2024-11-15T11:25:39-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 314379443 ADENA HEALTH SYSTEM ADEN 7407794478 272 HOSPITAL RD CHILLICOTHE OH 45601 JAMES P MCMANUS CFO 7407794478 2024-11-14 1 0 AMY CIMINELLO P00796388 6148493000 2024-11-14 2023 2024-10-15 13:58:12Z ADENA REGIONAL MEDICAL CENTER JAMES P MCMANUS 272 HOSPITAL RD CHILLICOTHE OH 45601 715331031 0 X WWW.ADENA.ORG X 1895 OH 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. 13 13 3987 87 68065 8464 7207395 3465419 607647900 623884851 36931546 16094218 26769378 26591977 678556219 670036465 1101195 1643732 0 0 353023485 357304948 0 0 0 316297497 325505620 670422177 684454300 8134042 -14417835 777131298 806490536 411646764 415441458 365484534 391049078 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". 0 0 564596097 1643732 646432496 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. 564596097 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 282 0 1 3987 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEFF CRAFT VP SYSTEM FINANCE 7407794481 272 HOSPITAL ROAD CHILLICOTHE OH 456019031 SHEILAH GRAY TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 JOSEPH WATSON TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 ROBERT FRENCH TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 JENNIFER MCKELL TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 STEVE HIRSCH TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 BARTON HENSHAW TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 CARVEL SIMMONS TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 RONALD COFFEY TRUSTEE 2.00 0.00 X 0 0 0 ANTHONY FISH TRUSTEE 2.00 2.00 X 0 0 0 JERRY PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 BRIAN REAM TRUSTEE 2.00 2.00 X 0 0 0 KEVIN SHOEMAKER TRUSTEE 2.00 2.00 X 0 0 0 BETH WORKMAN TRUSTEE 2.00 0.00 X 0 0 0 JEFF GRAHAM CEO 50.00 4.00 X 1010366 0 58200 JAMES MCMANUS AHS CHIEF FINANCIAL OFFICER 53.00 1.00 X 621511 0 125944 KATHERINE EDRINGTON COO 50.00 4.00 X 621194 0 32774 CRAIG BABBITT CHIEF LEGAL OFFICER 50.00 0.00 X 494821 0 102319 RICHARD D MIZER PRESIDENT OF AMG 50.00 0.00 X 440203 0 81316 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 50.00 0.00 X 421210 0 61246 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 50.00 0.00 X 436802 0 76934 JAMIE SMITH CHIEF INFORMATION OFFICER 50.00 1.00 X 344991 0 83652 MOLLY M GROOMS CHIEF NURSING OFFICER 50.00 0.00 X 346276 0 51775 JOHN GABIS PRESIDENT OF AMG 50.00 0.00 X 373748 0 39646 DONALD DIENER PRESIDENT OF ARMC 50.00 0.00 X 290422 0 99189 TY MCBEE VP OF STRATEGIC OPERATIONS 50.00 0.00 X 228972 0 24784 DR SHAHEED KOURY CHIEF CLINICAL OFFICER 50.00 0.00 X 625200 0 126912 ATIQ REHMAN PHYSICIAN 50.00 0.00 X 1571885 1644119 72234 ROGER WILTFONG PHYSICIAN 50.00 0.00 X 1399401 1462744 63343 JAMES FLEMING PHYSICIAN 50.00 0.00 X 1120385 1190583 70198 WAHEED GUL PHYSICIAN 50.00 0.00 X 967011 1051988 84977 KELLY GALLINA PHYSICIAN 50.00 0.00 X 934413 1011737 77324 REGGINA YANDILA FORMER TRUSTEE/PHYSICIAN 50.00 0.00 X 334797 380470 45673 LISA CARLSON FORMER CFO 50.00 4.00 X 270056 0 1020 ANTHONY FREEMAN FORMER CHIEF