ADENA HEALTH SYSTEM: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ADENA HEALTH SYSTEM (EIN 31-4379443)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202443209349310319
Schema version: 2023v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T11:25:39-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	314379443	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADEN	BusinessNameControlTxt
Phone	7407794478	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES P MCMANUS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7407794478	PhoneNum
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2024-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JAMES P MCMANUS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$715,331,031	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1895	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	THE REPORTING ORGANIZATION IS A REGIONAL HEALTHCARE SYSTEM WITH ONE HOSPITAL AND SEVERAL AMBULATORY CENTERS, IN ADDITION TO MULTIPLE PHYSICIAN PRACTICES. AHS OFFERS A WIDE SCOPE OF DIAGNOSTIC AND REHABILITATIVE SERVICES BOTH FOR INPATIENTS AND OUTPATIENTS, INCLUDING COMPREHENSIVE CARDIOLOGY AND CANCER CARE. FURTHERMORE, AHS IS THE SOLE MEMBER OF THREE CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER, ADENA GREENFIELD MEDICAL CENTER, AND ADENA FAYETTE MEDCIAL CENTER, THAT FILE SEPARATELY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3987	TotalEmployeeCnt
Total Volunteers	87	TotalVolunteersCnt
Total Gross UBI	$68,065	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$8,464	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,207,395	PYContributionsGrantsAmt
CY Contributions Grants	$3,465,419	CYContributionsGrantsAmt
PY Program Service Revenue	$607,647,900	PYProgramServiceRevenueAmt
CY Program Service Revenue	$623,884,851	CYProgramServiceRevenueAmt
PY Investment Income	$36,931,546	PYInvestmentIncomeAmt
CY Investment Income	$16,094,218	CYInvestmentIncomeAmt
PY Other Revenue	$26,769,378	PYOtherRevenueAmt
CY Other Revenue	$26,591,977	CYOtherRevenueAmt
PY Total Revenue	$678,556,219	PYTotalRevenueAmt
CY Total Revenue	$670,036,465	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,101,195	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,643,732	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$353,023,485	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$357,304,948	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$316,297,497	PYOtherExpensesAmt
CY Other Expenses	$325,505,620	CYOtherExpensesAmt
PY Total Expenses	$670,422,177	PYTotalExpensesAmt
CY Total Expenses	$684,454,300	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,134,042	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,417,835	CYRevenuesLessExpensesAmt
Total Assets BOY	$777,131,298	TotalAssetsBOYAmt
Total Assets EOY	$806,490,536	TotalAssetsEOYAmt
Total Liabilities BOY	$411,646,764	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$415,441,458	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$365,484,534	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$391,049,078	NetAssetsOrFundBalancesEOYAmt
Mission	THE ADENA HEALTH SYSTEM'S MISSION IS "CALLED TO SERVE OUR COMMUNITIES AND VISION IS "TO BE OUR REGION'S MOST TRUSTED PARTNER FOR HEALTHCARE".	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$564,596,097	ExpenseAmt
Grant	$1,643,732	GrantAmt
Revenue	$646,432,496	RevenueAmt
Desc	HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,225 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 40,323 EMERGENT VISITS IN 2023.	Desc
Total Program Service Expenses	$564,596,097	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	282	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3987	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEFF CRAFT VP SYSTEM FINANCE	PersonNm
Phone	7407794481	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	456019031	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHEILAH GRAY
TRUSTEE/CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH WATSON
TRUSTEE/CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT FRENCH
TRUSTEE/VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER MCKELL
TRUSTEE/VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
STEVE HIRSCH
TRUSTEE/TREASURER	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
BARTON HENSHAW
TRUSTEE/SECRETARY	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CARVEL SIMMONS
TRUSTEE/SECRETARY	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RONALD COFFEY
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
ANTHONY FISH
TRUSTEE	2.00	2.00	Yes (X)		$0	$0	$0
JERRY PHILLIPS
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
BRIAN REAM
TRUSTEE	2.00	2.00	Yes (X)		$0	$0	$0
KEVIN SHOEMAKER
TRUSTEE	2.00	2.00	Yes (X)		$0	$0	$0
BETH WORKMAN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JEFF GRAHAM
CEO	50.00	4.00		Yes (X)	$1,010,366	$0	$58,200
JAMES MCMANUS
AHS CHIEF FINANCIAL OFFICER	53.00	1.00		Yes (X)	$621,511	$0	$125,944
KATHERINE EDRINGTON
COO	50.00	4.00		Yes (X)	$621,194	$0	$32,774
CRAIG BABBITT
CHIEF LEGAL OFFICER	50.00	0.00			$494,821	$0	$102,319	Yes (X)
RICHARD D MIZER
PRESIDENT OF AMG	50.00	0.00			$440,203	$0	$81,316	Yes (X)
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	50.00	0.00			$421,210	$0	$61,246	Yes (X)
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER	50.00	0.00			$436,802	$0	$76,934	Yes (X)
JAMIE SMITH
CHIEF INFORMATION OFFICER	50.00	1.00			$344,991	$0	$83,652	Yes (X)
MOLLY M GROOMS
CHIEF NURSING OFFICER	50.00	0.00			$346,276	$0	$51,775	Yes (X)
JOHN GABIS
PRESIDENT OF AMG	50.00	0.00			$373,748	$0	$39,646	Yes (X)
DONALD DIENER
PRESIDENT OF ARMC	50.00	0.00			$290,422	$0	$99,189	Yes (X)
TY MCBEE
VP OF STRATEGIC OPERATIONS	50.00	0.00			$228,972	$0	$24,784	Yes (X)
DR SHAHEED KOURY
CHIEF CLINICAL OFFICER	50.00	0.00			$625,200	$0	$126,912	Yes (X)
ATIQ REHMAN
PHYSICIAN	50.00	0.00			$1,571,885	$1,644,119	$72,234		Yes (X)
ROGER WILTFONG
PHYSICIAN	50.00	0.00			$1,399,401	$1,462,744	$63,343		Yes (X)
JAMES FLEMING
PHYSICIAN	50.00	0.00			$1,120,385	$1,190,583	$70,198		Yes (X)
WAHEED GUL
PHYSICIAN	50.00	0.00			$967,011	$1,051,988	$84,977		Yes (X)
KELLY GALLINA
PHYSICIAN	50.00	0.00			$934,413	$1,011,737	$77,324		Yes (X)
REGGINA YANDILA
FORMER TRUSTEE/PHYSICIAN	50.00	0.00			$334,797	$380,470	$45,673			Yes (X)
LISA CARLSON
FORMER CFO	50.00	4.00			$270,056	$0	$1,020			Yes (X)
ANTHONY FREEMAN
FORMER CHIEF MEDICAL OFFICER	0.00	0.00			$614,096	$0	$78,079			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,467,760	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,741,641	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,457,539	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	555	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ENSEMBLE RCM LLC
4605 DUKE DRIVE SUITE 600	MASON	OH	45040	REVENUE CYCLE MANAGEMENT	$31,207,482
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD 600	SCOTTSDALE	AZ	85254	PHYSICIAN SERVICES	$8,839,094
CAPTIVE RADIOLOGY
6273 FRANK AVE NW	NORTH CANTON	OH	44720	RADIOLOGY SERVICES	$2,637,440
SJN DATA CENTER LLC
4620 WESLEY AVE	CINCINATTI	OH	45212	DATA SERVICES	$2,070,592
KEGLER BROWN HILL & RITTER CO LLC
65 E STATE ST 1800	COLUMBUS	OH	43215	CONSTRUCTION SERVICES	$1,983,891

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	CntrctRcvdGreaterThan100KCnt
Related Organizations	$539,316	RelatedOrganizationsAmt
Government Grants	$1,153,103	GovernmentGrantsAmt
All Other Contributions	$1,773,000	AllOtherContributionsAmt
Total Contributions	$3,465,419	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SVC REV	Desc
Business	621110	BusinessCd
Total Revenue Column	$623,884,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$623,884,851	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$623,884,851	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$161,424	TotalRevenueColumnAmt
Exclusion	-$161,424	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$157,790	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$30,870	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$126,920	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,920	TotalRevenueColumnAmt
Exclusion	$126,920	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$61,483,710	SecuritiesAmt
Other	$35,628	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,263,696	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,220,014	SecuritiesAmt
Other	$35,628	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,255,642	TotalRevenueColumnAmt
Exclusion	$16,255,642	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTPATIENT PHARMACY SALES	456110	$22,615,710	$22,547,645	$68,065
CAFETERIA REVENUE	722514	$2,527,093			$2,527,093
DAVITA DIALYSIS	621400	$737,522			$737,522

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$584,732	TotalRevenueColumnAmt
Exclusion	$584,732	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$26,465,057	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$670,036,465	TotalRevenueColumnAmt
Related Or Exempt Func Income	$646,432,496	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$68,065	UnrelatedBusinessRevenueAmt
Exclusion	$20,070,485	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,643,732	TotalAmt
Program Services	$1,643,732	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,439,801	TotalAmt
Program Services	$6,198,595	ProgramServicesAmt
Management And General	$1,241,206	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$278,121,971	TotalAmt
Program Services	$231,721,986	ProgramServicesAmt
Management And General	$46,399,985	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,448,698	TotalAmt
Program Services	$10,650,242	ProgramServicesAmt
Management And General	$1,798,456	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,582,750	TotalAmt
Program Services	$3,920,683	ProgramServicesAmt
Management And General	$662,067	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$54,711,728	TotalAmt
Program Services	$44,242,777	ProgramServicesAmt
Management And General	$10,468,951	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,736,156	TotalAmt
Management And General	$2,736,156	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$334,606	TotalAmt
Management And General	$334,606	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$86,347,164	TotalAmt
Program Services	$51,111,726	ProgramServicesAmt
Management And General	$35,235,438	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,127,717	TotalAmt
Program Services	$460,757	ProgramServicesAmt
Management And General	$666,960	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,288,191	TotalAmt
Program Services	$5,379,740	ProgramServicesAmt
Management And General	$908,451	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,680,075	TotalAmt
