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Wood County Hospital Association
Bowling Green, OH 43402
Bed count | 168 | Medicare provider number | 360029 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 131,331,309 Total amount spent on community benefits as % of operating expenses$ 10,177,499 7.75 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 2,108,110 1.61 %Medicaid as % of operating expenses$ 7,807,893 5.95 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 13,850 0.01 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 149,263 0.11 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 98,383 0.07 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 6,320,839 4.81 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 102809994 including grants of $ 0) (Revenue $ 124711105) WOOD COUNTY HOSPITAL PROVIDED HEALTH CARE SERVICES TO 2,099 INPATIENTS, 267 NEWBORNS, AND 132,842 OUTPATIENTS DURING FISCAL YEAR ENDING 6/30/22. 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 $1,411,650.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 2022, 20,215 INDIVIDUALS RECEIVED TREATMENT IN THE EMERGENCY DEPARTMENT. MEDICAL CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, $113,900,000 WAS THE VALUE OF SERVICES PROVIDED WHERE THE HOSPITAL DID NOT RECEIVE FULL PAYMENT. OF THIS, $1,411,650 WAS CHARITY CARE.
4B (Expenses $ 0 including grants of $ 0) (Revenue $ 0) WOOD HEALTH COMPANY IS COMPRISED OF 16 DIFFERENT MEDICAL PRACTICES THAT RANGE IN SPECIALTY: PRIMARY CARE, PEDIATRICS, WOMEN'S' CARE BARIATRIC, UROLOGY, FAMILY MEDICINE, VASCULAR, ENT, NEUROLOGY, ORTHOPEDICS, AND GENERAL SURGERY. WOOD HEALTH COMPANY PROVIDED 98,109 EPISODES OF CARE TO THE COMMUNITY IN KEEPING TO OUR COMMITMENT TO SERVE ALL.
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Facility Information
WOOD COUNTY HOSPITAL ASSOCIATION "PART V, SECTION B, LINE 5: DESIGNTHIS COMMUNITY HEALTH ASSESSMENT WAS CROSS-SECTIONAL IN NATURE AND INCLUDED A WRITTEN SURVEY OF ADULTS, ADOLESCENTS, AND PARENTS WITHIN WOOD COUNTY. FROM THE BEGINNING, COMMUNITY LEADERS WERE ACTIVELY ENGAGED IN THE PLANNING PROCESS AND HELPED DEFINE THE CONTENT, SCOPE, AND SEQUENCE OF THE STUDY. ACTIVE ENGAGEMENT OF COMMUNITY MEMBERS THROUGHOUT THE PLANNING PROCESS IS REGARDED AS AN IMPORTANT STEP IN COMPLETING A VALID NEEDS ASSESSMENT.INSTRUMENT DEVELOPMENTTHREE SURVEY INSTRUMENTS WERE DESIGNED, AND PILOT TESTED FOR THIS STUDY: ONE FOR ADULTS, ONE FOR ADOLESCENTS IN GRADES 6-12, AND ONE FOR PARENTS OF CHILDREN AGES 0-11. AS A FIRST STEP IN THE DESIGN PROCESS, HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO AND STAFF MEMBERS FROM HCNO MET TO DISCUSS POTENTIAL SOURCES OF VALID AND RELIABLE SURVEY ITEMS THAT WOULD BE APPROPRIATE FOR ASSESSING THE HEALTH STATUS AND HEALTH NEEDS OF ADULTS, ADOLESCENTS, AND CHILDREN. THE INVESTIGATORS DECIDED TO DERIVE THE MAJORITY OF THE ADULT SURVEY ITEMS FROM THE BRFSS, THE MAJORITY OF THE ADOLESCENT SURVEY ITEMS FROM THE YRBSS, AND THE MAJORITY OF THE SURVEY ITEMS FOR THE PARENTS OF CHILDREN 0-11 FROM THE NSCH. THIS DECISION WAS BASED ON BEING ABLE TO COMPARE LOCAL DATA WITH STATE AND NATIONAL DATA.THE PROJECT