MEDICAL OFFICER 0.00 0.00 X 614096 0 78079 13467760 6741641 1457539 555 1 1 0 ENSEMBLE RCM LLC 4605 DUKE DRIVE SUITE 600 MASON OH 45040 REVENUE CYCLE MANAGEMENT 31207482 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 8839094 CAPTIVE RADIOLOGY 6273 FRANK AVE NW NORTH CANTON OH 44720 RADIOLOGY SERVICES 2637440 SJN DATA CENTER LLC 4620 WESLEY AVE CINCINATTI OH 45212 DATA SERVICES 2070592 KEGLER BROWN HILL & RITTER CO LLC 65 E STATE ST 1800 COLUMBUS OH 43215 CONSTRUCTION SERVICES 1983891 68 539316 1153103 1773000 3465419 NET PATIENT SVC REV 621110 623884851 623884851 623884851 -161424 -161424 157790 30870 126920 126920 126920 61483710 35628 45263696 0 16220014 35628 16255642 16255642 OUTPATIENT PHARMACY SALES 456110 22615710 22547645 68065 CAFETERIA REVENUE 722514 2527093 2527093 DAVITA DIALYSIS 621400 737522 737522 584732 584732 26465057 670036465 646432496 68065 20070485 X 1643732 1643732 7439801 6198595 1241206 278121971 231721986 46399985 12448698 10650242 1798456 4582750 3920683 662067 54711728 44242777 10468951 2736156 2736156 334606 334606 86347164 51111726 35235438 1127717 460757 666960 6288191 5379740 908451 37680075 29819524 7860551 652843 367645 285198 1267015 713513 553502 12156536 9896243 2260293 26351098 19344029 7007069 4478490 3387956 1090534 MEDICAL EQUIPMENT & SUP 105338014 105338014 BAD DEBT EXPENSE 22113589 22113589 HCAP ASSESSMENT 13817944 13817944 CAFETERIA/CATERING 3554104 3346813 207291 1262078 1120589 141489 684454300 564596097 119858203 0 14824 15300 4288560 4100406 111146126 100949597 14015914 14404163 6583860 8046860 575992682 305648428 272249679 270344254 318325126 359318889 572359 515580 49934850 48795487 777131298 806490536 65531350 70077880 2964494 3214874 283223781 276163714 15000000 19700000 44927139 46284990 411646764 415441458 X 361285245 386794840 4199289 4254238 365484534 391049078 777131298 806490536 X -14417835 24608327 15374052 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 0 0 1 5469 5469 0 PART II-B, LINE 1: 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. 1240821 163199 1404020 1693379 -452558 1240821 1691757 1622 1693379 1663413 38177 -9710 123 1691757 1428564 24401 229105 -18657 1663413 1.00000 0.00000 0.00000 0 0 8576779 8576779 340954791 144712530 196242261 3840073 86396 3753677 206201511 153364342 52837169 16419528 7485160 8934368 270344254 RIGHT-OF-USE OPERATING LEASE ASSETS 5780550 SOFTWARE IMPLEMENTATION ASSET 18139537 SPLIT VALUE RETIREMENT 3096504 MALPRACTICE INSURANCE RECOVERY LT 3919847 457B STATE RETIREMENT INVESTMENT 16233604 BOND ISSUE COSTS 1625445 48795487 ACCRUED MALPRACTICE INSURANCE - LT 13901150 DEFERRED COMPENSATION LIABILITY 16131828 INTERCOMPANY PAYABLE 3034903 CAPITAL LEASE OBLIGATION 5252304 RIGHT-OF-USE OPERATING LEASE OBLIGATION 5780550 COST REPORT PAYABLE 2184255 46284990 PART V, LINE 4: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 7920278 13929013 0 0.00000 150992276 90384850 60607426 0.09150 158912554 104313863 60607426 0.09150 671840 671840 0.00100 8569577 2249142 6320435 0.00950 22385810 11353071 11032739 0.01670 31627227 13602213 18025014 0.02720 190539781 