Program Services	$29,819,524	ProgramServicesAmt
Management And General	$7,860,551	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$652,843	TotalAmt
Program Services	$367,645	ProgramServicesAmt
Management And General	$285,198	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,267,015	TotalAmt
Program Services	$713,513	ProgramServicesAmt
Management And General	$553,502	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,156,536	TotalAmt
Program Services	$9,896,243	ProgramServicesAmt
Management And General	$2,260,293	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,351,098	TotalAmt
Program Services	$19,344,029	ProgramServicesAmt
Management And General	$7,007,069	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,478,490	TotalAmt
Program Services	$3,387,956	ProgramServicesAmt
Management And General	$1,090,534	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL EQUIPMENT & SUP	$105,338,014	$105,338,014
BAD DEBT EXPENSE	$22,113,589	$22,113,589
HCAP ASSESSMENT	$13,817,944	$13,817,944
CAFETERIA/CATERING	$3,554,104	$3,346,813	$207,291

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,262,078	TotalAmt
Program Services	$1,120,589	ProgramServicesAmt
Management And General	$141,489	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$684,454,300	TotalAmt
Program Services	$564,596,097	ProgramServicesAmt
Management And General	$119,858,203	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,824	BOYAmt
EOY	$15,300	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,288,560	BOYAmt
EOY	$4,100,406	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$111,146,126	BOYAmt
EOY	$100,949,597	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,015,914	BOYAmt
EOY	$14,404,163	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,583,860	BOYAmt
EOY	$8,046,860	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$575,992,682	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$305,648,428	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,249,679	BOYAmt
EOY	$270,344,254	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$318,325,126	BOYAmt
EOY	$359,318,889	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$572,359	BOYAmt
EOY	$515,580	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$49,934,850	BOYAmt
EOY	$48,795,487	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$777,131,298	BOYAmt
EOY	$806,490,536	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,531,350	BOYAmt
EOY	$70,077,880	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,964,494	BOYAmt
EOY	$3,214,874	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$283,223,781	BOYAmt
EOY	$276,163,714	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,000,000	BOYAmt
EOY	$19,700,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,927,139	BOYAmt
EOY	$46,284,990	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$411,646,764	BOYAmt
EOY	$415,441,458	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$361,285,245	BOYAmt
EOY	$386,794,840	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,199,289	BOYAmt
EOY	$4,254,238	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$365,484,534	BOYAmt
EOY	$391,049,078	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$777,131,298	BOYAmt
EOY	$806,490,536	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$14,417,835	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,608,327	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,374,052	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,469	OtherActivitiesAmt
Total Lobbying Expenditures	$5,469	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE OHIO HOSPITAL ASSOCIATION DOES LOBBYING ON BEHALF OF HOSPITAL RELATED CAUSES. THIS ACTIVITY IS PAID FOR THROUGH DUES PAID TO THE OHIO HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,240,821	BeginningYearBalanceAmt
Investment Earnings Or Losses	$163,199	InvestmentEarningsOrLossesAmt
End Year Balance	$1,404,020	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,693,379	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$452,558	InvestmentEarningsOrLossesAmt
End Year Balance	$1,240,821	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,691,757	BeginningYearBalanceAmt
Contributions	$1,622	ContributionsAmt
End Year Balance	$1,693,379	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,663,413	BeginningYearBalanceAmt
Contributions	$38,177	ContributionsAmt
Investment Earnings Or Losses	-$9,710	InvestmentEarningsOrLossesAmt
Other Expenditures	$123	OtherExpendituresAmt
End Year Balance	$1,691,757	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,428,564	BeginningYearBalanceAmt
Contributions	$24,401	ContributionsAmt
Investment Earnings Or Losses	$229,105	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	-$18,657	GrantsOrScholarshipsAmt
End Year Balance	$1,663,413	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,576,779	OtherCostOrOtherBasisAmt
Book Value	$8,576,779	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$340,954,791	OtherCostOrOtherBasisAmt
Depreciation	$144,712,530	DepreciationAmt
Book Value	$196,242,261	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,840,073	OtherCostOrOtherBasisAmt
Depreciation	$86,396	DepreciationAmt
Book Value	$3,753,677	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$206,201,511	OtherCostOrOtherBasisAmt
Depreciation	$153,364,342	DepreciationAmt
Book Value	$52,837,169	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,419,528	OtherCostOrOtherBasisAmt
Depreciation	$7,485,160	DepreciationAmt
Book Value	$8,934,368	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$270,344,254	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
RIGHT-OF-USE OPERATING LEASE ASSETS	$5,780,550
SOFTWARE IMPLEMENTATION ASSET	$18,139,537
SPLIT VALUE RETIREMENT	$3,096,504
MALPRACTICE INSURANCE RECOVERY LT	$3,919,847
457B STATE RETIREMENT INVESTMENT	$16,233,604
BOND ISSUE COSTS	$1,625,445

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$48,795,487	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED MALPRACTICE INSURANCE - LT	$13,901,150
DEFERRED COMPENSATION LIABILITY	$16,131,828
INTERCOMPANY PAYABLE	$3,034,903
CAPITAL LEASE OBLIGATION	$5,252,304
RIGHT-OF-USE OPERATING LEASE OBLIGATION	$5,780,550
COST REPORT PAYABLE	$2,184,255

Field	Value	IRS element (for citing)
Total Liability	$46,284,990	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ADENA HEALTH FOUNDATION ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND PURCHASE CAPITAL FOR ADENA HEALTH SYSTEM. THESE FUNDS ARE HELD BY ADENA HEALTH SYSTEM AND ARE ADMINISTERED BY ADENA HEALTH FOUNDATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,920,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,929,013	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,992,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,384,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,607,426	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,912,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,313,863	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,607,426	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$671,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$671,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,569,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,249,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,320,435	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,385,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,353,071	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,032,739	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,627,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,602,213	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,025,014	NetCommunityBenefitExpnsAmt
Total Expense	0.02720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,539,781	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$117,916,076	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,632,440	NetCommunityBenefitExpnsAmt
Total Expense	0.11870	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,016	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$131,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,181	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$22,113,589	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$176,913,953	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$242,545,963	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$65,632,010	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL RD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ADENA.ORG	WebsiteAddressTxt
State License	ST. REG. NUM. 1029	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, PAGE 8	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: THE ADENA REGIONAL MEDICAL CENTER CAPTURED THE BROAD INTERESTS OF THE COMMUNITY FOR THE CHNA THROUGH TWO PRIMARY METHODS: PUBLIC SURVEYS AND KEY STAKEHOLDER INTERVIEWS. A HEALTH NEEDS SURVEY WAS WIDELY DISTRIBUTED IN BOTH ELECTRONIC AND PAPER FORM ACROSS THE ROSS COUNTY COMMUNITY AND RECEIVED APPROXIMATELY 1,100 RESPONSES. IN ADDITION TO THE SURVEYS, INTERVIEWS WITH LOCAL COMMUNITY LEADERS, INCLUDING CIVIC, PUBLIC HEALTH AND EMERGENCY RESPONSE WERE REQUESTED AND/OR CONDUCTED TO GAIN FURTHER KNOWLEDGE OF SURVEY TOPICS.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: VETERANS ADMINISTRATION HOSPITAL, CHILLICOTHE
