2023-11-14T13:13:08-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 314379443 ADENA HEALTH SYSTEM ADEN 7407794478 272 HOSPITAL RD CHILLICOTHE OH 45601 JAMES P MCMANUS CFO 7407794478 2023-11-13 1 JAMES MCMANUS 999009999 0 AMY CIMINELLO P00796388 6148493000 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADENA REGIONAL MEDICAL CENTER JAMES P MCMANUS 272 HOSPITAL RD CHILLICOTHE OH 45601 839978192 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. 15 13 5344 175 52665 21630 20371965 7207395 611392791 607647900 24256677 36931546 24748974 26769378 680770407 678556219 1571253 1101195 0 0 333875540 353023485 0 0 0 310338308 316297497 645785101 670422177 34985306 8134042 888565612 777131298 442427479 411646764 446138133 365484534 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 556469458 1101195 623136070 HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 10,958 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 39,232 EMERGENT VISITS IN 2022. PHYSICIAN OFFICES: THERE WERE 597,984 PHYSICIAN OFFICE VISITS AND 82,356 URGENT CARE VISITS IN 2022. 556469458 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 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 289 0 1 5344 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 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 REGGINA YANDILA TRUSTEE/PHYSICIAN 50.00 0.00 X 322195 0 33798 ANTHONY LATTAVO TRUSTEE/PHYSICIAN 50.00 0.00 X 33952 0 11547 BARTON HENSHAW TRUSTEE 2.00 0.00 X 0 0 0 ROBERT FRENCH TRUSTEE/TREASURER 2.00 0.00 X X 0 0 0 SHEILAH GRAY TRUSTEE 2.00 0.00 X 0 0 0 STEVE HIRSCH TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 BRIAN REAM TRUSTEE 2.00 2.00 X 0 0 0 ANTHONY FISH TRUSTEE 2.00 2.00 X 0 0 0 RONALD COFFEY TRUSTEE 2.00 2.00 X 0 0 0 JENNIFER MCKELL TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 BETH WORKMAN TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH WATSON TRUSTEE 2.00 2.00 X X 0 0 0 KEVIN SHOEMAKER TRUSTEE 2.00 2.00 X 0 0 0 EMILY JOHNSON TRUSTEE/PHYSICIAN 50.00 0.00 X 312548 0 42276 CARVEL SIMMONS TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 JERRY PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 JAMES MCMANUS CFO 50.00 4.00 X 314210 0 19615 JEFF GRAHAM CEO 50.00 4.00 X 1178750 0 88919 KATHERINE EDRINGTON COO 50.00 4.00 X 696085 0 41744 LISA CARLSON CFO-PART YEAR 50.00 4.00 X 619618 0 50481 BROOKE L BURNS EXECUTIVE VICE PRESIDENT AMG 50.00 0.00 X 308780 0 36359 TY MCBEE VP OF STRATEGIC OPERATIONS 50.00 0.00 X 273049 0 23535 JAMIE SMITH CHIEF INFORMATION OFFICER 50.00 1.00 X 342015 0 39030 MOLLY M GROOMS CHIEF NURSING OFFICER 50.00 0.00 X 373308 0 19979 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER-PART YEAR 50.00 0.00 X 622445 0 58065 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 50.00 0.00 X 476066 0 48422 CRAIG BABBITT CHIEF LEGAL OFFICER 50.00 0.00 X 478744 0 33439 RICHARD D MIZER PRESIDENT OF AMG 50.00 0.00 X 428751 0 0 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 50.00 0.00 X 445555 0 0 KIRK TUCKER CHIEF CLINICAL OFFICER- PART YEAR 50.00 0.00 X 459200 0 0 ATIQ REHMAN PHYSICIAN 50.00 0.00 X 1311559 0 40629 JAMES MANAZER PHYSICIAN 50.00 0.00 X 1003322 0 51508 NITIN TIWARI PHYSICIAN 50.00 0.00 X 1009765 0 29954 JAMES FLEMING PHYSICIAN 50.00 0.00 X 974450 0 62351 ROGER WILTFONG PHYSICIAN 50.00 0.00 X 1296420 0 46990 ANTHONY FREEMAN CHIEF MEDICAL OFFICER - FORMER 0.00 0.00 X 647152 0 50713 JACK BERNO CHIEF OF STAFF - FORMER 0.00 0.00 X 315434 0 0 14243373 0 829354 530 1 1 0 ENSEMBLE RCM LLC 4605 DUKE DRIVE SUITE 600 MASON OH 45040 REVENUE CYCLE MANAGEMENT 22109366 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 8706813 CAPTIVE RADIOLOGY 6273 FRANK AVE NW NORTH CANTON OH 44720 RADIOLOGY SERVICES 2721841 WAI CONSTRUCTION GROUP LLC 1571 SHYVILLE RD PIKETON OH 45661 CONSTRUCTION SERVICES 2413720 MESSER CONSTRUCTION CORP 643 W COURT CINCINATTI OH 45203 CONSTRUCTION SERVICES 2206218 82 81434 6663479 462482 7207395 NET PATIENT SVC REV 621110 607647900 607647900 607647900 6188458 6188458 191118 33346 157772 