WOOD COUNTY HOSPITAL ASSN: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WOOD COUNTY HOSPITAL ASSN (EIN 34-4440884)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-04-06
IRS object ID
201100969349300705
Schema version
2009v1.7
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)
Timestamp2011-04-06T12:33:17-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-03-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameStephen A SheridanName
Phone6148852583Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts86250045GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WOODCOUNTYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or 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 2010, 26,215 individuals received treatment in the Emergency Department. Medical care is provided regardless of the patient's ability to pay. During the fiscal year, $57,765,618 was the value of services provided where the hospital did not receive full payment. Of this, $4,095,566.93 was charity care.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year252514ContributionsGrantsPriorYear
Contributions Grants Current Year151548ContributionsGrantsCurrentYear
Program Service Revenue Prior Year80216106ProgramServiceRevenuePriorYear
Program Service Revenue CY81595911ProgramServiceRevenueCY
Investment Income Prior Year-3144833InvestmentIncomePriorYear
Investment Income Current Year2118356InvestmentIncomeCurrentYear
Other Revenue Prior Year2031314OtherRevenuePriorYear
Other Revenue Current Year2247421OtherRevenueCurrentYear
Total Revenue Prior Year79355101TotalRevenuePriorYear
Total Revenue Current Year86113236TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3900GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40084677SalariesEtcPriorYear
Salaries Etc Current Year41950452SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year37244227OtherExpensePriorYear
Other Expenses Current Year40124258OtherExpensesCurrentYear
Total Expenses Prior Year77332804TotalExpensesPriorYear
Total Expenses Current Year82074710TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2022297RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4038526RevenuesLessExpensesCY
Total Assets BOY164914462TotalAssetsBOY
Total Assets EOY170657778TotalAssetsEOY
Total Liabilities BOY62165819TotalLiabilitiesBOY
Total Liabilities EOY66242173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY102748643NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY104415605NetAssetsOrFundBalancesEOY
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 2010, 26,215 individuals received treatment in the Emergency Department. Medical care is provided regardless of the patient's ability to pay. During the fiscal year, $57,765,618 was the value of services provided where the hospital did not receive full payment. Of this, $4,095,566.93 was charity care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense61938906Expense
Revenue81595911Revenue
DescriptionWOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 3,352 INPATIENTS, 386 NEWBORNS, AND 88,230 OUTPATIENTS DURING FISCAL YEAR ending 6/30/10. 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 $3,785,334.THE HOSPITAL PROVIDED COMMUNITY EDUCATION AND ASSISTANCE IN THE FOLLOWING WAYS:- FREE BLOOD PRESSURE CHECKS, BLOOD GLUCOSE TESTS, CHOLESTEROL TESTS, SCOLIOSIS EXAMS, AND BODY FAT PERCENTAGE CALCULATIONS WERE CONDUCTED AT THE WOOD COUNTY FAIR, BGSU HEALTH & SAFETY FAIR, SENIOR EXTRAVAGANZA, AND COMMUNITY DAY EVENTS. THESE TESTS ARE ALSO PROVIDED PERIODICALLY AT LOCAL SCHOOLS AND STORES. FREE BLOOD PRESSURE CHECKS ARE ALSO AVAILABLE IN THE OUTPATIENT SERVICES/ADMITTING WAITING AREAS OF THE HOSPITAL.- THE DIABETES EDUCATION PROGRAM SPONSORED A HEALTH FAIR at WOOD COUNTY HOSPITAL in april 20010. approximately 100 participants attended the health fair. A TOTAL OF 162.2 STAFF HOURS WERE NEEDED TO organize and RUN THIS EVENT.- THE DIABETES EDUCATION PROGRAM SPONSORED EIGHT DIABETES INTEREST GROUP MEETINGS FROM SEPTEMBER 2009 THROUGH MAY 2010. APPROXIMATELY 171 PARTICIPANTS ATTENDED THESE PROGRAMS. A TOTAL OF 62.3 STAFF HOURS WERE NEEDED TO RUN THESE EVENTS. - THE DIABETES EDUCATION PROGRAM ALSO MAKES EDUCATIONAL FOLLOW UP PHONE CALLS (NECESSARY FOR US TO COMPLETE THE AMERICAN DIABETES ASSOCIATION RECOGNITION REQUIREMENTS - WHICH IS NECESSARY SO THAT WE CAN BILL). FROM JULY 2009 THROUGH JUNE 2010 APPROXIMATELY 90 CLIENTS RECEIVED SERVICES THROUGH THESE PHONE CALLS. IT TOOK 91.5 STAFF HOURS TO OFFER THESE SERVICES.Other 990 services done during this time period that Nutrition Services/Diabetes Education has tracked include: Brief Outpatient visits (not billable) We provided these services to 79 participants, which took a total of 25.7 staff hours to offer these services. Educational phone calls both