRANCHISE & OTHER 1886242 1697618 188624 DUES & LICENSES 318159 286343 31816 JOURNALS & SUBSCRIPTION 14874 13387 1487 475726 428153 47573 115656982 91790181 23866801 0 3234 3634 35978742 40579787 12706186 12339533 135308 117945 2079165 2362147 2483093 2597401 142777424 92236002 52001986 50541422 57062602 61420329 2133611 2065881 15497 15497 36291819 33292047 200891243 205335623 6502874 6716410 55273722 55048275 2995547 15917549 64772143 77682234 X 100816617 95966575 35302483 31686814 136119100 127653389 200891243 205335623 X 3516260 -1321479 -10660492 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2344 2344 0 PART II-B, LINE 1: AMOUNT REPRESENTS THE PORTION OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OHIO HOSPITAL ASSOCIATION DUES ALLOCATED TO LOBBYING AS DISCLOSED BY THE HOSPITAL ASSOCIATIONS. 1771368 1771368 29325177 14131484 15193693 109708885 78104518 31604367 1971994 1971994 50541422 INTEREST IN WOOD COUNTY HOSPITAL FOUNDATION 29120933 INVESTMENT IN JOINT VENTURES 644465 MISCELLANEOUS RECEIVABLES 1402360 THIRD PARTY SETTLEMENT 234459 RELATED PARTY RECEIVABLE 521420 OTHER ASSETS 1368410 33292047 PENSION LIABILITY 8535213 REFUNDABLE ADVANCES 7382336 15917549 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ASSOCIATION HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2019 AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). 1 1 X 1 X 1 X 1 1 0 1 1 2508193 1873150 635043 0.00550 11259295 7173240 4086055 0.03530 13767488 9046390 4721098 0.04080 7 980 198751 92293 106458 0.00090 1 75 10500 10500 0.00010 7 28350 151100 62000 89100 0.00080 15 29405 360351 154293 206058 0.00180 15 29405 14127839 9200683 4927156 0.04260 5928934 14771393 19728336 -4956943 X 1 1 1 WOOD CARE NET MESSENGER MODEL PHO 0.50000 0.00000 0.50000 1 1 WOOD COUNTY HOSPITAL ASSOCIATION 950 W WOOSTER ST BOWLING GREEN OH 43402 HTTP://WWW.WOODCOUNTYHOSPITAL.ORG/ 1295 X WOOD COUNTY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 1 18 0 1 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3270/FAP-3-25-19.PDF X HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3272/REVISED-HCAP-APP-2014.PDF X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 1 WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: DESIGNTHIS COMMUNITY HEALTH ASSESSMENT WAS CROSS-SECTIONAL IN NATURE AND INCLUDED A WRITTEN SURVEY OF ADULTS, ADOLESCENTS, AND PARENTS WITHIN WOOD COUNTY. FROM THE BEGINNING, COMMUNITY LEADERS WERE ACTIVELY ENGAGED IN THE PLANNING PROCESS AND HELPED DEFINE THE CONTENT, SCOPE, AND SEQUENCE OF THE STUDY. ACTIVE ENGAGEMENT OF COMMUNITY MEMBERS THROUGHOUT THE PLANNING PROCESS IS REGARDED AS AN IMPORTANT STEP IN COMPLETING A VALID NEEDS ASSESSMENT.INSTRUMENT DEVELOPMENTTHREE SURVEY INSTRUMENTS WERE DESIGNED, AND PILOT TESTED FOR THIS STUDY: ONE FOR ADULTS, ONE