157772 157772 192131715 161342577 46050 30789138 -46050 30743088 30743088 OUTPATIENT PHARMACY SALES 456110 15540835 15488170 52665 CAFETERIA REVENUE 722514 6266837 6266837 DAVITA DIALYSIS 621400 727516 727516 4076418 4076418 26611606 678556219 623136070 52665 48160089 X 1101195 1101195 3009424 2436187 573237 289458468 234322274 55136194 43112612 34863123 8249489 17442981 14105311 3337670 1789930 1789930 406340 406340 79111663 54173872 24937791 1571166 682602 888564 6241469 5881424 360045 34852270 27674429 7177841 585199 304611 280588 1537805 800467 737338 11139237 9068092 2071145 24519659 17879841 6639818 3761995 2831208 930787 MEDICAL EQUIPMENT & SUP 96623460 96623460 BAD DEBT EXPENSE 33712059 33712059 HCAP ASSESSMENT 14223535 14223535 CAFETERIA/CATERING 3454284 3253937 200347 2767426 2531831 235595 670422177 556469458 113952719 0 14943 14824 70469096 4288560 83407749 111146126 47196 3078563 0 13459701 14015914 9712110 6583860 553424768 281175089 271655105 272249679 377393138 318325126 561637 572359 58766374 49934850 888565612 777131298 73892604 65531350 30522253 2964494 293702676 283223781 15000000 44309946 44927139 442427479 411646764 X 441778706 361285245 4359427 4199289 446138133 365484534 888565612 777131298 X 8134042 -96847450 8059809 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 0 0 0 0 1 4994 4994 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. 1693379 -452558 1240821 1691757 1622 1693379 1663413 38177 -9710 123 1691757 1428564 24401 229105 -18657 1663413 1483984 24783 -70278 -9925 1428564 1.00000 0.00000 0.00000 0 0 8576779 8576779 329841173 135140815 194700358 141875 67771 74104 189841219 138738882 51102337 25023722 7227621 17796101 272249679 RIGHT-OF-USE OPERATING LEASE ASSETS 7192770 SOFTWARE IMPLEMENTATION ASSET 19984236 SPLIT VALUE RETIREMENT 2249596 MALPRACTICE INSURANCE RECOVERY LT 3916875 457B STATE RETIREMENT INVESTMENT 13469046 BOND ISSUE COSTS 3122327 49934850 ACCRUED MALPRACTICE INSURANCE - LT 12785853 DEFERRED COMPENSATION LIABILITY 13361635 INTERCOMPANY PAYABLE 2870800 CAPITAL LEASE OBLIGATION 2773123 RIGHT-OF-USE OPERATING LEASE OBLIGATION 7192769 COST REPORT PAYABLE 5942959 44927139 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 8237175 14351144 0 0.00000 139123287 91133610 47989677 0.07540 147360462 105484754 47989677 0.07540 679579 679579 0.00110 8232310 2724020 5508290 0.00870 23701890 13706810 9995080 0.01570 32613779 16430830 16182949 0.02550 179974241 121915584 64172626 0.10090 1052301 1052301 0.00170 9886 9886 0.00000 39008 39008 0.00010 1101195 1101195 0.00180 0 33712059 0 145988099 183669057 -37680958 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 SYSTEM, 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 RADIO WEBSITES. PRESENTATIONS OF ITS CONTENT WERE MADE TO 5 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 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE IMPLEMENTATION STRATEGIES WERE UTILIZED IN 2020 THROUGH THE END OF 2022.SUBSTANCE USE DISORDER COMMUNITY DEVELOPMENTADENA, AS PART OF ITS COORDINATION EFFORTS FOR PARTNERS FOR A HEALTHIER ROSS COUNTY (PHRC) BEGAN CROSS REPORTING IN JANUARY OF 2017 WITH THE HOPE PARTNERSHIP PROJECT (HPP). A TOTAL OF FOUR REPRESENTATIVES (MEDICINE, SOCIAL WORK, COMMUNITY HEALTH, SCHOOL BASED HEALTH AND ADVOCACY) FROM ARMC TEAM PARTICIPATE ON THE HPP COALITION. ADENA HEALTH SYSTEM ASSISTED IN THE DEVELOPMENT OF A HRSA RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) GRANT IN 2019 AND WAS AWARDED $1 MILLION OVER THREE YEARS. ADENA HEALTH SYSTEM IS THE FISCAL AGENT FOR THE GRANT, OVERSEES ALL OF THE GRANTS MANAGEMENT AND PROVIDES 1FTE PROJECT MANAGER TO OVERSEE THE PROJECT. A FORMAL AGREEMENT WITH BRIGHT VIEW TREATMENT CENTERS, COORDINATED IN 2017, WAS CONTINUED TO PROVIDE PRIORITY APPOINTMENTS TO ADENA PATIENTS IDENTIFIED WITH SUBSTANCE USE DISORDER. ADVOCACYADENA HEALTH SYSTEM CONTRIBUTED .30 FTE COMMUNITY HEALTH DIRECTOR TO CO-CHAIR THE PARTNERS FOR A HEALTHIER ROSS COUNTY IN 2019. ARMC HAS A TOTAL OF FOUR EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF SIX HOURS A MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE PARTNERS FOR A HEALTHIER ROSS COUNTY AND THE HPP IN 2022. ADENA HEALTH SYSTEM ALSO COORDINATED THE ROSS COUNTY SAFE COMMUNITIES COALITION (SUPPORTED BY THE OHIO DEPARTMENT OF PUBLIC SAFETY), WHICH IS OVERSEEN BY ONE .5 FTE. PARTICIPATION BY ANOTHER EMPLOYEES IS ALSO PROVIDED. THIS PROGRAM COORDINATED REGULAR SOCIAL MEDIA MESSAGES AND AN ANNUAL CAMPAIGN AROUND THE "DRIVE SOBER" CAMPAIGN. PROGRAMS AND INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 5 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING IN 2022. 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). RECOGNIZED BY CONGRESSMAN STEVE STIVERS ON THE FLOOR OF THE US. HOUSE OF REPRESENTATIVES, "AS A MODEL THAT OTHER COMMUNITIES SHOULD REPLICATE". 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 CHAMPION. THE HOPE PARTNERSHIP PROJECT NAMED OF THE PROGRAM'S FACILITATORS PROVIDER OF THE YEAR IN 2021.FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM 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 SYSTEM PROVIDED $25,000 IN SUPPORT DURING 2022 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. THE ADENA HEALTH SYSTEM PROVIDED $5,000 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. ADENA HEALTH SYSTEM PROVIDED $2,000 IN SUPPORT TO ASSIST THE ROSS COUNTY FAIRGROUNDS IN COORDINATING A DRUG FREE AMERICA KIDS CONCERT. OBESITY AND DIABETESCOMMUNITY DEVELOPMENTA REPRESENTATIVE FROM ADENA COMMUNITY HEALTH & DEVELOPMENT SERVES ON THE LIVE WELL ROSS/CREATING HEALTH COMMUNITIES STEERING TEAM. THIS GROUP PLANS AND IMPLEMENTS; ACTIVE TRANSPORTATION INITIATIVES, PARKS ENHANCEMENTS, AND FRESH FOOD ACCESS POINTS ACROSS ROSS COUNTY. THE REPRESENTATIVE PROVIDES 30 HOURS OF SERVICE TO THE IMPLEMENTATION OF 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 2022, 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 2022, 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 AND FITNESS EDUCATION AND AWARENESS.PROGRAMS AND INITIATIVESARMC PARTNERED WITH THE ROSS COUNTY OHIO STATE UNIVERSITY EXTENSION 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 2022, AS WELL AS IN-PERSON CLASSES. A TOTAL OF 90 GRADUATES OF THE PROGRAM WERE SERVED IN ROSS COUNTY WITH NUTRITION EDUCATION, FOOD PREPARATION AND EDUCATION ON SHOPPING HEALTHY ON A BUDGET AND LABEL READING AT A COST OF $1,070. THE ADENA HEALTH SYSTEM PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE THE AMERICAN DIABETES ASSOCIATION APPROVED DIABETES PREVENTION PROGRAM WELLNESS CLASSES FOR PATIENTS REFERRED BY THEIR ADENA PRIMARY CARE PROVIDER. IN 2022, 28 PATIENTS WERE SERVED BY THE PROGRAM. A TOTAL OF $ 7,800 WAS SPENT TO OPERATE THE PROGRAM. FINANCIAL SUPPORT & CLINICAL ALIGNMENTADENA HEALTH SYSTEM 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 SYSTEM PARTNERED AGAIN IN 2022 WITH THE CHILLICOTHE FARMER'S MARKET TO FUND THE "FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM. THIS PROGRAM PROVIDED 153 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER FOR A TOTAL OF $9,886 IN FRESH FRUITS AND VEGETABLES. IN 2022, ADENA HEALTH SYSTEM 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 27 PATIENTS WERE SERVED IN 2022 AND A TOTAL OF $ 10,360 IN SUPPORT WAS PROVIDED THROUGH THIS PARTNERSHIP. RESPIRATORY ISSUESCOMMUNITY DEVELOPMENT ADENA PROVIDES A COMMUNITY HEALTH & DEVELOPMENT REPRESENTATIVE TO PARTICIPATE IN THE BREATHEWELL ROSS COMMITTEE. THE COMMITTEE, FORMED IN 2017, IS LED BY THE ROSS COUNTY HEALTH DISTRICT. THIS TEAM DEVELOPED A PLAN TO ENGAGE LOCAL TOWNS AND VILLAGES IN SMOKE FREE SPACE POLICY AND DEVELOP POLICY DEVELOPMENT AND CESSATION KITS FOR LOCAL BUSINESSES AND AGENCIES, WHICH HAS RESULTED IN ALL ROSS COUNTY PARKS BEING SMOKE-FREE BY 2019. ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS COUNTY AIR QUALITY COMMITTEE NOW LED BY THE ROSS COUNTY HEALTH DISTRICT. IN 2018, THIS TEAM RESEARCHED EPA DATA ON TOXIC EMISSIONS AND INVENTORY TO IDENTIFY AND PRIORITIZED FIVE CENSUS TRACTS WHERE AIR MONITORING COULD BE INITIATED. THE TEAM INSTALLED FIVE PURPLE AIR MONITORS ACROSS THE COUNTY AND PARTNERED WITH OHIO EPA WHO HAS COMMITTED SUPPORT TO READING MONITOR DATA ON AN ONGOING BASIS TO DETERMINE IF LARGER MONITORS ARE NEEDED. DATA COLLECTION AND REPORTING CONTINUED IN 2022. 