COORDINATOR FROM HCNO CONDUCTED A SERIES OF MEETINGS WITH WOOD COUNTY HEALTH PARTNERS. DURING THESE MEETINGS, HCNO AND THE PLANNING COMMITTEE REVIEWED AND DISCUSSED BANKS OF POTENTIAL SURVEY QUESTIONSFROM THE BRFSS, YRBSS, AND NSCH SURVEYS. BASED ON INPUT FROM WOOD COUNTY HEALTH PARTNERS, THE PROJECT COORDINATOR COMPOSED DRAFTS OF SURVEYS CONTAINING 114 ITEMS FOR THE ADULT SURVEY, 73 ITEMS FOR THE ADOLESCENT SURVEY, AND 78 ITEMS FOR THE 0-11 SURVEY. HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO REVIEWED ANDAPPROVED THE DRAFTS.SAMPLING : ADULT SURVEYTHE SAMPLING FRAME FOR THE ADULT SURVEY CONSISTED OF ADULTS AGES 19 AND OVER LIVING IN WOOD COUNTY. THERE WERE 95,618 PERSONS AGES 19 AND OVER LIVING IN WOOD COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 5% (I.E., WE CAN BE 95% SURE THAT THE ""TRUE"" POPULATION RESPONSES ARE WITHIN A 5% MARGIN OF ERROR OF THE SURVEY FINDINGS). A SAMPLE SIZE OF AT LEAST 383 ADULTS WAS NEEDED TO ENSURE THIS LEVEL OF CONFIDENCE. THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM WOOD COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA.SAMPLING : ADOLESCENT SURVEYTHE SAMPLING FRAME FOR THE ADOLESCENT SURVEY CONSISTED OF YOUTH IN GRADES 6-12 IN WOOD COUNTY PUBLIC SCHOOL DISTRICTS. FOR MORE INFORMATION ON PARTICIPATING DISTRICTS AND SCHOOLS, SEE APPENDIX IV. USING THE U.S. CENSUS BUREAU DATA, IT WAS DETERMINED THAT APPROXIMATELY 12,433 YOUTH AGES 12-18 YEARS OLD LIVED IN WOOD COUNTY. A SAMPLE SIZE OF 373 ADOLESCENTS WAS NEEDED TO ENSURE A 95% CONFIDENCE INTERVAL WITH A CORRESPONDING 5% MARGIN OF ERROR. STUDENTS WERE RANDOMLY SELECTED AND SURVEYED IN THE SCHOOLS. SAMPLING : 0-11 SURVEYTHE SAMPLING FRAME FOR THE CHILD SURVEY CONSISTED OF CHILDREN AGES 0-11 RESIDING IN WOOD COUNTY. USING U.S. CENSUS BUREAU DATA, IT WAS DETERMINED THAT 17,437 CHILDREN AGES 0-11 RESIDED IN WOOD COUNTY. THE INVESTIGATORS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH CORRESPONDING CONFIDENCE INTERVAL OF 5% (I.E., WE CAN BE 95% SURE THAT THE ""TRUE"" POPULATION RESPONSES ARE WITHIN A 5% MARGIN OF ERROR). BECAUSE MANY OF THE ITEMS WERE IDENTICAL BETWEEN THE 0-5 AND 6-11 SURVEYS, THE RESPONSES WERE COMBINED TO ANALYZE DATA FOR CHILDREN 0-11. THE SAMPLE SIZE REQUIRED TO GENERALIZE TO CHILDREN AGED 0-11 WAS 376. THE RANDOM SAMPLE OF MAILING ADDRESSES OF PARENTS FROM WOOD COUNTY WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. PROCEDURE : ADULT SURVEYPRIOR TO MAILING THE SURVEY TO ADULTS, THE PROJECT TEAM MAILED AN ADVANCE LETTER TO 1,200 ADULTS IN WOOD COUNTY. THIS ADVANCE LETTER WAS PERSONALIZED, PRINTED ON WOOD COUNTY HEALTH PARTNERS STATIONERY AND SIGNED BY BENJAMIN BATEY, WOOD COUNTY HEALTH COMMISSIONER, AND STAN KORDUCKI, PRESIDENT AND CEO OF WOOD COUNTY HOSPITAL. THE LETTER INTRODUCED THE COUNTY HEALTH ASSESSMENT PROJECT AND INFORMED THE READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE SURVEY. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED AND ENCOURAGED THE READERS TO COMPLETE AND RETURN THE SURVEY PROMPTLY IF THEY WERE SELECTED. THREE WEEKS FOLLOWING THE ADVANCE LETTER, A THREE-WAVE MAILING PROCEDURE WAS IMPLEMENTED TO MAXIMIZE THE SURVEY RETURN RATE. THE INITIAL MAILING INCLUDED A PERSONALIZED HAND SIGNED COVER LETTER (ON WOOD COUNTY HEALTH PARTNERS STATIONERY) DESCRIBING THE PURPOSE OF THE STUDY, A QUESTIONNAIRE PRINTED ON WHITE PAPER, A SELF-ADDRESSED STAMPED RETURN ENVELOPE, AND A $2 INCENTIVE. APPROXIMATELY THREE WEEKS AFTER THE FIRST MAILING, A SECOND WAVE MAILING INCLUDED ANOTHER PERSONALIZED COVER LETTER ENCOURAGING THE RECIPIENT TO REPLY, ANOTHER COPY OF THE QUESTIONNAIRE ON WHITE PAPER, AND ANOTHER REPLY ENVELOPE. A THIRD WAVE POSTCARD WAS SENT THREE WEEKS AFTER THE SECOND WAVE MAILING. SURVEYS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT. THE RESPONSE RATE FOR THE MAILING WAS 40% (N=431: CI= 4.72). THIS RETURN RATE AND SAMPLE SIZE MEANS THAT THE RESPONSES IN THE HEALTH ASSESSMENT SHOULD BE REPRESENTATIVE OF THE ENTIRE COUNTY."
WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE WOOD COUNTY HEALTH DISTRICT.
WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: HEALTH NEED IDENTIFIED: DECREASE ADULT AND YOUTH DRUG DEPENDENCE/ABUSEACTIONS TAKEN: THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) AND SUICIDE PRECAUTIONS WAS IMPLANTED AND ONGOING IN WOOD COUNTY HOSPITAL. THE QUESTIONNAIRE IS USED IN THE URGENT CARE CENTER AND PRIMARY CARE OFFICES FOR ALL PATIENTS OVER 17 YEARS OF AGE. THE HOSPITAL CONTRACTS WITH NEW VISION TO PROVIDE BEDS FOR PATIENTS IN NEED OF MEDICAL STABILIZATION BEFORE ENTERING A DETOX PROGRAM. 46 PATIENTS WERE TREATED UNDER THIS SERVICE DURING FISCAL YEAR 2022. HEALTH NEED IDENTIFIED: REDUCE THE PERCENTAGE OF FOOD INSECURE HOUSEHOLDSACTIONS TAKEN: FOOD INSECURITY SCREENING WAS INSTITUTED IN 2020 AT THE PRIMARY CARE PHYSICIAN OFFICES. IF INDICATED, INFORMATION AND EDUCATION IS PROVIDED ON WHERE TO FIND HELP. A SOCIAL WORKER FOLLOWS UP WITH ADDITIONAL INFORMATION AND RESOURCES SUCH AS FOOD PANTRY LOCATIONS, ETC.HEALTH NEED IDENTIFIED: REDUCE ADULT OBESITYACTIONS TAKEN: ANNUAL WELLNESS VISITS WERE INCORPORATED INTO PRIMARY CARE OFFICES AND WILL BE A PERMANENT PROCESS IN THE OFFICES FOR ALL PATIENTS OVER 65.REGISTERED DIETICIANS SEE PATIENTS NEEDING NUTRITIONAL EDUCATION IN 6 OF THE 9 OFFICES WITH THE GOAL BEING SERVICES IN ALL 9 OFFICES. 70% OF THE PATIENT POPULATION IS THE GOAL FOR WELLNESS VISITS. HEALTH NEED IDENTIFIED: PREVENT DIABETES IN ADULTSACTIONS TAKEN: WELLNESS VISITS IN PRIMARY CARE OFFICES WILL HELP IDENTIFY AT RISK PATIENTS. THE HOSPITAL HAS AN ESTABLISHED DIABETES EDUCATION PROGRAM FOR BOTH INPATIENT AND OUTPATIENT CLIENTS. WELLNESS VISITS WERE COMPLETED ON GREATER THAN 80% OF THE MEDICARE POPULATION.HEALTH NEED IDENTIFIED: IMPROVE ACCESS TO COMPREHENSIVE PRIMARY CAREACTIONS TAKEN: STRONG RELATIONSHIP BETWEEN WOOD COUNTY HEALTH DEPARTMENT AND WOOD COUNTY HOSPITAL. THE HOSPITAL HAS A TRANSITION OF CARE AND MEDICATION RECONCILIATION PROCESSES FOR ALL INPATIENTS TO TRANSITION TO HOME AND TIMELY PRIMARY CARE FOLLOW-UP. DISCHARGE PLANNING ATTEMPTS TO HAVE PATIENTS SCHEDULED FOR FOLLOW-UP BEFORE DISCHARGE. THE PRIMARY CARE OFFICES ARE NOTIFIED ELECTRONICALLY OF PATIENTS WHO HAVE BEEN HOSPITALIZED AND CONTACT THEM WITHIN 48 HOURS OF NOTIFICATION IF THEY ARE NOT ALREADY SCHEDULED.
