2022-11-15T09:24:57-06:00 2021-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-01-01 314379443 ADENA HEALTH SYSTEM ADEN 7407794478 272 HOSPITAL RD CHILLICOTHE OH 45601 JAMES P MCMANUS CFO 7407794478 2022-11-11 1 JAMES MCMANUS 999009999 AMY CIMINELLO P00796388 6148493000 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ADENA REGIONAL MEDICAL CENTER JAMES P MCMANUS 272 HOSPITAL RD CHILLICOTHE OH 45601 699770749 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 TWO CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER AND ADENA GREENFIELD MEDICAL CENTER, THAT FILE SEPARATELY. ADENA HEALTH SYSTEM SERVED AS THE REGIONAL LEADER FOR THE SOUTHERN DISTRICT AS HOSPITALS ORGANIZED UNDER GOVERNOR DEWINE'S REQUEST FOR HOSPITALS TO UNITE TO SUPPORT EACH OTHER AND BETTER SERVE THEIR COMMUNITIES AS THE COVID-19 PANDEMIC DISRUPTED SERVICES FOR SIGNIFICANT PORTIONS OF OHIO IN 2020 & 2021. 15 13 4336 173 9084 3029 44998337 20371965 517218445 611392791 4950934 24256677 23457759 24748974 590625475 680770407 1397885 1571253 0 0 292111073 333875540 0 0 0 257319715 310338308 550828673 645785101 39796802 34985306 828850429 888565612 412086411 442427479 416764018 446138133 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 507714665 1571253 629257170 HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,550 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 42,032 EMERGENT VISITS IN 2021. PHYSICIAN OFFICES: THERE WERE 545,798 PHYSICIAN OFFICE VISITS AND 71,786 URGENT CARE VISITS IN 2021. 507714665 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 1 1 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 248 0 1 4336 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 314926 0 44107 ANTHONY LATTAVO TRUSTEE/PHYSICIAN 50.00 0.00 X 250854 0 35326 BARTON HENSHAW TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 ROBERT FRENCH TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 SHEILAH GRAY TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 STEVE HIRSCH TRUSTEE/TREASURER 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 0.00 X 0 0 0 JENNIFER MCKELL TRUSTEE/VICE CHAIR 2.00 0.00 X X 0 0 0 BETH WORKMAN TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH WATSON TRUSTEE/CHAIR 2.00 0.00 X X 0 0 0 KEVIN SHOEMAKER TRUSTEE 2.00 2.00 X 0 0 0 CARVEL SIMMONS TRUSTEE/SECRETARY 2.00 0.00 X X 0 0 0 JERRY PHILLIPS TRUSTEE 2.00 0.00 X 0 0 0 JEFF GRAHAM CEO 50.00 4.00 X 1123172 0 333237 LISA CARLSON CFO 50.00 4.00 X 751765 0 253223 KATHERINE EDRINGTON COO 50.00 4.00 X 650248 0 167390 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER 50.00 0.00 X 653051 0 216131 KIRK TUCKER CHIEF CLINICAL OFFICER 50.00 0.00 X 564764 0 195368 JOHN GABIS PRESIDENT OF AMG 50.00 0.00 X 557902 0 123100 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 50.00 0.00 X 461851 0 152093 CRAIG BABBITT CHIEF LEGAL OFFICER 50.00 0.00 X 447042 0 143506 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 50.00 0.00 X 407468 0 116317 RICHARD D MIZER PRESIDENT OF AMG 50.00 0.00 X 305446 0 86484 JAMIE SMITH CHIEF INFORMATION OFFICER 50.00 1.00 X 240831 0 97932 BROOKE L BURNS EXECUTIVE VICE PRESIDENT AMG 50.00 0.00 X 266344 0 14034 MOLLY M GROOMS CHIEF NURSING OFFICER 50.00 0.00 X 323685 0 33598 TY MCBEE VP OF STRATEGIC OPERATIONS 50.00 0.00 X 267257 0 68436 BRIAN COHEN PHYSICIAN 50.00 0.00 X 987422 0 19840 HAVAL SAADLLA PHYSICIAN 50.00 0.00 X 1031543 0 45336 ROGER WILTFONG PHYSICIAN 50.00 0.00 X 1278180 0 62048 JAMES FLEMING PHYSICIAN 50.00 0.00 X 1090777 0 61953 THOMAS LEWIS PHYSICIAN 50.00 0.00 X 1031543 0 45336 