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 ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH IN 2022 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.PROGRAMMING & INITIATIVESADENA HEALTH SYSTEM CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2022. THE CLINIC PROVIDED A TOTAL OF 43 PATIENTS SERVED IN 3 PHARMACY LOCATIONS IN ROSS COUNTY, (CHILLICOTHE), PIKE COUNTY (WAVERLY) AND JACKSON COUNTY (JACKSON) WITH TOBACCO CESSATION COUNSELING ACROSS 78 VISITS. CESSATION PLANNING, SUPPORT, AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,440 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND, AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2022 WHICH RESULTED IN 36 POSITIVE CANCER FINDINGS. DATA FROM 2013 THROUGH 2021 DEMONSTRATES A HIGHLY INCREASED RATE OF FINDING LUNG CANCERS AT STAGE 1, WITH RATES OF DEATH DECLINING DUE TO EARLY INTERVENTION AND TREATMENT. THE ADENA HEALTH SYSTEM PARTNERS WITH THE ROSS COUNTY YMCA TO COORDINATE LIVESTRONG WELLNESS CLASSES FOR PATIENTS RECEIVING TREATMENT AT THE ADENA CANCER CENTER. IN 2022 16 PATIENTS WERE SERVED BY THE PROGRAM. A TOTAL OF $ 8,925 WAS SPENT TO OPERATE THE PROGRAM. MENTAL HEALTHCOMMUNITY DEVELOPMENT AN ADENA REPRESENTATIVE FROM THE COMMUNITY HEALTH & DEVELOPMENT TEAM COORDINATED AND CONVENED THE ROSS MENTAL HEALTH FORUM IN 2018. THIS TEAM UTILIZED THE SEQUENTIAL INTERCEPT MAPPING IT COMPLETED IN THE FALL OF 2018 TO COORDINATE INITIATIVES WITH THE LOCAL JAIL, HOPE PARTNERSHIP PROJECT, PAINT VALLEY ADAMH BOARD AND SCIOTO PAINT VALLEY MENTAL HEALTH CENTER. THE ROSS MENTAL HEALTH FORUM CONTINUED IN 2022 WORKING ON STIGMA REDUCTION AND A MENTAL HEALTH COURT DOCKET IN ROSS COUNTY. ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK, AND MENTAL HEALTH) IN 2022 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2022 TO PARTICIPATE IN VIRTUAL COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 472 VICTIMS OF SEXUAL ASSAULT (ADULT AND PEDIATRIC), DOMESTIC VIOLENCE, CHILD ABUSE, ELDER ABUSE, HUMAN TRAFFICKING, AND HATE CRIMES WITH MENTAL HEALTH REFERRAL, SAFETY NET, AND SUPPORT SERVICES FREE OF CHARGE, VALUED AT $231,061 IN 2022. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS COUNTY, PIKE COUNTY, FAYETTE COUNTY, AND HIGHLAND COUNTY. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO 67 CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS AND OTHER SOCIAL NEEDS. CHILD SAFETY AND WELLNESSADVOCACYARMC 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 & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED OVER $800,000 IN ATHLETIC INJURY PREVENTION, DIAGNOSIS, AND EVALUATION SERVICES TO 14 LOCAL PUBLIC HIGH SCHOOLS WITHIN SIX COUNTIES, ROSS, PIKE, FAYETTE, HIGHLAND, JACKSON, PICKAWAY, SERVICE REGION IN 2022. AN ADDITIONAL $40,000 IN MEDICAL SUPPLIES WAS PROVIDED AS PART OF THESE SERVICES. 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 STAFF IS ALSO READILY AVAILABLE AT ATHLETIC EVENTS AND PROVIDES YEARLY SPORTS PHYSICALS TO 1,235 STUDENTS IN HIGHLAND, FAYETTE, JACKSON, PICKAWAY, PIKE, AND, ROSS COUNTIES. ADENA HEALTH SYSTEM PARTNERED WITH THE ROSS COUNTY PUBLIC LIBRARIES TO COORDINATE THE HEALTHY KIDS SUMMER FUN CHALLENGE, COORDINATED WITH THE BOOKWORM SUMMER READING PROGRAM. A TOTAL OF 1,810 ROSS COUNTY RESIDENTS - 1,154 CHILDREN, 157 TEENS, AND 499 ADULTS- WERE ENGAGED IN THE PROGRAM THAT REWARDED THEM FOR COMPLETING WEEKLY 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 $7,394 WAS SPENT ON REWARD PRIZES FOR PARTICIPANTS IN ROSS, FAYETTE, HIGHLAND, AND PIKE COUNTIES. ADENA HEALTH SYSTEM 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. A TOTAL OF $2,150 WAS SPENT ON THE PROGRAM IN 2022. IN 2021, ADENA HEALTH SYSTEM PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. IN 2022, ADENA HEALTH SYSTEM COMMUNITY HEALTH AND DEVELOPMENT EXPANDED THE PROGRAM AND PROVIDED A 1.0 FTE VALUED AT $101,608 TO WORK WITH FOUR ROSS COUNTY SCHOOL DISTRICTS, ONE PIKE COUNTY SCHOOL DISTRICT, ONE FAYETTE COUNTY SCHOOL DISTRICT, AND ONE HIGHLAND COUNTY SCHOOL DISTRICT TO COMPLETE SCHOOL NEEDS ASSESSMENTS AND DEVELOP SCHOOL WELLNESS STRATEGIC PLANS. 