WOOD COUNTY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 24: SELF PAY PATIENTS ARE BILLED ACCORDING TO THE FEE SCHEDULE. HOWEVER, THE SLIDE FEE SCHEDULE IS APPLIED BASED ON INCOME. SELF PAY PATIENTS GENERALLY RECEIVE A DISCOUNT OF NOT LESS THAN 20%.
WOOD COUNTY HOSPITAL ASSOCIATION: SCHEDULE H, PART V, LINE 7A:HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/SCHEDULE H, PART V, LINE 7B:HTTPS://WOODCOUNTYHEALTH.ORG/REPORTS-PUBLICATIONS/
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Supplemental Information
PART I, LINE 7: WOOD COUNTY HOSPITAL ASSOCIATION CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM.
PART III, LINE 2: WOOD COUNTY HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED ON THE HOSPITAL'S EVALUATION OF ITS MAJOR PAYOR SOURCES OF REVENUE, THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PAYMENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3: PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT INCLUDED IN ANY OF THE BAD DEBT EXPENSE. IF A PATIENT WAS PLACED IN BAD DEBT AND THEN SUBSEQUENTLY DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT IS RECLASSIFIED AND NOT INCLUDED IN ANY BAD DEBT EXPENSE AMOUNTS.
PART III, LINE 4: 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.
PART III, LINE 8: MEDICARE SHORTFALL PROVIDES BENEFIT TO THE COMMUNITY BECAUSE WE PROVIDE CARE TO ALL MEDICARE PATIENTS EVEN THOUGH THE MEDICARE PROGRAM PAYMENTS DO NOT COVER OUR EXPENSES FOR PROVIDING THE CARE. ALL COSTS RELATED TO THESE SERVICES ARE CALCULATED BY THE MEDICARE COST REPORT AND REPORTED DIRECTLY FROM THAT REPORT.
PART III, LINE 9B: IT IS OUR POLICY TO PROCESS CHARITY APPLICATIONS WHEN WE KNOW THE PATIENT IS ELIGIBLE, AND NOT TO PURSUE A FORM OF PAYMENT ONCE WE HAVE THE ELIGIBILTIY CONFIRMED.