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE CHNA FOR ADENA REGIONAL MEDICAL CENTER WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING ORGANIZATIONS WHO PARTICIPATE AS THE PARTNERS FOR A HEALTHIER ROSS COUNTY: ADENA HEALTH, CHILLICOTHE ROSS LIBRARIES, HOPE CLINIC OF ROSS COUNTY, HOPEWELL HEALTH CENTER, CITY OF CHILLICOTHE, ROSS COUNTY PARKS, OHIO HEALTH, OHIO STATE UNIVERSITY EXTENSION, OHIO UNIVERSITY-CHILLICOTHE, PAINT VALLEY ADAMH BOARD, ROSS COUNTY COMMUNITY ACTION, ROSS COUNTY HEALTH DISTRICT, ROSS COUNTY YMCA, UNITED WAY OF ROSS COUNTY, ROSS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES/PIONEER CENTER, VETERANS ADMINISTRATION HOSPITAL.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE CHNA WAS MADE AVAILABLE IN ELECTRONIC FORM THROUGH SOCIAL MEDIA, NEWSPAPER, AND PARTICIPATING AGENCY WEBSITES. PRESENTATIONS OF ITS CONTENT WERE MADE TO GOVERNMENT, COMMUNITY AND CIVIC ORGANIZATIONS. HARD COPIES OF THE CHNA REPORT WERE ALSO PRINTED AND SENT TO COMMUNITY LEADERS AND AGENCIES.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE FOLLOWING DETAILS THE SPECIFIC IMPLEMENTATION STRATEGIES USED FOR HEALTH PRIORITIES IDENTIFIED FOR THE ADENA REGIONAL MEDICAL CENTER IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE NEEDS ASSESSMENT WAS UTILIZED TO DEVELOP THE AREAS OF FOCUS FOR ADENA IN 2023.SUBSTANCE USE DISORDER COMMUNITY DEVELOPMENTADENA, AS PART OF ITS COORDINATION EFFORTS FOR PARTNERS FOR A HEALTHIER ROSS COUNTY (PHRC), BEGAN DATA SHARING IN JANUARY OF 2017 WITH THE HOPE PARTNERSHIP PROJECT (HPP). ADENA HEALTH ASSISTED IN THE DEVELOPMENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) IMPLEMENTATION GRANT IN 2019. IN 2022, ADENA HEALTH AWARDED $1.6 MILLION OVER THREE YEARS. ADENA HEALTH IS THE FISCAL AGENT FOR THE GRANT, OVERSEES ALL OF THE GRANTS MANAGEMENT AND PROVIDES 1FTE PROJECT COORDINATOR TO OVERSEE THE PROJECT.ADENA WORKS WITH BRIGHT VIEW TREATMENT TO PROVIDE PRIORITY APPOINTMENTS TO PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER TO FACILITATE MORE IMMEDIATE ACCESS TO TREATMENT.ADVOCACY ADENA HEALTH CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2023. ARMC HAS A TOTAL OF FOUR EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF THREE TO SIX HOURS A MONTH TO PARTICIPATING IN COMMITTEE AND SUBCOMMITTEE MEETINGS, IN ADDITION TO COORDINATING PROJECTS FOR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2023. PROGRAMS AND INITIATIVESIN 2023, ADENA HEALTH PARTICIPATED IN THE OPTIMIZING IN OHIO HEALING COMMUNITIES STUDY. THE HEALING COMMUNITIES STUDY (HCS) WAS A NATIONAL INSTITUTES OF HEALTH RESEARCH STUDY IN FOUR STATES (OHIO, KENTUCKY, NEW YORK, AND MASSACHUSETTS) WITH THE GOAL OF REDUCING OPIOID OVERDOSE DEATHS. ADDITIONAL STUDY GOALS INCLUDED INCREASING OVERDOSE EDUCATION AND NALOXONE DISTRIBUTION, INCREASING ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER, AND INCREASING SAFER OPIOID PRESCRIBING AND DISPENSING PRACTICES. ADENA HEALTH WAS ONE OF THE SUBGRANTEES/FISCAL AGENT OF THE GRANT. THE WORK INCLUDED PARTICIPATING IN EDUCATION CAMPAIGNS IN THE COMMUNITY RELATED TO SUBSTANCE USE, WORKING WITH HOPE PARTNERSHIP PROJECT TO ESTABLISH HARM REDUCTION VENDING MACHINES IN THE AREA AND PROVIDING SUPPORT FOR PROVIDER EDUCATION ABOUT SUBSTANCE USE. ADENA PROVIDED 3 EMPLOYEES WORKING AN AVERAGE OF 10 HOURS EACH FOR SIX MONTHS ON THIS INITIATIVE.THE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 5 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING IN 2023. IN ADDITION, PARTICIPANTS WERE PROVIDED RESOURCE REFERRALS, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS. A TOTAL OF 5 COMPLETED THE PROGRAM. A TOTAL OF 289 MOTHERS HAVE BEEN SUPPORTED BY THE PROGRAM SINCE 2014. THE PROGRAM HAS BEEN RECOGNIZED WITH MULTIPLE AWARDS, INCLUDING:NATIONAL AWARDS "PROGRAM OF PROMISE" BY NATIONAL HOSPITAL CHARITABLE SERVICES "A BEST PRACTICE SITE" BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' CENTERS FOR MEDICARE AND MEDICAID SERVICE (CMS) MEDICATION MANAGEMENT AND OPIOID SUPPORT TEAM (1 OF ONLY 3 IN OHIO) FEATURED IN THE EMMY NOMINATED DOCUMENTARY SHORT BY "FAULT LINES": HEROIN'S CHILDREN: INSIDE THE US OPIOID CRISIS. STATE AWARDS THE OHIO SENATE HAS RECOGNIZED THE PROGRAM TWICE FOR THE CREATION OF THE ADENA BABY-CENTERED CLOSET. THE OHIO STATE SENATE ALSO RECOGNIZED THE PROGRAM FOR ITS WORK WITH MEDICAID PATIENTS. THE OHIO LACTATION ASSOCIATION RECOGNIZED ONE OF THE PROGRAM'S FACILITATORS "AS MOST BREASTFEEDING SUPPORTIVE HEALTH PROFESSIONAL IN OHIO".COMMUNITY AWARDS THE PROGRAM RECEIVED A COMMUNITY AWARD FROM OHIO CAN-ROSS COUNTY-2019 STEPS OF CHANGE FOR THE IMPACT THE PROGRAM MADE IN A YOUNG WOMAN'S LIFE. PAINT VALLEY ADAMH BOARD NAMED ONE OF THE PROGRAM'S FACILITATOR A ROSS COUNTY RECOVERY CHAMPIONTHE HOPE PARTNERSHIP PROJECT NAMED OF THE PROGRAM'S FACILITATORS "PROVIDER OF THE YEAR" IN 2021.FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH PROVIDED $35,000 IN SUPPORT DURING 2023 FOR THE BUCK FIFTY WHICH COORDINATES THE DRUG FREE CLUBS OF AMERICA/MADE PROGRAM DEPLOYED IN SIX ROSS COUNTY SCHOOL DISTRICTS WHICH INCENTIVIZES STUDENT PARTICIPATION IN DRUG TESTING. ADENA COMMUNITY HEALTH AND DEVELOPMENT ALSO PROVIDED AN ADDITIONAL $7,500 IN SUPPORT FOR HARM REDUCTION KITS DEPLOYED IN THE ARMC, AFMC, APMC AND AGMC EMERGENCY DEPARTMENTS. ADENA HEALTH PROVIDE $1,000 IN SUPPORT THE ADAMH ANNUAL RECOVERY CELEBRATION DINNER, HONORING THOSE WHO WORK TO PREVENT, TREAT AND SUPPORT RECOVERY FOR THOSE IN ROSS, HIGHLAND, FAYETTE, PIKE AND PICKAWAY COUNTIES. PROVIDED $4,000 IN SUPPORT TO CHILLICOTHE CITY SCHOOLS KEYS TO SUCCESS PROGRAM, A DRUG AND ALCOHOL PREVENTION AND EDUCATION INITIATIVE.OBESITY AND DIABETESCOMMUNITY DEVELOPMENTA REPRESENTATIVE FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT SERVES ON THE LIVE WELL ROSS/CREATING HEALTHY COMMUNITIES STEERING TEAM. THIS GROUP PLANS AND IMPLEMENTS; ACTIVE TRANSPORTATION INITIATIVES FRESH FOOD ACCESS POINTS ACROSS, AND SOCIAL DETERMINATES OF HEALTH INITIATIVES IN ROSS COUNTY. ADENA HEALTH HAS A REPRESENTATIVE WHO OVERSEES THESE ACTIVITIES, INCLUDING COMMUNITY GARDENS AND ASSESSMENTS. A REPRESENTATIVE OF ADENA'S STRATEGIC BUSINESS DEVELOPMENT TEAM SERVED AS A BOARD MEMBER OF THE ROSS COUNTY PARKS DISTRICT IN 2023, PROVIDING 68 HOURS OF PLANNING AND OVERSIGHT SERVICE. A REPRESENTATIVE OF ADENA'S STRATEGIC BUSINESS DEVELOPMENT TEAM SERVED AS A BOARD MEMBER OF ROSS COUNTY TRAILS IN 2023, PROVIDING 112 HOURS OF PLANNING AND DEVELOPMENT SERVICE. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS FOR LIVEWELL ROSS.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON NUTRITION, FITNESS EDUCATION AND AWARENESS.PROGRAMS AND INITIATIVES ARMC PARTNERED WITH THE OHIO STATE UNIVERSITY EXTENSION ROSS COUNTY OFFICE TO DELIVER COOKING CLASSES TO ADENA PATIENTS WITH OBESITY AND DIABETES. THESE CLASSES WENT VIRTUAL IN 2020 DUE TO THE COVID 19 PANDEMIC. A VIRTUAL OPTION WAS CONTINUED IN 2023, AS WELL AS IN-PERSON CLASSES. A TOTAL OF 79 INDIVIDUALS WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING. ADENA HEALTH SUPPORTS THE INCENTIVES GIVEN TO PARTICIPANTS. ADENA HEALTH PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE SEVERAL PROGRAMS TO IMPROVE HEALTH OUTCOMES OF PATIENTS. THESE PROGRAMS ARE LED BY CERTIFIED YMCA TRAINERS AND ARE EVIDENCED-BASED. ONE PROGRAM IS THE AMERICAN DIABETES ASSOCIATION APPROVED DIABETES PREVENTION PROGRAM WELLNESS CLASSES. THE CLASSES ARE FREE FOR PARTICIPANTS. IN 2023, 18 PATIENTS WERE SERVED IN THIS PROGRAM. THE BLOOD PRESSURE SELF-MONITORING PROGRAM (5 PARTICIPANTS), LIVESTRONG (22 PARTICIPANTS) AND FIRST STEP (23 PARTICIPANTS) PROGRAMS ARE ALSO SUPPORTED AT THE YMCA BY ADENA HEALTH. IN 2023, ADENA PAID $32,805 TO SUPPORT PATIENTS ON THEIR WELLNESS JOURNEY AT THE YMCA.FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES TO ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ADENA HEALTH PARTNERED AGAIN IN 2023 WITH THE CHILLICOTHE FARMER'S MARKET TO FUND THE "FOOD RX AND FRUIT & VEGGIE PERKS PROGRAMING. THIS PROGRAM PROVIDES ADENA PATIENTS REFERRED BY THEIR PROVIDER FOR A TOTAL OF $10,090 IN FRESH FRUITS AND VEGETABLES. IN 2023, ADENA HEALTH CONTINUED ITS PARTNERSHIP WITH THE YMCA OF ROSS COUNTY TO COORDINATE THE "FIRST STEP" PROGRAM. THIS PROGRAM UTILIZES A YMCA TRAINER TO OPTIMIZE (REDUCE BMI) ADENA BONE & JOINT PATIENTS PRIOR TO SURGERY TO IMPROVE SURGICAL OUTCOMES OF JOINT REPLACEMENT. A TOTAL OF 23 PATIENTS WERE SERVED IN 2023. CARE OF ALL ADENA PATIENTS IN PARTNERED PROGRAMMING WITH THE ROSS COUNTY YMCA TOTALED $32,805. RESPIRATORY ISSUESCOMMUNITY DEVELOPMENT ADENA PROVIDES A COMMUNITY HEALTH AND DEVELOPMENT REPRESENTATIVE TO PARTICIPATE IN THE BREATHEWELL ROSS COMMITTEE. THE GROUP ADDRESSES COMMUNITY INITIATIVES THAT CAN IMPROVE THE LUNG AND RESPIRATORY HEALTH OF THE COMMUNITY SUCH AS SMOKING AND VAPING CESSATION, LUNG CANCER SCREENINGS, AIR MONITORING, AND MORE. ONE ADENA EMPLOYEE SPENDS 2 HOURS/MONTH ON MEETING OBLIGATIONS. OTHER ADENA CAREGIVERS ARE INVOLVED IN PROJECTS AND PROGRAMMING AS NEEDED AS A RESULT OF THIS COMMITTEE.
ADENA REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 20E: PATIENTS HAVE 120 DAYS FROM THE TIME THEIR ACCOUNT GOES TO "SELF-PAY" TO PAY IN FULL OR MAKE PAYMENT ARRANGEMENTS. ON THE 121ST DAY, THEY ARE SENT TO A COLLECTION AGENCY. COLLECTION AGENCIES REQUIRE ADENA MANAGEMENT APPROVAL TO PURSUE LEGAL ACTION. IF AVAILABLE, SELFPAY PATIENTS ARE SCREENED FOR GOVERNMENT ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE DURING THE INPATIENT STAY. FAP APPLICATIONS ARE PROVIDED TO THE PATIENT AS PART OF THE SCREENING. FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE ONLINE AND THROUGHOUT THE HOSPITALS AND CLINICS. THIS IS ALSO AVAILABLE AT THE HOPE CLINIC.
PART V, SECTION B, LINE 11 CONTINUED	ADVOCACYADENA HEALTH CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2023 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.PROGRAMMING & INITIATIVESADENA HEALTH CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2023. THE CLINIC PROVIDED A TOTAL OF 19 PATIENTS SERVED IN 5 LOCATIONS: CHILLICOTHE (ROSS COUNTY); WAVERLY (PIKE COUNTY); WASHINGTON COURT HOUSE (FAYETTE COUNTY); GREENFIELD (HIGHLAND COUNTY) AND JACKSON (JACKSON COUNTY). ADENA PHARMACISTS COMPLETED 35 VISITS WITH PATIENT WITH TOBACCO CESSATION COUNSELING SERVICES INCLUDING CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. ADENA PROVIDED A TOTAL OF 1,726 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2023 WHICH RESULTED IN 32 POSITIVE CANCER FINDINGS. BY PROVIDING CANCER SCREENINGS ADENA HEALTH IS HELPING TO DECREASE RATES OF DEATH DECLINING DUE TO EARLY INTERVENTION AND TREATMENT. THE ADENA HEALTH PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE LIVESTRONG WELLNESS CLASSES FOR PATIENTS RECEIVING TREATMENT AT THE ADENA CANCER CENTER. IN 2023, 22 PATIENTS WERE SERVED BY THE PROGRAM. ADENA SPENT $11,550 TO SUPPORT THE PROGRAM. MENTAL HEALTHCOMMUNITY DEVELOPMENT AN ADENA REPRESENTATIVE FROM THE COMMUNITY HEALTH AND DEVELOPMENT TEAM LEAD THE ROSS COUNTY MENTAL HEALTH FORUM. THE ROSS COUNTY MENTAL HEALTH FORUM ADDRESSES TOPICS SUCH AS MENTAL HEALTH ACCESS, STIGMA REDUCTION AND OTHER MENTAL HEALTH RELATED ISSUES IN ROSS COUNTY. ADVOCACYADENA CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2023 WHO PARTICIPATED IN VIRTUAL COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS COUNTY MENTAL HEALTH FORUM.PROGRAMMING & INITIATIVESTHE ADENA HEALTH HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 477 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $250,000 IN 2023. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS, PIKE, AND HIGHLAND AND FAYETTE COUNTIES. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS AND OTHER SOCIAL NEEDS. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SUPPORTED THE TRISTAN MILLER FOUNDATION WITH A $1,000 CONTRIBUTION FOR THE TRISTAN MILLER MUSIC FEST HELD ANNUALLY TO RAISE AWARENESS TO MENTAL HEALTH AND SUICIDE PREVENTION. CHILD SAFETY AND WELLNESSADVOCACYADENA CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 2 HOURS PER QUARTER TO PARTICIPATING IN MEETINGS AND COORDINATING PROJECTS FOR THE FAMILY AND CHILDREN FIRST COUNCIL.PROGRAMMING & INITIATIVESADENA HEALTH PROVIDED ATHLETIC TRAINER SERVICES TO 12 LOCAL PUBLIC HIGH SCHOOLS WITHIN A SIX COUNTY (ROSS, PIKE, FAYETTE, HIGHLAND, JACKSON, PICKAWAY) SERVICE REGION IN 2023. A TOTAL OF 13 ATHLETIC TRAINERS WORKED WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS AND FOCUSED ON EDUCATING STUDENTS, PARENTS AND COACHES ON SPORTS MEDICINE TOPICS, INCLUDING CONCUSSION IDENTIFICATION AND TREATMENT. THE VALUE OF THIS COMMUNITY SUPPORT WAS $660,340. THE STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO MORE THAN 1,200 STUDENTS IN HIGHLAND, FAYETTE, AND JACKSON, PICKAWAY, PIKE, AND ROSS COUNTIES. ADENA HEALTH PARTNERED WITH THE ROSS COUNTY PUBLIC LIBRARIES TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, ALL MADE OF GOO, AND COORDINATED WITH THE BOOKWORM SUMMER READING PROGRAM. APPROXIMATELY 1,400 ROSS COUNTY RESIDENTS - CHILDREN, TEENS, AND ADULTS- WERE ENGAGED IN THE PROGRAM THAT REWARDED THEM FOR COMPLETING HEALTH CHALLENGES. PARTICIPANTS ARE OFFERED THE OPPORTUNITY TO EARN PRIZES AS THEY COMPLETE CHALLENGES AND THOSE WHO COMPLETE ALL CHALLENGES ARE ENTERED INTO A DRAWING FOR A NEW BICYCLE AND ADULTS GOT THE OPPORTUNITY FOR A FITBIT. A TOTAL OF $2,500 WAS SPENT ON REWARD PRIZES FOR PARTICIPANTS IN ROSS, FAYETTE, HIGHLAND AND PIKE COUNTIES. ADENA HEALTH CONTINUED ITS PARTNERSHIP WITH CHILLICOTHE CITY SCHOOLS TO COORDINATE THE AIM PROGRAM, WHICH OFFERS SIX STUDENTS A FELLOWSHIP OPPORTUNITY DURING THEIR SENIOR YEAR OF HIGH SCHOOL TO EXPLORE THE CAREER OF MEDICINE. STUDENTS ARE OFFERED THE OPPORTUNITY TO SHADOW PHYSICIANS ACROSS VARIOUS SPECIALTIES AND COMPLETE A COMMUNITY HEALTH PROJECT. APPROXIMATELY $2,150 WAS SPENT ON THE PROGRAM IN 2023. IN 2021, ADENA HEALTH PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. IN 2023, ADENA HEALTH EXPANDED THE PROGRAM AND PROVIDED A 1.0 FTE VALUED AT $101,608 TO WORK WITH PARTNERED SCHOOL DISTRICT TO COMPLETE SCHOOL NEEDS ASSESSMENTS, DEVELOP SCHOOL WELLNESS PLANS, AND IMPROVE HEALTHCARE ACCESS TO STUDENTS AND STAFF. ALSO IN SEPTEMBER 2023, ADENA LAUNCHED A MOBILE HEALTH CLINIC TO PROVIDE MEDICAL CARE TO 373 STUDENTS AND STAFF. IN ADDITION, THE COORDINATOR IS ASSISTING THE DISTRICTS IN DEVELOPING PRIMARY CARE AND TELEHEALTH RESOURCES FOR THE DISTRICT, AS WELL AS BRING IN ADDITIONAL COMMUNITY PARTNERS TO ADDRESS MENTAL HEALTH AND SOCIAL NEEDS OF STUDENTS. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH WORKS TO ALIGN ITS SERVICE LINES AND CLINICS WITH COMMUNITY RESOURCES THAT WILL ADDRESS THE SOCIAL FACTORS AND BARRIERS FACED BY MANY OF ITS RURAL PATIENTS. THIS OFTEN INVOLVES COMMUNITY PARTNERING AND MONETARY SUPPORT FROM ADENA COMMUNITY HEALTH AND DEVELOPMENT. THESE TWO STRATEGIES ARE CONNECTED AND REPORTED TOGETHER. ROSS COUNTY JUNIOR ACHIEVEMENT: ADENA HEALTH PROVIDES ANNUAL SUPPORT IN THE AMOUNT OF $3,125 EACH YEAR TO THE ROSS COUNTY JUNIOR ACHIEVEMENT, WHICH WORKS WITH YOUTH IN ALL SCHOOL DISTRICTS, GRADES 5-12, TO EDUCATE ON FINANCIAL LITERACY, CAREER DEVELOPMENT AND ENTREPRENEURSHIP. SUPPORT IS UTILIZED TO PURCHASE LEARNING MATERIALS, AND ADENA COMMUNITY HEALTH AND DEVELOPMENT STAFF TO TEACH THE PREPARED CURRICULUM IN ROSS COUNTY SCHOOL DISTRICTS. ADENA WOMEN'S & CHILDREN'S CENTER: ADENA HEALTH PROVIDED SLEEP SACKS FOR THE 1,200 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2023, VALUED AT $12,777. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE AND HIGHLAND. SCHOOL DISTRICTS: A TOTAL OF 6 ROSS COUNTY SCHOOL DISTRICTS CHILLICOTHE CITY SCHOOLS, UNION-SCIOTO LOCAL SCHOOLS, SOUTHEASTERN LOCAL SCHOOLS, ADENA LOCAL SCHOOLS, ZANE TRACE LOCAL SCHOOLS AND HUNTINGTON SCHOOL DISTRICT - EACH RECEIVED $25,000 OR A TOTAL OF $150,000 TO SUPPORT THE HEALTH AND WELLNESS OF THEIR DISTRICT'S ATHLETES, ALIGNED WITH THE SUPPORT OF ATHLETIC TRAINERS PROVIDED BY ADENA HEALTH. UNITED WAY: ARMC PROVIDED $1,390 IN SUPPORT TO UNITED WAY'S SUCCESS BY SIX PROGRAM. THE PROGRAM PROVIDED OVER 100 PRESCHOOLERS A SIX-WEEK "BOOT CAMP" TO PREPARE FOR KINDERGARTEN AHEAD OF THE UPCOMING SCHOOL YEAR. CHILLICOTHE CIVIC THEATER: ADENA PROVIDED $10,000 IN SUPPORT FOR THE CIVIC THEATER, WHICH COORDINATES THEATER PRODUCTIONS FOR ROSS COUNTY. THE CHILLICOTHE CIVIC THEATER ALSO COORDINATES A YOUTH THEATER PROGRAM WHERE CHILDREN ARE PROVIDED THE OPPORTUNITY TO PERFORM AND COORDINATE PRODUCTIONS AS PART OF THEIR EXPERIENCE.
PART V, SECTION B, LINE 11 CONTINUED	COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES STAYED AT 77 IN 2022 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 49 TO 56 IN 2022 (COUNTY HEALTH RANKINGS).ADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2023 PROVIDING AFFORDABLE, QUALITY HEALTH CARE. THE CLINICS PAIRED ACCESSIBLE PRIMARY CARE MEDICAL SERVICES PROVIDED BY PHYSICIAN INTERNS AND RESIDENTS OF ADENA'S GRADUATE MEDICAL EDUCATION PROGRAM, FAMILY AND INTERNAL MEDICINE PRECEPTORS PROVIDING SERVICES TO PATIENTS IN THE CLINIC. COMBINED THE CLINICS HAD 10,084 VISITS FROM PATIENTS MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON). APPROXIMATELY 5% OF PATIENTS SERVED BY THE CLINICS ARE UNINSURED. COMMUNITY SERVICE: ADENA ALSO PROVIDES SUPPORT TO THE ROSS COUNTY COMMUNITY THROUGH A VARIETY OF ENGAGEMENT ACTIVITIES, INCLUDING FINANCIAL SUPPORT AND PARTICIPATION IN LOCAL COMMUNITY EVENTS AND INITIATIVES. MORE THAN 150 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A 500+ OF HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME PARTICIPATING IN COMMUNITY OUTREACH EVENTS, PACKING WEEKEND FOOD BAGS FOR FOOD INSECURE CHILDREN, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, COMMUNITY EVENTS AND OTHER INITIATIVES. COMMUNITY SPONSORSHIPS: ADENA SUPPORT A NUMBER OF INITIATIVES IN THE COMMUNITY AND REGION TO BENEFIT THE WELLBEING OF THOSE IN THE COMMUNITY.IN ADDITION TO ITEMS LISTED PREVIOUSLY IN THIS REPORT, OTHER SPONSORSHIPS INCLUDE: $15,000 IN SUPPORT FOR THE 2-1-1 INFORMATION AND REFERRAL LINE OPERATED BY THE ROSS COUNTY UNITED WAY. THE LINE IS A 24/7 RESOURCE AND CONNECTION TO FOOD, EDUCATION, TRANSPORTATION, FINANCIAL ASSISTANCE AND HEALTHCARE RESOURCES. $20,000 IN SUPPORT OF THE ROSS COUNTY UNITED WAY'S ANNUAL CAMPAIGN. UNITED WAY UTILIZES FUNDS RAISED TO OFFER GRANTS FOR EDUCATION, HEALTH AND FINANCIAL MOBILITY PROGRAMMING. $15,000 SPONSORSHIP TO THE ROSS COUNTY YMCA. OVER $2,956 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN FAYETTE, ROSS, HIGHLAND AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE. ADENA PROVIDED $1,000 IN FINANCIAL SUPPORT TO BIG BROTHER BIG SISTERS OF SOUTH CENTRAL OHIO FOR ANNUAL BOWL FOR KIDS' SAKE. ALSO PROVIDED AN ADDITIONAL $2,800 FOR THE DANCE FOR KIDS' SAKE EVENT. SUPPORTED THE CHILLICOTHE ROSS CHAMBER OF COMMERCE WITH A $1,000 CONTRIBUTION FOR THE EPIC PROGRAM TO MENTOR YOUNG ADULTS IN BUSINESS. PROVIDED $750 TO HOPE CLINIC TO SUPPORT ANNUAL 5K. $5,000 SPONSORSHIP OF THE CHILLICOTHE HALF MARATHON. ADENA HEALTH PROVIDED $10,000 IN SUPPORT TO ASSIST THE CHILLICOTHE ROTARY IN COORDINATING THE CHILLICOTHE 4TH OF JULY FIREWORKS CELEBRATION IN THE DOWNTOWN AREA. $2,000 SPONSORSHIP OF THE DR. ATER MEMORIAL GOLF OUTING BENEFITING THE CHILD PROTECTION CENTER OF ROSS COUNTY. ADENA HEALTH PROVIDED $7,000 IN SUPPORT TO ASSIST THE DOWNTOWN CHILLICOTHE DEVELOPMENT ASSOCIATES IN COORDINATING THE SAND IN THE STREETS VOLLEYBALL TOURNAMENT. CAREGIVERS FROM ADENA BONE & JOINT ALSO VOLUNTEERED TIME TO PROVIDE FIRST AID SERVICES FOR THE EVENT. ADENA HEALTH PROVIDED $10,000 IN SUPPORT TO ASSIST THE DOWNTOWN DEVELOPMENT ASSOCIATES IN COORDINATING THE 2023 HOLIDAY LIGHTING OF YOCTANGEE PARK IN DOWNTOWN CHILLICOTHE. ADENA PROVIDED $1,000 IN SUPPORT TO THE FALL FESTIVAL OF LEAVES. ADENA PROVIDED THE ROSS COUNTY AGRICULTURAL SOCIETY $6,150 TO SUPPORT THE FAIR MARKET SALES, $9,500 IN SUPPORT TO PROVIDE A FREE RIDE DAY FOR THE CHILDREN ATTENDING THE FAIR, AND AN ADDITIONAL $2,000 IN SUPPORT. $1,500 FOR FEAST OF THE FLOWERING MOON SPONSORSHIP. ADENA CONTRIBUTED $2,000 TO THE JUNIOR CIVIC LEAGUE'S HOLIDAY GALA EVENT. A $10,607 INVESTMENT FOR SCOREBOARDS FOR THE SCIOTO VALLEY YOUTH LEAGUE SOFTBALL. $360 DONATION TO THE ROSS COUNTY CHAPTER OF THE NAACP. PROVIDED $3,240 IN SUPPORT TO ROSS COUNTY PARTNER SCHOOLS FOR BANNERS. $10,000 SPONSOARSHIP FOR THE CHILLICOTHE CIVIC THEATRE. ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH CONTINUED IT'S MORE THAN 25 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2023 WHICH PROVIDES RESOURCES AND COUNSELING TO YOUNG VICTIMS OF INTERPERSONAL VIOLENCE AND SEXUAL ASSAULT IN A NINE COUNTY SERVICE REGION THAT INCLUDES FAYETTE, ROSS, PIKE AND HIGHLAND COUNTIES. ADENA PROVIDED A TOTAL OF $61,374 IN FINANCIAL SUPPORT FOR THE CPC'S FACILITY COSTS AND INFORMATION TECHNOLOGY NEEDS. MEDICAL AND NURSING STAFF ALSO PROVIDE SUPPORT TO THE CENTER. AN ADDITIONAL $2,000 IN SUPPORT WAS PROVIDED TO SUPPORT THE FUNDRAISING EFFORTS OF THE ORGANIZATION. HOPE CLINIC: ADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2023. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL AND VISION CARE. LOCATED IN CHILLICOTHE, OHIO, THE CLINIC SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. THE CLINIC SAW MORE THAN 1500 PATIENTS FOR MEDICAL, DENTAL AND PHARMACY SERVICES AND DISPENSED MORE THAN 4000 PRESCRIPTIONS THROUGH THE CHARITABLE PHARMACY. TEN PROVIDERS FROM ADENA HEALTH VOLUNTEERED 68 HOURS OF CARE AT HOPE CLINIC IN 2023. ADENA CAREGIVERS ALSO VOLUNTEER AS STAFF IN THE CLINIC AND/OR AT THE MOBILE FOOD CLINIC TO ASSIST THOSE WHO ARE FOOD INSECURE (MORE THAN 7900 RESIDENTS IN 2023). ADENA HEALTH PROVIDES ADDITIONAL MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY AND MEDICAL RESOURCE SYSTEM ELSEVIER. AN ADDITIONAL $1500 WAS ALSO PROVIDED TO SUPPORT GENERAL FUNDRAISING CAMPAIGN FOR SERVICES. FOR MORE INFORMATION, GO TO HTTP://WWW.HOPECLINICFREE.ORG/. PARTNERS FOR A HEALTHIER ROSS COUNTY HEALTH COALITION: IN 2015, ADENA HEALTH COLLABORATED WITH THE ROSS COUNTY HEALTH DISTRICT TO COORDINATE AND CONVENE A COMMUNITY HEALTH COALITION FOCUSED ON COMPLETING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHA) AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR ROSS COUNTY. A TOTAL OF 19 LOCAL GOVERNMENT, CIVIC AND BUSINESS LEADERS PARTICIPATE TO IDENTIFY STRATEGIC HEALTH PRIORITIES FOR THE COMMUNITY AND ASSIST IN ALLOCATING RESOURCES TO SUPPORT INITIATIVES BUILT AROUND THESE STRATEGIC PRIORITIES. ADENA HEALTH HAD A TOTAL OF FIVE ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2023 TO CONTRIBUTING TO THE PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE IN ADDITION TO OTHER SUB-COMMITTEES MENTIONED THROUGHOUT THIS REPORT.
