2024-11-11T08:57:01-06:00 2023-12-31 341310124 REA & ASSOCIATES INC 230 N MARKET STREET WOOSTER OH 44691 990 2023-01-01 341785051 WOOSTER COMMUNITY HOSPITAL FOUNDATION WOOS 3302638148 1761 BEALL AVENUE WOOSTER OH 446912342 JOAN KIPER CHAIR 3302629370 2024-11-04 1 1 ANDREA HOSTETLER CPA P00607721 3302640791 2024-10-30 2023 2024-10-15 13:58:12Z WILLIAM SHERON 1761 BEALL AVENUE WOOSTER OH 446912342 39194817 0 X WOOSTERHOSPITAL.ORG/COMMUNITY/GIFT-DONATION-FORM/ X 1994 OH TO PROVIDE PROGRAMS AND SERVICES IN SUPPORT OF THE OPERATIONS OF WOOSTER COMMUNITY HOSPITAL IN A MANNER THAT PROMOTES THE PUBLIC PURPOSES OF IMPROVING THE DELIVERY OF HEALTHCARE AND WELLNESS SERVICES TO ALL PEOPLE WITHIN THE CITY OF WOOSTER AND SURROUNDING COMMUNITIES. 7 7 238 7 0 0 14630869 19690117 18028472 18915261 334595 378107 335430 211332 33329366 39194817 65175 57829 0 0 24937837 27675186 0 0 0 9609145 9575050 34612157 37308065 -1282791 1886752 10283912 12031400 4802848 4663584 5481064 7367816 TO PROVIDE PROGRAMS AND SERVICES IN SUPPORT OF THE OPERATIONS OF WOOSTER COMMUNITY HOSPITAL IN A MANNER THAT PROMOTES THE PUBLIC PURPOSES OF IMPROVING THE DELIVERY OF HEALTHCARE AND WELLNESS SERVICES TO ALL PEOPLE WITHIN THE CITY OF WOOSTER AND SURROUNDING COMMUNITIES. 0 0 57829 57829 0 THE RECRUITMENT AND RETENTION OF PHYSICIANS, PHYSICIAN ASSISTANTS AND CERTIFIED NURSE PRACTITIONERS. 35875993 0 19126593 THE PROVISION OF MEDICAL SERVICES TO THE PUBLIC THROUGH THE OPERATION OF BLOOMINGTON MEDICAL SERVICES, LLC. 210000 0 0 THE PROVISION OF COMMUNITY HEALTH SUPPORT. 36143822 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 56 0 1 238 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X LISA JEFFRIES 3302638148 1761 BEALL AVENUE WOOSTER OH 446912342 JERRY PACKARD PRESIDENT 1.00 X X 0 0 0 THOMAS CAPEK VICE PRESIDENT 1.00 X X 0 0 0 JOAN KIPER CHAIR 1.00 X 0 0 0 JOHN COOK SECRETARY/TREASURER 1.00 X X 0 0 0 DAN WAKEFIELD TRUSTEE 1.00 X 0 0 0 DON NOBLE TRUSTEE 1.00 X 0 0 0 ROBIN CARLTON TRUSTEE 1.00 X 0 0 0 WILLIAM SHERON CEO 40.00 X 0 597657 182306 SCOTT BOYES CFO/COO 40.00 X 0 461232 87569 CYRIL OFORI ASSOCIATE 40.00 X 1115530 0 48320 RAHSAAN FRIEND ASSOCIATE 40.00 X 1221829 0 49409 ARSHAD REHAN ASSOCIATE 40.00 X 768291 0 52211 MARCUS NEWTON ASSOCIATE 40.00 X 717755 0 14612 SHARON MARCANTHONY ASSOCIATE 40.00 X 674427 0 25641 ERIC TURNEY ASSOCIATE 40.00 X 642916 0 53123 5140748 1058889 513191 38 0 1 0 OSU SPECIALTY CARE NETWORK 660 ACKERMAN RD PO BOX 183010 COLUMBUS OH 43202 MEDICAL SERVICES 2362121 MEDPRO GROUP 5814 REED ROAD FORT WAYNE IN 46835 LIABILITY INSURANCE 885224 MERITAIN HEALTH INC PO BOX 223881 PITTSBURGH PA 15250 3RD PARTY ADMINISTRATOR FOR BLOOMINGTON 733619 OPTUMRX PO BOX 888765 LOS ANGELES CA 90088 PHARMACY CLAIMS PROCESSING FOR EMPLOYEE 494585 DAVID AKWAINJA KITTOE DBA DAVEN MEDICAL 3487 EAST GALLOWAY DRIVE RICHFIELD OH 44286 MEDICAL SERVICES 411988 9 18985000 705117 19690117 PATIENT REVENUE 621110 14273763 14273763 MISCELLANEOUS REVENUE 900099 4641498 4641498 18915261 378107 378107 REPAYMENT 900099 211332 211332 211332 39194817 19126593 0 378107 X 57829 57829 1163850 1163850 22366674 22366674 4144662 4144662 2400 2400 6625773 6625773 818445 818445 186374 186374 946549 946549 SUPPLIES 442111 442111 OTHER 327598 327598 COMMUNITY SUPPORT 210000 210000 REPAIRS & MAINTENANCE 15800 15800 37308065 36143822 1164243 0 2358974 4026663 3723589 3615638 1995314 2084605 6414 132135 147425 2287421 1864050 576435 423371 15487 68340 569512 717411 912466 941533 10283912 12031400 4802848 4663584 4802848 4663584 X 5465577 7299476 15487 68340 5481064 7367816 10283912 12031400 1886752 0 X