2019-05-13T09:54:43-05:00 2018-06-30 351178661 BLUE & CO LLC 9200 WORTHINGTON RD STE 200 WESTERVILLE OH 43082 990 2017-07-01 344440884 WOOD COUNTY HOSPITAL ASSOCIATION WOOD 4193548900 950 W WOOSTER STREET BOWLING GREEN OH 43402 KAROL D BORTEL CFO 4193548900 2019-05-13 1 MARGOT BURKE CPA P01588992 6148852583 2019-05-10 165.225.0.63 2019-05-13 09:54:39 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 668E3E4A1B31A83BC20F15E14B7D011B91900C56 2017 2019-02-21 02:37:17Z KAROL D BORTEL 950 W WOOSTER STREET BOWLING GREEN OH 43402 114403128 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 10 914 240 15287 9610 1642573 2134350 111552383 107176754 1995542 1783933 2706830 3218698 117897328 114313735 0 0 0 0 57557381 58947162 0 0 0 61007060 54645496 118564441 113592658 -667113 721077 200482928 203355280 65576805 63617783 134906123 139737497 X WOOD 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. 0 0 73958812 109744930 WOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 2,500 INPATIENTS, 363 NEWBORNS, AND 99,705 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/18. 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 $2,002,790. WOOD HEALTH COMPANY IS COMPRISED OF 16 DIFFERENT MEDICAL PRACTICES THAT RANGE IN SPECIALTY: PEDIATRICS, BARIATRIC, UROLOGY, WOMENS CARE, CLINICS AND FAMILY MEDICINE. WOOD HEALTH COMPANY PROVIDED 109,253 SERVICES TO THE COMMUNITY. IN KEEPING TO OUR COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WOOD HEALTH COMPANY PROVIDED $23,600 IN CHARITY CARE. 73958812 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 64 0 1 914 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 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 WILLIAM CULBERTSON CHAIR 1.00 X X 0 0 0 MICHAEL MARSH VICE CHAIR 1.00 X X 0 0 0 RICHARD BARKER MD SECRETARY 1.00 X 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 STEVEN PATTON MEMBER 1.00 X 0 0 0 DR THOMAS WOJCIECHOWSKI MEMBER 1.00 X 0 0 0 STANLEY KORDUCKI CEO 40.00 X X 324526 0 41003 KAROL BORTEL CFO 40.00 X 144039 0 20662 JOANNE WHITE CIO 40.00 X 173315 0 7540 HARES AKBARY PHYSICIAN 40.00 X 1310200 0 1471 PETER LALOR PHYSICIAN 40.00 X 811470 0 25335 ROBERT LAVEY PHYSICIAN 40.00 X 635485 0 23305 LILLIAN MILLER PHYSICIAN 40.00 X 290243 0 18381 ABEER AHMED PHYSICIAN 40.00 X 285131 0 21025 3974409 0 158722 54 0 1 0 WOOD ANESTHESIA & PAIN BILLING MANAGEME PO BOX 634850 CINCINNATI OH 45263 ANESTHESIOLOGISTS 3802155 TECHNICORE CLINICAL ENGINEERING PO BOX 1210 FINDLAY OH 45839 SERVICE AGREEMENT 441766 BLUE & CO LLC PO BOX 66568 INDIANAPOLIS IN 46266 AUDITING 166429 3 2000000 134350 2134350 PATIENT SERVICE REVENUE 900099 107176754 107161467 15287 107176754 1045847 1045847 722432 89361 633071 633071 633071 737136 950 0 0 737136 950 738086 738086 2196 32 2164 2164 NUTRITION/MEALS/VENDING 900099 809340 809340 LEASED EMPLOYEES 900099 537257 537257 1236866 1236866 2583463 114313735 109744930 15287 2419168 637024 401325 235699 45723386 33378072 12345314 1817316 1326641 490675 6186310 6186310 4583126 3345682 1237444 1251410 1251410 52495 52495 7047870 6343083 704787 699583 699583 27722051 24949846 2772205 2653817 2388435 265382 2115720 2115720 78802 43341 35461 111638 61401 50237 2682518 2682518 8351503 8351503 516216 516216 EQUIPMENT