PART V, LINE 7A	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW
PART V, LINE 10A	HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW
PARY V, LINE 16A, FAP	HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE
PART V, LINE 16B, FAP APPLICATION	HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY	HTTPS://WWW.ADENA.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ADENA HEALTH PAVILION
4437 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES, OUTPATIENT SURGERY CENTER
2 - ADENA MEDICAL OFFICE BUILDING
4439 STATE ROUTE 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
3 - ADENA HEALTH CENTER - WAVERLY
12340 STATE ROUTE 104	WAVERLY	OH	45690	AMBULATORY CARE CENTER
4 - ADENA URGENT CARE
55 CENTENNIAL BLVD	CHILLICOTHE	OH	45601	AMBULATORY CARE CENTER
5 - ADENA HOME CARE SERVICES
111 W WATER STREET	CHILLICOTHE	OH	45601	HOME HEALTH CARE AND HOSPICE
6 - ADENA HEALTH CENTER - JACKSON
1000 VETERANS DRIVE	JACKSON	OH	45640	AMBULATORY CARE CENTER
7 - ADENA REHABILITATION AND WELLNESS CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	OUTPATIENT REHABILITATION CENTER
8 - ADENA FAMILY MEDICINE - OAK HILL
315 WASHINGTON STREET	OAK HILL	OH	45656	PHYSICIAN OFFICES
9 - ADENA PICKAWAY-ROSS FAMILY PHYSICIANS
100 N WALNUT STREET	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
10 - ADENA FAMILY MEDICINE - CIRCLEVILLE
798 N COURT STREET	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICES
11 - ADENA COUNSELING CENTER
445 SHAWNEE LANE	CHILLICOTHE	OH	45601	MENTAL HEALTH COUNSELING
12 - ADENA FAMILY MEDICINE OF CHILLICOTHE
626 CENTRAL CENTER	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
13 - ADENA ROSS UROLOGY
8 MEDICAL DRIVE	CHILLICOTHE	OH	45601	PHYSICIAN OFFICES
14 - ADENA FAMILY MEDICINE - GREENFIELD
536 MIRABEAU STREET	GREENFIELD	OH	45123	PHYSICIAN OFFICES
15 - ADENA FAMILY MEDICINE - WASHINGTON CH
308 HIGHLAND AVENUE SUITE C	WASHINGTON COURT HOU	OH	43160	PHYSICIAN OFFICES
16 - ADENA FAMILY MEDICINE - WELLSTON
118 SOUTH NEW YORK AVE SUITE A	WELLSTON	OH	45692	NURSE PRACTITIONER CLINIC
17 - ADENA FAMILY MEDICINE - HILLSBORO
160 ROBERTS LANE	HILLSBORO	OH	45133	URGENT CARE AND FAMILY PRACTICE
18 - ADENA HEALTH & WELLNESS CNTR-MAIN CAMPUS
4457 ST RT 159	CHILLICOTHE	OH	45601	PHYSICIAN OFFICE, CARDIAC REHAB, OCCUPATIONAL MEDICINE
19 - ADENA CANCER CENTER
4435 ST RT 159	CHILLICOTHE	OH	45601	OUTPATIENT CHEMOTHERAPY AND RADIATION
20 - ADENA WELLNESS CENTER WEST
2077 WESTERN AVENUE	CHILLICOTHE	OH	45601	HOME HEALTH AND REHABILITATION
21 - ADENA HEALTH CENTER CIRCLEVILLE
140 MORRIS ROAD	CIRCLEVILLE	OH	43113	AMBULATORY CARE CENTER
22 - AOSI CIRCLEVILLE
160 SUMMIT AVE	CIRCLEVILLE	OH	43113	PHYSICIAN OFFICE
23 - ADENA HEALTH URGENT CARE CIRCLEVILLE
166 SUMMIT AVE	CIRCLEVILLE	OH	43113	URGENT CARE
24 - ADENA URGENT CARE BRIDGE STREET
1450 N BRIDGE STREET	CHILLICOTHE	OH	45601	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CONVERT CHARGES TO COSTS IN LINE 7A AND 7B.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE OF $22,113,589 WAS DEDUCTED FROM TOTAL OPERATING EXPENSES WHEN CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:	ADENA HEALTH SYSTEM SUPPORTS COMMUNITY BUILDING ACTIVITIES BY PROVIDING GRANTS TO THE FOLLOWING ORGANIZATIONS:CHILLICOTHE CAVALIER CLUB- GRANT PROVIDED TO INSTALL A SCOREBOARDUNITED WAY OF ROSS COUNTY- GRANT PROVIDED TO SUPPORT RELAY FOR LIFEMIGHTY CHILDREN'S MUSEUM- GRANT PROVIDED TO BUILD A CHILDREN'S MUSEUM TO ENCOURAGE LEARNING AND CREATIVITYROSS COUNTY AGRICULTURAL SOCIETY- GRANT PROVIDED TO SUPPORT FREE RIDE DAY AT THE ROSS COUNTY FAIR AND TO PROVIDE A STAGE FOR THE HEALTHY KIDS EVENTROSS COUNTY CHILD PROTECTION CENTER- GRANT PROVIDED TO SUPPORT ADVOCATES FOR CHILDREN OF ABUSE AND NEGLECT
PART III, LINE 2:	THE BAD DEBT EXPENSE LISTED ON PART III, LINE 2 IS DERIVED FROM THE FINANCIAL STATEMENTS.
PART III, LINE 3:	ENSEMBLE PERFORMS ALL MEDICAID AND FINANCIAL ASSISTANCE ELIGIBILITY PER POLICY.
PART III, LINE 4:	WE DO NOT HAVE SEPARATE FINANCIAL STATEMENTS FOR ADENA REGIONAL MEDICAL CENTER. IT IS INCLUDED IN THE CONSOLIDATED STATEMENTS OF ADENA HEALTH SYSTEM. THE FOOTNOTE IN OUR FINANCIAL STATEMENTS INCLUDES THE FOLLOWING ABOUT OUR BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLES. "ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE, ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (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 SYSTEM RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS 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."
PART III, LINE 8:	MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.ADENA HEALTH SYSTEM USED THE MEDICARE ALLOWABLE COSTS PER ITS 2023 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.PRIOR YEAR SETTLEMENTS FOR MEDICARE-RELATED SERVICES THAT WERE BOOKED IN THE CURRENT TAX YEAR ARE ALSO INCLUDED IN THE CURRENT TAX YEAR CALCULATION.
PART III, LINE 9B:	IF THE RESPONSIBLE INDIVIDUAL HAS NOT SUBMITTED A COMPLETE APPLICATION FOR FINANCIAL ASSISTANCE OR HAS NOT PAID-IN-FULL, FOUR SEPARATE STATEMENTS ARE SENT OUT FOR THE COLLECTION OF SELF-PAY ACCOUNTS. THE FINAL STATEMENT SENT WILL INFORM THE INDIVIDUAL OF POSSIBLE EXTRAORDINARY COLLECTION ACTIONS (ECA) TO BE TAKEN IF FINANCIAL ASSISTANCE IS NOT APPLIED FOR OR THE ACCOUNT IS NOT PAID IN FULL. AFTER THE FINAL STATEMENT AND BEFORE ECAS ARE TAKEN, REASONABLE EFFORTS ARE MADE TO ORALLY CONTACT THE INDIVIDUAL AS A FINAL NOTICE. PATIENTS WHO CANNOT PAY CHARGES IN FULL MAY ALSO BE OFFERED A PAYMENT PLAN THAT IS CONSISTENT WITH ADENA'S CUSTOMER SERVICE PROCEDURES.
PART VI, LINE 3:	THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN THE FOLLOWING MANNER: 1. STATEMENTS FROM ADENA AS WELL AS COLLECTION VENDORS EXPLAIN AND LIST THE 100% AND 60% ASSISTANCE GUIDELINES ON THE BACKSIDE OF THE STATEMENT. 2. THERE IS SIGNAGE EXPLAINING THE PROGRAM AT ALL THE REGISTRATION AREAS. 3. STAFF AT THE CASHIER AREA EXPLAIN OPTIONS AVAILABLE TO THE PATIENT. 4. WE SEND AN APPLICATION WITH THE SELF-PAY DISCOUNT LETTERS IN CASE THE PATIENT/GUARANTOR CAN'T SET UP A PAYMENT PLAN. 5. THE CUSTOMER SERVICE STAFF IS EDUCATED ON ALL THE OPTIONS AND CAN EXPLAIN THE PROGRAMS WHEN PATIENTS CALL. 6. OUR PHYSICIAN OFFICES, AS WELL AS COLLECTION VENDORS HAVE FINANCIAL AID APPLICATIONS AVAILABLE.
