WOOD COUNTY HOSPITAL ASSN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WOOD COUNTY HOSPITAL ASSN (EIN 34-4440884)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-06
IRS object ID
202031889349301833
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-06T13:42:32-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19200 WORTHINGTON RD STE 200AddressLine1Txt
CityWESTERVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43082ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344440884EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWOODBusinessNameControlTxt
Phone4193548900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STREETAddressLine1Txt
CityBOWLING GREENCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAROL D BORTELPersonNm
Person TitleCFOPersonTitleTxt
Phone4193548900PhoneNum
Signature2020-07-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATHAN A RODGERS CPAPreparerPersonNm
PTINP01568275PTIN
Phone6148852583PhoneNum
Preparation2020-06-24PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.227.233.166IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-06IPDt
IP Tm10:49:27IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdCF253C16AA79457DBB141110F0942FA5491417DBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAROL D BORTELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STREETAddressLine1Txt
CityBOWLING GREENCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43402ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$120,230,734GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WOODCOUNTYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE 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.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee939TotalEmployeeCnt
Total Volunteers252TotalVolunteersCnt
Total Gross UBI$15,942TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$8,247NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,134,350PYContributionsGrantsAmt
CY Contributions Grants$1,038,439CYContributionsGrantsAmt
PY Program Service Revenue$107,176,754PYProgramServiceRevenueAmt
CY Program Service Revenue$113,607,224CYProgramServiceRevenueAmt
PY Investment Income$1,783,933PYInvestmentIncomeAmt
CY Investment Income$2,237,185CYInvestmentIncomeAmt
PY Other Revenue$3,218,698PYOtherRevenueAmt
CY Other Revenue$3,293,228CYOtherRevenueAmt
PY Total Revenue$114,313,735PYTotalRevenueAmt
CY Total Revenue$120,176,076CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,947,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$56,700,716CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$54,645,496PYOtherExpensesAmt
CY Other Expenses$61,181,605CYOtherExpensesAmt
PY Total Expenses$113,592,658PYTotalExpensesAmt
CY Total Expenses$117,882,321CYTotalExpensesAmt
PY Revenues Less Expenses$721,077PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,293,755CYRevenuesLessExpensesAmt
Total Assets BOY$203,355,280TotalAssetsBOYAmt
Total Assets EOY$200,891,243TotalAssetsEOYAmt
Total Liabilities BOY$63,617,783TotalLiabilitiesBOYAmt
Total Liabilities EOY$64,772,143TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$139,737,497NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$136,119,100NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWOOD COUNTY HOSPITAL'S MISSION IS TO PROVIDE THE HIGHEST QUALITY PREVENTATIVE, RESTORATIVE, EDUCATIONAL AND REHABILITATION HEALTH CARE SERVICES TO ALL. 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 2018, 22,981 INDIVIDUALS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT. MEDICAL CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, $86,914,912 WAS THE VALUE OF SERVICES PROVIDED WHERE THE HOSPITAL DID NOT RECEIVE FULL PAYMENT. OF THIS, $2,026,390 WAS CHARITY CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$93,621,105ExpenseAmt
Revenue$116,262,441RevenueAmt
DescWOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 2,609 INPATIENTS, 355 NEWBORNS, AND 99,338 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/19. 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 $2,028,784.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescWOOD HEALTH COMPANY IS COMPRISED OF 13 DIFFERENT MEDICAL PRACTICES THAT RANGE IN SPECIALTY: PEDIATRICS, BARIATRIC, UROLOGY, WOMENS CARE, CLINICS AND FAMILY MEDICINE. WOOD HEALTH COMPANY PROVIDED 107,137 SERVICES TO THE COMMUNITY. IN KEEPING TO OUR COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WOOD HEALTH COMPANY PROVIDED $30,233 IN CHARITY CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$93,621,105TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee939EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAROL D BORTELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4193548900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STAddressLine1Txt