RENTAL AND MA 1361873 1021403 340470 113592658 73958812 39633846 0 2984 3234 29492543 31895705 12749271 12567315 113602 240419 1873856 2044259 1589545 2463830 133864295 76064162 59866735 57800133 58300270 55977729 2100066 2116572 34394056 38246084 200482928 203355280 5019098 4868047 56260874 55676087 633479 3663354 3073649 65576805 63617783 X 100453473 104812372 32352584 32808553 2100066 2116572 134906123 139737497 200482928 203355280 X 721077 1575170 2535127 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1370 1370 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 29043334 12470919 16572415 101725307 63593243 38132064 1324286 1324286 57800133 INTEREST IN WOOD COUNTY HOSPITAL FOUNDATION 32808553 INVESTMENT IN JOINT VENTURES 629465 PENSION ASSET 4448390 MISCELLANEOUS RECEIVABLES 359676 38246084 PENSION LIABILITY 2984867 ESTIMATED THIRD PARTY SETTLEMENTS 88782 3073649 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, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING 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 FINANCIAL STATEMENTS WERE AVAILABLE TO BE 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 2307223 1402435 904788 0.00800 15683736 14971931 711805 0.00630 17990959 16374366 1616593 0.01430 204797 93158 111639 0.00100 29500 29500 0.00030 130610 33850 96760 0.00090 97333 97333 0.00090 462240 127008 335232 0.00310 18453199 16501374 1951825 0.01740 1 100 350 350 0.00000 1 100 350 350 0.00000 1 6473973 14040094 18512164 -4472070 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 15 1 0 1 1 X HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG 1 15 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 DEVELOPMENTFOUR SURVEY INSTRUMENTS WERE DESIGNED AND PILOT TESTED FOR THIS STUDY: ONE FOR ADULTS, ONE FOR ADOLESCENTS, ONE FOR PARENTS OF CHILDREN AGES 0-5, AND ONE FOR PARENTS OF CHILDREN AGES 6-11. AS A FIRST STEP IN THE DESIGN PROCESS, HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO AND STAFF MEMBERS FROM THE HOSPITAL COUNCIL OF NW OHIO 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 AND ADOLESCENTS. THE INVESTIGATORS DECIDED TO DERIVE THE MAJORITY OF THE ADULT SURVEY ITEMS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE MAJORITY OF THE SURVEY ITEMS FOR THE ADOLESCENT SURVEY WERE DERIVED FROM THE YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS). THE MAJORITY OF THE SURVEY ITEMS FOR THE PARENTS OF CHILDREN 0-11 WERE DERIVED FROM THE NATIONAL SURVEY OF CHILDREN'S HEALTH (NSCH). THIS DECISION WAS BASED ON BEING ABLE TO COMPARE LOCAL DATA WITH STATE AND NATIONAL DATA.THE PROJECT COORDINATOR FROM THE HOSPITAL COUNCIL OF NW OHIO CONDUCTED A SERIES OF MEETINGS WITH THE PLANNING COMMITTEE FROM WOOD COUNTY. DURING THESE MEETINGS, BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS, YRBSS, AND NSCH SURVEYS WERE REVIEWED AND DISCUSSED. BASED ON INPUT FROM THE WOOD COUNTY PLANNING COMMITTEE, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 112 ITEMS FOR THE ADULT SURVEY, 73 ITEMS FOR THE ADOLESCENT SURVEY, 71 ITEMS FOR THE 0-5 SURVEY, AND 79 ITEMS FOR THE 6-11 SURVEY. THE DRAFTS WERE REVIEWED AND APPROVED BY HEALTH EDUCATION RESEARCHERS AT THE UNIVERSITY OF TOLEDO.THE RESPONSE RATE FOR THE MAILING WAS 37% (N=360: CI=5.16). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY.ADOLESCENT SURVEYTHE SURVEY WAS APPROVED BY ALL SUPERINTENDENTS. SCHOOLS AND GRADES WERE RANDOMLY SELECTED. EACH STUDENT IN THAT GRADE HAD TO HAVE AN EQUAL CHANCE OF BEING IN THE CLASS THAT WAS SELECTED, SUCH AS A GENERAL ENGLISH OR HEALTH CLASS. CLASSROOMS WERE CHOSEN BY THE SCHOOL PRINCIPAL. PASSIVE PERMISSION SLIPS WERE MAILED HOME TO PARENTS OF ANY STUDENT WHOSE CLASS WAS SELECTED TO PARTICIPATE. THE RESPONSE RATE WAS 97% (N=452). THE SURVEY CONTAINED 73 QUESTIONS AND HAD A MULTIPLE CHOICE RESPONSE FORMAT.CHILDREN 0-5 AND 6-11PRIOR TO MAILING THE SURVEY TO PARENTS OF 0-11 YEAR OLDS, AN ADVANCE LETTER WAS MAILED TO 1,600 PARENTS IN WOOD COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED, PRINTED ON WOOD COUNTY HEALTH PARTNERS STATIONERY AND WAS SIGNED BY PAMELA BUTLER, HEALTH COMMISSIONER, WOOD COUNTY HEALTH DEPARTMENT, AND STAN KORDUCKI, CEO, 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.TWO 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 HEALTHY WOOD COUNTY STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY; A QUESTIONNAIRE PRINTED ON COLORED PAPER; A SELF-ADDRESSED STAMPED RETURN ENVELOPE; AND A $2 INCENTIVE. APPROXIMATELY TWO WEEKS AFTER THE FIRST MAILING, A SECOND WAVE MAILING INCLUDED ANOTHER PERSONALIZED COVER LETTER ENCOURAGING THEM TO REPLY, ANOTHER COPY OF THE QUESTIONNAIRE ON COLORED PAPER, AND ANOTHER REPLY ENVELOPE. A THIRD WAVE POSTCARD WAS SENT TWO WEEKS AFTER THE SECOND WAVE MAILING. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT.BECAUSE MUCH OF THE OUTPUT COMBINES IDENTICAL ITEMS FROM THE 0-5 AND THE 6-11 SURVEYS, THE NUMBER OF RETURNED SURVEYS NEEDED FOR POWER OF THE COMBINED POPULATION (N=17,437) WAS 370 AND THIS WAS EXCEEDED BY HAVING A COMBINED 515 SURVEYS.DATA ANALYSISINDIVIDUAL RESPONSES WERE ANONYMOUS AND CONFIDENTIAL. ONLY GROUP DATA ARE AVAILABLE. ALL DATA WAS ANALYZED BY HEALTH EDUCATION RESEARCHERS AT THE UNIVERSITY OF TOLEDO USING STATISTICAL FOR THE SOCIAL SCIENCES (SPSS) 17.0. CROSSTABS WERE USED TO CALCULATE DESCRIPTIVE STATISTICS FOR THE DATA PRESENTED IN THIS REPORT. TO BE REPRESENTATIVE OF WOOD COUNTY, THE ADULT DATA COLLECTED WAS WEIGHTED BY AGE, GENDER, RACE, AND INCOME USING 2010 CENSUS DATA. MULTIPLE WEIGHTINGS WERE CREATED BASED ON THIS INFORMATION TO ACCOUNT FOR DIFFERENT TYPES OF ANALYSES.LIMITATIONSAS WITH ALL COUNTY ASSESSMENTS, IT IS IMPORTANT TO CONSIDER THE FINDINGS IN LIGHT OF ALL POSSIBLE LIMITATIONS. FIRST, THE WOOD COUNTY ADULT ASSESSMENT HAD A HIGH RESPONSE RATE. HOWEVER, IF ANY IMPORTANT DIFFERENCES EXISTED BETWEEN THE RESPONDENTS AND THE NON-RESPONDENTS REGARDING THE QUESTIONS ASKED, THIS WOULD REPRESENT A THREAT TO THE EXTERNAL VALIDITY OF THE RESULTS (THE GENERALIZABILITY OF THE RESULTS TO THE POPULATION OF WOOD COUNTY). IF THERE WERE LITTLE TO NO DIFFERENCES BETWEEN RESPONDENTS AND NON-RESPONDENTS, THEN THIS WOULD NOT BE A LIMITATION.SECOND, IT IS IMPORTANT TO NOTE THAT, ALTHOUGH SEVERAL QUESTIONS WERE ASKED USING THE SAME WORDING AS THE CENTER OF DISEASE CONTROL (CDC) QUESTIONNAIRES AND THE NSCH QUESTIONNAIRE, THE ADULT AND PARENT DATA COLLECTION METHOD DIFFERED. CDC ADULT DATA AND NSCH CHILD DATA WERE COLLECTED USING A SET OF QUESTIONS FROM THE TOTAL