PART VI, LINE 4:	ROSS COUNTY, HOME TO ADENA REGIONAL MEDICAL CENTER, IS LOCATED IN SOUTH CENTRAL OHIO. IT IS PART OF 2 CONGRESSIONAL DISTRICTS (2ND AND THE 15TH) AND ONE OF OHIO'S 32 APPALACHIAN COUNTIES. IT CONTAINS THE POPULATION PATTERNS AND DISTINCT ECONOMIC CONDITIONS INHERENT OF THIS REGION OF THE U.S AND FACES SIMILAR CHALLENGES TO IMPROVE THE LIVES OF ITS 77,000 RESIDENTS. THESE INCLUDE LOW EDUCATIONAL ATTAINMENT PERCENTAGES AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. THE TOTAL POPULATION OF ROSS COUNTY REPRESENTS 15% OF THE TOTAL ADENA HEALTH SYSTEM SERVICE REGION AND IS THE PRIMARY PLACE OF RESIDENCE FOR 80% OF THE PATIENTS IT SERVES. THE COUNTY, AS WELL AS THE REMAINDER OF THE 12 COUNTY SERVICE REGION, HAS SIMILAR DEMOGRAPHICS AS THE STATE OF OHIO AND U.S. OVER 64% OF THE POPULATION IS BETWEEN THE AGES OF 19 AND 64 AND 13% OF THE POPULATION IS OVER THE AGE OF 65. THE MAJORITY OF THE POPULATION IS WHITE WITH AFRICAN AMERICANS MAKING UP THE MAJORITY OF THE REGION'S MINORITY POPULATION.THE 28,269 HOUSEHOLDS IN ROSS COUNTY REPRESENT 14.7% OF THE HOUSEHOLDS IN ADENA HEALTH SYSTEM'S 12-COUNTY SERVICE REGION. THE AVERAGE HOUSEHOLD SIZE IS 2.54 PEOPLE, COMPARABLE WITH THE REST OF OHIO AND THE U.S. THE AVERAGE FAMILY SIZE IS AS WELL WITH 3.05 PEOPLE. A LITTLE MORE THAN 50% OF THE POPULATION IS NOW MARRIED WHICH IS COMPARABLE WITH OHIO AND NATIONAL AVERAGES. MORE THAN 14% ARE DIVORCED WHICH IS NOTICEABLY HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES. MORE THAN 15% OF THE ADULTS IN ROSS COUNTY HAVE NOT GRADUATED FROM HIGH SCHOOL. THIS PERCENTAGE IS HIGHER THAN BOTH THE OHIO (12.2%) AND NATIONAL (14.6%) AVERAGES, BUT IS LOWER THAN THE AVERAGE FOR THE 12-COUNTY SERVICE REGION (18.9%). MORE THAN 10% OF THE POPULATION OF ROSS COUNTY IS ESTIMATED TO BE FUNCTIONALLY ILLITERATE, OR LACKING THE READING AND WRITING SKILLS SUFFICIENT FOR ORDINARY PRACTICAL NEEDS.THE UNEMPLOYMENT RATE IN ROSS COUNTY (4.8%) IS COMPARABLE TO THE U.S. AVERAGE. IN ADDITION, MORE THAN 45% OF THE POPULATION IS NOT IN THE WORKFORCE. THIS IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE TOP FIVE EMPLOYMENT INDUSTRIES IN ROSS COUNTY ARE MANAGEMENT/PROFESSIONAL OCCUPATIONS, EDUCATION/HEALTHCARE SERVICES, SALES, PRODUCTION/TRANSPORTATION SERVICES, AND SERVICE OCCUPATIONS. ROSS COUNTY HAS MORE PEOPLE EMPLOYED IN PRODUCTION, TRANSPORTATION AND MATERIAL MOVING OCCUPATIONS THAN THE REGIONAL, STATE AND NATIONAL AVERAGES. THE COUNTY HAS ABOUT HALF AS MANY PROFESSIONAL, SCIENTIFIC AND MANAGEMENT SERVICES PROFESSIONALS AS OHIO AND THE U.S.THE PER CAPITA, MEDIAN AND MEAN HOUSEHOLD INCOMES IN ROSS COUNTY OHIO ARE MUCH LOWER THAN THE STATE AND U.S. AVERAGES, BUT HIGHER THAN REGIONAL AVERAGE. POVERTY RATES ARE ALSO HIGHER THAN STATE AND NATIONAL AVERAGES BUT LOWER THAN THE REST OF THE REGION. ACCESS TO EMPLOYMENT IN ROSS COUNTY IS HIGHER THAN OTHER COUNTIES IN THE REGION.THERE ARE 6,348 CIVILIAN VETERANS LIVING IN ROSS COUNTY, ACCOUNTING FOR ALMOST 8% OF THE REGION'S POPULATION. THE TOTAL CIVILIAN VETERANS WITHIN THE ADENA HEALTH SYSTEM 12-COUNTY SERVICE REGION REPRESENT 5% OF OHIO'S TOTAL CIVILIAN VETERAN POPULATION. ROSS COUNTY ALSO HAS A VETERAN'S ADMINISTRATION HOSPITAL LOCATED 4.5 MILES FROM ADENA REGIONAL MEDICAL CENTER.ROSS COUNTY AND ITS ENTIRE SURROUNDING SERVICE REGION HAVE A HIGHER PREVALENCE OF DISABILITY THAN THE REST OF OHIO. SEVEN OF THE 12 COUNTIES IN THE SERVICE REGION HAVE DISABILITY PREVALENCE RATES OF 16.7% - 22%. ROSS COUNTY'S PREVALENCE RATE IS 13.5%.
PART VI, LINE 5:	ADENA REGIONAL MEDICAL CENTER WORKS TO PROMOTE THE HEALTH OF ITS COMMUNITY THROUGH A VARIETY OF MEANS, INCLUDING BOARD MEMBERS, ADMINISTRATIONS, EMPLOYEES, AND VOLUNTEERS. THE 2022 BOARD OF TRUSTEES OF ADENA HEALTH SYSTEM WAS COMPRISED OF 14 MEMBERS WHO ALL RESIDE IN THE HOSPITAL SERVICE AREA. TWO OF THE BOARD MEMBERS WERE AN EMPLOYEE OF ADENA HEALTH SYSTEM AT THE END OF THE YEAR.
PART VI, LINE 6:	FOUNDED IN 1895, ADENA HEALTH SYSTEM IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN CHILLICOTHE, OH. THE HEALTH SYSTEM INCLUDES THREE HOSPITALS AND SIX REGIONAL CLINICS, WITH A TOTAL OF 311 BEDS. ADENA SERVES THE NEEDS OF NEARLY 500,000 PEOPLE IN 13 COUNTIES, LIVING IN OHIO'S APPALACHIAN REGION. OUR FACILITIES INCLUDE: ADENA REGIONAL MEDICAL CENTER: A 261-BED INPATIENT HOSPITAL IN CHILLICOTHE, OH FEATURING AN EMERGENCY DEPARTMENT, DIAGNOSTIC AND TREATMENT SERVICES, ADVANCED SURGICAL SUITES, INTENSIVE/CARDIAC CARE, MEDICAL OFFICE BUILDING AND THE ADENA HEALTH PAVILION, WHICH INCLUDES OUTPATIENT SURGERY, PHYSICIAN OFFICES AND THE ADENA SLEEP CENTER. IN 2011, ADENA INVESTED $21 MILLION IN THE CONSTRUCTION OF A 35,000 SQUARE-FOOT CANCER CENTER TO PROVIDE PATIENTS WITH ACCESS TO CANCER DIAGNOSIS AND TREATMENT AT A FACILITY NEAR THEIR HOMES. THE CANCER CENTER OPENED IN JANUARY 2012. IN 2018 THE SYSTEM COMPLETED THE FIRST OF 3 PHASES OF A $40M RENOVATION/EXPANSION OF ITS EMERGENCY CENTER. THIS WAS IN DIRECT RESPONSE TO PUBLIC COMMENTS ABOUT THE CONGESTION OF SPACE. IT HAS ALLOWED FOR ENHANCED CARE AND IMPROVED COORDINATION OF CARE WITH THE EMERGENCY RESPONSE SERVICES IN THE SERVICE AREA. GREENFIELD AREA MEDICAL CENTER AND PIKE HEALTH SERVICES, INC.: BOTH ARE CRITICAL ACCESS HOSPITALS, EACH WITH A 25-BED INPATIENT FACILITY IN GREENFIELD, OH AND WAVERLY, OH, RESPECTIVELY. EACH FEATURES AN EMERGENCY DEPARTMENT, INPATIENT CARE INCLUDING REHABILITATION AND MEDICAL/SURGICAL, DIAGNOSTIC AND TREATMENT SERVICES, AS WELL AS FAMILY PRACTICE AND SPECIALTY PHYSICIANS. THESE TWO HOSPITALS DIRECTLY BENEFIT HIGHLAND COUNTY (GREENFIELD AREA MEDICAL CENTER) AND PIKE COUNTY (PIKE HEALTH SERVICES, INC.) AS WELL AS SURROUNDING COMMUNITIES. ADENA HEALTH CENTERS: LOCATED IN CHILLICOTHE AND WITH REGIONAL SITES IN CIRCLEVILLE, JACKSON, OAK HILL, WASHINGTON COURT HOUSE, WAVERLY, HILLSBORO, AND WELLSTON, OH. OUR HEALTH CENTERS INCLUDE PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT SERVICES, PHYSICAL, OCCUPATION AND SPEECH THERAPIES. URGENT CARE SERVICES ARE OFFERED IN CHILLICOTHE, WAVERLY, AND HILLSBORO. ADENA HOME CARE AND HOSPICE: PROVIDES HIGHLY PERSONALIZED, QUALITY CARE TO PATIENTS OF FOUR SERVICE LINES -- HOME HEALTH, HOSPICE, HOME RESPIRATORY AND HOME INFUSION. ADENA REHABILITATION AND WELLNESS CENTER: PROVIDES PHYSICAL, OCCUPATIONAL, MASSAGE AND INDUSTRIAL REHABILITATION, AS WELL AS ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, VESTIBULAR, FIBROMYALGIA AND CHRONIC PAIN PROGRAMS, AS WELL AS INDUSTRIAL AND SPECIALIZED HAND PROGRAMS. ADENA COUNSELING CENTER: PROVIDES A WIDE RANGE OF OUTPATIENT COUNSELING SERVICES, INCLUDING GROUP, INDIVIDUAL AND FAMILY COUNSELING. A VARIETY OF SUPPORT GROUPS ALSO MEET AT THE CENTER. OFF-CAMPUS PHYSICIAN OFFICES: A NUMBER OF PHYSICIAN OFFICES ARE LOCATED THROUGHOUT THE REGION SERVED BY ADENA. THESE INCLUDE OFFICES FOR FAMILY PHYSICIANS, ENDOCRINOLOGISTS, GERONTOLOGISTS AND UROLOGISTS. TELEMEDICINE: IN 2011, THE HEALTH SYSTEM CONTINUED ITS AFFILIATION WITH THE SOUTHERN OHIO HEALTH CARE NETWORK (SOHCN). THIS PARTNERSHIP HAS RESULTED IN THE CONSTRUCTION OF AN EXPANSIVE FIBER OPTIC BROADBAND TELECOMMUNICATIONS NETWORK TO SERVE THE HEALTHCARE AND EDUCATIONAL NEEDS OF PEOPLE LIVING IN OHIO'S APPALACHIAN REGION. THROUGH THIS TECHNOLOGY, TELEMEDICINE IS ENABLING PATIENTS TO BE ON ADENA'S CAMPUS, BUT TREATED BY PHYSICIANS OUTSIDE THE REGION. ADENA HAS TELEMEDICINE RELATIONSHIPS WITH OHIO STATE UNIVERSITY MEDICAL CENTER, RIVERSIDE METHODIST HOSPITAL, AND NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	501 C (3)	$768,570	$0	COMMUNITY IMPROVEMENT INITIATIVE
ADENA LOCAL SCHOOL DISTRICT
3367 COUNTY ROAD 550	FRANKFORT	OH	45628	310709140	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILD PROTECTION CENTER OF ROSS CO
138 MARIETTA RD STE E	CHILLICOTHE	OH	45601	311579825	501 C (3)	$63,747	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILLICOTHE CITY SCHOOLS
425 TOCTANGEE PARKWAY	CHILLICOTHE	OH	45601	316400384	115	$29,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILLICOTHE FARMERS MARKET ASSOCIATION
300 CHILLICOTHE AVE	HILLSBORO	OH	45133	262216517	501 C (4)	$16,181	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILLICOTHE ROSS CHAMBER OF COMMERCE