PART VI, LINE 2: IN ADDITION TO THE PAST EIGHTEEN YEARS OF JOINT CHNAS, AND CHIPS, WOOD COUNTY HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WE SERVE BY EXAMINING THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA, COLLECTING AND ANALYZING THE DATA, AND ENGAGING OUR STAKEHOLDERS. WE ARE THEN ABLE TO IDENTIFY AND QUANTIFY AREAS THAT NEED ATTENTION. THESE PRIORITY AREAS ARE DEVELOPED INTO A FORMAL PLAN AND IF APPROVED ARE IMPLEMENTED IN THE HOSPITAL'S SCOPE OF PATIENT SERVICES. THE PROGRESS AND OUTCOMES ARE EVALUATED ON A VERY FREQUENT BASIS. THIS IS USUALLY COMPLETED DURING THE HOSPITAL STRATEGIC PLANNING PROCESS.IN ADDITION TO THE ABOVE, ALL COMMUNITY PROGRAMS ARE EVALUATED BY THE COMMUNITY PARTICIPANTS AND THE FEEDBACK IS USED TO FINE TUNE THE PROGRAMS TO BE MORE COMMUNITY CENTERED AND FOCUSED.ACCORDING TO THE CENTER OF DISEASE CONTROL (CDC), MAKING PATIENT AND COMMUNITY ENGAGEMENT A CENTRAL COMPONENT OF THE PLANNING PROCESS CAN BE MUTUALLY BENEFICIAL TO HOSPITALS AND COMMUNITIES. PATIENT AND COMMUNITY ENGAGEMENT ALLOWS HOSPITALS AND HEALTH SYSTEMS TO GAIN A CLEARER UNDERSTANDING OF THEIR COMMUNITY'S HEALTH NEEDS AND PRIORITIES, INCREASES BUY-IN AND A SENSE OF SHARED RESPONSIBILITY FOR COMMUNITY HEALTH, AND ESTABLISHES RELATIONSHIPS WITH ORGANIZATIONS AND INDIVIDUALS TO THE COMMUNITY.
PART VI, LINE 3: THROUGH FINANCIAL COUNSELOR AND WEBSITE - ALSO, THE BACKSIDE OF PATIENT STATEMENTS INCLUDES A CHARITY APPLICATION TO WHICH THE PATIENTS ARE DIRECTED FROM THE FRONT OF THE STATEMENT.
PART VI, LINE 5: COMMUNITY PARTNERS: WOOD COUNTY HEALTH PARTNERSWOOD COUNTY HOSPITAL IS COMMITTED TO THE COMMUNITY IT SERVES BY PROVIDING EXCELLENT HEALTHCARE SERVICES INCLUDING MEDICAL CARE, EDUCATION, COMMUNITY SUPPORT, AND WORKING WITH LIKE-MINDED ORGANIZATIONS, AGENCIES, AND INSTITUTIONS TO MAKE A DIFFERENCE. THIS GROUP, WOOD COUNTY HEALTH PARTNERS, HAVE WORKED TOGETHER OVER THE PAST TWELVE YEARS TO COMPLETE THREE COMMUNITY HEALTH ASSESSMENTS. THE CURRENT ASSESSMENT WAS JOINTLY FUNDED BY WOOD COUNTY HOSPITAL AND WOOD COUNTY HEALTH DISTRICT AND ALSO INCLUDED IN-KIND SUPPORT FROM THE REMAINING PARTNERS.
PART VI, LINE 7, REPORTS FILED WITH STATES OH
PART VI, LINE 4: WOOD COUNTY HOSPITAL PARTICIPATES FULLY IN THE WOOD COUNTY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN PLANNING PROCESS. THIS COUNTY-WIDE ASSESSMENT AND PLAN ARE BROADER THAN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THE PSA IS THE COMMUNITY THAT IS SERVED BY WOOD COUNTY HOSPITAL AND IS DEFINED AS WOOD COUNTY, OHIO SOUTH OF STATE ROUTE 582 AND CONTIGUOUS AREAS TO THE EAST, SOUTH AND WEST OF THE COUNTY LINES. THE ESTIMATED POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA CENTERS ON 24 ZIP CODES. THIS CONSTITUTES APPROXIMATELY 80% OF THE INPATIENT DISCHARGES FROM THE HOSPITAL; WITH 20% FALLING OUTSIDE THE DEFINED SERVICE AREA. WE HAVE TWO UNIQUE SITUATIONS TYPICALLY NOT SEEN IN A COMMUNITY HOSPITAL OUR SIZE. WE HAVE A LONG STAND BARIATRIC SERVICE LINE THAT ATTRACTS MANY PATIENTS FROM OUTSIDE OUR SERVICE AREA. AS A UNIVERSITY TOWN WE SEE PATIENTS FROM MANY ZIP CODES ACROSS THE COUNTRY.THE POPULATION IS ESTIMATED TO BE 76,457, BASED ON THE 2017 ACS POPULATION ESTIMATES FROM THE 2010 CENSUS.