WOOD COUNTY HOSPITAL ASSN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WOOD COUNTY HOSPITAL ASSN (EIN 34-4440884)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201341279349300604
Schema version
2011v1.5
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)
Timestamp2013-05-07T07:46:23-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18800 LYRA DRIVE SUITE 450AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43240ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN344440884EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWOODNameControl
Phone4193548900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STREETAddressLine1
CityBOWLING GREENCity
StateOHState
ZIP Code43402ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAROL D BORTELName
TitleVP OF FINANCETitle
Phone4193548900Phone
Date Signed2013-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEPHEN A SHERIDANName
PTINP00028551PTIN
Phone6148852583Phone
Date Prepared2013-05-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAROL D BORTELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STREETAddressLine1
CityBOWLING GREENCity
StateOHState
ZIP Code43402ZIPCode
FieldValueIRS element (for citing)
Gross Receipts93512042GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WOODCOUNTYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE WOOD COUNTY HOSPITAL BOARD OF TRUSTEE, EMPLOYEES, MEDICAL STAFF, AND VOLUNTEERS ARE DEDICATED TO PROVIDING THE HIGHEST QUALITY PREVENTIVE, RESTORATIVE, EDUCATIONAL, AND REHABILITATIVE HEALTH CARE SERVICE TO ALL.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees767TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI3437TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year709362ContributionsGrantsPriorYear
Contributions Grants Current Year1287105ContributionsGrantsCurrentYear
Program Service Revenue Prior Year88674980ProgramServiceRevenuePriorYear
Program Service Revenue CY87599330ProgramServiceRevenueCY
Investment Income Prior Year775237InvestmentIncomePriorYear
Investment Income Current Year913517InvestmentIncomeCurrentYear
Other Revenue Prior Year2210328OtherRevenuePriorYear
Other Revenue Current Year2402308OtherRevenueCurrentYear
Total Revenue Prior Year92369907TotalRevenuePriorYear
Total Revenue Current Year92202260TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44967858SalariesEtcPriorYear
Salaries Etc Current Year47214883SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year42873286OtherExpensePriorYear
Other Expenses Current Year44604762OtherExpensesCurrentYear
Total Expenses Prior Year87841144TotalExpensesPriorYear
Total Expenses Current Year91819645TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4528763RevenuesLessExpensesPriorYear
Revenues Less Expenses CY382615RevenuesLessExpensesCY
Total Assets BOY181693796TotalAssetsBOY
Total Assets EOY180469324TotalAssetsEOY
Total Liabilities BOY59887632TotalLiabilitiesBOY
Total Liabilities EOY67631592TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY121806164NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY112837732NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWOOD 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 2012, 26,048 INDIVIDUALS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT. MEDICAL CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, $70,639,504 WAS THE VALUE OF SERVICES PROVIDED WHERE THE HOSPITAL DID NOT RECEIVE FULL PAYMENT. OF THIS, $4,217,487 WAS CHARITY CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense71457816Expense
Revenue89359709Revenue
DescriptionWOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 3,442 INPATIENTS, 326 NEWBORNS, AND 91,134 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/12. 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 $4,217,487.Description
Total Program Service Expense71457816TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096103NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees767NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAROL D BORTELBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4193548900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STAddressLine1
CityBOWLING GREENCity
StateOHState
ZIP Code434022699ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
STANLEY KORDUCKI
CEO40.00XX187180040593