FOR ADOLESCENTS IN GRADES 6-12, AND ONE FOR PARENTS OF CHILDREN AGES 0-11. AS A FIRST STEP IN THE DESIGN PROCESS, HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO AND STAFF MEMBERS FROM HCNO MET TO DISCUSS POTENTIAL SOURCES OF VALID AND RELIABLE SURVEY ITEMS THAT WOULD BE APPROPRIATE FOR ASSESSING THE HEALTH STATUS AND HEALTH NEEDS OF ADULTS, ADOLESCENTS, AND CHILDREN. THE INVESTIGATORS DECIDED TO DERIVE THE MAJORITY OF THE ADULT SURVEY ITEMS FROM THE BRFSS, THE MAJORITY OF THE ADOLESCENT SURVEY ITEMS FROM THE YRBSS, AND THE MAJORITY OF THE SURVEY ITEMS FOR THE PARENTS OF CHILDREN 0-11 FROM THE NSCH. THIS DECISION WAS BASED ON BEING ABLE TO COMPARE LOCAL DATA WITH STATE AND NATIONAL DATA.THE PROJECT COORDINATOR FROM HCNO CONDUCTED A SERIES OF MEETINGS WITH WOOD COUNTY HEALTH PARTNERS. DURING THESE MEETINGS, HCNO AND THE PLANNING COMMITTEE REVIEWED AND DISCUSSED BANKS OF POTENTIAL SURVEY QUESTIONSFROM THE BRFSS, YRBSS, AND NSCH SURVEYS. BASED ON INPUT FROM WOOD COUNTY HEALTH PARTNERS, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 114 ITEMS FOR THE ADULT SURVEY, 73 ITEMS FOR THE ADOLESCENT SURVEY, AND 78 ITEMS FOR THE 0-11 SURVEY. HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO REVIEWED ANDAPPROVED THE DRAFTS.SAMPLING | ADULT SURVEYTHE SAMPLING FRAME FOR THE ADULT SURVEY CONSISTED OF ADULTS AGES 19 AND OVER LIVING IN WOOD COUNTY. THERE WERE 95,618 PERSONS AGES 19 AND OVER LIVING IN WOOD COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 5% (I.E., WE CAN BE 95% SURE THAT THE "TRUE" POPULATION RESPONSES ARE WITHIN A 5% MARGIN OF ERROR OF THE SURVEY FINDINGS). A SAMPLE SIZE OF AT LEAST 383 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM WOOD COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA.SAMPLING | ADOLESCENT SURVEYTHE SAMPLING FRAME FOR THE ADOLESCENT SURVEY CONSISTED OF YOUTH IN GRADES 6-12 IN WOOD COUNTY PUBLIC SCHOOL DISTRICTS. FOR MORE INFORMATION ON PARTICIPATING DISTRICTS AND SCHOOLS, SEE APPENDIX IV. USING THE U.S. CENSUS BUREAU DATA, IT WAS DETERMINED THAT APPROXIMATELY 12,433 YOUTH AGES 12-18 YEARS OLD LIVED IN WOOD COUNTY. A SAMPLE SIZE OF 373 ADOLESCENTS WAS NEEDED TO ENSURE A 95% CONFIDENCE INTERVAL WITH A CORRESPONDING 5% MARGIN OF ERROR. STUDENTS WERE RANDOMLY SELECTED AND SURVEYED IN THE SCHOOLS. SAMPLING | 0-11 SURVEYTHE SAMPLING FRAME FOR THE CHILD SURVEY CONSISTED OF CHILDREN AGES 0-11 RESIDING IN WOOD COUNTY. USING U.S. CENSUS BUREAU DATA, IT WAS DETERMINED THAT 17,437 CHILDREN AGES 0-11 RESIDED IN WOOD COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH CORRESPONDING CONFIDENCE INTERVAL OF 5% (I.E., WE CAN BE 95% SURE THAT THE "TRUE" POPULATION RESPONSES ARE WITHIN A 5% MARGIN OF ERROR). BECAUSE MANY OF THE ITEMS WERE IDENTICAL BETWEEN THE 0-5 AND 6-11 SURVEYS, THE RESPONSES WERE COMBINED