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      <Desc>WOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 2,307 INPATIENTS, 352 NEWBORNS, AND 122,768 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/24. 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 $1,803,793.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 2024, 20,261 INDIVIDUALS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT. MEDICAL CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, $127,954,074 WAS THE VALUE OF SERVICES PROVIDED WHERE THE HOSPITAL DID NOT RECEIVE FULL PAYMENT. OF THIS, $1,803,793 WAS CHARITY CARE.</Desc>
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      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>3817</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>3817</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPRESENTS THE PORTION OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OHIO HOSPITAL ASSOCIATION DUES ALLOCATED TO LOBBYING AS DISCLOSED BY THE HOSPITAL ASSOCIATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1771368</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1771368</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>30258839</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>17754591</DepreciationAmt>
        <BookValueAmt>12504248</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>126208121</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>101731682</DepreciationAmt>
        <BookValueAmt>24476439</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>6299862</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6299862</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>45051917</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN WOOD COUNTY HOSPITAL FOUNDATION</Desc>
        <BookValueAmt>37295303</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN JOINT VENTURES</Desc>
        <BookValueAmt>1202243</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS RECEIVABLES</Desc>
        <BookValueAmt>3347884</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RELATED PARTY RECEIVABLE</Desc>
        <BookValueAmt>1686986</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>284586</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSETS</Desc>
        <BookValueAmt>901326</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PENSION ASSET</Desc>
        <BookValueAmt>9574278</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>54292606</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PENSION LIABILITY</Desc>
        <Amt>1514596</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ROU LIABILITY</Desc>
        <Amt>311241</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENT</Desc>
        <Amt>89863</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1915700</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ASSOCIATION HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2023 AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>3629800</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>873873</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2755927</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01860</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>14806294</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7897881</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6908413</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04660</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>18436094</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8771754</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9664340</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06520</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>10</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>1435</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>352950</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>104563</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>248387</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00170</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>105</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>16478</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>16478</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>8</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>36125</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>194785</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>55295</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>139490</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>19</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>37665</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>564213</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>159858</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>404355</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00270</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>19</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>37665</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>19000307</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8931612</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10068695</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06790</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>6858841</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>15286464</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>18409971</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-3123507</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 WOOD CARE NET</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MESSENGER MODEL PHO</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.50000</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>950 W WOOSTER ST</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>HTTP://WWW.WOODCOUNTYHOSPITAL.ORG/</WebsiteAddressTxt>
        <StateLicenseNum>1295</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, PAGE 8</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>SEE PART V, PAGE 8</OtherWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-AND-INSURANCE/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-AND-INSURANCE/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.WOODCOUNTYHOSPITAL.ORG/PATIENTS-VISITORS/BILLING-AND-INSURANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>1</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: WOOD COUNTY HEALTH PARTNERS HAVE BEEN CONDUCTING CHHAS SINCE 2008 TO MEASURE THE COMMUNITY'S HEALTH STATUS. THE MOST RECENT WOOD COUNTY CHNA WAS CROSS-SECTIONAL IN NATURE AND INCLUDED A WRITTEN SURVEY OF ADULTS, YOUTH AND CHILDREN WITHIN WOOD COUNTY. THE QUESTIONS WERE MODELED AFTER THE SURVEY INSTRUMENTS USED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND YOUTH RISK BEAHVIOR SURVEILLANCE SYSTEM, AND NATIONAL SURVEY OF CHILDREN'S HEALTH. THIS HAS ALLOWED WOOD COUNTY TO COMPARE THEIR CHNA DATA TO NATIONAL, STATE AND LOCAL HEALTH TRENDS. COMMUNITY STAKEHOLDERS WERE ACTIVELY ENGAGED IN THE PROJECT EARLY PHASES OF CHNA PLANNING AND HELPED DEFINE THE CONTENT, SCOPE AND SEQUENCE OF THE PROJECT.THE WOOD COUNTY HEALTH DEPARTMENT AND WOOD COUNTY HOSPITAL CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO, A NEUTRAL, REGIONAL, NONPROFIT ASSOCIATION, TO FACILITATE THE CHIP. THE CHIP WAS PLANNED BY VARIOUS AGENCIES AND SERVICE-PROVIDERS WITHIN WOOD COUNTY. FROM APRIL 2022 TO JUNE 2022, THE WOOD COUNTY HEALTH PARTNERS REVIEWED MANY DATA SOURCES CONCERNING THE HEALTH AND SOCIAL CHALLENGES THAT WOOD COUNTY RESIDENTS ARE FACING. THEY DETERMINED PRIORITY ISSUES WHICH, IF ADDRESSED, COULD IMPROVE FUTURE OUTCOMES; DETERMINED GAPS IN CURRENT PROGRAMMING AND POLICIES; EXAMINED BEST PRACTICES AND SOLUTIONS; AND DETERMINED SPECIFIC STRATEGIES TO ADDRESS IDENTIFIED PRIORITY ISSUES.BEGINNING IN APRIL 2022, THE WOOD COUNTY COMMUNITY PARTNERS MET FOUR (4) TIMES AND COMPLETED THE FOLLOWING PLANNING STEPS: 1. INITIAL MEETING: - REVIEW THE PROCESS AND TIMELINE - FINALIZE COMMITTEE MEMBERS - CREATE OR REVIEW VISION2. CHOOSE PRIORITIES: - USE OF QUANTITATIVE AND QUALITATIVE DATA TO PRIORITIZE TARGET IMPACT AREAS3. RANK PRIORITIES: - RANK HEALTH PROBLEMS BASED ON MAGNITUDE, SERIOUSNESS OF CONSEQUENCES, AND FEASIBILITY OF CORRECTING4. COMMUNITY THEMES AND STRENGTHS ASSESSMENT: - OPEN-ENDED QUESTIONS FOR COMMITTEE ON COMMUNITY THEMES AND STRENGTHS5. FORCES OF CHANGE ASSESSMENT: - OPEN-ENDED QUESTIONS FOR COMMITTEE ON FORCES OF CHANGE6. LOCAL PUBLIC HEALTH ASSESSMENT: - REVIEW THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT WITH COMMITTEE7. GAP ANALYSIS: - DETERMINE DISCREPANCIES BETWEEN COMMUNITY NEEDS AND VIABLE COMMUNITY RESOURCES TO ADDRESS LOCAL PRIORITIES - IDENTIFY STRENGTHS, WEAKNESSES, AND EVALUATION STRATEGIES8. QUALITY OF LIFE SURVEY: - REVIEW RESULTS OF THE QUALITY-OF-LIFE SURVEY WITH COMMITTEE 9. STRATEGIC ACTION IDENTIFICATION: - IDENTIFICATION OF EVIDENCE-BASED STRATEGIES TO ADDRESS HEALTH PRIORITIES10. BEST PRACTICES: - REVIEW OF BEST PRACTICES, PROVEN STRATEGIES, EVIDENCE CONTINUUM, AND FEASIBILITY CONTINUUM 11. RESOURCE ASSESSMENT: - DETERMINE EXISTING PROGRAMS, SERVICES, AND ACTIVITIES IN THE COMMUNITY THAT ADDRESS SPECIFIC STRATEGIES 12. DRAFT PLAN: - REVIEW OF ALL STEPS TAKEN - ACTION STEP RECOMMENDATIONS BASED ON ONE OR MORE OF THE FOLLOWING: ENHANCING EXISTING EFFORTS, IMPLEMENTING NEW PROGRAMS OR SERVICES, BUILDING INFRASTRUCTURE, IMPLEMENTING EVIDENCE-BASED PRACTICES, AND FEASIBILITY OF IMPLEMENTATION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE WOOD COUNTY HEALTH DISTRICT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: WOOD COUNTY WILL FOCUS ON THE FOLLOWING SIX PRIORITY AREAS OVER THE NEXT THREE YEARS:PRIORITY FACTOR(S):1) COMMUNITY CONDITIONS 2) HEALTH BEHAVIORS 3) ACCESS TO CARE PRIORITY HEALTH OUTCOME(S):1) MENTAL HEALTH AND ADDICTION 2) CHRONIC DISEASE 3) SOCIAL WELLNESS COMMUNITY CONDITIONS, EXPAND AND IMPROVE HOUSING OPTIONS RESIDENTS PLAN OF ACTION:YEAR 1: INCREASE PUBLIC AWARENESS OF AFFORDABLE HOUSING OPTIONS AVAILABLE BY PROVIDING A COMPREHENSIVE GUIDE TO AVAILABLE HOUSING RESOURCES.YEAR 2: ADVOCATE FOR EXPANSION OF AFFORDABLE