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 SYSTEM 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 SYSTEM 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. YOUNG LIFE: IN 2022, ADENA PROVIDED $2,000 IN SUPPORT FOR ROSS COUNTY YOUNG LIFE. THE PROGRAM SERVES ROSS COUNTY MIDDLE AND HIGH SCHOOL STUDENTS, PROVIDING THEM A VARIETY OF EXPERIENCES THAT SUPPORT PERSONAL GROWTH AND FAITH. ADENA WOMEN'S & CHILDREN'S CENTER: ADENA HEALTH SYSTEM PROVIDED SLEEP SACKS FOR THE 1,279 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2022, VALUED AT $12,777. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE, AND HIGHLAND. IN ADDITION, A TOTAL OF 1 PORTABLE CRIB, VALUED AT $75 WAS PROVIDED FOR A FAMILY WITHOUT A BED FOR THEIR BABY PRIOR TO LEAVING THE HOSPITAL.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 SYSTEM. THE UNION SCIOTO LOCAL SCHOOL DISTRICT RECEIVED AN ADDITIONAL $22,000 TO SUPPORT UPDATES TO THEIR ATHLETIC FACILITIES. HUNTINGTON LOCAL SCHOOLS RECEIVED AN ADDITIONAL $45,000 IN SUPPORT TO ASSIST THEIR DISTRICT IN EXPANDING THEIR PAX GOOD BEHAVIOR GAME EXPANSION PROGRAM IN 2022. 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 "BOOTCAMP" TO PREPARE FOR KINDERGARTEN AHEAD OF THE UPCOMING SCHOOL YEAR. SUPPORT INCLUDED SUPPLIES AND COST OF TRANSPORTATION. RONALD MCDONALD HOUSE: ADENA PROVIDED $3,000 TO SUPPORT THE RONALD MCDONALD HOUSE CHARITIES. THE RONALD MCDONALD HOUSE AT NATIONWIDE CHILDREN'S HOSPITAL IN COLUMBUS, OHIO PROVIDED OVER 500 NIGHTS OF STAY FREE OF CHARGE TO PARENTS OF CHILDREN FROM ROSS, PIKE, HIGHLAND, AND FAYETTE COUNTIES WHO NEEDED SPECIALTY CARE NOT AVAILABLE IN THEIR HOME COUNTY. MIGHTY CHILDREN'S MUSEUM: ADENA PROVIDED $10,000 OF SUPPORT TO ASSIST THE MIGHTY CHILDREN'S MUSEUM IN COORDINATING THEIR 2022 SUMMER CAMP FOR YOUNG CHILDREN. CHILLICOTHE CIVIC THEATER: ADENA PROVIDED $5,000 OF SUPPORT FOR THE CIVIC THEATER, WHICH COORDINATES CHILDREN'S THEATER PRODUCTIONS FOR THE YOUTH OF ROSS COUNTY. CHILDREN ARE PROVIDED THE OPPORTUNITY TO PERFORM AND COORDINATE PRODUCTIONS AS PART OF THEIR EXPERIENCE. 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). PART V, SECTION B, LINE 11 CONTINUED ADDITIONAL INITIATIVES AND RESOURCESTHE ADENA FAMILY MEDICINE - RESIDENCY CLINIC AND THE ADENA RESIDENCY CLINIC INTERNAL MEDICINE CONTINUED OPERATIONS OF ITS CLINIC IN 2022 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. A TOTAL OF 4,356 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON), MADE A TOTAL OF 11,984 VISITS TO THE TWO CLINICS IN 2022. 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. APPROXIMATELY 26 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A TOTAL OF 150 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, AND OTHER INITIATIVES. THESE INCLUDED: $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 IN SUPPORT OF THE GREATER CHILLICOTHE ROSS COUNTY DEVELOPMENT ALLIANCE, WHICH PROVIDES BUSINESS AND ECONOMIC DEVELOPMENT SERVICES TO THE COUNTY. $3,000 IN SUPPORT OF THE CHILLICOTHE-ROSS CHAMBER OF COMMERCE, WHICH PROVIDES SUPPORT TO LOCAL BUSINESSES AND ORGANIZATIONS. OVER $3,360 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN FAYETTE, ROSS, HIGHLAND, AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE. ADENA PROVIDED $5,000 IN SUPPORT TO CHILLICOTHE TRAILS FOR TRAIL IMPROVEMENTS AND PLANNING EFFORTS. ADENA PROVIDED $8,900 IN SUPPORT TO BRING AUTHOR MEL GRAVELY TO CHILLICOTHE TO SPEAK ABOUT HIS BOOK, DEAR WHITE FRIEND, AS PART OF THE ONE BOOK, ONE COMMUNITY PROGRAM COORDINATED BY THE CHILLICOTHE-ROSS PUBLIC LIBRARIES. ADENA PROVIDED $2,500 IN FINANCIAL SUPPORT TO THE FIRST CAPITAL ROTARY'S FUNDRAISING EFFORTS WHICH PROVIDES GRANTS TO