CityBOWLING GREENCityNm
State AbbreviationOHStateAbbreviationCd
ZIP434022699ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM CULBERTSON
CHAIR1.00Yes (X)Yes (X)$0$0$0
MICHAEL MARSH
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
RICHARD BARKER MD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MICHAEL FATZINGER
MEMBER1.00Yes (X)$0$0$0
GAYLYN FINN
MEMBER1.00Yes (X)$0$0$0
DORIS HERRINGSHAW
MEMBER1.00Yes (X)$0$0$0
DIANE HUFFMAN
MEMBER1.00Yes (X)$0$0$0
DIANE HOOPS
MEMBER1.00Yes (X)$0$0$0
STEVEN PATTON
MEMBER1.00Yes (X)$0$0$0
DR THOMAS WOJCIECHOWSKI
MEMBER1.00Yes (X)$0$203,621$3,824
STANLEY KORDUCKI
CEO40.00Yes (X)Yes (X)$339,787$0$40,471
KAROL BORTEL
CFO40.00Yes (X)$146,620$0$22,065
JOANNE WHITE
CIO-TERM ENDED SEP'1840.00Yes (X)$120,133$0$6,902
MICHAEL REEVES
CIO-TERM BEGAN SEP'1840.00Yes (X)$62,807$0$1,496
CARLOS GOMEZ OROZCO
PHYSICIAN40.00$696,775$0$21,751Yes (X)
PETER LALOR
PHYSICIAN40.00$856,103$0$25,491Yes (X)
HARES AKBARY
PHYSICIAN40.00$577,496$0$3,462Yes (X)
ROBERT LAVEY
PHYSICIAN40.00$408,499$0$18,658Yes (X)
LILLIAN MILLER
PHYSICIAN40.00$335,211$0$24,619Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,543,431TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$203,621TotReportableCompRltdOrgAmt
Total Other Compensation$168,739TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K53IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WOOD ANESTHESIA & PAIN BILLING MANAGEME
PO BOX 634850CINCINNATIOH45263ANESTHESIOLOGISTS$3,431,629
TECHNICORE CLINICAL ENGINEERING
PO BOX 1210FINDLAYOH45839SERVICE AGREEMENT$437,068
BLUE & CO LLC
PO BOX 66568INDIANAPOLISIN46266AUDITING$143,552
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$996,118RelatedOrganizationsAmt
All Other Contributions$42,321AllOtherContributionsAmt
Total Contributions$1,038,439TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$113,607,224TotalRevenueColumnAmt
Related Or Exempt Func Income$113,591,282RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,942UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$113,607,224TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,409,701TotalRevenueColumnAmt
Exclusion$1,409,701ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$673,908RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$54,655RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$619,253RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$619,253TotalRevenueColumnAmt
Exclusion$619,253ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$827,484SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$827,484SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$827,484TotalRevenueColumnAmt
Exclusion$827,484ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,819GrossSalesOfInventoryAmt
Cost Of Goods Sold$3CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,816TotalRevenueColumnAmt
Exclusion$2,816ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NUTRITION/MEALS/VENDING900099$837,092$837,092
LEASED EMPLOYEES900099$573,108$573,108

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,260,959TotalRevenueColumnAmt
Related Or Exempt Func Income$1,260,959RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,671,159OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,176,076TotalRevenueColumnAmt
Related Or Exempt Func Income$116,262,441RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,942UnrelatedBusinessRevenueAmt
Exclusion$2,859,254ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$740,281TotalAmt
Program Services$540,405ProgramServicesAmt
Management And General$199,876ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,835,224TotalAmt
Program Services$31,999,714ProgramServicesAmt
Management And General$11,835,510ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,568,041TotalAmt
Program Services$1,144,670ProgramServicesAmt
Management And General$423,371ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,476,617TotalAmt
Program Services$5,457,930ProgramServicesAmt
Management And General$2,018,687ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,080,553TotalAmt
Program Services$2,248,804ProgramServicesAmt
Management And General$831,749ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,853TotalAmt
Program Services$26,868ProgramServicesAmt
Management And General$2,985ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,022,324TotalAmt
Program Services$12,620,092ProgramServicesAmt
Management And General$1,402,232ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,303,802TotalAmt
Program Services$1,173,422ProgramServicesAmt
Management And General$130,380ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$996,642TotalAmt
Program Services$896,978ProgramServicesAmt
Management And General$99,664ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,901,805TotalAmt