HOUSING PROGRAMS FOR THE LOWEST-INCOME RENTERS. ADVOCATE FOR LOCAL INCLUSIONARY ZONING AND HOUSING POLICIES TO EXPAND THE AREAS WHERE AFFORDABLE HOUSING CAN BE BUILT.YEAR 3: EXPAND AVAILABLE TRANSITIONAL HOUSING OPTIONS THAT PROVIDE TRANSITIONAL HOUSING FOR 6 TO 24 MONTHS (SAFE FAMILIES, COMMUNITY MENTORSHIP PROGRAMS, ETC.).HEALTH BEHAVIORS PLAN OF ACTION INCLUDES THE FOLLOWING:YEAR 1: SURVEY HEALTH CARE PROVIDERS, TEACHERS, COACHES, SOCIAL SERVICE PROVIDERS AND OTHER COMMUNITY MEMBERS ON THEIR AWARENESS AND USE OF TRAUMA-INFORMED CARE, INCLUDING TOXIC STRESS AND ADVERSE CHILDHOOD EXPERIENCES.DEVELOP MATERIALS ON ACES THAT CAN BE USED BY AGENCIES TO MITIGATE THE IMPACT OF ACES ON THE PEOPLE THEY WORK WITH.YEAR 2: TRAIN TEACHERS, SUPERINTENDENTS, AND ORGANIZATIONS THAT WORK WITH PEOPLE WITH ACES ON TRAINED ON TRAUMA INFORMED CARE. INCREASE AWARENESS OF TRAUMA INFORMED CARE. CONTINUE EFFORTS FROM YEAR 1.YEAR 3: CONTINUE EFFORTS FROM YEARS 1 AND 2.COMMUNITY CONDITIONS AND INCREASE AWARENESS FOR ADVERSE CHILDHOOD EXPERIENCES PLAN OF ACTION:YEAR 1: CONSIDER IMPLEMENTING THE FOLLOWING MASS-REACH COMMUNICATION INITIATIVES: - SHARE MESSAGES AND ENGAGE AUDIENCES ON SOCIAL NETWORKING SITES LIKE FACEBOOK AND TWITTER. - DELIVER MESSAGES THROUGH DIFFERENT WEBSITES AND STAKEHOLDERS COMMUNICATIONS. - GENERATE FREE PRESS THROUGH PUBLIC SERVICE ANNOUNCEMENTS. - PAY TO PLACE ADDS ON TV, RADIO, BILLBOARDS, ONLINE PLATFORMS AND/OR PRINT MEDIA. THE STRATEGIES SHOULD FOCUS ON MOTIVATING TOBACCO USERS TO QUIT, PROTECTING PEOPLE FROM THE HARM OF SECONDHAND SMOKE EXPOSURE, AND PREVENTING TOBACCO USE AND VAPING INITIATION. RAISE AWARENESS OF THE TOBACCO 21 INITIATIVE. YEAR 2: CONTINUE EFFORTS FROM YEAR 1. PROMOTE AND RAISE AWARENESS OF THE OHIO TOBACCO QUIT LINE. PROMOTE THE AVAILABLE CESSATION SERVICES AND PROGRAMS IN THE COUNTY.YEAR 3: CONTINUE EFFORTS FROM YEARS 1 AND 2. IMPLEMENT ONE MASS-REACH COMMUNICATION STRATEGY.HEALTH BEHAVIORS AND REDUCE NICOTINE USE FOR WOOD COUNTY RESIDENTS PLAN OF ACTION:YEAR 1: COLLECT BASELINE DATA ON WHICH ORGANIZATIONS, MULTI-UNIT HOUSING FACILITIES, SCHOOLS AND OTHER BUSINESSES CURRENTLY HAVE TOBACCO-FREE POLICIES.APPOINT/HIRE TWO TOBACCO PREVENTION HEALTH EDUCATORS TO BUILD PARTNERSHIPS WITH THE LOCAL PUBLIC HOUSING AUTHORITY AND MULTI-UNIT HOUSING COMPLEXES. PROVIDE EDUCATION TO RESIDENTS TO ASSIST WITH THE TRANSITION OF THE MULTI-UNIT HOUSING COMPLEXES TO A SMOKE-FREE POLICY AND CREATE A RESIDENT ADVISORY COUNCIL.YEAR 2: IMPLEMENT THE SMOKE-FREE POLICY IN AT LEAST 1-2 MULTI-UNIT HOUSING COMPLEXES.BEGIN EFFORTS TO ADOPT SMOKE-FREE POLICIES IN PARKS, FAIRGROUNDS, SCHOOLS AND OTHER PUBLIC LOCATIONS.YEAR 3: CONTINUE EFFORTS OF YEARS 1 AND 2. TARGET 2 ADDITIONAL MULTI-UNIT HOUSING COMPLEXES TO ADOPT A SMOKE-FREE HOUSING POLICY. CHRONIC DISEASE RELATED TO PREDIABETES SCREENING AND REFERRAL PLAN OF ACTION:YEAR 1: DETERMINE THE BASELINE NUMBER OF ORGANIZATIONS IN THE COUNTY THAT CURRENTLY SCREEN FOR PREDIABETES. INCREASE PROVIDER TRAINING AND EDUCATION TO RAISE AWARENESS OF PREDIABETES SCREENING, IDENTIFICATION AND REFERRAL THROUGH DISSEMINATION OF THE PREDIABETES RISK ASSESSMENT, AND PREVENT DIABETES STAT TOOLKIT.YEAR 2: CONTINUE EFFORTS FROM YEAR 1. YEAR 3: INCREASE THE NUMBER OF PROVIDERS SCREENING FOR PREDIABETES BY 15% FROM BASELINE.CHRONIC DISEASE RELATED TO DIABETES PREVENTION PROGRAM PLAN OF ACTION:YEAR 1: CONTINUE TO