ROSS COUNTY COMMUNITY ORGANIZATIONS COORDINATING COMMUNITY DEVELOPMENT, SOCIAL SERVICES, EDUCATION, AND HEALTHCARE INITIATIVES. ADENA HEALTH SYSTEM PROVIDED $10,000 IN SUPPORT TO ASSIST THE CHILLICOTHE NOON ROTARY IN COORDINATING THE CHILLICOTHE 4TH OF JULY FIREWORKS CELEBRATION IN THE DOWNTOWN AREA. ADENA HEALTH SYSTEM 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 SYSTEM PROVIDED $2,000 IN SUPPORT TO UNITED WAY OF ROSS COUNTY TO HELP COORDINATE THE KENWORTH DOWNTOWN TRUCK PARADE IN DOWNTOWN CHILLICOTHE. ADENA HEALTH SYSTEM PROVIDED $10,000 IN SUPPORT TO ASSIST THE DOWNTOWN DEVELOPMENT ASSOCIATES IN COORDINATING THE 2022 HOLIDAY LIGHTING OF YOCTANTEE PARK IN DOWNTOWN CHILLICOTHE. ADENA PROVIDED $25,000 IN SUPPORT TO THE CHILLICOTHE PAINTS, THE REGION'S MINOR LEAGUE BASEBALL TEAM, TO ASSIST IN FACILITIES AND OPERATIONS. ADENA PROVIDED $2,000 IN SUPPORT TO THE FALL FESTIVAL OF LEAVES. ADENA PROVIDED THE ROSS COUNTY AGRICULTURAL SOCIETY $6,200 TO SUPPORT THE FAIR MARKET SALES, AS WELL AS AN ADDITIONAL $9,750 IN SUPPORT TO PROVIDE A FREE RIDE DAY FOR THE CHILDREN ATTENDING THE FAIR. ADENA HEALTH SYSTEM PROVIDED $6,500 IN SUPPORT TO THE TECUMSEH PRODUCTION , WHICH CELEBRATES THE REGION'S NATIVE AMERICAN HERITAGE. ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH SYSTEM CONTINUED IT'S MORE THAN 25 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2022 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 $63,374 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 2022. A TOTAL OF 10 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED 215 HOURS OF CARE AT HOPE CLINIC IN 2022. A TOTAL OF 283 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE AND VALUED AT $1,055,751. THIS CLINIC PROVIDES FREE MEDICAL CARE TO THOSE WITHOUT HEALTH INSURANCE COVERAGE, INCLUDING MEDICAL, DENTAL, AND VISION CARE. THE CLINIC IS LOCATED IN CHILLICOTHE, OH AND SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $29,616 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY (SERVING 1,284 PATIENTS IN 2022) AND MEDICAL RESOURCE SYSTEM ELSEVIER. AN ADDITIONAL $3,250 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 STEERING COMMITTEE: IN 2015, ADENA HEALTH SYSTEM COLLABORATED WITH THE ROSS COUNTY HEALTH DISTRICT TO COORDINATE AND CONVENE A COMMUNITY STEERING COMMITTEE 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 SYSTEM HAD A TOTAL OF FIVE ADENA EMPLOYEES THAT VOLUNTEERED OVER 40 HOURS IN 2022 TO CONTRIBUTING TO THE PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE IN ADDITION TO OTHER SUB-COMMITTEES MENTIONED THROUGHOUT THIS REPORT. IN ADDITION, ADENA HEALTH SYSTEM PROVIDED $6,000 IN FINANCIAL SUPPORT TO CONTRACT THE HOSPITAL COUNCIL OF NORTHWEST OHIO TO COLLECT AND VALIDATE PUBLIC HEALTH DATA THAT WAS UTILIZED TO DEVELOP COMMUNITY HEALTH NEEDS ASSESSMENTS IN HIGHLAND, PIKE AND ROSS COUNTIES IN 2022. THESE WERE COMPLETED IN PARTNERSHIP WITH PUBLIC HEALTH DEPARTMENTS IN EACH OF THESE COUNTIES. 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 $33,712,059 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 2022 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 CHILLICOTHE FARMERS MARKET ASSOCIATION 300 CHILLICOTHE AVE HILLSBORO OH 45133 262216517 501 C (4) 9886 0 COMMUNITY IMPROVEMENT INITIATIVE UNITED WAY ROSS CO 69 EAST WATER STREET CHILLICOTHE OH 45601 314389671 501 C (3) 39008 0 JOB DEVELOPMENT INITIATIVE CHILD PROTECTION CENTER OF ROSS CO 138 MARIETTA RD STE E CHILLICOTHE OH 45601 311579825 501 C (3) 65375 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY YMCA 100 MILL STREET CHILLICOTHE OH 45601 314379806 501 C (3) 58139 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE ROSS CHAMBER OF COMMERCE 41 E MAIN ST CHILLICOTHE OH 45601 314147100 501 C (3) 10269 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY COMMUNITY ACTION 250 N WOODRIDGE AVE CHILLICOTHE OH 45601 316059908 501 C (3) 126183 0 COMMUNITY IMPROVEMENT INITIATIVE PIKE COUNTY AGRICULTURAL SOCIETY 311 MILL ST PIKETON OH 45661 316106189 501 C (3) 15000 0 COMMUNITY