JACK BERNO FORMER CHIEF MEDICAL OFFICER 50.00 0.00 X 316014 0 27468 ANTHONY FREEMAN FORMER CHIEF MEDICAL OFFICER 0.00 0.00 X 704321 0 50392 14026406 0 2392655 23 1 1 0 MESSER CONSTRUCTION CO 643 W COURT CINCINNATI OH 45203 CONSTRUCTION 32271385 ENSEMBLE RCM LLC 4605 DUKE DRIVE SUITE 600 MASON OH 45040 REVENUE CYCLE MANAGEMENT 18628769 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 PHYSICIAN SERVICES 7221342 UNIDINE CORPORATION 1000 WASHINGTON ST 510 BOSTON MA 02118 FOOD SERVICES 3611599 CAPTIVE RADIOLOGY 6273 FRANK AVE NW NORTH CANTON OH 44720 RADIOLOGY SERVICES 3310573 71 384211 17051462 2936292 20371965 NET PATIENT SVC REV 621110 611392791 611392791 611392791 21616368 21616368 196436 29145 167291 167291 -4307 171598 2472666 19138840 0 18971197 2472666 167643 2640309 2640309 OUTPATIENT PHARMACY SALES 446110 17694646 17681255 13391 CAFETERIA REVENUE 722514 4860524 4860524 CONSULTING FEES 541610 183124 183124 1843389 1843389 24581683 680770407 629257170 9084 31132188 X 846361 846361 724892 724892 9666888 9666888 259852475 211519915 48332560 47990123 39447881 8542242 16366054 13452896 2913158 977198 977198 243718 243718 148461 148461 73142999 47322937 25820062 779201 329602 449599 6523826 6080206 443620 28409116 8522735 19886381 556339 282064 274275 1517955 769603 748352 9185083 7596064 1589019 27807175 20327045 7480130 3221893 2426085 795808 MEDICAL EQUIPMENT & SUP 101105742 94230552 6875190 BAD DEBT EXPENSE 36548493 36548493 TAXES 12814735 10431194 2383541 CAFETERIA/CATERING 2901065 2703793 197272 4455309 4152347 302962 645785101 507714665 138070436 0 14543 14943 135845160 70469096 69881406 83407749 47196 2319161 3078563 11514833 13459701 5892437 9712110 585086953 313431848 209065930 271655105 346776529 377393138 1061637 561637 46478793 58766374 828850429 888565612 79328597 73892604 47992512 30522253 214916570 293702676 20749088 0 49099644 44309946 412086411 442427479 X 414118758 441778706 2645260 4359427 416764018 446138133 828850429 888565612 X 34985306 4073341 -9684532 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5023 5023 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. 1691757 1622 1693379 1663413 38177 -9710 123 1691757 1428564 24401 229105 -18657 1663413 1483984 24783 -70278 -9925 1428564 1331708 -3508 155784 1483984 1.00000 0.00000 0.00000 0 0 8576779 8576779 336433349 137950049 198483300 141875 49146 92729 231678425 175432653 56245772 8256525 8256525 271655105 OTHER NONCURRENT ASSETS 5500 RIGHT-OF-USE OPERATING LEASE ASSETS 5632471 SOFTWARE IMPLEMENTATION ASSET 21842831 SPLIT VALUE RETIREMENT 1250953 MALPRACTICE INSURANCE RECOVERY LT 4392546 457B STATE RETIREMENT INVESTMENT 15293768 BOND ISSUE COSTS 10348305 58766374 ACCRUED MALPRACTICE INSURANCE - LT 12942871 DEFERRED COMPENSATION LIABILITY 15156144 INTERCOMPANY PAYABLE 1204428 CAPITAL LEASE OBLIGATION 4114786 RIGHT-OF-USE OPERATING LEASE OBLIGATION 5632470 COST REPORT PAYABLE 5259247 44309946 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 8859119 11182564 0 0.00000 132193832 91949974 40243858 0.06610 141052951 103132538 40243858 0.06610 1929379 204775 1724604 0.00280 9855023 2861729 6993294 0.01150 21560537 15399991 6160546 0.01010 18600 18600 0.00000 33363539 18466495 14897044 0.02440 174416490 121599033 55140902 0.09050 505211 505211 0.00080 15258 15258 0.00000 30971 30971 0.00010 551440 551440 0.00090 0 36548493 0 178196320 230852847 -52656527 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 19 1 0 1 1 X HTTPS://TINYURL.COM/HV8A5T9P X HTTPS://TINYURL.COM/HV8A5T9P X X 1 19 1 HTTPS://WWW.ADENA.ORG/COMMUNITY-HEALTH/OVERVIEW 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/UJBAHXW4 X HTTPS://TINYURL.COM/UJBAHXW4 X HTTPS://TINYURL.COM/UJBAHXW4 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: IN CONDUCTING ITS MOST RECENT CHNA, DID THE HOSPITAL FACILITY TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH? IF YES, DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED. 