KAREN APPLE
TRUSTEE1.50X000
DIANE HUFFMAN
TRUSTEE1.50X000
JAMES F CARTER
TRUSTEE1.50X000
DANELDA DREWES
CHAIR1.50XX000
GAYLYN FINN
SECRETARY1.50XX000
RODNEY ROGERS
TRUSTEE1.50X000
DR E J KUEBECK
VICE CHAIR1.50XX000
MICHAEL MARSH
TRUSTEE1.50X000
DR THOMAS WOJCIECHOWSKI
TRUSTEE1.50X000
WILLIAM CULBERTSON
TRUSTEE1.50X000
KAROL BORTEL
CFO40.00X88569021494
CAROLE MATTHEWS
VP OF PATIENT SVCS40.00113552015508X
BRUCE KIACZ
PHARMACY DIRECTOR40.0011107605872X
WILLIAM KIDD
VP OF SUPPORT SERVICES40.0010508805527X
JOANNE WHITE
VP OF IT40.0010564103130X
FieldValueIRS element (for citing)
Total Reportable Comp From Org711106TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation92124TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAXIT HEALTHCARE HOLDINGS INC
705 E MAIN STREETWESTFIELDIN46074CERNER CONSULTANTS470979
TECHNICORE CLINICAL ENGINEERING
PO BOX 1210FINDLAYOH45839SERVICE AGREEMENTS346631
SCOTT J DEERING MD
1605 GLENEAGLES DRIVEBOWLING GREENOH43402PHYSICIAN RECRUITMENT142899
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations7798RelatedOrganizations
Government Grants1031246GovernmentGrants
All Other Contributions248061AllOtherContributions
Total Contributions1287105TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code900099BusinessCode
Total Revenue Column87599330TotalRevenueColumn
Related Or Exempt Function Income87599330RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue87599330TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column900525TotalRevenueColumn
Exclusion$900,525ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real741693Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real741693Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column741693TotalRevenueColumn
Related Or Exempt Function Income738256RelatedOrExemptFunctionIncome
Unrelated Business Revenue3437UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1290774Securities
Other32000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1223929Securities
Other85853Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities66845Securities
Other-53853Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12992TotalRevenueColumn
Exclusion$12,992ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEALS900099496651$496,651
MISCELLANEOUS900099382411382411
LEASED EMPLOYEES900099238641238641

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column542912TotalRevenueColumn
Related Or Exempt Function Income368092RelatedOrExemptFunctionIncome
Exclusion$174,820ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1660615TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column92202260TotalRevenueColumn
Related Or Exempt Function Income89326730RelatedOrExemptFunctionIncome
Unrelated Business Revenue3437UnrelatedBusinessRevenue
Exclusion$1,584,988ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35450017Total
Program Services26587513ProgramServices
Management And General8862504ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2315542Total
Program Services1736657ProgramServices
Management And General578885ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7218474Total
Program Services5413856ProgramServices
Management And General1804618ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2230850Total
Program Services1673138ProgramServices
Management And General557712ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4303Total
Management And General4303ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total83276Total
Management And General83276ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6464855Total
Program Services6464855ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total655074Total
Program Services655074ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total284278Total
Management And General284278ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total126389Total
Program Services126389ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1855253Total
Management And General1855253ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total58838Total
Program Services24124ProgramServices
Management And General34714ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total67464Total
Program Services45876ProgramServices
Management And General21588ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total657138Total