IMPROVEMENT INITIATIVE JACKSON AREA FESTIVALS & EVENTS PO BOX 488 JACKSON OH 45640 461960880 115 9000 0 COMMUNITY IMPROVEMENT INITIATIVE WELLSTON CITY SCHOOLS 1 E BROADWAY ST WELLSTON OH 45692 316401103 115 33800 0 COMMUNITY IMPROVEMENT INITIATIVE TEAYS VALLEY BOARD OF EDUCATION 385 VIKING WAY ASHVILLE OH 43103 316402688 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE MIAMI TRACE LOCAL SCHOOL DISTRICT 3818 STATE ROUTE 41 NW WASHINGTON COURT HOUSE OH 43160 316006819 115 25500 0 COMMUNITY IMPROVEMENT INITIATIVE GREENFIELD EXEMPTED VILLAGE SCHOOL 200 NORTH FIFTH ST GREENFIELD OH 45123 316000808 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY JUNIOR FAIR SALE COMMITTEE 475 WESTERN AVE SUITE F CHILLICOTHE OH 45601 205233558 115 6200 0 COMMUNITY IMPROVEMENT INITIATIVE SOUTHEASTERN LOCAL SCHOOL DTISRICT 2003 LANCASTER ROAD CHILLICOTHE OH 45601 316400983 115 35000 0 COMMUNITY IMPROVEMENT INITIATIVE ZANE TRACE LOCAL SCHOOL DISTRICT 946 STATE ROUTE 180 CHILLICOTHE OH 45601 370711566 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE UNION-SCIOTO LOCAL SCHOOL DISTRICT 1565 EGYPT PIKE CHILLICOTHE OH 45601 316401035 115 47000 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE CITY SCHOOLS 425 TOCTANGEE PARKWAY CHILLICOTHE OH 45601 316400384 115 32211 0 COMMUNITY IMPROVEMENT INITIATIVE HOPE CLINIC OF ROSS COUNTY INC 7479 COUNTY RD 550 FANKFORT OH 45628 452390821 501 C (3) 34250 0 COMMUNITY IMPROVEMENT INITIATIVE SCIOTO VALLEY LOCAL SCHOOL DISTRICT 1414 PIKETON RD PIKETON OH 45661 316402789 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE THE BUCK FIFTY INC 113 GORDON DRIVE CHILLICOTHE OH 45601 811817174 501 C (3) 25000 0 COMMUNITY IMPROVEMENT INITIATIVE WASHINGTON COURT HOUSE CITY SCHOOLS 306 HIGHLAND AVENUE WASHINGTON COURT HOUSE OH 43160 316001001 115 25300 0 COMMUNITY IMPROVEMENT INITIATIVE HUNTINGTON LOCAL BOARD OF EDUCATION 188 HUNTSMAN ROAD CHILLICOTHE OH 45601 316400570 115 45000 0 COMMUNITY IMPROVEMENT INITIATIVE ADENA LOCAL SCHOOL DISTRICT 3367 COUNTY ROAD 550 FRANKFORT OH 45628 310709140 115 37830 0 COMMUNITY IMPROVEMENT INITIATIVE PAINT VALLEY ADAMH BOARD 394 CHESTNUT ST CHILLICOTHE OH 45601 316400085 115 5500 0 COMMUNITY IMPROVEMENT INITIATIVE PICKAWAY ADDICTION ACTION COALITION 770 NORTH COURT STREET CIRCLEVILLE OH 43113 824089691 501 C (3) 15000 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY AGRICULUTURAL SOCIETY PO BOX 614 CHILLICOTHE OH 45601 316050864 501 C (3) 30110 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY HEALTH DEPARTMENT 150 E SECOND STREET CHILLICOTHE OH 45601 316400085 115 14333 0 JOB DEVELOPMENT INITIATIVE WAVERLY CITY BOARD OF EDUCATION 1 TIGER DRIVE WAVERLY OH 45690 316401098 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE HOPE PARTNERSHIP PROJECTS 22 YAPLES ORCHARD DR CHILLICOTHE OH 45601 862294038 501 C (3) 14619 0 COMMUNITY IMPROVEMENT INITIATIVE ADENA HEALTH FOUNDATION 272 HOSPITAL ROAD CHILLICOTHE OH 45601 753008742 501 C (3) 211682 0 RELATED ORGANIZATION SUPPORT. 28 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 1272439 0 26203 0 12917 0 9072 0 31557 0 1352188 0 0 0 ROGER WILTFONG PHYSICIAN 387965 0 908455 0 0 0 16479 0 30511 0 1343410 0 0 0 JEFF GRAHAM CEO 925582 0 250303 0 2865 0 24920 0 63999 0 1267669 0 250203 0 JAMES MANAZER PHYSICIAN 982265 0 20817 0 240 0 16962 0 34546 0 1054830 0 0 0 NITIN TIWARI PHYSICIAN 608772 0 400993 0 0 0 15731 0 14223 0 1039719 0 0 0 JAMES FLEMING PHYSICIAN 591873 0 382337 0 240 0 22981 0 39370 0 1036801 0 0 0 KATHERINE EDRINGTON COO 561061 0 132159 0 2865 0 15921 0 25823 0 737829 0 132059 0 ANTHONY FREEMAN CHIEF MEDICAL OFFICER - FORMER 646819 0 333 0 0 0 24631 0 26082 0 697865 0 0 0 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER-PART YE 468622 0 94480 0 59343 0 19281 0 38784 0 680510 0 153823 0 LISA CARLSON CFO-PART YEAR 415123 0 136007 0 68488 0 18980 0 31501 0 670099 0 202646 0 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 379441 0 94000 0 2625 0 15834 0 32588 0 524488 0 94000 0 CRAIG BABBITT CHIEF LEGAL OFFICER 368715 0 67321 0 