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 1,200 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. 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: ADENA HEALTH SYSTEM, CHILLICOTHE GAZETTE, HOPE CLINIC OF ROSS COUNTY, HOPEWELL HEALTH CENTER, CITY OF CHILLICOTHE, ROSS COUNTY PARKS, OHIO STATE UNIVERSITY EXTENSION, PAINT VALLEY ADAMH BOARD, ROSS COUNTY CHILD PROTECTION CENTER, ROSS COUNTY HEALTH DISTRICT, ROSS COUNTY YMCA, SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, 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 12 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 WILL BE UTILIZED IN 2020-2022.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 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 2019. ADENA HEALTH SYSTEM ALSO COORDINATES THE ROSS COUNTY SAFE COMMUNITIES COALITION (SUPPORTED BY THE OHIO DEPARTMENT OF PUBLIC SAFETY), WHICH IS OVERSEEN BY ONE .5 FTE. PARTICIPATION BY ANOTHER EMPLOYEE IS ALSO PROVIDED. THIS PROGRAM COORDINATES REGULAR SOCIAL MEDIA MESSAGES AND AN ANNUAL CAMPAIGN AROUND THE "DRIVE SOBER" CAMPAIGN. PROGRAMS AND INITIATIVESTHE BABY CENTERED RECOVERY PROGRAM PROVIDED A TOTAL OF 20 WOMEN (FROM MULTIPLE COUNTIES INCLUDING ROSS) WITH PREGNANCY EDUCATION AND ADDICTION COUNSELING, AS WELL AS FOOD AND BABY SUPPLIES AT NO CHARGE TO PARTICIPANTS IN 2021. A TOTAL OF 16 COMPLETED THE PROGRAM. THE PROGRAM WAS RECOGNIZED AS THE 2018 PROMISING PRACTICES PROGRAM BY THE CENTERS FOR MEDICAID AND MEDICARE.THE ARMC EMERGENCY DEPARTMENT DEPLOYED A POST OVERDOSE RESPONSE TEAM (PORT) IN AUGUST OF 2017 WHICH CONTINUED IN 2021 TO PROVIDE TREATMENT RESOURCES AND HARM REDUCTION FOR THOSE WITH SUBSTANCE USE DISORDER AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT ALSO STAFFS A SOCIAL WORKER/SUBSTANCE USE DISORDER NAVIGATOR TO ENGAGE PATIENTS IDENTIFIED AS NEEDING SERVICES IN RESOURCES FOR RECOVERY. THESE SERVICES CONTINUED 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 2021 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 $3,500 IN SUPPORT FOR HARM REDUCTION KITS FOR THE EDINS PROJECT AND $600 OF ENGAGEMENT MATERIALS FOR THE ROSS COUNTY SAFE COMMUNITIES ANNUAL "DRIVE SOBER" CAMPAIGN. OBESITY AND DIABETESCOMMUNITY DEVELOPMENTTWO REPRESENTATIVES FROM ADENA COMMUNITY HEALTH & DEVELOPMENT, AS PART OF THEIR PARTICIPATION ON THE PHRC STEERING TEAM COORDINATED AND CONVENED THE LIVEWELL ROSS COMMITTEE NOW LED BY THE ROSS COUNTY YMCA. AFTER THE IMPACT OF COVID-19 PANDEMIC ON THE OUTREACH WITH THE SCHOOLS, THE GROUP ALIGNED WITH THE ROSS COUNTY HEALTH DISTRICT WHICH RECEIVED A CREATING HEALTHY COMMUNITIES GRANT HELD BY THE ROSS COUNTY HEALTH DISTRICT WHICH STARTED PLANS FOR COMMUNITY GARDENS AND ACTIVE TRANSPORTATION. DURING 2021, ADENA'S PARTNERSHIP WITH ROSS COUNTY HEALTH DISTRICT AND OTHER PARTNERS RESULTED IN THE IMPLEMENTATION OF BIKE LANES IN THE DOWNTOWN AREA STREETS AND BIKE RACKS BEING PLACED AROUND TOWN. AN ACTIVE TRANSPORTATION PLAN WAS ALSO COMPLETED IN 2021 TO BEING LOOKING AT OTHER ADDITIONAL OPPORTUNITIES TO CREATE SAFE SPACES FOR ACTIVITY AND WALKING. ADVOCACYARMC CONTRIBUTED THE TIME OF TWO EMPLOYEES WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS 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 TOTAL OF 35 ADENA PATIENTS 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 $3,200. 