QUESTION BANK AND ADULTS WERE ASKED THE QUESTIONS OVER THE TELEPHONE RATHER THAN AS A MAIL SURVEY. THE YOUTH CDC SURVEY WAS ADMINISTERED IN SCHOOLS IN A SIMILAR FASHION AS THIS COUNTY HEALTH ASSESSMENT.THIRD, THIS WAS THE FIRST TIME THAT PARENTS OF CHILDREN AGES 0-11 WERE SURVEYED IN WOOD COUNTY. BEING A NEW INSTRUMENT, THERE MAY HAVE BEEN QUESTIONS THAT WOULD BE WORDED DIFFERENTLY OR ADDITIONAL ITEMS THAT WOULD BE ASKED THE NEXT TIME THIS ASSESSMENT IS COMPLETED.FINALLY, THIS SURVEY ASKED PARENTS QUESTIONS REGARDING THEIR YOUNG CHILDREN. SHOULD ENOUGH PARENTS FEEL COMPELLED TO RESPOND IN A SOCIALLY DESIRABLE MANNER WHICH IS NOT CONSISTENT WITH REALITY, THIS WOULD REPRESENT A THREAT TO THE INTERNAL VALIDITY OF THE RESULTS. 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: 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 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, INC. SCHEDULE H, PART V, LINE 16C, PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/MEDIA/3225/PLAIN-LANGUAGE-SUMMARY-FINANCIAL-POLICY.PDF 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE ASSOCIATION'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 ASSOCIATION 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. THE JUNE 30, 2018 AND 2017 ALLOWANCE FOR DOUBTFUL ACCOUNTS OF $4,338,000 AND $3,792,000 RESPECTIVELY, RELATES TO RESERVES FOR SELF-PAY BALANCES. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON A PERCENTAGE OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018 AND 2017. THE ASSOCIATION'S SELF-PAY WRITE-OFFS DECREASED BY $1,817,768 FROM $7,745,909 FOR 2017 TO $5,928,141 FOR 2018. THE DECREASE IN WRITE-OFFS IS THE RESULT OF AN INCREASE IN PAYMENT EXPERIENCE IN THE CURRENT YEAR. THE ASSOCIATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. 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 SEVENTEEN 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 2012, 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 STANLEY KORDUCKI CEO 320335 0 0 0 4191 0 20185 0 20818 0 365529 0 0 0 KAROL BORTEL CFO 143540 0 0 0 499 0 2573 0 18089 0 164701 0 0 0 JOANNE WHITE CIO 173148 0 0 0 167 0 249 0 7291 0 180855 0 0 0 HARES AKBARY PHYSICIAN 1309683 0 0 0 517 0 725 0 746 0 1311671 0 0 0 PETER LALOR PHYSICIAN 810588 0 0 0 882 0 5400 0 19935 0 836805 0 0 0 ROBERT LAVEY PHYSICIAN 631219 0 0 0 4266 0 4266 0 19039 0 658790 0 0 0 LILLIAN MILLER PHYSICIAN 289775 0 0 0 468 0 200 0 18181 0 308624 0 0 0 ABEER AHMED PHYSICIAN 284768 0 0 0 363 0 2512 0 18513 0 306156 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 XI, LINE 9: POST RETIREMENT RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 711,391. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION 455,969. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 16,506. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 1,351,261. 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 24395168 1720250 WOOD COUNTY HOSPITAL WOOD COUNTY WOMEN'S CARE 755 HASKING ROAD BOWLING GREEN OH 43402 810565899 WOMEN'S HEALTH CARE OH 3518931 604360 WOOD COUNTY HOSPITAL FALCON HEALTH CENTER 830 E WOOSTER STREET BOWLING GREEN OH 43402 462101028 PHYSICIAN OFFICES OH 2197949 6780605 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 2000000 ACTUAL