TO ANALYZE DATA FOR CHILDREN 0-11. THE SAMPLE SIZE REQUIRED TO GENERALIZE TO CHILDREN AGED 0-11 WAS 376. THE RANDOM SAMPLE OF MAILING ADDRESSES OF PARENTS FROM WOOD COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PROCEDURE | ADULT SURVEYPRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 1,200 ADULTS IN WOOD COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED, PRINTED ON WOOD COUNTY HEALTH PARTNERS STATIONERY AND SIGNED BY BENJAMIN BATEY, WOOD COUNTY HEALTH COMMISSIONER, AND STAN KORDUCKI, PRESIDENT AND CEO OF WOOD COUNTY HOSPITAL. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. THREE WEEKS FOLLOWING THE ADVANCE LETTER, A THREE-WAVE MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON WOOD COUNTY HEALTH PARTNERS STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF-ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. APPROXIMATELY THREE WEEKS AFTER THE FIRST MAILING, A SECOND WAVE MAILING INCLUDED ANOTHER PERSONALIZED COVER LETTER ENCOURAGING THE RECIPIENT TO REPLY, ANOTHER COPY OF THE QUESTIONNAIRE ON WHITE PAPER, AND ANOTHER REPLY ENVELOPE. A THIRD WAVE POSTCARD WAS SENT THREE WEEKS AFTER THE SECOND WAVE MAILING. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 40% (N=431: CI= 4.72). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY. WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE WOOD COUNTY HEALTH DISTRICT. WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: HEALTH NEED IDENTIFIED: DECREASE ADULT AND YOUTH DRUG DEPENDENCE/ABUSEACTIONS TAKEN: THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) AND SUICIDE PRECAUTIONS WAS IMPLANTED AND ONGOING IN WOOD COUNTY HOSPITAL. THE QUESTIONNAIRE IS USED IN THE URGENT CARE CENTER AND PRIMARY CARE OFFICES FOR ALL PATIENTS OVER 17 YEARS OF AGE.HEALTH NEED IDENTIFIED: REDUCE THE PERCENTAGE OF FOOD INSECURE HOUSEHOLDSACTIONS TAKEN: FOOD INSECURITY SCREENING WAS INSTITUTED IN 2020 AT THE PRIMARY CARE PHYSICIAN OFFICES. IF INDICATED, INFORMATION AND EDUCATION IS PROVIDED ON WHERE TO FIND HELP. A SOCIAL WORKER FOLLOWS UP WITH ADDITIONAL INFORMATION AND RESOURCES SUCH AS FOOD PANTRY LOCATIONS, ETC.HEALTH NEED IDENTIFIED: REDUCE ADULT OBESITYACTIONS TAKEN: ANNUAL WELLNESS VISITS WERE INCORPORATED INTO PRIMARY CARE OFFICES AND WILL BE A PERMANENT PROCESS IN THE OFFICES FOR ALL PATIENTS OVER 65.REGISTERED DIETICIANS SEE PATIENTS NEEDING NUTRITIONAL EDUCATION IN 6 OF THE 9 OFFICES WITH THE GOAL BEING SERVICES IN ALL 9 OFFICES. 