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 WITH THE CHILLICOTHE FARMER'S MARKET TO FUND THE "FOOD RX AND FRUIT & VEGGIE PERKS PROGRAM WHICH PROVIDED 123 INDIVIDUAL ADENA PATIENTS REFERRED BY THEIR PRIMARY CARE PROVIDER FOR A TOTAL OF $8,457 IN FRESH FRUITS AND VEGETABLES. IN 2021 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 36 PATIENTS WERE SERVED IN 2021 AND A TOTAL OF $7,450 IN SUPPORT WAS PROVIDED THROUGH THIS PARTNERSHIP. RESPIRATORY ISSUESCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE BREATHEWELL ROSS COMMITTEE IN 2017, NOW 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.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 2021. ADVOCACYARMC CONTRIBUTED THE TIME OF ONE EMPLOYEE WHO DEDICATED A MINIMUM TOTAL OF 4 HOURS PER MONTH IN 2021 TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR BREATHEWELL ROSS.ARMC CONTRIBUTES THE TIME OF ONE EMPLOYEE WHO DEDICATES A MINIMUM TOTAL OF 4 HOURS PER MONTH TO PARTICIPATING IN COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS COUNTY AIR QUALITY COMMITTEE.PROGRAMMING & INITIATIVESADENA HEALTH SYSTEM CONTINUED ITS COORDINATION OF THE ADENA QUIT CLINIC IN 2021 WHICH PROVIDED A TOTAL OF 20 PATIENTS WITH TOBACCO CESSATION COUNSELING ACROSS 124 VISITS. CESSATION PLANNING, SUPPORT AND NICOTINE REPLACEMENT EDUCATION IS PROVIDED BY ADENA PHARMACISTS. THE ADENA CANCER CENTER PROVIDED A TOTAL OF 1,356 PATIENTS FROM THE REGION INCLUDING PIKE, FAYETTE, HIGHLAND AND ROSS COUNTIES WITH FREE LUNG CANCER SCREENINGS IN 2021 WHICH RESULTED IN 35 POSITIVE CANCER FINDINGS.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 2021 10 PATIENTS WERE ENROLLED BUT CLASSES WERE DISRUPTED DUE TO THE COVID 19 PANDEMIC. A TOTAL OF $1,000 WAS SPENT TO OPERATE THE PROGRAM. 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 MENTAL HEALTHCOMMUNITY DEVELOPMENT ADENA CO-CHAIR OF THE PHRC STEERING TEAM COORDINATED AND CONVENED THE ROSS MENTAL HEALTH FORUM NOW LED BY DR. JIM HAGEN 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 2021. ADVOCACYARMC CONTRIBUTED THE TIME OF THREE EMPLOYEES (COMMUNITY HEALTH, SOCIAL WORK AND MENTAL HEALTH) IN 2021 WHO DEDICATED A MINIMUM TOTAL OF 2 HOURS PER MONTH IN 2021 TO PARTICIPATE IN VIRTUAL COMMITTEE MEETINGS AND COORDINATING PROJECTS FOR THE ROSS MENTAL HEALTH FORUM.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS IN 2020 VIA LOCAL RADIO AND SOCIAL MEDIA FOCUSED ON MENTAL HEALTH AWARENESS.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM HOUSES A VICTIM'S ADVOCATE TEAM IN THE ARMC EMERGENCY DEPARTMENT WHICH PROVIDED A TOTAL OF 347 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 $213,946 IN 2021. PATIENTS ARE SERVED 24 HOURS A DAY, SEVEN DAYS PER WEEK IN ROSS COUNTY, PIKE COUNTY AND HIGHLAND COUNTY. IN ADDITION TO THIS SUPPORT, THE ADVOCACY TEAM ALSO RESPONDED TO 203 CRISIS CASES ACROSS THE HEALTH SYSTEM TO PROVIDE SUPPORT AND RESOURCES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. 