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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>783334</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25106</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT LAVEY</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>632536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20551</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3070275</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>141833</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOOD ANESTHESIA &amp; PAIN BILLING MANAGEMEN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 634850</AddressLine1Txt>
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            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIOLOGY</ServicesDesc>
        <CompensationAmt>3754490</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TECHNICORE CLINICAL ENGINEERING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1210</AddressLine1Txt>
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            <ZIPCd>45839</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE AGREEMENT</ServicesDesc>
        <CompensationAmt>370646</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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        <ExclusionAmt>2519</ExclusionAmt>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1736041</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LEASED EMPLOYEES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>532191</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEALS</Desc>
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        <TotalRevenueColumnAmt>487174</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>487174</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>340949</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <TotalAmt>41975826</TotalAmt>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>503854</ManagementAndGeneralAmt>
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        <TotalAmt>5788009</TotalAmt>
        <ManagementAndGeneralAmt>5788009</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>911455</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>88060</TotalAmt>
        <ManagementAndGeneralAmt>88060</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6543406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>727045</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>555454</ProgramServicesAmt>
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        <ProgramServicesAmt>22350558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2483395</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>2244253</TotalAmt>
        <ProgramServicesAmt>2019828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>224425</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>2140632</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>120543</TotalAmt>
        <ProgramServicesAmt>66299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54244</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>68487</TotalAmt>
        <ProgramServicesAmt>37668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30819</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2533949</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8756350</ManagementAndGeneralAmt>
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        <TotalAmt>1296494</TotalAmt>
        <ManagementAndGeneralAmt>1296494</ManagementAndGeneralAmt>
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        <TotalAmt>5787250</TotalAmt>
        <ProgramServicesAmt>5787250</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL &amp; MAIN</Desc>
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        <ProgramServicesAmt>868259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289420</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>25833</TotalAmt>
        <ProgramServicesAmt>25833</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>73840622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38574485</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2759</EOYAmt>
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        <EOYAmt>33649467</EOYAmt>
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        <EOYAmt>15028313</EOYAmt>
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        <EOYAmt>146564</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1849444</EOYAmt>
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        <EOYAmt>998195</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>53770204</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>2018193</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>33775941</BOYAmt>
        <EOYAmt>34277485</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>203460539</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5541924</EOYAmt>
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        <EOYAmt>55592655</EOYAmt>
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        <EOYAmt>1159290</EOYAmt>
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        <EOYAmt>74712785</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>93827882</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>2018193</EOYAmt>
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        <EOYAmt>128747754</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>203460539</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5401215</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1324419</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPRESENTS THE PORTION OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OHIO HOSPITAL ASSOCIATION DUES ALLOCATED TO LOBBYING AS DISCLOSED BY THE HOSPITAL ASSOCIATIONS.</ExplanationTxt>
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        <BookValueAmt>1771368</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2016 AND 2015, 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, 2016 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).</ExplanationTxt>
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      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
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        <NetCommunityBenefitExpnsAmt>3509451</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03120</TotalExpensePct>
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        <DirectOffsettingRevenueAmt>15234996</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2462726</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02190</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>15234996</DirectOffsettingRevenueAmt>
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      <CommunityHealthServicesGrp>
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        <DirectOffsettingRevenueAmt>90976</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>196153</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00170</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>33172</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>33172</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </HealthProfessionsEducationGrp>