70% OF THE PATIENT POPULATION IS THE GOAL FOR WELLNESS VISITS.HEALTH NEED IDENTIFIED: PREVENT DIABETES IN ADULTSACTIONS TAKEN: WELLNESS VISITS IN PRIMARY CARE OFFICES WILL HELP IDENTIFY AT RISK PATIENTS. THE HOSPITAL HAS AN ESTABLISHED DIABETES EDUCATION PROGRAM FOR BOTH INPATIENT AND OUTPATIENT CLIENTSHEALTH NEED IDENTIFIED: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREACTIONS TAKEN: STRONG RELATIONSHIP BETWEEN WOOD COUNTY HEALTH DEPARTMENT AND WOOD COUNTY HOSPITAL. THE HOSPITAL HAS A TRANSITION OF CARE AND MEDICATION RECONCILIATION PROCESSES FOR ALL INPATIENTS TO TRANSITION TO HOME AND TIMELY PRIMARY CARE FOLLOW-UP. WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 24: SELF PAY PATIENTS ARE BILLED ACCORDING TO THE FEE SCHEDULE. HOWEVER, THE SLIDE FEE SCHEDULE IS APPLIED BASED ON INCOME. SELF PAY PATIENTS GENERALLY RECEIVE A DISCOUNT OF NOT LESS THAN 20%. WOOD COUNTY HOSPITAL ASSOCIATION: SCHEDULE H, PART V, LINE 16C, PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3225/PLAIN-LANGUAGE-SUMMARY-FINANCIAL-POLICY.PDF WOOD COUNTY HOSPITAL ASSOCIATION: SCHEDULE H, PART V, LINE 7A:HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/ABOUT-US/COMMUNITY-PROGRAMS/SCHEDULE H, PART V, LINE 7B:HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/ PART I, LINE 7: WOOD COUNTY HOSPITAL ASSOCIATION CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. PART III, LINE 2: WOOD COUNTY HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN ANY OF THE BAD DEBT EXPENSE. IF A PATIENT WAS PLACED IN BAD DEBT AND THEN SUBSEQUENTLY DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS RECLASSIFIED AND NOT INCLUDED IN ANY BAD DEBT EXPENSE AMOUNTS. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS DETERMINED BY EACH PAYOR. FOR THIRD-PARTY PAYORS INCLUDING MEDICARE, MEDICAID, AND MANAGED CARE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGE, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL PAID CLAIMS DATA BY PAYOR. FOR SELF-PAY ACCOUNTS RECEIVABLE, WHICH INCLUDES PATIENTS WHO ARE UNINSURED AND THE PATIENT RESPONSIBILITY PORTION FOR PATIENTS WITH INSURANCE, THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR ESTIMATED CONVERSIONS OF PATIENT RESPONSIBILITY PORTIONS, EXPECTED RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS.PATIENT ACCOUNTS RECEIVABLE CAN BE IMPACTED BY THE EFFECTIVENESS OF THE ASSOCIATION'S COLLECTION EFFORTS. ADDITIONALLY, SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE. THE ASSOCIATION ALSO CONTINUALLY REVIEWS THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE BY MONITORING HISTORICAL CASH COLLECTIONS AS A PERCENTAGE OF TRAILING NET OPERATING REVENUES, AS WELL AS BY ANALYZING CURRENT PERIOD NET REVENUE AND ADMISSIONS BY PAYOR CLASSIFICATION, AGED ACCOUNTS RECEIVABLE BY PAYOR, DAYS REVENUE OUTSTANDING, THE COMPOSITION OF SELF-PAY RECEIVABLES BETWEEN PURE SELF-PAY PATIENTS AND THE PATIENT RESPONSIBILITY PORTION OF THIRD-PARTY INSURED RECEIVABLES AND THE IMPACT OF RECENT ACQUISITIONS AND DISPOSITIONS. PART III, LINE 8: MEDICARE SHORTFALL PROVIDES BENEFIT TO THE COMMUNITY BECAUSE WE PROVIDE CARE TO ALL MEDICARE PATIENTS EVEN THOUGH THE