nutrition and diabetes related We provided these services to 59 participants, which took a total of 18.8 staff hours to offer these services. Compiling and mailing out educational materials both nutrition and diabetes related-We provided these services to 23 participants, which took a total of 7.1 staff hours to offer these services. Copying and setting up Wheeled Meals menus took 17.6 hours of staff time to offer these services. There are 44-50 Wheeled Meal clients who benefit from this service on a weekly basis. Preparation time for Wellness Talks - It took approximately 20 hours of staff time to develop these programs that we provided through wellness. Wellness should be reporting the number served by these programs and the presentation time.The hospital employs a Wellness Coordinator who works with area businesses, civic groups, and the university community to provide speakers and workshops on a variety of health care topics. Educational materials are dispensed at all functions. Events included the BGSU Safety fair, Womens health forum, Bowling Green Community Day, the Bowling Green Holiday parade, the Senior Extravaganza and health fairs at Woodland Mall, local schools, and villages. The hospital participates in the "NO WRONG DOOR" program and Community Safety Programs in cooperation with the Bowling Green Police Department.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense53225Expense
Revenue2247421Revenue
DescriptionWood County Hospital provided financial support for the following: ADAMS Screen Printing & Embroidery 166.14American Cancer Society (740 Commerce Pburg) 11,000.00American Red Cross 1,000.00BGHS Athletic Boosters 125.00Big Brothers Big Sisters of NW Ohio 300.00Black Swamp Arts Festival 250.00Black Swamp Players 130.00Bowling Green Chamber of Commerce 3,000.00Bowling Green Community Foundation 5,000.00Bowling Green Kiwanis Club 120.00Bowling Green Parks and Recreation 250.00Educational Marketing Group, Inc. 295.00Falcon Sports Properties, LLC 100.00Huntington National Bank 50.00Prevention Partners 150.00United Way 1,000.00United Way Of Greater Toledo 2,200.00Wood County Agricultural Society 5,000.00 __________ $30,136.14DONATED TO MISSION TRIP TO GAUTAMALA-SUPPLIES 5,551.72RELAY FOR LIFE 73.49Description
FieldValueIRS element (for citing)
Total Program Service Expense61992131TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities1PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationInstitutional TrusteeInstitutionalTrusteeOfficerOfficer
STANLEY KORDUCKI
ceo40.00XX20530800
william kidd
vp of support services40.00X10350100
KAREN APPLE
TRUSTEE1.50000X
DIANE HUFFMAN
tRUSTEE1.50000X
GAYLYN FINN
SECRETARY1.50000X
DR E J KUEBECK
TRUSTEE1.50000X
MICHAEL MARSH
TRUSTEE1.50000X
DR THOMAS WOJCIECHOWSKI
TRUSTEE1.50000X
william culbertson
tRUSTEE1.50000X
paula whetsel-ribeau
tRUSTEE1.50000X
JAMES F CARTER
TRUSTEE1.50000X
DANELDA DREWES
CHAIR1.50000X
edelbert kuebeck
VICE CHAIR1.50000X
karol bortel
cfo40.0010599700X
CAROLE MATTHEWS
VP OF PATIENT SVCS40.00X12138900
BRUCE KIACZ
PHARMACY DIRECTOR40.00X11209100
GEORGE S MASSAR
VP OF OPERATIONS40.00X11631400
FieldValueIRS element (for citing)
Total Reportable Comp From Org764600TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INCARE
1402 TREELINE DRIVEBLOOMSBURGPA17815HOSPITALIST873896
HESHAM EL GAMAL MD
7803 CHESTNUT RIDGEMAUMEEOH43537PHYSICIAN383467
MEDSCRIPTION LLC
28889 GEORGIA ROADPERRYSBURGOH43551TRANSCRIPTION SERVICES342852
SIMPLEXGRINNELL LP
DEPT CH 10320PALATINEIL60055ATTORNEY174841
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions151548AllOtherContributions
Total Contributions151548TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram service revenuDescription
Business Code900099BusinessCode
Total Revenue Column81595911TotalRevenueColumn
Related Or Exempt Function Income81595911RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue81595911TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column678108TotalRevenueColumn
Exclusion$678,108ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real756614Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real756614Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column756614TotalRevenueColumn
Related Or Exempt Function Income756614RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1577057Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities136809Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1440248Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1440248TotalRevenueColumn
Exclusion$1,440,248ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
miscellaneous900099660209660209
MEALS900099440950440950
LEASED EMPLOYEES900099267046267046

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column122602TotalRevenueColumn