Management And General657138ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6897624Total
Program Services6897624ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total105976Total
Management And General105976ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL AND OTHER SUPPL13562853104433973119456
BAD DEBT51252055125205
EQUIPMENT RENTAL AND MA27389442026819712125
MISCELLANEOUS21682012168201

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3749091Total
Program Services2069088ProgramServices
Management And General1680003ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total91819645Total
Program Services71457816ProgramServices
Management And General20361829ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY157521BOY
EOY1325150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28721401BOY
EOY20052995EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10324816BOY
EOY14054557EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY220186BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY234068EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY75704BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1739177BOY
EOY1702283EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY983097BOY
EOY1168585EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis131690638LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec61589949LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66942336BOY
EOY70100689EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY40689161EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY43394454BOY
EOY1950295EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29135104BOY
EOY29191541EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY181693796BOY
EOY180469324EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6304334BOY
EOY5654954EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45978740BOY
EOY44790962EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY52401BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7552157BOY
EOY17185676EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59887632BOY
EOY67631592EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY92875695BOY
EOY83698394EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26889605BOY
EOY27189043EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2040864BOY
EOY1950295EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121806164BOY
EOY112837732EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY181693796BOY
EOY180469324EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses382615ReconcilationRevenueExpenses
Reconcilation Other Changes-9351047ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis775340OtherCostOrOtherBasis
Book Value775340BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20257984OtherCostOrOtherBasis
Depreciation9430864Depreciation
Book Value10827120BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis94631423OtherCostOrOtherBasis
Depreciation52159085Depreciation
Book Value42472338BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16025891OtherCostOrOtherBasis
Book Value16025891BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings70100689TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN WOOD COUNTY HOSPITAL FOUNDATION27189043
INVESTMENT IN JOINT VENTURES1076834
OTHER ASSETS355034
ESTIMATED THIRD PARTY SETTLEMENTS17741
BOND ISSUANCE COSTS, NET552889
FieldValueIRS element (for citing)
Total Book Value Other Assets29191541TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$13,528,150
INTEREST RATE SWAP$3,657,526
FieldValueIRS element (for citing)
Total Of Amounts17185676TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
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, 2012 AND 2011, 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, 2011 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).Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs72NumberOfActivitiesOrPrograms
Total Community Benefit Expense12884548TotalCommunityBenefitExpense
Net Community Benefit Expense12884548NetCommunityBenefitExpense
Percent Of Total Expense0.14030PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8997957TotalCommunityBenefitExpense
Direct Offsetting Revenue5249396DirectOffsettingRevenue
Net Community Benefit Expense3748561NetCommunityBenefitExpense