41 E MAIN ST	CHILLICOTHE	OH	45601	314147100	501 C (3)	$5,500	$0	COMMUNITY IMPROVEMENT INITIATIVE
CHILLICOTHE ROTARY FOUNDATION
PO BOX 6357	CHILLICOTHE	OH	45601	316059785	115	$10,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
DOWNTOWN CHILLICOTHE
45 E MAIN ST	CHILLICOTHE	OH	45601	364901133	115	$7,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
FAYETTE COUNTY AGRICULTURAL SOCIETY
PO BOX 1017	WASHINGTON	OH	43160	310606010	115	$11,300	$0	COMMUNITY IMPROVEMENT INITIATIVE
FAYETTE COUNTY YMCA
100 CIVIC DRIVE	WASHINGTON COURT HOUSE	OH	43160	611416843	115	$32,033	$0	COMMUNITY IMPROVEMENT INITIATIVE
GREENFIELD EXEMPTED VILLAGE SCHOOL
200 NORTH FIFTH ST	GREENFIELD	OH	45123	316000808	115	$50,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
HOPE CLINIC OF ROSS COUNTY INC
7479 COUNTY RD 550	FANKFORT	OH	45628	452390821	501 C (3)	$20,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
HOPE PARTNERSHIP PROJECTS
22 YAPLES ORCHARD DR	CHILLICOTHE	OH	45601	862294038	501 C (3)	$31,573	$0	COMMUNITY IMPROVEMENT INITIATIVE
HUNTINGTON LOCAL BOARD OF EDUCATION
188 HUNTSMAN ROAD	CHILLICOTHE	OH	45601	316400570	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
JACKSON AREA FESTIVALS & EVENTS
PO BOX 488	JACKSON	OH	45640	461960880	115	$12,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
OHIO STATE UNIVERSITY
901 WOODY HAYES DR 2020 BLANKENSHIP	COLUMBUS	OH	43210	316025986	115	$32,324	$0	COMMUNITY IMPROVEMENT INITIATIVE	HALL
PICKAWAY ADDICTION ACTION COALITION
770 NORTH COURT STREET	CIRCLEVILLE	OH	43113	824089691	501 C (3)	$15,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
PIKE COUNTY AGRICULTURAL SOCIETY
311 MILL ST	PIKETON	OH	45661	316106189	501 C (3)	$15,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY AGRICULUTURAL SOCIETY
PO BOX 614	CHILLICOTHE	OH	45601	316050864	501 C (3)	$11,985	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY COMMUNITY ACTION
250 N WOODRIDGE AVE	CHILLICOTHE	OH	45601	316059908	501 C (3)	$160,203	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY HEALTH DEPARTMENT
150 E SECOND STREET	CHILLICOTHE	OH	45601	316400085	115	$8,646	$0	COMMUNITY IMPROVEMENT INITIATIVE
ROSS COUNTY YMCA
100 MILL STREET	CHILLICOTHE	OH	45601	314379806	501 C (3)	$51,263	$0	COMMUNITY IMPROVEMENT INITIATIVE
SCIOTO VALLEY LOCAL SCHOOL DISTRICT
1414 PIKETON RD	PIKETON	OH	45661	316402789	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
SCIOTO VALLEY YOUTH LEAGUE
PO BOX 169	CHILLICOTHE	OH	45601	310803685	115	$10,607	$0	COMMUNITY IMPROVEMENT INITIATIVE
SHINE ON CHILLICOTHE
562 BELLEVIEW AVE	CHILLICOTHE	OH	45601	881367174	115	$10,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
SOUTHEASTERN LOCAL SCHOOL DTISRICT
2003 LANCASTER ROAD	CHILLICOTHE	OH	45601	316400983	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
THE BUCK FIFTY INC
113 GORDON DRIVE	CHILLICOTHE	OH	45601	811817174	501 C (3)	$35,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
UNITED WAY ROSS CO
69 EAST WATER STREET	CHILLICOTHE	OH	45601	314389671	501 C (3)	$36,000	$0	JOB DEVELOPMENT INITIATIVE
WASHINGTON COURT HOUSE CITY SCHOOLS
306 HIGHLAND AVENUE	WASHINGTON COURT HOUSE	OH	43160	316001001	115	$25,300	$0	COMMUNITY IMPROVEMENT INITIATIVE
WAVERLY CITY BOARD OF EDUCATION
1 TIGER DRIVE	WAVERLY	OH	45690	316401098	115	$25,500	$0	COMMUNITY IMPROVEMENT INITIATIVE
WELLSTON CITY SCHOOLS
1 E BROADWAY ST	WELLSTON	OH	45692	316401103	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE
ZANE TRACE LOCAL SCHOOL DISTRICT
946 STATE ROUTE 180	CHILLICOTHE	OH	45601	370711566	115	$25,000	$0	COMMUNITY IMPROVEMENT INITIATIVE

Field	Value	IRS element (for citing)
Total501c3 Org	32	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DECISIONS TO DONATE TO COMMUNITY PROJECTS ARE BROUGHT TO CEO FOR APPROVAL FROM MEMBERS OF SENIOR LEADERSHIP AND/OR THE STRATEGY DEPARTMENT. FOR EACH GRANT THERE IS AN AGREEMENT SIGNED BY ADENA AND THE ORGANIZATION RECEIVING THE DONATION THAT CONFIRMS FUNDS ARE BEING USED FOR THE INTENDED PURPOSE. A BLANKET AMOUNT IS BUDGETED FOR THE FISCAL YEAR AND CONSIDERED AS EACH REQUEST IS MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ATIQ REHMAN
PHYSICIAN	$993,491	$1,644,119	$554,523	$0	$23,871	$0	$19,939	$0	$52,295	$0	$1,644,119	$1,644,119	$0	$0
ROGER WILTFONG
PHYSICIAN	$383,685	$1,462,744	$998,341	$0	$17,375	$0	$16,500	$0	$46,843	$0	$1,462,744	$1,462,744	$0	$0
JAMES FLEMING
PHYSICIAN	$487,079	$1,190,583	$532,901	$0	$100,405	$0	$20,160	$0	$50,038	$0	$1,190,583	$1,190,583	$0	$0
WAHEED GUL
PHYSICIAN	$637,987	$1,051,988	$275,273	$0	$53,751	$0	$23,000	$0	$61,977	$0	$1,051,988	$1,051,988	$0	$0
KELLY GALLINA
PHYSICIAN	$308,615	$1,011,737	$603,156	$0	$22,642	$0	$16,500	$0	$60,824	$0	$1,011,737	$1,011,737	$0	$0
JEFF GRAHAM
CEO	$956,818	$0	$39,688	$0	$13,860	$0	$23,080	$0	$35,120	$0	$1,068,566	$0	$0	$0
REGGINA YANDILA
FORMER TRUSTEE/PHYSICIAN	$154,372	$380,470	$132,880	$0	$47,545	$0	$10,605	$0	$35,068	$0	$380,470	$380,470	$0	$0
DR SHAHEED KOURY
CHIEF CLINICAL OFFICER	$547,451	$0	$52,677	$0	$25,072	$0	$76,153	$0	$50,759	$0	$752,112	$0	$0	$0
JAMES MCMANUS
AHS CHIEF FINANCIAL OFFICER	$547,954	$0	$35,472	$0	$38,085	$0	$74,012	$0	$51,932	$0	$747,455	$0	$29,615	$0
ANTHONY FREEMAN
FORMER CHIEF MEDICAL OFFICER	$469,949	$0	$0	$0	$144,147	$0	$21,276	$0	$56,803	$0	$692,175	$0	$0	$0
KATHERINE EDRINGTON
COO	$605,161	$0	$13,933	$0	$2,100	$0	$17,691	$0	$15,083	$0	$653,968	$0	$0	$0
CRAIG BABBITT
CHIEF LEGAL OFFICER	$441,135	$0	$7,813	$0	$45,873	$0	$65,500	$0	$36,819	$0	$597,140	$0	$43,544	$0
RICHARD D MIZER
PRESIDENT OF AMG	$388,472	$0	$3,629	$0	$48,102	$0	$58,868	$0	$22,448	$0	$521,519	$0	$38,895	$0
HEATHER SPRAGUE
CHIEF HUMAN RESOURCE OFFICER	$387,878	$0	$8,314	$0	$40,610	$0	$17,244	$0	$59,690	$0	$513,736	$0	$0	$0
KRISTIN BOGGS
CHIEF COMPLIANCE OFFICER	$340,102	$0	$6,991	$0	$74,117	$0	$56,792	$0	$4,454	$0	$482,456	$0	$38,875	$0
JAMIE SMITH
CHIEF INFORMATION OFFICER	$305,428	$0	$4,328	$0	$35,235	$0	$48,138	$0	$35,514	$0	$428,643	$0	$34,610	$0
JOHN GABIS
PRESIDENT OF AMG	$365,780	$0	$2,677	$0	$5,291	$0	$14,646	$0	$25,000	$0	$413,394	$0	$0	$0
MOLLY M GROOMS
CHIEF NURSING OFFICER	$308,991	$0	$2,747	$0	$34,538	$0	$48,879	$0	$2,896	$0	$398,051	$0	$33,855	$0
DONALD DIENER
PRESIDENT OF ARMC	$286,217	$0	$0	$0	$4,205	$0	$67,727	$0	$31,462	$0	$389,611	$0	$0	$0
LISA CARLSON
FORMER CFO	$28,082	$0	$291	$0	$241,683	$0	$931	$0	$89	$0	$271,076	$0	$241,505	$0
TY MCBEE
VP OF STRATEGIC OPERATIONS	$223,347	$0	$4,514	$0	$1,111	$0	$11,580	$0	$13,204	$0	$253,756	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES.
PART I, LINE 4B	THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2023: LISA CARLSON $241,505 SERP EARNINGS JAMES MCMANUS $29,615 SERP EARNINGS CRAIG BABBITT $43,544 SERP EARNINGS RICHARD MIZER $38,895 SERP EARNINGS KRISTIN BOGGS $38,875 SERP EARNINGS JAMIE SMITH $34,610 SERP EARNINGS MOLLY GROOMS $33,855 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $60,232 SERP ACCURAL DR. SHAHEED KOURY $59,652 SERP ACCRUAL CRAIG BABBITT $48,080 SERP ACCRUAL RICHARD MIZER $42,368 SERP ACCRUAL KRISTIN BOGGS $40,292 SERP ACCRUAL JAMIE SMITH $33,790 SERP ACCRUAL MOLLY GROOMS $33,263 SERP ACCRUAL
PART I, LINE 7	MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER AN INDUSTRY STANDARD VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CHILLICOTHE OHIO
A	316400221	169203AK2	2017-06-22	$161,095,326	ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM	0	0	0
COUNTY OF ROSS OHIO
B	316400085	778260FN4	2019-06-19	$83,270,000	ORTHO ROBOTIC CENTER	0	0	0
COUNTY OF ROSS OHIO
C	316400085		2021-05-13	$30,000,000	HOSPITAL FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$6,010,000	$164,402,962	$1,777,526	$40,648,173	$121,977,262	2020	0	Yes (1)	Yes (1)	Yes (1)
B	$7,375,000	$99,845,477	$964,347	$75,362,052	$23,486,711	2022	Yes (1)	0	0	Yes (1)	$32,367
C	$2,755,000	$30,060,426	$117,290	$29,937,239			0	0	0	Yes (1)	$5,898

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)	0		Yes (1)
C	0	Yes (1)	Yes (1)	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3, COLUMN A	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
PART II, LINE 10, COLUMN A	INCLUDES $546,277 OF TRANSFERRED PROCEEDS FROM SERIES 2008 BONDS.