Related Or Exempt Function Income122602RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1490807TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column86113236TotalRevenueColumn
Related Or Exempt Function Income83843332RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,118,356ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31949061Total
Program Services24281286ProgramServices
Management And General7667775ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total499440Total
Program Services379574ProgramServices
Management And General119866ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7192584Total
Program Services5466364ProgramServices
Management And General1726220ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2309367Total
Program Services1755111ProgramServices
Management And General554256ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total467123Total
Program Services406368ProgramServices
Management And General60755ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total87708Total
Program Services76713ProgramServices
Management And General10995ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5866719Total
Program Services5104045ProgramServices
Management And General762674ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total479718Total
Program Services326208ProgramServices
Management And General153510ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21137Total
Program Services14366ProgramServices
Management And General6771ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total89072Total
Program Services77493ProgramServices
Management And General11579ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4769475Total
Program Services3243240ProgramServices
Management And General1526235ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total53100Total
Program Services43542ProgramServices
Management And General9558ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total53488Total
Program Services38511ProgramServices
Management And General14977ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total654232Total
Management And General654232ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5824980Total
Program Services5824980ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total239727Total
Program Services163014ProgramServices
Management And General76713ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
medical and other suppl1266237478506724811702
BAD DEBTS55389155538915
change in interest rate14131731413173
miscellaneous1046413858059188354
REcruitment397802397802

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total459102Total
Program Services145868ProgramServices
Management And General313234ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total82074710Total
Program Services61992131ProgramServices
Management And General20082579ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17998165BOY
EOY18344466EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26995206BOY
EOY18026817EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10197615BOY
EOY10734181EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY945220BOY
EOY964078EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY532260BOY
EOY406396EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1567330BOY
EOY1583905EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1400263BOY
EOY1074358EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115269880LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48517463LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY49957794BOY
EOY66752417EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31651320BOY
EOY27151473EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23669289BOY
EOY25619687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY164914462BOY
EOY170657778EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5988322BOY
EOY5389181EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY45525000BOY
EOY47491403EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10652497BOY
EOY13361589EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY62165819BOY
EOY66242173EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY79406451BOY
EOY78938281EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21687969BOY
EOY23682536EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1654223BOY
EOY1794788EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102748643BOY
EOY104415605EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY164914462BOY
EOY170657778EOY
FieldValueIRS element (for citing)
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart I-A, Line 1:Identifier
Return ReferenceOrganizations Direct and Indirect Political Campaign Activities:ReturnReference
Explanationsupport provided through percentage of dues paid to oha and aha.Explanation