Percent Of Total Expense0.04080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs72NumberOfActivitiesOrPrograms
Total Community Benefit Expense21882505TotalCommunityBenefitExpense
Direct Offsetting Revenue5249396DirectOffsettingRevenue
Net Community Benefit Expense16633109NetCommunityBenefitExpense
Percent Of Total Expense0.18110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served9597PersonsServed
Total Community Benefit Expense217959TotalCommunityBenefitExpense
Direct Offsetting Revenue113531DirectOffsettingRevenue
Net Community Benefit Expense104428NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served102PersonsServed
Total Community Benefit Expense12063TotalCommunityBenefitExpense
Net Community Benefit Expense12063NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served152PersonsServed
Total Community Benefit Expense3736TotalCommunityBenefitExpense
Net Community Benefit Expense3736NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served247412PersonsServed
Total Community Benefit Expense30330TotalCommunityBenefitExpense
Net Community Benefit Expense30330NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served257263PersonsServed
Total Community Benefit Expense264088TotalCommunityBenefitExpense
Direct Offsetting Revenue113531DirectOffsettingRevenue
Net Community Benefit Expense150557NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs72NumberOfActivitiesOrPrograms
Persons Served257263PersonsServed
Total Community Benefit Expense22146593TotalCommunityBenefitExpense
Direct Offsetting Revenue5362927DirectOffsettingRevenue
Net Community Benefit Expense16783666NetCommunityBenefitExpense
Percent Of Total Expense0.18260PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served40000PersonsServed

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served25PersonsServed
Total Community Building Expense784TotalCommunityBuildingExpense
Net Community Building Expense784NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served70056PersonsServed
Total Community Building Expense10890TotalCommunityBuildingExpense
Net Community Building Expense10890NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served110081PersonsServed
Total Community Building Expense11674TotalCommunityBuildingExpense
Net Community Building Expense11674NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Amount Reimbursed By Medicare10570130AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare14298860CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3728730MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11037 CONNEAUT AVEAddressLine1
CityBOWLING GREENCity
StateOHState
ZIP Code43402ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WOOD COUNTY HOSPITAL REHABILITATION CENT
1037 CONNEAUT AVEBOWLING GREENOH43402PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY
WOOD COUNTY WOUND HEALING CENTER
1037 CONNEAUT AVEBOWLING GREENOH43402WOUND HEALING TREATMENT CENTER
WOOD COUNTY HOSPITAL BLOOD DRAW STATION
1039 HASKINS ROADBOWLING GREENOH43402LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I LINE 7WOOD COUNTY HOSPITALSELECTED CATEGORIES DETAIL FOR PERIOD FROM 7/1/2011 THROUGH 6/30/2012 EXPENSES OFFSETS BENEFIT PERSONS BE HEALTHY NOW WOOD COUNTY WELLNESS (8200) 2,704 0 2,704 195 BREAST CANCER AND CERVICAL CANCER PRESENTATION DEVLAC HALL WELLNESS (8200) 181 0 181 26 BRIEF OUTPATIENT MEETINGS NUTRITION SERVICES/DIABETES PROGRAM NUTRITION SERVICES (4) 3,051 0 3,051 446 COMMUNITY HEALTH EDUCATION WELLNESS (8200) 4,387 50 4,337 479 DIABETES AWARENESS MONTH DIETARY/NUTRITION SERVICES (8050) 500 0 500 300 DIABETES HEALTH FAIR NUTRITION SERVICES DIETARY/NUTRITION SERVICES (8050) 5,818 0 5,818 80 DIABETES INTEREST GROUP NUTRITION SERVICES/DIABETES ED. PROGRAM DIETARY/NUTRITION SERVICES (8050) 1,423 0 1,423 140 EDUCATIONAL PHONE CALLS NUTRITION SERVICES/DIABETES EDUCATION PR DIETARY/NUTRITION SERVICES (8050) 1,136 0 1,136 223 FITNESS ASSESSMENT, EVALUATION AND PHYSICAL ACTIVITY PLAN WELLNESS (8200) 109 0 109 1 GO RED FOR WOMEN WELLNESS (8200) 311 0 311 75 HEALTH FAIR WELLNESS (8200) 801 0 801 417 HEALTH MATTERS LECTURE SERIES WELLNESS (8200) 554 0 554 134 HIGH SCHOOL PHYSICALS (WELLNESS'S PORTION OF THE EVENTS) WELLNESS (8200) 1,721 0 1,721 304 LOOK GOOD FEEL BETTER AMERICAN CANCER SOCIETY PROGRAM WELLNESS (8200) 342 