MEDICARE PROGRAM PAYMENTS DO NOT COVER OUR EXPENSES FOR PROVIDING THE CARE. ALL COSTS RELATED TO THESE SERVICES ARE CALCULATED BY THE MEDICARE COST REPORT AND REPORTED DIRECTLY FROM THAT REPORT. PART III, LINE 9B: IT IS OUR POLICY TO PROCESS CHARITY APPLICATIONS WHEN WE KNOW THE PATIENT IS ELIGIBLE, AND NOT TO PURSUE A FORM OF PAYMENT ONCE WE HAVE THE ELIGIBILTIY CONFIRMED. PART VI, LINE 2: IN ADDITION TO THE PAST EIGHTEEN YEARS OF JOINT CHNAS, AND CHIPS, WOOD COUNTY HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WE SERVE BY EXAMINING THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA, COLLECTING AND ANALYZING THE DATA, AND ENGAGING OUR STAKEHOLDERS. WE ARE THEN ABLE TO IDENTIFY AND QUANTIFY AREAS THAT NEED ATTENTION. THESE PRIORITY AREAS ARE DEVELOPED INTO A FORMAL PLAN AND IF APPROVED ARE IMPLEMENTED IN THE HOSPITAL'S SCOPE OF PATIENT SERVICES. THE PROGRESS AND OUTCOMES ARE EVALUATED ON A VERY FREQUENT BASIS. THIS IS USUALLY COMPLETED DURING THE HOSPITAL STRATEGIC PLANNING PROCESS.IN ADDITION TO THE ABOVE, ALL COMMUNITY PROGRAMS ARE EVALUATED BY THE COMMUNITY PARTICIPANTS AND THE FEEDBACK IS USED TO FINE TUNE THE PROGRAMS TO BE MORE COMMUNITY CENTERED AND FOCUSED.ACCORDING TO THE CENTER OF DISEASE CONTROL (CDC), MAKING PATIENT AND COMMUNITY ENGAGEMENT A CENTRAL COMPONENT OF THE PLANNING PROCESS CAN BE MUTUALLY BENEFICIAL TO HOSPITALS AND COMMUNITIES. PATIENT AND COMMUNITY ENGAGEMENT ALLOWS HOSPITALS AND HEALTH SYSTEMS TO GAIN A CLEARER UNDERSTANDING OF THEIR COMMUNITY'S HEALTH NEEDS AND PRIORITIES, INCREASES BUY-IN AND A SENSE OF SHARED RESPONSIBILITY FOR COMMUNITY HEALTH, AND ESTABLISHES RELATIONSHIPS WITH ORGANIZATIONS AND INDIVIDUALS TO THE COMMUNITY. PART VI, LINE 3: THROUGH FINANCIAL COUNSELOR AND WEBSITE - ALSO, THE BACKSIDE OF PATIENT STATEMENTS INCLUDES A CHARITY APPLICATION TO WHICH THE PATIENTS ARE DIRECTED FROM THE FRONT OF THE STATEMENT. PART VI, LINE 4: WOOD COUNTY HOSPITAL PARTICIPATES FULLY IN THE WOOD COUNTY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN PLANNING PROCESS. THIS COUNTY-WIDE ASSESSMENT AND PLAN ARE BROADER THAN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THE PSA IS THE COMMUNITY THAT IS SERVED BY WOOD COUNTY HOSPITAL AND IS DEFINED AS WOOD COUNTY, OHIO SOUTH OF STATE ROUTE 582 AND CONTIGUOUS AREAS TO THE EAST, SOUTH AND WEST OF THE COUNTY LINES. THE ESTIMATED POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA CENTERS ON 24 ZIP CODES. THIS CONSTITUTES APPROXIMATELY 80% OF THE INPATIENT DISCHARGES FROM THE HOSPITAL; WITH 20% FALLING OUTSIDE THE DEFINED SERVICE AREA. WE HAVE TWO UNIQUE SITUATIONS TYPICALLY NOT SEEN IN A COMMUNITY HOSPITAL OUR SIZE. WE HAVE A LONG STAND BARIATRIC SERVICE LINE THAT ATTRACTS MANY PATIENTS FROM OUTSIDE OUR SERVICE AREA. AS A UNIVERSITY TOWN WE SEE PATIENTS FROM