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 Basis19874036OtherCostOrOtherBasis
Depreciation12715945Depreciation
Book Value7158091BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis83003191OtherCostOrOtherBasis
Depreciation35801518Depreciation
Book Value47201673BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11617313OtherCostOrOtherBasis
Book Value11617313BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings66752417TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSecurities and Other InvestmentsDescription
Book Value27151473BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities27151473TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Investment in Foundation23682536
INVESTMENT IN JOINT VENTURES1186370
OTHER ASSETS114888
ESTIMATED THIRD PARTY SETTLEMENTS40380
BOND ISSUANCE COSTS, NET595513
FieldValueIRS element (for citing)
Total Book Value Other Assets25619687TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Pension Liability$11,186,335
interest rate swap$2,175,254
FieldValueIRS element (for citing)
Total Of Amounts13361589TotalOfAmounts

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 Available0ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense475244TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense475244NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1598579TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1598579NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2073823TotalCommunityBenefitExpense
Net Community Benefit Expense2073823NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3500TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3500NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3500TotalCommunityBenefitExpense
Net Community Benefit Expense3500NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2077323TotalCommunityBenefitExpense
Net Community Benefit Expense2077323NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense
FieldValueIRS element (for citing)
Amount Reimbursed By Medicare11790458AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare13372798CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1582340MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeOtherOther
wood county hospital rehabilitation cent
1037 conneaut avebowling greenOH43402physical, occupation, 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
NORTH BALTIMORE DIAGNOSTIC CENTER
600 STERLING DRIVENORTH BALTIMOREOH45872LAB AND X-RAY

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: Needs assessmentNeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Wood County Hospital has a scholarship program to provide financial assistance to individuals preparing to pursue a career in health care. To apply for a scholarship, the candidate must live in an area served by Wood County Hospital, be a high school graduate or equivalent with GED, and be accepted at his or her chosen school. The candidate must complete an application, which details the candidates reasons for choosing health care. Applications are reviewed by a committee consisting of the Staff Development Coordinator, the Vice President of Employee Services, and the Administrative Assistant. The area of specialization in health care selected, community need for more professionals in a particular field, the applicants community and volunteer participation, and financial need are instrumental in the committees decision-making process. Each applicant selected will receive a scholarship in an amount ranging from $200 - $500. The scholarships will not exceed $1,000. The hospital budgets approximately $9,000 annually for this program. During the 2010 Fiscal Year, we awarded 7 scholarships totaling $3,500.Explanation

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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STANLEY KORDUCKIBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org205308BaseCompensationFilingOrg
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 Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org205308TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org197704CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

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
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (7 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 elgamal
startupX$712,900712900000
er physicians group
physician recruitmentX$175,63114636011
dr lane
physician recruitmentX$459,306153000011
dr tamlyn
physician recruitmentX$48,21510447011
dr bell
home downpayment loanX$25,00027171011
FieldValueIRS element (for citing)
Total Balance Due964078TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 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.
Part XI, Line 2cNo change in process from prior year.