117916076 78632440 0.11870 131016 131016 0.00020 16181 16181 0.00000 36000 36000 0.00010 183197 183197 0.00030 0 22113589 0 176913953 242545963 -65632010 X 1 1 1 1 ADENA REGIONAL MEDICAL CENTER 272 HOSPITAL RD CHILLICOTHE OH 45601 WWW.ADENA.ORG ST. REG. NUM. 1029 X X X ADENA REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X X 1 X 0 0 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 24 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 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. 1 ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 501 C (3) 768570 0 COMMUNITY IMPROVEMENT INITIATIVE ADENA LOCAL SCHOOL DISTRICT 3367 COUNTY ROAD 550 FRANKFORT OH 45628 310709140 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE CHILD PROTECTION CENTER OF ROSS CO 138 MARIETTA RD STE E CHILLICOTHE OH 45601 311579825 501 C (3) 63747 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE CITY SCHOOLS 425 TOCTANGEE PARKWAY CHILLICOTHE OH 45601 316400384 115 29000 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE FARMERS MARKET ASSOCIATION 300 CHILLICOTHE AVE HILLSBORO OH 45133 262216517 501 C (4) 16181 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE ROSS CHAMBER OF COMMERCE 41 E MAIN ST CHILLICOTHE OH 45601 314147100 501 C (3) 5500 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE ROTARY FOUNDATION PO BOX 6357 CHILLICOTHE OH 45601 316059785 115 10000 0 COMMUNITY IMPROVEMENT INITIATIVE DOWNTOWN CHILLICOTHE 45 E MAIN ST CHILLICOTHE OH 45601 364901133 115 7000 0 COMMUNITY IMPROVEMENT INITIATIVE FAYETTE COUNTY AGRICULTURAL SOCIETY PO BOX 1017 WASHINGTON OH 43160 310606010 115 11300 0 COMMUNITY IMPROVEMENT INITIATIVE FAYETTE COUNTY YMCA 100 CIVIC DRIVE WASHINGTON COURT HOUSE OH 43160 611416843 115 32033 0 COMMUNITY IMPROVEMENT INITIATIVE GREENFIELD EXEMPTED VILLAGE SCHOOL 200 NORTH FIFTH ST GREENFIELD OH 45123 316000808 115 50000 0 COMMUNITY IMPROVEMENT INITIATIVE HOPE CLINIC OF ROSS COUNTY INC 7479 COUNTY RD 550 FANKFORT OH 45628 452390821 501 C (3) 20000 0 COMMUNITY IMPROVEMENT INITIATIVE HOPE PARTNERSHIP PROJECTS 22 YAPLES ORCHARD DR CHILLICOTHE OH 45601 862294038 501 C (3) 31573 0 COMMUNITY IMPROVEMENT INITIATIVE HUNTINGTON LOCAL BOARD OF EDUCATION 188 HUNTSMAN ROAD CHILLICOTHE OH 45601 316400570 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE JACKSON AREA FESTIVALS & EVENTS PO BOX 488 JACKSON OH 45640 461960880 115 12000 0 COMMUNITY IMPROVEMENT INITIATIVE OHIO STATE UNIVERSITY 901 WOODY HAYES DR 2020 BLANKENSHIP HALL COLUMBUS OH 43210 316025986 115 32324 0 COMMUNITY IMPROVEMENT INITIATIVE PICKAWAY ADDICTION ACTION COALITION 770 NORTH COURT STREET CIRCLEVILLE OH 43113 824089691 501 C (3) 15000 0 COMMUNITY IMPROVEMENT INITIATIVE PIKE COUNTY AGRICULTURAL SOCIETY 311 MILL ST PIKETON OH 45661 316106189 501 C (3) 15000 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY AGRICULUTURAL SOCIETY PO BOX 614 CHILLICOTHE OH 45601 316050864 501 C (3) 11985 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY COMMUNITY ACTION 250 N WOODRIDGE AVE CHILLICOTHE OH 45601 316059908 501 C (3) 160203 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY HEALTH DEPARTMENT 150 E SECOND STREET CHILLICOTHE OH 45601 316400085 115 8646 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY YMCA 100 MILL STREET CHILLICOTHE OH 45601 314379806 501 C (3) 51263 0 COMMUNITY IMPROVEMENT INITIATIVE SCIOTO VALLEY LOCAL SCHOOL DISTRICT 1414 PIKETON RD PIKETON OH 45661 316402789 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE SCIOTO VALLEY YOUTH LEAGUE PO BOX 169 CHILLICOTHE OH 45601 310803685 115 10607 0 COMMUNITY IMPROVEMENT INITIATIVE SHINE ON CHILLICOTHE 562 BELLEVIEW AVE CHILLICOTHE OH 45601 881367174 115 10000 0 COMMUNITY IMPROVEMENT INITIATIVE SOUTHEASTERN LOCAL SCHOOL DTISRICT 2003 LANCASTER ROAD CHILLICOTHE OH 45601 316400983 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE THE BUCK FIFTY INC 113 GORDON DRIVE CHILLICOTHE OH 45601 811817174 501 C (3) 35000 0 COMMUNITY IMPROVEMENT INITIATIVE UNITED WAY ROSS CO 69 EAST WATER STREET CHILLICOTHE OH 45601 314389671 501 C (3) 36000 0 JOB DEVELOPMENT INITIATIVE WASHINGTON COURT HOUSE CITY SCHOOLS 306 HIGHLAND AVENUE WASHINGTON COURT HOUSE OH 43160 316001001 115 25300 0 COMMUNITY IMPROVEMENT INITIATIVE WAVERLY CITY BOARD OF EDUCATION 1 TIGER DRIVE WAVERLY OH 45690 316401098 115 25500 0 COMMUNITY IMPROVEMENT INITIATIVE WELLSTON CITY SCHOOLS 1 E BROADWAY ST WELLSTON OH 45692 316401103 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE ZANE TRACE LOCAL SCHOOL DISTRICT 946 STATE ROUTE 180 CHILLICOTHE OH 45601 370711566 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE 32 1 PART I, LINE 2: 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. X X 1 1 X X X X 0 1 0 0 0 0 0 1 0 ATIQ REHMAN PHYSICIAN 993491 1644119 554523 0 23871 0 19939 0 52295 0 1644119 1644119 0 0 ROGER WILTFONG PHYSICIAN 383685 1462744 998341 0 17375 0 16500 0 46843 0 1462744 1462744 0 0 JAMES FLEMING PHYSICIAN 487079 1190583 532901 0 100405 0 20160 0 50038 0 1190583 1190583 0 0 WAHEED GUL PHYSICIAN 637987 1051988 275273 0 53751 0 23000 0 61977 0 1051988 1051988 0 0 KELLY GALLINA PHYSICIAN 308615 1011737 603156 0 22642 0 16500 0 60824 0 1011737 1011737 0 0 JEFF GRAHAM CEO 956818 0 39688 0 13860 0 23080 0 35120 0 1068566 0 0 0 REGGINA YANDILA FORMER TRUSTEE/PHYSICIAN 154372 380470 132880 0 47545 0 10605 0 35068 0 380470 380470 0 0 DR SHAHEED KOURY CHIEF CLINICAL OFFICER 547451 0 52677 0 25072 0 76153 0 50759 0 752112 0 0 0 JAMES MCMANUS AHS CHIEF FINANCIAL OFFICER 547954 0 35472 0 38085 0 74012 0 51932 0 747455 0 29615 0 ANTHONY FREEMAN FORMER CHIEF MEDICAL OFFICER 469949 0 0 0 144147 0 21276 0 56803 0 692175 0 0 0 KATHERINE EDRINGTON COO 605161 0 13933 0 2100 0 17691 0 15083 0 653968 0 0 0 CRAIG BABBITT CHIEF LEGAL OFFICER 441135 0 7813 0 45873 0 65500 0 36819 0 597140 0 43544 0 RICHARD D MIZER PRESIDENT OF AMG 388472 0 3629 0 48102 0 58868 0 22448 0 521519 0 38895 0 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 387878 0 8314 0 40610 0 17244 0 59690 0 513736 0 0 0 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 340102 0 6991 0 74117 0 56792 0 4454 0 482456 0 38875 0 JAMIE SMITH CHIEF INFORMATION OFFICER 305428 0 4328 0 35235 0 48138 0 35514 0 428643 0 