IMPLEMENT DIABETES EDUCATION PROGRAMS. INCREASE ENROLLMENT IN DIABETES EDUCATION PROGRAMS BY 5%. CREATE AN INVENTORY OF CURRENT DIABETES EDUCATION PROGRAMS IN THE COUNTY. CONSIDER DEVELOPING A MARKETING PLAN TO INCREASE PROGRAM PARTICIPATION.YEAR 2: CONTINUE EFFORTS FROM YEAR 1. YEAR 3: CONTINUE EFFORTS FROM YEARS 1 AND 2. SOCIAL WELLNESS AND INCREASE INDIVIDUAL WELL-BEING AMONG WOOD COUNTY RESIDENTS PLAN OF ACTION:YEAR 1: RESEARCH STRATEGIES THAT HAVE BEEN DEMONSTRATED TO IMPROVE FACTORS THAT DRIVE SELF-CARE AND HEALTHY BEHAVIORS INCLUDING SLEEP, REDUCED SCREEN TIME, HEALTHY SOCIAL INTERACTIONS, HAPPINESS, CHRONIC PAIN, FAMILIES THAT SHARE MEALS TOGETHER, READING TO KIDS, ETC.CONDUCT ASSESSMENT OF UNMET SOCIAL NEEDS IN WOOD COUNTY.IDENTIFY COMMUNITY PARTNERSHIPS TO ENHANCE PROMOTION OF SELF-CARE.YEAR 2: COMPILE LIST/OVERVIEW OF RESOURCES AVAILABLE FOR SELF-CARE.DEVELOP PLAN TO ADDRESS UNMET SOCIAL NEEDS.ENHANCE AND EXPAND NO WRONG DOOR RESOURCES AND TRAINING TO INCLUDE OPPORTUNITIES FOR SELF-CARE.YEAR 3: CONTINUE EFFORTS FROM YEAR 2. DEVELOP PROGRAMS THAT CAN BE IMPLEMENTED ACROSS MULTIPLE ORGANIZATIONS - SCHOOLS, CHURCHES, BUSINESSES, ETC.PROMOTE OPPORTUNITIES TO PARTICIPATE IN VOLUNTEER EFFORTS TO SUPPORT THE COMMUNITY.OVERALL HEALTH AND FOSTER GREATER CONNECTION AMONG EFFORTS IN WOOD COUNTY PLAN OF ACTION:YEAR 1: DEVELOP A PROTOCOL/PROCESS FOR CREATING/MAINTAINING ALIGNMENT AND CONNECTION AMONG AGENCIES TO IMPROVE HEALTH OUTCOMES WILL BE DEVELOPED.YEAR 2: CONTINUE EFFORTS FROM YEAR 1. AT LEAST 50% OF THE TARGETED AGENCIES AND ORGANIZATIONS WILL INCLUDE RELEVANT CHIP STRATEGIES IN THEIR ORGANIZATIONS' STRATEGIC PLANS.YEAR 3: CONTINUE EFFORTS FROM YEARS 1 AND 2. AT LEAST 50% OF TARGETED AGENCIES AND ORGANIZATIONS THAT WILL ENGAGE IN ALIGNMENT ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: SELF PAY PATIENTS ARE BILLED ACCORDING TO THE FEE SCHEDULE. HOWEVER, THE SLIDE FEE SCHEDULE IS APPLIED BASED ON INCOME. SELF PAY PATIENTS GENERALLY RECEIVE A DISCOUNT OF NOT LESS THAN 20%.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>WOOD COUNTY HOSPITAL ASSOCIATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H, PART V, LINE 7A:HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/SCHEDULE H, PART V, LINE 7B:HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>WOOD COUNTY HOSPITAL ASSOCIATION CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WOOD COUNTY HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN ANY OF THE BAD DEBT EXPENSE. IF A PATIENT WAS PLACED IN BAD DEBT AND THEN SUBSEQUENTLY DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS RECLASSIFIED AND NOT INCLUDED IN ANY BAD DEBT EXPENSE AMOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS DETERMINED BY EACH PAYOR. FOR THIRD-PARTY PAYORS INCLUDING MEDICARE, MEDICAID, AND MANAGED CARE, THE NET REALIZABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGE, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL PAID CLAIMS DATA BY PAYOR. FOR SELF-PAY ACCOUNTS RECEIVABLE, WHICH INCLUDES PATIENTS WHO ARE UNINSURED AND THE PATIENT RESPONSIBILITY PORTION FOR PATIENTS WITH INSURANCE, THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR ESTIMATED CONVERSIONS OF PATIENT RESPONSIBILITY PORTIONS, EXPECTED RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS.PATIENT ACCOUNTS RECEIVABLE CAN BE IMPACTED BY THE EFFECTIVENESS OF THE ASSOCIATION'S COLLECTION