Page 2, part III line 4 continuedPressure Screening Month of Sept. Wellness Coaching CMC Pilot Program $270.00 12 participants 9/29/2009 Speakers Bureau- Women's Health ODOT $248.64 18 people 10/1/2009 High Five - Kids Handwashing Program Grand Rapids Elem $60.00 12 Kids 10/2/2009 High Five - Kids Handwashing Program Deshler $156.40 71 kids 10/3/2009 Kids Safety Fair Home Depot $306.25 Sun Safety - 25 kids 10/6/2009High Five - Kids Handwashing Program Montessori Schoolls BG $178.00 112 Kids 10/7/2009 High Five - Kids Handwashing Program Conneaut School $148.00 72 Kids 10/8/2009 Flu Clinic with WC Health Department WCFairgrounds $1,813.25 77 kids Handwashing + three speakers 10/9/2009 High Five - Kids Handwashing Program Elmwood Elem. $165.20 93 kids 10/9/2009 Speakers Bureau - Fitness Conneaut Elem. $112.00 90 Kids 10/12/2009 Speakers Bureau-fitness Powell Elem in North Baltimore $92.60 40 kids 10/19/2009 Speakers Bureau - Hand Hygiene/flu/MRSA Eastwood High School $717.05 85 Kids 10/22/2009 Prostate Screening Medical Building $2,801.00 27 Participants 10/26/2009 High Five - Kids Handwashing Program Powell Elem in North Baltimore $384.00 112 Kids 10/29/2009 High Five - Kids Handwashing Program Kenwood Elem. $184.00 80 Kids Month of October Wellness Coaching Century Marketing - Pilot $265.70 12 Participants 11/1/2009 Stuffee St. Al's $66.00 25 Kids 11/2/2009 StuffeeSt. Al's $66.00 25 Kids 11/4/2009 High Five - Kids Handwashing Program Grand Rapids Elem $81.60 64 kids 11/5/2009 Speakers Bureau - Men's Health ODOT $123.85 25 Participants 11/11/2009 High Five - Kids Handwashing Program Haskins Elem. $155.60 109 Kids 11/12/2009 Speakers Bureau - Fitness Diabetes Interest Group $128.30 30 Participants 11/12/2009 High Five - Kids Handwashing Program Haskins Elem. $229.60 134 Kids 11/16/2009 Screening Bowling Green Community Center $151.52 16 Participants 11/19/2009 Lunch N Learn - Nutrition WCH $174.00 7 Participants 11/19 to 11/20/2009 Speakers Bureau - Fitness Elmwood Elem. $350.00 472 Kids 11/19/2009 High Five - Kids Handwashing Program Bright Beginnings Preschool $66.00 25 kids 11/18/2009 High Five - Kids Handwashing Program Bright Beginnings Preschool $66.00 25 Kids Month of November Wellness Coaching Century Marketing - Pilot $221.50 12 participants 12/10/2009 High Five - Kids Handwashing Program Hasking Elem $70.00 35 Kids 12/17/2009 Lunch N Learn - Nutrition WCH $128.00 5 Participants Month of December Wellness Coaching CMC Pilot Program $264.00 12 participants 1/6/2010 Planning Meeting Kids Health and Safety Fair @ WCH $64.00 Staff Time 1/6/2010 Planning Meeting Be Healthy Now Wood County @ WCH $93.80 Staff Time 1/14/2010 Planning Meeting Pain Management Event @WCH $96.00 Staff Time (Not included Dr. Melanowski's 1 hour) 1/19/2010 Tobacco Cessation Education WCH $96.00 11 In-patients 1/22/2010 2nd Biometric Screening and Counseling CMC Pilot Program $314.24 screening costs and staff time 1/25/2010 Speakers Bureau- Breast Health Devlac Hall $50.16 10 Participants 1/29/2010 Lunch n Learn WCH $112.63 6 Particpants 1/29/2010 Planning Meeting Kids Health and Safety Fair @ WCH $96.00 Staff Hours 1/29/2010 High Five - Kids Handwashing Program FUM $56.80 22 Kids Month of January Wellness Coaching CMC Pilot Program $151.00 11 Participants @ 6 visits Month of Jan. In Patient Tobacco Cessation Contact In Patient Referrals $75.80 Staff time, Educational Materials/packets given to all smokers 2/3/2010 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 Staff Time 2/4/2010 Planning Meeting Kids Health and Safety Fair @ WCH $64.00 Staff Time 2/4/2010 High Five - Kids Handwashing Program Hasking Elem $74.00 25 Kids 2/5/2010 Go RED for Women WCH $750.40 Staff Time, Decorations, Ed Materials 2/13/2010 Spekaers Bureau - Heart Health Gleeners Organization $174.45 Staff time, Educational Meterials 2/16/2010 Screening Bowling Green Community Center $87.88 14 Participants 2/19/2010 Stuffee Faith United Meth. $74.00 25 Kids 2/22/2010 Stuffee Hasking Elem $74.00 25 Kids 2/25/2010 Speakers Bureau BGSU Child Dev. Ctr. $70.40 15 kids 2/26/2010 Stuffee Jack and Jill Preschool $69.60 14 Kids 2/26/2010 Lunch N Learn - Nutrition WCH $104.75 3 participants Month of Feb. Tobacco Cessation Education WCH $151.71 31 In-Patients 3/1/2010 Hallway Educational Display WCH $214.00 Display Board Purchase and Staff Time for Education Devlop. 