34610 0 JOHN GABIS PRESIDENT OF AMG 365780 0 2677 0 5291 0 14646 0 25000 0 413394 0 0 0 MOLLY M GROOMS CHIEF NURSING OFFICER 308991 0 2747 0 34538 0 48879 0 2896 0 398051 0 33855 0 DONALD DIENER PRESIDENT OF ARMC 286217 0 0 0 4205 0 67727 0 31462 0 389611 0 0 0 LISA CARLSON FORMER CFO 28082 0 291 0 241683 0 931 0 89 0 271076 0 241505 0 TY MCBEE VP OF STRATEGIC OPERATIONS 223347 0 4514 0 1111 0 11580 0 13204 0 253756 0 0 0 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. A CITY OF CHILLICOTHE OHIO 316400221 169203AK2 2017-06-22 161095326 ADVANCE REFUNDING OF 2008 ISSUE AND EMERGENCY ROOM 0 0 0 B COUNTY OF ROSS OHIO 316400085 778260FN4 2019-06-19 83270000 ORTHO ROBOTIC CENTER 0 0 0 C COUNTY OF ROSS OHIO 316400085 2021-05-13 30000000 HOSPITAL FACILITIES 0 0 0 A 6010000 164402962 1777526 40648173 121977262 2020 0 1 1 1 B 7375000 99845477 964347 75362052 23486711 32367 2022 1 0 0 1 C 2755000 30060426 117290 29937239 5898 0 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 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. DOUGLAS FRENCH SON OF TRUSTEE ROBERT FRENCH 37220 EMPLOYEE COMPENSATION 0 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. ADENA MEDICAL GROUP LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 271370967 HEALTHCARE PROVIDERS OH 104857226 4547005 ADENA HEALTH SYSTEM ADENA HOSPICE LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 275340755 HEALTHCARE PROVIDERS OH 6496427 814805 ADENA HEALTH SYSTEM ADENA HOME HEALTH 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752730 HEALTHCARE PROVIDERS OH 5981612 859549 ADENA HEALTH SYSTEM ADENA HOME INFUSIONHOME RESPIRATORY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752854 HEALTHCARE PROVIDERS OH 2656432 2113628 ADENA HEALTH SYSTEM ADENA PHARMACY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 451138187 HEALTHCARE PROVIDERS OH 15549109 3549888 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 5927804 ADENA HEALTH SYSTEM GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD OH 45123 310993422 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 FUNDRAISING OH 501(C)(3) 12A ADENA HEALTH SYSTEM 1 SOUTHERN OHIO HEALTHCARE NETWORK 272 HOSPITAL ROAD CHILLICOTHE OH 45601 261566590 FIBEROPTIC NETWORK GRANTS OH 501(C)(3) 12A ADENA HEALTH SYSTEM 1 PIKE HEALTH SERVICES INC 100 DAWN LANE WAVERLY OH 45690 311072406 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA FAYETTE MEDICAL CENTER 272 HOSPITAL ROAD CHILLICOTHE OH 45601 852985806 HOSPITAL OH 501(C)(3) 3 ADENA HEALTH SYSTEM 1 ADENA CARE 272 HOSPITAL ROAD CHILLICOTHE OH 45601 453980850 SEE SCHEDULE R, PART VII OH ADENA HEALTH SYSTEM C -77338 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 GREENFIELD AREA MEDICAL CENTER S 796574 BOOK VALUE PIKE HEALTH SERVICES S 1618764 BOOK VALUE ADENA HEALTH FOUNDATION B 768570 BOOK VALUE ADENA HEALTH FOUNDATION C 539316 BOOK VALUE ADENA FAYETTE MEDICAL CENTER S 4369783 BOOK VALUE SCHEDULE R, PART IV, COLUMN (B) THE PRIMARY ACTIVITY OF ADENA CARE IS TO DEVELOP STRATEGIC RELATIONSHIPS TO THE SERVICE AREAS MAJOR EMPLOYERS THROUGH HEALTH MANAGEMENT AND WELLNESS SERVICES.