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.ARMC DEPLOYED PUBLIC SERVICE ANNOUNCEMENTS ACROSS THE HEALTH SYSTEM AND CLINICS, INCLUDING HIGHLAND COUNTY, FOCUSED ON SAFE SLEEP AWARENESS IN 2021.PROGRAMMING & INITIATIVESTHE ADENA HEALTH SYSTEM PROVIDED MORE THAN $697,000 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 2021. A TOTAL OF 14 ATHLETIC TRAINERS WORK WITHIN THE SCHOOL'S ATHLETIC DEPARTMENTS AND FOCUS 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 MORE THAN 1,200 STUDENTS IN HIGHLAND, 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. ALTHOUGH THE COVID 19 PANDEMIC IMPACTED PARTICIPATION AND REACH GREATLY AGAIN IN 2021 AS IT DID IN 2020, A TOTAL OF 1,147 CHILDREN, 28 TEENS, AND 34 ADULTS WERE ENGAGED IN THE PROGRAM THAT REWARDED 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 $6,734 WAS SPENT ON REWARD PRIZES. ADENA HEALTH SYSTEM HAS PARTNERED 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 2021. IN 2021, ADENA HEALTH SYSTEM PARTNERED WITH NATIONWIDE CHILDREN'S HOSPITAL TO DEVELOP THE APPALACHIAN WHOLE CHILD INITIATIVE. ADENA HEALTH SYSTEM COMMUNITY HEALTH AND DEVELOPMENT IS PROVIDING A 1.0 FTE TO WORK WITH FOUR ROSS COUNTY SCHOOL DISTRICTS 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. ADENA HEALTH SYSTEM PROVIDES ANNUAL SUPPORT IN THE AMOUNT OF $3,000 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. ADENA HEALTH SYSTEM PROVIDED SLEEP SACKS FOR THE 1,404 BABIES BORN AT THE ADENA WOMEN'S AND CHILDREN'S CENTER IN 2021. PATIENTS COME FROM A NUMBER OF COUNTIES INCLUDING FAYETTE, ROSS, PIKE AND HIGHLAND. A TOTAL OF 5 CRIBS WERE ALSO PROVIDED FOR PARENTS WHO DID NOT HAVE A BED FOR THEIR BABY PRIOR TO LEAVING THE HOSPITAL.ZANE TRACE LOCAL SCHOOLS RECEIVED $5,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES. TEAYS VALLEY LOCAL SCHOOLS RECEIVED $10,000 IN SUPPORT OF THEIR ATHLETIC FACILITIES THAT HOUSE ADENA ATHLETIC TRAINERS AND SPORTS SAFETY SERVICES.AS PART OF ITS EFFORTS TO PROVIDE HEALTH SERVICES AND ATHLETIC TRAINING SERVICES, ADENA HEALTH SYSTEM PROVIDED A TOTAL OF $197,000 IN SUPPORT FOR 7 SCHOOL DISTRICTS IN FAYETTE, ROSS, PICKAWAY, HIGHLAND AND JACKSON COUNTIES TO SUPPORT WELLNESS INITIATIVES. COMMUNITY HEALTH OUTCOMES AND HEALTH FACTORS SUMMARY ROSS COUNTY HEALTH OUTCOMES STAYED AT 77 IN 2021 (COUNTY HEALTH RANKINGS). ROSS COUNTY HEALTH FACTORS MOVED FROM 49 TO 56 IN 2021 (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 2021 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 4,111 UNIQUE PATIENTS, MOSTLY FROM SEVEN COUNTIES (ROSS, PICKAWAY, PIKE, JACKSON, HIGHLAND, FAYETTE, VINTON) MADE A TOTAL OF 11,747 VISITS TO THE TWO CLINICS IN 2021. APPROXIMATELY 7.3% OF PATIENTS SERVED BY THE CLINICS ARE UNINSURED. 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. IN 2021, COMMUNITY EVENTS CONTINUED TO BE LIMITED AND WITH SPIKES IN CASES IN THE COMMUNITY, VOLUNTEERING AT COMMUNITY EVENTS WAS NOT SAFE SO PARTICIPATION WAS VERY LIMITED. THEREFORE ONLY A LIMITED AMOUNT OF EMPLOYEES PROVIDED VOLUNTEER SERVICE. APPROXIMATELY 25 CAREGIVERS FROM ACROSS THE SYSTEM PROVIDED A TOTAL OF 376 HOURS OF COMMUNITY SERVICE AND VOLUNTEER TIME PARTICIPATING IN COVID 19 COMMUNITY RESPONSE SERVICE, PACKING WEEKEND FOOD BAGS FOR FOOD INSECURE CHILDREN, NON-PROFIT BOARD PARTICIPATION AND LEADERSHIP, AND OTHER INITIATIVES. THESE INCLUDED: $25,000 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 ECONOMIC DEVELOPMENT ALLIANCE OF SOUTHERN OHIO, WHICH PROVIDES BUSINESS AND ECONOMIC DEVELOPMENT SERVICES TO THE REGION. $2,500 IN SUPPORT OF THE CHILLICOTHE-ROSS CHAMBER OF COMMERCE, WHICH PROVIDES SUPPORT TO LOCAL BUSINESSES AND ORGANIZATIONS OVER $10,000 IN COORDINATED TRANSPORTATION SERVICES FOR PATIENTS IN ROSS, HIGHLAND AND PIKE COUNTIES WITHOUT TRANSPORT TO MEDICAL APPOINTS AND NO INSURANCE COVERAGE. PART V, SECTION B, LINE 11 CONTINUED ADDITIONAL COMMUNITY COLLABORATIONSROSS COUNTY CHILD PROTECTION CENTER: ADENA HEALTH SYSTEM CONTINUED IT'S MORE THAN 20 YEAR