EFFORTS. ADDITIONALLY, SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE. THE ASSOCIATION ALSO CONTINUALLY REVIEWS THE NET REALIZABLE VALUE OF ACCOUNTS RECEIVABLE BY MONITORING HISTORICAL CASH COLLECTIONS AS A PERCENTAGE OF TRAILING NET OPERATING REVENUES, AS WELL AS BY ANALYZING CURRENT PERIOD NET REVENUE AND ADMISSIONS BY PAYOR CLASSIFICATION, AGED ACCOUNTS RECEIVABLE BY PAYOR, DAYS REVENUE OUTSTANDING, THE COMPOSITION OF SELF-PAY RECEIVABLES BETWEEN PURE SELF-PAY PATIENTS AND THE PATIENT RESPONSIBILITY PORTION OF THIRD-PARTY INSURED RECEIVABLES AND THE IMPACT OF RECENT ACQUISITIONS AND DISPOSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE SHORTFALL PROVIDES BENEFIT TO THE COMMUNITY BECAUSE WE PROVIDE CARE TO ALL MEDICARE PATIENTS EVEN THOUGH THE MEDICARE PROGRAM PAYMENTS DO NOT COVER OUR EXPENSES FOR PROVIDING THE CARE. ALL COSTS RELATED TO THESE SERVICES ARE CALCULATED BY THE MEDICARE COST REPORT AND REPORTED DIRECTLY FROM THAT REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS OUR POLICY TO PROCESS CHARITY APPLICATIONS WHEN WE KNOW THE PATIENT IS ELIGIBLE, AND NOT TO PURSUE A FORM OF PAYMENT ONCE WE HAVE THE ELIGIBILTIY CONFIRMED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE PAST NINETEEN YEARS OF JOINT CHNAS, AND CHIPS, WOOD COUNTY HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WE SERVE BY EXAMINING THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA, COLLECTING AND ANALYZING THE DATA, AND ENGAGING OUR STAKEHOLDERS. WE ARE THEN ABLE TO IDENTIFY AND QUANTIFY AREAS THAT NEED ATTENTION. THESE PRIORITY AREAS ARE DEVELOPED INTO A FORMAL PLAN AND IF APPROVED ARE IMPLEMENTED IN THE HOSPITAL'S SCOPE OF PATIENT SERVICES. THE PROGRESS AND OUTCOMES ARE EVALUATED ON A VERY FREQUENT BASIS. THIS IS USUALLY COMPLETED DURING THE HOSPITAL STRATEGIC PLANNING PROCESS.IN ADDITION TO THE ABOVE, ALL COMMUNITY PROGRAMS ARE EVALUATED BY THE COMMUNITY PARTICIPANTS AND THE FEEDBACK IS USED TO FINE TUNE THE PROGRAMS TO BE MORE COMMUNITY CENTERED AND FOCUSED.ACCORDING TO THE CENTER OF DISEASE CONTROL (CDC), MAKING PATIENT AND COMMUNITY ENGAGEMENT A CENTRAL COMPONENT OF THE PLANNING PROCESS CAN BE MUTUALLY BENEFICIAL TO HOSPITALS AND COMMUNITIES. PATIENT AND COMMUNITY ENGAGEMENT ALLOWS HOSPITALS AND HEALTH SYSTEMS TO GAIN A CLEARER UNDERSTANDING OF THEIR COMMUNITY'S HEALTH NEEDS AND PRIORITIES, INCREASES BUY-IN AND A SENSE OF SHARED RESPONSIBILITY FOR COMMUNITY HEALTH, AND ESTABLISHES RELATIONSHIPS WITH ORGANIZATIONS AND INDIVIDUALS TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH FINANCIAL COUNSELOR AND WEBSITE - ALSO, THE BACKSIDE OF PATIENT STATEMENTS INCLUDES A CHARITY APPLICATION TO WHICH THE PATIENTS ARE DIRECTED FROM THE FRONT OF THE STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>WOOD COUNTY HOSPITAL PARTICIPATES FULLY IN THE WOOD COUNTY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN PLANNING PROCESS. THIS COUNTY-WIDE ASSESSMENT AND PLAN ARE BROADER THAN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THE PSA IS THE COMMUNITY THAT IS SERVED BY WOOD COUNTY HOSPITAL AND IS DEFINED AS WOOD COUNTY, OHIO SOUTH OF STATE ROUTE 582 AND CONTIGUOUS AREAS TO THE EAST, SOUTH AND WEST OF THE COUNTY LINES. THE ESTIMATED POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA CENTERS ON 24 ZIP CODES. THIS CONSTITUTES APPROXIMATELY 80% OF THE INPATIENT DISCHARGES FROM THE HOSPITAL; WITH 20% FALLING