MANY ZIP CODES ACROSS THE COUNTRY.THE POPULATION IS ESTIMATED TO BE 76,457, BASED ON THE 2017 ACS POPULATION ESTIMATES FROM THE 2010 CENSUS. PART VI, LINE 5: COMMUNITY PARTNERS: WOOD COUNTY HEALTH PARTNERSWOOD COUNTY HOSPITAL IS COMMITTED TO THE COMMUNITY IT SERVES BY PROVIDING EXCELLENT HEALTHCARE SERVICES INCLUDING MEDICAL CARE, EDUCATION, COMMUNITY SUPPORT, AND WORKING WITH LIKE-MINDED ORGANIZATIONS, AGENCIES, AND INSTITUTIONS TO MAKE A DIFFERENCE. THIS GROUP, WOOD COUNTY HEALTH PARTNERS, HAVE WORKED TOGETHER OVER THE PAST TWELVE YEARS TO COMPLETE THREE COMMUNITY HEALTH ASSESSMENTS. THE CURRENT ASSESSMENT, COMPLETED IN SEPTEMBER 2018, WAS JOINTLY FUNDED BY WOOD COUNTY HOSPITAL AND WOOD COUNTY HEALTH DISTRICT AND ALSO INCLUDED IN-KIND SUPPORT FROM THE REMAINING PARTNERS. PART VI, LINE 7, REPORTS FILED WITH STATES OH X 0 0 X X X 0 0 0 0 0 0 0 0 0 DR THOMAS WOJCIECHOWSKI MEMBER 0 204815 0 0 0 3856 0 3627 0 321 0 212619 0 0 STANLEY KORDUCKI CEO 362312 0 0 0 11627 0 21322 0 20272 0 415533 0 0 0 KAROL BORTEL CFO 154282 0 0 0 837 0 2646 0 19992 0 177757 0 0 0 CARLOS GOMEZ OROZCO PHYSICIAN 695822 0 0 0 933 0 5600 0 20843 0 723198 0 0 0 PETER LALOR PHYSICIAN 769499 0 0 0 948 0 5600 0 20564 0 796611 0 0 0 JEFFERY SWARTZ PHYSICIAN 291752 0 0 0 1687 0 5051 0 20160 0 318650 0 0 0 MICHAEL LEMON PHYSICIAN 309350 0 0 0 2056 0 4616 0 20233 0 336255 0 0 0 LILLIAN MILLER PHYSICIAN 301064 0 0 0 1296 0 5600 0 20190 0 328150 0 0 0 PART I, LINE 1A FITNESS FACILITY BENEFIT: ACCORDING TO THE ECONOMIC BENEFITS OF REGULAR EXERCISE, RESEARCHERS HAVE FOUND THAT THE RETURN ON INVESTMENT AMONG COMPANIES THAT OFFER WELLNESS BENEFITS RANGES FROM $1.49 TO $13 FOR EVERY DOLLAR INVESTED. WELLNESS-ORIENTED SERVICES IN BOTH A FITNESS FACILITY AND THE WORKPLACE PROGRAMS WE OFFER THROUGH WELLNESS ARE PROVEN TO HELP ADDRESS OUR HEALTH GOALS, REDUCE THE IMPACT OF OBESITY RATES, AND IMPROVE BUSINESS PROFITABILITY. WOOD COUNTY HOSPITAL INVESTS IN EMPLOYEE HEALTH BY PAYING A FIXED AMOUNT OF $62.50 TO ALL EMPLOYEES, INCLUDING EXECUTIVES, WHO JOIN A FITNESS FACILITY WHERE THEY CAN WORK OUT. WOOD COUNTY HOSPITAL, LIKE OTHER EMPLOYERS, ARE AWARE THAT A FITNESS BENEFIT REDUCES EMPLOYEE HEALTH CARE EXPENSES, LOWERS RATES OF ABSENTEEISM, REDUCES DISABILITY AND WORKERS' COMPENSATION CLAIMS AND HELPS TO ATTRACT AND RETAIN TALENTED EMPLOYEES. STUDIES SHOW THAT EMPLOYEES WHO EXERCISE AT LEAST ONCE A WEEK, REGARDLESS OF THEIR WEIGHT, HAVE LOWER HEALTH CARE COSTS THAN THEIR SEDENTARY CO-WORKERS. ONE STUDY, IN FACT, SHOWED THAT ACTIVE EMPLOYEES TAKE 27 PERCENT FEWER SICK DAYS AND REPORT 14 TO 25 PERCENT FEWER DISABILITY DAYS THAN INACTIVE EMPLOYEES. WHILE ONLY 16% OF THE AMERICAN POPULATION CURRENTLY BELONGS TO A HEALTH CLUB, MEMBERSHIP HAS INCREASED MORE THAN 10% OVER THE PAST THREE YEARS TO OVER 50.2 MILLION