Program Services$3,511,625ProgramServicesAmt
Management And General$390,180ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,909,229TotalAmt
Program Services$3,893,834ProgramServicesAmt
Management And General$2,015,395ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$100,433TotalAmt
Program Services$90,390ProgramServicesAmt
Management And General$10,043ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$161,359TotalAmt
Program Services$145,223ProgramServicesAmt
Management And General$16,136ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,617,930TotalAmt
Program Services$2,356,137ProgramServicesAmt
Management And General$261,793ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,290,552TotalAmt
Program Services$6,052,103ProgramServicesAmt
Management And General$2,238,449ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$285,103TotalAmt
Program Services$256,593ProgramServicesAmt
Management And General$28,510ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIE$21,100,969$18,990,872$2,110,097
OHIO FRANCHISE & OTHER$1,559,774$1,403,797$155,977
DUES & LICENSES$359,745$323,771$35,974
JOURNALS & SUBSCRIPTION$23,765$21,389$2,376

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$518,320TotalAmt
Program Services$466,488ProgramServicesAmt
Management And General$51,832ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$117,882,321TotalAmt
Program Services$93,621,105ProgramServicesAmt
Management And General$24,261,216ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,234BOYAmt
EOY$3,234EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,895,705BOYAmt
EOY$35,978,742EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,567,315BOYAmt
EOY$12,706,186EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$240,419BOYAmt
EOY$135,308EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,044,259BOYAmt
EOY$2,079,165EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,463,830BOYAmt
EOY$2,483,093EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$136,331,172LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$84,329,186LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,800,133BOYAmt
EOY$52,001,986EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,977,729BOYAmt
EOY$57,062,602EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,116,572BOYAmt
EOY$2,133,611EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$15,497EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$38,246,084BOYAmt
EOY$36,291,819EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$203,355,280BOYAmt
EOY$200,891,243EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,868,047BOYAmt
EOY$6,502,874EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,676,087BOYAmt
EOY$55,273,722EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,073,649BOYAmt
EOY$2,995,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,617,783BOYAmt
EOY$64,772,143EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$104,812,372BOYAmt
EOY$100,816,617EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,808,553BOYAmt
EOY$33,168,872EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,116,572BOYAmt
EOY$2,133,611EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$139,737,497BOYAmt
EOY$136,119,100EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$203,355,280BOYAmt
EOY$200,891,243EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,293,755ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$160,549NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,072,701OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,626OtherActivitiesAmt
Total Lobbying Expenditures$2,626TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationAMOUNT REPRESENTS THE PORTION OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OHIO HOSPITAL ASSOCIATION DUES ALLOCATED TO LOBBYING AS DISCLOSED BY THE HOSPITAL ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,771,368OtherCostOrOtherBasisAmt
Book Value$1,771,368BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,043,334OtherCostOrOtherBasisAmt
Depreciation$13,301,472DepreciationAmt
Book Value$15,741,862BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,122,173OtherCostOrOtherBasisAmt
Depreciation$71,027,714DepreciationAmt
Book Value$34,094,459BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$394,297OtherCostOrOtherBasisAmt
Book Value$394,297BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,001,986TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
INTEREST IN WOOD COUNTY HOSPITAL FOUNDATION$33,168,872
INVESTMENT IN JOINT VENTURES$541,778
PENSION ASSET$1,276,904
MISCELLANEOUS RECEIVABLES$321,832
THIRD PARTY SETTLEMENT$112,642
RELATED PARTY RECEIVABLE$14,803
OTHER ASSETS$854,988
FieldValueIRS element (for citing)