0 342 16 MEDICATION SAFETY REVIEW EVENT PHARMACY (7070) 0 0 0 30 NATIONAL NUTRITION MONTH NUTRITION SERVICES (4) 204 0 204 300 OB MOM AND BABY REST TENT OB (6100) 0 0 0 187 POSITIVELY PINK WELLNESS (8200) 18,042 0 18,042 446 PRENATAL EDUCATION AND SUPPORT OB (6100) 0 0 0 839 PROSTATE SCREENINGS WELLNESS (8200) 1,440 0 1,440 63 SPEAKERS BUREAU WELLNESS (8200) 111 0 111 18 WOOD COUNTY FAIR WELLNESS (8200) 6,204 0 6,204 492 *** COMMUNITY HEALTH EDUCATION 49,039 50 48,989 5,211 COMMUNITY BASED CLINICAL SERVICES (A2) BG CHAMBER OF COMMERCE BLOOD ANALYSIS DAY LABORATORY (7010) 4,938 0 4,938 217 FARM BUREAU SCREENING WELLNESS (8200) 23,424 9,361 14,063 101 HEALTH SCREENING WELLNESS (8200) 3,130 0 3,130 529 PEMBERVILLE FREE FAIR HEALTH SCREENINGS WELLNESS (8200) 1,198 0 1,198 517 *** COMMUNITY BASED CLINICAL SERVICES 32,690 9,361 23,329 1,364 HEALTH CARE SUPPORT SERVICES (A3) BARIATRIC INFORMATION SESSIONS AND SUPPORT GROUPS NUTRITION SERVICES (4) 374 0 374 738 LIFELINE PROGRAM LIFELINE (8210) 34,754 84,120 (49,366) 334 PATIENT TOBACCO CESSATION WELLNESS (8200) 666 0 666 120 *** HEALTH CARE SUPPORT SERVICES 35,794 84,120 (48,326) 1,192 CHILDREN'S HEALTH AND SAFETY (A4) ATHLETIC TRAINING FOR LOCAL HIGH SCHOOLS REHABILITATION SVCS (7091) 85,665 20,000 65,665 500 FITNESS IS FUN WELLNESS (8200) 418 0 418 118 HIGH FIVE PROGRAM WELLNESS (8200) 2,577 0 2,577 1,010 HIGH SCHOOL PHYSICALS REHABILITATION SVCS (7091) 8,354 0 8,354 UNKNOWN KIDS HEALTH AND SAFETY FAIR WELLNESS (8200) 3,034 0 3,034 UNKNOWN OBB OB (6100) 0 0 0 22 STUFFEE WELLNESS (8200) 388 0 388 180 *** CHILDREN'S HEALTH AND SAFETY 100,436 20,000 80,436 1,830 **** COMMUNITY HEALTH IMPROVEMENT SERVICES 217,959 113,531 104,428 9,597 HEALTH PROFESSIONS EDUCATION (B) NURSES/NURSING STUDENTS (B2) CLINICAL EDUCATION FOR NURSING STUDENTS NURSING EDUCATION (6010) 0 0 0 93 *** NURSES/NURSING STUDENTS 0 0 0 93 OTHER HEALTH PROFESSIONAL EDUCATION (B3) BGSU DIETETIC INTERNS DIETARY/NUTRITION SERVICES (8050) 5,432 0 5,432 6 DISCHARGE PLANNING INTERNSHIP DISCHARGE PLANNING (6015) 5,555 0 5,555 2 *** OTHER HEALTH PROFESSIONAL EDUCATION 10,987 0 10,987 8 SCHOLARSHIPS/FUNDING FOR PROFESSIONAL EDUCATION (B4) WOOD COUNTY HOSPITAL SCHOLARSHIP PROGRAM HUMAN RESOURCES (8223) 500 0 500 1 *** SCHOLARSHIPS/FUNDING FOR PROFESSIONAL EDUCATI 500 0 500 1 OTHER (B5) ADVISORY FOR BGSU COLLEGE OF FAMILY AND CONSUMER SCIENCES NUTRITION SERVICES (4) 576 0 576 UNKNOWN *** OTHER 576 0 576 0 **** HEALTH PROFESSIONS EDUCATION 12,063 0 12,063 102 SUBSIDIZED HEALTH SERVICES (C) EMERGENCY AND TRAUMA SERVICES (C1) E.M.S, OUTREACH EMERGENCY DEPARTMENT (6230) 0 0 0 25 PARAMEDIC INTERCEPTS EMERGENCY DEPARTMENT (6230) 0 0 0 1 *** EMERGENCY AND TRAUMA SERVICES 0 0 0 26 HOSPITAL OUTPATIENT SERVICES (C3) DIABETES EDUCATION FOLLOW UP PHONE CALLS (NON BILLABLE) DIETARY/NUTRITION SERVICES (8050) 3,736 0 3,736 126 *** HOSPITAL OUTPATIENT SERVICES 3,736 0 3,736 126 **** SUBSIDIZED HEALTH SERVICES 3,736 0 3,736 152 FINANCIAL AND IN KIND CONTRIBUTIONS (E) CASH DONATIONS (E1) ACT BG DIETARY/NUTRITION SERVICES (8050) 160 0 160 300 AMERICAN CANCER SOCIETY MARKETING (8216) 11,410 0 11,410 1,000 AMERICAN RED CROSS FIRE & ICE RED CROSS FUND RAISER MARKETING (8216) 1,000 0 1,000 UNKNOWN BIG BROTHERS BIG SISTERS MARKETING (8216) 300 0 300 100 BLACK SWAMP ARTS FESTIVAL MARKETING (8216) 250 0 250 5,000 BLACK SWAMP PLAYERS MARKETING (8216) 130 0 130 UNKNOWN BOWLING GREEN CHAMBER OF COMMERCE MARKETING (8216) 4,000 0 4,000 UNKNOWN BOWLING GREEN COMMUNITY FOUNDATION MARKETING (8216) 2,500 0 2,500 UNKNOWN BOWLING GREEN HIGH SCHOOL SPORTS BOOSTERS MARKETING (8216) 200 0 200 UNKNOWN BOWLING GREEN KIWANIS SPONSORSHIP MARKETING (8216) 120 0 120 UNKNOWN BOWLING GREEN PARKS AND RECREATION MARKETING (8216) 295 0 295 UNKNOWN DOWNTOWN BOWLING GREEN MARKETING (8216) 795 0 795 10,000 EDUCATIONAL MARKETING GROUP MARKETING (8216) 510 0 510 500 GRAND RAPIDS APPLEBUTTER FEST MARKETING (8216) 3,500 0 3,500 5,000 PREVENTION PARTNERS MARKETING (8216) 150 0 150 UNKNOWN UNITED WAY MARKETING (8216) 1,500 0 1,500 200 *** CASH DONATIONS 26,820 0 26,820 22,100 GRANTS (E2) SAFE SITTER SCHOLARSHIP WELLNESS (8200) 146 0 146 2 *** GRANTS 146 0 146 2 IN KIND DONATIONS (E3) BOWLING GREEN KIWANIS HUMAN RESOURCES (8223) 50 0 50 UNKNOWN HAITI MISSION TRIP MATERIALS MANAGEMENT (7250) 