RELATIONSHIP WITH AND SUPPORT OF THE ROSS COUNTY CHILD PROTECTION CENTER IN 2021 WHICH PROVIDES RESOURCES AND COUNSELING TO YOUNG VICTIMS OF INTERPERSONAL VIOLENCE AND SEXUAL ASSAULT IN A NINE COUNTY SERVICE REGION THAT INCLUDES 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. HOPE CLINIC: ADENA PROVIDER, JAMI EASTERDAY, CNP, CONTINUED VOLUNTEER EFFORTS AS THE DIRECTOR OF THE HOPE CLINIC OF ROSS COUNTY IN 2021. A TOTAL OF 9 PROVIDERS FROM ADENA HEALTH SYSTEM VOLUNTEERED MORE THAN 200 HOURS OF CARE AT HOPE CLINIC IN 2021. A TOTAL OF 317 PATIENTS WERE SERVED WITH DENTAL AND MEDICAL CARE AND WORTH $130,300. 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 BUT SERVES PATIENTS FROM AROUND THE REGION INCLUDING ROSS, PIKE FAYETTE, AND HIGHLAND COUNTIES. IT IS OPEN ONE DAY PER WEEK. AHS PROVIDES AN ADDITIONAL $24,200 IN MONETARY SUPPORT FROM ITS COMMUNITY HEALTH BUDGET TO THE HOPE CLINIC FOR THE CLINIC'S COMMUNITY CHARITABLE PHARMACY (SERVING 55 PATIENTS IN 2021) AND MEDICAL RESOURCE SYSTEM ELSEVIER. 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 2021 TO CONTRIBUTING TO THE PARTNERS FOR A HEALTHIER ROSS COUNTY STEERING COMMITTEE IN ADDITION TO OTHER SUB-COMMITTEES MENTIONED THROUGHOUT THIS REPORT. 21 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 - CLINIC AT WALMART 85 RIVER TRACE LANE CHILLICOTHE OH 45601 NURSE PRACTITIONER CLINIC 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. ACTUAL COSTS WERE USED IN LINE 7E & 7F. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $36,548,493 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. THERE IS NO PRESUMPTIVE CHARITY. 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 (INCLUDING BOTH TRADITIONAL AND ADVANTAGE) RESULTED IN A SHORTFALL OF $56,266,973.THE ADENA HEALTH SYSTEM SERVICE AREA IS A RURAL 13 COUNTY AREA IN SOUTHERN OHIO. ADENA HEALTH SYSTEM HAS EVALUATED THE COMMUNITY HEALTH NEEDS AND HAS IMPORTANT PROGRAMS AND SERVICES THAT ARE DESIGNED TO MEET THE NEEDS OF ADENA'S BROAD SERVICE AREA. HOWEVER, ONE OF THE MOST SIGNIFICANT HEALTH NEEDS MET BY ADENA IS THE IDENTIFICATION OF PHYSICIAN AND ADVANCED PRACTICE PROVIDERS FOR EACH SPECIALTY OF CARE. ADENA RECRUITS, SUPPORTS, AND PROVIDES THE INFRASTRUCTURE FOR PROVIDERS IN SPECIALTIES RANGING FROM PRIMARY CARE TO INTERVENTIONAL CARDIOLOGY. IN ADENA'S RURAL, APPALACHIAN SERVICE AREA, PHYSICIAN AND OTHER KEY CLINICAL AND SUPPORT STAFF ARE DIFFICULT TO RECRUIT AND RETAIN WHICH ELEVATES THE MARKET SALARY FOR SPECIALIZED STAFF. THE MEDICARE TWO PERCENT SEQUESTRATION IS ALSO A COMPONENT OF THE SHORTFALL CALCULATION. EFFECTIVE MAY 1, 2020 THE TWO PERCENT SEQUESTRATION WAS REMOVED, A CHANGE BROUGHT BY THE CARES ACT. BASED ON THESE ISSUES, WE BELIEVE SERVICE TO OUR MEDICARE POPULATION IS A COMMUNITY BENEFIT. ALSO, THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT WHEN DETERMINING THE AMOUNT ON PART III - LINE 6.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 2021 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) 15258 0 COMMUNITY IMPROVEMENT INITIATIVE UNITED WAY ROSS CO 69 EAST WATER STREET CHILLICOTHE OH 45601 314389671 501(C)(3) 30971 0 JOB DEVELOPMENT INITIATIVE CHILD PROTECTION CENTER OF ROSS CO 138 MARIETTA RD ST E CHILLICOTHE OH 45601 311579825 501(C)(3) 64374 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY YMCA 100 MILL STREET CHILLICOTHE OH 45601 314379806 501(C)(3) 18843 0 COMMUNITY IMPROVEMENT INITIATIVE CHILLICOTHE -ROSS CHAMBER OF COMMERCE 41 E MAIN ST CHILLICOTHE OH 43103 314147100 501(C)(3) 25288 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY COMMUNITY ACTION 250 N WOODBRIDGE AVE CHILLICOTHE OH 45601 316059908 501(C)(3) 97106 0 COMMUNITY IMPROVEMENT INITIATIVE HIGHLAND COUNTY JR FAIR PO BOX 232 HILLSBORO OH 45601 346570420 501(C)(3) 18600 0 WELLNESS INITIATIVE PIKE COUNTY AGRICULTURAL SOCIETY 311 MILL ST PIKETON OH 45601 316106189 501(C)(3) 28950 0 COMMUNITY IMPROVEMENT INITIATIVE HIGHLAND COUNTY AGRICULTURAL PO BOX 564 HILLSBORO OH 45601 115 5400 0 OPERATING ASSISTANCE JACKSON AREA FESTIVALS & EVENTS PO BOX 488 JACKSON OH 45640 461960880 115 25000 0 COMMUNITY IMPROVEMENT INITIATIVE WELLSTON CITY SCHOOLS 1 E BROADWAY ST WELLSTON OH 45692 316401103 115 25000 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 25000 0 COMMUNITY IMPROVEMENT INITIATIVE GREENFIELD EXEMPTED VILLAGE SCHOOL 200 NORTH FIFTH ST GREENFIELD OH 45123 316000808 115 26200 0 COMMUNITY IMPROVEMENT INITIATIVE ROSS COUNTY JUNIOR FAIR SALE COMMITTEE 475 WESTERN AVE SUITE F CHILLICOTHE OH 45601 205233558 115 47450 0 COMMUNITY IMPROVEMENT INITIATIVE SOUTHEASTERN LOCAL SCHOOL DISTRICT 2003 LANCASTER ROAD CHILLICOTHE OH 45601 316400983 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 UNION-SCIOTO LOCAL SCHOOL DISTRICT 1565 EGYPT PIKE CHILLICOTHE OH 45601 115 47000 0 COMMUNITY IMPROVEMENT INITIATIVE 18 1 ATHLETIC TRAINERS AT AREA SCHOOLS 3166 724892 COST OF LABOR AND BENEFITS SERVICE TO AREA HIGHSCHOOL ATHLETES 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 X 1 1 X X X X 0 1 0 0 0 0 0 1 0 JEFF GRAHAM CEO 845204 0 241003 0 36965 0 276203 0 57034 0 1456409 0 262215 0 ROGER WILTFONG PHYSICIAN 387867 0 886938 0 3375 0 18000 0 44048 0 1340228 0 0 0 JAMES FLEMING PHYSICIAN 543601 0 527715 0 19461 0 24216 0 37737 0 1152730 0 0 0 HAVAL SAADLLA PHYSICIAN 389837 0 639280 0 2426 0 9000 0 36336 0 1076879 0 0 0 THOMAS LEWIS PHYSICIAN 389837 0 639280 0 2426 0 9000 0 36336 0 1076879 0 0 0 BRIAN COHEN PHYSICIAN 577408 0 402448 0 7566 0 8648 0 11192 0 1007262 0 0 0 LISA CARLSON CFO 538525 0 131057 0 82183 0 226846 0 26377 0 1004988 0 196098 0 HARRY KITTAKA CHIEF TRANSFORMATION OFFICER 454357 0 126920 0 71774 0 175090 0 41041 0 869182 0 176533 0 KATHERINE EDRINGTON COO 515416 0 117865 0 16967 0 146797 0 20593 0 817638 0 129609 0 KIRK TUCKER CHIEF CLINICAL OFFICER 426456 0 85053 0 53255 0 151517 0 43851 0 760132 0 135834 0 ANTHONY FREEMAN FORMER CHIEF MEDICAL OFFICER 614573 0 63891 0 25857 0 21180 0 29212 0 754713 0 0 0 JOHN GABIS PRESIDENT OF AMG 415517 0 84828 0 57557 0 98719 0 24381 0 681002 0 137936 0 HEATHER SPRAGUE CHIEF HUMAN RESOURCE OFFICER 340584 0 88500 0 32767 0 111505 0 40588 0 613944 0 97058 0 CRAIG BABBITT CHIEF LEGAL OFFICER 313687 0 67003 0 66352 0 123815 0 19691 0 590548 0 99930 0 KRISTIN BOGGS CHIEF COMPLIANCE OFFICER 308253 0 61200 0 38015 0 110264 0 6053 0 523785 0 94730 0 RICHARD D MIZER PRESIDENT OF AMG 285506 0 13901 0 6039 0 64537 0 21947 0 391930 0 0 0 REGGINA YANDILA TRUSTEE/PHYSICIAN 207629 0 106294 0 1003 0 10916 0 33191 0 359033 0 0 0 MOLLY M GROOMS CHIEF NURSING OFFICER 270100 0 53000 0 585 0 32056 0 1542 0 357283 0 52000 0 JACK BERNO FORMER CHIEF MEDICAL OFFICER 299576 0 11000 0 5438 0 24507 0 2961 0 343482 0 10000 0 JAMIE SMITH CHIEF INFORMATION OFFICER 210606 0 29601 0 624 0 65182 0 32750 0 338763 0 28601 0 TY MCBEE VP OF STRATEGIC OPERATIONS 221456 0 44710 0 1091 0 57888 0 10548 0 335693 0 43243 0 ANTHONY LATTAVO TRUSTEE/PHYSICIAN 174601 0 74665 0 1588 0 1560 0 33766 0 286180 0 0 0 BROOKE L BURNS EXECUTIVE VICE PRESIDENT AMG 220342 0 45505 0 497 0 0 0 14034 0 280378 0 44305 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. NEWLY RECRUITED SENIOR LEADERS RECEIVE AN ONBOARDING HOUSING ALLOWANCE THAT IS GROSSED UP AND TAXED. THREE KEY LEADERS RECEIVED THIS REIMBURSEMENT IN 2021. 