Total Book Value Other Assets$36,291,819TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPENSION LIABILITYDesc
Amt$2,995,547Amt
FieldValueIRS element (for citing)
Total Liability$2,995,547TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING 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, 2019 AND 2018, 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, 2018 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).ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,323,592TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,587,006DirectOffsettingRevenueAmt
Net Community Benefit Expns$736,586NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,558,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,703,247DirectOffsettingRevenueAmt
Net Community Benefit Expns$855,306NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,882,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,290,253DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,591,892NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs42ActivitiesOrProgramsCnt
Persons Served6333PersonsServedCnt
Total Community Benefit Expns$212,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,449DirectOffsettingRevenueAmt
Net Community Benefit Expns$98,809NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$29,800TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,800NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,500NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served27520PersonsServedCnt
Total Community Benefit Expns$154,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,050DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,045NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs52ActivitiesOrProgramsCnt
Persons Served34053PersonsServedCnt
Total Community Benefit Expns$516,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$209,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$306,154NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs52ActivitiesOrProgramsCnt
Persons Served34053PersonsServedCnt
Total Community Benefit Expns$16,398,298TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,500,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,898,046NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense$6,507,716BadDebtExpenseAmt
Reimbursed By Medicare$15,785,306ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,401,104CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,615,798MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 WOOD CARE NETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMESSENGER MODEL PHOPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STAddressLine1Txt
CityBOWLING GREENCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43402ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.WOODCOUNTYHOSPITAL.ORG/WebsiteAddressTxt
State License1295StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3270/FAP-3-25-19.PDFFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3272/REVISED-HCAP-APP-2014.PDFFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WOOD COUNTY HOSPITAL ASSOCIATIONPART 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 ASSOCIATIONPART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE WOOD COUNTY HEALTH DISTRICT.
WOOD COUNTY HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 11: WOOD COUNTY HOSPITAL ADDRESSED THE FOLLOWING NEEDS DURING TAX YEAR 2017:HEALTH NEED IDENTIFIED: DECREASE OBESITYACTIONS TAKEN:1. PROMOTED BREASTFEEDING BY INTRODUCING AND PILOTING THE TEN STEPS TO SUCCESSFUL BREASTFEEDING FROM THE BABY FRIENDLY HOSPITAL INITIATIVE. MOST OF THESE STEPS HAVE BEEN IMPLEMENTED AND MOTHERS ARE ENCOURAGED TO BREASTFEED.2. EXPANDED "WALK WITH A DOC" PROGRAM BY LEVERAGING ALL HOSPITAL AND LOCAL COMMUNICATION CHANNELS TO PROMOTE OTHER WELLNESS PROGRAMMING VIA SOCIAL MEDIA, NEWSLETTERS, AND PUBLIC SERVICE ANNOUNCEMENTS. 3. INCREASED NUTRITION/PHYSICAL EDUCATION MATERIALS BEING OFFERED TO PATIENTS BY PRIMARY CARE PROVIDERS WHICH INCLUDING ENLISTING AT LEAST 3 PRIMARY CARE PHYSICIAN OFFICES IN TRAININGS ON NUTRITION AND PHYSICAL ACTIVITY BEST PRACTICES.HEALTH NEED IDENTIFIED: INCREASE HEALTHCARE ACCESS AND UTILIZATIONACTIONS TAKEN:1. IMPROVED ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE BY INCREASING THE NUMBER OF PRIMARY CARE AND MID-LEVEL PROVIDERS THROUGH RECRUITMENT AND RETENTION ACTIVITIES.2. INCREASE AWARENESS OF HEALTHCARE SERVICES AND EDUCATION ON PREVENTIVE CARE BY INCREASING COMMUNITY OUTREACH AND EDUCATION ON AVAILABLE HEALTH SERVICES AT FREE OR REDUCED COSTS, INCREASING COMMUNITY EDUCATION ON THE IMPORTANCE OF PREVENTIVE HEALTH CARE, UPDATING 2-1-1 TO REFLECT ALL ORGANIZATIONS PROVIDING FREE OR REDUCED COST HEALTH CARE SERVICES, AND INCREASING AWARENESS AND EDUCATION ON USING 2-1-1 AS A COMMUNITY RESOURCE.