OUTSIDE THE DEFINED SERVICE AREA. WE HAVE TWO UNIQUE SITUATIONS TYPICALLY NOT SEEN IN A COMMUNITY HOSPITAL OUR SIZE. WE HAVE A LONG STAND BARIATRIC SERVICE LINE THAT ATTRACTS MANY PATIENTS FROM OUTSIDE OUR SERVICE AREA. AS A UNIVERSITY TOWN WE SEE PATIENTS FROM MANY ZIP CODES ACROSS THE COUNTRY.THE POPULATION IS ESTIMATED TO BE 76,457, BASED ON THE 2017 ACS POPULATION ESTIMATES FROM THE 2010 CENSUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY PARTNERS: WOOD COUNTY HEALTH PARTNERSWOOD COUNTY HOSPITAL IS COMMITTED TO THE COMMUNITY IT SERVES BY PROVIDING EXCELLENT HEALTHCARE SERVICES INCLUDING MEDICAL CARE, EDUCATION, COMMUNITY SUPPORT, AND WORKING WITH LIKE-MINDED ORGANIZATIONS, AGENCIES, AND INSTITUTIONS TO MAKE A DIFFERENCE. THIS GROUP, WOOD COUNTY HEALTH PARTNERS, HAVE WORKED TOGETHER OVER THE PAST THIRTEEN YEARS TO COMPLETE FOUR COMMUNITY HEALTH ASSESSMENTS. THE CURRENT ASSESSMENT WAS JOINTLY FUNDED BY WOOD COUNTY HOSPITAL AND WOOD COUNTY HEALTH DISTRICT AND ALSO INCLUDED IN-KIND SUPPORT FROM THE REMAINING PARTNERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>OH</ExplanationTxt>
      </SupplementalInformationDetail>
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        <NontaxableBenefitsFilingOrgAmt>20898</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272783</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR THOMAS WOJCIECHOWSKI</PersonNm>
        <TitleTxt>MEMBER PARTIAL TERM</TitleTxt>
        <BaseCompensationFilingOrgAmt>205036</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3479</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3856</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>4170</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>1127</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217668</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FITNESS FACILITY BENEFIT: ACCORDING TO THE ECONOMIC BENEFITS OF REGULAR EXERCISE, RESEARCHERS HAVE FOUND THAT THE RETURN ON INVESTMENT AMONG COMPANIES THAT OFFER WELLNESS BENEFITS RANGES FROM $1.49 TO $13 FOR EVERY DOLLAR INVESTED. WELLNESS-ORIENTED SERVICES IN BOTH A FITNESS FACILITY AND THE WORKPLACE PROGRAMS WE OFFER THROUGH WELLNESS ARE PROVEN TO HELP ADDRESS OUR HEALTH GOALS, REDUCE THE IMPACT OF OBESITY RATES, AND IMPROVE BUSINESS PROFITABILITY. WOOD COUNTY HOSPITAL INVESTS IN EMPLOYEE HEALTH BY PAYING A FIXED AMOUNT OF $62.50 TO ALL EMPLOYEES, INCLUDING EXECUTIVES, WHO JOIN A FITNESS FACILITY WHERE THEY CAN WORK OUT. WOOD COUNTY HOSPITAL, LIKE OTHER EMPLOYERS, ARE AWARE THAT A FITNESS BENEFIT REDUCES EMPLOYEE HEALTH CARE EXPENSES, LOWERS RATES OF ABSENTEEISM, REDUCES DISABILITY AND WORKERS' COMPENSATION CLAIMS AND HELPS TO ATTRACT AND RETAIN TALENTED EMPLOYEES. STUDIES SHOW THAT EMPLOYEES WHO EXERCISE AT LEAST ONCE A WEEK, REGARDLESS OF THEIR WEIGHT, HAVE LOWER HEALTH CARE COSTS THAN THEIR SEDENTARY CO-WORKERS. ONE STUDY, IN FACT, SHOWED THAT ACTIVE EMPLOYEES TAKE 27 PERCENT FEWER SICK DAYS AND REPORT 14 TO 25 PERCENT FEWER DISABILITY DAYS THAN INACTIVE EMPLOYEES. WHILE ONLY 16% OF THE AMERICAN POPULATION CURRENTLY BELONGS TO A HEALTH CLUB, MEMBERSHIP HAS INCREASED MORE THAN 10% OVER THE PAST THREE YEARS TO OVER 50.2 MILLION MEMBERS, DESPITE THE POOR ECONOMY. WITH AN IMPROVED ECONOMIC OUTLOOK, CLUBS ACROSS THE COUNTRY ARE GEARING UP FOR MORE DEMAND THAN THEY'VE SEEN IN YEARS. THESE HEALTH CLUB DUES ARE NOT