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 2021: LISA CARLSON $66,739 SERP ACCRUAL HARRY KITTAKA $59,343 SERP ACCRUAL KIRK TUCKER $51,813 SERP ACCRUAL KRISTIN BOGGS $36,706 SERP ACCRUAL CRAIG BABBITT $40,083 SERP ACCRUAL MOLLY GROOMS $32,056 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 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 1925000 164402962 121977262 1777526 40648173 2020 0 1 1 1 B 4470000 99843365 964347 71856977 23486711 3535330 1 0 0 1 C 710000 30000609 112289 26628338 3259982 0 0 0 1 A 0 0 1 1 0 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 1 0 0 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 SCHEDULE K, PART IV, LINE 2C THE DATE THE LAST REBATE COMPUTATION WAS PERFORMED IS OCTOBER 31, 2013. ROGER WILTFONG HIGHEST COMPENSATED EMPLOYEE SIGN ON X 70000 12896 0 0 1 TAREK MOUSSA HIGHEST COMPENSATED EMPLOYEE SIGN ON X 100000 34300 0 0 1 47196 ROBIN BERNO SPOUSE OF FORMER KEY EMPLOYEE JACK BERNO 172674 EMPLOYEE COMPENSATION 0 MARIA SMITH SISTER OF BOARD DIRECTOR JOE WATSON 137811 EMPLOYEE COMPENSATION 0 0 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. THE FORM IS PUBLISHED ON THE PORTAL PRIOR TO THE BOARD MEETING THAT INCLUDES A VISIT BY PLANTE MORAN REPRESENTATIVES. THESE REPRESENTATIVES STRESS THE IMPORTANCE OF THE 990 AND DISCUSS THE MAJOR COMPONENTS INCLUDING SCHEDULE H. 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 2021. 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 CONSULTANT FEES: PROGRAM SERVICE EXPENSES 2,052,834. MANAGEMENT AND GENERAL EXPENSES 54,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,107,632. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,888,573. MANAGEMENT AND GENERAL EXPENSES 25,765,264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,653,837. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 26,381,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,381,530. FORM 990, PART XI, LINE 9: TRANSFERS (TO) FROM AFFILIATED ORGANIZATION -9,341,120. INTERCOMPANY RECEIPTS ELIMINATED IN CONSOLIDATION 2,226. COURT DIALYSIS K-1 ACTIVITY - BOOK TO TAX DIFFERENCE -98,755. CONTRIBUTIONS RECLASSED OUT OF NET ASSETS -246,883. 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. FORM 990: PART XII, LINE 3B THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/21 IS IN PROCESS AND WILL BE COMPLETED AS SOON AS POSSIBLE. ADENA MEDICAL GROUP LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 271370967 HEALTHCARE PROVIDERS OH 90883318 8706932 ADENA HEALTH SYSTEM ADENA HOSPICE LLC 272 HOSPITAL ROAD CHILLICOTHE OH 45601 275340755 HEALTHCARE PROVIDERS OH 4346744 809362 ADENA HEALTH SYSTEM ADENA HOME HEALTH 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752730 HEALTHCARE PROVIDERS OH 3327790 818305 ADENA HEALTH SYSTEM ADENA HOME INFUSIONHOME RESPIRATORY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 273752854 HEALTHCARE PROVIDERS OH 5432838 1745463 ADENA HEALTH SYSTEM ADENA PHARMACY 272 HOSPITAL ROAD CHILLICOTHE OH 45601 451138187 HEALTHCARE PROVIDERS OH 7468596 732005 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 -83547 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 1312332 BOOK VALUE PIKE HEALTH SERVICES S 2470797 BOOK VALUE ADENA HEALTH FOUNDATION C 798679 BOOK VALUE ADENA HEALTH FOUNDATION B 384211 BOOK VALUE ADENA FAYETTE MEDICAL CENTER P 13436787 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.