WOOD COUNTY HOSPITAL ASSOCIATIONPART 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:HTTP://WOODCOUNTYHEALTH.ORG/REPORTS/DOCUMENTS/2018%20WOOD%20COUNTY%20COMMUNITY%20HEALTH%20ASSESSMENT.PDF

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 STATESOH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR THOMAS WOJCIECHOWSKI
MEMBER$0$200,289$0$0$0$3,332$0$3,537$0$287$0$207,445$0$0
STANLEY KORDUCKI
CEO$335,422$0$0$0$4,365$0$20,804$0$19,667$0$380,258$0$0$0
KAROL BORTEL
CFO$145,828$0$0$0$792$0$2,654$0$19,411$0$168,685$0$0$0
CARLOS GOMEZ OROZCO
PHYSICIAN$695,842$0$0$0$933$0$1,481$0$20,270$0$718,526$0$0$0
PETER LALOR
PHYSICIAN$855,253$0$0$0$850$0$5,500$0$19,991$0$881,594$0$0$0
HARES AKBARY
PHYSICIAN$577,234$0$0$0$262$0$3,071$0$391$0$580,958$0$0$0
ROBERT LAVEY
PHYSICIAN$405,671$0$0$0$2,828$0$5,500$0$13,158$0$427,157$0$0$0
LILLIAN MILLER
PHYSICIAN$334,656$0$0$0$555$0$5,051$0$19,568$0$359,830$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationFITNESS 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN346401607BondIssuerEIN
CUSIP978303BH7CUSIPNum
Bond Issued2012-12-06BondIssuedDt
Issue Price$57,172,853IssuePriceAmt
PurposeREFINANCE OF 2008 ISSUE FOR NEW TOWER, EMERGENCY, ETC.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$57,172,853TotalProceedsAmt
In Reserve Fund$4,316,000InReserveFundAmt
Refunding Escrow$42,746,051RefundingEscrowAmt
Issuance Costs From Proceeds$775,794IssuanceCostsFromProceedsAmt
Capital Expenditures$5,468,058CapitalExpendituresAmt
Other Spent Proceeds$3,866,950OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec Maint0AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CEVERY 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 15ANNUALLY, 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 19THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,620,092. MANAGEMENT AND GENERAL EXPENSES 1,402,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,022,324.
FORM 990, PART XI, LINE 9:POST RETIREMENT RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 28,202. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION 360,319. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 17,039. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -6,478,261.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WOOD HEALTH COMPANY
950 W WOOSTER STREETBOWLING GREENOH43402810616720FAMILY HEALTH AND SPECIALIZED CAREOH$12,875,947$3,179,091WOOD COUNTY HOSPITAL
WOOD COUNTY WOMEN'S CARE
755 HASKING ROADBOWLING GREENOH43402810565899WOMEN'S HEALTH CAREOH$2,263,255$1,288,170WOOD COUNTY HOSPITAL
FALCON HEALTH CENTER
830 E WOOSTER STREETBOWLING GREENOH43402462101028PHYSICIAN OFFICESOH$1,998,650$5,972,525WOOD COUNTY HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WOOD COUNTY HOSPITAL FOUNDATION
950 W WOOSTER STBOWLING GREENOH43402341546464TO OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THOSE GIFTS & DISBURSE THEMOH501(C)(3)LINE 12A, IWOOD COUNTY HOSPITALYes (1)
WCH MEDICAL BLDG
950 W WOOSTER STBOWLING GREENOH43402341114700MEDICAL OFFICE BUILDINGOH501(C)(3)LINE 3WOOD COUNTY HOSPITALYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$996,118InvolvedAmt
Method Of Amount DeterminationACTUALMethodOfAmountDeterminationTxt

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