938 0 938 UNKNOWN NATIONAL TRACTOR PULLS EMERGENCY DEPARTMENT (6230) 0 0 0 61,000 VILLAGE OF WAYNE, BREAST CANCER RUN, EMS STAND BY UNKNOWN (0) 0 0 0 100 WHEELED MEALS NUTRITION SERVICES/DIABETES EDUCATION PROGRAM DIETARY/NUTRITION SERVICES (8050) 2,376 0 2,376 152,510 WOOD COUNTY FAIR EMERGENCY MEDICAL COVERAGE EMERGENCY DEPARTMENT (6230) 0 0 0 11,700 *** IN KIND DONATIONS 3,364 0 3,364 225,310 **** FINANCIAL AND IN KIND CONTRIBUTIONS 30,330 0 30,330 247,412 COMMUNITY BUILDING ACTIVITIES (F) COMMUNITY SUPPORT (F3) BOWLING GREEN TRAFFIC ADVISORY COUNCIL MARKETING (8216) 0 0 0 40,000 *** COMMUNITY SUPPORT 0 0 0 40,000 LEADERSHIP DEV/TRAINING FOR COMMUNITY MEMBERS (F5) WOOD COUNTY HOSPITAL BUSINESS ADVISORY LUNCHEON READYWORKS (7097) 784 0 784 25 *** LEADERSHIP DEV/TRAINING FOR COMMUNITY MEMBERS 784 0 784 25 COMMUNITY HEALTH IMPROVEMENT ADVOCACY (F7) HOSPITAL COUNCIL OF NW OHIO UNKNOWN (0) 10,181 0 10,181 UNKNOWN WALK FROM OBESITY WELLNESS (8200) 619 0 619 56 WOOD COUNTY HEALTH DISTRICT LICENSING COUNCIL DIETARY/NUTRITION SERVICES (8050) 90 0 90 70,000 *** COMMUNITY HEALTH IMPROVEMENT ADVOCACY 10,890 0 10,890 70,056 **** COMMUNITY BUILDING ACTIVITIES 11,674 0 11,674 110,081 NUMBER OF PROGRAMS 72 GRAND TOTALS 275,762 113,531 162,231 367,344
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 V, SECTION B, LINE 21: 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%.WOOD COUNTY HOSPITAL ASSOCIATION
PART VI, LINE 2: NEEDS ASSESSMENT PREPARED BY THE WOOD COUNTY HEALTH PARTNERS.
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: 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.
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 7OHREPORTS FILED WITH STATES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTANLEY KORDUCKINamePerson
Base Compensation Filing Org187180BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org40593NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org227773TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org227773CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1AFITNESS 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.
PART III2011 W2 COMPENSATION FOR STANLEY KORDUCKI WAS REPORTED IN 2010 DUE TO FISCAL YEAR VS CALENDAR YEAR REPORTING.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN344601607IssuerEIN
CUSIP Number978303AV7CUSIPNumber
Date Issued2008-02-28DateIssued
Issue Price45525000IssuePrice
Description Of PurposeNEW BED TOWER, SURGERY, ETC.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds45525000TotalProceeds
Issuance Costs From Proceeds206890IssuanceCostsFromProceeds
Credit Enhancement25000CreditEnhancement
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1JP MORGAN CHASEBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
DR VEGA
PHYSICIAN RECRUITMENTX$20,43819410011
DR T JANTZ
PHYSICIAN RECRUITMENTX$33,14226514011
DR LANE
PHYSICIAN RECRUITMENTX$459,306153000011
DR BELL
HOME DOWNPAYMENT LOANX$44,54135144011
FieldValueIRS element (for citing)
Total Balance Due234068TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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. 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 XI, LINE 5:CHANGE IN UNRESTRICTED NET ASSETS -9,559,916. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION 299,438. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -90,569. TOTAL TO FORM 990, PART XI, LINE 5: -9,351,047.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WOOD HEALTH COMPANY
950 W WOOSTER STREETBOWLING GREENOH43402810616720FAMILY HEALTH AND SPECIALIZED CAREOH72124322447554WOOD COUNTY HOSPITAL
WHC MEDICAL SERVICES
950 W WOOSTER STREETBOWLING GREENOH43402050623391FAMILY HEALTH AND SPECIALIZED CAREOH0120276WOOD COUNTY HOSPITAL
WOOD COUNTY WOMEN'S CARE
755 HASKING ROADBOWLING GREENOH43402810565899WOMEN'S HEALTH CAREOH16980601062134WOOD COUNTY HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WOOD COUNTY HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1950 W WOOSTER STAddressLine1
CityBOWLING GREENCity
StateOHState
ZIP Code43402ZIPCode
FieldValueIRS element (for citing)
EIN341546464EIN
Primary ActivitiesTO OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THOSE GIFTS & DISBURSE THEMPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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