3/8/2010 Planning Meeting Kids Health and Safety Fair @ WCH $40.00 Staff Time 3/9/2010 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 Staff Time 3/17/2010 Stuffee Deshler $186.80 67 Kids 3/19/2010 Screening Women in Ag. - Nazerith Hall $207.94 22 participants 3/22/2010 Business Newsletters Wood County agencies and businesses $167.00 25 businesses 3/18/2010 Speakers bureau - Health Matters Lect. S Bowling Green Community Center $72.25 11 Participants 3/20/2010 Safe Sitter Class WCH $60.00 3 scholarships 3/25/2010 Pain Management Program - Dr. Malinowski WCH - (dexascan and blood pressures) $816.50 Staff time, Screening costs and Ed materials, door prizes Month of March Tobacco Cessation Education WCh 95.98 26 In-Patients 3/26/2010 Tobacco Cessation Education - First Apt. WCH $113.66 Seen as follow up to In-Patient 4/1/2010 First Aid Cls WCH $169.68 For Home Schooled Kids - 4 4/2/2010 Tobacco Cessation Education- Second Apt.WCH $34.15 Seen as follow up to In-Patient 4/5/2010 Speakers Bureau - Breast Health Devlac Hall $67.36 12 participants 4/7/3020 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 Staff Time 4/8/2010 Speakers Bureau - Nutrition Wood County Offices $136.00 34 Participants 4/13/2010 First Aid Class Deshler Girls Scout Group $180.04 12 Particpants 4/13/2010 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 Staff Time 4/14/2010 Health Fair BGSU $733.10 98 Students - Sun safety screening Dermascan) and Education 4/17/2010 Health Fair Diabetes Ed Pgm. For Community $468.10 54 Participants 4/20/2010 Screening Bowling Green Community Center $79.00 10 Participants 4/21/2010 Stuffee St Luis School $48.25 5 Kids 4/22/2010 Speakers Bureau Wood County Offices $134.50 26 Participants 4/24/2010 Screening Blood Analysis Day - WCH $225.50 70 Participants 4/26/2010 Stuffee Luckey Elementary $118.76 38 Kids 4/27/2010 Speakers Bureau - Stress Management ODOT $185.90 18 Participants Month of April Tobacco Cessation Education WCH $65.35 29 In-Patients 7/20/2009 BMI/% Body Fat Screening Bowling Green Community Center $37.50 6 Particpants 7/23/2009 Tobacco Cessation Education WCH $128.56 In-patient Requested Education 7/23/2009 Biometric Screening CMC Pilot Program $231.30 Pilot Program no charge 7/27/2009 Speakers Bureau - Fitness Barriatric Support Group $39.50 at Request of Dr Lauler 7/28 to 7/31/09 Wellness Coaching CMC Pilot Program $272.40 Pilot Program no chargE 7/29/2009 Speakers Bureau - Wound Healing N. B. Senior Center $80.00 26 Participants 7/30/2009 Lunch n Learn - Fitting Fitness In WCH $105.00 7 Participants 8/3 to 8/10/2009 Wood County Fair Fair Grounds $12,083.50 Staff time,screening cost, educational materials 8/11/2009 Sun Safety Education BG City Pool $328.00 50 kids made sun safe bead bracelets and were screened 8/12/ to 8/15/2009 Pemberville Free Fair Pemberville Park $1,194.78 Staff time, Screening costs and Ed materials 8/12/2009 Health Fair/Diabetes Education Bowling Green State University $88.64 Staff time and ed materials 8/27/2009 Lunch n Learn - Eat a Rainbow of Color WCH $64.00 Staff time 8/28/2009 High Five - Kids Handwashing Program Luckey Elementary $97.20 43 Kids Month of August Wellness Coaching CMC Pilot Program $162.50 Pilot Program no charge 9/2/2009 Tobacco Cessation Education Student $165.00 Student first and second apt. charge 9/2/2009 Speakers Bueau - Breast Health Devlac Hall $61.60 9 participants 9/8/2009 High Five - Kids Handwashing Program Deshler $187.20 88 kids 9/15/2009 High Five - Kids Handwashing Program Wood County Library $174.40 56 kids 