INCLUDED IN EMPLOYEES' TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT 990 IS PREPARED AND MEMBERS NOTIFIED THAT IT IS AVAILABLE FOR REVIEW &amp; COMMENT. ANY QUESTIONS ARE DISCUSSED AND HANDLED AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY 2 YEARS ALL BOARD MEMBERS AND VICE PRESIDENTS ARE ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE. THESE DOCUMENTS ARE RETAINED IN ADMINISTRATION. ANY IDENTIFIED CONFLICTS ARE ADDRESSED BY THE BOARD OR CEO AS APPROPRIATE. ACTION TAKEN WOULD BE CONTINGENT UPON THE TYPE OF CONFLICT RANGING FROM DISCLOSURE ONLY TO ABSTAINING FROM VOTES OR DISCUSSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, AN EVALUATION IS SENT TO BOARD MEMBERS AND KEY EMPLOYEES TO DETERMINE COMPENSATION FOR THE CEO AND OTHER OFFICERS. THE BOARD COMPENSATION COMMITTEE MEETS TO REVIEW INPUT FROM THOSE QUERIED. COMPARATIVE WAGE DATA IS OBTAINED FROM OHA AND OTHER INDUSTRY REPORTING SERVICES. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD AND A VOTE IS TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,660,644. MANAGEMENT AND GENERAL EXPENSES 406,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,067,382. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,530,328. MANAGEMENT AND GENERAL EXPENSES 1,058,925. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,589,253. COLLECTION COSTS: PROGRAM SERVICE EXPENSES 1,667,189. MANAGEMENT AND GENERAL EXPENSES 185,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,852,432.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>POST RETIREMENT RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -133,456. CHANGE IN INTEREST IN NET ASSETS OF WOOD COUNTY FOUNDATION 2,773,837. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 181,622. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 2,404,982. NET PERIODIC PENSION BENEFIT 690,224.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>WOOD HEALTH COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>950 W WOOSTER STREET</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
        </USAddress>
        <EIN>810616720</EIN>
        <PrimaryActivitiesTxt>FAMILY HEALTH AND SPECIALIZED CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>17701724</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5124552</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>WOOD COUNTY WOMEN'S CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>755 HASKING ROAD</AddressLine1Txt>
          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EndOfYearAssetsAmt>4252314</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL</BusinessNameLine1Txt>
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          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>341546464</EIN>
        <PrimaryActivitiesTxt>TO OBTAIN CHARITABLE CONTRIBUTIONS, MANAGE THOSE GIFTS &amp; DISBURSE THEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>WCH MEDICAL BLDG</BusinessNameLine1Txt>
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          <CityNm>BOWLING GREEN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43402</ZIPCd>
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        <EIN>341114700</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>WOOD COUNTY HOSPITAL</BusinessNameLine1Txt>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
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</Return>