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        <PersonsServedCnt>93</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>474</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>474</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <PersonsServedCnt>12392</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>159068</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>65000</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>94068</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <PersonsServedCnt>25214</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>479843</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>155976</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>323867</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00280</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>25214</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>21687016</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15390972</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6296044</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05590</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <PersonsServedCnt>350</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>200</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>200</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <PersonsServedCnt>50</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>125</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>125</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <PersonsServedCnt>5670</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>4515</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4515</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <PersonsServedCnt>6070</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>4840</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4840</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5787250</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>13719323</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>17155718</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3436395</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 WOOD CARE NET</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MESSENGER MODEL PHO</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.50000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1037 CONNEAUT AVE</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTP://WWW.WOODCOUNTYHOSPITAL.ORG/</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>0</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>0</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTP://WOODCOUNTYHOSPITAL.ORG/INFORMATION/PAYING-FOR-HOSPITAL-SERVICES/FINA</FAPAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <PermitLegalJudicialProcessInd>X</PermitLegalJudicialProcessInd>
        <CollectionActivitiesInd>1</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <EngagedLegalJudicialProcessInd>X</EngagedLegalJudicialProcessInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>1</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 BRFSS. THE MAJORITY OF THE SURVEY ITEMS FOR THE ADOLESCENT SURVEY WERE DERIVED FROM THE YRBSS. THE MAJORITY OF THE SURVEY ITEMS FOR THE PARENTS OF CHILDREN 0-11 WERE DERIVED FROM THE 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.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 BRFSS. THE MAJORITY OF THE SURVEY ITEMS FOR THE ADOLESCENT SURVEY WERE DERIVED FROM THE YRBSS. THE MAJORITY OF THE SURVEY ITEMS FOR THE PARENTS OF CHILDREN 0-11 WERE DERIVED FROM THE 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 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 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: SELF PAY PATIENTS ARE BILLED ACCORDING TO THE FEE SCHEDULE HOWEVER, BASED ON INCOME THE SLIDING FEE SCHEDULE IS APPLIED. SELF PAY PATIENTS GENERALLY RECEIVE A DISCOUNT OF NOT LESS THAN 20%.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - WOOD COUNTY HOSPITAL REHABILITATION CENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1037 CONNEAUT AVE</AddressLine1Txt>
            <CityNm>BOWLING GREEN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43402</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - WOOD COUNTY WOUND HEALING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1037 CONNEAUT AVE</AddressLine1Txt>
            <CityNm>BOWLING GREEN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43402</ZIPCd>
          </USAddress>
          <FacilityTxt>WOUND HEALING TREATMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - WOOD COUNTY HOSPITAL BLOOD DRAW STATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1039 HASKINS ROAD</AddressLine1Txt>
            <CityNm>BOWLING GREEN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43402</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2016 AND 2015 ALLOWANCE FOR DOUBTFUL ACCOUNTS OF $4,676,000 AND $4,227,000 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, 2016 AND 2015. THE ASSOCIATION'S SELF-PAY WRITE-OFFS DECREASED $1,908,821 FROM $7,246,604 FOR 2015 TO $5,338,283 FOR 2016. THE DECREASE IN WRITE-OFFS IS THE RESULT OF IMPROVED 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY THAT IS SERVED BY WOOD COUNTY HOSPITAL IS DEFINED AS WOOD COUNTY 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 22 ZIP CODES. THIS CONSTITUTES APPROXIMATELY 80% OF THE INPATIENT DISCHARGES FROM THE HOSPITAL; WITH 20% FALLING OUTSIDE THE DEFINED SERVICE AREA. THE POPULATION IS ESTIMATED TO BE 76,615, BASED ON THE 2010 CENSUS. IT IS EXPECTED TO EXPERIENCE A VERY MODEST GROWTH RATE OF 0.5% OVER THE NEXT FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. SO THAT IS THE REASON WHY WE SUBSIDIZE EMPLOYEES JOINING A FITNESS FACILITY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT 990 IS PREPARED AND MEMBERS NOTIFIED THAT IT IS AVAILABLE FOR REVIEW &amp; COMMENT. ANY QUESTIONS ARE DISCUSSED AND HANDLED AT THAT TIME.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, AN EVALUATION IS SENT TO BOARD MEMBERS AND KEY EMPLOYEES. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>POST RETIREMENT RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 225,227. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION 760,568. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -61,234. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -10,207,367.</ExplanationTxt>
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          <AddressLine1Txt>950 W WOOSTER STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <AddressLine1Txt>755 HASKING ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <EIN>462101028</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>2366842</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6128736</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>950 W WOOSTER ST</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <EIN>341546464</EIN>
        <PrimaryActivitiesTxt>TO OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THOSE GIFTS &amp; DISBURSE THEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WCH MEDICAL BLDG</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>950 W WOOSTER ST</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <EIN>341114700</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL MEDICAL BUILDING</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>628812</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>158994</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WOOD HEALTH COMPANY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>3800000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FALCON HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>655368</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>