9/14/2009 High Five - Kids Handwashing Program Powell Elem in North Baltimore $153.60 42 kids 9/17/2009 CMC 2nd Biometric Screening Century Marketing - Pilot $230.00 Pilot Program no charge 9/22/2009 High Five - Kids Handwashing Program Milton Center $164.00 90 Kids 9/23/2009 High Five - Kids Handwashing Program Deshler Elem. $158.00 75 kids 9/24/2009 Speakers Bureau - Rate Your Plate County Offices $65.82 31 People 9/24/2009 Prostate Screening Medical Building $5,258.94 51 participants 9/24/2009 Lunch n Learn - Build a Better Back WCH $64.00 18 Participants 9/27/2009 Health Fair and Screening Peace Lutheran Church $60.00 Bloodprogram accomplishments continued:
PAGE 2, PART III LINE 4 CONtinued5/1/2010 Health Fair - Screening Cinco de Mayo - WC Fair Grounds $99.00 17 participants 5/5/2010 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 staff time 5/6/2010 Speakers Bureau - Stress Management WC Health Department Employees $203.78 38 Participants 5/10/2010 Planning Meeting Kids Health and Safety Fair @ WCH $96.00 Staff Time 5/11/2010 Planning Meeting High School Physicals $32.00 Staff Time 5/20/2010 Community Health and Economic Fair Malinta Elementary School $48.00 Door Prizes and Educational Materials 5/22/2010 Kids Safety Fair Bowling Green Community Center $3,895.97 200 Kids 5/24/2010 Quarterly Business Newsletter Wellness Office $143.40 Development staff time and printing costs 5/25/2010 High School Physicals Rehab Building $956.13 93 Students, 14 staff (7 paid) and 8 physician volunteers 5/28/2010 Planning Meeting Summer PE Program for BGHS $32.00 Staff Time Month of May 6/1/2010 High School Physicals Rehab Building 1,037.05 145 Students, 16 staff (6 paid) and 8 physician volunteers 6/2/2010 Planning Meeting Be Healthy Now Wood County @ WCH $64.00 Staff Time 6/5/2010 Health Fair WBGU Kids Extravaganze 174.38 50 Kids - Presidential Fitness Challenge stickers, ed mat. Etc 6/8/2010 Speakers Bureau - Sun safety/Nutrition - High School Summer PE BGHS $468.00 25 Kids - Health Education + dermascan screening 6/8/2010 Speakers Bureau - Sun safety/Nutrition - WCCA - Senior Center $149.80 23 Participants - Health Education + dermascan screening 6/10/2010 Speakers Bureau - Stretch./Stress/hand wash High School Summer PE BGHS $318.00 25 Kids - Health Education + flexibility screening 6/12/2010 Health Fair WC Historical Museum - Herritage Days $366.20 31 Participants - Health Ed + Blood Pressure Screenings 6/14/2010 High Five - Kids Handwashing Program Safety Town @ Kenwood School $131.60 62 kids - Health Ed + stickers, bar of soap and work sheets 6/14/2010 Speakers Bureau - Breast Health Devlac Hall $66.60 13 Participants 6/15/2010 Screening - Dermascan Bowling Green Community Center $108.64 11 Particpants 6/15/2010 Screening - Blood Pressure Wood County Employees $106.55 71 Participants 6/17/2010 Health Fair - Farm Bureau Screening WCH $4,766.28 112 Particpants -PF Tests, Massages, Flex, B/P, fasting lab work 6/23/2010 Stuffee Kids Learning Center $105.00 30 Kids 6/26/2010 Health Fair Unitarian Church $63.00 15 Participants - Blood Pressure Screening 6/30/2010 High Five - Kids Handwashing Program Safety Town @ Kenwood School $86.00 35 kids Month of June Total $53,258.32 78 individuals utilized the annual prostate-screening clinic. The value of tests provided free of charge was $6,318.00. Sports physicals for high school athletes are conducted at the hospital. Fourteen staff members and eight physicians volunteered to staff the event. Students pay a $10.00 fee to their school for use by the athletic department. Four area schools participated this year and 238 students were seen. The OB department provides prenatal classes free of charge for expectant mothers on Medicaid, which doesn't cover the instruction, and those who cannot otherwise afford the $40 charge. Total class attendees for 2010 for PCB/BCB/BF: 345/no pay: 87 Total no-pay with Breastfeeding support: 258 Rationale: PCB paid: 95, no pay: 30 