PART II, LINE 3, COLUMN B	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
PART II, LINE 3, COLUMN C	TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS.
PART III, LINE 6, COLUMN A	ONE RESEARCH AGREEMENT FOR CLINICAL TRIALS COMMENCED AUGUST 2022 WILL RESULT IN DE MINIMIS PRIVATE USE.
SCHEDULE K, PART IV, LINE 2C	REBATE COMPUTATION PERFORMED ON JUNE 22, 2022.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DOUGLAS FRENCH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SON OF TRUSTEE ROBERT FRENCH	RelationshipDescriptionTxt
Transaction	$37,220	TransactionAmt
Transaction	EMPLOYEE COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	KATHERINE EDRINGTON CHIEF OPERATING OFFICER AND KRISTIN BOGGS, CHIEF INTEGRITY & COMPLIANCE OFFICER ARE SIBLINGS. ADENA HAS IMPLEMENTED A MECHANISM FOR TRIAGING ANY UNDERLYING CONCERNS INVOLVING EITHER PARTY DIRECTLY TO THE CHRO AS WELL AS BOTH PARTIES SHALL RECUSE THEMSELVES FROM ANY DECISIONS INVOLVING THE OTHER PARTY.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION IS COMPOSED OF 9 MEMBER CHURCHES. ALL OF THE CHURCHES ARE IN THE CHILLICOTHE, OHIO AREA. 1. FIRST PRESBYTERIAN CHURCH 2. ORCHARD HILL UNITED CHURCH OF CHRIST 3. TABERNACLE BAPTIST CHURCH 4. ST. MARY'S CATHOLIC CHURCH 5. TRINITY UNITED METHODIST CHURCH 6. ST. PAUL'S EPISCOPAL CHURCH 7. WALNUT STREET UNITED METHODIST CHURCH 8. ST. PETER'S CATHOLIC CHURCH
FORM 990, PART VI, SECTION A, LINE 7A	THE CORPORATE MEMBER CHURCHES MAY NOMINATE A BOARD MEMBER, BUT THE BOARD OF DIRECTORS OF AHS RESERVES THE FINAL APPROVAL. THE CORPORATE MEMBER CHURCHES MAY ONLY ELECT ONE PERSON PER CHURCH TO ACT AS THEIR TRUSTEE. THE TRUSTEES AT LARGE GET APPOINTED AS FOLLOWS. SECTION 3.03 OF THE CODE OF REGULATIONS OF AHS - "THE BOARD SHALL ELECT SIX (6) AT-LARGE TRUSTEE POSITIONS. TWO OF THESE POSITIONS SHALL BE FILLED WITH PHYSICIANS WHO ARE MEMBERS OF THE ACTIVE MEDICAL STAFF RECOMMENDED BY THE MEDICAL STAFF IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS. WHEN A VACANCY OCCURS AMONG THE FOUR (4) AT LARGE TRUSTEES, WITH THE EXCEPTION OF MEMBERS ELIGIBLE FOR REAPPOINTMENT, THE TRUSTEE COMMITTEE SHALL NOMINATE TO THE BOARD A CANDIDATE FOR THE VACANT POSITION."
FORM 990, PART VI, SECTION A, LINE 7B	SECTION 2.04 RIGHTS OF THE CORPORATE MEMBERS: (A) THE RIGHT TO ELECT NINE TRUSTEES OF THE CORPORATION AS SPECIFIED IN THESE BYLAWS. (B) THE RIGHT TO APPROVE ANY LEASE, SALE EXCHANGE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. (C) THE RIGHT TO APPROVE ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION. (D) THE RIGHT TO APPROVE ANY PROPOSED DISSOLUTION OF THE CORPORATION. (E) THE RIGHT TO APPROVE ANY PROPOSED CHANGE TO THE FUNDAMENTAL PURPOSE OF THE CORPORATION AS STATED IN SECTION 1.01. (F) THE RIGHT TO APPROVE ANY PROPOSED AMENDMENTS TO THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	COPIES OF THE 990 ARE SENT TO BOARD MEMBERS VIA THE SERCURE INFORMATION PORTAL PROVIDED BY ADENA HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 12C	THE CORPORATE COMPLIANCE OFFICE OF ADENA HEALTH SYSTEM ANNUALLY COORDINATES THE DISTRIBUTION AND RETURN OF THE CONFLICT OF INTEREST STATEMENTS. ALL CONFLICTS ARE REVIEWED, AND THE CORPORATE COMPLIANCE OFFICE IS RESPONSIBLE FOR REVIEWING THE RESPONSES AND COMMUNICATING ANY EXTRA STEPS THAT NEED TO TAKE PLACE REGARDING ANY OF THE RESPONSES. AT EVERY BOARD MEETING AND COMMITTEE OF THE BOARD, THE AGENDA ITEM OF CONFLICT OF INTEREST IS INCLUDED AND CALLED OUT. CONFLICTED BOARD MEMBERS ABSTAIN FROM VOTING ON THE PARTICULAR ITEMS. ANY MEMBER ABSTAINING FROM VOTING IS DOCUMENTED IN THE MINUTES. ADVANCED PRACTICE CLINICIANS, FRONT LINE SUPERVISORS UP THROUGH THE CEO, AND BOARD MEMBERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RETAINS AN INDEPENDENT COMPENSATION CONSULTANT, TO EVALUATE THE TOTAL COMPENSATION FOR EXECUTIVE LEADERSHIP. THE INDEPENDENT COMPENSATION CONSULTANT UTILIZES THE COMPENSATION PHILOSOPHY TO CONDUCT THE EVALUATION. EACH POSITION IS COMPARED TO PEER DATA OF ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. THE DATA ANALYSIS COVERS CASH COMPENSATION (BASE SALARY), TOTAL CASH COMPENSATION (BASE SALARY AND INCENTIVES, BOTH PAID AND OPPORTUNITY), AND TOTAL COMPENSATION (BASE SALARY, INCENTIVES AND ALL BENEFITS). THE EXECUTIVE COMPENSATION COMMITTEE MEETS WITH THE INDEPENDENT COMPENSATION CONSULTANT REGULARLY TO REVIEW AND MONITOR ALL TOTAL COMPENSATION FOR THE EXECUTIVE LEADERSHIP. OTHER MANAGEMENT WAGES ARE REVIEWED INTERNALLY USING MARKET DATA. COMPENSATION WAS LAST REVIEWED IN 2023.
FORM 990, PART VI, SECTION C, LINE 19	THE ARTICLES OF INCORPORATION ARE AVAILABLE THRU OHIO SECRETARY OF STATE WEBSITE. AS A RESULT OF HAVING ISSUED PUBLIC DEBT, THE AUDITED FINANCIALS FOR ADENA HEALTH SYSTEM ARE AVAILABLE FOR VIEWING AT EMMR.MSRB.ORG. COPIES OF MOST RECENT 990 IS AVAILABLE UPON REQUEST BY CONTACTING ADMINISTRATION AT ADENA HEALTH SYSTEM; PRIOR 990S ARE AVAILABLE FOR VIEWING AT GUIDESTAR.COM.
FORM 990, PART IX, LINE 11G	MEDICAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 726,648. MANAGEMENT AND GENERAL EXPENSES 9,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 736,191. NON-PHYSICIAN HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 24,335,167. MANAGEMENT AND GENERAL EXPENSES 35,225,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,561,062. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 26,049,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,049,911.
FORM 990, PART XI, LINE 9:	TRANSFERS (TO) FROM AFFILIATED ORGANIZATION 15,378,696. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION -3,001. PRIOR PERIOD ADJUSTMENT -1,643.
FORM 990: PART XII, LINE 2C	THE AUDIT COMMITTEE ENGAGES THE INDEPENDENT AUDIT FIRM FOR THE AUDIT, REVIEWS RESULTS, AND REPORTS TO THE BOARD. ADENA HEALTH SYSTEM'S BOARD OF DIRECTORS OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. ADENA HEALTH FOUNDATION IS PART OF ADENA HEALTH SYSTEM'S CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADENA MEDICAL GROUP LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	271370967	HEALTHCARE PROVIDERS	OH	$104,857,226	$4,547,005	ADENA HEALTH SYSTEM
ADENA HOSPICE LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	275340755	HEALTHCARE PROVIDERS	OH	$6,496,427	$814,805	ADENA HEALTH SYSTEM
ADENA HOME HEALTH
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752730	HEALTHCARE PROVIDERS	OH	$5,981,612	$859,549	ADENA HEALTH SYSTEM
ADENA HOME INFUSIONHOME RESPIRATORY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	273752854	HEALTHCARE PROVIDERS	OH	$2,656,432	$2,113,628	ADENA HEALTH SYSTEM
ADENA PHARMACY
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	451138187	HEALTHCARE PROVIDERS	OH	$15,549,109	$3,549,888	ADENA HEALTH SYSTEM
ADENA HEALTHCARE COLLABORATIVE
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	465731515	HEALTHCARE PROVIDERS	OH	$0	$0	ADENA HEALTH SYSTEM
MAXIMUM PROPERTIES LLC
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	314379443	PROPERTY HOLDING	OH	$0	$5,927,804	ADENA HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GREENFIELD AREA MEDICAL CENTER
550 MIRABEAU ST	GREENFIELD	OH	45123	310993422	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	Yes (1)
ADENA HEALTH FOUNDATION
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	753008742	FUNDRAISING	OH	501(C)(3)	12A	ADENA HEALTH SYSTEM	Yes (1)
SOUTHERN OHIO HEALTHCARE NETWORK
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	261566590	FIBEROPTIC NETWORK GRANTS	OH	501(C)(3)	12A	ADENA HEALTH SYSTEM	Yes (1)
PIKE HEALTH SERVICES INC
100 DAWN LANE	WAVERLY	OH	45690	311072406	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	Yes (1)
ADENA FAYETTE MEDICAL CENTER
272 HOSPITAL ROAD	CHILLICOTHE	OH	45601	852985806	HOSPITAL	OH	501(C)(3)	3	ADENA HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA CARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	272 HOSPITAL ROAD	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45601	ZIPCd

Field	Value	IRS element (for citing)
EIN	453980850	EIN
Primary Activities	SEE SCHEDULE R, PART VII	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ADENA HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$77,338	ShareOfTotalIncomeAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREENFIELD AREA MEDICAL CENTER
S	$796,574	BOOK VALUE
PIKE HEALTH SERVICES
S	$1,618,764	BOOK VALUE
ADENA HEALTH FOUNDATION
B	$768,570	BOOK VALUE
ADENA HEALTH FOUNDATION
C	$539,316	BOOK VALUE
ADENA FAYETTE MEDICAL CENTER
S	$4,369,783	BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART IV, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE PRIMARY ACTIVITY OF ADENA CARE IS TO DEVELOP STRATEGIC RELATIONSHIPS TO THE SERVICE AREAS MAJOR EMPLOYERS THROUGH HEALTH MANAGEMENT AND WELLNESS SERVICES.	ExplanationTxt