X 0 1 X 1 0 X 12676813 14809004 14932260 14630869 19690117 76739063 12676813 14809004 14932260 14630869 19690117 76739063 76739063 200059 162616 180857 334595 378107 1256234 7500 17383 284554 335430 211332 856199 78851496 83956847 0.97320 0.97360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15487 52853 68340 18361 -2874 15487 15016 3345 18361 13476 1540 15016 11445 2031 13476 1.00000 1 0 2287421 1864050 423371 423371 INVESTMENT IN WAYNE NETWORK 717411 C 717411 457 (F) CONTRIBUTIONS 847802 OTHER RECEIVABLES 93731 941533 PART V, LINE 4: THE ENDOWMENT FUNDS WERE ESTABLISHED TO GROW FOR THE PURPOSE OF PROVIDING FINANCIAL RESOURCES FOR THE FOUNDATION IN THE FUTURE. 0 WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVENUE WOOSTER OH 44691 346003129 501(C)(3) 57829 0 ACTUAL SUPPORT OF NURSING SCHOLARSHIP AND MEDICAL PROFESSIONAL EDUCATION X X 0 1 0 1 0 0 0 0 0 RAHSAAN FRIEND ASSOCIATE 1221829 0 0 0 0 0 13200 0 36209 0 1271238 0 0 0 CYRIL OFORI ASSOCIATE 1115530 0 0 0 0 0 13200 0 35120 0 1163850 0 0 0 ARSHAD REHAN ASSOCIATE 768291 0 0 0 0 0 13200 0 39011 0 820502 0 0 0 WILLIAM SHERON CEO 0 597657 0 0 0 0 0 0 0 182306 0 779963 0 0 MARCUS NEWTON ASSOCIATE 717755 0 0 0 0 0 0 0 14612 0 732367 0 0 0 SHARON MARCANTHONY ASSOCIATE 674427 0 0 0 0 0 13200 0 12441 0 700068 0 0 0 ERIC TURNEY ASSOCIATE 642916 0 0 0 0 0 13200 0 39923 0 696039 0 0 0 SCOTT BOYES CFO/COO 0 461232 0 0 0 0 0 46200 0 41369 0 548801 0 0 PART I, LINE 4B THE FOLLOWING EMPLOYEES WERE COVERED UNDER A 457(F) PLAN: CYRIL OFORI $ 60,398 PAUL MOODISPAW $ 10,435 ROBERT CEBUL $ 32,048 JAMES SLABY $ 11,829 PART I, LINE 5 BASED ON PHYSICIAN RVU'S ABOVE A PREDETERMINED LEVEL. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED RETURN IS PRESENTED TO THE BOARD. THE BOARD REVIEWS THE RETURN, ADDRESSES ANY QUESTIONS, AND PROPOSES NECESSARY REVISIONS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS OF WOOSTER COMMUNITY HOSPITAL FOUNDATION AND THE BLOOMINGTON MEDICAL SERVICES INC. EMPLOYED DOCTORS MUST SIGN ANNUAL DISCLOSURE STATEMENTS, DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. DUE TO THE SMALL SIZE OF THE COMMUNITY, THE FOUNDATION'S MANAGEMENT WOULD LIKELY BECOME AWARE OF ANY CONFLICTS OF INTEREST UPON THEIR CREATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR SENIOR MANAGEMENT IS BASED ON OHIO HOSPITAL ASSOCIATION COMPARABILITY DATA. COMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY THE HOSPITAL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAINTAINS PERTINENT PUBLIC RECORDS AND RELEASES THEM TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICE PROVIDERS: PROGRAM SERVICE EXPENSES 6,625,773. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,625,773. 990, PART XI LINE 2C A COMMITTEE ASSUMES RESPONSIBILITY OF THE OVERSIGHT OF THE AUDIT AND THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. BLOOMINGTON MEDICAL SERVICES LLC 1761 BEALL AVENUE WOOSTER OH 44691 261803679 PROVIDING MEDICAL SERVICES OH 19072582 6486067 N/A WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVENUE WOOSTER OH 44691 346003129 TO OPERATE A HOSPITAL IN ORDER TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY OH GOVERNMENTAL ORGANIZ N/A 0 WAYNE NETWORK 1761 BEALL AVENUE WOOSTER OH 44691 270014500 PROVIDE HEALTHCARE UTILIZATION AND CARE COORDINATION SERVICES TO EMPLOYERS OH N/A C 250708 717411 1.00000 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 WOOSTER COMMUNITY HOSPITAL C 18985000 ACTUAL WOOSTER COMMUNITY HOSPITAL K 814023 ACTUAL WOOSTER COMMUNITY HOSPITAL O 5800351 ACTUAL WOOSTER COMMUNITY HOSPITAL P 689628 ACTUAL WOOSTER COMMUNITY HOSPITAL M 720000 ACTUAL