MEMBERS, DESPITE THE POOR ECONOMY. WITH AN IMPROVED ECONOMIC OUTLOOK, CLUBS ACROSS THE COUNTRY ARE GEARING UP FOR MORE DEMAND THAN THEY'VE SEEN IN YEARS. THESE HEALTH CLUB DUES ARE NOT INCLUDED IN EMPLOYEES' TAXABLE COMPENSATION. A WOOD COUNTY 346401607 978303BH7 2012-12-06 57172853 REFINANCE OF 2008 ISSUE FOR NEW TOWER, EMERGENCY, ETC. 0 0 0 A 57172853 4316000 42746051 775794 5468058 3866950 1 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT 990 IS PREPARED AND MEMBERS NOTIFIED THAT IT IS AVAILABLE FOR REVIEW & COMMENT. ANY QUESTIONS ARE DISCUSSED AND HANDLED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 12C EVERY 2 YEARS ALL BOARD MEMBERS AND VICE PRESIDENTS ARE ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE. THESE DOCUMENTS ARE RETAINED IN ADMINISTRATION. ANY IDENTIFIED CONFLICTS ARE ADDRESSED BY THE BOARD OR CEO AS APPROPRIATE. ACTION TAKEN WOULD BE CONTINGENT UPON THE TYPE OF CONFLICT RANGING FROM DISCLOSURE ONLY TO ABSTAINING FROM VOTES OR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, AN EVALUATION IS SENT TO BOARD MEMBERS AND KEY EMPLOYEES TO DETERMINE COMPENSATION FOR THE CEO AND OTHER OFFICERS. THE BOARD COMPENSATION COMMITTEE MEETS TO REVIEW INPUT FROM THOSE QUERIED. COMPARATIVE WAGE DATA IS OBTAINED FROM OHA AND OTHER INDUSTRY REPORTING SERVICES. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD AND A VOTE IS TAKEN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,523,198. MANAGEMENT AND GENERAL EXPENSES 1,391,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,914,665. FORM 990, PART XI, LINE 9: POST RETIREMENT RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 90,541. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION -4,047,939. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -67,730. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -7,034,888. NET PERIODIC PENSION BENEFIT 399,524. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WOOD HEALTH COMPANY 950 W WOOSTER STREET BOWLING GREEN OH 43402 810616720 FAMILY HEALTH AND SPECIALIZED CARE OH 13116421 2220744 WOOD COUNTY HOSPITAL WOOD COUNTY WOMEN'S CARE 755 HASKING ROAD BOWLING GREEN OH 43402 810565899 WOMEN'S HEALTH CARE OH 2003432 619770 WOOD COUNTY HOSPITAL FALCON HEALTH CENTER 830 E WOOSTER STREET BOWLING GREEN OH 43402 462101028 PHYSICIAN OFFICES OH 1549683 5608541 WOOD COUNTY HOSPITAL WOOD COUNTY HOSPITAL FOUNDATION 950 W WOOSTER ST BOWLING GREEN OH 43402 341546464 TO OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THOSE GIFTS & DISBURSE THEM OH 501(C)(3) LINE 12A, I WOOD COUNTY HOSPITAL 1 WCH MEDICAL BLDG 950 W WOOSTER ST BOWLING GREEN OH 43402 341114700 MEDICAL OFFICE BUILDING OH 501(C)(3) LINE 3 WOOD COUNTY HOSPITAL 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 WOOD COUNTY HOSPITAL FOUNDATION C 5019751 ACTUAL