BF paid: 80, no pay: 28 BCB paid 83, no pay 29 Breastfeeding Support all no pay: 171 attendees Lactation scheduled appointments time: 158 hours Total phone hours: 231 Rationale: Callback time: 413 patients called back for vaginal and c/s patients (average 25 min per call and leaving messages)= 137 hours 48 average GYN callbacks (approx 15-20 min each)= (16 hours average) NB/Antepartem callbacks approx 20= 6 hours average Average amount of phone time for just answering questions on the phone and follow-up calls per month (per phone time recorded and averaged) =6 hours/month = 72 hours Fair Week: 280hrs Diabetes fair= 8 hours Safe kids fair=6hours BGSU lecture-3x per year/4 hrs each=12 hrs. 334 preadmission/car seat appointments for 12months= 501 at 1.5 hours Last November benefit: 12 hours donated per Monica and Jen, department earnings donation to demise fund total $800.00 The community sharps collection program is in its twelve year. Individuals are provided a special container to collect used needles and other sharp medical waste. The full containers are returned to the hospital for proper disposal and a new container is dispensed. The program is geared toward individuals only; businesses are not eligible to participate. There are now more than 1382 residents involved, with 147 new participants this year. There were 1054 containers returned this year for safe destruction. Form 990, Part III, continued Wheeled Meals are prepared for community residents who are unable to prepare meals for themselves. This year, 35,772 meals were provided at a subsidized fee. CPR training courses are provided at a nominal cost. Local organizations including schools, government agencies, and private businesses are represented in the classes. (ie. Children's Resource Center, Eastwood Schools, BGSU, Pioneer Seed, Oak Grove Extended Care and the City of Haskins are some of the organizations that we provide service to). Approximately fifteen area organizations participate each year. The Lifeline Program is an emergency response system for people who live alone or need an emergency response system. One of the many services offered by Wood County Hospital there is a $20 monthly fee and a $20 one time installation fee. If you are not a Wood County Hospital user the costs are $30 per month and $30 one time installation fee. If the patient is unable to pay service will be provided. Currently we have one subscriber not paying for the service. To date 325 subscribers in the greater Wood County area are on the Lifeline Program. All calls come into the Hospital and over 7,920 calls were handled over the past year. The Comprehensive Sports Network, administered by the Physical Therapy Department, holds a free sports medicine clinic in May. Its primary objective is to provide timely evaluation of injuries resulting from scholastic sports. Although it emphasizes student athletes, the clinic accepts anyone with a sports related injury. The Network provides athletic trainers to three area high schools.PROgram accomplishments continued:
Earnings are used to replace and improve hospital equipment and facilities. We added on an addition to our building as well as new Spacelabs monitors for the new wing, new furnishings, patient beds, an Accudose System for our pharmacy department, and a Digital Mammography System for our Womens Center were among major items purchased during the fiscal year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
wood health company
950 w wooster streetbowling greenOH43402810616720family health and specialized careOHwood county hospital
whc medical services
950 w wooster streetbowling greenOH43402050623391family health and specialized careOHwood county hospital
wood county women's care
755 hasking roadbowling greenOH43402810565899women's health careOHwood 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType
wood health company
A
wood health company
B

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