42708 0 16212 0 17227 0 512183 0 107405 0 KIRK TUCKER CHIEF CLINICAL OFFICER- PART YEAR 319460 0 87834 0 51906 0 14460 0 35075 0 508735 0 139648 0 RICHARD D MIZER PRESIDENT OF AMG 348092 0 54119 0 26540 0 13146 0 34838 0 476735 0 80459 0 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 343076 0 62908 0 39571 0 15181 0 7816 0 468552 0 99614 0 MOLLY M GROOMS CHIEF NURSING OFFICER 286910 0 54342 0 32056 0 13197 0 6782 0 393287 0 86398 0 JAMIE SMITH CHIEF INFORMATION OFFICER 284830 0 54200 0 2985 0 12686 0 26344 0 381045 0 54000 0 REGGINA YANDILA TRUSTEE/PHYSICIAN 204218 0 117737 0 240 0 9801 0 23997 0 355993 0 0 0 EMILY JOHNSON TRUSTEE/PHYSICIAN 285833 0 26715 0 0 0 13075 0 29201 0 354824 0 0 0 BROOKE L BURNS EXECUTIVE VICE PRESIDENT AMG 232564 0 50927 0 25289 0 11118 0 25241 0 345139 0 76216 0 JACK BERNO CHIEF OF STAFF - FORMER 305434 0 10000 0 0 0 14089 0 8399 0 337922 0 10000 0 JAMES MCMANUS CFO 291710 0 22500 0 0 0 7246 0 12369 0 333825 0 0 0 TY MCBEE VP OF STRATEGIC OPERATIONS 223582 0 49467 0 0 0 12932 0 10603 0 296584 0 44974 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 2022: LISA CARLSON $259,980 SERP ACCRUAL KRISTIN BOGGS $40,632 SERP ACCRUAL CRAIG BABBITT $43,483 SERP ACCRUAL MOLLY GROOMS $35,100 SERP ACCRUAL JAMES MCMANUS $32,295 SERP ACCRUAL THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. 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 3930000 164402962 1777526 40648173 121977262 2020 0 1 1 1 B 5885000 99844044 964347 75362052 23486711 30934 2022 1 0 0 1 C 1725000 30037021 117290 28199076 1720655 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 1 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. ROBIN BERNO SPOUSE OF FORMER KEY EMPLOYEE JACK BERNO 157411 EMPLOYEE COMPENSATION 0 MARIA SMITH SISTER OF BOARD DIRECTOR JOE WATSON 123824 EMPLOYEE COMPENSATION 0 DOUGLAS FRENCH SON OF TRUSTEE ROBERT FRENCH 15192 EMPLOYEE COMPENSATION 0 HALEY TURLEY GREAT-GRANDCHILD OF TRUSTEE JENNIFER MCKELL 66757 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. FREEDOM HOUSE OF CHILICOTHE 3. ORCHARD HILL UNITED CHURCH OF CHRIST 4. TABERNACLE BAPTIST CHURCH 5. ST. MARY'S CATHOLIC CHURCH 6. TRINITY UNITED METHODIST CHURCH 7. ST. PAUL'S EPISCOPAL CHURCH 8. WALNUT STREET UNITED METHODIST CHURCH 9. 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 2022. 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 CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,577,020. MANAGEMENT AND GENERAL EXPENSES 63,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,640,364. NON-PHYSICIAN HEALTHCARE SERVICES: PROGRAM SERVICE EXPENSES 19,108,775. MANAGEMENT AND GENERAL EXPENSES 24,874,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,983,222. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 33,488,077. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,488,077. FORM 990, PART XI, LINE 9: TRANSFERS (TO) FROM AFFILIATED ORGANIZATION 8,073,506. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION -13,697. 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 97244897 10670248 ADENA HEALTH SYSTEM ADENA HOSPICE LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 275340755 HEALTHCARE PROVIDERS OH 5474969 845969 ADENA HEALTH SYSTEM ADENA HOME HEALTH 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752730 HEALTHCARE PROVIDERS OH 4785368 859149 ADENA HEALTH SYSTEM ADENA HOME INFUSIONHOME RESPIRATORY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752854 HEALTHCARE PROVIDERS OH 2805342 1481855 ADENA HEALTH SYSTEM ADENA PHARMACY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 451138187 HEALTHCARE PROVIDERS OH 9763565 1236876 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 5927801 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 -85206 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 3782911 BOOK VALUE PIKE HEALTH SERVICES S 580513 BOOK VALUE ADENA HEALTH FOUNDATION B 211682 BOOK VALUE ADENA HEALTH FOUNDATION C 81434 BOOK VALUE ADENA HEALTH FOUNDATION P 909975 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.